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June, 2013

Hospital Newspaper - NY

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

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‘Best Doctors’ LISTS YEAR AFTER YEAR

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Hospital Newspaper - NY June, 2013

Page 3

LESLIE D. HIRSCH TO RECEIVE DISTINGUISHED SERVICE AWARD President and CEO of Saint Clare’s Health System Recognized by American College of Healthcare Executives – New Jersey Chapter

Leslie D. Hirsch, FACHE, president and CEO of Saint Clare’s Health System, has been selected to receive the American College of Healthcare Executives-NJ Chapter Distinguished Service award. ACHE-NJ presents this award each year in recognition of the personal and professional contributions of a senior level New Jersey healthcare leader who has made a significant difference in the quality of and access to healthcare for state residents.

The award will be presented at ACHE-NJ’s Annual Meeting June 4 at the Johnson and Johnson Corporate Center in New Brunswick.

During his more than 30-year healthcare career, Hirsch has served as a leader in a number of recognized health care organizations, including many in his home state of New Jersey. Prior to Saint Clare’s, Hirsch had been president and CEO of Touro Infirmary in New Orleans from 2005-2008, an inner-city major teaching medical center with more than 500 licensed beds and 2,000 employees. Starting just one week before Hurricane Katrina, he led the evacuation of more than 200 patients, and just 27 days later Touro was the first hospital to reopen in New Orleans, restoring operations to near full capacity within one year.

Additionally, Hirsch has served as president and CEO of Exempla St. Joseph Hospital, a 565-bed teaching hospital in Denver, Colo., from 2002-2005. Hirsch also worked for 14 years at Cooper Health System in Camden, N.J., one of the largest healthcare providers in the Delaware Valley – for three years as president and CEO and for eleven years prior to that as executive vice president and chief operating officer. Earlier in his career, he held leadership positions with Bellevue Hospital Center, New York, N.Y., and Clara Maass Medical Center, Belleville, N.J. Mr. Hirsch has been an active community leader throughout his career. He served fourteen years on the Board of Trustees of The Ronald McDonald House of southern New Jersey and was the recipient of their Big Heart Award. He served on the Board of Directors of the Camden County (New Jersey) Chapter of the American Red Cross and was honored as a recipient of the Good Neighbor Award. He is a past president of the Camden County Council, Boy Scouts of America, and was honored as the Council’s 1997 Distinguished Citizen, as well as with the Silver Beaver Award, a national award and the highest honor given by a local council. He has served in various leadership roles with the American Heart Association in New Jersey, Colorado and Louisiana, and received the Torch of Hope Award by the Denver Metro American Heart Association.

During his tenure in New Orleans he played an active role in the City’s recovery efforts following Hurricane Katrina, having served as a member of the Louisiana Recovery Authority Public Health Task Force and in other leadership roles. He was recognized as a Role Model by the Young Leadership Council of New Orleans, as a Health Care Hero by New Orleans CityBusiness, and was a recipient of the MacEachern CEO Award by the Public Relations Society of America/Health Care Academy.

About American College of Healthcare Executives-NJ With more than 750 members, ACHE-NJ is a chapter member of the American College of Healthcare Executives, an international professional society of more than 35,000 healthcare executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE's established network of more than 80 chapters provides access to networking, education and career development at the local level.

In 2012, Hirsch was honored with the Award of Excellence from the Morris County Organization for Hispanic Affairs, as well as the Community Service Award from the Assumption College of Sisters (Mendham, NJ).

About Saint Clare’s Health System Saint Clare’s Health System, which has served the healthcare needs of northwestern New Jersey residents since 1895, is the region’s premier provider of community-based healthcare and behavioral health services.

Saint Clare’s operates hospitals in Boonton Township, Denville, and Dover, and other facilities located throughout Morris and Sussex counties.

Saint Clare’s is part of Catholic Health Initiatives, which is a national nonprofit health system with headquarters in Englewood, Colo. The faith-based system operates in 18 states and includes 80 hospitals; 40 long-term care, assisted- and residential-living facilities; two community health-services organizations; two accredited nursing colleges; and home health agencies. In fiscal year 2012, CHI provided more than $715 million in charity care and community benefit, including services for the poor, free clinics, education and research. With total annual revenues of more than $10.7 billion and approximately 86,000 employees, CHI ranks as the nation’s second-largest faith-based health system.

Mr. Hirsch is a Fellow of the American College of Healthcare Executives and is a past president of the Association of Healthcare Executives of New Jersey. He currently serves as the Vice Chairman of the New Jersey Hospital Association and as a member of its Board of Trustees. He also serves as a Delegate on the American Hospital Association’s Regional Policy Board. He is an active member of the Business Council of the Morris County Chamber of Commerce.

Mr. Hirsch holds a Bachelor of Arts degree in Political Science from William Paterson University and a Master of Public Administration degree from Fairleigh Dickinson University.

He lives in Denville with his wife, Carol, and has two daughters.

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June, 2013

Hospital Newspaper - NY

Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals

By Patrick Harrigan | Syracuse, NY

In a time of extraordinary change within the industry, healthcare professionals face a list of challenges that seems to grow longer by the day. Providers are required to juggle priorities and effectively delegate responsibility in an effort to deliver high quality care. External pressures such as declining reimbursements, increasing compliance requirements and uncertainty surrounding the Affordable Care Act only add to the burden.

Additionally, healthcare providers must adapt to the changing dynamics of the doctor-patient relationship as patients take a more proactive approach in how they gather information and interact with care providers.

Despite these challenges, providers must make sure that operations continue to run smoothly while maintaining a steady ÀRZ RI SDWLHQWV (TXLSPHQW QHHGV WR EH upgraded, additional staff may be needed to distribute the workload, and payroll or WD[ SD\PHQWV PD\ EH GXH 7KH ¿QDQFLDO burden can often be overwhelming, leaving bills unpaid and projects stalled.

In 2010, Fund-Ex, LLC was founded to provide healthcare professionals with the FRPPHUFLDO ¿QDQFLQJ QHFHVVDU\ WR UXQ DQG grow a practice. As a lender that works exclusively with healthcare professionals, )XQG ([ RIIHUV D VXLWH RI ¿QDQFLQJ VROXWLRQV GHVLJQHG DURXQG WKHLU VSHFL¿F QHHGV and challenges. The funds can be used for a wide range of business purposes including working capital, debt consolidation, HTXLSPHQW ¿QDQFLQJ UHDO HVWDWH RU WR VWDUW a practice. Fund-Ex’s goal is to simplify and shorten the lending experience for healthcare providers, ensuring that time away from patients is minimized. ³:H XQGHUVWDQG WKDW D GRFWRUœV RI¿FH doesn’t run like your typical business.

Every second that a doctor spends away from patients means lost revenue,� said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access

WR LQWHOOLJHQW ¿QDQFLQJ RSWLRQV ZKLOH keeping the disruption of their day-to-day routine to an absolute minimum.� $OWKRXJK )XQG ([ RI¿FLDOO\ RSHQHG LWV doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro KDYH EHHQ SURYLGLQJ ¿QDQFLQJ WR KHDOWKcare providers for more than two decades.

