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Expert PT and OT + Psychiatric Excellence + Positive Attitude = Good Medicine p14 Waveny Care Center leads the way in medication reduction p14
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Alice always enjoyed Main Street. She still does.
The Village at Waveny is a unique assisted living residence designed to stimulate and engage memory impaired seniors. The familiar, comforting environment of small town Main Street is a site for interaction among residents and with staff. This community dynamic, along with specialized therapeutic programs, enriches and enhances the quality of life for older adults. The Village is located in New Canaan, Connecticut, where seniors from all areas are welcome for trial, short respite stays or long-term care. Find out more by calling Ginny Carroll at 203.594.5331 or visiting www.waveny.org.
Hospital Newspaper - NE Jul/Aug 2013
Hospital Newspaper - NE
Fund-Ex aims to shorten and simplify the financing process By Patrick Harrigan | Syracuse, NY
Todayâ€™s medical professionals face a myriad of challenges in their efforts to provide high-quality care. Change has become an industry constant and requires SK\VLFLDQVWROHDUQDQGDGDSWRQWKHĂ€\ Much of the conversation revolves around increased healthcare regulation and compliance requirements. While its long-term effects remain to be seen, the 13,000-page Affordable Care Act promises to bring about considerable change and uncertainty. From a technology standpoint, the push is on to implement EHR systems and demonstrate meaningful use. New HIPAA rules will soon require practices to have policies and procedures in place to ensure that patient health information is secure. Change is also a major theme when it comes to patient interaction. As technology improves and information becomes more accessible, the methods by which patients gather information and interact with care providers will continue to evolve. While increased engagement can ultimately prove valuable as patients take a more active role in their health care, it will also require more time and attention from providers, not to mention DQLQFUHDVHGÂżQDQFLDOLQYHVWPHQW In addition, many practitioners still face the day-to-day business challenges of running a practice. Physicians PXVWPDQDJHÂżQDQFHVFRPPXQLFDWH effectively and delegate responsibility ZKLOHPDLQWDLQLQJDVWHDG\Ă€RZRI SDWLHQWV6WDIIPXVWIHHOIXOÂżOOHGDQG patients must feel comfortable to ensure a positive experience. The frantic pace and ever-expanding task list can often mean that things get overlooked, impacting the long-term health of the practice. Debt can accumuODWHZKLOHRIÂżFHXSJUDGHVDQGPDQGDWRU\ technology updates can get pushed down the priority list. A medical professionalâ€™s WLPHLVDOUHDG\OLPLWHGDQGÂżQGLQJWKH UHVRXUFHVWRVHHNQHFHVVDU\ÂżQDQFLQJ can seem overwhelming.
Fund-Ex, LLC was founded with the simple goal of providing medical SURIHVVLRQDOVZLWKDIIRUGDEOHÂżQDQFLQJ solutions while minimizing the disruption of their day-to-day routine. â€œHealthcare professionals have made WUHPHQGRXVVDFULÂżFHVWRJHWZKHUHWKH\ are today. They continue to work hard every day, and that means something to us,â€? said Albert Crawford, Owner and CEO of Fund-Ex. â€œThatâ€™s why we have built our business around them. We VWULYHWRSURYLGHDKDVVOHIUHHÂżQDQFLQJ experience that helps achieve business goals and allows more time to focus on the mission of medicineâ€”the patient.â€? An unwavering focus on providing capital to healthcare professionals has helped Fund-Ex develop a thorough understanding of their needs, challenges and business cycles. This knowledge allows Fund-Ex to provide smart ÂżQDQFLQJVROXWLRQVZLWKXQSDUDOOHOHG VHUYLFHDQGHIÂżFLHQF\DOORZLQJSK\VLcians to get back to practicing medicine. Fund-Ex can provide a custom, no-cost, no-obligation loan proposal in just
24 hours and healthcare professionals can get the capital they need in as few DVÂżYHEXVLQHVVGD\V7KHFRPELQDWLRQ of speed and single-digit rates makes Fund-Ex an attractive and affordable option for healthcare professionals looking to put their practice in a better position looking forward. Fund-Ex provides capital for a wide variety of commercial purposes, including business debt consolidation, working capital, expansion and improvement, practice acquisition/start-up/buy-in as well as real estate.
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Hospital Newspaper - NE Jul/Aug 2013
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PAGE 66 PAGE
Jul/Aug 2013 January, 2009
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ADVERTISER INDEX INDEX ADVERTISER Company Company AdCare Hospital
Assumption College Classifieds Aurora Senior Living Bucks Hill
Page Page 16 21 28 12
A&T Healthcare Bankers Healthcare Group, Inc.
