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Pay-Plus Solutions…Transforming the Payment Process At its annual 2012 Forum, PHX announced the formation of a new subsidiary, Pay-Plus™ Solutions, Inc. (PPS). Since the announcement, PPS has successfully implemented its services to numerous Payors and Providers who are realizing the Pay-Plus solution to be the next generation in e-payments. Progressively, Payors have been facing mounting pressures from the resulting increase in administrative costs, operational inefficiencies and complicated processing requirements. An electronic payment and remittance solution such as PPS simplifies the payment process of health plan Payors delivering significant savings of both time and money. Because PPS understands both the TPA and broader Payor marketplaces, it consistently demonstrates the capabilities of its products to fulfill the operational, financial and regulatory needs of the market while also providing the exceptional customer service. As a result, Pay-Plus outperforms industry estimates by converting 90% of all paper checks to electronic payments which consequently cuts printing costs by nearly 50%. We talked with Payors who have implemented PPS and asked them why they chose PPS as their electronic payment solution: • Cutting edge technology and experience to reach a high % of providers • Smooth Implementation Process managed every step of the way with a dedicated project leader • Credibility by working with a subsidiary of a trusted and proven partner such as PHX In addition, the rigor of the Pay-Plus process has positioned it as the Payor’s PPACA (Patient Protection and Affordable Care Act) solution. That means Payors will be compliant with the mandate and ready to offer this option without changing internal workflow. Providers are also recognizing large benefits by converting their processes over to an electronic format through PPS. Providers are under more pressure than ever before, facing higher administrative costs and with the addition of cash flow issues—it’s more difficult for physicians to manage their business and maintain profitability. One way to provide relief is to transform check based payment to an electronic payment solution. Providers have to struggle too hard and too long with checks and paper-based processing, which are inefficiencies on many levels. The business advantages for Providers of an electronic payment method such as PPS: • Get paid an average of 11 days faster than check based processing • Reduce administrative costs and data entry rates • Allow administrative staff to spend more time on patient related activities Pay-Plus Solutions has become the next generation for e-payments for the healthcare industry. Its easy integration process and evident benefits align with strategic business goals of a Payor organization as well as Providers. For more information about Pay-Plus Solutions, check out their website at https://www.ppsonline.com
Hospital Newspaper - NJ May, 2013
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OUR VIEW
ADVERTISER INDEX Company
Page
AkrimAx / Nitromist
32
Bankers Healthcare Group, inc.
11
EmA
Hospital Newspaper salutes all Nurses during National Nurses Week May 6-12, 2013
7, 24
GNYHA Services
9
icare
31
Less Stress instructional Services
12
matheny School and Hospital
21
medExcel
3
NorthWest Seminars
25
Pay-Plus™ Solutions, inc.
5
Plymouth rock management Co of NJ
23
Premier Healthcare Exchange, inc. (PHx) resource Directory
2
28, 30
rocking Horse rehab
17
runnells Specialized Hospital
19
Sun Home Loans
27
TESC
13
Trinitas regional medical Center
15
H
Hospital Newspaper is proud to recognize nurses as part of National Nurse Week which is May 6-12. Facing unknown health issues can be very stressful. Hospital stays can be made more comfortable because of the gentle, encouraging care provided by nurses. Around the clock, patients push the alert button to summon the nurses. What an immense sense of relief when the kind and helpful face of a nurse appears. Most nurses feel their services are not recognized. However, they should be. Nurses are a special group, an important part of our communities. Many nurses expressed that a few encouraging words would mean so much to them after a 24-hour work shift. In today's healthcare system, these special men and women face ever changing challenges. Please take the opportunity during national Nurse Week to put a smile on a valued nurse! Where we would be without them? 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
Gerardi Hosts Webinar for the Emergency Medicine Patient Safety Foundation (EMPSF) Michael Gerardi, MD, FACEP, presented a webinar entitled, “Safety in Pediatric Emergency Medicine” for the Emergency Medicine Patient Safety Foundation (EMPSF) Oct. 30, 2012. Dr. Gerardi is a member of the faculty of the Department of Emergency Medicine at Morristown (N.J.) Medical Center; a senior vice president with Emergency Medical Associates; and a member of the Board of Directors of the American College of Emergency Physicians (ACEP). Dr. Gerardi is a partner 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.
Stuhlmiller Co-Authors Chapters in Commission on Accreditation of Medical Transport Systems Textbook David Stuhlmiller, MD, FACEP, CMTE, co-authored two chapters in the Commission on Accreditation of Medical Transport Systems textbook. The first surrounded measurement and data titled “Safety and Quality in Medical Transport Systems. Creating an Effective Culture” and the second chapter emphasized Essentials of learning and improvement “Safety and Quality in Medical Transport Systems. Creating an Effective Culture.” Dr. Stuhlmiller is a partner of Emergency Medical Associates and chairman of the department of emergency medicine at Newton Medical Center, Newton, N.J. Weinberg Serves as Faculty at Base Camp 2013 Eric Weinberg, MD, served as a member of the faculty for Base Camp, a multidisciplinary conference for first-year pediatric emergency medicine fellows and pediatric emergency nurses. The conference was held February 9-10, 2013, at Weill Cornell Medical College in New York City. Dr. Weinberg served as the facilitator throughout the day. Through simulation, lectures and hands-on practicals with cadavers and procedural simulators, Weinberg taught pediatric resuscitation techniques to pediatric emergency medicine fellows and nurses. Dr. Weinberg is an attending pediatric emergency physician and assistant professor of the department of pediatric emergency medicine at Maria Fareri Children's Hospital at Westchester Medical Center in Valhalla, N.Y. Dr. Weinberg is a partner of Emergency Medical Associates.
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35 yyears ears of expertise exper x tise
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Ser ving patients Serving patie ents in New Jersey Jersey,, New ew York York 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’ss cultur e hospital’s culture
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Top 2012 T op 10 Emergency Department artment Contractors 2012 Best Places to Work Work orrk in Healthcare
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Hospital Newspaper - NJ
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
Connecting Nurses, Supply Chain to Control Costs All too often, conversations about product quality, costs, and nursing take place separately. While the relationship between nurses and the quality of hospital care has been a frequent topic of discussion and research (with much of it linking nursing care to safety, patient satisfaction, and outcomes), the same cannot be said about nurses and their impact on costs. The celebration of National Nurses Week (May 6-12) provides a good time to recognize the vital role nurses play in helping to control hospital costs, specifically in the supply chain. As supply chain management rightly takes ownership of the intersection of cost, quality, and outcomes in response to the integrated care delivery model, the once deeply siloed supply chain will need to become more collaborative. Nurses—with their hands-on experience using the majority of hospital products, their expanding professional duties, and their clinical backgrounds—are indispensable supply chain allies in helping to select the right product and technology at the right price. The disconnect between nurses and the supply chain does not work in today’s collaborative supply chain, which, more than ever before, has a big-picture focus that goes beyond costs. According to an American Society of Health-System Pharmacists survey, nurses administer medications in 99.7% of hospitals. And for many patients, nurses, who have the most patient contact, are the face of the hospital, delivering life-saving care and advice, and making valuable patient care decisions. Nurses comprise most of hospital staff. Therefore, hospitals that relegate nurses solely to the role of supply users who have little or no input on products, tools, or equipment choices—and who are left out of training on product purchasing and cost savings—are bypassing a critical resource that could facilitate major improvements that lead to a better bottom line. In order to evaluate a new product or technology, or fix supply chain issues by prioritizing patient care over process approach, supply chain professionals need to go beyond the numbers and learn about care practices and how products are used on the hospital floor. Nurses, in turn, should be aware of how their work with patients connects to hospital costs. Nurses who are engaged with their supply chain department can positively affect the product decision-making process by adding valuable product usage insight, such as the long-term expense of a low-cost but inefficient product. Supply chain educated nurses can also serve as partners in promoting cost consciousness and product use efficiencies to hospital physicians and other clinicians who are often more responsive to colleagues who understand their job firsthand. In addition, nurses can add a perspective based on experience rather than supplier claims. The value of nurses’ unique skill set—patient care, clinical expertise, and supply and equipment knowledge—cannot be ignored. Involving nurses early and often in the supply chain process (especially during value analysis) should be a fundamental requisite of any optimized, strategic, clinically integrated supply chain. 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 - NJ May, 2013
Collaborate to Innovate GNYHA Services provides support to both clinicians and non-clinicians in the acute care setting. Our physician preference, product evaluation, continuing education, and communication services help bring clinicians together with supply chain executives to implement innovative processes that benefit your bottom line as well as your patients. Join forces today. Call GNYHA Services at (212) 246-7100.
555 West 57th St. I New York, NY 10019
Page 9
CELEBRATING NATIONAL NURSES WEEK May 6−12, 2013 GNYHA Services thanks nurses everywhere for the extraordinary work they do to support our communities and improve the lives of the patients they serve.
