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f Visit hahv.org to take our online quiz. If you answered “Yes” to one or more of these questions, you may be at risk for Vascular Disease. Millions of Americans suffer from vascular diseases without even knowing.
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Hospital Newspaper - NY December, 2012
XCELLENCE Transforming EDs into Centers of Excellence for 30+ Years Choose EMA for world-class, nationally recognized emergency services: Extraordinary commitment to patient care and quality Democratic medical group owned by its practicing emergency physicians Proven formulas and compelling success stories Unsurpassed resources, support and service at every level
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Hospital News and Sun Home Loans Team to Launch Mortgage Program Hospital News and Sun Home Loans have joined forces to bring the emergency services community an unprecedented mortgage opportunity: The Sun Home Loans Hospital Employee Loan Program (H.E.L.P.). Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. intiative will be offered to members of the hospital community and their families. The unique program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home. In addition, there are many more benefits available to the emergency services community through this program – including a complimentary evaluation of your particular financial situation, and credit repair if needed. You may take advantage of these other products and services, though they are offered separately from the H.E.L.P. “We are proud to work with Sun Home Loans to create the Hospital Employee Loan Program,” said Joe Belsito, Publisher of Hospital News. “Members of the hospital community are part of the core fabric of our country and putting together such a unique and value-added program for them to benefit from when buying a new home is a great way for us to leverage our newspapers’ brand to communicate it.” Added Steve Testa, Vice President Regional Sales Manager of Sun Home Loans: “We worked extremely hard to put together incentives for the hospital community. We are confident that those who are currently in the market for a mortgage will discover that the Sun Home Loans Hospital Employee Loan Program exceeds what they are able to find elsewhere in the marketplace.” Sun Home Loans, a division of Sun National Bank, and Hospital Newspaper are both proud to serve the hospital community, who dedicate their lives serving the rest of us. Clients enjoy unmatched customer service and attentiveness throughout the process – from their initial inquiry – to closing. However, after closing, the staff is there to address other financial needs. 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. To receive more information about the program and its benefits, Sun Home Loans has established a direct telephone number exclusively for members of the hospital community call 1-973-805-4156. When you call you will speak to a live program specialist who will discuss your needs and explain how the Sun Home Loans Hospital Employee Loan Program can H.E.L.P. You. Sun Home Loans and Hospital Newspaper are not affiliated. All loans are subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, N.A. Equal Housing Lender. Other Products and services are not banking products, not FDIC insured, may lose value, and are not a condition of credit or any banking product or service offerings. You may inquire about these additional services when you apply.
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 email@example.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.
Hospital Newspaper - NY December, 2012
SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY
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Hurricane Sandy slams into Northeast Hospitals Stunning stories of care unfolded in the aftermath of one of the worst storms to ever hit the Northeast. A few hospitals in New York and New Jersey closed and had to evacuate patients. Palisades Medical Center in North Bergen, NJ had to find beds for 83 patients. The Hoboken University Medical center shut down temporarily and 131 patients had to be relocated. Valley, Cooper and Lourdes Hospital cut back on elective surgeries and outpatient treatments. In New York, the NYU Langone Medical Center had to evacuate about 250 patients. It was a moving sight to see nurses carrying babies down 15 flights of stairs, some squeezing air bags. The devastation to New Jersey and New York homes not only took lives, but also lifetime memories and valued possessions. Communication shut down as loved ones tried to contact those in danger. At the time of this printing, there is still no power in parts of Long Island, Staten Island, the Hudson Valley, Queens and South Jersey. I have never personally seen such destruction and I don’t think any of us will ever look at a major storm the same way. Please send your special story or some act of kindness that you would like to share. I wish everyone best wishes and safety as the holidays approach. I ask at this time if you can help those in need…please do. American Red Cross: 877-Red-Cross. Please share your stories with us: firstname.lastname@example.org Jim can be reached at 845-534-7500 ext. 219 and via email at email@example.com.
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Hospital Newspaper - NY December, 2012
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Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
Maintaining the Right Image—Hospitals and Medical Imaging Technology Keeping up with the latest technological advances is standard operating procedure when trying to provide the best quality care. With its increasingly critical role in patient diagnosis and treatment, imaging serves as the nucleus of many 21st century hospitals. However, maintaining such cutting-edge technology as CTs, MRIs, and PET scans—and staff who know how to use it—presents financial, logistical, and administrative challenges in a time of limited healthcare resources. Given decreasing capital budgets and reimbursement prospects, imaging equipment, with its million-dollar-plus price tag, can easily get singled out for cost-saving initiatives. The high use of this evolving technology (95 million times a year), the increased use by non-radiologists—orthopedists, cardiologists, and others—coupled with the uptick in prospective imaging patients prompted by aging baby boomers—makes imaging a logical target for hospitals that need to cut costs. Additionally, reimbursement changes have prompted shifts in the imaging market. After the Deficit Reduction Act of 2005, many freestanding imaging centers closed or consolidated with hospitals, thereby boosting the demand on hospitals. Therefore, investments in imaging need to be performance-driven. Will these investments augment patient volume? Improve workflow? Increase hospital productivity? More and more, hospitals are relying on group purchasing organization (GPO) resources to help navigate the complex $100 billion imaging industry and to assess their institution’s technology needs. GPOs have industry and technology expertise. Their ability to research the market, evaluate potential and present equipment performance with evidencebased data, and negotiate the best contracts for purchases—which may include creative elements such as payment deferment and group buys—can offer fiscally conscious hospital imaging departments essential support in their purchasing decision making. Your GPO’s imaging expert can also help hospitals stay current on the industry’s latest use guidelines, which are frequently shifting given the lack of national standards for issues such as radiation dose management and patient safety. The healthcare community is under a great deal of scrutiny from the FDA, Congress, and the public about the safety of radiation delivery. GPOs can also be an essential source of valuable information. GNYHA Services’ imaging expert, Michelle Pollack, regularly educates our membership about important patient safety campaigns, like the American College of Radiology’s National Radiology Data Registry and the cross-organizational Image Wisely initiative to raise awareness about dosing. Our partners at Premier have drafted two reports in the past 14 months on the appropriate use of imaging, including examinations of cost-benefit analysis and radiation risk versus reward. By providing access to portfolio contracts, including training and maintenance programs, actively engaging your institution’s imaging professionals and other hospital staff in the equipment selection and implementation process, and providing opportunities for discussions on education, regulation, and other initiatives, your GPO can be a great partner in assessing and developing your organization’s imaging needs while simultaneously enhancing the image of your organization. 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. He is also Chair-Elect of AHRMM, the AHA’s premier membership group for healthcare supply chain professionals. Hospitals seeking more information about maximizing their investment in imaging technology should contact GNYHA Services’ Michelle Pollack, RN, at email@example.com.