Candlewood Valley Barksdale Home Care Constellation Home Care
Coverys Executive Park Physical Therapy EMA GNYHA Services Fast Forward Marketing Hebrew Health Care
11 14 15
31 32 7, 26 9 1 14
HospitalValley for Special Care Associates Hudson Radiology Keystone Financial Services
32 31 28
NorthWest Seminars Medco Planetree MedExcel Precision Computer Services, Inc.
27 30 24 33
Salmon Family & Retirement Points Medical Seven Hills Pediatric Center
19 4 17
MASS-ALFA Keystone Financial Services Metro West Medical Billing
Regis College North Broadway Chiropractic Resource Directory
Sharon Health Care Center Public Safety Ad Shrewsbury Children’s Center
Shrewsbury Nursing & Rehab Center Resource Directory Sun Home Loans Waveny Care Network Silverman Ctr for Gender Selection Whaler’s Cove Assisted Living
23 7 30
12 27 19
15 29 22
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Hospital Newspaper - New England edition - Vol. 10 No. 4 Healthcare Newspaper - Westchester, New York edition is published 6 times a year for $18 per year by Belsito Vol. 2 No. 1 - is published monthly, 12 times a year for Communications, Inc., 1 Ardmore Street, New Windsor, $36 per year by Belsito Communications, Inc., 1 Ardmore NY 12553. Postage Paid at New Windsor, NY and addiStreet, New Windsor, NY 12553. Postage Paid at New tional mailing offices. Postmaster: Send address changes Windsor, NY and additional mailing offices. Postmaster: to Hospital Newspaper, 1 Ardmore Street, New Windsor, Send address changes to Healthcare Newspaper, NY, 12553. No financial responsibility is assumed by this 1 Ardmore Street, New Windsor, NY, 12553. No financial newspaper to publish a display, classified, or legal ad or for responsibility is assumed by this newspaper to publish a distypographical errors except of reprinting that part of the ad play, classified, or legal ad or for typographical errors except which was omitted or in error. Omissions or errors must of reprinting that part of the ad which was omitted or in error. be brought to the attention of the newspaper during the Omissions or errors must be brought to the attention of the same month of publication. newspaper during the same month of publication.
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Hospitals preparing for major implementation of the Deck the Halls in this economy? Affordable Care Act
By and JimAffordStankiewicz Those that have gone without insurance The Federal Patient Protection
of healthcare services to our economy as
are expected to use the services provided by
well as the human cost of the uncared for
their new insurance. inInJanuary a most 2014. challenging year most people are poised to cut back on traditional holiday Primary care physicians and family doctors This expenditures. includes the growth of Medicaid, I was recalling some memories growing up when things seemed very up tightto 20% more to receive employer changes and essential health are expected and our family seemed to almost become closer. One such year when I was newly insured patients. There is also an benefits for individuals and families. about 11 years old I joined my three sisters and brother in the downstairs area of some out specialty Hospital include moreChristmas staff, increase of our homepreparations in Newburgh. We made tree decorations of con-physicians that gain referral from the patients. expanded square footageandand struction paper and glitter mycontinued Mom poppedwill a bunch of popcorn andadditional we spray painted string of popcorn goldprepare for garland. When I lookphysicians back it wasare oneactually beSome private communication as hospital leaders of the most memorable Christmases we shared. There was spirit of being coming employees of local health system. for an impact that is yet to be measured. together. Somewehospital systems Thewas key point hundreds of thousands This whenisI that realized it wasn't about what gifts received or whoare hadpreparing to add spending physical space build of best people in each will now It bereally eligible the light showstate on the block. is about qualityand time witha network of people youtype love. about helping others less fortunate then your self. clinics. Healthcare leaders realize the cost for some ofIt's insurance. With the events of this year you can't help think that there is a new opportunity to enjoy the basics. Are there seniors who need a little attention? What can we do for those hospitalized around the holidays? What can we do for the troops risking their lives at holidays for our freedom? I want to thank all of our loyal customers for their support in 2008. I wish all of our readers a very memorable and meaningful holiday season! able Care act is scheduled to be implemented
members of the community. Hospital News will keep you informed as changes develop across the industry. As always we welcome your news and thoughts! Please share your stories with us: firstname.lastname@example.org Jim Stankiewicz can be reached at 845-534-7500 ext. 219 and via email at email@example.com.
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Hospital Newspaper - NE Jul/Aug 2013
News in Emergency Medicine About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews. Shih presents research to U.S. and International audiences
Stuhlmiller presents poster at Critical Care Transport Medicine Conference David F.E. Stuhlmiller, MD, FACEP, CMTE, presented a poster entitled, "HEMS STEMI Bedside Time: Impact of Medication Changeover Prior to Transport” at the Critical Care Transport Medicine Conference held April 8, 2013, in Austin, Texas. The results of the research concluded a median of 4 minutes (average of 3.5) per infused medication can be saved by HEMS medical crew by not changing over each medication infusion at the bedside of ST elevation myocardial infarction (STEMI) patients. Dr. Stuhlmiller is a partner of Emergency Medical Associates and chairman of the department of emergency medicine at Newton (N.J.) Medical Center.
