Hospital Newspaper New England Nov:Dec 2014 ebook

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Rehabilitation The Best Patient Care Services

Respite Stays Benefit Everyone, Especially Alzheimer’s Caregivers p4 “Adapting” Therapy Education p12 Nature, Art and a cat named Sid: Ann’s story p14 Gaylord Specialty Healthcare held Therapeutic Horse Event at Wallingford Facility p16

Special Education & Career Section Continuing Ed Opportunities Begins p10

CHANGE SERVICE REQUESTED

Patient Tony Sarmento receives a kiss at a Therapeutic Horse Event at Gaylord Specialty Healthcare.

See more p16 Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

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Nov/Dec 2014

Hospital Newspaper - NE

Come see what’s happening on Main Street.

The Village at Waveny provides a unique gathering place designed to stimulate and engage memory impaired seniors. The familiar, comforting environment of small town Main Street is a site for interaction among our Assisted Living residents, Adult Day Program participants, volunteers, staff, family and friends. The Village is located in New Canaan, Connecticut, where seniors from all areas are welcome. Find out more about everything we have to offer by calling Ginny Carroll at 203.594.5331 or visiting waveny.org.

You don’t have to be an eldercare expert to appreciate continuity in care.

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As your needs and preferences change, we’ve got the solution.

At Waveny LifeCare Network, person-centered care is at the heart of our mission. Like a river, our programs, services and residential options flow together fluidly to benefit those we serve. We welcome older adults from all areas. To find out more or arrange for a tour of our award-winning New Canaan campus, call us at 203.594.5331 or visit us online at waveny.org.

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Hospital Newspaper - NE Nov/Dec 2014

A Stair Dedication Ceremony was recently held at The Inn, Waveny LifeCare Network’s independent living residence. The new stairs were made possible by a generous donation from Thomas Gillespie in memory and celebration of his mother, former Inn resident, Florence Gillespie.

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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

- Ý decades, one philosophy...

Unparalleled Care.

Unparalleled Caring.

IT’S

A PROMISE THE S ALMON FAMILY HAS BEEN FULFILLING AT B EAUMONT FOR THREE GENERATIONS .

WE SPECIALIZE IN COMPLEX MEDICAL AND POST-SURGICAL CARE IN A WARM, PATIENT-CENTERED ENVIRONMENT:

provided

• Orthopedic Recovery • Neurological Rehabilitation

• Amputation &

Pictured: The Gillespie family – Thomas Gillespie, his son Douglas Gillespie and wife, Serena, and children Alexandra and Douglas Jr.

Prosthetic Care

• Skin/Wound Management

Gaylord Specialty Healthcare named first ever Vapotherm Center of Excellence Gaylord Specialty Healthcare, a long-term acute care hospital located in Wallingford, Conn. has been named a Vapotherm Center of Excellence, the first in the entire country to be recognized for its performance and outcomes with Vapotherm High Flow Therapy, which provides support for patients in respiratory distress.

Vapotherm, which provides the delivery of breathing gases for noninvasive ventilation for patients with acute or chronic respiratory disorders, was first introduced into the market in 2004. Since its introduction, it has been used on over half a million patients to provide a safe, comfortable and effective alternative to more invasive methods of ventilation support.

"Gaylord is truly a leader, and its use of Vapotherm at its facility to treat patients has had a positive outcome on all levels,” said Joseph F. Army, President + CEO, Vapotherm. “The Vapotherm Center of Excellence is the highest recognition a Vapotherm provider

• Cardiac & Pulmonary Recovery

can receive, and only the best of the best are considered. As the first Center of Excellence designee, Gaylord has set the bar very high.”

Gaylord uses Vapotherm technology as a standard of care for tracheostomy humidification and non-invasive ventilation for its patients, and has met all the program requirements and demonstrated consistent best practice use of the technology – a criteria for its Center of Excellence distinction.