Hospital Newspaper - NY December, 2012
WHAT WILL BE YOUR NEW YEAR’S RESOLUTION? RESOLVE TO SAVE WITH GNYHA SERVICES. The GNYHA Services best-in-class contract portfolio offers health systems high-quality, low cost options to meet their every purchasing need. Hospitals interested in securing even more savings can take advantage of our many strategic supply chain solutions, which can be modified to meet each organization’s unique needs and produce long-lasting and meaningful results. ‘Tis the season of savings. Call GNYHA Services today at (212) 246-7100. gnyhaservices.com
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By Alison Lazzaro
Hospital Newspaper Correspondent
Nursing Implications of Genomics When discussing genomics, what comes to mind? You might be surprised by how much knowledge you actually have about genomics and genetics. Nurses utilize these concepts in assessments and might be overlooking their significance. Genomics looks at the study of genes and their functions in order be get a better understanding of mapping and sequences of genes and DNA. Chromosomes can be thought of as a filing cabinet, with genes as the “files”. Genetics refers to the study of heredity. Both genomics and genetics are becoming an important aspect of health care that nurses need to address. Nurses can advance the use of genomics and genetics in their practice with each patient they see. Eliciting a three-generation family health history can identify disease susceptibility or genetic conditions. Information that should be collected includes disease and age of onset, ethnicity, and maternal and paternal lineages. These few pieces of information can indicate disease susceptibility through diseases found primarily in males, early age of onset for chronic adult onset diseases, and multiple cases of rare diseases. The health history should also uncover environmental and lifestyle factors as well as social and emotional status. Approaching the patient with these questions will open up the door to more personalized medicine that goes beyond BMI and cholesterol levels, but rather looks at specific treatment options and could help avoid potential drug reactions due to the patient’s genetics. According to the National Center for Health Statistics, the top ten leading causes of death in the United States all have genetic or genomic components. Things like heart disease, cancer and diabetes are prominent in patients who nurses treat daily. Therefore, nurses should be at the front lines of uncovering the importance of genetics in practice. Nurses can use the health history they obtain to pick up risk factors that others might overlook and help a patient receive prevention care before it is too late. For instance, Kathleen Calzone, MSN, RN, APNG recalls a time in which a nurse identified paternal family history of early onset breast cancer and ethnicity of Ashenazi Jewish. Knowing that these factors have a greater risk of a mutation in breast cancer susceptibility, she referred the patient to a cancer genetic specialist. The woman went on for testing and was found to have pre-cancerous cells in her ovary. The nurse saved this woman from developing ovarian cancer. Nurses have the power to change and save lives through the use of their knowledge about genomics. Ethically, genetics continues to spark controversy. However, nurses are known for their caring attitude and therefore are in the best position to integrate science and genetic information into healthcare. Nurses can use their knowledge of health histories to elicit risk factors for their patients that have genetic links.
Hospital Newspaper - NY December, 2012
Hospital Newspaper - NY
education HealthAlliance of the Hudson Valley salutes area Veterans
As part of Veteran’s Day, HealthAlliance of the Hudson Valley® salutes its veteran employees and medical staff. HealthAlliance is a participant in the Northern Metropolitan Hospital Association (NorMet)’s new Vet Connect jobs program and is now offering a year-round 20% discount to veterans who show ID at the Benedictine and Kingston Hospital cafeterias, gift shops and Happy Apple Thrift Shop in Kingston.
On HealthAlliance’s website (www.hahv.org), users can click on the Vet Connect logo to go to a central jobs portal on the NorMet website for veteran resources like links to hospital job banks, military skills translation assistance, health care career training programs and guides on transitioning to civilian life. David Lundquist, CEO of HealthAlliance of the Hudson Valley, said Vet Connect can be a useful tool for veterans seeking
employment or developing new skills for the workplace. “We are proud to observe Veteran’s Day while taking real steps to help our returning veterans enter the workforce,” said Lundquist. “We at HealthAlliance employ and work with many outstanding people who are veterans.” Kevin Dahill, president/CEO of NorMet, said the program is offered in recognition of the extraordinary service veterans have made to the country. “All of our hospitals are committed to assisting veterans with their employment and health care needs,” said Dahill. “Vet Connect is a simple to use, one-stop resource for veterans that puts helpful information at their fingertips.” One veteran that works with HealthAlliance is Orthopedic Associates of Dutchess County’s orthopedic surgeon Dr. Mark Aierstock, a board member of Operation Homefront Tri-State. The non-profit organization’s Kingston office provides emergency financial and other assistance to the families of our service members and wounded warriors. "Operation Homefront is delighted HealthAlliance of the Hudson Valley is recognizing the work we do for our military families and wounded heroes," said Alison La Ferlita, chapter president for Operation Homefront, Tri-State. "Our military families are still very much in need; especially with
the holidays coming. We hope the Hudson Valley community will remember our families not only this Veterans Day, but in the coming weeks." Operation Homefront Tri-State is currently providing emergency assistance to military families who were hit hard by Hurricane Sandy. To donate, drop off any supplies to 678 Aaron Court in Kingston, or contact (866) 401-5541 for more information. About HealthAlliance of the Hudson Valley® HealthAlliance of the Hudson Valley is the alignment of Benedictine Hospital Kingston Hospital Margaretville Hospital Mountainside Residential Care Center and Woodland Pond at New Paltz As the parent organization, HealthAlliance provides a unified governance structure, while still allowing each hospital to continue as a separate and distinct corporation. The goal of HealthAlliance is to strengthen the quality of care and bring forward enhanced technology to serve the present and future health care needs in the Hudson Valley. HealthAlliance and its affiliate facilities are committed to providing compassionate, patient-centered care and ensuring patient safety, privacy and dignity to all. For further information about HealthAlliance please visit our website at www.HAHV.org.
Alumnae gather at LMC School of Nursing reunion Over 60 LMC School of Nursing alumnae joined together on October 6 to reminisce with former classmates. The event, which featured a catered lunch and memorabilia displays, was attended by graduates from the classes of 1947 to 1967 and alumnae who traveled from as far away as California and Ireland. Attendees heard from Reverend Don Stiger, SVP, Mission and Spiritual Care, and Sister Elisabeth Fedde, founder of Lutheran Medical Center, (played by Rosanne Raso, SVP, Patient Care Services, and CNO), who founded LMC's School of Nursing in 1909 to help turn around the nation's earliest nursing shortage. “It’s such a pleasure to connect with our School of Nursing graduates. Their continued support, especially after all these years, is a true testament to the rich legacy that Sister Fedde left behind. Clearly it was a superb school," said Raso. In attendance was Alice Egland, who is seen in the iconic “Iron Lung” photograph displayed in Lutheran's photo archives located in the hospital's main lobby.
Hospital Newspaper - NY December, 2012
Health professionals flourish with a Mount education Located 60 miles north of New York City in Newburgh, N.Y., Mount Saint Mary College is ranked a Top-Tier Regional University (North) by U.S. News & World Report. More than 40 percent of first year students at the Mount aim for health professions. The bachelorâ€™s degree program was established in 1967. Working with 30 to 40 hospitals, the Mount offers the only nationally
accredited four-year nursing degree program in the mid Hudson Valley and boasts an NCLEX-RN passage rate that consistently exceeds the state average. For adults 24 and up, the college provides accelerated bachelor's degree programs, and RN to BS program. With the most affordable adult tuition in the Hudson Valley, the college provides flexible evening and weekend accelerated degree programs.
Mount Saint Mary College offers traditional, graduate and adult accelerated programs.
Joining the Mountâ€™s nursing and pre-medical programs is the new pre-physicianâ€™s assistant concentration. Mount graduates work as registered nurses in hospitals in the Northeast and beyond. Susan L. Davis was president and CEO of Vassar Brothers Medical Center in the Hudson Valley, and then president and CEO at St. Vincentâ€™s Medical Center in Bridgeport, Conn., before her Ascension Health leadership in New York/Connecticut and Gulf Coast/Florida. Top Washington officials are reading and learning from experiences in the book â€œNurses in War: Voices from Iraq and Afghanistan,â€? written by Mount graduates Elizabeth Scannell-Desch and her sister, Mary Ellen Doherty. Recent grads Kerry Burke â€˜11, who works at White Plans Hospital, and Ron Vales â€˜11, who works at the Hospital for Special Surgery in New York City, recently accompanied more than two dozen volunteers from the Mount to the Dominican Republic, where they served 500 people each day. The Mount also offers masterâ€™s degree programs as well as post-
Nursing student Chris Bernadino said that his courses are thoroughly preparing him.
masterâ€™s certificates in family nurse practitioner and adult nurse practitioner. The mainstay at the Mount is the traditional four-year degree program, where professionals guide student success. Chris Bernadino of Montgomery, N.Y., enjoys utilizing his skills with around 40 of his classmates at Orange Regional Medical Center. The students take vital statistics and administer medications, among a host of other responsibilities.