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May, 2013
Hospital Newspaper - NJ
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 Ă€RZ 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 ÂżQDQFLDO 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 ÂżQDQFLQJ QHFHVVDU\ WR UXQ DQG grow a practice. As a lender that works exclusively with healthcare professionals, )XQG ([ RIIHUV D VXLWH RI ÂżQDQFLQJ VROXWLRQV GHVLJQHG DURXQG WKHLU VSHFLÂżF QHHGV and challenges. The funds can be used for a wide range of business purposes including working capital, debt consolidation, HTXLSPHQW ÂżQDQFLQJ 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. Âł:H XQGHUVWDQG WKDW D GRFWRUÂśV RIÂżFH doesn’t run like your typical business. Every second that a doctor spends away from patients means lost revenue,â€? said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access
WR LQWHOOLJHQW ÂżQDQFLQJ RSWLRQV ZKLOH keeping the disruption of their day-to-day routine to an absolute minimum.â€? $OWKRXJK )XQG ([ RIÂżFLDOO\ RSHQHG LWV doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro KDYH EHHQ SURYLGLQJ ÂżQDQFLQJ 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.â€?
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Hospital Newspaper - NJ May, 2013
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May, 2013
Hospital Newspaper - NJ
education & careers MONOC receives National Accreditation for Paramedic Program MONOC is pleased to announce that they have just received five year accreditation by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) for their Paramedic program. MONOC runs their Paramedic program in conjunction with Ocean County College and is one of just four New Jersey Department of Health approved programs in the state and only the second program to be accredited by CAAHEP. “MONOC is pleased to have achieved this important milestone,” said Vince Robbins, MONOC’s President and CEO. “CAAHEP accreditation is a mark of distinction we are honored to now have. It is a testament to the professional, high quality education program MONOC provides. We appreciate the dedication and hard work our education team displays every day.” CAAHEP is a programmatic postsecondary accrediting agency recognized by the Council for Higher Education Accreditation (CHEA) and carries out its accrediting activities in cooperation with 19 review committees (Committees on Accreditation). CAAHEP is the
largest programmatic accreditor in the health sciences field. In collaboration with its Committees on Accreditation, CAAHEP reviews and accredits over 2,100 educational programs in 23 health science occupations. The specific committee that oversees EMS is called the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). The mission of the CoAEMSP, under the auspices of CAAHEP, is to continuously improve the quality of EMS education through accreditation and recognition services for the full range of EMS professions. Their vision is that CoAEMSP/CAAHEP will be the single, comprehensive National EMS education accreditation agency, as defined in the EMS Education Agenda for the Future. MONOC Mobile Health Services is a non-profit hospital cooperative consisting of 15 acute care hospitals located throughout New Jersey. Formed in 1978 MONOC’s mission is to improve health care and reduce costs. MONOC Mobile Health Services is accredited by the
Commission on Accreditation of Ambulance Services (CAAS) and employs over 730 employees and operates a fleet of over 100 ambulances. Together this shared services consortium acts as a health care cooperative for these acute care hospitals and over 2.8 million residents that they serve living in more than 1,800 square miles of the Garden State.
Among its numerous service lines, MONOC operates MICU Paramedic Services, Helicopter interfacility and 911 services, Mobile Critical Care Services, and Basic Life Support interfacility and 911 services. Additionally, MONOC operates a Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) accredited education department
which is the largest EMS education department in New Jersey providing continuing medical education to EMTs, Paramedics, Nurses, Police Officers, Fire Fighters and the general public. Coordinating all of MONOC’s communications is an Accredited Center of Excellence (ACE) 24/7 state of the art 9- 1-1 dispatch center which handled over 171,000 requests for service in 2012.
Unique Recruitment Opportunity Hospital Newspaper believes that high school students should be informed about potential healthcare careers. Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools. This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care
Medical Assistants Counselors Medical Imaging Dieticians
Please contact Jim Stankiewicz for more information. jim@hospitalnewspaper.com tel: 845-534-7500 x219
Hospital Newspaper - NJ May, 2013
PAGE 13
education & careers 100 percent pass rate for Thomas Edison State College graduates who took 2012 National Nursing Licensure Exam
provided
(From left) Brittany Arrington, Gerald Bertekap, Carl Coleman, Rachel Boka and Lisa Dellon, members of the first graduating class of Thomas Edison State College’s accelerated Bachelor of Science in Nursing (BSN) program, which achieved a 100 percent pass rate on the National Council Licensure Examination for Registered Nurses (NCLEX-RN), based on the graduates who took the exam in 2012.
The New Jersey Board of Nursing recently reported that the first graduates of Thomas Edison State College’s accelerated Bachelor of Science in Nursing (BSN) program achieved a 100 percent pass rate on the National Council Licensure Examination for Registered Nurses (NCLEX-RN), based on the graduates who took the exam in 2012. The college’s Accelerated 2nd Degree BSN Program, launched in 2011, is a one-year program designed for those who already possess a non-nursing bachelor’s degree and are interested in becoming a registered nurse. The program’s first graduating class included 16 graduates, of which 14 took the NCLEXRN exam in 2012. All of the graduates who took the exam in 2012 passed. “We are extremely pleased about this outcome and the performance of our graduates,” said Dr. Phyllis Marshall, dean of the W. Cary Edwards School of Nursing. “They have invested a great effort and were fully committed to putting their lives on hold for the program.” The information reported to the college by the New Jersey Board of Nursing was provided by the National Council of State Boards of Nursing and
DESIGN YOUR EDUCATION
ADVANCE YOUR CAREER Our flexible, self-paced nursing programs are designed to advance clinical expertise, technological competence, and professional leadership. Our offerings include: • RN-BSN • RN-BSN/MSN
• MSN • Graduate Nursing Certificate Programs
Design Your Education Accelerate degree completion; ask about generous credit transfer and demonstration of college-level knowledge earned outside the classroom. Choose from convenient, state-of-the-art learning opportunities.
Thomas Edison State College is one of the 12 senior public colleges and universities in New Jersey, and is accredited by the Middle States Commission on Higher Education, 3624 Market Street, Philadelphia, PA 19104 (267-284-5000). All nursing programs are accredited. For specific accreditation information, please visit the nursing webpage at www.tesc.edu/nursing.
Apply Now! Learn more at www.tesc.edu/nursing, or call 866.540.9378.
reflects the results of all first-time NCLEX test takers from the college who took the exam in 2012. About Thomas Edison State College Thomas Edison State College provides flexible, high-quality, collegiate learning opportunities for selfdirected adults. One of New Jersey’s 12 senior public institutions of higher education, the College offers associate, bachelor’s and master’s degrees in more than 100 areas of study. Students earn degrees through a wide variety of rigorous and high-quality academic methods that can be customized to meet their individual needs. Identified by Forbes magazine as one of the top 20 colleges and universities in the nation in the use of technology to create learning opportunities for adults, Thomas Edison State College is a national leader in the assessment of adult learning and a pioneer in the use of educational technologies. The College is home to The John S. Watson Institute for Public Policy. The New Jersey State Library is an affiliate of Thomas Edison State College. Further information about admission to the College may be obtained by calling (888) 442-8372, via email at info@tesc.edu or by visiting the College website at www.tesc.edu.
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May, 2013
or nfo f i t s e Lat es and
nursdents stu
Hospital Newspaper - NJ
Nurse’s Viewpoint
By Alison Lazzaro
Hospital Newspaper Correspondent
Celebrating Caring, Commitment, and Compassion National Nurses Week allows nurses to be recognized for their around the clock diligence and caring. The week actually ends on May 12 to celebrate Florence Nightingale's birthday. National School Nurse Day is incorporated into the Wednesday of the weeklong holiday. In February of 1974, President Nixon designated National Nurse Week through a proclamation. Later in 1982, the American Nurses Association formally acknowledged May 6th as National Nurses Day, which helped pass a joint resolution of the United States Congress to recognize the day for nurses. During this week, nurses can take some time to show each other their appreciation, reflect on growth, and cherish unique nursing friendships. Whether the individual is a co-worker on your unit, professor, or preceptor, show a special nurse how much he or she meant to you and helped your career. College chapters of Student Nurses Associations are a great avenue for student nurses to show their appreciation to mentors and friends in nursing who have aided in their success. The American Nurses Association Board of Directors actually designated May 8th as National Student Nurses Day. Candy grams are an easy fundraiser that allows students to purchase a piece of candy for a fellow nursing student or professor in order to show their appreciation. All profits from the candy sale can go directly to the organization or contribute to a small award honoring a nurse or teacher. Nursing friendships are bonded through countless hours of studying, group projects, and long hours at clinical. College chapters can also honor the nursing profession and their peers through a health fair or preventative screening in their student center. This promotes the positive influence nurses can have and brings awareness to all organizations throughout campus. Using promotional pins, tee-shirts and posters can help to make it an inspirational event and raise awareness. Nurses working in hospitals or facilities after graduation can recognize other nurses on their unit through awards, honorary breakfasts or a simple card. Think about the nurses who are always willing to go out of her way to switch hours with you so you can make it to an appointment, the nurse who brought you a coffee to help jump start your night shift, or the nurse who got out late but helped you review a procedure so you would feel more comfortable. Do not let these special people who work days, nights, weekends, and holidays go unnoticed.
Hospital Newspaper - NJ May, 2013
Trinitas Leads the Nation in Creating Educational Environments That Support Nursing Excellence!