About Gaylord Specialty Healthcare Gaylord Specialty Healthcare is a not-for-profit long-term acute care hospital that specializes in the care and treatment of people with medically complex and intensive rehabilitation issues. With its main campus in Wallingford, CT, Gaylord operates outpatient therapy centers in Wallingford and North Haven, and sleep medicine centers in Glastonbury, Guilford, North Haven and Trumbull.

• Palliative Care • Oncology Management • Pain Management • Diabetic Management • Enterostomal Care

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Nov/Dec 2014

Hospital Newspaper - NE

Respite Stays Benefit Everyone, Especially Alzheimer’s Caregivers

In the past year, 15.5 million family and friends provided 17.7 billion hours of unpaid care to those with Alzheimer's and other dementias. Nearly 60 percent of these caregivers rate their emotional stress as high or very high, and more than one-third report symptoms of depression.

When a survey co-sponsored by The National Alliance for Caregiving and AARP asked such caregivers what they needed most, the majority responded “free time or a break for themselves.”

Respite care, a service offered by The Village at Waveny, provides caregivers with a temporary break from caregiving by providing safe, temporary lodging and care for individuals with memory loss. It enables caregivers to rest, relax and catch up with family and friends.

“Individuals who provide care for a loved one with Alzheimer’s need to take advantage of services that allow them to step away from the caregiver role from time to time,” said Susan Klehm, RN, Director of Resident Care at The Village at Waveny – a unique residence designed to provide the most advanced therapeutic benefits for people with memory loss.

“Respite services offer adult children and spouses of people with memory loss a chance to recharge their batteries. When you are involved in 24-hour care, day-today tasks are harder to take care of and you begin to neglect your own needs. A short placement in a safe and therapeutic environment enables caregivers to attend to themselves and other family members appropriately.”

As a group, Alzheimer caregivers are twice as likely as other caregivers to be providing the highest levels of care for more than 40 hours a week, and thus face a greater risk of developing such stressinduced conditions. Respite services can alleviate some caregiver burden and, in doing so, help to maintain personal wellbeing and a healthy lifestyle.

“Caregivers should know that we welcome short-term guests for stays as brief as a week or as long as a month or more,” said Ginny Carroll, Director of Admissions at Waveny. “Whether taking a vacation or simply enjoying some time to themselves, caregivers can enjoy peace of mind knowing their loved one is safe and being cared for by a highly-qualified compassionate staff.” Many caregivers find that when care is resumed at home after a respite stay, it can be a little less stressful for everyone.

There are numerous benefits offered to individuals with memory loss through a short-term stay in a therapeutic residential setting. The Village’s comprehensive program of social, recreational, cultural and memory-enhancing activities helps to enhance each respite guest’s health and wellbeing. In addition, assessments for rehabilitation to increase strength and balance are available, as are complete medication assessments and evaluations for services that can enable a safe return home – possibly for a longer length of time.

Short-term stays also enable families and seniors to gain a sense of trust and confidence in caregivers outside the home.

photos prov ided

Award-winning “Main Street” at The Village at Waveny, an assisted living residence in New Canaan, Connecticut specifically designed to provide the most advanced therapeutic benefits to people with memory loss. The Village proudly offers respite services to families so that caregivers can regain some necessary personal time.

Offering flexibility to meet the varying needs of caregivers, respite stays at The Village can be as short as a week, or as long as a month or more.

“It is truly in a caregiver’s best interest to schedule respite stays into his or her loved one’s care plan, so they don’t burn themselves out physically and emotionally,” said Waveny Campus Administrator, Ron Bucci. “Unfortunately,” he added, “some caregivers feel it is selfish to focus on their own needs or believe that no one can care for their family member like they can. They end up waiting until they are overwhelmed and exhausted before getting help. Such situations are detrimental to all parties involved. Caregivers should know that they are not alone and that there are highly-qualified people and community resources available to help them.”