â€œTaking care of people is the best way to get them on track to having happy, holistic, rich lives,â€? said Bernadino. He said the Mount gave him the tools and skills he needs. â€œOur professors prepared us for everything that weâ€™ve come across, and for a lot of things that they didnâ€™t think weâ€™d have to deal with,â€? he said. For more information, visit www.msmc.edu
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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. firstname.lastname@example.org tel: 845-534-7500 x219
When Patients Turn to You, You Can Rely on AdCare® Career Opportunities at AdCare® Hospital, Worcester, MA Hospitalist. Full Time to offer medical care in inpatient and outpatient settings in addiction medicine. The qualified candidate must be a Massachusetts licensed physician or eligible for a license in Massachusetts, and ABAM or ASAM certified or eligible. Director of Nursing. FT will be responsible for providing leadership and direction to the development, implementation and evaluation of processes which ensure compliance with DPH, Joint Commission and other regulatory standards, improves quality and safety of patient care, facilitates and enhances professional nursing practice and ensures the highest of quality customer service in accordance with AdCare's Standards of Excellence. BSN required; Master's preferred; current RN license by the MA Board of Nursing. A minimum of 3 years in a nursing administrative/supervisory role; 3/more yrs. behavioral health experience. Experience using electronic medical record systems. Case Manager/Discharge Planning Full Time: To ensure, through direct coordination, individualized quality treatment to patients at the most appropriate level of care that safely addresses the acuity of the patient through the expedient, cost effective application of services and insurance benefits. Rounds with the treatment team daily. Qualified candidate must be familiar with managed care reviews for continued stays; knowledge of discharge planning; psych and substance abuse knowledge preferred. Education: Licensed RN preferred, LICSW acceptable. Two years utilization experience preferred. Skills: Ability to organize, manage and review appropriate treatment from both Managed Care and Utilization Review perspective. Ability to problem solve and coordinate treatment from a benefits perspective. Strong interpersonal skills. Familiarity with insurance benefits and national levels of criteria of care. Ability to document using electronic systems (EMR) and Microsoft Applications. For further job information and to apply please see www.adcare.com. AA/EEOC AdCare Hospital of Worcester Inc. is a 114 bed hospital equipped to meet the treatment needs of alcohol and drug abuse patients at all stages of addiction. AdCare’s staff is comprised of the region’s most highly qualified. At the heart of our acute care philosophy is recognition of the need to stabilize acute symptoms and to motivate the patient to continue receiving substance abuse treatment post inpatient discharge. AdCare is accredited by the Joint Commission and has been recognized as one of the 100 Best Treatment Centers for substances in the United States.
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Hospital Newspaper - NY December, 2012
careers Westchester Medical Center Surgeon named one of the Top 29 Orthopedic Traumatologists in the Country Dr. David E. Asprinio named as one of the top 29 orthopedic trauma surgeons in the United States Orthopedics This Week, one of the most widely read publications in the Orthopedics industry, recently named Westchester Medical Center’s Director of Orthopedic Surgery Dr. David E. Asprino to their list of top Orthopedic Trauma Surgeons in the country. Dr. Asprinio was one of only 29 surgeons from around the country listed by the publication which lauded him as “a renowned orthopedist who is an excellent and most exacting surgeon.” Additionally, Orthopedics This Week highlighted Dr. Asprinio’s “active involvement in training orthopedic residents and fellows as well being a nationally and internationally recognized educator in the field of orthopedic trauma surgery.” Westchester Medical Center congratulates Dr. David E. Asprinio on this great achievement. provided
NUMC physician receives award for her work in Haiti and in Harlem
Gilberte Rosarion, MD, physician in the emergency department of the Nassau University Medical Center and president, Eye of a Dream, Inc., recently received an award for her work in Harlem and in Haiti. Dr. Rosarion heads an organization that assists needy children in Haiti to obtain an education. Roscoe Orman who is Gordon on Sesame Street, was the host of the ceremony at which Dr. Rosarion received her award for her supportive work on the All Stars Project. All Stars Project, Inc. (ASP), founded in 1981, is a nonprofit organization http://en.wikipedia.org/wiki/Non-profit_organization dedicated to promoting youth development through an innovative performance-based model. The AllStars Project celebrated Dr Rosarion as a recipient of the Phyllis Hyman, Phat Friend award. Congratulations to Dr. Rosarion for her commitment to reducing domestic violence and for promoting education for vulnerable children in Haiti!
Hospital Newspaper - NY
HOSPITAL of the Year!
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Westchester Medical Center Westchester Medical Center is honored to be selected as Hospital of the Year by Hospital Newspaper. Westchester Medical Center, along with our Maria Fareri Children’s Hospital, cared for more than 120,000 patients in 2012. They came to us for our advanced care and services, and that is a responsibility we take very seriously. To meet that responsibility, we need to be continuously growing and changing. Perhaps the best example of this is our commitment to investing in the Medical Center, particularly in those areas most critical to our region’s well-being. That is why we opened a new 9-bed unit at our Maria Fareri Children’s Hospital, to make more room in a facility that has operated above capacity since we opened the doors in 2004. This project, along with many others, epitomizes our significant commitment to progress at the Medical Center – more than $120 million in capital investment in 2011 and 2012 alone. Among the many advancements now underway is the expansion of the region’s only Neuro ICU, which will add to the 134 ICU beds that exist on our campus today, and a second neuroradiology biplane suite. We have also broken ground on the construction of the world’s most advanced Hybrid OR that will enable our expert interventional
cardiologists, cardiothoracic surgeons and vascular surgeons to work seamlessly to provide lifesaving care in one environment. We have also made a significant commitment to growing our subspecialty physician base. In 2007, we employed a handful of physicians. Today, more than 130 of our 900 credentialed physicians are working full-time for WMC in areas like cardiology, cardiothoracic surgery, transplant, advanced gynecological and obstetrical care, endovascular and neurosurgery, among many others. The concentration of critically injured and ill patients is higher at WMC than any other hospital in the nation. Today, WMC is operating at capacity; 20 times every day patients are transferred from other hospitals and emergency departments in the 5,000-square-mile region we serve. We are and will continue to be a vibrant and ever-changing organization that contributes $1.6 billion annually to our local economy. Recent advances in technology and clinical capabilities mean that many patients, who in the past would have died from their injuries or illnesses, are now surviving. As the definition of “life-saving care” changes, WMC will ensure that the finest facility and staff are available for those who need us the most.
Facts about Westchester Medical Center Our advanced healthcare services make us the specialty referral hospital of choice for physicians and patients as well as the proud hosts of many "onlys" in the Hudson Valley region.
The “Only” Facts About Us Westchester Medical Center is home to the: • Only full-service center for the heart in the region at Westchester Heart and Vascular • Only all-specialty Children's Hospital in the region • Only Pediatric Intensive Care Unit in the region • Only Level IV (highest level) Neonatal Intensive Care Unit in the region • Only critical care Hyperbaric Center in the region • Only comprehensive Stroke Center in the region • Only advanced-care academic Medical Center in the region • Only Level 1 adult and pediatric Trauma Centers with 24-hour medevac helicopter and ground transport in the region-STAT Flight-staffed with teams of critical care flight nurses and paramedics • Only Burn Center between New York City and the Canadian border in Eastern New York and the only one in New York State verified by the American Burn Association • Only Transplant Center in the region, offering innovative, state-of-the-art evaluation and treatment for patients of all ages who require kidney, liver, heart, corneal and bone marrow transplants
Other Facts and Statistics • Our Trauma Center and Neonatal Intensive Care Unit are the highest-level units of their kind in the region • Our children's hospital, Maria Fareri Children's Hospital, is home to one of only five Pediatric Asthma Clinical Research Centers in the U.S. • Our comprehensive cardiac program has performed more than 1.5 million procedures to date • Our Transplant Center has performed more than 2,000 transplants • ICU Focus = 134 dedicated Adult, pediatric and neonatal intensive care beds • Westchester Medical Center is one of the region's largest sources of employment with a workforce of over 5,000 and roughly 900 attending physicians • Westchester Medical Center's economic impact = over $1.6 billion annually
Hospital Newspaper - NY December, 2012
PEDIATRIC NEUROSURGERY CRITICAL CARE . ENDOCRINOLOGY . GASTROENTEROLOGY INFECTIOUS DISEASES GERONTOLOGY NEPHROLOGY ONCOLOGY . . CEREBROVASCULAR DISEASES
SPINAL NEUROSURGERY . NEUROMUSCULAR NEUROPHYSIOLOGY
NEUROVASCULAR SURGERY . PAIN MANAGEMENT
ENDOVASCULAR NEUROSURGERYY. TRANSPLANT
FUNCTIONAL AND EPILEPSY SURGERY . NEURO-ONCOLOGY
MATERNAL FETAL MEDICINE . SURGICAL ONCOLOGY . UROGYNECOLOGY NEUROTOLOGY . ADOLESCENT MEDICINE .
