96-06-14: U.Va.'s Top 10 KINDNESS, CONCERN MARK OUTSTANDING EMPLOYEES FOR '96 From baking fresh bread for co-workers to taking a discharged patient back home to another country, the 10 employees receiving outstanding contribution awards this year are a creative group whose kindnesses and concerns show what makes the University stand tall Ñ the people who work here day in and day out. MARK BORDWINE Almost single-handedly, television systems engineer Mark Bordwine has brought the Southwest Continuing Education Center into the electronic age. Originally hired as a technician to down-link televised programming from U.Va. and Virginia Tech, he has become a computer guru in Abingdon Ñ after training himself, he created a new computer laboratory with more than 30 PCs and Macs and installed new computers in the centerÕs administrative office. Now heÕs known as the "PCPC" Ñ the personal computer peer coach Ñ who helps staff get to know the hardware and software he put at their fingertips. His initiative and expertise have "allowed the Southwest Center to expand its programs and services without adding new technical staff," according to Joyce Feucht-Haviar, associate dean of the Division of Continuing EducationÕs central office in Charlottesville. "Because of his skills and the availability of the laboratory, the center was chosen as one of the public access sites" for the pilot EVA Ñ the Electronic Village of Abingdon, said Center Director Carl D. Clarke Jr. As U.Va.Õs representative, Mr. Bordwine has been training members of the Chamber of Commerce and others in the community on how to use the network. "In addition he has coordinated and supported numerous outside groups using the laboratory, including a week-long computer camp for blind and visually impaired students, and children from two elementary schools in a demonstration project on the Internet," Mr. Clarke said. Mr. Bordwine also gives free Internet workshops to teachers from several local school systems. The technology facilities in the new Higher Education Center being built at Virginia Highlands Community College will benefit from Mr. Bordwine's "invaluable input" on planning the placement of computers and telephones, said Rachel D. Fowlkes, executive director of the Southwest Virginia Higher Education Center. Along with keeping on top of the latest computer advancements, Mr. Bordwine still does his old job, operating the television system that presents live and interactive, two-way video classes, the satellite dish and all the other audio-visual equipment in the Center. His job was recently upgraded Òto better reflect the challengesÓ he continues to meet after five years, according to Mr. Clarke. Bordwine's profile WRITTEN BY ANNE BROMLEY ELI CASAREZ To keep track of the thousands of people who have benefited from Eli Casarez's outstanding service, one would have to start with the 110 staff members in Medical Center Transportation who are inspired by his hard work and generous spirit, and then add the more than 11,000 monthly transports for patients and family members his unit makes each month, plus the many non-English-speaking patients for whom Mr. Casarez interprets as a volunteer with the Medical Center's language bank. Mr. Casarez's "compassion, concern and willingness to help are a great asset," said Liz Courain, director of volunteer services at the Health Sciences Center. "His manner is polite, his demeanor reassuring and his desire to serve patients very strong," Ms. Courain wrote. Six years ago, Mr. Casarez started out at U.Va. as a hospital attendant and worked his way up to his current position as Hospital Attendant Supervisor C. Fluent in Spanish and English, Mr. Casarez grew up in south Texas, where his family spoke Spanish at home. "On more than one occasion Eli has assisted Spanish-speaking patients on his own time and with his own resources, saving them from considerable fear and hardship. It can be very frightening to need medical care and to be unable to communicate with the caregiver," said Ms. Courain. But his kindness hasnÕt stopped there. Mr. Casarez "recently made a huge difference for a patient who was in real trouble and, remembering Eli, called for help," she added. After learning that a needy patient had been overlooked by the hospitalÕs support systems, Mr. Casarez went in person to the Salvation Army to get the necessary shoes, socks and food. On top of this, his efforts during this year's snowstorms helped the department provide continuous patient service to the Medical Center, according to Fleming D. Shelton, supervisor of Medical Center Transportation. And last year, when a longtime member of the Medical Center lost everything in a tragic fire, Mr. Casarez and his wife welcomed the man into their own home, providing shelter and support. Not surprisingly, the word has started to spread about his gracious donation of time and service. Mr. Casarez now regularly receives calls for assistance at home, and many an afternoon and evening he can be found accompanying patients on clinic visits or at the bedside of a patient. "His humanity shows through everything he does, and we are all fortunate to have the opportunity to work with him," wrote Phil Moran, director of patient assistance services. Casarez's Profile WRITTEN BY LESLIE WILLIAMS PATRICIA DOWD Clinical nurse Patricia Dowd has not only gone out of her way to fulfill patients' needs, in one case she went all the way to Guatemala to escort an injured man back to his family and tell them how to care for him. Part