Amato and Weiner host Workshop at Goryeb Children’s Hospital Continuing Medical Education Conference Drs. Christopher Amato, MD, FACEP, FAAP, and Ethan Wiener, MD, FAAP, presented at Goryeb Children’s Hospital’s 15th Annual Continuing Medical Education Conference held May 31-June 2 at Skytop Lodge, Skytop, Pa. The workshop focused on wound care, basic life support and pediatric advanced life support cases. Dr. Amato also lectured on office preparedness. Dr. Amato is the director of the Pediatric Emergency Medicine Fellowship and an attending pediatric emergency physician at Goryeb Children’s Hospital, Morristown, N.J. He also is the medical director of pediatric advanced life support for Atlantic Health. Dr. Wiener is the associate director of pediatric emergency medicine at the Goryeb Children’s Hospital, Morristown, N.J. Both are partners of Emergency Medical Associates.
Dr. Richard Shih, MD, FACEP, FAAEM, is an active in medical research and education and has traveled extensively to share his findings. Dr. Shih co-authored a case report entitled, “Glycine Induced Hyperammoniemia After Bladder Rupture During Transuretheral Resection of a Bladder Tumor.” The report was published in the Journal of Medical Cases. In addition to co-authoring a case report, Dr. Shih has given various presentations, lectures and was a discussant at various conferences. Presentations: • Oral research presentation entitled, “5 Year Prospective Study: OSCE Evaluations Do Not Correlate with EM Faculty Evaluations” at the 2013 Council of Residency Directors Scientific Assembly in Denver • Poster research presentation entitled, “QTc Prolongation and Torsades in Bupropion Overdose Presenting to U.S. Emergency Departments” at the 2013 American College of Medical Toxicology Scientific Assembly in San Juan, Puerto Rico • Poster research presentation entitled, “Ensuring Equity: Complaints by Race, The Beginning Investigations of MD Complaint Profilers” at the 2013 Society of Academic Emergency Medicine Northeast Regional Meeting held April 3 in Providence, R.I. Dr. Shih gave two lectures at The University of Texas Southwestern Medical Center May 1-2 in Dallas. • Emergency Medicine Journal Club, Discussant • Emergency Medicine Grand Rounds, Cases in Medical Toxicology Dr. Shih gave three presentations at the 2013 New Jersey American College of Emergency Physicians Scientific Assembly Review Course held May 7 in Princeton, N.J. • Ensuring Equity: Complaints by Race, The Beginning Investigations of MD Complaint Profiles • ED Patients Who Complain Are Less Likely To Be Repeat Customers • Dr. Shih and Michael Silverman, MD, presented “2013 Lifelong Learning and Self-Assessment Review Course” Dr. Shih gave three lectures at the Florida Emergency Physicians 13th Annual Symposium on Emergency Medicine Resuscitation of the Critically Ill 2013 held April 14 in Orlando. The lectures were entitled: • Get Up to Speed on New Drugs of Abuse • The Crashing OD: Give ‘Em Fat! • One Pill Can Kill – Practical Approach to Pediatric Poisoning Dr. Shih is residency director for the department of emergency medicine at Morristown (N.J.) Medical Center, and a partner of Emergency Medical Associates.