PEDIAT A RIC HEMAT AT ATOLOGY/ONCOLOGY
NEURO-OPHTHALMOLOGY . JOINT AND RECONSTRUCTIVE SURGERY SPINE SURGERY . UPPER EXTREMITY/HAND SURGERY . PEDIATTRIC ORTHOPEDIC SURGERY
Advanced care is not a goal, . VA V SCULAR AND INTERVENTIONAL RADIATION . NUCLEAR MEDICINE NEURORADIOLOGY itâ€™s a responsibility. INTRA-ABDOMINAL TRANSPLANTAATION AND HEPATOBILIARY SURGERY REHABILITATION MEDICINE MEDICAL GENETICS/BIRTH DEFECTS . NEONATTOLOGY . PEDIATTRIC NEUROLOGY . ADULT L INPATTIENT PSYCHIATTRY LT
CHILD AND ADOLESCENT PSYCHOLOGY SERVICES . RADIATTION MEDICINE . BODY IMAGING (US/CT/MRI) . PEDIATTRIC RADIOLOGY .
AT VESSEL PEDIAT ATRIC SURGERY . GENERAL THORACIC AND GREAT PEDIAT A RIC CARDIAC SURGERY . PEDIAT AT A RIC TRAUMA . PLASTIC SURGERY AT
BURN . GYNECOLOGIC ONCOLOGY . VA V SCULAR SURGERY UROLOGICAL ONCOLOGY . FEMALE UROLOGY AND INCONTINENCE . PEDIATRIC UROLOGY
CARDIOVASCULAR AND THORACIC SURGERY MALE REPRODUCTIVE UROLOGY . NEUROUROLOGY AND VOIDING DYSFUNCTION
LAPAROSCOPIC AND ROBOTIC UROLOGY TRAUMA AND RECONSTRUCTIVE UROLOGY CORNEA AND EXTERNAL DISEASES AND REFRACTIVE SURGERY
SPORTS MEDICINE . HEMAT A OLOGY AT EMERGENCY MEDICINE
Westchester Medical Center is proud to be named Hospital of the Year.
877.WMC.DOCS westchestermedicalcenter.com .BSJB'BSFSJ$IJMESFOT)PTQJUBMt8FTUDIFTUFS)FBSU7BTDVMBSt$BODFS$FOUFS 5SBOTQMBOU$FOUFSt/FVSPTDJFODF$FOUFSt+PFM")BMQFSO3FHJPOBM5SBVNB$FOUFS #VSO$FOUFSt#FIBWJPSBM)FBMUI$FOUFSt"EWBODFE*NBHJOH$FOUFSt"EWBODFE0#(:/
Hospital Newspaper - NY
Mir acles of Rehab
Jim Nolan works on finger exercise with occupational therapist Paula Lawrence.
Educator learns life lesson in attitude By Angela Yu It was the last day of a long, lazy summer weekend, Labor Day, Sept. 6, 2010. Fiftynine-year-old Jim Nolan of Greenwich, was relishing his time outdoors, cycling with his wife and friends near Glen Lake in Warren County, when one moment changed his life. Jim came upon a sudden sharp turn on the bike path. Missing the turn, Jim tried going onto the grass to slow his momentum, but his bike would stop short on the grass throwing him over the handle bars into a 16-foot deep ravine. Jim landed on his head, breaking his neck and suffering a severe spinal cord injury. Paralyzed in both his arms and legs, a metal disc was placed in Jim’s neck to support four damaged discs. After surgery, he was admitted to Sunnyview Rehabilitation Hospital in Schenectady.
Sunnyview, a 115-bed comprehensive, acute care rehabilitation hospital, is the only dedicated rehabilitation hospital in upstate New York. Nationally recognized, Sunnyview cares for nearly 13,000 patients yearly through award-winning inpatient and outpatient programs, including its Neuro Rehabilitation Institute and Stroke Center of Excellence. Experiencing Losses “When I came, I was barely able to move my arms and legs,” recalls Jim, who had to learn how to walk again and how to do the daily activities that most of us take for granted, like brushing your teeth and washing your face. It was a long road and months of intense therapy as Jim worked with a team of doctors and therapists. But a former dean of the business department and current professor at Siena College in Loudonville, Jim would quickly get a lesson in attitude.
“Very early in my therapy, my physical therapist asked me to do something with my legs and I tried three times to do it and I couldn’t,” Jim recalled. “I just couldn’t do it, so I looked up at her and said I can’t do it, and she said to me, ‘I don’t ever want to hear you say those words again,’ and I thought about it and my immediate reaction was ‘no, really, I can’t do it!’ Then I realized she was talking about attitude, and I realized how important your attitude was.” Never Say Never Armed with a “go get them” attitude, Jim not only accomplished his therapy goals but helped others along the way mentoring other Sunnyview patients who suffered spinal injuries. By September 2011, Jim was able to return to teaching at Siena.
Jim credits the skilled staff at Sunnyview not only for his physical progress, but for his optimism and emotional healing. “They helped me with a lot of things that were very, very difficult in the beginning but by the time I left, some of the things that were challenging to me became things I was able to do myself. They were just exceptional,” Jim recounted. “I can’t say enough about Sunnyview and how much I progressed during the three and a half months I was here as a patient.” Since then, Jim has returned to Sunnyview, but not as a patient. Jim now helps raise support and awareness for the hospital. In October, he chaired Sunnyview’s “Art for the View,” a unique exhibition that celebrates the creativity and vision of artists from around the world who have disabilities. “The quality of those people and what they did for me is just overwhelming,”
Hospital Newspaper - NY December, 2012
Mir acles of Rehab Patient’s frame of mind pays off Given Encouragement
By Jorina Fontelera When Heath Baker first came to Burke Rehabilitation Hospital in July 2011, he was almost completely paralyzed from the neck down. He required significant assistance and had very little movement due to Guillian Barre, a neurological disorder that causes paralysis. After a month of therapy, Heath showed little improvement. Fortunately, his physician Argyrios Stampas, M.D., director of Burke’s Spinal Cord Injury Rehabilitation Program, determined that Heath did not receive adequate treatment for Guillian Barre during his stay in an acute care hospital and advocated for him to get further treatment. “Rehabilitation therapy works when there are no other aliments inhibiting the therapy process and the body is allowed to heal,” Dr. Stampas explained. “Being in an acute rehabilitation hospital truly helps in situations like this because there are doctors here who can see if interventions are needed. Without the ability to advocate for medical treatment, Heath would have likely remained paralyzed.” After another round of treatment for Guillian Barre, Heath came back to Burke to continue intensive physical and occupational therapy in the Neurological Rehabilitation Program. He had immediate improvement after the treatments, including improved speech, the ability to move his arms over his head and even beginning to move his legs. “They put me back in the same room and made me feel welcome,” he said, “but I still wasn’t in the right frame of mind to get better. I was angry and depressed as I saw others who were also paralyzed walking out, but I was still stuck.”