That extensive experience has helped them gain a deep understanding of healthcare business cycles. It also led them to the realization that healthcare professionals QHHGHG PRUH ÂżQDQFLQJ RSWLRQV “Our years of experience have helped XV ÂżQH WXQH WKH IXQGLQJ SURFHVV DOORZLQJ us to provide capital to our healthcare clientele with unparalleled speed, service DQG HIÂżFLHQF\ ´ VWDWHG (ULF &DVWUR Owner and COO of Fund-Ex. “Combine that low-stress, no-pressure experience ZLWK D EURDGHU RIIHULQJ RI ÂżQDQFLQJ solutions and you have winning combination for healthcare professionals.â€?

In addition to being time consuming and tedious, healthcare professionals IUHTXHQWO\ ÂżQG WKH VHDUFK IRU FDSLWDO fruitless. Traditional lenders are often

unfamiliar with healthcare professionals and unwilling to look outside their credit matrix to understand the complete picture surrounding the borrower. “Day after day we hear how challenging LW FDQ EH WR REWDLQ ÂżQDQFLQJ HYHQ IRU healthcare professionals with healthy incomes and solid credit histories,â€? said April Brissette, Chief Lending 2IÂżFHU IRU )XQG ([ Âł2XU FUHGLW PRGHO is rooted in a thorough understanding of their business process, and we take the time to understand the entire situation.

This understanding allows Fund-Ex to say yes when other lenders are saying no.�

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Hospital Newspaper - NY June, 2013

Page 5

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PAGE 6

June, 2013

Hospital Newspaper - NY

OUR VIEW

ADVERTISER INDEX Company 2013 ACHENJ Annual Meeting

28

U.S. Air Force

11

AkriMAx / NitroMist

27

Bankers Healthcare Group, inc.

5

Burke rehabilitation Hospital

21

ColumbiaDoctors

2

EMA

7, 12

GNYHA Services

9

icare

25

Lenox Hill Hospital

15

Mount Saint Mary College

13

North Shore-LiJ

23

NorthWest Seminars

19

Planetree

17

resource Directory

24, 26

Sun Home Loans

H

Boomer’s & Beyond choose to age in place

Page

Most homeowners age 55+, like their parents, are choosing to “age in place,” but a large and growing number— more than 1.2 million households—are choosing to move to communities designed to meet their needs.

The main reasons for moving to a 55+ owner-occupied community were family or personal reasons, financial or employment reasons, and the desire to have a higher quality home. In multi-family communities, family was the number one reason, but reducing costs and increasing quality were also top priorities.

Within the community, design and looks were most important to 55+ single-family home buyers, while closeness to family and friends was a higher priority in age-restricted rental and multi-family communities.

Home and community location relative to work location are important for a growing number of 55+ households.

Active adult communities are attracting more buyers who are age 60 and under.

The share of home buyers in age-qualified communities with some college education or more increased from 50% in 2001 to 73% in 2012 The share of minorities has trended upward in age-qualified and other 55+ owner-occupied communities, and is likely to continue. The 55+ housing market is likely to become more racially and ethnically diverse.

Please share your stories with us: news@hospitalnewspaper.com Jim can be reached at 845-534-7500 ext. 219 and via email at jim@hospitalnewspaper.com.

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News in Emergency Medicine The Sign of Excellence ence in Emergency Medicine edicine® ree Decades for More Than Three

Bernstein and Milano elected to New Jersey American College of Emergency Physicians Board (NJACEP) Drs. Michael Bernstein, MD, MBA, and Marc Milano, MD, FACEP, were elected to the NJ-ACEP board. The election was held at the chapter’s 2013 Annual Scientific Assembly held May 7 at the Princeton Marriott at Forrestal.

Dr. Bernstein is the medical director of the emergency department at Robert Wood Johnson University Hospital Rahway. Dr. Milano is medical director of the emergency department at Bayshore Community Hospital.

Both physicians are partners of Emergency Medical Associates.

About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

Amato Gives Lectures at the 2013 American College of Emergency Physicians Advanced Pediatric Emergency Medicine Assembly Amato, MD, FACEP, FAAP, gave two lectures at the 2013 American College of Emergency Physicians (ACEP) Advanced Pediatric Emergency Medicine Assembly held March 12-14 at Disney’s Contemporary Resort, Lake Buena Vista, Fla. The lectures were entitled: • Respiratory Emergencies: The Latest and Greatest • Pediatric Trauma Updates and Controversies Dr. Amato is the director of the Pediatric Emergency Medicine Fellowship and an attending pediatric emergency physician at Goryeb Children’s Hospital, Morristown, N.J. He is also the medical director of pediatric advanced life support for Atlantic Health.

He is a partner of Emergency Medical Associates.

Troncoso Teaches Emergency Medicine Oral Review Course and Presents at the National American Academy of Emergency Medicine Conference (AAEM) Alex Troncoso, MD, taught a four-day intensive emergency medicine oral board review course held in Hilton Head, S. C., from April 8 to April 11.

Dr. Troncoso also held a poster presentation at the national American Academy of Emergency Medicine Conference held Feb. 9-13 in Las Vegas. The presentation given covered idiopathic thrombocytopenia purpura, an idiopathic bleeding disorder secondary to development of anti-platelet antibodies, resulting in platelet destruction and impaired hemostasis.

Dr. Troncoso is a board-certified emergency medicine physician at Morristown (N.J.) Medical Center.

He serves as a consultant for Atlantic Ambulance Corporation, Livingston, N.J. and New Jersey Paramedic Instructor.

He is a partner of Emergency Medical Associates.

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35 yyears ears of expertise exper x tise

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Serving Ser ving patients patie ents in New York, York, New w Jersey and Pennsylvania, Pennsyllvania, as w ell as North No or th Carolina Carolina and Rhode Rho ode Island well

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Dedicated board-certified Dedicated bo oard-cer tified emergency emerge ency physicians physicians integrate integ gra te iinto nto yyour our hos spital’s cultur e hospital’s culture

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PAGE 8

June, 2013

Hospital Newspaper - NY

Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.

AHRMMing Supply Chain Professionals for CQO and More Tomorrow’s healthcare supply chain is here. And as supply chain professionals rightly take ownership of the intersection of cost, quality, and outcomes (CQO) in hospitals around the country, the Association for Healthcare Resource & Materials Management (AHRMM) has taken the lead in equipping them with the skills and knowledge needed to master the CQO model. AHRMM’s 51st Annual Conference & Exhibition (July 28-31 in San Diego) affords us another opportunity to share the tenets of AHRMM’s CQO Movement and to continue to provide access to forward-looking solutions for supply chain professionals.

The CQO Movement is a natural extension of AHRMM’s 60-year history of developing and delivering innovative education and professional advancement opportunities to every level of supply chain management. To that end, we crafted it as a vital tool to help supply chain professionals meet the demands of their emerging role as strategic partners and leaders in their organizations. With an education framework set over a three-year period, the program includes live sessions, webinars, online courses, and deliverables, and cultivates proficiency in three areas: cost and quality, reimbursement and outcomes, and continuum of care.

We strongly believe that when supply chain professionals can leverage complex analytics, when they have the ability to link different payment policies to their effects on reimbursement, foster consensus and discussion about clinical preference items, anticipate and respond to supply chain disruptions, and grasp the impact of medical supplies, devices, and medication on patient outcomes and reimbursement, they can begin to implement real supply chain solutions—the ones that go beyond price points to address organization-wide financial and patient care objectives.