The Sign of Excellence ence in Emergency Medicine edicine® for More Than Three ree Decades
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Hospital Newspaper - NE
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
The New Normal: Giving Hospital-Physician Alignment Priority Both the present and the future of healthcare are about care coordination. Given the current environment—its regulatory and financial mandates, patient needs, and technological advancements—hospitals, health systems, and physicians are collaborating more than ever before to help increase care value while improving delivery systems. But whether through physician-hospital organizations (PHOs), accountable care organizations (ACOs), or other arrangements, hospital-physician alignment is a multifaceted cooperative relationship that requires continuous nurturing with clear, strategic practices and goals. Nearly 70 percent of physicians in a 2013 survey expect increased hospital-physician integration in the next one to three years. And they should. There is a substantial incentive to focus on the hospital-physician relationship. In a healthcare delivery system that rewards data sharing as well as cost and quality improvements, physician buy-in is key. Because of their central role in treatment decisions, and their power to decide when to admit and discharge patients, trying to significantly improve quality and outcomes while lowering hospital costs without physician participation may be impossible. Accordingly, hospitals must strengthen physician partnerships. This can entail the challenge of overcoming long-standing competing interests in order to develop an alignment strategy that best fits the organizational culture. The characteristics of a healthy hospital-physician relationship include 1. support for and commitment to change, from senior management down; 2. physician stakeholders actively engaged in hospital governance; 3. adequate staffing, technology, and practices that facilitate alignment; 4. pay models, including incentive compensation programs, developed by the hospital and physicians; 5. established procedures and policies to deal with conflict. While grounded in mutual leadership, resources, and patient-centered goals, hospital-physician alignment should also be mutually beneficial. It should deliver tangible opportunities to lower costs while improving efficiencies. One example is the GNYHA Services Alternate Care Purchasing Platform, which allows physicians affiliated with hospitals and health systems (like those owned, leased, or managed by hospitals or in PHO relationships) to purchase medical and non-medical products at prices typically available only to acute care health systems. Interdependency and teamwork are markers of today’s healthcare environment. Undeniable forces, such as ACOs, bundled payments, health IT requirements, lower reimbursement rates, and quality-based payments, are engendering close hospital-physician collaboration. However, these partnerships are not one-size-fits-all nor can they be forced. Providers must proactively determine their own strategy, based on their needs, their resources, alignment gaps, and the organizational climate. A comprehensive collaborative assessment, start-up plan, and implementation can result in alignment programs that are effective as well as tailored—ones that balance differences, goals, and operational/management capabilities, and provide incentives for continued success. Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).
Hospital Newspaper - NE Jul/Aug 2013
CONQUER COSTS WHILE COORDINATING CARE More than ever before, healthcare providers are working together to lower costs and overcome complex industry challenges. GNYHA Services is an excellent partner for providers aspiring to create a collaborative supply chain. Our expertise and best-in-class purchasing portfolio can be leveraged to unify procurement across the continuum of care. Unleash new savings opportunities! Call us today at (212) 246-7100 to connect your health network with savings you never thought possible.
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Hospital Newspaper - NE
New England Extended Care Directory CONNECTICUT FAIRFIELD
JEWISH SENIOR SERVICES The Jewish Home 175 Jefferson Street Fairfield, CT 02825 203-365-6400 jseniors.org
AURORA SENIOR LIVING of BUCKS HILL 2817 North Main Street Waterbury, CT 06704 203.757-0731 www.aurorabuckshill.com
WAVENY CARE CENTER 3 Farm Rd. New Canaan, CT 06840 203.594.5200 www.waveny.org
HEBREW HEALTH CARE INC. 1 Abrahms Blvd West Hartford, CT 06117 Phone: (860) 523-3800 www.hebrewhealthcare.org
ST. MARY HOME 2921 Albany Avenue West Hartford, CT 06117 Phone: (860) 570.8200 www.mchct.org
CANDLEWOOD VALLEY HEALTH & REHAB CENTER 30 Park Lane East New Milford, CT 06776 (860) 355-0971 www.candlewoodvalley.com
SHARON SHARON HEALTH CARE CENTER 27 Hospital Hill Road Sharon, CT 06069 860.364.0237 athenahealthcare.com/sharon
WOODBRIDGE WILLOWS CARE AND REHAB CENTER 225 Amity Road Woodbridge, CT 06525 203.387.0076
LASELL HOUSE AT LASELL VILLAGE 120 Seminary Avenue Auburndale, MA 02466 617.663.7000
SEVEN HILLS PEDIATRIC CENTER 22 Hillside Avenue Groton, MA 01450 Phone: (978) 448.3388 www.sevenhills.org
SHREWSBURY NURSING & REHAB CENTER 40 Julio Drive Shrewsbury, MA 01545 508.845.6786 www.shrewsburynursing.com
TRANS CARE UNIT AT BOSTON MED CTR One Boston Medical Ctr Place Boston, MA 02118 Phone: (617) 638-5900
BEAUMONT AT NATICK 3 Vision Drive - 2nd Floor Natick, MA 01760 Phone: (508) 651-9200 www.salmonfamily.com
HUNT NURSING & RETIREMENT HOME 90 Lindall Street Danvers, MA 01923 Phone: (978) 777-3740
BEAUMONT REHAB & SKILLED NURSING CENTER 238 1/2 West Main Street Northborough, MA 01532 Phone: (508) 393-2368 www.salmonfamily.com
FRAMINGHAM ST. PATRICK’S MANOR 863 Central Street Framingham, MA 01701 (508) 879-8000 www.stpatricksmanor.org
WESTBOROUGH BEAUMONT AT WESTBOROUGH 1 Lyman Street Westborough, MA 01581 Phone: (508) 366-9933 www.salmonfamily.com
WORCESTER BEAUMONT AT WORCESTER 378 Plantation Street Worcester, MA 01605 Phone: (508) 755-7300 www.salmonfamily.com
NORTHBRIDGE BEAUMONT AT NORTHBRIDGE 85 Beaumont Drive Northbridge, MA 01534 Phone: (508) 234-9771 www.salmonfamily.com
To advertise in our directory, please call Maureen Linell Tel/Fax: 508-869-6201— MRLinell@charter.net
Hospital Newspaper - NE Jul/Aug 2013