T
rinitas Regional Medical Center is the first healthcare institution in the nation to receive not one but two Center of Excellence designations from the National League for Nursing, the pre-eminent organization in the country for promoting quality nursing standards and initiatives.
The Trinitas School of Nursing is a repeat recipient of the NLN’s Center of Excellence designation in the category of “Creating Environments that Enhance Student Learning and Professional Development.” This honor was followed just recently by another accolade, Center of Excellence recognition of Trinitas in the category of “Creating Workplace Environments that Promote Academic Progression of Nurses.” Trinitas is one of three hospitals in the United States to attain this second honor, which recognizes our significant achievements in providing nursing staff with opportunities for academic advancement, enabling nurses to use their new knowledge to improve patient care and outcomes.
Proud graduates of the Trinitas School of Nursing, Class of January 2013, join a long line of expertly educated nurses going back to 1891.
This dual honor means that Trinitas nurses – both those in basic nursing education as well as those established in their careers – can benefit from programs that have been recognized as the best in the field. And that is very good news for our patients!
T R I N I TA S R E G I O N A L M E D I C A L C E N T E R 225 Williamson Street, Elizabeth, NJ 07202 • www.TrinitasRMC.org For information on nursing at Trinitas, call 908.994.5334 For information on the Trinitas School of Nursing, visit www.TrinitasSchoolOfNursing.org TRINITAS CENTERS OF EXCELLENCE
Behavioral Health • Cancer Care • Cardiology • Diabetes Management Maternal & Child Health • Renal Services • School of Nursing • Senior Services Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine
Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.
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May, 2013
Michael Torrens and Belle.
Hospital Newspaper - NJ
photograph by: Sandra Nissen
PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER
Sheri A. Marino-Haiken, MA, CCC-SLP
of the Month Back in 1993, Sheri A. Marino-Haiken, MA, CCC-SLP was working as a speech pathologist with a 3-year-old autistic boy named Russell, when his mother noticed something amazing at a birthday party. Russell became more attentive and engaging when he was on a pony ride. With this knowledge, Haiken set out to find a riding center where she could bring Russell for his therapy. This kind of treatment is called Hippotherapy and helps autistic children develop social, language and motor skills. For more than twenty years, Haiken as been a forerunner treating children with autism in the U.S. and internationally. “I’m not quite sure where my passion comes from,” Haiken smiles. “Maybe it started when I was a young girl in grammar school. I remember we had a boy transfer in who had muscular dystrophy. Most kids were intimidated by his wheelchair. I was determined to help him get around and make friends. I guess I have always been like that. But I have a passion for and love what I do. I always have, I always will.” RHR is a pediatric rehabilitation and family wellness center specializing in alternative therapies for children with special needs and their families. Haiken and her experienced and compassionate staff proudly offers a comprehensive array of therapeutic services, including speech, physical and occupational therapy, Hippotherapy, equine mental health programs, therapeutic riding, aquatic therapy, music therapy, therapeutic yoga and therapeutic martial arts. A variety of medical and psychiatric conditions are treated at RHR, including autism, cerebral palsy, developmental and congenital disorders, traumatic brain injuries, emotional and behavioral disorders, brain tumors and spinal muscular atrophy. However, with Haiken leading the way, RHR has become renowned for their Equine Assisted Therapy programs. Haiken was the first speech pathologist in New Jersey and the second in the country to practice Hippotherapy. Hippotherapy is an intensive one-on-one therapy session with a physical, occupational, or speech therapist utilizing the movement of the horse as a treatment strategy. It does not teach riding skills. The three dimensional movement of the horse helps stimulate the arousal mechanism of the central nervous system effecting the patients motor skills, sensory integration and attending skills. Speech and language skills are addressed through improvements in trunk stability, enhanced respiratory function and motor planning. Haiken explains, “As therapists, we are trained to use the biomechanics of the horses movement to improve postural stability, muscle tone, core strength and sensory processing.
It’s a strategy that treats the whole child, integrating all systems. For a non-ambulatory child, this 3 dimensional movement accesses the muscles of the pelvis and trunk that are at risk of atrophy from being in a wheelchair. Emotionally, for the child, the horse gives them a sense of freedom as it can take them beyond the limits of their wheelchair.” Equine facilitated mental health programs at RHR are lead by Kathy Lutz, LCSW. Lutz wrote the book “Horsemanship and Humanship: How Horses Make us Better People” which teaches social skills through groundwork with horses. It is common for children with Asperger’s to have difficulty forming relationships with their peers because of a lack of social awareness and ability to understand social rules. “Horses are a mirror of our soul. If we show up anxious or agitated, the horse will react the same way. We use the horse’s reactions as a form of biofeedback to teach children how to be in touch with their own feelings. When we move too quickly or speak too loudly they react showing the whites of their eyes and pinning back their ears. We can teach children with Asperger’s how to read body language, first using the horse, and then generalizing with a peer. Horses are beautiful teaching tool because they have a forgiving heart ” said Haiken. Ask any of the staff at RHR and they will all tell you they have witnessed many miracles happen over the years. “The greatest moments are when a child takes his first steps or says his first words at Rocking Horse Rehab. It is an emotional experience for the families and the therapists involved.” Haiken said. Unfortunately, they have had their share of sad moments too. Working with medically fragile
children has exposed the staff to great loss when a young patient loses their fight with a terminal illness. “It’s a feeling you cannot even put into words. The grief is unimaginable. But the families tell us that their childs’ happiest moments were with us, with their ponies. That’s what keeps you going. I know those little angels up there have a hand in the miracles we see” said Haiken. Haiken prides herself on being entrenched in the community. Currently she is leading a wellness program titled PeaceLove-Ponies, for families who have lost their homes and loves ones in Hurricane Sandy. Haiken and RHR are proud to be a part of the community it serves. The enterprising, 2,000-square foot facility is affiliated with 20 universities across the nation, which provides RHR yearly with some of the brightest interns studying speech, occupational and physical therapy, social work and family studies. RHR works with children at local schools with special needs and works with all kinds of insurance. More recently, Haiken has become the executive director of the prestigious Autism Think Tank and Medical Center in Warren, N.J. The Center is an innovative outpatient medical center designed to provide a multidisciplinary team approach to the identification and treatment of the complicated medical co-morbidities of autism. At the Autism Think Tank, world-renowned medical experts collaborate via videoconference to assess medically complex children and adults with autism. “It is a privilege to work with a team of doctors who understand that the complexity of autism needs to be addressed through a collaborative approach. A synergistic plan of care which medically stabilizes a child ensures greater educational and therapeutic outcomes” said Haiken. Comprehensive family services including diagnostics, rehabilitative medicine, integrative medicine and comprehensive case management are offered at the Autism Medical Center through the Autism Think Tank and Bright Star Therapy. Haiken has worked with thousands of patients and families during her illustrious career. And, of course, she will never forget any of these special people. Especially Russell, the boy she treated nearly two decades ago. Just recently, he was admitted to college in Colorado, with Haiken by his side. “Aside from having my own children, it was one of the most exciting moments of my life,” said Haiken. “It’s the greatest feeling to see a patient thrive. My career has come full circle and I’m just grateful to still be a part of Russell’s and all of my patients’ lives.”
Hospital Newspaper - NJ May, 2013
PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER Speech • Physical • Occupational Therapy • Hippotherapy Equine Assisted Psychotherapy • Sensory Integration Therapy Therapeutic Yoga • Aquatic Therapy • Music Therapy Sibling & Parent Support Groups • Field Trips • Summer Programs
Director: Sheri Marino Haiken, MA, CCC-SLP
973-731-8588 www.rockinghorserehab.com Woodland Ave • West Orange, NJ
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May, 2013
Hospital Newspaper - NJ
Highlights from the 2013 NEW JERSEY LEAGUE FOR NURSING CONVENTION
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HOSPITAL NEWSPAPER
Steve Testa, VP Regional Sales Manager for Sun Home Loans, signs up another attendee for the Hospital Employee Loan program at the Hospital News exhibit.
Hospital News was warmly received at the New Jersey League for Nursing Convention at Tropicana Casino & Resort in Atlantic City, NJ. Hundreds of attendees visited the exhibit hall as RN's and students celebrated “Nurisng: Issues of Our time”.
NJLN and The Wright Choice partner to increase Nurse faculty The “Mouse that Roared” program has the potential to create a cache of New Jersey Nurse Faculty needed to educate student nurses. The New Jersey League for Nurses (NJLN) partnered with The Wright Choice Staffing and Wright Choice for Home Health Care in the “Mouse that Roared” program dedicated to provide scholarships to nursing students interested in becoming Nurse Educators. Funding for scholarships accrue from donations made by the Wright Choice when nurses apply for and accept assignments from these agencies: $1 is donated for each hour worked, for as long as the nurse works.