With CQO as the focal point of the AHRMM conference, attendees will be introduced to the rapidly evolving trends and best practices that are developing under the CQO model, especially within the patient-centered care environment. Going forward, hospitals will need to embrace the significant paradigm shift whereby supply chain professionals take a more active role in their institution's strategic planning. A case in point: the switch from cost being the primary (or in some cases sole) metric used to evaluate supply chain to outcomes becoming an important measure.

So, I challenge my fellow supply chain professionals to avail themselves of the opportunity to redefine their role.

Next month’s AHRMM conference offers a great place to start learning about how best to operate at the intersection of cost, quality, and outcomes.

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).

Hospital Newspaper - NY June, 2013

A WINNING STRATEGY The demands of today’s healthcare environment require strategic supply chain executives who will take ownership of the intersection of cost, quality, and outcomes. Organizations that encourage a strategic supply chain will be better equipped to overcome rising challenges and achieve their objectives.

GNYHA Services’ team of experts has the knowledge and resources to successfully guide supply chain leaders in their transformational role. We work with you to outline targeted objectives, then implement custom solutions that drive strategic decision-making and realize meaningful results.

It pays to have experts by your side. Call GNYHA Services today at (212) 246-7100.

555 West 57th St. I New York, NY 10019 I gnyhaservices.com

Page 9

PAGE 10

or nfo f i t s e Lat s and

nursdeents stu

June, 2013

Hospital Newspaper - NY

Nurse’s Viewpoint

By Alison Lazzaro

Hospital Newspaper Correspondent

Booming time for Jobs The aging baby boomer generation will require an increase in nurses caring for the elderly. Nurses graduating from college this year may face some difficulties finding a job at first; however, the nursing shortage will be more apparent as the baby boomer nurses start retiring. Losing a group of expert nurses with extensive experience is definitely a scary reality. Yet, enthusiastic new nurses with an interest in serving the older population can find their niche where they are needed in subacute units, rehabilitation centers and long-term care facilities.

Subacute nursing is a fairly new field. The client age group focuses on the elderly.

This specialty keeps costs down by providing an alternative to in-hospital care. The area is a medium between intensive care and a nursing home with the goal to stabilize the patient's condition.

These patients require twenty-four hour supervision. An interdisciplinary team of professionals provides holistic care for patients in short-term and goal-oriented treatment plans. This valuable field is proven to be cost effective because a ventilator treatment could cost $1,000 per day in a rehabilitation unit in a hospital, but only $500 per day at a subacute facility. According to the California Association of Health Facilities, subacute units generally cost $300-500 less per day than hospital stays.

The compounding decreased cost in hospital stays will be especially important for aging baby boomers needing complex care.

Subacute patients require highly-skilled nursing care, which can peak a new nurse’s interest. The goal of nursing in these units is to train patients to achieve their highest level of independence quickly. Some services a nurse at this facility might encounter are dysphasia therapy, extensive wound care, IV therapy, ostomy care, pain management, and tracheotomy care.

Working with these patients would involve all the nursing skills we learn throughout school. Patients may be recuperating from surgery, strokes, serious infection, broken bones, or conditions that were once exclusively treated in hospitals.

Subacute nursing allows patients to be treated with advanced technology, sophisticated therapy and equipment in a way that is patient-centered. Nurses in this field will need experience in acute care and continuing education courses in rehabilitation and pharmacology. The American Subacute Care Association was developed to advance the field and provide a forum for legislation and education for health care professionals.

According to the Bureau of Labor Statistics, there is a projected 22 percent increase in nurse employment over the 2008 to 2018 decade. Although new graduates may not feel that these statistics are accurate when struggling for a first job, be assured that the rate of employment for PROUD TO BE nursing is considered to be much faster than the national average for all occupations. With subacute A NURSE care becoming a proactive method to managing the cost of healthcare, nurses can take advantage of this boom and find a rewarding new specialty.

Hospital Newspaper - NY June, 2013

SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?

In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If youÂśre looking for professional growth and development through leadership experience, come practice in the Air Force.

AIRFORCE.COM/HEALTHCARE AIR FORCE HEALTH PROFESSIONS 212-349-2489

REGIONAL OFFICE NEW YORK, NY BFLT318@US.AF.MIL

Page 11

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June, 2013

Hospital Newspaper - NY

education & careers Center for Learning & Innovation named among Best Corporate Universities Worldwide North Shore-LIJ Health System’s Center for Learning and Innovation in Lake Success, NY, was honored by the first Global Council of Corporate Universities (CCU) in the category of “Best Innovative Corporate University” at a recent awards ceremony at Microsoft’s headquarters in Paris.

The Global CCU awards ceremony recognized corporate universities around the world, honoring the best corporate universities that have performed at the highest level of excellence and have realized great advancements within their profession and industry.

North Shore-LIJ’s Center for Learning and Innovation was awarded a silver trophy by the Global CCU in the category of “Best Innovative Corporate University.” The Center for Learning and Innovation (CLI), which also includes North Shore-LIJ’s Patient Safety Institute, promotes continuous learning opportunities and assists its more than 46,000 employees in the development of knowledge, attitude and skills necessary to support the health system’s strategic and business goals. CLI promotes a culture dedicated to excellence, innovation, teamwork, and continuous change.

Ambassadors and embassy representatives from Brazil, Ghana, Indonesia, Malaysia, Namibia, Portugal, Turkey and the United States attended the ceremony. In addition, corporate universities from five continents and 19 countries were honored in five categories. The top gold medal trophy for “Best Overall Corporate University” was awarded to the Defense Acquisition University, with five regional campuses based in the US. Accepting the Center for Learning and Innovation’s award on behalf of North Shore-LIJ was US Navy Captain Robert Buzzell.

internet address directory provided

Attending the first Global Council of Corporate Universities awards ceremony from left to right: Filippo Romanini, head of Barilla Lab for Knowledge & Innovation, Barilla Italy, and a member of the advisory and judging committee; US Navy Captain Robert Buzzell of the Paris Embassy, who accepted the Center for Learning and Innovation’s award on behalf of North Shore-LIJ; Annick Renaud-Coulon, chairman of Global CCU; and Jan Müehlfeit, chairman of Microsoft Europe.

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To list your business website contact: Jim Stankiewicz Tel: 845-534-7500 ext. 219 jim@hospitalnewspaper.com

Hospital Newspaper - NY June, 2013

education & careers Mount Saint Mary College 330 Powell Avenue Newburgh, NY 12550 www.msmc.edu Mount Saint Mary College’s nursing program is accredited by the prestigious Commission on Collegiate Nursing Education (CCNE).

Our nursing faculty members provide expertise and experience in teaching adult learners.

Adult Degree Completion

Mount Saint Mary College NEWBURGH, NEW YORK

Whether you're an RN with an associate degree, an LPN, or have no nursing background, the Mount has a highly respected bachelor's degree program in nursing that will work for you.

The Mount offers the bachelor of science in nursing degree program for the adult learner. Most classes are held in the evenings, or on weekends.

After submitting your application and official transcripts, you'll meet with an academic advisor who will answer all of your questions. They will guide you through the application process, review transfer credits, registration, and help you select prerequisites for the nursing major.