of the spinal cord injury team for two-and-a-half years until recently switching to another post, Ms. Dowd was responsible for coordinating the care of patients with spinal cord injuries, which involved following them through complex stages of treatment. Ms. Dowd "has not only assisted in identifying best practices in this high-risk, high-cost population, but through this process, has assisted to improve patient outcomes, decrease cost and decrease length of stay in the paraplegic population," said her former manager, occupational therapist Barb Nidiffer. Having expert nurses follow patients as they get moved from unit to unit also eases "the emotional cost," said Ms. Dowd, who got her nursing degree from U.Va. in 1980. "Spinal cord injuries are particularly traumatic because they usually happen to young, active people Ñ who can no longer move after their accident." "PatÕs professional interaction with patients and the coordination of their care is greatly appreciated by those she serves. Her patients consistently respond with letters praising her abilities and thanking her for intervening on their behalf at a very trying time," said fellow nurse Judith T. Rusek. After Pat returned last summer from a brush-up Spanish course held in Guatemala, a migrant worker from that country was hospitalized at U.Va. for a head injury. He had nowhere to go after rehabilitation. "The neuro unit on 6 central made the trip possible. Rather than him going to a nursing home for the rest of his life, which taxpayers would have paid for, we did the right thing by taking him home," Ms. Dowd said. His family, who hadnÕt seen him for over three years, couldn't believe he had been restored to them, she added. She has also helped other Spanish-speaking patients by arranging places for family members to stay and their transportation to and from the hospital. Richard Ridge, a patient care services manager who has worked with Pat for three years, characterized her as "the ideal registered nurse." In addition to her extensive knowledge, skills and empathy, he noted that "she tackles each day with a renewed sense of commitment and a can-do attitude. The impact she has directly on patient care, which is considerable, is probably overshadowed by the indirect impact she has on physician, nurse and therapist peers, and on the system." Although her new job has taken her away from direct patient care, she would like to go back to the bedside eventually. Still a patient advocate, she now focuses her people skills on an area called utilization management, where she reviews patient charts and works with doctors to make sure their documentation will result in the maximum insurance coverage. Pat Dowd's Profile WRITTEN BY ANNE BROMLEY KATHLEEN FLETCHER Word of Kathy Fletcher's exceptional teaching and care for elderly patients has spread as far as medical centers in Japan and England, that want to bring groups of nurses to U.Va. for training under her model of geriatric care. "KathyÕs reputation was the stimulus" for a proposed six-month clinical and didactic program, wrote Virginia Lee, a clinician who nominated Ms. Fletcher for the award. "It used to bother me that some doctors would automatically attribute geriatric patients' problems to 'old age,' without looking for other possible causes," said Ms. Fletcher, clinician 5 and geriatric nurse practitioner in the clinical support department. She describes her nursing approach as "forensic" Ñ looking for hidden problems that are not age-related, like medications or poor nutrition, that also might be affecting a patient adversely. "We try to look at the whole picture, because that's what a patient comes in with," she noted. Previously a surgical nurse, Ms. Fletcher discovered her interest in geriatrics when working with World War II veterans at a V.A. hospital in Arizona. "Improving the health care and the quality of life for the elderly is more than a career for Kathy, it is her intense passion and calling," wrote Jean Sorrells-Jones, chief patient care services officer. Every day, she teaches at the bedside, working with nurses as part of the geriatric resource model she pioneered, which is up and running in seven Medical Center units so far. With eight years' experience as a nursing school faculty member at U.Va., Ms. Fletcher still teaches a full schedule of continuing education courses for physicians, nurses and other care providers of the elderly and is an active volunteer for the Jefferson Area Board for Aging and the Piedmont chapter of the Alzheimer's Association. This year she was elected president of U.Va.Õs professional nursing staff. "I feel strongly that care for our elderly patient population started to improve the moment [Kathy Fletcher] joined patient care services. She represents the epitome of advanced practice nursing, in terms of her clinical skills, teaching, coaching and mentoring of other nurses," wrote Tracie Nolan Kientz, a clinician in the coronary care unit. "She continually challenges me (and others) to think about what is possible and not dwell on the problems and barriers in our system." Also through Ms. Fletcher's efforts, "nursing care has improved considerably," wrote Peggy J. Shupe, a nurse at Martha Jefferson Hospital. By providing formal instruction during rounds with various nurses, Ms. Fletcher helped boost their skills and confidence. "Her goal was to empower us and she did. Kathy helped us focus on maintaining the prehospitalization functioning level of the patient," she explained. "The effect of this