According to NJLN president Carol Paterson, RN, MSN, CNE, “the Mouse that Roared is an excellent way for healthcare organizations and the NJLN to work together to alleviate the nursing faculty shortage.” Since its inception in 2009, $1,000 in scholarship moneys have been awarded annually to nurses who are pursuing graduate education to specifically begin a career in nursing education. George Strang, CEO of the Wright Choice, would like to see the program ex-
panded. “If other agencies got on board, we would be doing our part to eliminate the disparity of nurse educators,” he says. The NJLN, whose headquarters in Garwood, NJ, supports and implements the mission of the National League for Nursing to promote excellence in nursing education to build a strong and diverse nursing workforce to advance the nation's health at the constituent level. For more information or an application, log on to NJLN’s website: www.njln.org
Hospital Newspaper - NJ May, 2013
Page 19
Hunterdon Medical Center Nurse wins March of Dimes Nurse of the Year Award The March of Dimes New Jersey chapter is pleased to announce the winners of the annual March of Dimes Nurse of the Year Awards. Hunterdon Medical Center Nurse, Maryse Bouton, RN, MSN, CWON was selected as the Nurse of the year in the category, Hospice, Home Health & Palliative Care/Long Term Acute Care/ Long Term Rehab. Maryse Bouton is the Education Coordinator for Home Health and she resides in Whitehouse Station. Nurses are an integral part of the March of Dimes mission for stronger, healthier babies. The Nurse of the Year Awards is a state-wide event that recognizes exceptional nurses, creates awareness of professional excellence and promotes the future of the nursing profession, while helping to advance the mission of the March of Dimes. The Nurse of the Year selection committee reviews hundreds of applications across 15 categories ranging from Adult Critical Care to Neonatal. More than 100 finalists emerged, all representing the
March of Dimes vision for a healthier, stronger generation of babies and families. “Nurses play a vital role in our society. They are truly the unsung heroes of the health care provider community, and we are proud to honor the work they do,” says Pat Steingall, Honorary Chair, Vice President of Patient Care Services and Chief Nursing Officer at Hunterdon Medical Center. The Nurse of the Year Award is presented by Actavis, Investors Bank, Hunterdon Healthcare, and Robert Wood Johnson University Hospital- New Brunswick. The March of Dimes is the leading nonprofit organization for pregnancy and baby health. With chapters nationwide, the March of Dimes works to improve the health of babies by preventing birth defects, premature birth and infant mortality. For the latest resources and information, visit marchofdimes.com or nacersano.org. Find us on Facebook and follow us on Twitter.
The other 2012 Nurse of the Year Winners included: Michele Zucconi, South Jersey Healthcare Category: Adult Critical Care/Emergency Catherine Amato Bowden, Robert Wood Johnson University Hospital New Brunswick Category: Advanced Practice Kimberly Briggs, Virtua Category: Behavioral Health Deborah Bruzek, Virtua Category: Case Management/Quality/Risk Management/Clinical Informatics
provided
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Cheryl Holly, University of Medicine and Dentistry of NJ - School of Nursing Category: Research
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Ellen Shuzman, Central Jersey Family Health Consortium Category: Education Margaret Cunningham, Virtua Category: General Adult Care
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Dawn Goffredo, South Jersey Healthcare Category: Leadership
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Jessa Torres-Manalastas, Robert Wood Johnson University Hospital New Brunswick Category: Neonatal
Suzanne Butler, Cooper University Hospital Category: Pediatrics Julie Fitzgerald, Ramapo College of NJ/ Partnership for Maternal/Child Health of Northern NJ Category: Public Health/ Occupational Health & Ambulatory Care Iris Vascos, Virtua Category: Student Nurse of the Year Robin Taylor, South Jersey Healthcare Category: Women’s Health
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May, 2013
Hospital Newspaper - NJ
Pediatric Waiting Area at Children’s Hospital of New Jersey has a new look thanks to Ringling Bros. & Barnum Bailey Circus and Prudential Center give The Greatest Show on Earth is displayed at Children’s Hospital of New Jersey Children in the Pediatric Health Center’s waiting area at Newark Beth Israel Medical Center and Children’s Hospital of New Jersey witnessed the unveiling of a festive interior design transformation thanks to the generosity of Ringling Bros. and Barnum & Bailey Circus and Prudential Center. Bright yellow and cobalt blue paint lined the walls along with floor-to-ceiling pictures of a few featured acts from the “Built to Amaze!” show, which recently kicked off at Prudential Center. A chalk board is now embedded into the wall for the enjoyment of pediatric patients, who can also participate in the new “Reading with Ringling” program that was introduced. Pre-school children who are enrolled in the Children’s Hospital of New Jersey’s Pediatric Daycare Center stopped by the health center, located at 166 Lyons Avenue, and donned yellow construction hats and red clown noses. Five clowns, from Ringling Bros. and Barnum & Bailey Circus, entertained the children and the adults before bringing cheer to children and staff on the pediatric in-patient units. "Barnabas Health is excited and proud that Prudential Center and Ringling Bros. teamed up to design the waiting room at the Pediatric Health Center in Children’s Hospital of New Jersey at Newark Beth Israel Medical Center,” stated Barry H. Ostrowsky, President and Chief Executive Officer of Barnabas Health. “We are consistently creating ways to make our patients - of all ages as comfortable and relaxed as possible. We believe the bright colors, circus theme and new toys will bring cheer and joy to the thousands of children who come to the hospital each year and help make their experience as enjoyable as possible.” “The patient experience, including safety and quality, are most important to us at The Beth, regardless of your age,” said John A. Brennan, MD, MPH, President and Chief Executive Officer of Newark Beth Israel Medical Center and Children’s Hospital of New Jersey. “I want to thank Jeff Vanderbeek and the Prudential Center, and Feld Entertainment and Ringling Bros. and Barnum & Bailey Circus for selecting our Children’s Hospital as the first recipient of their “Built to Amaze” redesign initiative for 2013.”
(L-R) Chairman, Devils Arena Entertainment Jeff Vanderbeek; Vice President Event Marketing & Sales FELD Entertainment Stephen C. Yaros; President and Chief Executive Officer of Barnabas Health Barry H. Ostrowsky; Chief Operating Officer of Newark Beth Israel Medical Center and Children’s Hospital of New Jersey Darrell K. Terry, Sr. MHA, FACHE; and Assistant Vice President of Children's Hospital of New Jersey Jennifer K. Mendrzycki, JD, MHA, are joined by pre-school children who are enrolled in the Children’s Hospital of New Jersey’s Pediatric Daycare Center and the world famous clowns of Ringling Bros. and Barnum & Bailey Circus. The group unveiled the newly redesigned waiting room at the Pediatric Health Pediatric Health Center of the Children’s Hospital of New Jersey at Newark Beth Israel Medical Center on Wednesday. Based on this year’s show theme of Built to Amaze!, the waiting room was transformed into a first-of-its-kind, circus theme with children in mind. photos provided
Ringling Bros. and Barnum & Bailey Circus clowns pose with a pediatric patient at Children’s Hospital of New Jersey, which is located at Newark Beth Israel Medical Center.
“We want to create the best experience possible for children to receive quality healthcare and to encourage them as they grow to practice preventative health and wellness,” said Darrell K. Terry, Sr., MHA, FACHE, Chief Operating Officer of Newark Beth Israel Medical Center and Children’s Hospital of New Jersey. “I want to thank Jeff Vanderbeek, of the Prudential Center, and Feld Entertainment and Ringling Brothers and Barnum & Bailey circus for selecting Children’s Hospital of New Jersey and redesigning the Pediatric Waiting Room. The enhancements make it a great space to welcome children of all ages.”
Four children who are enrolled in the Children’s Hospital of New Jersey’s Pediatric Daycare Center showed off their new Ringling Bros. and Barnum Bailey yellow hard hats.
About Children’s Hospital of New Jersey (CHoNJ): Children's Hospital of New Jersey, located at Newark Beth Israel Medical Center and part of the Saint Barnabas Health Care System, is the state's premier hospital caring for children, with specialized services to treat ill and injured children from newborn to adolescent years and has the most comprehensive pediatric cardiac care program in the region as well as preventive programs that promote wellness in the community. For a referral to a pediatrician or pediatric specialist, please call 1-888-724-7123.
Hospital Newspaper - NJ May, 2013
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Pediatric Palliative Care Room to open at Goryeb Children's Hospital Liam’s Room, a New Jerseybased non-profit organization that provides inpatient comprehensive care rooms and support to families whose child is faced with complex medical and life-limiting conditions, and Atlantic Health System, one of the largest non-profit health care systems in New Jersey, announced today the construction of a Liam’s Room at Goryeb Children’s Hospital in Morristown. The redesigned inpatient hospital room creates a home-like environment and addresses the needs of families whose children spend countless hours in and out of the hospital. Families using Liam’s Room are treated by the hospital’s pediatric palliative care team, which incorporates the total care of a child’s mind and spirit and
provides support to the entire family. The new room is scheduled to open in spring 2013. Goryeb Children’s Hospital is part of the Atlantic Health System family, which also includes Morristown Medical Center, Overlook Medical Center and Newton Medical Center. Goryeb shares the Morristown Medical Center campus, and also includes an inpatient unit and outpatient services at Overlook Medical Center in Summit, NJ. “Spending countless hours in a cold, sterile hospital room just magnifies the reality of having a sick child,” said Lisa McNamara, cofounder of Liam’s Room. “Liam’s Room provides the amenities to function as a family within the hospital – more space, a comfortable bed for parents, desk, refrigerator, a
private bathroom and entertainment for children. While some doctors and caregivers are taught to treat the symptoms of a child’s illness, it is the treatment of the entire family that defines good care. This is the benefit of pediatric palliative care.” The first Liam’s Room opened in 2009 at Overlook Medical Center. At that time, Liam’s Room also funded Colin O’Reilly, DO, and Sheryl Vassallo, MD, as they attended a training program at the Harvard Medical School Center for Palliative Care. They now both serve as pediatric palliative care physicians at Goryeb Children’s Hospital. In addition, O’Reilly also practices pediatric critical care. “The need for pediatric palliative care is growing,” O’Reilly said. “Having an additional Liam’s Room
photos provided
Future Occupational Therapists trained at Matheny
UMDNJ student Lisa Burke of Bridgewater, NJ, learns about switch access from Matheny OT Wendell Lumapas.