Registered Nurse to Bachelor of Science in Nursing (RN to BS) The Mount's RN to BS in nursing degree program is online, starting in August 2013. There is s low-residency requirement of one three-day session on campus during the summer months.

A bachelor’s degree in nursing is a must-have credential for nurses interested in career advancement. The Mount’s online RN to BS in nursing program can help you earn up to 30 credits toward your degree by completing the Foundations of Nursing bridge course.

Explore the Mount’s RN to BS in nursing program advantages: • Experience and vision: Our outstanding nursing faculty members have years of experience in health care and learning methodologies.

• Flexibility and convenience: The innovative online format makes it easier to arrange coursework with your schedule.

• Personal attention: We provide a comprehensive orientation and ongoing support with our learning management system, eClass.

• Reputation: The Mount has prepared nurses for close to 50 years, and has a large regional and national alumni network.

Master of Science in Nursing The Mount offers the master of science in nursing in two tracks: adult nurse practitioner (ANP) and family nurse practitioner (FNP).

Our graduates find that the Mount’s stellar reputation in preparing master’s level nurses can help open doors and networking opportunities.

The master’s in nursing can prepare students for careers in practice, teaching, research, or doctoral study. Completing the program allows graduates to sit for national certification exams in adult or family health.

Post-Master’s Certificate programs The Mount now offers a post-master's certificate in family nurse practitioner or adult nurse practitioner, designed for registered nurses holding a master's degree in nursing.

RN to BS in Nursing NOW ONLINE! Get credit for your experience and benefit from ours At the Mount, we’ve been preparing outstanding nurses for 50 years. Now, we’re making that expertise available to more nurses than ever with our new Online RN to BS in Nursing program.

Call 845-569-3223 or visit msmc.edu/RNtoBS

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Robotic technology helps thoRacic It’s not every day that someone becomes the first person in history to achieve a particular goal. Record-breaking athletes and breakthrough scientists know what this feels like. And so does Richard Lazzaro, MD, chief of the Division of Thoracic Surgery at Lenox Hill Hospital and an innovator in lung surgery techniques.

Groundbreaking surgery with robotic technology Surgery to remove all or part of a lung offers the best chance to cure certain types of lung cancer. But if a patient has already received high-dose radiation therapy, there’s a catch: radiation may impair blood flow and healing around the bronchus, the main air passage leading from the windpipe to the lung. There’s a risk the bronchus could open up after surgery causing a serious infection in the chest.

Such was the dilemma faced by a Brooklyn man who came to see Dr. Lazzaro, a board-certified thoracic surgeon who treats diseases of the lungs and chest. The patient was seeking a second opinion after the first surgeon he saw recommended not only removing half a lung, but also taking a small flap of muscle from between the ribs and using it to support the bronchus. This was a complex operation, and the surgeon had warned him to expect a big incision and a lengthy recovery.

“I told the patient that I agreed he needed this type of surgery and I asked him if he wanted me to perform the exact same surgery with less pain and a quicker recovery,” recalled Dr. Lazzaro.

Dr. Lazzaro proposed doing minimally invasive surgery, which meant he would use specialized instruments inserted through a few tiny incisions instead of a single large one. In addition, he would use the latest robotic technology to guide the instruments as precisely as possible.

The patient opted to have Dr. Lazzaro perform the surgery, and it was a success. The feat was even more remarkable because it was the first time in the world that this procedure had ever been done with the aid of robotic technology.

has certainly helped me do the same operations as before, only better.

It has also allowed me to do what was previously undoable.”

pioneering robotic surgery Robotic lung and chest surgery uses very small, easy-to-maneuver instruments, which are controlled by the surgeon sitting at a nearby console. The advanced technology takes surgery far beyond the limits of the human eye and hand.

Dr. Lazzaro is a pioneer in robotic lung and chest surgery. He was the first surgeon in the tri-state area to remove an entire lung with robotic technology. And he was the first in the nation to use the technology to treat an adult with intralobar sequestration — a congenital malformation of the lung.

“The surgeon has a greatly magnified, high-definition view and three times more precise motion,” said Dr. Lazzaro. “Robotic technology

Today, Dr. Lazzaro is regarded as a leader in the field. He regularly teaches robotic techniques to surgeons from other top hospitals in the nation.

lenox hill hospital

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a member of the north shore- liJ health system

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Surgeon “do tHe preViousLy undoabLe” improved survival, Less pain and shorter Hospital stays The benefits of the robotic procedures that Dr. Lazzaro performs are numerous. Robotic lung and chest surgeries may result in better outcomes, including increased survival among patients with stage I lung cancer — the earliest stage of the disease. “For stage I lung cancer, if you can forego the big incision and do minimally invasive surgery, studies show a nearly 25 percent improvement in the five-year survival rate,” Dr. Lazzaro said.

Lenox HiLL HospitaL Leads tHe Way Lenox Hill Hospital is one of only a handful of hospitals in the tri-state area offering robotic lung and chest surgery. nationwide, 95 percent of operations for stage i lung cancer are still open surgeries done through a large incision. only 5 percent are performed using minimally invasive techniques, and just a small fraction of those use a robotic system for maximum precision.

In addition, robotic technology allows the surgeon to be gentler with delicate tissues, because the equipment is more precise.

Compared to open surgery through a large incision, there is less blood loss during robotic operations, and considerably less pain afterward. “My patients routinely go home after robotic surgery with nothing more than an over-the-counter pain reliever,” Dr. Lazzaro said.

Another area that can be treated with robotic surgery is the esophagus, the food tube connecting the throat to the stomach.

Such surgery may be needed to treat esophageal cancer or achalasia, a swallowing disorder.

“Robotic technology has certainly helped me do the same operations as before, only better. It has allowed me to do what was previously undoable.”

Helping the sickest patients The gentler touch of robotic technology may be especially helpful for high-risk patients. “Making smaller incisions instead of a large one causes less inflammation,” said Dr. Lazzaro. That, in turn, reduces the risk that inflammation will trigger lung, heart, liver or kidney failure after a procedure. Dr. Lazzaro said this benefit may be particularly important for older patients and those in fragile health.

—Richard Lazzaro, MD, chief of the Division of Thoracic Surgery at Lenox Hill Hospital Patients also return home from the hospital sooner. For a lobectomy — surgery to remove a section of the lung — the national average for hospital stays is about eight days for open surgery and seven days for minimally invasive surgery not performed with a robotic system. “In contrast, when I use robotics, my patients average just two and a half days in the hospital,” Dr. Lazzaro said.

The technology is also a plus in complicated situations, such as when a previous surgery needs to be repaired. “The magnification, precision and visualization that the robot offers allow me to perform many complex reoperations, often avoiding open surgery and its increased risk and prolonged recovery,” Dr. Lazzaro said.

But he also believes that less pain, fewer complications, shorter hospitalization and faster recovery are benefits that any patient can appreciate. “I now use the robot for 95 percent of the surgeries I perform,” said Dr. Lazzaro. “I want to be the kind of doctor who embraces innovation to best help my patients.”

Looking beyond the Lungs At Lenox Hill Hospital, state-of-the-art robotic surgery is also performed on other organs in the chest besides the lungs. For example, it can be used to remove the thymus gland, which sits behind the breastbone. This operation may be done to treat a thymus tumor or myasthenia gravis, a muscle-weakening disease.