Heath Baker made it down that long road of rehabilitation.
Heath wouldn’t be stuck too long. Mark Herceg, Ph.D., Burke’s neuropsychologist, helped him address the psychological aspects of his condition. “I felt much better after talking with him and I was able to place myself in the right frame of mind,” Heath noted. “Healing takes time and I couldn’t see that at the beginning.” With a renewed determination to recover, Heath poured all his energy into getting better. “He never missed a therapy session,” recalled Jennifer Virga, DPT, senior physical therapist who was part of Heath’s rehabilitation team. “He always arrived to therapy early and ready to go, and he was willing to try anything.”
For a month and a half, Heath received intensive rehabilitation therapy for three hours every week day and one and a half hours pr day during the weekends. “Physical therapy can be exhausting. You really have to push yourself to get better, Ms. Virga said. “He wouldn’t have gotten to where he is today if it weren’t for all of his hard work. He’s one of the most determined patients I’ve ever worked with and has made one of the most impressive recoveries I’ve ever seen. I feel fortunate to have been a part of it.” Today, Heath has no signs of paralysis and is walking, driving and has full mobility. “At Burke, they make you work hard,” he said, “but they also help you heal, and they helped me to be able to walk again.”
Hospital Newspaper - NY
Mir acles of Rehab
Nikita Bernard received the most prestigious honor, the Spirit of Achievement Award. She is surrounded by former recipient Lt. John McLoughlin (far left), and members of the spinal cord injury rehab team, including her physical and occupational therapist, her physician, Dr. Ferne Pomerantz (kneeling), CEO Val S. Gray (second from right) and her family.
Physical Therapist Jeanine Reggie and Physiastrist Dr. Mary Guarracini presents Herbert Trubenbach with the HHH Foundation Award recognizing his recovery and his concern for his fellow patients.
Celebrating remarkable recoveries at Helen Hayes Hospital By Mary M. Creagh Triumphing over disability and contributing to the community, 14 individuals from the New York metropolitan region were honored by the hospital staff at Helen Hayes Hospital in a moving and inspiring ceremony this past fall. In a unique Honors Assembly – the 112th annual one by count – the hospital recognized patients who have made outstanding progress in their physical rehabilitation program over the past year and have made remarkable recoveries. The individuals receiving awards were nominated and selected by the hospital staff. In all instances, the award recipients demonstrated determination, strength, hard work and courage in the face of very challenging circumstances and obstacles. Through physical rehabilitation, they regained functioning and independence to the greatest degree possible and have acted as role models to other individuals with disabilities. The Honors Assembly has been held every year since the hospital was founded in the year 1900. During the early years, when the hospital was predominantly a pediatric facility and housed its own school, the event served as a graduation, marking the scholastic
Speech therapist Shana McGann presented an award to Dan Penciu for his outstanding recovery following a stroke.
and physical progress of the young patients. The famous actress Helen Hayes MacArthur made it a point during her long association with the hospital to attend the event every year and personally present the diplomas and special awards to each patient. Special Awards This year’s ceremony began with words of welcome from Hospital CEO Val S. Gray and Department of Health Deputy Commissioner Sue Kelly. “Today’s program is the culmination of a long journey for our honorees, who have sustained debilitating brain and spinal cord injuries, surgeries and strokes and other conditions, and have worked so diligently and so fiercely to put their lives back together,” said Medical Director Dr. John Pellicone, who served as master of ceremonies. “ Each of the individuals you are about to meet has faced some of the most challenging circumstances imaginable – yet through their sheer determination and strength- they have regained mobility, functioning and independence they may not have thought possible when they entered our doors many months ago.” The first award presented, the Helen Hayes MacArthur Award, is given annually to an individual whose love of life and concern for others reflects the beauty of the famed rose garden of the hospital’s namesake actress. The recipient, Gladys Conteh, had suffered a significant stroke, requiring tube feedings and intensive therapy to regain the ability to speak and move. Special Patients The Helen Hayes Hospital Foundation Award was presented next to former patient Herbert Trubenbach, who came to Helen Hayes following a leg amputation. “There is no word ‘can’t’ here – you just learn to do things differently,” he told the audience.
The director of the Rockland County Independent Living Center, George Hoehmann, presented his organization’s award to Jovins Lin Dorestan, a young man who not only survived the earthquake in Haiti, but also went on to come to the U.S. and receive a new prosthetic limb at HHH. “His courage and determination resonate with both of our institutions,” stated Hoehmann. The Cardiopulmonary Team Award recipient, James Genovese, took the opportunity to share a special memento with his occupational therapist Joann Beim, OTR/L. “I’m giving you my ‘I’m the Best’ Button,” he said, “because this hospital and all its staff truly are the best. We all hear about Medicare, Obamacare, better care, but here at HHH, everyone truly cares.” One of the highlights of the program is the presentation of the Spirit of Achievement Award, the highest honor bestowed. It is traditionally given to a patient who, despite overwhelming odds, has demonstrated outstanding courage and determination and has excelled in their rehabilitation.
George Hoehmann, director of the Rockland Independent Living Center, congratulates Jovins Lin Dorestan for his amazing recovery following the devastation in Haiti. The former patient received a new prosthetic limb at HHH.
“It really epitomizes the spirit of our hospital,” Dr. Pellicone explained. This year’s young recipient, Nikita Bernard, sustained a devastating spinal cord injury in a car accident. Her physical therapist Francesca DeSimone recalled that “after her first day of therapy, I can honestly say I never saw her shed a tear. She was incredibly motivated to reach any goal that was set for her, and she would do it faster than we expected. She even took the time to encourage her fellow patients, always bringing a smile to their faces.” Gift of Recovery The night before Nikita was scheduled to be discharged, she showed her therapists that she was able to move her legs slightly, a wonderful sign of recovery. She went on to return to school, finishing her senior year of high school and meeting her goal of walking across the stage to receive her diploma. Nikita has gone to college and continues to come to HHH for outpatient therapy and locomotor training, furthering her amazing recovery. The 2002 recipient of the Spirit of Achievement Award, Port Authority Lieutenant John McLoughlin, who was the last person rescued alive from the World Trade Center, presented Nikita with her award. She took the opportunity to thank her therapists, nurses and physicians, saying, “I want to thank you for selecting me for this honor and I thank God for having a second chance in life.” In closing the ceremony, Dr. Pellicone read a quote of Helen Hayes MacArthur, who once said, “ My mother drew a distinction between achievement and success. She said that achievement is the knowledge that you have studied and worked hard and done the best that is in you. Success is being praised by others, and that’s nice, too, but not as important or satisfying. Always aim for achievement and forget about success.”
Hospital Newspaper - NY December, 2012
Think of us as Healthcare you can grow old with. No matter what stage of life youâ€™re at, North Shore-LIJ Health System has the health services you need. With 16 hospitals, including a dedicated pediatric hospital, dozens of specialized outpatient centers, rehabilitation facilities, nursing homes, and home health services in the New York metropolitan area, you will find worldclass health and wellness services to meet your specific need. Our doctors, nurses and other healthcare professionals work together within our network to provide you with the coordinated healthcare needed for the best outcomes. And teamwork like that never gets old. To see what North Shore-LIJ can do for you, visit us at northshorelij.com. To find a physician, call 888-321-DOCS.
