Throughout her time at Northwell Health, Margaret Murphy, DNP, RN, NE-BC has been an influential leader at Long Island Jewish Medical Center (LIJMC). As Chief Nursing Officer, Margaret knows the importance of providing nurses with educational opportunities to help them grow while igniting their passion for delivering exceptional care. Read more from our CNO Corner interview with Margaret.
Tell us about your career journey at Northwell Health.
Since joining Long Island Jewish Medical Center (LIJMC) as a director of patient care services in 2006, I have had the privilege of working for an incredible organization. As I think back to my first interview, I am overwhelmed by the exemplary leaders I have encountered along the way and how fortunate to have been mentored by so many of them. I was also fortunate to be afforded the opportunity by Northwell Health to obtain my doctorate degree from Case Western Reserve University.
I have been given extraordinary opportunities for professional growth and I believe in paying this forward so that new leaders can have the courage and wisdom to excel. Much of my career has had a dual focus; building a nursing team that is passionate about creating a high-reliability organization and ensuring that patient safety is our ultimate goal as clinical leaders. Having a vision and a strategic plan that include innovation, teamwork, engagement, transparency, and trust, provides a roadmap for organizational success.
What exciting nursing initiatives are happening at LIJMC?
One of our most exciting initiatives for 2019 includes our re-designation for Magnet®. LIJMC continues to outperform all benchmarks with a BSN rate of more than 92% and a certification rate that exceeds the Magnet benchmark with 25% of our nurses receiving clinical ladder designation. Additionally, we have seen great success with the “CNO cabinet” which was established for identifying and developing tomorrow’s nurse leaders.
LIJMC is also always at the forefront of innovation by:
Continuing to utilize collaborative care councils as arenas for shared governance, performance improvement, and organizational growth.
Building a new Oncology Center of Excellence.
Expanding our robotic surgery program, which received a Center of Excellence certification as did gynecological minimally invasive surgery.
Receiving Joint Commission certifications in Total Joint Replacement, Advanced Palliative Care and Diabetes.
Maintaining certification for Nurses Improving Care of the Health System Elder Certification (NICHE).
Launching an acute lung injury center which was created to deliver extra-corporal membrane oxygenation (ECMO) to patients that are not recovering with conventional “best practice” treatment.
Why would someone want to work as a nurse leader at LIJMC? How can they make an impact on providing exceptional care?
One of the best reasons to be a nurse leader at LIJMC is that there is a true collaborative spirit. Nursing has a voice at the table. There are so many ways to advance your knowledge at Northwell including continuing education conferences, courses at our Center for Learning and Innovation (CLI), advanced degree programs and leadership development programs. LIJMC is participating in the new Northwell Nursing Mentorship Program with a track for novice nurses and new leaders. This program will focus on individualized development, feedback and partnership.
At LIJMC, there are fellowships in specialty areas such as perioperative nursing, critical care, and emergency nursing. There is a residency program for new graduate nurses. Along with North Shore University Hospital, we partnered with Stony Brook University to facilitate obtaining master’s degrees in Nursing Leadership and in Education; whereby developing our nurse leaders and educators of tomorrow.
What is your career advice for nurses to develop in their career?
My career advice to new and experienced nurses is to understand that they must function as leaders regardless of title. From the onset, they should embark on a life-long journey, and commit to excellence as they move along their career trajectory. Early in their career, it is important to identify mentors, to emulate desirable behaviors such as advocacy, accountability, empathy, and professionalism. Nurses at all levels should mentor and coach while building strong relationships and developing excellent communication skills. Being knowledgeable about the changing health care landscape requires nurses to maintain curiosity and serve as change agents. Most importantly, nurses should recognize each day that while their accomplishments today are extraordinary, striving to make tomorrow’s accomplishments better is truly how we make the greatest impact in our patients’ lives.
Meet Truly Together Cardiology Nurse Practitioner Kareem Nugdalla
This post is part of a blog series highlighting Northwell Health’s advanced clinical providers (ACP). Each Northwell Health employee was nominated by their manager as an individual who exemplifies a Northwell Health value.
This month, we’re proud to introduce you to the Truly Together, Kareem Nugdalla, who is currently a cardiology Nurse Practitioner at Southside Hospital in Bay Shore, New York. Read below to learn more about Kareem and what it’s like to be an ACP at Northwell.
Kareem started his career with Northwell in 2013 as a registered nurse on the telemetry unit at North Shore University Hospital. From there, he became certified as a cardiac vascular nurse and then took the next step in his career by accepting a full scholarship as part of the inaugural class of the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies. “My managers encouraged me to become a nurse practitioner and my co-workers supported my dream,” he notes. “Team members have come up to me and said I was their inspiration for going back to school. There was never a roadblock, everyone embodied the ‘Truly Together’ spirit.”
Upon graduating, Kareem became an adult gerontology acute care nurse practitioner and works as a key member of a highly collaborative, interdisciplinary team at Southside Hospital.