Candlewood Providigm Recognition We are pleased to announce that the Candlewood facility is one of 285 facilities nationwide to receive the Providigm Embracing Quality Award for 2013. Providigm uses a scientific approach to create practical solutions health care providers can use every day to meet the evolving requirements of health care consumers and policy makers. The Embracing Quality Award reflects excellence based on three performance measures: Survey Readiness, Hospital Readmission Prevention, and Customer Satisfaction. In addition, the Candlewood facility also received Providigm’s Quality Assurance and Performance Improvement (QAPI) Accreditation. This is validation for the excellent care and quality of life we provide for our Residents. To earn this accreditation, the Candlewood facility had to meet the following standards for QAPI excellence:
• Comprehensive – Encompassing all aspects of quality of care and life for Residents based upon assessments obtained from Residents, family, observation, staff, and records. • Continuous – We address aspects of quality care all year long, rather than just when problems arise. • Coverage – We assess a sufficient number of Residents to ensure that care and services are consistent across the board. • Corrective – Follow through with an in depth investigation to develop solutions to any areas identified as needing improvement.
We congratulate the Candlewood Staff on this recognition. It is solely due to their dedication and high standards of care that the facility receives the recognition and awards that distinguish us from our peers.
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Spaulding Cape Cod Spasticity Centers alleviate pain, disability Correctly diagnosing spasticity can be problematic because symptoms can develop weeks or even months after a stroke, or years after a diagnosis of multiple sclerosis. By then the patient’s care is generally managed by a primary care physician, most of whom do not have experience treating spasticity. And patients often don’t report these symptoms to their doctors because they think this is just another aspect of the disease that they have to live with. Kathy Saul of Wareham developed spasticity after her initial course of rehabilitation following a severe stroke. “It was hard for me to walk. I would trip over my own foot, and my hip hurt. I would fall,” Kathy says. She also “had a perma-
ticity and to develop the best treatment plan based on the patient’s whole picture. When injections are indicated, we use techniques to isolate and target the specific muscles that will respond. We coordinate treatment with our therapists, so we can time interventions to maximize improvement in therapy. All these factors allow us to make a pretty big impact on our patients’ quality of life.” Kathy agrees. “When I met Dr. Abramson, I was depressed and thought I wouldn’t be able to do the things I wanted to do. I’ve gotten so much back. My life is 100 percent better than when I walked in the door.” For information, referrals and appointments, call 508-833-4141.
Aurora Senior Living of Bucks Hill
Imagine not being able to zip a jacket, hold a spoon, or wash your hand. Imagine painful muscle spasms that prevent routine activities. For persons living with neurological disorders, this is reality, and it’s due to a condition called spasticity. The Spaulding Centers for Comprehensive Spasticity Management offer new hope for those whose lives are impaired by spasticity. Four physiatrists at Spaulding Rehabilitation Hospital Cape Cod (SCC) – Scott Abramson, M.D., Susan Ehrenthal, M.D., Andrew Judelson, M.D., and Jay Rosenfeld, M.D. -- evaluate and treat spasticity at outpatient centers in Sandwich, Yarmouth, Orleans and Plymouth. “We bring all the components together -- medical and rehabilitation expertise, therapists skilled in neurological rehab, and technologies to enhance treatment — to make a big difference in the lives of our patients,” says Dr. Abramson. Spasticity occurs when nerve pathways within the brain or spinal cord that control muscles are damaged by stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, cerebral palsy, ALS and other neurological conditions. As a result, certain muscles become overactive, creating excess muscle tone, stiffness and pain and impairing hand function, walking, speech, and other functional abilities. In Spaulding’s model, physicians team up with physical, occupational and speech therapists to help patients reduce or eliminate pain and overcome the limiting effects of spasticity. The team also includes an orthotist experienced
nent fist. Once I had hold of something, I couldn’t let go.” Her treatment at Spaulding began with an injection of botulinum toxin to relax her rigid muscles, followed by physical and occupational therapy. “The injection released my muscles, so I could work on my foot drop and balance,” Kathy states. “The combination of injections and therapy changed so much for me. Now I walk without my hip hurting, and I don’t need a brace.” A key factor in reducing the disabling effects of spasticity is the expertise of the clinician. “As rehabilitation physicians, we are a resource to physicians seeing these patients in their practices,” says Dr. Abramson. “We have the experience to differentiate types of spas-
in the newest equipment for improving walking and balance. Therapists can use advanced neurorehabilitation technologies, such as the Bioness hand and foot electrical stimulation devices, to enhance therapy. Diagnosing spasticity early is critical to avoid loss of function and prevent complications. Untreated, spasticity puts the patient at risk for pain, hygiene problems, sleep problems, fungal and other infections, and progressive, devastating loss of function. “If we catch spasticity early, therapy can be effective in stretching out the muscles, sometimes in combination with splints and certain medications,” says Dr. Abramson. When the condition is more severe or the patient is already taking multiple medications, the medication is injected directly into the overactive muscles and doesn’t interact with other medications. “I’ve had patients in severe pain respond within a few days after the injection,” says Susan Ehrenthal, M.D. “Then the therapist can focus on improving the patient’s range of motion. Working together, we’ve been able to take the pain out of the picture.” “Once the medication kicks in, we can use splints, passive range of motion and then active exercise to take the patient from having a non-functional extremity to one they can use again. It has a huge impact on them and their caregivers because the patients can do more for themselves,” says Kristin Marston, occupational therapist and certified hand therapist at Spaulding’s Yarmouth and Orleans Outpatient Centers.