The Matheny Medical and Educational Center has established several training programs to make sure that students entering such healthcare fields as medicine, nursing and the various therapies are ready to undertake and meet the special healthcare needs of people with developmental disabilities. Recently students from the new Associate of Science degree program in Occupational Therapy Assistance (OTA) from UMDNJ School of Health Related Professions took part in a spe-
UMDNJ student Christine Pappas of Wanaque, NJ, learns experiences power wheelchair access, assisted by Matheny OT Veronica Armellino.
cial training day at Matheny, a special hospital and educational facility in Peapack, NJ, for children and adults with medically complex developmental disabilities. Matheny’s OT department set up four informational rotations that included instruction in seating and mobility (power and manual wheelchair access); switch, computer and activities of daily living (ADL) access, focusing on adaptive feeding and bathing equipment to improve accessibility; augmentative commu-
nications; and the collaborative role of OTs and speech-language pathologists in enabling a student or adult to access speech and computer needs. UMDNJ academic fieldwork coordinator Karen Kowalski accompanied the nine students through the rotations and ensuing discussion. The next day she reported that, “the students couldn’t stop talking about the wonderful experience they had at Matheny.”
in Morristown will allow our program to benefit more patients and their families as they navigate the challenges of potentially life-limiting illnesses. In addition to the comfort the room provides, its presence helps to remind our staff of the needs of families who are living through disease and the impact of illness.” “We are excited about the progress being made with Goryeb Children’s Hospital,” said Peter McNamara, Co-Founder of Liam’s Room. “We look forward to continuing to provide resources to families and children who benefit from pediatric palliative care, to the development of more rooms, and to inspiring more hospitals to adopt the pediatric palliative care approach.”
About Liam’s Room Liam’s Room provides a “home away from home” for children with chronic, potentially life-limiting illnesses and their families in hospitals by building rooms that are comfortable, peaceful and equipped with all the amenities that a child’s room should offer. Additionally, Liam’s Room is committed to facilitating the education of hospital staff treating these families in the field of pediatric palliative care – an approach to treatment that focuses on enhancing the quality of life for patients who suffer from serious illness. The NJ based non-for-profit organization was created by Lisa and Peter McNamara in loving memory of their son, Liam Hayden McNamara. For additional information, please visit www.liamsroom.org.
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May, 2013
Hospital Newspaper - NJ
Trinitas Comprehensive Cancer Center joins Jefferson Kimmel Cancer Center Network New affiliation will bring national research trials to the region The Trinitas Comprehensive Cancer Center has joined the Philadelphia-based Jefferson Kimmel Cancer Center Network, announced officials from both institutions recently. “The Trinitas Comprehensive Cancer Center is an outstanding addition to the Kimmel Cancer Center Network,” says Leonard Gomella, MD, Chair of the Department of Urology at Thomas Jefferson University and clinical director of the Jefferson Kimmel Cancer Center Network. “Trinitas has a proven commitment to a high quality multidisciplinary approach to cancer care.” “We are pleased to become part of the Kimmel Cancer Center Network,” states Trinitas Regional Medical Center’s President and Chief Executive Officer, Gary S. Horan, FACHE, adding, “Partnering with such a prestigious academic medical center and cancer care network allows us access to top-notch expertise and research that will directly benefit our patients.” Those benefits to patients served by Trinitas are many, notes Barry Levinson, MD, Medical Director of the Cancer Center. “Through this affiliation, we’ll have access to all of Jefferson’s treatment studies and we will be able to choose to open those studies that best match our patient population. In addition, Trinitas will become a member of the National Surgical Adjuvant Breast and Bowel Project (NSABP) through Jefferson. We’ll have access to all of their studies as well,” he adds. Trinitas oncologists plan to open four new treatment trials this year, according to Dr. Levinson.
The interdisciplinary team of highly skilled professionals at Trinitas Comprehensive Cancer Center works with each patient to develop a comprehensive approach to care that encompasses the latest diagnostic and treatment options, medical technology, clinical trials and integrative therapy. Approved by the American College of Surgeons Commission on Cancer, Trinitas was the first cancer center in New Jersey to offer patients the advanced Varian RapidArc radiation system, which significantly reduces radiation treatment time. Trinitas was also the first in the state to offer the new AccuBoost radiation treatment for breast cancer patients. Trinitas’ cancer care team consists of all-board certified hematologists, surgeons, and medical and radiation oncologists, who work together with highly-skilled physician assistants, nurse practitioners, dosimetrists, physicists, radiation therapy technologists, and registered nurses. This team specializes in all aspects of cancer treatment, including prostate, breast, lung, colorectal, head and neck, gynecological, multiple myeloma, leukemia and other hematological disorders. Since 2007, Trinitas has participated in a Radiation Therapy Oncology Group research affiliation through the Jefferson Kimmel Cancer Center. The Jefferson Kimmel Cancer Center Network is a consortium of institutions dedicated to improving cancer care and increasing clinical research. It supports the cancer programs of its members through education, information, research, and cancer program development.
(GOG) and the National Surgical Adjuvant Breast and Bowel Project (NSABP). For more information on this affiliation or about Trinitas Comprehensive Cancer Center, please call (908) 994-8000 or visit www.TrinitasCancerCenter.org. About Trinitas Regional Medical Center
The Trinitas Comprehensive Cancer Center is housed in the Andrew H. Campbell Pavilion on the main campus of Trinitas Regional Medical Center in Elizabeth, New Jersey.
Kimmel Cancer Center is an NCIdesignated clinical cancer center and was ranked 20th in the 2012 U.S. News and World Report ranking of top cancer hospitals in the United States. The Kimmel Cancer Center is the cornerstone of the network, which operates the Jefferson Oncology Group (JOG). JOG is a cooperative program to enhance
clinical and translational cancer research, including clinical trial development. The Kimmel Cancer Center is a member of several national research groups, including the Radiation Therapy Oncology Group (RTOG), the Eastern Cooperative Oncology Group (ECOG), the Gynecologic Oncology Group
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Hospital of the Month? Hospital Newspaper features one hospital per month as the centerfold. Great way to get information about your facility to interested readers.
For more details contact: Jim Stankiewicz at 845-534-7500 ext. 219 jim@hospitalnewspaper.com
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Thomas Jefferson University Hospital in Center City Philadelphia shares a 13-acre campus with Thomas Jefferson University.
Trinitas Regional Medical Center (TRMC), a major center for comprehensive health services for those who live and work in Central New Jersey, is a Catholic teaching medical center sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation. With 10 Centers of Excellence across the continuum of care, Trinitas has distinguished itself in cardiology, cancer care, behavioral health, renal care, nursing education, diabetes management, wound healing and sleep medicine. For more information on Trinitas Regional Medical Center, visit: w w w. Tr i n i t a s R M C . o rg <http://www.TrinitasRMC.org or call (908) 994-5138.
Hospital Newspaper - NJ May, 2013
PaGe 23
Please send your People on the Move editorial to cathy@hospitalnewspaper.com
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Dr. Richard Goldstein
New Jersey Hospital Group Members Save $418!
Dr. Nisheet Prasad
Internists Dr. Goldstein and Dr. Prasad join Physicians’ Group -The Dr’s Office Physician Practice located in Woodbridge, NJ, Joins Raritan Bay Physicians’ Group, PCThe Dr’s Office, LLC, of Woodbridge, NJ, and founder Dr. Richard Goldstein, recently joined the Raritan Bay Physicians’ Group, PC. The group also added Nisheet Prasad, MD, board certified in internal and geriatric medicine, as part of this partnership. Drs. Goldstein and Prasad accept most major medical insurances, are currently accepting new patients and maintain Saturday hours at their office located at One Woodbridge Center, Suite 900, Woodbridge, NJ. To schedule an appointment, call 732965-1050 or Raritan Bay Medical Center’s free physician referral service 1-800-DOCTORS. Internal medicine practitioners are trained in a broad range of disciplines enabling them to diagnose and treat most illnesses and medical conditions, including chronic diseases such as asthma, diabetes and high blood pressure. Geriatric medicine practitioners promote health by preventing and treating diseases and disabilities in older adults and identifying diseases from the effects of normal aging. Dr. Goldstein has been practicing in Woodbridge since 1997. He received his Doctorate of Medicine in 1994 from Albert Einstein College of Medicine,Bronx, NY. Dr. Goldstein completed his residency in internal medicine at Montefiore Hospital Medical Center, Bronx, NY, in 1997. He is also Senior Director, Clinical Product
Development, for MD On-Line, Inc., of Parsippany, NJ, overseeing all clinical product development. Dr. Prasad completed his internal medicine residency at the University of Medicine and Dentistry of New Jersey Medical School – University Hospital, Newark, NJ, in 2005. He completed his fellowship in geriatrics at the Maine Medical Center, Portland, Maine, in 2010. He previously practiced as a hospitalist at Togus VA Medical Center in Togus, Maine, and as a hospitalist and geriatrician at Southern Maine Medical Center, Biddeford, Maine. Raritan Bay Medical Center, with locations in Old Bridge and Perth Amboy, established the Raritan Bay Physicians’ Group, PC, (RBPG) in early 2012 as a forprofit entity providing employment opportunities for local physicians. As healthcare continues to evolve, RBPG works to improve quality through enhanced clinical integration and care coordination while providing physicians effective practice management and better work-life balance. With local communities inmind, the group ensures that patients receive high-quality care and are satisfied with their healthcare services. Longtime Middlesex County, NJ, internist and cardiologist Majid K. Khan, MD, and family medicine physician Alexandra C. Caracitas, DO, are also part of the RBPG.