What Kareem likes most about working at Southside is the high level of respect and trust that encourages collaboration between all members of the healthcare team, particularly in his relationships with his physician and physician assistant counterparts. Kareem feels that Truly Together collaborative care creates an environment where ideas can be shared and his input is valued. “When everyone works as a team, you can tackle problems by coming up with solutions together. If there is a challenge, I never leave a team member to face it alone. Even if I don’t have the answer, I look for the answer with them.”
Kareem is also proud that his role significantly impacts his local community in a positive way. To him, being part of Northwell is about delivering more than just healthcare; it’s taking care of his own community. “There is a moral compass and a culture of care that drives us to excellence,” says Kareem.
Discover the PeriOperative teams on the forefront of cardiac surgery
When it comes to cardiac surgery, Northwell Health is at the forefront of innovation and exceptional care.
In fact, the Department of Health (DOH) has recently ranked Northwell Health cardiac surgery programs among the best in New York State. And exceptional cardiac care wouldn’t be possible without the hardworking nurses, advanced care providers, and surgical technologists who join surgeons in the operating room.
“Being in the cardiac operating room can be demanding but extremely rewarding. It requires a compassion for your patients and love of the operating services and Cardiology,” says Karen Cary, associate executive director at Staten Island University Hospital. “Always come ready to learn and be voracious in your thirst for knowledge.”
Learn more about some of our cardiac surgery programs across Northwell Health:
North Shore University Hospital (NSUH)
Operating room professionals looking to join the cardiac PeriOperative team at North Shore University Hospital would work alongside high-performing, talented team members who are committed to exceptional patient care. NSUH is home to the Sandra Atlas Bass Heart Hospital and has been named one of America’s 50 Best Hospitals for cardiac surgery in 2017 and 2018 by Healthgrades.
Featuring one of New York’s largest cardiothoracic surgery programs, the Heart Hospital has become the first and only full-service destination for heart transplantation in Nassau, Suffolk, Queens, Brooklyn, and Staten Island, New York. The DOH report has also recognized the Heart Hospital for having the state’s best outcomes for certain types of open-heart surgery.
Staten Island University Hospital
Staten Island University’s Heart Institute is known for its cutting-edge techniques, procedures, and skilled health care professionals. The DOH has even ranked their cardiologists, interventionalists, and catheterization and transcatheter aortic valve replacement (TAVR) teams in the top 5% of the nation. Growth continues within this impressive Cardiac PeriOperative Department as it works to perform a full spectrum of increasingly innovative procedures, such as the recently created TAVR program which has already seen success.
Joining the Heart Institute gives PeriOperative professionals the opportunity to work with a compassionate team with a passion for cardiac services. Close collaboration in the operating room and hospital floor ensures the absolute best care for patients and their families.
Lenox Hill Hospital
The award-winning cardiology department at Lenox Hill Hospital has been recognized by Healthgrades as one of America’s 100 best heart programs four years in a row. Lenox Hill is always looking for innovative ways to treat patients; innovation that has led them to performing groundbreaking procedures – such as angiograms and minimally invasive heart surgery.
At Lenox Hill, the cardiology team offers advanced cardiac services in a variety of areas, including electrophysiology, interventional cardiology, and heart failure. Nurses, advanced care providers, and surgical technologists will join the skilled PeriOperative team in a brand-new clinical area.
What is Northwell Health’s Radiology Administrative Succession Program (RASP)?
The Radiology Administrative Succession Program is a one-year program that develops and enhances Northwell’s radiology leaders to enable them to take the next step in their career. During the program, leaders are provided with educational opportunities, knowledge sharing, hands-on learning and training with senior radiology leaders across the Imaging service line and hospital radiology departments.
“Succession planning is vitally important for ensuring the continued success of any business. The radiology service line has an amazing pool of top talent who we have identified and developed in an effort to fill future roles. Our goal is to focus on cultivating managers from within Northwell to ensure the leaders of the future are in place,” says Melone Pernice, Administrative Director, Radiology at Plainview Hospital.
Radiology team members are nominated by their leaders to participate in RASP and then the RASP Committee selects the final participates based on their nominations. This year, three team members were selected to participate in the inaugural class.
“RASP demonstrated to me that everyone is part of the same team and each person is fully invested in your success. All components of the program — from the subject matter classes, system level meetings and one-on-one mentoring — gave me the confidence I would need to handle any future obstacles. RASP is essential to ensure the future leaders are prepared for tomorrow, “says RASP participant Adrienne Wilson, radiology manager at Plainview Hospital.
2019 President’s Award Finalist- Exceptional Patient/Customer Experience
Each year, Northwell’s President’s Awards recognize team members who not only surpass our expectations and standards of excellence, but also those who drive innovative business outcomes.
The Exceptional Patient/Customer Experience award recognizes an individual who is Made for Northwell Health: made for caring and protecting our patients and communities – made for leading innovation and change that inspires our colleagues and turns tomorrow into a breathtaking opportunity. Meet this year’s finalists.
A football injury that could have ended his collegiate football career instead inspired Sal Dimatteo to the profession of physical therapy, where he leads a practice filled with compassion for patients. As a physical therapist supervising rehabilitation at the STARS Huntington location, he overcame his disappointment at low Press Ganey patient scores the office was receiving by reaching out to colleagues and coming up with distinctive and fresh ways of encouraging team members and patients to provide feedback.