Hospital Newspaper - NY
News in Emergency Medicine Emergency Medical Associates named to Modern Healthcare’s Top 10 Emergency Department Contractors List Emergency Medical Associates has been named to the 2012 Top Emergency Department Contractors list reported by Modern Healthcare magazine. The 10 emergency department outsourcing companies on the list were ranked by total number of national healthcare clients as reported via the magazine’s 2012 Outsourcing Survey. Emergency Medical Associates manages 28 emergency departments and urgent care centers in five states: New Jersey, New York, North Carolina, Pennsylvania and Rhode Island. Additionally, the company’s Inpatient Medical Associates division operates adult and pediatric hospitalist practices in New Jersey and New York. Of the emergency department management companies that made the list, Emergency Medical Associates enjoyed the greatest percentage of growth year over year – a 33.3 percent increase in the number of clients.
“We’ve enjoyed a year of tremendous growth and have greatly expanded the company’s geographic footprint,” explains Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “Along with that growth we’ve been able to augment our services. We now not only manage the ED, but provide a continuum of care from the hospital’s urgent care settings, through the ED, to dedicated observation/rapid decision units and also hospitalist services.” “We’ve been able to continue to improve the quality of the services we provide and uphold our reputation for clinical excellence by truly partnering with the clients we serve. It’s been the hallmark of Emergency Medical Associates for more than 35 years,” says Dr. Iannaccone.
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To request a proposal or receive additional information about Emergency Medical Associates’ management services, contact David Calabrese, senior vice president of new business development and marketing, at (973) 251-1046 or email email@example.com. About Emergency Medical Associates Emergency Medical Associates (EMA) 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.
Hospital Newspaper - NY December, 2012
First National survey of Anesthesiologists over 50 identifies factors that could influence predicted physician shortage A large, first-of-its-kind national survey of older anesthesiologists has gathered important data that could be used by physicians and their employers to prepare for an expected undersupply of anesthesiologists in the near future. The resulting study was published in the November issue of Anesthesiology. Findings from the study include: • Older anesthesiologists’ long workweeks (49.4 hours per week on average) are similar to other physicians, but substantially longer than other professionals, such as attorneys (44.9), engineers (43) and registered nurses (37.3). • Older anesthesiologists devote 81 percent of their time on average to clinical care, particularly those specializing in critical care medicine or pain management. • Anesthesiologists participated in clinical care well into their 60s; forecasts predict that 30 percent of anesthesiologists are expected to work past age 65, approximately 18 percent past 70 years, and perhaps 10 percent will likely work at age 80. • Concurrently, it was found that as anesthesiologists age, time spent in clinical care decreased and the number of anesthesiologists working part-time increased, particularly for women. One-sixth of the survey population reported working in a self-defined part-time mode. “Anesthesiology is among 21 medical specialties experiencing or expected to experience physician shortages in the near future,” said lead study author Fredrick K. Orkin, M.D., an adjunct professor at Yale University School of Medicine. “Workforce shortages reflect many trends, including an aging physician population, medical debt, static production of new physicians, reduced physician work hours, a growing and aging patient population with complex medical conditions, and expansion of and enhanced access to health care services.”
According to Dr. Orkin, identifying older anesthesiologists’ practice patterns and retirement plans is an important first step in dealing with the consequences of an undersupply of anesthesiologists. “In designing interventions to retain practitioners in the workforce, initiatives may need to be age-specific or perhaps even subspecialist-specific,” said Dr. Orkin. For example, pain management and critical care subspecialists leaving practice cited loss of clinical autonomy as a major influence, and most anesthesiologists leaving clinical practice in their 50s cited poor health. “Our study lends further support for increased attention to potentially modifiable factors that could affect future workforce supply,” said Dr. Orkin. “Such factors might include workplace wellness programs and other initiatives that enhance professional satisfaction. Our study also highlights the under-recognized trend toward part-time work and how this trend could be managed to help retain larger numbers of older, but skilled, anesthesiologists in the clinical setting.” For more information, visit the Anesthesiology website at anesthesiology.org. THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS Anesthesiologists: Physicians providing the lifeline of modern medicine. Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with 48,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient. For more information on the field of anesthesiology, visit the American Society of Anesthesiologists Web site at www.asahq.org. For patient information, please visit LifeLineToModernMedicine.com
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Hospital Newspaper - NY
Southside Hospital performs first Lariat heart procedure on Long Island Southside Hospital is the first on Long Island to treat patients with an innovative catheter-based procedure that uses sutures to tie off the left atrial appendage (LAA), which can be a major source of blood clots that may lead to stroke in patients with an abnormal heart rhythm. On October 16, Erik Altman, MD, and Trevor Verga, MD, performed the first Long Island Lariat procedure on Arthur Prevete, 71, of Port Jefferson Station in Southside’s new hybrid operating room (OR). An abnormal heart rhythm such as atrial fibrillation (AFib) is the most common cardiac arrhythmia and can result in palpitations, chest discomfort and shortness of breath. It is also known to be associated with an increased risk of stroke with the LAA being the main source of those strokes. “The LAA is a blind sack that extends from one of the top chambers of the heart,” said Dr. Verga. “It is sort of like an appendix. It serves no real purpose other than the ability to cause a lot of trouble.” In AFib, the LAA stops contracting and the stationary blood inside can turn into a clot. If pieces of the clot break off, they can be pumped to the brain and cause a blockage of the blood vessels resulting in a stroke.
Arthur Prevete of Port Jefferson Station received Long Island’s first ever Lariat heart procedure at Southside Hospital. Trevor Verga, MD, (left) and Erik Altman, MD, Southside’s director of electrophysiology, show Mr. Prevete the area where the procedure occurred.
To prevent that from happening, Dr. Altman, director of Southside’s Electrophysiology program, explained that he and Dr. Verga used the Lariat to reduce the possibility of a stroke in Mr. Prevete. It has been used in only a handful of major medical centers around the country.
“The Lariat works as a lasso that goes around the LAA and stops the flow of blood to that area where blood clots form, reducing the chance of stroke from AFib,” Dr. Altman said. “People who have AFib and that are managed on blood thinners can have internal
bleeding from an ulcer or may have had trauma with severe bleeding may not be candidates for continued use of the blood thinner and are at an increased risk for a stroke. This procedure significantly reduces the possibility of that type of stroke from occurring
in the area of the heart that we are able to tie off from the outside of the heart.” Suffering from AFib, Mr. Prevete was at an increased risk of stroke and was on a blood thinning medication that had a number of side effects. Following his Lariat procedure, Mr. Prevete said he felt “great.” “Now, my doctors have eliminated the need for me to be on that medicine and the possibility of a stroke occurring from this area of my heart. And I’m going home one day later. It’s a great day.” Dr. Altman agrees. “I see this procedure as having a huge impact on the way we manage patients and the way we take care of them, reducing risk of future strokes in these patients that have these atrial arrhythmias.” While the Lariat procedure for Mr. Prevete was the first on Long Island, more are soon to follow. “Long Island has a population of 3.5 million and two percent of that population will have AFib,’ said Dr. Verga. “That number is significant, and with our ability to eliminate the primary area where the problem occurs, this procedure will be a life-saving alternative for many patients.”
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Hospital Newspaper - NY December, 2012
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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 email@example.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
Hospital Newspaper - NY
Hurricane Sandy Relief North Shore-LIJ establishes relief effort for employees devastated by Sandy, will donate proceeds of Lenox Hill Fundraiser to hurricane victims The North Shore-LIJ Health System established a dedicated Emergency Employee Resource Center to assist its employees who have suffered catastrophic devastation as a result of Hurricane Sandy. In a reflection of its commitment, North Shore-LIJ President and Chief Executive Officer Michael Dowling said proceeds from Lenox Hill Hospital’s annual fundraising gala this Monday evening at the Waldforf Astoria Hotel in Manhattan, which historically amount to more than $2 million, will be donated to the employee relief fund, as well as charities supporting other disaster victims in the community.