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May, 2013
Hospital Newspaper - NJ
Hospital achieves “Senior Friendly” status – Focuses on improving care for older adult patients –
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Shira Goldberg, M.D., left, a Saint Peter’s Healthcare System geriatrician, shares a laugh with Mary Notaro, 83, of Monroe during a physical exam at the Saint Peter’s Comprehensive Care Group in Monroe.
Saint Peter’s University Hospital has achieved “Senior Friendly” status for its NICHE (Nurses Improving Care for Healthsystem Elders) program. NICHE hospitals such as Saint Peter’s commit to excellence in the care of patients 65 years and older. The “Senior Friendly” status recognizes that Saint Peter’s has put in place a variety of programs such as “Care Companions” and “Silver Spoons” to assist senior patients. The first program calls for volunteers to keep elder patients company. The second program provides assistance during meals. Additionally, the hospital has invested time and resources to: • implement the NICHE Geriatric Resource Nurse (GRN) model, • develop aging-sensitive policies and • obtain input of patients, families and community-based providers in planning and implementation of NICHE initiatives. Seniors can be at risk for certain conditions including anxiety, dementia, depression, falls, incontinence, osteoporosis, and pain. In addition to NICHE initiatives, Saint Peter’s integrated outpatient geriatric medicine program specializes in the diagnosis and treatment of disease and the maintenance of good health and quality of life.
Saint Peter’s is also designated as a primary stroke center. The hospital is staffed by a specialized stroke team that includes emergency physicians, neurologists and nurses with special training in acute stroke management who are available 24-hours-a-day, sevendays-a-week. Programs and Services The vision of NICHE is for all patients 65 and older to be given sensitive and exemplary care. The Geriatric Resource Nurse model, an educational and clinical intervention initiative, calls for NICHE hospitals to train staff nurses as clinical resource persons on geriatric issues for other nurses on their unit. Based at New York University Hospital, NICHE is an international program designed to help hospitals improve the care of older adults. “The NICHE designation and the ‘Senior Friendly’ status are proof of our commitment to quality, patient-centered care for older adults,” says Linda Carroll, MSN, RN-BC, director of professional practice and clinical education and nursing research education at Saint Peter’s University Hospital. “Our participation in the NICHE program allows us to continually maintain the high standard of care that has always been available at Saint Peter’s. This leads to greater satisfaction rates for our patients, their families and our staff.”
In the United States, 8,000 people turn 65 every day. By the end of 2011, the senior population of America reached nearly 49 million. By 2025, it is expected to grow to nearly 72 million, according to the U.S. Department of Health and Human Services and the State Department. As people age, their medical issues tend to become more complex, explains Saint Peter’s geriatrician Shira Goldberg, M.D. “When developing a care plan for geriatric patients, physicians must use an interdisciplinary approach that incorporates not only medical but also the patient’s social and psychologi-
cal needs. A patient’s values and preferences need to be investigated and integrated into their individualized treatment plan.” An interdisciplinary team of board-certified physicians and health care professionals, all of whom are trained in geriatric medicine, works with patients and their families to develop a comprehensive plan of care for improved overall quality of life. Areas of specialty at Saint Peter’s include: diabetes; diagnosis and treatment of depression and anxiety; diagnosis and treatment of memory loss; hormone replacement therapy; minimally invasive surgery; nutrition; orthopedic services including hip resurfacing and knee replacement; pain management; promoting and maintaining health, strength and functional abilities, and wound care and hyperbaric oxygen therapy (HBOT) for non-healing chronic wounds. Outpatient services at Saint Peter’s include geriatric evaluation and management services (GEMS), a comprehensive assessment program that helps health care professionals diagnose and develop a plan of care for patients who suffer from Alzheimer’s disease and other forms of dementia. The Wound Care Center® and Hyperbaric Services at Saint Peter’s University Hospital counts among the specialty services provided for seniors. With locations in Saint Peter’s Center for Ambulatory Resources in New Brunswick and in a new facility in Monroe Township, the center is a leader in the surgical and non-
surgical treatment of chronic nonhealing wounds. Patients are treated by a multidisciplinary team of board-certified physicians that includes general surgeons, vascular surgeons, plastic surgeons, internists, geriatricians, infectious disease specialists, physiatrists, and clinical wound specialists. The hospital’s three Comprehensive Care Group medical practices – in New Brunswick, Piscataway, and at the new Monroe Township facility – focus on providing primary and specialty care for seniors as well as resources for their caregivers. With a focus on quality of life, the goal is to provide patients with services and programs that help to maintain their health, and independence, and enhance their daily living. Other outpatient resources include: • Saint Peter’s Adult Day Center at Monroe Township • Margaret McLaughlin McCarrick Care Center, a not-for-profit skilled nursing facility in Somerset • Community Nursing Services such as onsite nursing, blood pressure checks and educational programs at a number of adult communities in Monroe Township Visit SaintPetersHCS.com/geriatric/ to learn more about our geriatric services. To find a doctor affiliated with Saint Peter’s visit SaintPetersHCS.com/findaphysician/ For more information about Saint Peter’s Healthcare System, visit www.saintpetershcs.com or call 732-745-8600.
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Hospital Newspaper - NJ May, 2013
PAGE 25
Trinitas’ Long Term Care Facility secures Five Star Quality rating from Centers for Medicare and Medicaid Services (CMS) Brother Bonaventure Extended Care Center, the long-term care facility of Trinitas Regional Medical Center, has received a Five Star Quality rating from the federal government’s Centers for Medicare and Medicaid Services (CMS). The facility, located at 655 W. Jersey Street in Elizabeth, is a 130-bed facility that has also recently undergone a renovation and beautification project. The Five Star Rating System is designed to help consumers, their families and caregivers compare nursing homes more easily and help them to identify areas about which they might want to ask questions. Together, the ratings are then combined to calculate an overall rating that is designed to give consumers a “snap shot” of the care that individual nursing homes give. CMS uses its own database, Health Inspection, and a national database known as Minimum Data Set (MDS) to compile its ratings. CMS’s database includes information obtained from state inspections of nursing homes and staffing levels at facilities. The MDS is an assessment done at regular intervals on every resident in Medicare- or
Medicaid-certified nursing homes. Information is collected about the resident’s health, physical functioning, mental status, and general well-being which is then used to assess each resident’s needs and develop a plan of care. CMS publishes information on its webpage about every Medicareand Medicaid-certified nursing home in the country, including over 15,000 nationwide, to encourage consumer comparison of nursing homes. Brother Bonaventure’s CMS “above average” quality rating and the renovation of the facility were celebrated recently at an Open House at Brother Bonaventure. Mayor J. Christian Bollwage of the City of Elizabeth was among those who expressed congratulations to the Center for its new rating and its commitment to the care it provides to its many residents. Also on the brief speaking program were: Gary S. Horan, Trintias’ President and CEO: James Lape, FACHE, Senior Vice President for Long Term Care; Karim J. Khimani, MD, Medical Director of Brother Bonaventure; Krishna Garlic, Elizabeth Department of Health, and Debby Hall, Administrator of Brother Bonaventure.
provided
Photographed at the Brother Bonaventure Extended Care Center Open House were, from left, J. Christian Bollwage, Mayor of Elizabeth; Krishna Garlic, Elizabeth Department of Health; Debby Hall, Administrator of Brother Bonaventure; Gary S. Horan, President and CEO of Trinitas Regional Medical Center; Karim J. Khimani, MD, Medical Director of Brother Bonaventure, and James Lape, FACHE, Senior Vice President for Long Term Care, Trinitas Regional Medical Center.