2817 North Main Street Phone: (203) 757-0731 Waterbury, CT 06704 Fax: (203) 596-0892 www.aurorabuckshill.com Aurora Senior Living is a 90 bed skilled nursing facility specializing in short term rehabilitation and long term care. We are very proud to have received the highest overall rating of ﬁve stars and rated as one of the best nursing homes nationwide by U.S. News and World Report 2013 edition of Best Nursing Homes Nationwide. Some of the services we offer include: • Physical Therapy, Occupational therapy, and speech therapy • Post-Surgical Rehab • IV therapy and Wound Care management
• Hospice and Palliative care • Discharge Planning • Fine Dining program • Recreational Therapy
Specializing in short-term rehabilitation, long-term, respite and hospice care. We also provide dementia care in a safe and secure environment. 27 Hospital Hill Road PO Box 1268 Sharon, CT 06069
Phone: 860-364-1002 Fax: 860-364-0237 athenahealthcare.com/sharon
Managed by Athena Health Care Systems
Hospital Newspaper - NE Jul/Aug 2013
Diagnosis: Alzheimer’s What’s next? By Lois Alcosser
“My doctor was reluctant to use the word. After the tests, he said my husband had “cognitive slippage” and , finally “symptoms of Alzheimer’s.” It was devastating. We denied it as long as we could. I had no idea what to do.” This is a typical reaction. A husband in Ridgefield says: “The neurologist told me she had “severe memory impairment” and “signs of dementia. I had no idea what I should do.” No matter what anyone has heard or read, a diagnosis of early- onset Alzheimer’s is a shock, followed by confusion and a feeling of helplessness. “Though my wife couldn’t remember the simplest things, she seemed O.K. most of the time, but I didn’t know what to expect. That was the scary thing.” With early onset Alzheimer’s, memory may deteriorate very slowly. There’s a great temptation to ignore what’s happening. But accepting the diagnosis and seeking help right away is best for the patient and the caregiver. There is lots of help available. The Alzheimer’s Association Connecticut Chapter has a 24/7 helpline (800-272-3900) for person-to-person information and referral. There are support groups where caregivers can meet, listen and talk. “I could be angry, sad, resentful, and it was O.K. It was a tremendous relief,” says a husband, no longer needing to keep his wife’s illness a secret. “We weren’t told anything,” says one wife. It wasn’t unusual for my husband to forget things. When it got worse, we went to a neurologist. There were lots of tests. It was described as early onset Alzheimer’s. My husband was bewildered, scared to be alone. But I had to do something. We sold our house in Pennsylvania and moved to Connecticut, to be near our daughter. I knew I had to get some help.” She and her husband heard about a group, G.A.P. (Giving Alzheimer’s Purpose.) Sponsored by the Connecticut Chapter of the Alzheimer’s
Association, it’s for the caregiver and the spouse. “My husband felt comfortable. The leaders were professionals, they were never judgmental. We talked, had lunch, had an interesting speaker, listened to music, did exercise. There was no self-pity, it was a friendly get-together.” G.A.P. groups are forming all over the state. They are support groups with a difference. There
are games, side trips, discussions. Everyone (caregiver and spouse) joins in. A wife in Ridgefield says: “I love my husband no matter what, but it’s impossible not to be irritable, resentful about having to do everything. Sometimes, I wanted to walk right out the door. Tests showed he has Alzheimer’s, though at times, he’s perfectly normal.