on a patientÕs future cannot be overstated. It may well mean the difference in going to a nursing home or being able to live with family," she added. "The effect of these seemingly small changes in practice have a tremendous impact on where and how our health care dollars are spent. Kathy's value to us, however, cannot be measured in dollars, for what she means to us and instills in us, makes her invaluable," Ms. Shupe said. Kathleen Fletcher's Profile WRITTEN BY LESLIE WILLIAMS BETH FOWLER While many of us were relaxing, snowbound, in our homes during the blizzards this past winter, Beth Fowler, clinical social worker for the Kidney Center, was calmly and efficiently working with the National Guard, hospital administration and local rescue squads to get patients to and from dialysis. And when the Madison County area flooded earlier this year, Beth was busy coordinating overnight housing, food and essential medicines for stranded patients. "Her continuity of care is a challenging feat to accomplish in this day of health care management," said Ruth Ann Sherman, a nurse at the Kidney Center, who nominated Ms. Fowler. Not only does Beth, the Health Sciences Center September 1995 Employee of the Month, come through in a crisis, she has also developed and initiated the annual Wellness Festival and Bereavement Program to help fulfill the needs and desires of the approximately 160 chronic hemodialysis patients for whom she is responsible. The Wellness Festival held every fall "provides our patients [with] access to many community agencies and support groups for their well-being," noted Sandra B. Bailey, a renal services nurse. The Bereavement Program Ms. Fowler was instrumental in creating helps families and staff handle a patientÕs death. "We are, thanks to Beth, reaching out to them at a very difficult time and providing them with support and caring. This is not only beneficial to the patients' families but to the staff [as well]. It has helped facilitate their dealing with the death of people they have provided care for for years," said Debbie Cote, also a nurse at the Kidney Center. A fervent patient advocate, Ms. Fowler "works within the system to get things done and/or changed while maintaining high standards," added Ms. Bailey. She has often tackled the labyrinthine maze of medical insurance in order to maximize the amount of University reimbursement while minimizing the patientsÕ personal expenses. By improving communication, Ms. Fowler has helped to deliver cost-effective, quality health care. Loyal and willing, Beth Fowler touches many lives, from students to staff to, most importantly, patients. "It makes you feel good just to see her in action," said Leah Wacksman, patient care services administrator. "She knows all the patients, their families, their problems, their successes and setbacks. She constantly supports and encourages them to be as independent as possible Ñ often challenging them to stretch their limits," just as she does every day. Beth Fowler's Profile WRITTEN BY SARAH BLACKWOOD DOLORES HILDEBRAND "There is no doubt in my mind that were I to turn my paycheck over to Dolores for management and investment, she would give me a suitable allowance but ensure I retired a millionaire," said Chief Contracting Officer Dolly Prenzel of Dolores Hildebrand, the business and systems manager of purchasing. Ms. Hildebrand's meticulous financial management has saved the University literally millions of dollars over the past couple of years, part of which has been used to set up eight electronic classrooms for the Classroom Technology Initiative. The permanent $172,000 she cut from the purchasing budget this year will contribute to the expanding Center for Science Education, to be headed by NASA astronaut and U.Va. alumna Kathryn Thornton next fall. Having worked in the purchasing department for 10 years, Ms. Hildebrand said she likes being able to improve things and knowing she is not just a paper-pusher. She has played a major role in the closing of U.Va.'s storerooms and going to vendor contracts, resulting in a one-time savings of $1.2 million in inventory. "Dolores worked hard to make this happen while helping to ensure uninterrupted, vendor-direct service to our customers, at competitive prices, with no storekeeper layoffs," said Ms. Prenzel. Through her restructuring and streamlining efforts, Ms. Hildebrand has made permanent budget reductions of between $100,000 and $200,000 for three years in a row. "I try to think of the best interests of the University as a whole, not just my own department," she said. Other units and departments are getting more control and responsibility for their own expenditures Ñ which is what they want Ñ thanks to her fiscal management. She has been part of two process simplification teams, for the $5,000 LPO and the vendor credit card, and consulted for the travel and check distribution teams. She came up with an automated system to track the U.Va. credit cards used by individuals and monitor their usage, according to Ms. Prenzel. When she's not busy saving the University money, Ms. Hildebrand enjoys cheering for her two children at their ball games and track events. Her commitment to efficiency is so great, however, that she recently took a textbook on process re-engineering to her 13-year-old son's baseball game. She'll again combine business with pleasure this summer as she was selected to attend the College Business Management Institute in Lexington, Ky. Ñ she's taking her family, too. All of those who