EMERGENCY MEDICINE UPDATE CME 2013 Conferences 9/23-26 Las Vegas, Nevada
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PAGE 26
May, 2013
Hospital Newspaper - NJ
Holy Name Medical Center receives accreditation for Bariatric Surgery program After completing a comprehensive review of Holy Name Medical Center and the services and facilities associated with its surgical weight loss program, the American Society for Metabolic & Bariatric Surgery (ASMBS) has approved Holy Name as an American Society for Metabolic & Bariatric Surgery Center of Excellence® (BSCOE). BSCOE accreditation ensures the quality, safety and efficacy of bariatric patient care. Facilities with BSCOE approval support best practices for the treatment of morbid obesity and its associated conditions, by offering a broad spectrum of treatment, education and support services. The American Society for Metabolic & Bariatric Surgery’s inspection is comprehensive and rigorous. It encompasses meetings with management from a variety of disciplines within the hospital, a review of required documentation and medical charts, an operating room tour, and interviews with staff. Facilities that achieve accreditation must demonstrate compliance across a broad spectrum: • Institutional commitment to maintaining excellence in bariatric surgery, including such aspects as administrative support andboard-certified bariatric surgeons • Satisfactory levels of surgical experience and patient volume • A dedicated bariatric surgery medical director and an organized bariatric team, including a bariatric program coordinator • Appropriate equipment, instruments and furnituresuitable for the morbidly obese patient, allowing for appropriate treatment, personal comfort and a sense of dignity • Bariatric policies and clinical pathways to provide standards of care and positive outcomes • Facility-wide in-services to ensure a basic understanding of bariatric surgery and appropriate management and care • Patient support groups • Long-term patient follow-up According to Holy Name’s Sheryl Slonim, DNP, RN-BC, NEABC, Executive Vice President, Patient Care Services, and Chief Nursing Officer.the success of bariatric surgery has as much to do with education, support and followup, as it does with the actual surgical procedure. “Holy Name holds free monthly seminars about surgical options, risks and benefits,” she
says, “and we conduct an extensive screening process with a bariatric surgeon, registered dietitian and a psychologist to determine eligibility for bariatric surgery.” Dr. Slonim notes that pre- and postoperative support is essential to patient well-being and recovery. She says that by emphasizing postop healing, lap-band adjustments, individualized nutrition and psychotherapeutic sessions, “we help to prevent side effects and complications, and promote successful long-term outcomes. “ “Holy Name Medical Center’s efforts help support a culture where we are prepared to manage morbidly obese patients with understanding and compassion,” says Dr. Slonim, “and with appreciation for the burdens presented by disease comorbidities.” For hospitals, benefits of accreditationinclude recognition by The Joint Commission’s quality check web site, participation in accreditation-based quality improvement initiatives, and the opportunity to contribute to health systems improvement and the advancement of field knowledge with surgical outcomes and patient trends. Bariatric surgery is a treatment option for people living with morbid obesity—especially for those who have not experienced longterm weight loss success through other means. Obesity is a chronic disease with symptoms that build slowly over an extended period of time. The National Institutes of Health (NIH) defines morbid obesity as: • 100 or more pounds over ideal body weight, or • Body mass index (BMI) of 40 or greater, or • BMI of 35 or greater and an obesity-related condition, such as
type 2 diabetes, acid reflux/GERD, heart disease, osteoarthritis and joint pain, high blood pressure, or obstructive sleep apnea According to data from The Centers for Disease Control and Prevention, 35.7% of Americans are obese.The National Center for Biotechnology Information, a division of the National Institutes of Health, reports that about 113,000 people in the US have bariatric surgery every year. Often referred to as weight loss surgery, bariatric surgery has transformed the health and lives of many. At Holy Name Medical Center, patients benefit from services that treat the whole person, encouraging lifestyle improvements and giving support before and after surgery.
The program is composed of a dedicated multidisciplinary team that provides the highest level of patient care to deliver positive outcomes, with bariatric surgeons who have specialized expertise in obesity and related diseases, and in performing advanced surgical techniques. Types of Bariatric Surgery
A patient must meet the NIHcriteria for obesity to qualify as a surgical candidate, and have at least one related comorbid conditionor, for the adjustable gastric band, a body mass index (BMI) > 30. HolyNameMedicalCenter offers three surgical approaches to weight loss: Gastric banding is a restrictive surgical procedure. Aband is placed around the upper part of the
stomach to create a small pouch, about the size of an egg. The adjustable gastric band limits the amount a patient can eat at one time to about half a cup. By slowing the flow of food out of the stomach, patients feel full sooner and stay satisfied longer. Over time, surgeons adjust the tightness of the band to help patients meet weight loss goals. Gastric bypass (Roux en-Y) surgery uses a combination of restriction and malabsorption. The surgeon creates a smaller stomach pouch. The surgeon then attaches a Y-shaped section of the small intestine directly to the pouch, causing food to bypass a large portion of the small intestine.The smaller stomach pouch causes patients to feel fuller sooner and eat less food. Sleeve gastrectomy is a restrictivesurgical procedure. The surgeon removes approximately 75% of the stomach, leaving a narrow sleeve-like stomach that limits the amount of food a patient can eat at one time, while producing a fullfeeling that lasts longer. Food passes through the digestive tract in the usual order, allowing it to be fully absorbed. To sign up for a patient information seminar or for a referral to a Holy Name bariatric surgeon, call 1-877-HOLY-NAME (1-877-4659526). For general information about the Bariatric Surgery Program at Holy Name Medical Center, call 201-833-7043.
Walsh Presents at American Academy of Emergency Medicine 19th Annual Scientific Assembly (AAEM) Brian Walsh, MD, MBA, presented two projects at the American Academy of Emergency Medicine 19th Annual Scientific Assembly held Feb. 11-13 in Las Vegas. The first research abstract presented was titled “Utility of Ultrasound to Diagnose Appendicitis in Community Hospitals” – the main objective was to determine the diagnostic rate and incidence of follow-up CT scans for pediatric patients who had appendix ultrasound in a community hospital. The conclusion found the utility of ultrasound to diagnose appendicitis at a community hospital seems to be limited by a high rate of non-diagnostic studies. The second presentation was a case report regarding a patient with a wrist injury. The final presentation Walsh gave was a mock scenario of a patient experiencing scrotal pain. The case was presented to the audience then followed with a discussion about diagnosis and other complications post-management. Dr. Walsh is an active researcher in the fields of pre-hospital and emergency medicine. He is a frequent regional and national lecturer on topics pertaining to emergency medicine. He is an attending physician at Morristown (N.J.) Memorial Hospital and a partner of Emergency Medical Associates. About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physicianowned 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.
Hospital Newspaper - NJ May, 2013
Page 27
Sun National Bank Hospital Employee Loan program helps local Physician gain mortgage with outstanding service During the process of getting his mortgage, Dr. Anil Narula had questions. Some even came to Narula on the weekends. However, no broker is available unless it’s Monday through Friday – between 9 a.m. to 5 p.m. At least, unless, you are working with the Sun National Bank Hospital Employee Loan Program (H.E.L.P). Steven Testa, an executive vice president with Sun National Bank, answered all of Narula’s questions, all the time. “My interaction with Steve was outstanding,” Narula said. “Whenever I had any questions, he never hesitated to get back to me. He was very honest and fair. I have the highest praise for Steve and his staff. I wouldn’t expect anyone to get back to me 24/7, but Steve always was available. He was outstanding.” Sun Home Loans and Hospital Newspaper came together to bring the emergency services community a special mortgage opportunity. Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. program is offered to members of the hospital community and their families. Dr. Narula is a general surgeon who practices in the Bronx. His wife, Dr. Anita Narula, is a physican at Bronx Lebanon Hospital. 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. “Our rates and customer service are some of the things that set our program apart,” Testa said. “To hear Dr. Narula compliment us like that really means a lot. We are committed to providing the best rates for our clients with products and promotions that make sense for them. It was our pleasure working with Dr. Anil Narula and Dr. Anita Narula. They are great people.” 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 1st Responder 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
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May, 2013
Hospital Newspaper - NJ
RESOURCE DIRECTORY ARCHITECTURE
BARIATRIC EQUIPMENT & PRODUCTS TSk PRODUCTS
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 1201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 609-309-7005 Fax: 609-309-7006 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON
FAST & COMFORTABLE PELVIC EXAMS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, 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 can support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, tear resistant, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional disposable protective covers and wall holders are available.
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CAREER MANAGEMENT
COMMUNICATION SkILLS Aspirin for Your Language Headache! When nurses, administrative staff and technicians speak a different language than patients and their families: •
Patients may not be able to understand simple questions or directions.
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CONTRACT/PRACTICE MANAGEMENT SERVICES
Language Directions can help doctors, nurses, technical, and administrative staff to communicate more effectively between each other, patients, and their families
www.languagedirections.com Contact Donna Clark 1-888-554-8848 donna@languagedirections.com
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Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.
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Online Directory available at www.hospitalnewspaper.com
HOME MORTGAGES Gateway Funding specializes in mortgage options to the healthcare industry. We understand the nuances involved with obtaining mortgages for physicians, nursing staff, residents, or general staffing. You’re busy, we know it. Your unique, we get it. You need financing for a home, we provide it. One call or email to our experienced, licensed and fully trained loan officers, will put your mind at ease. We can provide No Cost Pre-Approvals prior to looking for a home, and highly competitive rates and fee’s once you do find your dream home!