I had to talk to someone. I wanted to know. What’s Alzheimer’s? What’s dementia? “I found out by calling the Alzheimer’s helpline. I had my doctor write a letter saying my husband shouldn’t drive anymore and my husband accepted it. I found that a sense of humor is a necessity as well as total trust.” One of the most important aspects of caregiving is helping
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the caregiver realize that she or he must take care of themselves, not just their spouse. Being honest about what’s happening and taking advantage of the educational sessions sponsored by The Alzheimer’s Association has been helping many caregivers. They are finding practical ways to deal with what often seems impossible. It can start with a 24/7 phone call. 800272-3900.
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Hospital Newspaper - NE
Waveny Care Center leads the way in medication reduction Waveny Care Center is leading the way in medication reduction for patients – specifically, those with dementia – with excellent outcomes. In response to new research conducted by the Centers for Medicare & Medicaid Services (CMS), the US federal agency that administers Medicare, Waveny has successfully reduced rates of antipsychotic medication in appropriate circumstances in favor of therapeutic person-centered, individualized interventions. Historically, people living with dementia have frequently been prescribed antipsychotic drugs as a first resort by their physicians. “In many cases, psychological and behavioral symptoms can be managed with fewer antipsychotic drugs,” said Basil Papaharis M.D., medical director at the Care Center. “The key to achieving this is to follow the principles of good person-centered care.” While a medication regime may still be necessary, the reliance
on many drugs or dosages may be successfully reduced with the integration of therapeutic recreation programs, sensory stimulation and individualized approaches to managing behavioral symptoms. Waveny Care Center has successfully reduced antipsychotic medication given to residents, and presently runs an average of 7.9% for daily orders and 3.9% for as needed (PRN) compared to the national average of 25.2% and Connecticut state average 27.6% (both numbers, national and state, are combined averages of daily and PRN). This success is significant as the majority of the Care Center’s long-term residents have some form of dementia and require multiple interventions and medications for mood and behavior challenges. This ongoing focus on reducing the use of antipsychotic drugs challenges professional caregivers to continue to work alongside resi-
dents and their families to identify new, innovative approaches to dementia care. “This significant reduction has been made possible through a variety of approaches, which include therapeutic recreational programs and initiatives to
promote person-centered care as well as individualized creative outlets,” said Elyse Dent, Waveny’s campus administrator. Through multiple education programs – some sponsored by educational grants – Care Center and Village staff have been receiving specific training to facilitate these transitions through role modeling and the development of various communication tools used to understand each resident’s unique needs and personality. Notably, education extends to all staff throughout Waveny. “We are training all staff – not just our clinical departments – as we all play an important role in person-centered care.” “While Waveny Care Center has always met and exceeded CMS benchmarks, this further plan of medication reduction has allowed nursing homes like Waveny to continually improve their approach to dementia care and reconnect with
residents on a more personal level – always with enhanced quality of life as the driver,” said Dent. Waveny Care Network provides a comprehensive continuum of healthcare to serve the growing needs of older adults from all areas. Waveny is a not-for-profit organization that offers independent living at New Canaan Inn, assisted living for people with Alzheimer’s and memory loss at The Village, and skilled nursing at Waveny Care Center. It also includes Waveny Home Healthcare, the Brown Geriatric Evaluation Clinic, a Geriatric Care Management team, an Adult Day Program available six days a week with transportation to and from New Canaan, Stamford, Norwalk, Darien and Wilton, inpatient and outpatient Rehabilitation Services, and respite programs at both The Village and Care Center. For more information call (203) 5945200 or visit www.waveny.org.
Expert PT and OT + Psychiatric Excellence + Positive Attitude = Good Medicine By Michelle Payson, OTR/L, Director, Hebrew Rehabilitation Group In early 2013, Mr. B. a married 88 year old physician became hospitalized after an overall medical and cognitive decline including a urinary tract infection, urinary retention and encephalopathy. After discharge from the hospital, Mr. B was admitted to Hebrew Health Care’s Hebrew Home and Hospital for long term placement since his needs became too demanding for his caregivers. With complex conditions including anxiety and depression, and a history of hypertension, dementia, prostate cancer with indwelling foley catheter, coronary artery disease with stent placement, thoracic aneurysm, and sensorineural hearing loss, his needs exceed the abilities of his family caregivers. Mr. B. began on a course of Physical and Occupational therapies from his first day at Hebrew Health Care. His initial physical therapy evaluation revealed that Mr. B. required extensive assistance in bed with repositioning himself; and it also revealed a moderate need for assistance in getting out of bed and into a wheelchair. Further, he could walk with a walker a distance no greater than 10 feet. Afterwards, came an occupational therapy evaluation which uncovered further needs. Mr. B. had poor balance, poor head/trunk control, decreased strength and endurance, lack of coordination, poor safety awareness; and he com-
plained of left foot and right knee pain that interfered with his mobility. He required moderate to maximum assistance with daily personal care including bathing, dressing and toileting. And, since his endurance was greatly compromised, he easily and quickly tired while attempting to perform these tasks. A week later, Mr. B. suffered a setback, requiring a transfer into Hebrew Health Care’s Behavioral Health Hospital for depression which caused poor sleep and oral intake. Three weeks later, Mr. B.