recommended her for the award mentioned her pleasant attitude, as well as her skill and energy. "Dolores' contributions alone make her an outstanding employee but her fine qualities make her an asset to the University and a friend to all," said personnel assistant Sandy Layne. Dolores Hildebrand's Profile WRITTEN BY ANNE BROMLEY SHIRLEY KOHUT Shirley Kohut wears many hats as the executive secretary senior of the Miller Center of Public Affairs. "She is our institutional memory, travel expert, luncheon director, follow-up specialist, record keeper, expediter, coordinator and driving force of almost all the activities at the Miller Center," said Director Kenneth Thompson. "Her desk is the hub for our entire operation." Professor Emeritus of Government and Foreign Affairs Innes Claude added, "There is virtually nothing related to the center's operations that Shirley cannot do." Juggling multiple responsibilities that would exhaust many people instead makes Ms. Kohut's work a welcome challenge. She said simply, "I like to be busy." Ms. Kohut herself has generated much of the whirlwind of activity in which she works. The number of regular attendees at the center's events has tripled in the past three years, according to Mr. Thompson, who attributes a large part of the jump to Ms. Kohut's effectiveness as an ambassador for the Miller Center. "Shirley is at home in dealing with the humblest little retired person who comes to the center as much as with former presidents, senators, congressmen and Supreme Court justices," said Mr. Thompson. "IÕve met presidents, ex-presidents and other well-known people whom I might have otherwise only seen on the news. ItÕs one of the best parts of my work," said Ms. Kohut. "ItÕs also one of the biggest challenges to make sure all the arrangements for such visits go smoothly. I worry that one of our guests might accidently be left stranded at the airport." Planning visits for former presidents Jimmy Carter and Gerald Ford stand out as most memorable in her 21-year tenure at the Miller Center. "The details that surround an ex-presidentÕs travel are extraordinary, especially dealing with the Secret Service. I had to show them each and every entrance to the Miller Center building so that it could be guarded," she recalled. A native of Pennsylvania, Ms. Kohut worked at the Pentagon and James Madison University before beginning at the Miller Center as a clerk-stenographer in 1975. Outside of work, she enjoys bowling, taking care of her nine cats, and "really, just going home and relaxing." "I hope to retire here," said Ms. Kohut. "I donÕt think thereÕs anything better that one can say about a job." Shirley Kohut Profile WRITTEM BY REBECCA MILLER JIM MORRIS Jim Morris carries his pager with him when he goes bass fishing on his days off. It's not that he has to, but because he likes to. Mr. Morris, the zoning maintenance supervisor for the Medical Center Physical Plant, explained why he voluntarily carries a device that others often regard as an unfortunate necessity: "I like to stay on top of things. And I'm very dedicated to the guys who work with me." "I lose a lot of vacation time each year because I donÕt use it," Mr. Morris laughed. "I can't help it." In charge of 1.5 million square feet of the U.Va. Health Sciences Center, Mr. Morris meets regularly with hospital staff to ascertain and discuss the maintenance needs of individual departments. Richard Laurance, director of the Medical Center Physical Plant, praised Mr. Morris for developing new procedures, such as coordinating the renovation of patient rooms without requiring the entire area to be shut down for a lengthy period of time. "Jim created a sequence where every day two rooms were turned over for any upkeep and maintenance work, which was completed by each evening. Maintenance that has not been accomplished for seven years because of lack of access to the rooms is now completed on 70 percent of Level 4." Not only does he know how things might be done best, Mr. Morris readily rolls up his sleeves and lends a hand. No stranger to labor, he began work at U.Va. in 1970 as a mechanic for HVAC (Heating, Ventilating and Air Conditioning) equipment. Although he was soon made a supervisor, Mr. Morris continues to hone his HVAC skills by helping out in his brother-in-law's air-conditioning business. "I don't do much physical work anymore. It's good to test your abilities once in a while and to keep current," Mr. Morris explained. His practical experience and willingness to tackle tough tasks himself has earned him respect from colleagues. "Whether he is bringing his considerable personal expertise to bear on a problem or coordinating the efforts of others, Jim remains a hands-on leader," said Dave Gipson, director of Medical Center Facilities Services. "He is not one to sit back and let others be out in the cold during stormy weather, but instead generates enthusiasm by being out in front," added Mr. Laurance. "During the Blizzard of 1996, Jim stayed a remarkable three days at the Health Sciences Center working around the clock." "IÕm surprised and pleased," Mr. Morris reported about receiving the award. "It's the kind of recognition you hope for in your life, but never really expect." To those who work with Jim Morris, the only thing that might be surprising about his receiving the award would be if he were to take a few days off (without his pager) to celebrate. But that doesnÕt seem likely. Jim Morris Profile WRITTEN BY REBECCA MILLER JEAN V. REESE "I was shocked that I was