: : For more information about thoracic surgery at Lenox Hill Hospital, call 212-434-3000 or visit lenoxhillhospital.org. To watch a video on robotassisted thoracic surgery, visit bit.ly/VVdo8b or scan this QR code with your smartphone.

Traditionally, surgeons had to make a long vertical cut through the breastbone and open the whole chest to reach the thymus.

“Now, however, I can do the same operation through three tiny incisions,” said Dr. Lazzaro.

100 east 77tH street, neW york , ny 10075

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212- 434 -2000

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LenoxHiLLHospitaL .org

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June, 2013

Hospital Newspaper - NY

H.E.L.P. Program proud to team up with healthcare professionals They help cure us, bring us back to good health through different ailments and, in some cases, save our lives.

They are there are for our families, always treating us with care and compassion. They are the doctors and nurses, the technicians and support staff, that treat us every day. They are a special group.

They deserve, among other things, our respect and admiration. And, why not, a little H.E.L.P in the form of the Sun National Bank Hospital Employee Loan Program (H.E.L.P).

Hospital Newspaper and Sun National Bank combined to put together this special program.

The H.E.L.P. program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home. Refinancing can save you hundreds, even thousands, of dollars per year. But, remember, your home may be your most valuable financial asset.

A H.E.L.P. program representative will assist you in making sure refinancing is cost-effective and works for you and your family. H.E.L.P. Program clients enjoy unmatched customer service and attentiveness throughout the process - from their initial inquiry - to closing. Working with its own resources and Federal government programs, Sun National Bank develops solutions that open the path to home ownership.

Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Personal attention merges with world-class service and competitive products that meet the needs of today’s consumers and businesses. Sun National Bank believes that doing business in the community means being a part of it.

Whether purchasing a new home or refinancing an existing one, the H.E.L.P. Program is offered exclusively, providing personal service, benefits and rates not normally available to the general public.

“We are so excited that the program has been a success and will continue to flourish,” said Steven Testa, an executive vice president with Sun National Bank. “I think what’s made the program so successful is our rates and customer service. That, of course, will remain how this fine program operates. We consider ourselves fortunate to work with the doctors, nurses and support staff that are an important part of the emergency services community.”

To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-615-9745.

Sun National Bank Home Loans and Hospital Newspaper are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun National Bank Loans, Equal Housing Lender.

Win an iPad! If you are a member of the hospital community, now is your chance to enter Sun Home Loans and Hospital Newspaper's contest to win a free iPad. Just to go our website at www.hospitalnewspaper.com and fill in the entry form.

Once you complete it, you will receive an email that requires you to confirm your email address. Once you do that you are entered. Hospital Newspaper will also be accepting applications at all conventions that it attends. A total of Five iPads will be given away so your chances to win are excellent. Sign up today to win today!

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank, is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees.

That is why we teamed up with Hospital News to create the Hospital Employee Loan Program (HELP).

With a competitive mortgage rate and discounted fees, this program helps our community heroes purchase new homes or refinance existing homes.

Plus, the program comes with our pledge to get hospital employees in their new homes by their contract dates.

PROGRAM INFORMATION We understand that the current economic environment has created challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the path to home ownership.

The Hospital Employee Loan Program delivers these advantages: » A competitive mortgage rate, available specifically for hospital employees » Discounted fees » Personal service from program specialists » Our pledge to have you in your home by the contract date

COMMUNITY FOCUS Sun National Bank, a full-service provider of banking products and services, is dedicated to playing an active part in the communities we serve. We support a variety of organizations, events and programs whose goals are to make our neighborhoods a better place to live and work and improve the lives of those living around us. Hospital News is the leading provider of local news and information for doctors, nurses and other hospital staff.

Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.

www.sunnb.com Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender.

NMLS #429900

Hospital Newspaper - NY June, 2013

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If you’d like to reach the health and hospital communities of New Jersey each month, there is no more cost-effective way than the Hospital Newspaper.

Call Jim Stankiewicz to place your advertisement: 845-534-7500 *219

October 6-9, 2013 You are Invited to the Longest Running, International Conference on Patient-Centered Care!

DiLiegro, Ph.D. recognized by American Heart Association Nancy DiLiegro, Ph.D. was recognized as a “2013 Heart Champion” at the 16th Annual American Heart Association Affair of the Heart Ball,” which took place on May 4, 2013 at The Grove in Cedar Grove, NJ. The American Heart Association Affair of the Heart Ball is a celebration of the mission, passion, work, and life-changing and life-saving achievements of the American Heart Association | American Stroke Association and its remarkable community and volunteer advocates, champions and leaders.

Doctor Nancy DiLiegro is currently Vice President of Clinical and Physician Services at Trinitas Regional Medical Center.

During her career, Doctor DiLiegro has held a number of Academic and Professional posts. These include Adjunct Professor of Healthcare Administration at Seton Hall University and Associate Clinical Professor of Pharmacy at St. John’s University.

Nancy holds a Doctorate in Healthcare Administration from Kennedy - Western University, Wyoming and Master of Science degrees in Public Administration and Pharmacy Administration from Long Island and St. John’s Universities.

She received her Bachelor of Science in Pharmacy, also at St. John’s University. Doctor DiLiegro is a Fellow of the American College of Healthcare Executives and is Board Certified in Healthcare Management. Nancy recently served as the President of the American College of Healthcare Executives of New Jersey.

Nancy’s Community Service includes many activities with the New Jersey Chapter of the American Cancer Society and she is Chairperson of the Northern New Jersey Chapter of the American Heart Association. Nancy has served on the Executive Leadership Committees of the American Heart Association for the Affair of the Heart Ball, Union County Heart Walk and the Garden State Go Red for Women Luncheon.

Join the longest running, most successful educational event for healthcare professionals who strive to create culture change and deliver health care that puts the needs of the patients first.

Participate in a variety of breakout sessions that appeal to different learning styles Enter the no power point zone and immerse in “Planetree Live” Engage with the best minds in health care and be inspired and re-invigorated by our world renowned keynotes Experience patient-centered care real time by touring premier Planetree facilities Connect with more than 1,200 attendees from across the continuum of care from large urban systems to small critical access hospitals and long-term care communities Collaborate with conference participants from around the globe. Our global presence, with countries ranging from Canada, Denmark, France, Belgium Italy, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., come together as a true collaborative community Gain vital information, innovative tools, and the support needed to transform your health care organization Location Montreal, a cosmopolitan city enriched by the diverse cultures of its people embodies the personality of this a one-of-a-kind educational event for health care professionals who strive to create culture change and deliver health care that puts the needs of the patients and residents first.