“We have decided to redirect all funds raised at the Lenox Hill Hospital Autumn Ball toward efforts that immediately benefit those hurt or displaced by Hurricane Sandy,” said Mr. Dowling. The hospital’sannual black tie fundraiser will be scaled back so more proceeds can be used to assist storm victims. The event will honor global humanitarian and Nobel Peace Prize recipient Elie Wiesel, and also include a performance by singer Cyndi Lauper. The 16-hospital health system, which employs more than 44,000 throughout New York City and Long Island, has already learned of more than 400 employees whose families have been displaced from their
Team of NuHealth Family Medicine doctors helping staff medical services at Nassau Community College hurricane shelter on Wednesday, October 31, in conjunction with the Red Cross. Our mission was to assist those in need of medications due to chronic medical conditions.
(Left to Right) Mercy Medical Center’s Executive Vice President and Chief Administrative Officer Aaron Glatt, MD, and Gerry Lockwood, the hospital’s director of environmental services, welcomed Paul Beard and Laurence McCloud, leaders of the 24-member, out-of-state crew brought to Long Island by National Grid to assist in storm recovery.
With the post-Hurricane Sandy nor’easter bearing down on Long Island on 11/7, an outof-state tree-trimming crew in need of housing found a warm welcome—not to mention comfortable sleeping quarters, hot meals and showers—at Mercy Medical Center. The team from Storm Services, LLC, was brought to Long Island by National Grid to clear trees from power lines to facilitate restoration of electricity knocked out by Sandy. When the two dozen workers from Texas, Colorado and Florida contacted Mercy about the need for shelter from the gathering nor’easter, they stated, “The hospital just said to come on down and rolled out the red carpet for us.” Mercy’s Environ-
As a first step, North Shore-LIJ is trying to get help to employees who have lost their homes temporarily or permanently, or who have no means of transportation. In addition to housing and transportation, the health system will assist in providing employees in getting medical attention, crisis counseling, meals and other third-party resources . Those wishing to support the effort can send a donation by check payable to the North Shore-LIJ Hurricane Sandy Employee Relief Fund and mail it to: NSLIJ Health System Foundation, 125 Community Drive, Great Neck, NY, 11021, or contribute on line at: https://support.northshorelij.com/sandyrelief
Nuhealth Family Medicine Physicians assist patients needing medical care at shelter
Mercy Medical Center houses out-of-state Hurricane Sandy relief workers
homes due to fire and severe flooding. “Four days after the worst storm to hit the New York area since 1938 has left our area, we as a health system can take great pride in how we responded during the storm,” Mr. Dowling said. “Our ability to meet the needs of communities we serve throughout New York City and Long Island and assist other New York area hospitals in distress was nothing short of remarkable. While Sandy has passed, much work remains. That includes taking care of our own employees, who continued to work even though many lost their homes, cars and personal possessions in the storm.”
mental Services Department quickly and efficiently set up dormitory space near the hospital’s Emergency Department. It was the second time Mercy’s environmental services team was called to action to set up temporary shelter during the ongoing weather emergency. In advance of the hurricane, the hospital took in 40 patients evacuated from Good Samaritan Hospital Medical Center in West Islip and 25 patients evacuated from a nursing home in Long Beach. Good Samaritan’s patients were returned to that facility shortly after Sandy passed, but Mercy has continued to provide housing for the nursing home patients more than a week after the storm.
Team of NuHealth Family Medicine doctors helping staff medical services at Nassau Community College hurricane shelter on 10/31, in conjunction with the Red Cross. Our mission was to assist those in need of medications due to chronic medical conditions.
Hospital Newspaper - NY December, 2012
Teamwork, quick thinking saves seven-month-old baby It’s every parent’s worst nightmare – your infant child falls on the floor and hits his or her head. Sevenmonth-old Amara Felder tumbled off of a couch and, though her parents, Nova Felder and Jvonne Dickson, didn’t see any bruises on their daughter, they decided to take her to the hospital just in case. They drove Amara from their friend’s home in Brooklyn to Franklin Hospital in Valley Stream, NY, presuming that, at the very worst, the baby might have a concussion. After a computer tomography (CT) scan was performed, the parents received a much graver diagnosis: Amara had an epidural hematoma, or bleeding near her brain, along with a skull fracture. The pressure needed to be relieved quickly. After Joseph Zito, MD, an emergency medicine physician at Franklin Hospital, discovered the brain bleed, he called the transfer center, inserted a breathing tube and kept the infant stable until the ambulance could take her to Cohen Children’s Medical Center of New York in New Hyde Park, NY, so she could receive the life-saving care she needed. Time was of the essence. A Nassau County police officer had just driven an ambulance to Franklin and saw this little girl needed immediate help. He and a team blocked off all of the side streets from Franklin to Cohen, and the ambulance got Amara to the children’s hospital in 12 minutes.
Amara Felder with her family and many of the North Shore-LIJ Health System medical professionals who helped to save her life. “The police officer said that New Hyde Park Road would be faster,” said Fiore Mastroianni, an emergency medical technician and second-year student at
Hofstra North Shore-LIJ School of Medicine, who drove the ambulance. “I took him at his word. This wasn’t the time for a debate.”
Joseph Falco, DO, pediatric critical care fellow; Lillian Hope, RN, a transport nurse; Thomas McCarthy, a paramedic; and Phoebe Yuen, a respiratory therapist, were in the back of the ambulance, trying to keep Amara stable during the frantic ride to Cohen. Mark Mittler, MD, Cohen’s cochief of pediatric neurosurgery, already had an operating room prepped for the child’s operation. Dr. Mittler said he knew going into the surgery that “this is as critical as it gets.” Had more time elapsed before the pressure on Amara’s brain was relieved, this would have been a very different story, he said later. Within about 10 minutes of Amara’s arrival, the blood clot in her brain was removed, Dr. Mittler said. This speed was achieved, in part, because Dr. Mittler was able to bypass the hospital’s emergency department and have the surgical team prepped. As a result of all of the collective efforts of so many medical professionals and the police, Mr. Felder’s and Ms. Dickson’s baby is back to her normal, smiling self in their home in Laurelton. “It meant all the world to us going to Cohen Children’s Medical Center,” Mr. Felder said. “It was critical care that they gave to Amara. They knew what to do with no confusion. It seemed so streamlined.”
Mr. Felder said he decided to take his daughter to Franklin instead of a Brooklyn hospital because he previously received quality care at the hospital. On what he described as “the hardest day of my life,” Mr. Felder said he wanted his only child to receive the best care. Though Franklin could not provide the full range of services that Amara needed, a speedy transfer to another North Shore-LIJ Health System hospital saved her life. “This was a good picture of how services came together well,” Mr. Mastroianni said. “Everyone was on the same page. It was very good to have everyone involved. When I practice later, I’ll appreciate what had to happen to get this patient to the care she needed.” Dr. Mark Mittler said, “This child’s story really exemplifies everything that the North Shore-LIJ Health System is about. Really, from the community hospital that identified the problem to specialized emergency room physicians that were able to stabilize the child to a multidisciplinary transport team in constant communication with the neurosurgical service to an operating room that was ready with a boardcertified pediatric anesthesiologist -everything worked. And it’s supposed to work. And this is a great example of how things do work.” To see a video about this, go to http://www.northshorelij.com/NSL IJ/media-portal/homepage-videochannel/teamwork-saves-baby
Happy Holidays! from the staff of Hospital Newspaper
Hospital Newspaper - NY
RESOURCE DIRECTORY ARCHITECTURE
Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction. We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services. The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper. Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration. The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”. Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com). Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 Fax: 212.463.9898 firstname.lastname@example.org NEW YORK - HARTFORD - PRINCETON
BARIATRIC EQUIPMENT & PRODUCTS TSK PRODUCTS TSK Products is dedicated to helping Healthcare facilities meet the unique needs and challenges of treating obese patients. We offer a complete line of Bariatric equipment; from RoomLobby Chairs, to Lifts, Walkers, Beds, Commodes, Stretchers, Exam Tables…even Bed Pans and Blood Pressure Cuffs. Call us today for more information.