selected," said Program Support Technician Jean V. Reese of her Outstanding Employee Contribution Award. No one else who works with her in the Center for Electrochemical Science and Engineering, however, was surprised. Whether it's creating World Wide Web pages to promote the work of the center and the materials science department, saving $1,000 by catching an accounting error or dashing to the travel agency to have airline tickets reissued for staff members, "Mrs. Reese's contributions have consistently far exceeded all expectations," said her immediate supervisor, Robert G. Kelly, assistant professor and assistant director of the center. Associate Professor John R. Scully confirmed Mr. Kelly's comments, saying, "Mrs. Reese is without any doubt the finest administrative assistant that I have ever had the pleasure of being associated with." Not only is she able to use sophisticated computer programs to produce various print and electronic publications, "Jeannie swiftly performs the most boring, menial tasks like xeroxing, or cutting and pasting diagrams for faculty quickly, efficiently and without complaint." "Since Jeannie has taken over . . . the quality and professional appearance of the newsletter has increased at least 100-fold," noted graduate student C. Sean Brossia. "Her work developing, maintaining and enhancing the CESE web page has led to a site that . . . stands head-and-shoulders above others," he said, adding that she also provides administrative support for and assistance to graduate students with their own home pages, services not typically available to them. And she offers her help willingly, he said, "something I have found rare." "The professors and graduate students here are so appreciative. It makes a difference when you like the people you work with. This is the best department I've worked for at U.Va.," said Mrs. Reese, who has been in her current job for almost three years and at the University since July 1988. Outside the office, Mrs. Reese, who got married in October, spends her time making crafts, landscaping, gardening and working with her husband on their house. They just finished painting the exterior. Jean Reese Profile WRITTEN BY REBECCA ARRINGTON TOM RINGROSE Tom Ringrose often comes to work toting freshly baked bread for co-workers or flowers for patients he has noticed don't receive visitors regularly. Though not part of his official job duties, these added efforts are part of the reason this health unit coordinator II, who works in U.Va.'s Heart Center, has been recognized as an outstanding employee. "He is the glue that holds the place together," said Coronary Care Unit Clinician III Anne M. Pontuso. "When someone has a birthday, he orders a cake. He sends balloons to members of the staff when they have a baby or are promoted." And he routinely invites patients' family members, who can't afford other accommodations while their loved ones are in the hospital, to stay with him and his wife at their home, which ironically is a hospital Ñ the old Schuyler Community Hospital that they bought and converted to their living quarters. "During the weeks when patients are in this unit, it's a very traumatic time for them and their families," said Mr. Ringrose, who has worked at U.Va. since 1980. "We make sure theyÕre never alone." In addition to the personal touches he brings to the unit, Tom exceeds the routine expectations of his job, which include responsibility for the general upkeep of the unit: ordering supplies and special items, receiving and assisting guests and patients, dispatching phone calls and facilitating all medical orders to doctors and nurses, gathering data for the director and administrator of the department, handling payroll and time sheets, maintaining patientsÕ charts and records, officiating meetings and educational seminars, handling daily fire safety and electrical checks, assessing patientsÕ room conditions and making reservations for patientsÕ family members. "He frequently stays late, off the clock, to assure things on the unit will run smoothly," said CCU Clinician IV Tracie Kientz. He is "one of the major reasons there is little staff turnover." Clinical nurse Nita Reigle added, "Without Tom, the work of nursing and other professional staff in the CCU would be increased immensely." "HUCs play a major supportive role in the delivery of patient care and very often [are] overlooked," said Ms. Pontuso. About three years ago, Tom started a University chapter of the national organization, Health Unit Coordinators Incorporated. He thought it would be an excellent way for U.Va. HUCs to improve their image and network with peers at other institutions. He has been so successful in this endeavor that he is now president of the local group, treasurer and representative of the regional group and a member of the national marketing committee. Tom's generous nature also spills over into the community. An artist who enjoys acryllic and watercolor painting, he gives free art lessons at his home every Saturday to children in the area, providing transportation to and from class if they need it. He also visits a local nursing home each Sunday bringing the residents loaves of his ever-popular bread. In addition, he is a lobbyist for Primary Care Centers of Virginia, and leads smoking cessation workshops for the Blue Ridge Clinic. His grassroots efforts have taken him all the way to the halls of Congress, where he has testified on the harmful effects of tobacco use. Tom Ringrose Profile WRITTEN BY REBECCA ARRINGTON