Frank Mancino, Branch Manager NMLS#133472 3564 Quakerbridge Rd Hamilton, NJ 08620 877-583-3562 fmancino@gatewayfunding.com www.TheMancinoTeam.com
Hospital Newspaper - NJ May, 2013
PAgE 29
‘Donate Life’ flag raised throughout Barnabas Health Heartfelt ceremony honors donors; marks Donate Life Month Seven Barnabas Health facilities across the state simultaneously raised the Donate Life flag today at 10 am to pay tribute to organ and tissue donors and to raise awareness of the life-saving and life-restoring value of organ and tissue donation. Donor families, organ recipients, community leaders and health care professionals gathered with team members of NJ Sharing Network in the series of heartfelt ceremonies, which marked April as Donate Life Month. “Barnabas Health is extremely proud to participate in Donate Life Month at each of our facilities to raise awareness of the importance of organ donation and to honor our donors, recipients and their families,” said Barry Ostrowsky, President and Chief Executive Officer of Barnabas Health. “These donor families responded to personal tragedy with life-saving generosity.” Barnabas Health facilities: Saint Barnabas Medical Center, Livingston; Clara Maass Medical Center, Belleville; Newark Beth Israel Medical Center, Newark; Community Medical Center, Toms River; Monmouth Medical Center, Long Branch, Barnabas Health Ambulatory Care Center, Livingston; Kimball Medical Center, Lakewood.
H
At each facility, dozens gathered to raise awareness. They heard from organ recipients able to live fully again because of a transplant. They also heard from donor families who said the decision to donate organs that saved others provided a measure of solace and comfort. Local officials also attended several of the events. Joe Roth, President & CEO, NJ Sharing Network, thanked health care professionals throughout the Barnabas Health system for their hard work and dedication to organ and tissue donation. “Without our hospital partners, without our donor families and without the commitment of so many people we do not exist,” Roth said. “We are able to continue with our life-saving and life-restoring work because so many people — many of them gathered today throughout Barnabas Health — believe and support our mission.” Nearly 5,000 people currently are awaiting life-saving organs in New Jersey. In 2012, over 370 heart, lung, kidney and pancreas transplant surgeries were performed at Barnabas Health facilities, Saint Barnabas Medical Center in Livingston and Newark Beth Israel Medical Center in Newark.
HOSPITAL NEWSPAPER
Salutes all Nurses during
National Nurses Week May 6-12, 2013
provided
Employees at the Barnabas Health Ambulatory Care Center (ACC) along with representatives from the New Jersey Sharing Network gathered recently in the Atrium of the ACC to raise the NJ Sharing Network flag in support of Donate Life Month.
Anyone, regardless of age or medical history, can sign up to be a donor. In-person organ donor registration is available at local Motor Vehicle Commission agencies. Visit www.NJSharingNetwork.org to register online.
To learn more about organ and tissue donation or to get involved with NJ Sharing Network please call 1-800-742-7365 or visit www.NJSharingNetwork.org to register as an organ and tissue donor.
For further information about the Barnabas Health Transplant Programs, please visit www.BarnabasHealth.org.
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May, 2013
Hospital Newspaper - NJ
RESOURCE DIRECTORY ExtEndEd cARE & ASSiStEd livinG dAUGHtERS oF iSRAEl Daughters of Israel is a multi-faceted, stateof-the-art skilled nursing facility offering the most modern and comprehensive services available including: • • • • • •
Sub-Acute Rehabilitation Long-Term, Skilled Nursing Care Alzheimer’s Care Hospice & Palliative Care Respite Stays The Charles Bierman Home Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute for Continuing Education Our team of skilled and dedicated professional staff deliver the highest quality of care for our 300+ residents. Services provided include: round-the-clock professional nursing care; 24hour medical coverage by board-certified geriatricians; on-site synagogue with full-time rabbinical services; a full range of stimulating and innovative recreational activities; on-site beauty salon, barber shop, work activity center, gift shop and coffee shop; spacious dining rooms, auditoriums, lounges and outdoor patio areas. Our sub-acute rehabilitation facility, which functions as a separate unit within the Home, features a spacious gym with state-of-the-art equipment and comfortable recovery suites with luxury amenities. Semi-private and private rooms are available at Daughters of Israel. The facility is covered by Medicare, Medicaid, commercial insurances and private payment. Daughters of Israel is a beneficiary agency of United Jewish Communities of MetroWest, N.J. 1155 Pleasant Valley Way, West Orange, NJ 07052 www.doigc.org Contact: Adena Twersky, Director of Admissions Tel: 973-400-3307 Fax: 973-731-8364 atwersky@doigc.org
HoSPitAlS BERGEn REGionAl MEdicAl cEntER, l.P. Located in Paramus, Bergen Regional Medical Center is the largest hospital in New Jersey dedicated to serving the residents of Bergen County and surrounding communities. With 1000+ beds and 1,500 staff members, the hospital specializes in Behavioral Health Services, which include child and adolescent, adult and geriatric psychiatric treatment. Long Term Care Services provides a scope of services, which far exceeds that offered in a standard nursing home. As a full service accredited medical center, we provide wound care, surgical care, cardiac care, rehabilitation services, respiratory care unit which includes ventilator dependent residents, Korean care services and an acute care unit all under one roof for our residents. The hospital excels in the treatment of substance abuse. The hospital offers detoxification, 21-day rehabilitation program, outpatient services, and treatment for the mentally ill and chemically addicted. Our Acute and Ambulatory Services offers same day surgery, medical and specialty clinics and state-of -the-art operating suites. www.bergenregional.com Tel. 201-967-4000
MEdicAl BillinG Cape Medical Billing (CMB) is your single source billing provider for curing undetected “revenue leakage” that plagues today's healthcare practices. CMB has been in business for 22 years and is uniquely qualified to help your medical practice reverse “revenue leakage” with fast, efficient, innovative and customized billing programs. We offer personalized and cost effective service with 92.9% of charges paid upon the first submission! We accomplish this everyday by utilizing our “state of the art” billing software and paying close attention to critical detail used to match and process data. We also pride ourselves on significantly reducing days in accounts receivable by deploying aggressive and consistent follow-up procedures. Our technology, expertise and personal approach drive our billing practices and produce unparalleled results for our clients. Are you currently doing billing in house and considering outsourcing? No problem, we can integrate our technology with your current EMR software package and help you convert your medical services to consistent cash flow! Our billing specialties: Cardiology, Internal Medicine, Podiatry, Family Practice, General Surgery, Pathology, Infectious Disease, Gastroenterology, OB/GYN, Neurosurgery, Urology, Trauma Surgery, PT/OT, Mental Health and Ambulance. We're the experts...STOP risking your money and profit by collecting it yourself, or utilizing a billing company with less experience. We collect the HARD Stuff and we do it every day! Call for a FREE Billing Analysis to detect and solve your revenue leakage! Contact: Richard Papperman, CEO/President of Cape Medical Billing Office: 609-465-8900 rich@capebilling.com or Sherrii Brentari Director of Sales and Marketing Cape Medical Billing sherrii@capebilling.com 609-465-8900
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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
contact Jim Stankiewicz to find out how your organization can be featured in our Resource directory.
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Online Directory available at www.hospitalnewspaper.com
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 cAll toll FREE 1-866-333-3529 (After Hours / Emergency Number 201-618-0508) BAGoliE FRiEdMAn, llc Workers' compensation & disability Attorneys The Five Corners Building 660 Newark Avenue - Jersey City, NJ 07306 (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
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apparatus Campbell Supply company www.campbellsupplyco.com expositions Abilities Expo www.abilitiesexpo.com financial Institutions Healthcare Employees Federal Credit Union www.hefcu.com home care specialists Comprehensive Home Care www.homecarenj.com hospitals Children’s Specialized Hospital www.childrens-specialized.org Matheny Medical & Educational Center www.matheny.org
internet address directory Meridian Health www.meridianhealth.com medical equipment & products TSK Products, Inc. www.tskproducts.com
Hospital Newspaper - NJ May, 2013
PaGe 31
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
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PAGE 32
May, 2013
Hospital Newspaper - NJ
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
October 6-9, 2013 The Planetree Annual Conference is the longest running, international conference about patient-centered care. Register today-www.planetree.org > Planetree Conference Earn CEUs Change your organizational culture by providing care that puts patients first 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 first. Montreal is easily accessible with hundreds of flights per day, many that are less than two hours from the U.S., and half-day trip in the car from the northeast. Be a part of an international learning community Attendees across the continuum of care from large urban systems to small critical access hospitals and long term care communities attend the Planetree Conference. Our global presence, with countries ranging from Canada, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., comes together as a true collaborative community to obtain the expertise, tools, and support needed to transform their healthcare organizations. Gain Innovative ideas and field-tested approaches that get results This unique conference offers innovative tutorials, educational breakouts, noteworthy keynote speakers, and networking time with key leaders in the field. This is where healthcare professionals who do this work every day come to share their field-tested approaches, forge new relationships, and gain vital information from their colleaguesâ&#x20AC;&#x201D;the best and brightest minds in the industry. This event reignites caregiversâ&#x20AC;&#x2122; passion for healthcare, and motivates them to put their newly acquired knowledge to work.