stabilized, was discharged, and returned to his therapy program; he was assessed for his ability to return to his home with supportive services. Mr. B. demonstrated dramatically improved cognition, being able to recall appointments and previous activities which he was unable to do at his admission the prior month. Also improved were problem solving skills and safety awareness, with less verbal cueing and instructions needed to complete a task. His occupational therapy ses-
sions focused on retraining activities of daily living using compensatory strategies, upper body therapeutic exercise and therapies to improve overall upper body strength, endurance, and dynamic standing balance for completion of everyday tasks. Mr. B. had physical therapy sessions that focused on gait, transfers, and stair retraining in addition to strengthening the lower body, increasing coordination and improving balance. He no longer complained of pain in his left foot
and right knee which plagued his mobility in the past. His progress was excellent; after only six weeks Mr. B. was discharged home with a four-wheeled walker. He has the strength and endurance to perform all activities of daily living with only minimal assistance with tasks requiring fine motor skills. With what could have turned into a long-term institutional life, this pleasant gentleman, Mr. B., made outstanding progress that allowed him to return to his life in the community.
“The Physical hysical and nd Occupational Therapists were outstanding. utstandiing. ing They were were professional, prrofessional, ofessional o ofessional, with a caring natur nature, n re, e, safety-minded ded and knowledgeable. edgeablee. I expected to be at HHC for 20 days, bu but ut the car care ree was so good that I was as hom home me after only 9 days days.” s.”
visit hebrewhealthcare.org call 860.523.3860
-Morton n P. of Middletown own found Hebrew ilitation Group p used their clinical Rehabilitation se and knowledge edge to make his expertise recovery ry fast and painless nless allowing him rn to his life in his home. to return
Hospital Newspaper - NE Jul/Aug 2013
Saint Mary Home earns Five-Star Quality Rating The Mercy Community’s Skilled Nursing Facility honored with prestigious industry rating
If you’d like to reach the health and hospital communities of New England each month, there is no more cost-effective way than the Hospital Newspaper. Call Maureen Linell to place your advertisement: 508-869-6201
Now Accepting Fallon, Tufts, Harvard Pilgrim and Boston Medical Center – Health Net Insurances
Celebrating our partnership
with Jewish Healthcare Center providing a full complement of rehabilitation service
The Mercy Community, West Hartford’s premier continuing care retirement community, is pleased to announce that Saint Mary Home, a part of the Mercy Community, has recently earned a Five-Star Quality Rating from the Centers for Medicare & Medicaid Services (CMS). The CMS Five-Star Quality Rating System assigns nursing facilities nationwide with a rating between one and five stars. Those care facilities with Five-Stars are considered to have above average quality compared to other nursing home facilities in their particular state. “This is truly an honor well deserved by our dedicated colleagues at Saint Mary Home,” said President and CEO of The Mercy Community, Bill Fiocchetta. “Earning the CMS Five-Star Quality Rating is a strong testament to the exceptional care, comfort and peace of mind that our staff members give to our residents and their families on a daily basis here at The Mercy Community,” Fiocchetta added. The ratings are based on the star rating for the following categories— Health Inspections; Quality Measures; and Staffing Levels at the facility. To learn more about The Mercy Community, Saint Mary Home and their full scope of services available, please call 860.570.8400 or visit www.TheMercyCommunity.org. About The Mercy Community The Mercy Community offers a comprehensive and integrated continuum of senior care and services, including: SAINT MARY HOME, which provides skilled nursing, short- and long-term rehabilitation, dementia, hospice, palliative, subacute, residential and adult day services. THE McAULEY, a Continuing Care Retirement Community, which promotes and fosters an independent lifestyle within a life care setting. In addition, The McAuley offers an Assisted Living Program for those residents who require more assistance with the tasks of daily living. For more information about The Mercy Community, The McAuley, Saint Mary Home, rehabilitation services, or any of our other programs, please visit www.TheMercyCommunity.org.
Jewish Healthcare Center
s Deficiency-free DPH Survey in 2011 and 2012 s Secured Memory Care Unit s Skilled in Peritoneal Dialysis s Consistent Staff Assignments s All Team Members Specially Trained in Dementia Care s Hospice Care, Respite Care, Rehabilitation, Long Term Care s Beautiful Grounds, Enclosed Courtyard s A Caring and Compassionate Center Since 1969 2%(!"),)4!4)/. s 3+),,%$ .523).'