12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 Fax: (732) 389-9044
Connect with Leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically. Join BlueSteps today and receive 15% OFF your membership! Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount. Contact email@example.com to learnmore or for assistance getting started!
CLINICAL OUTSOURCING/ EMERGENCy MEDICINE SOLUTIONS
Emergency Medical Associates (EMA) Emergency Medical Associates (EMA) 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. Emergency Medical Associates (EMA) 3 Century Drive Parsippany, NJ 07054 www.ema.net Contact: Debbie Harris Director of New Business Development & Marketing Tel: (866) 630-8125 Fax: (919) 620-6064 firstname.lastname@example.org
CONTRACT/PRACTICE MANAGEMENT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERGENCy MEDICINE CONTRACT MANAGEMENT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERGENCy MEDICINE SERVICES CONSULTATION SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MANAGEMENT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation NEW yORK BASED OFFICE MED★EXCEL USA Please contact Marie Buchanan at 800.563.6384 Ext. 249 email@example.com all inquiries are confidential
Prepare for a Career in Healthcare Sector Management at Long Island University. Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester. Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration. After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry. Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters. Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations. The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays. “The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program. For information, contact Dr. Johnson at 914-931-2711 or firstname.lastname@example.org. Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577
Contact Jim Stankiewicz to find out how your organization can be featured in Hospital Newspapers Resource Directory. 845-534-7500 ext. 219
Hospital Newspaper - NY December, 2012
RESOURCE DIRECTORY HOSPITaLS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Calvary’s continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country. Each year, Calvary cares for more than 6,000 patients and their families. It cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center. Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses. • Home care is available in the Bronx, Queens, Manhattan, and lower Westchester. • Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties. • Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties. In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses. For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.
NeW PRODUCT TeCHNOLOgY
Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area. Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties. The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home. A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE). The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.
CR Properties group, LLC CR Properties Group, LLC, established in 1983, has been involved in the sale and lease of regional medical centers, hospitals, nursing homes, assisted living facilities, private practices and government related medical facilities. We are experts in the commercial real estate market throughout the Hudson Valley. In addition to offering the properties below, we are locating medical properties for a multitude of medical buyers.
Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304
SeNIOR LIVINg NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries. Contact: Bob Goldbacher (609) 412-2134 www.icare-usa.com
Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.
845-534-7500 ext.219 Fax: 845-534-0055
Getting better…. just got better. We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound. United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access. United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at email@example.com. United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org
Phone: (845) 485-3100 Email: firstname.lastname@example.org Website: www.crproperties.com
Medical / Office Building for Sale or Lease Vassar Medical Center Area & Mid-Hudson Medical Group Area’s Poughkeepsie, NY 2,500 SF Suitable for Specialists
Prime Class A Office Suites for Lease U.S. Route 9, Poughkeepsie, NY Up to 4,000 SF Available Join Successful Health Club
Medical / Professional Building for Lease U.S. Route 9 Crossroads Wappingers Falls, NY 30,000 SF Total Suitable for Specialists & General Practices
Medical Office Building for Sale U.S. Route 9, Hyde Park, NY 858 SF Available – Currently Orthodontist Suitable for all medical practices
(845) 485-3100 WORKeRS’ COMPeNSaTION HOSPITaL WORKeRS HaVe YOU BeeN INJUReD ON THe JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights! Do Not Make These Mistakes That Can Cost You Benefits 1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care. 2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits. 3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident. Do not let the job tell you different. 4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you. 5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis. 6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery.
BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability attorneys
CaLL TOLL fRee 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
Hospital Newspaper - NY
WWW.H OSPITAL NEWSPA PER.CO M
Looking for the right em ployee? HOME SUB SCRIPTI ON - $36/ YEAR
HOSPITAL PROFILES See pages
NOVEMB ER 2012
of the Mo
Rate PRotectioN PlaN
Circulation NY 94,000 NJ 79,000 NE 98,000 (average 3 readers per edition) Monthly Digital edition! Calvary Hosp
Rate PRotectioN PlaN iNcludes:
simplifie security decs your ision See p11
It’s Time to Furth Your Careeer r See our Edu cati on Section See pages
Guaranteed Rate Protection for all of 2013 (expected rate increases will begin by January 15th) Ad size increase or one additional ad free in 2013 on all 12X plans! Premium placement of advertisement Preferred placement of news, event promotion and photos Placement in monthly Digital edition (online edition)
Contact Jim Stankiewicz GM for more information • Phone: 845-534-7500 *219 • Email: Jim@hospitalnewspaper.com A sneak peak at the editorial calendar for the first half of the year…
Hospital Newspaper NJ & NY 2013 Editorial Calendar
NJ Display Ad Deadline December 7, 2012 Print Date December 13, 2012 Online edition December 20, 2012
NJ Display Ad Deadline January 11, 2013 Print Date January 17, 2013 Online edition January 24, 2013
NJ Display Ad Deadline February 8, 2013 Print Date February 14, 2013 Online edition February 21, 2013
NJ Display Ad Deadline March 1, 2013 Print Date March 7, 2013 Online edition March 14, 2013
NJ Display Ad Deadline April 12, 2013 Print Date April 18, 2013 Online edition April 25, 2013
NJ Display Ad Deadline May 10, 2013 Print Date May 16, 2013 Online edition May 23, 2013
NY Display Ad Deadline December 14, 2012 Print Date December 20, 2012 Online edition December 27, 2012
NY Display Ad Deadline January 18, 2013 Print Date January 24, 2013 Online edition January 31, 2013
NY Display Ad Deadline February 15, 2013 Print Date February 21, 2013 Online edition February 28, 2013
NY Display Ad Deadline March 8, 2013 Print Date March 14, 2013 Online edition March 21, 2013
NY Display Ad Deadline April 19, 2013 Print Date April 25, 2013 Online edition May 2, 2013
NY Display Ad Deadline May 17, 2013 Print Date May 23, 2013 Online edition May 30, 2013
Professional development and recruitment
Senior Care facilities
Cancer Care and Recovery
The best providers of cardiovascular and pulmonary services
Emergency Medicine and Transportation
Top ER Management and Transportation
Rehabilitation and Recovery
Nursing Student Convention
RN Convention Edition
Education & Recruitment opportunities
Education & Recruitment opportunities
The Top Education and Recruitment Opportunites
Long Term Care CEO Vision for Patient Care in 2013!
Children’s Health and Rehabilitation
Top Nurses Recognized National Nurse Week Education & Recruitment opportunities
Boomers & Beyond Senior Care
Hospital Newspaper - NY December, 2012
FRIDAY - TUESDAY DECEMBER 14 -18, 2012 MARRIOTT MARQUIS NEW YORK
PostGraduate Assembly in Anesthesiology PROGRAM & REGISTRATION MATERIALS: m Internationally Renowned Speakers m Scientific Panels & Focus Sessions m Hands-on & Interactive Workshops
The New York State Society of Anesthesiologists, Inc.
m Mini Workshops m Medically Challenging Case Reports m Problem-Based Learning Discussions m Scientific Exhibits m Poster Presentations m Technical Exhibits m Resident Research Contest m Pre-PGA Hospital Visits m 3,500 Anesthesiologists in Attendance m More than 6,000 Registrants m New York City Tours m Holiday Shopping m Jazz Clubs m Broadway Shows m Opera
Up to 46.5 AMA PRA Category 1 CreditsTM
Hospital Newspaper - NY
FOR THEM, ANYTHING ELSE IS UNACCEPTABLE.
NOW SHOWI NG When they realized there was a way to improve patient safety, they took action. Nothing was going to stop them from attaining zero iatrogenic pneumothorax complications. A brave step by a bold team to prevent the complication now recognized by the Medicare HAC list. Inspired by the true story of hospital staďŹ€ who believed even one medical error was too much to chance and a point-of-care ultrasound technology that would change their path of care forever.
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