Sal’s approach led to a huge surge in responses and improved scores. Under his leadership, STARS Huntington was ranked in the 98th percentile nationally (a score of 98.5) for Likelihood to Recommend for 2018. This was the highest ranking for all STARS locations as well as the Northwell Outpatient Rehabilitation Network.
His hands-on style nurtures a team approach to provide patients with the best care. And Sal’s leadership brings out the best in his team — bringing them together as a cohesive unit and empowered to provide the best possible service. His upbeat, positive style and work ethic encourages the team member to perform at a high level and bring the best possible care to patients.
Kacey Farber, LMSW Social Worker, Huntington Hospital
Kacey Farber went from a teaching career to one of social work and a transformative role as a leader in helping families cope with the loss of a baby. Dissatisfied with the resources available that would allow her to assist grieving families, she decided to create her own.
Kacey connected first with the Star Legacy Foundation, which works to increase awareness about neonatal loss and increase family support. She then established the Huntington Hospital
Bereavement and Support Group. Working with a network of families who had lost babies led to a plan to create a perinatal bereavement garden, a warm and comforting space to memorialize lost children. She coordinated fundraising to support the garden, which opened last fall.
As a dedicated problem solver, Kacey identified a need and fixed it through research, planning, networking and fundraising. She also helps manage the bundled orthopedic patients and has become an expert on providing transitional care. In addition, she was the first-ever mentor for Master level social work candidates in the Case Management department. Kacey is also the certified intern supervisor for the department’s three social work interns. She is an incredible mentor and has motivated others to become a certified social work intern supervisor.
Bulah Martin Lead Phlebotomist, Northwell Health Labs
As lead phlebotomist, Bulah Martin has a knack of turning an unpopular but vital task into an experience that makes people smile. Having their blood drawn is rarely a happily anticipated event. With Bulah, her skills at minimizing the unpleasant aspects of the service, combined with her cheery personality, make for successful outcomes.
Bulah often works with special needs or very sick children where making the procedure go smoothly can be a challenge. She frequently has physicians asking for her by name. By decorating two rooms with playful decals of animals and nature, she minimizes the presence of medical equipment. Bulah has her equipment ready when the patient enters the room, gives small gifts to young children, which she pays for out of her own pocket, and eases the worries of parents who in turn, are able to calm their children. Her creative solutions ensures the necessary work of blood collection happens successfully.
Phlebotomists at Northwell Health Labs provide blood collection services for more than one million patients every year — in many cases after taking into consideration and resolving the fears and resistance of patients. Bulah teaches techniques for collecting blood samples from children and infants, and mentors phlebotomists all over the health system to show them “how it’s done,” leading patients with a positive sense of the quality performance that Northwell represents.
Adrian Mazur Chaplain, Cohen Children’s Medical Center
Chaplain Adrian Mazur has chosen to work in the midst of medical crisis, supporting the smallest patients and their families in the Neonatal Intensive Care Unit as they try to cope with life threatening illnesses. It is his empathy that others quickly notice as he helps fearful, weary and distressed parents who are trying to cope with some of the worst days of their lives.
Adrian, who came to the ministry from a career in finance and volunteer work with an orphanage in Ukraine, works with adolescents in pediatric hematology/oncology. There he helps to establish a connection and genuine trust as the young patients face their own mortality, changes in their appearance and an overall loss of health and stamina.
Often, Adrian plays a significant role in the lives of families that ultimately lose their child to illness. In one instance, he later drove through a snowstorm to be with one such couple at the birth of another child. It is through his presence, compassion, dedication, prayers and listening ear that he helps patients and parents redefine their hopes and maintain their dreams. Adrian’s presence brings a vitality to the hospital and all those he touches.
Kelly Ann Moed MSN, RN-BC, CSPHP Development Instructor, Staten Island University Hospital
Kelly Ann Moed turned an idea she developed during graduate studies into a program to safeguard the well-being of hospital staff through the prevention of injuries. Taking care of patients starts with making sure our team members are well. Her Safe Patient Handling Program has led to a significant decline in the number of workforce injuries. Kelly Ann’s passion, caring and knowledge are the driving forces that have made this innovative program a success.
She has been the driving force in making sure hospital team members are properly trained and educated on the use of equipment to move and transfer patients.
Her program took a creative turn recently with Workforce Safety Olympics. It was a fun way for the team members to demonstrate their Safe Patient Handling expertise and the use of equipment to transfer and lift patients. These groups were presented with various scenarios where, within a specific time frame, together they needed to exhibit the proper choices in equipment, communication with each other and the patient, and appropriate transfer technique. The Staten Island University Hospital team members took home the gold trophy.
It is the policy of Northwell Health to provide equal employment opportunity and treat all employees equally regardless of age, race, creed/religion, color, national origin, alienage or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, generic information or genetic predisposition or carrier status, marital status, partnership status, victim of domestic violence, or other characteristics protected by applicable law. Northwell Health leaders, including the CEO, are committed to the principles of Equal Employment Opportunity and Affirmative Action.