Accountability – demanding from ourselves the highest in ethical and moral principles.

Accountability, as defined by the providers and staff of Carl R. Darnall Army Medical Center, is demanding from ourselves the highest in ethical and moral principles. The importance of this value was agreed upon by the entire CRDAMC workforce because we believe our patients deserve superior healthcare and we are committed to providing it. Periodically though, each of us should take a moment to do a compass check to ensure our performance matches our stated values. Ms. Janique Parnell, social work supervisor for the Warrior Transition Brigade, summed up this idea very eloquently at a recent meeting when she said, “Each of us at CRDAMC is responsible for ensuring world-class healthcare. We have to bring our ‘A’ game every day. We must be aware of our verbal and nonverbal communication, and work to be both inspirational and motivational for our patients and our peers.”
There are many praise-worthy examples of this type of accountability happening throughout our medical center every day. Recently I read a patient ICE comment from a parent whose child was seen by Susan Gallup, a provider in the CRDAMC Pediatric Clinic. It said, “Ms. Gallup was our daughter’s provider today, and she was so competent and reassuring that we would like her to treat our daughter for LIFE! I would rate her as 100 stars out of 10.” The compassionate care this comment reflects is a perfect example of the kind of high moral and ethical accountability our providers and staff should exhibit during every patient encounter.

Yesterday I watched as a noncommissioned officer stopped in the hallway to assist a woman who seemed to be lost. He was obviously in a hurry, but he still took the time to provide the woman with the assistance she needed. It only took about thirty seconds, but it was obvious that his consideration was appreciated. On another occasion I witnessed one of CRDAMC’s medical support professionals help a wounded Soldier who was unable to push his wife’s wheelchair due to his own injuries. The CRDAMC employee went out of her way to help the couple get back to their inpatient room before she returned to her own duties. No one asked her for assistance, but she saw patients in need and helped them because it was the right thing to do. Ultimately we must all recognize that we are accountable for ourselves, our actions and our inactions. Be proud of the things you have accomplished, but also look to your left and right. There is always room for improvement.
This blog completes my in-depth look at the CRDAMC values: honor, nurture, excellence, trust, empathy, accountability and mentorship (ONE TEAM). I have enjoyed sharing my thoughts on these values with you, and I encourage you to reflect upon them often. Let them shape your daily decisions and actions. Remember, hold fast to your ethical and moral principles, not because someone may be watching, but because it is the right thing to do. You can be a catalyst for change. You can improve your environment and the environment of those around you.

Respect and compassion for patients are the building blocks of trust

Like most Soldiers, I have had many experiences with Army medicine during my 27-year career both professionally and personally. Some of those experiences were more memorable than others, like my first medical evacuation flight, getting shots for my first deployment, my wife and I welcoming our daughter into the world, and of course, taking command of Carl R. Darnall Army Medical Center. While in command here I have had many opportunities to talk with the Soldiers, Family members and Veterans who receive their care here. Not all of their stories are easy to hear and not every outcome is happy, but despite their individual circumstances I regularly receive the same message. They tell me how much they respect and trust their providers, and how much they appreciate the respectful and compassionate care they have received in our facilities.

Today I read an ICE comment we received from Ms. Sheli Brown, a Family member who receives her care at the Killeen Medical Home. Ms. Brown praised her care team for their efficiency, stating, “The timeliness of the facility is what makes me come back time and again. I was really impressed today when the nurse who checked me in at the front took me to the lab BEFORE seeing the provider so that the labs were done for my appointment and I could get in and out. Those ladies are amazing.”  

Trust is the foundation of good healthcare. For some patients, like Ms. Brown, trust is earned. Her care team respects that her time is valuable, and they are working hard to ensure they don’t waste it. The care team’s attention to details and consideration for the patient’s wants and needs has proven to this beneficiary that they are both professional and trustworthy.

Recently, I spoke with a family who sadly lost their baby shortly after delivery. They were heartbroken. Still, in the midst of their pain and sorrow the grieving mother told me how our Labor and Delivery doctors, nurses and administrative staff helped her find a semblance of peace by preparing a bereavement box for her and her husband. The box contained a clay mold of their baby’s footprints and a tiny bracelet that had fit on their baby’s wrist, among other items. She told me that while she was still struggling with the loss of her child, she was overwhelmed by her providers’ compassion.

This story is at the forefront of my mind as I begin my day leading our healthcare system.  I thought about the level of care she had received, and the rapport her providers were able to build which allowed her, despite her loss, to genuinely appreciate their efforts. This patient told me she was grateful for the care she had received during such a difficult time in her life. I am proud to know that we have providers on our TEAM who take the extra time to help our grieving patients. They go above and beyond what is required to care for those in need of comfort.  That type of human connection is priceless, and it can often be a foundation that leads to trust.

Just a few weeks ago I received a copy of a letter from CSM (retired) Harold Lewis that was addressed to Gen. Raymond Odierno, the Army Chief of Staff, regarding a surgery CSM (R) Lewis’ wife had at our hospital. In his letter he said, “In my 29 years of service I have never witnessed finer medical care… I just wanted you to know, your Army is professional beyond words. They are the finest our nation has to offer, and I just wanted you to know, what it means to an ‘old soldier’ when he witnesses excellence.”

While CSM (R) Lewis stated that his wife was recovering well; I noticed that it wasn’t the complexity of the procedure or the surgeon’s education, experience or expertise that he praised in his letter. It was the compassionate care he and his wife received from the entire surgical team that inspired him to write to the Chief of Staff of the Army. His letter clearly showed the high level of trust that has been formed with the providers and staff at Darnall.

These are just a few examples of the stories I hear all the time from our beneficiaries, and that’s how I know – without a doubt – that the doctors, nurses and administrative staff at Carl R. Darnall Army Medical Center are dedicated to providing superior care for all of our patients. Our commitment shows in the compassion and respect that we give to them through our acknowledgement of the humanity and dignity of each life. We will continue to build on that trust with every beneficiary we touch. 

 

PDS

Col. Patrick Sargent

Serving to heal…Honored to Serve

“Compassionate, World-Class Healthcare—One Patient at a Time”