Bucci also emphasized that in addition to using respite services during a personal emergency or in order to regain some time for personal rejuvenation, a respite stay can serve as a helpful and convenient way for families and potential residents to “try out” assisted living before long-term decisions are made. “If an older adult needs 24-hour assistance,” said Bucci, “short-term stays can provide a much-needed opportunity for

caregivers and care recipients to ‘test the water’ in an assisted living residence.

Many of our families find that their loved ones quickly take comfort in the secure, caring setting offered at The Village and enjoy the camaraderie and activities shared with their peers while they are here.”

Waveny LifeCare 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 The 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, Waveny at Home, the Brown Geriatric Evaluation Clinic, a Geriatric Care Management team that provides 24-hour coverage, an Adult Day Program available on weekdays with flexible hours, inpatient and outpatient Rehabilitation Services, and respite programs at The Village and Care Center. For information call 1-855WAVENY-1 or visit www.waveny.org.

Hospital Newspaper - NE Nov/Dec 2014

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Fairlawn mural wins National Design Award A pictorial-textual mural tracing the history of Fairlawn Rehabilitation took first place in the 2014 American Health and Wellness Design Awards competition.

Created by ACCESS TCA, Inc. in Whitinsville, MA, the mural was installed in the hospital’s main lobby last year. It was among more than 1,000 competition entries, including ones from the National Institutes of Health, Centers for Disease Control, Abbot Labs and Pfizer, MS Society, and American Heart Association. The competition celebrates the power of graphic design to serve people, organizations, products and services that foster health and wellness in American society.

The 5’ x 10’ mural tells the story of how a 120 year-old brownstone mansion that once served as the home of a prominent Worcester builder transitioned to a small community hospital and then to the area’s first and only acute rehabilitation hospital.

It includes photographs dating back to the late 1880’s through present day.

The mural was unveiled in October 2013, marking the culmination of Fairlawn’s year-long celebration of its 25th anniversary as an acute rehabilitation hospital. photos provided

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Nov/Dec 2014 January, 2009

Hospital Newspaper - NE Healthcare Newspaper - Westchester

VIEW OUR VIEW OUR

ADVERTISER INDEX ADVERTISER Company Company

Page Page

Classifieds AdCare Hospital

28 15

A&T Healthcare Cambridge College

19 11

Barksdale Home Care

Fairlawn Rehabilitation Hospital Executive Park Physical Therapy Florence Medical Uniforms Fast Forward Marketing

Hudson Valley Radiology Associates The Greens at Cannondale

14 5 32

19 1

31 21

Keystone Financial Services Jewish Senior Services Medco

5 17 30

North Broadway MidState WealthChiropractic Management

137

Public Safety Ad

27

Resource Ctr Directory Silverman for Gender Selection

22 8

Metro West Medical Billing MedExcel

Points Medical NY State Society of Anesthesiologists Nexera Consulting Resource Directory

Spine Care Salmon Beaumont Rehabilitation Team Health Seven Hills Pediatric Center Upright Imaging

Shrewsbury Children’s Center Westchester Spinal Decompression Ctr

23 3

4 24

9 29

9 3

13 7

12 11

EALTHCARE NEWSPAPER

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MANAGING EDITOR (Jim@hospitalnewspaper.com) • • •Burak Cathryn MANAGING EDITOR (Cathy@healthcarenewspaper.com) • • •Burak Cathryn (Cathy@hospitalnewspaper.com) SENIOR CORRESPONDENT • • Collier Geraldine• A. SENIOR SALES CONSULTANT • • • Maureen Rafferty Linell SENIOR SALES CONSULTANT (MRLinell@charter.net) Maureen Rafferty Linell

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Hospital Newspaper - New England edition - Vol. 11 No. 6 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.

845-534-7500••(fax) (fax)845-534-0055 845-534-0055 845-534-7500 Info@Belsito.com Info@Belsito.com A division of:

Keepings during the Holiday Season Deck the spirits Halls in thishigh economy?