Keynote Presenters Lyn Heward, Montreal's Cirque du Soleil Director of Creation David Nash, MD, Founder of the Jefferson School of Population Health Regina Holliday, Trailblazing patient rights arts advocate Polly LaBarre, Best-selling author, original team member of Fast Company magazine Rosalind W. Picard, ScD, Founder and Director of the Affective Computing research group at MIT Media Lab Richard Kogan, MD, Distinguished concert pianist and psychiatrist To learn more and sign up now while space is available: www.patient-centeredcareconference.com

PAGE 18

June, 2013

Hospital Newspaper - NY

Schaffer Rehab Patient Defies Odds

Boomers & Beyond

provided

Sound Shore Medical Center of Westchester Schaffer Extended Care Center patient’s determination and expert rehab prove to be strong medicine, making the seemingly impossible, possible

The Brother Bonaventure Extended Care Center at

TRINITAS REGIONAL MEDICAL CENTER 120-Bed Hospital-based Long Term Care Unit • Award Winning Care Earlier this spring, Valentina Arguiarro walked out of Sound Shore Medical Center’s Schaffer Extended Care Center after seven months of intensive rehabilitative therapy..

In the process, Arguiarro’s inspirational story, was complete.

This feel good story isn’t only about Arguiarro, 76. It’s about a rehabilitation department whose staff was dedicated to making the seemingly impossible, possible.

With the support of her family, friends and her faith as well as the expertise of an exceptional Schaffer staff, she has defied the odds and inspired many in the process.

Last September, Arguiarro was admitted to a borough hospital for shortness of breath. That resulted in a six-week stay and conditions that didn’t permit her return home to her role as the primary caregiver for her aunt. Arguiarro now required caregivers of her own.

Having family in the New Rochelle area, she found herself transported to the suburbs for her rehabilitation and intensive physical therapy.

A combination that would hopefully restore strength to her weakened limbs and return her to the long walks she loved. For a career woman, who retired after 40 years

with JP Morgan Chase as a Vice President, being bedridden was not in the plans. Her will to walk again was as fierce as was the dedication of her chief physical therapist in Schaffer’s rehabilitation department.

In her compromised condition, rehab started at the bedside with the therapist manipulating her limbs and restoring muscle memory. After a rigorous schedule that included as much as two, 1 ½ hour sessions of physical therapy and a half hour of occupational therapy each day, Arguiarro progressed from learning to stand to taking her first steps in March. Now after seven months, Arguiarro walked out of Schaffer.

“This is just one of the many heartwarming stories that unfold when a patient’s desire and the expertise of the dedicated Schaffer staff join forces – proving that working together the seemingly impossible is possible”, said Susan A. Sales, Vice President for Long Term Care/Administrator of Schaffer Extended Care Center.

“Ms. Arguiarro’s will to walk again along with a dedicated Schaffer team resulted in an outcome that defied the odds, and we’re delighted to have been part of her road to recovery.”

• Five-Star Quality Rating (Three Stars Overall) from the Centers for Medicare and Medicaid Services • Recipient of the Prestigious “Advisory Standards Designation” from the State of New Jersey • Higher Acuity Care (wound care, IV nutrition, IV antibiotics, pain management) • Post Acute Care • Palliative Care • Rehabilitation Services: Occupational/ Physical and Speech Therapies • Quality of Life Programming (salon, pet therapy, recreation, trips, celebrations)

Featured at a recent open house ceremony following renovations are, left to right: Elizabeth Mayor J. Christian Bollwage; Krishna Garlic, Elizabeth Department of Health; Debby Hall, Administrator of Brother Bonaventure; Gary S. Horan, Trintas' President and CEO; Karim J. Khimani, MD, Medical Director of Brother Bonaventure, and James Lape, FACHE, Senior Vice President for Behavioral Health & Psychiatry, and Long Term Care.

• 24/7 Admissions • Accepts Medicare, Medicaid and most Managed Care • Recently Renovated Facilities

For information and a tour please call: Debby Hall, Administrator (908) 994-7525

655 East Jersey Street Elizabeth, New Jersey 07208 Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.

Hospital Newspaper - NY June, 2013

PAGE 19

Lenox Hill Hospital dedicates The Crown Family Pediatric Center Lenox Hill Hospital recently inaugurated the new Crown Family Pediatric Center. The center, features private rooms with rooming-in capabilities for parents, a play area with child sized furniture, nature-themed art and a new centralized nursing unit. It is staffed by a team of pediatric hospitalists who are on site around the clock for pediatric admissions.

“As the parents of four children, my wife Ellen and I have an obvious desire to do whatever we can to promote the best possible healthcare for children,” Dan Crown, Lenox Hill Hospital trustee said. “The most rewarding thing about the new Pediatric Center is the comfort of knowing Lenox Hill Hospital has the best doctors and the best facility in New York City for any family in need of medical attention.”

Dennis Connors, executive director of Lenox Hill Hospital noted that the hospital has been long renowned for its exceptional maternal-child service, with approximately 4,000 deliveries per year. This includes a maternity care unit, recovery rooms, a postpartum floor with a modified

photos provided

Pictured left to right: Daniel M. Crown, Trustee, Lenox Hill Hospital, Ellen Crown, Amanda Crown

Pictured left to right: Amanda Crown, Daniel M. Crown, Trustee, Lenox Hill Hospital, Michael J. Dowling, President and Chief Executive Officer, North Shore-LIJ Health System, Richard Goldstein, Chairman of the Board of Trustees, North Shore-LIJ Health System, Ellen Crown, Dr. Marty Ellington, Chairman, Department of Pediatrics, Lenox Hill Hospital, Dennis Connors, Executive Director, Lenox Hill Hospital, Jeffrey B. Lane, Trustee, Lenox Hill Hospital

rooming-in system and a well baby nursery. “For low birth weight and critically-ill newborns, our 28-bed Level III neonatal critical care unit is staffed 24-7 by a team of experienced board-certified and board-eligible neonatologists and experienced neonatal critical care nurses,” said Marty Ellington, MD, MPH, chairman of pediatrics at Lenox Hill Hospital. Together, these services comprise the Center for Maternal and Child Health, a Center of Excellence for the hospital and one of the most comprehensive centers of its kind in New York City.

The opening of the new inpatient pediatrics unit complements the hospital’s existing maternity and neonatal services and provides families with the assurance that the health needs of their children will be met from birth and throughout their development.

EMERGENCY MEDICINE UPDATE CME 2013 Conferences 9/23-26 Las Vegas, Nevada

11/4-8 Maui, Hawaii

2014 Conferences 1/20-23 Duck Key, Florida

2/2-7 Turks and Caicos

2/10-14 Telluride, Colorado

3/17-20 Las Vegas, Nevada

4/12-19 7-Day Caribbean Cruise

5/19-22 New Orleans, Louisiana

7/5-12 7-Day Alaskan Cruise

7/21-25 Yosemite, California

8/25-29 Whitefish, Montana

9/15-18 Las Vegas, Nevada

11/13-16 Key West, Florida

12/9-12 Paradise Island, Bahamas

2014 Ultrasound in Emergency Medicine 3/20-21 Las Vegas, Nevada

9/18-19 Las Vegas, Nevada

2015 Tentative Conferences 3/16-19 Las Vegas, Nevada

4/19-24 Turks and Caicos

9/14-17 Las Vegas, Nevada

2016 Tentative Conferences 3/14-18 Las Vegas, Nevada

north west S E M I N A R S

9/12-16 Las Vegas, Nevada

(800) 222-6927 www.northwestseminars.com

PAGE 20

June, 2013

Hospital Newspaper - NY

Recent graduates of the Living Well program with Moderators Martin Yablonski of the Westchester County Department of Senior Programs and Services (far left) and Lori Patsey of Open Door Family Medical Centers (far right).