Every year hospital's are faced with keeping the holiday spirit alive for patients that can't be at home.

By Jimbenefit Stankiewicz Patients year-round from the outpouring of generosity the community demonstrates, especially during the holidays.

General Manager Each December, there are multiple opportunities to capture the kindness of the season through the donation of time, talent and treasure.

In a most challenging year most people are poised to cut back on traditional Some ideas include: holiday expenditures. a holiday for a whole family!

I was recalling some memories growing upProviding when things seemed very tight This option includes being assigned a family and given information for each member. You would and our family seemed to almost become closer. One such year was to fulfill their holiday needs. After wrapping your gifts they would then shop for the when whole Ifamily about 11 years old I joined my three sisters and brother the downstairs area delivered to a special North Pole at the hospital. be in of our home in Newburgh. We made Christmas tree decorations out of conGifts in and kindwe for Donations struction paper and glitter and my Mom popped a bunch of popcorn Sometimes spray painted string of popcorn gold for garland. When I look back it was onejust helping a family with unique donations like providing meals, of the most memorable Christmases we shared. There was spirit ofGrocery being gift cards and rides to the hospital for the elderly are just what is needed. together.

Please send in your best stories from past holidays and some plans for the This was when I realized it wasn't about what gifts we received or who hadseason. Hospital News wishes your family a safe and healthily upcoming the best light show on the block. It really is about spending quality holiday time with season!

Please share your stories with us: news@hospitalnewspaper.com. people you love. It's about helping others less fortunate then your self.

Jim can With the events of this year you can't help think that there is a new opportu-be reached at 845-534-7500 ext. 219 and via email at nity to enjoy the basics. Are there seniors who need a little attention?jim@hospitalnewspaper.com.

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!

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Respite Stay Everyone, s Benefit Especially Alzheimer’s Caregivers “Adapting” Education Therapy Nature, Art and a cat named Sid: Ann’s stor y Gaylord Spe held Ther cialty Healthcare apeutic Hors at Walling e ford Facility Event

WESTCHESTER COUNTY

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Continuing Ed Opportuniti es

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Hospital Newspaper - NE Nov/Dec 2014

PAgE 7

Milford nurse recognized for compassionate care Marissa Zingaro of Milford, a nurse in the surgical intensive care unit, is the latest monthly recipient of the Bridgeport Hospital Quality Award for her compassionate patient care.

Marissa, who joined the hospital two years ago, was nominated after caring for a young man who suffered a fatal injury in August. “Marissa devoted three shifts to never leaving this patient’s bedside,� her nominator, fellow nurse Tom Fedora, wrote. “After a difficult meeting, the family made the decision to donate the patient’s organs. Looking on, I could tell the family was saying goodbye.�

Marissa stood outside the patient’s room to give the family some privacy. “What I saw next said more about Marissa than any words could,� Tom wrote.

With tears streaming down his face, the patient’s father grabbed Marissa and gave her a hug. “Marissa connected with this family as more than a caregiver,� said Tom.

“She became a mentor, guiding them through the process of losing a son.�

The Bridgeport Hospital Quality Award, launched in April, combined and replaced two former recognition programs, the Employee of the Quarter program and the Making the Difference program. The new program is driven by accounts from patients, families and co-workers about the outstanding care provide by hospital staff members. Recipients of the award receive a certificate and an engraved glass bowl.

Nomination forms for the award are available on the hospital website, www.bridgeporthospital.org, by selecting “Recognize a Caregiver� from the menu at the bottom of the home page.

Part of Yale New Haven Health System, Bridgeport Hospital is a 383bed acute care hospital (plus 42 beds licensed to Yale-New Haven Children’s Hospital) serving parts of Fairfield and New Haven counties. The hospital admits more than 18,000 patients and receives more than 240,000 outpatient visits annually.

provided

(l-r) Daniel Walsh, director, Patient Experience and Volunteer Services; Jancee Pust-Marcone, nurse manager, Surgical Intensive Care Unit; Quality Award recipient Marissa Zingaro; and MaryEllen Kosturko, chief nursing officer.

Seeven Hills P Seven Pediatric ediatr ic Center is taking aking healthcar healthcaree to ne new w heights as one of the topp nnursing ursing facilities facilities in the country. country.

Ann expert expert in long-ter long-term m car caree and short-term short-ter m rrespite, e espite , Se Seven ven Hills P Pediatric ediatr ic Center Ceenter also provides provides short-term, shor hort-ter m,, post-hospitalization tion to childr children en and an nd young young adults who are are in rehabilitation rehabilitation habilitation and transitioning ansitioning fr from om hospital to home home. ome. The state-ofthe-art the-ar e-art facility facility is equipped with the most medically advanced provide treatment ad dvvanced technology technology to pr ovide tr eatment to each ea ch child in the privacy pr ivacy of his or her beautifully appointed ap ppointed room. room.. The specially trained rained staff is prepared pr repared to provide provide car caree for a fe few w weeks weeks to a few fe w months,, and collaborates with th yyour our child’ child’ss physician develop ph hysician to de velop the skills and nd utilize all community co ommuunity resources resources to make make a smooth transition back ba ack into your your home home..

Seven Hills

Too lear T learnn mor moree or to schedule a tour tour,, please contact JJennifer ennnifer Amadon,, Director Director of Admissions, Addmissions,, at 978.732.5311 97 78.732.5311 or jamadon@sevenhills.org. jamadon@seveenhills.org. nhills.org.

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Nov/Dec 2014

Hospital Newspaper - NE

Ask An Expert Implanting a Better Solution in the OR

By Perry Sham Vice President Nexera Consulting

A typical joint replacement orthopedic team comprises surgeons, anesthesiologists, nurses, surgical technicians, and, at times, a surgical implant sales representative. The role of a sales rep spans technical support, troubleshooting, inventory management, and ensuring that devices are available during cases—all valuable matters of business.

The importance of implant procedure functions notwithstanding, the sale rep model is not without issues. Some industry stakeholders believe that hospitals generally over rely on vendor sales reps, leading to loss of device neutrality and increased costs. While the hospital may not be paying the rep a salary, rep charges are built into the manufacturer's selling, general, and administrative costs, making up about 40% of the total implant expense. At the same time, implant procedure reimbursement rates have fallen far behind.

CMS rates for hip and knee reimbursements dropped from $1,600 in 2013 to $1,350 in 2014—a 15% decline in a single year. Orthopedic Network News (ONN) calculated a 171% increase in list price for coated hip implants between 1991 and 2006. Over the same period, ONN calculated a 39% decrease in physician payments and a mere 19% increase in hospital payments. Surgical implants are one of the largest spend categories for hospitals, which is why cost-containment efforts in this area are consistently a top hospital priority.

Hospitals have adopted various cost-reduction options in the past few years, including standardization strategies, aggressive negotiation tactics, and most recently, the rep-less model. Manufacturers now offer surgical implant programs that eliminate the sales rep, a move that has resulted in over 40% of supply cost savings for some institutions. Despite the savings, the rep-less model has its flaws, namely the staffing shift. When the hospital stops engaging the manufacturer sales rep, those OR responsibilities—like inventory management and surgical support—are displaced and reassigned to an already-occupied existing member of the surgical team.

What the rep-less model needs in order to be most effective is objective surgical and inventory management support to assume those unaccounted for responsibilities—an addition to the team who has undergone proper training.