Phelps Memorial Hospital Center’s Vitality Initiative for Seniors The Phelps Vitality Initiative brings health, wellness and aging-in-place programs to seniors in the community. The gatherings are all free and open to the public. Following are descriptions of the Vitality programs that seniors are enjoying at Phelps: The Breakfast Club is a social gathering for adults in their second half of life, which meets once a month (except in August and December) on Thursday mornings from 8:30 to 10:30 am. Each Breakfast Club includes a presentation on a health topic, a nutritious breakfast and some light exercise.

Cool Conversations is a group that meets after the Breakfast Club to engage in some lively conversation on a variety of interesting topics.

The program is meant to be social as well as intellectually stimulating.

Mind Games is a fun way to stimulate various cognitive functions – memory, problem solving, focus and speed. If you are you having trouble remembering things or feel that you are easily confused, come join the fun! The Memory Game, Boggle, Set and Sporcle are just a few of the games played, one Wednesday afternoon a month.

Senior Steps offers participants health screenings, nutrition education, exercise and special events. The club meets on the first and third Tuesdays of the month from 10 – 11:30 am.

Living Well, sponsored by the Westchester County Department of Senior Programs and Services, is a series of six workshops designed to help seniors manage their chronic health problems. Participants get the support they need, find practical ways to deal with pain and fatigue, discover better nutrition and exercise choices, understand new treatment options, and learn better ways to talk with their doctor and family about their health.

Live Richly. You’ve Earned It. Benjamin Franklin, one of our Founding Fathers wrote: “wealth is not his that has it, but his that enjoys it.” In harmony with this thought, we encourage our clients to enjoy the wealth they worked so hard to build. We want them to protect it of course, but not squander it. We urge them to live richly; to enjoy the golden years of retirement. In the end, true wealth is not about money, but about the experiences we share with those we love.

To learn more, call us at 845-627-8300 or visit easternplanning.com

The Vitality Newsletter is a bi-monthly publication specifically for seniors. To receive the newsletter, either by mail or email, contact Ellen Woods at 914-366-3937 or ewoods@pmhc.us.

For more information about any of these programs, call 914-366-3937.

Boomers & Beyond

Securities and advisory services offered through Royal Alliance Associates, Inc., member FINRA, SIPC and a Registered Investment Advisor.

Eastern Planning, Inc. and Royal Alliance Associates, Inc. are separate companies.

provided

Hospital Newspaper - NY June, 2013

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provided

Burke Medical Research Institute opens new Robotics Clinic to help patients regain motor function

According to Dylan Edwards, Ph.D., director of the new Restorative Neurology Clinic, and current director Burke’s Brain Stimulation

over time, we will be able to offer other state of the art therapies beyond robotics and firmly establish Burke as the place for advanced therapies.”

The Restorative Neurology Clinic will be offering six-week intensive workshops for individuals who do not qualify for current research programs but have arm or hand weakness as a result of a neurological illness or injury. The first workshops began in April and

will be on-going throughout the year. This is a self-pay clinic but patients will be provided with a detailed receipt for possible insurance reimbursement. Program participants will also be eligible for discounted room rates at select area hotels.

For more information, please call Avrielle Rykman, MA, OTR/L, clinical robotics research coordinator, at (914) 597-2111 or email robotics@burke.org.

E X C E L L E N C E I N R E H A B I L I TAT I O N F O R N E A R LY 1 0 0 Y E A R S

PROGRAMS: • Amputee • Joint Replacement • Brain Injury • Cardiopulmonary • Neurological • Orthopedic • Spinal Cord Injury • Stroke Recovery

Where You Go For Rehab Matters

Founded in 1915, Burke Rehabilitation Hospital is the

only hospital in Westchester County dedicated to rehabilitation medicine. Burke offers inpatient and

outpatient programs for those who have experienced a

disabling illness, traumatic injury or surgery. Burke is

both a rehabilitation hospital and medical research

institute. Burke's doctors and therapists provide the

highest quality treatment, while its research scientists

explore the frontiers of rehabilitation medicine. All share

the Burke mission to ensure that every patient makes the

fullest possible recovery.

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In keeping with Burke Medical Research Institute’s mission to help reduce disability from illness or injury, the institute has launched a new Restorative Neurology Clinic to assist patients regain movement through robot-assisted therapy. It is appropriate for those with decreased range of motion caused by neurological illness or injury such as stroke, spinal cord injury or brain injury, and those whose motor recovery has stalled.

The new clinic’s approach is based on findings from years of study in motor function and through collaboration with other medical rehabilitation experts. Studies have shown that engaging in this form of robotic therapy can lead to significant and meaningful improvements in arm function in patients who have had a stroke.

There will be two types of robots to be used in the clinic and both were custom-designed for Burke by Massachusetts Institute of Technology. The robots provide customized, goal-directed therapy aimed at building arm function, strength and re-training of the nerves from the brain to body connection. The first robot is the Planar Robot, which focuses on shoulder and elbow function. The other robot is the Wrist Robot, which helps to regain function and strengthen the wrist and forearm. Both robots gently assist patients with initiation, accuracy and smoothness of natural movement. As patients’ actions become more accurate and stronger in their movement patterns, the robots will adjust to require the patient to initiate more movement.

and Robotics research program, “Burke is already recognized as a leader in neurological research and has been for many years. We have strong demand from patients in the community for access to state-ofthe-art rehabilitation technology and practices. The Restorative Neurology Clinic brings the robot-assisted therapy that was previously only available to those involved in research trials to people in the community. It is our intention that

785 Mamaroneck Ave White Plans, NY 10605 888.99.BURKE www. Burke.org

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June, 2013

Hospital Newspaper - NY

New Imaging Center opens in Syosset The North Shore-LIJ Medical Group recently announced the opening of the Syosset Imaging Center, which features a full spectrum of radiology services. The new 10,000-square-foot imaging center, located at 100 Lafayette Drive in Syosset, was built and equipped at a cost of $11.9 million.

The medical director of the site is Jarett Burak, MD, who specializes in musculoskeletal and body imaging.

Joining Dr. Burak is Eliza Pile-Spellman, MD, director of breast imaging, who recently joined the North Shore-LIJ Health System from Columbia University.

They lead a team that includes technologists, nurses and support staff and a nurse navigator, who can arrange and coordinate any needed follow-up care for patients.

Patients of the Imaging Center have access to the largest group of sub-specialized, fellowship-trained radiologists on Long Island. Among the services available include: a high-field, wide-bore magnetic resonance imaging (MRI); low radiation-dose computed tomography (CT) and positron emission tomography (PET)/CT systems; conventional and 3D mammography systems; digital x-ray and bone densitometry. The center offers a full range of breast imaging services including ultrasound, stereotactic and MRI-guided breast biopsies. Other specialized services include the full range of ultrasound-guided diagnostic and therapeutic musculoskeletal procedures, including MRI arthrography, all performed by dedicated musculoskeletal radiologists. The center is also specially equipped to optimize the imaging of patients with total joint replacements.