Applying our expertise in physician preference item purchasing and value analysis, Nexera has developed the Nexera Implantist Program™. We can either train existing or new in-house technicians, or provide a third-party resource altogether. The overall goal of the program is to find ways to reduce costs and improve quality in the short and long term. Not only does the objective model lend itself to the development of long-term cost-containment efforts that are free of conflicts of interest, but it encourages hospitals to take an active, autonomous role in understanding the connection between purchasing practices, value analysis of high-cost items, and what they mean to the bottom line.

Mr. Perry Sham is Vice President, Nexera Consulting. He is responsible for practice leadership for Nexera’s financial improvement, performance improvement, technology optimization, strategic advisory services, and project management services in facilities throughout the U.S. and internationally. With over a decade of healthcare experience, Mr. Sham’s work has encompassed financial improvement in large-scale cost reduction and comprehensive revenue cycle management, data management, analytics, and process redesign.

Hospital Newspaper - NE Nov/Dec 2014

What’s Wha at’s y your our ccost-containment ostt-containme ent str strategy ategy ffor or implants implants? s?

From 199 From 19977 tto o 2007, rreimbursement eimbursementt ffor or hip p rreplacements eplac p ements ffell ell ne n nearly arlyy 26%, while the aver average ragge sellingg pric p pricee ffor or a ttotal otal jjoint implant iincreased ncreased more more than 130%.

130% %. Implant pric prices es ccontinued ontinued tto o incr increase ease 8% a ye year, ar, while w Medic Medicare are dr dropped opped hip p and knee rrates ates e 15% in 2014 alone. Thee Americ American an Ac Academy ademy of Orthop O Orthopaedic aedic Sur Surgeons geons est estimates timates that knee rreplacement eplacement e volume will w jump 670% and primar primary ry hip rreplacements eplacements 174% % be between tween 2006 and 2030. Are Are you ready? ready?

Intr oducing the Nex era Implantist P Pr ogram™, an inventive ap pproach tto o managing surgical surgic g al implant de vice procedures procedures Introducing Nexera Program™, approach device peerioperative ser vices. Thee Implantist Pr ogram aim ms tto o help hospit als ttake akke b ack rresponsibility esponsibility ffor o the or within perioperative services.

Program aims hospitals back manag gem ment of sur ggical implant p pr p rocedures thr ough g dir ect p pur chasing, g, ggeneric eneric alt ernatives,, invent ory manag gem ment, management surgical procedures through direct purchasing, alternatives, inventory management, interim ssupport, upport, and st aff tr ainingg tto o est ablish an in-hous se, objective resource resource to to accompany accompany physicians during interim staff training establish in-house, procedures. procedures. strategic partner surgical device management. moree inf information Nexera LLet et Nexera Nexerra be your str ategic p artneer in sur gical implant de vicce manag ement. For For mor ormation about the Nex N era Implantist organization please Perry Vicee Pr President Implantis st Program Program and how we can can a help your or ganization ccontain ontain ccosts, osts, ple ase ccontact onttact P erry Sham, Vic esident sident Nexera of Nex era Consulting at psham@nexerainc.com. psham@n nexerainc.com.

Follow F ollow us u on

555 West 57th S Street treet | Ne New w YYork, ork , NY 10019 | www www.nexerainc.com .nexerainc.com

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Nov/Dec 2014

or nfo f i t s e Lat es and

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Hospital Newspaper - NE

Nurse’s Viewpoint

By Alison Lazzaro, RN

Hospital Newspaper Correspondent

The Fifth Vital Sign According to the Department of Pain Medicine and Palliative care (2014), pain is "a perception that signals the individual that tissue damage has occurred or may be occurring. It is subjective and very complex." Pain usually refers to physical sensations, with synonyms including: ache, twinge, prick, torture, misery, and throbbing. No matter which specialty, nurses have a challenging job of assessing and managing each individual patient's pain.

Pain experiences are defined differently according to various disciplines such as medicine, nursing, and sociology.

For instance, in sociology, pain is believed to be learned from the individual's parents and family and conform to the pain expectation of the cultural society. Therefore, behavior responses to pain may vary.