Before this facility was operational, many North Shore-LIJ patients in the Syosset area had the scans performed in nearby Syosset Hospital. The new outpatient center “provides the complete spectrum of highquality, low dose, radiologic imaging studies in a serene, comfortable, ‘spa-like’ setting,” said Dr. Burak.

provided

Pictured (left to right) Dennis Dowling, Regional Executive Director of the Physician and Ambulatory Network Services (PAANS); Jarett Burak, MD, Syosset Imaging Center Medical Director; Jason Naidich, MD, North Shore-LIJ Health System’s Senior Vice President of Imaging; Cynthia Kubala, North Shore-LIJ Vice President of Imaging Services; Michael Dowling, North Shore-LIJ President and Chief Executive Officer; State Senator Carl Marcellino; Mark Solazzo, North Shore-LIJ Executive Vice President and Chief Operating Officer; and Loretta Lawrence, MD, Chief of the Radiology Breast Center.

Dr. Pile-Spellman, a specialist in mammography and a Fellow in the American College of Radiology, noted that there are no additional fees for

Hospital of the Month Hospital Newspaper highlights one hospital per month as the centerfold feature. Great way to get information about your facility to interested readers.

For more details contact: GENERAL MANAGER

Jim Stankiewicz (Jim@hospitalnewspaper.com) 845-534-7500 ext 219 Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com

3D mammograms. The high quality of the 3D images are especially effective in pinpointing tumors in women with dense breasts.

For more information about the Syosset Imaging Center, please call 516-622-3456.

Hospital Newspaper - NY June, 2013

Each year, more than 16,000 New Yorkers trust us for cancer diagnosis and treatment.

Because they know when we fight cancer, we don’t fight fair.

RelentlessCare.com 1-855-858-8550

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Hospital Newspaper - NY

RESOURCE DIRECTORY ARCHITECTURE

Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction.

We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States.

Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services.

The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper.

Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration.

The firm also offers sustainable or “green” healthcare design.

The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”.

Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com).

Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 • Fax: 212.463.9898 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

FAST & COMFORTABLE PELVIC EXAMS TSK PRODUCTS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, SANE and Women’s Health. It is a much more comfortable than using a hard bedpan. The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie’s unique cutout design allows the physicians to maneuver their speculum in all directions without interference. The Wedgie support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional: disposable one-time use protective covers and room wall holders are available.

12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 • Fax: (732) 389-9044

CAREER MAnAgEMEnT

Connect with Leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically.

Join BlueSteps today and receive 15% OFF your membership!

Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount.

Contact info@bluesteps.com to learnmore or for assistance getting started!

COnTRACT/PRACTICE MAnAgEMEnT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERgEnCY MEDICInE COnTRACT MAnAgEMEnT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERgEnCY MEDICInE SERVICES COnSULTATIOn SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MAnAgEMEnT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation nEW YORK BASED OFFICE MED★EXCEL USA

Please contact Marie Buchanan at 800.563.6384 Ext. 249 mbuchanan@medexcelusa.com all inquiries are confidential

EDUCATIOn

Prepare for a Career in Healthcare Sector Management at Long Island University.

Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester.

Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration.

After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry.

Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters.

Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations.

The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays.

“The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program.

For information, contact Dr. Johnson at 914-931-2711 or lynn.johnson@liu.edu.

Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577

Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.

845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NY June, 2013

PaGe 25

NO Calibration & NO Drops Icare速 Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air.

Quick, easy to use and patient friendly.

The technology requires no calibration.

From beginning to end the test takes under 60 seconds.

Icare速 has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher

(609) 412-2134

bob@visioninstruments.net

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June, 2013

Hospital Newspaper - NY

RESOURCE DIRECTORY HOSPITALS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Calvary’s continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country.

Each year, Calvary cares for more than 6,000 patients and their families. It cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center.

Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses.

• Home care is available in the Bronx, Queens, Manhattan, and lower Westchester.

• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.

• Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.

In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses.

For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.

NEW PRODUCT TECHNOLOGY

NURSING HOME Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country.

The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area.

Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties.

The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home.

A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE).

The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.

Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304

WORKERS’ COMPENSATION HOSPITAL WORKERS HAVE YOU BEEN INJURED ON THE JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits 1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care.

2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits.

3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident. Do not let the job tell you different.

4. Your doctor controls the treatment, not risk management.

If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you.

5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis.

6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery.

BF

BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability Attorneys

CALL TOLL fREE 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

www.bagoliefriedman.com

SENIOR LIVING NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher (609) 412-2134 bob@visioninstruments.net

PLACE YOUR AD HERE!

Getting better…. just got better.

We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound.

United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed

by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access.

United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at knodiff@uhgc.org.

United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org

Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.

845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NY June, 2013

Page 27

Calling All Emergency Responders

When every second counts...

Count on NitroMist

®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.* NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.† Available in 90 & 230 spray bottles.

For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.com Now covered on UnitedHealthcare.

Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease.

CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARNINGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive.

Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefits of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported.

DRUG INTERACTIONS – PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myocardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministration of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissuetype Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the first-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability.

Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossification were seen. The latter finding probably reflects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

Not Actual Size

orted clinical experience has not identified differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume.

Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and difficult, and invasive monitoring may be required. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color change on exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.

NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fibrotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity in an in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and body weight gain in both sexes at all matings. No specific effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafil, vardenafil, and tadalafil.

These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.

Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016

by Dynamit Nobel GmbH, Leverkusen, Germany E Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USA NitroMist is a registered trademark of NovaDel Pharma Inc., used by permission.

141B002 10/2012

*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays. † Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).

NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.

©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T

PAGE 28

June, 2013

Hospital Newspaper - NY

2013 ACHENJ Annual Meeting ACHE New Jersey Tuesday, June 4, 2013 from 5:30 PM to 8:30 PM (EDT) New Brunswick, NJ

ACHE-NJ Annual Dinner Meeting Honoring 2013 ACHE-NJ Distinguished Service Award RecipientLeslie D. Hirsch, FACHE-President and CEO, Saint Clare's Health System.

Leslie D. Hirsch, FACHE, president and CEO of Saint Clare’s Health System, has been selected to receive the American College of Healthcare Executives-NJ Chapter Distinguished Service award. ACHE-NJ presents this award each year in recognition of the personal and professional contributions of a senior level New Jersey healthcare leader who has made a significant difference in the quality of and access to healthcare for state residents.

ACHE New Jersey The American College of Healthcare Executives of New Jersey (ACHE-NJ) is a professional organization for those who direct management services and programs within health care facilities, networks and related organizations.

With more than 700 members, ACHE-NJ is recognized as a Healthcare Executive Chapter of the American College of Healthcare Executives (ACHE), and recipient of the 1994 ACHE Affiliated Chapter Award and 2009 Chapter Merit Award.

Guest Speakers: Elizabeth A. Ryan, Esq.-NJHA President and CEO Virginia Newman Littell-Chairwoman of the Community Advisory Board, St. Clare's Health System; NJHA Board Member & Chairman of the Council on Hospital Governance Daniel J. Messina, Ph.D., FACHE-Senior Vice President and Chief Operating Officer, CentraState Healthcare System and ACHE Regent Keynote: Tracy Duberman, Ph.D., FACHE-President and CEO, The Leadership Development Group, Inc., will be presenting on the topic titled "Turning Passion Into Impact."

Date: Tuesday, June 4, 2013 Time: 5:30pm Registration / Cocktails; 6:30pm Dinner & Program

For more information and to register for the event, please visit www.achenj.org