The concept of pain is involved in every step of the nursing process from assessment, diagnosis, planning, implementation, and evaluation in order to provide holistic, patient-centered care. Some barriers to properly managing pain are a lack of clinical guidelines, lack of structured pain assessment tools, limited autonomy in decision making and the patient's condition itself. The main challenges that face the nurse are 'reading the patient', dealing with moral dilemmas, approaching gatekeepers (physicians), and dealing with organizational hindrances.

Unrelieved pain has many negative consequences for the patient. For instance, continuous, unrelieved pain activates the pituitary-adrenal axis, which can suppress the immune system and result in postsurgical infection and poor wound healing. This has negative effects for nursing care because uncontrolled pain can predispose patients to adverse problems including decreased mobility, deep vein thrombosis, pulmonary embolus, atelectasis, and pneumonia.

Socially, unrelieved pain can result in depression in some patients, which can sometimes lead to substance abuse issues. Nurses are on the frontlines of preventing and controlling patient's pain in order to increase their ability to participate in activities of daily living, decrease body system damage, and live more stress free lives.

In critical care, it can be difficult to assess and care for nonverbal patients who are ventilator dependent or sedated.

In response to these situations, many behavioral pain scales focus on facial expression and body movement. It is necessary to assess for tachycardia, diaphoresis and restlessness in addition to vital sign changes in order to astutely control pain in the acute setting.

In addition to pharmacological interventions, position change, relaxation techniques, integration of family presence and heat/cold interventions may help.

Pain may be a common concept and affects patients from birth to death. Nurses need to be more cognizant of pain management.

Nurses should be up-to-date on the latest evidence based practices, as well as pain assessment tools for their patient population.

Hospital Newspaper - NE Nov/Dec 2014

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education & careers Day Kimball Healthcare Doctor appointed to State of Connecticut Council Dr. Kesselman joined DKH in 2002 and focuses her practice on obstetrics and gynecology (OB/GYN). She is a graduate of Lafayette College in Pennsylvania and earned her medical degree from the Sacker School of Medicine, University of Tel Aviv. Dr. Kesselman is Board Certified and a fellow of the American College of Obstetrics/Gynecology. She is a certified facilitator of the Steward of Children: Darkness to Light program; a founding member and member

of advisory council of the Northeast Connecticut Women & Girls Fund; a member of Board of Directors of TEEG; and a member of The NEST (Northeast Connecticut Support Team, a community collaborative to support healthy and safe environments for children and families).

Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day

Kimball HomeCare, Hospice & Palliative Care of Northeastern CT, Day Kimball HomeMakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities.

Day Kimball Healthcare’s comprehensive network offers more than 1,400 employees including nearly 300 associated, highly-skilled physicians, surgeons and specialists. Its website is www.daykimball.org.

provided

Erica Kesselman, MD, FACOG, Day Kimball Medical Group, which is part of the Day Kimball Healthcare (DKH) integrated health system, has been appointed a member of the State Advisory Council on Children and Families

by Connecticut Governor Dannel P. Malloy.

The Council, mandated by Connecticut Statute, Sec. 17a-4, consists of 15 members appointed by the Governor. The primary duties of the Council are to “…review policies; recommend programs, legislation or other matters that will improve services for children, youth and families; review and advise the Commissioner (Department of Children and Families Commissioner Joette Katz) on the proposed agency budget; perform public outreach to educate the community regarding polices, duties and programs of the Department and issue any reports it deems necessary to the Governor and the Commissioner.”

“About 21 percent of our state’s population of some 3.5 million people are 18 years of age or younger,” said Dr. Kesselman. “These 735,000 young people and their families have a wide range of needs that require the state’s attention. I’m flattered to be named to an organization focused on this segment of our community and welcome the opportunity to add my voice on behalf of young individuals and families across Connecticut.”

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PAGE 12

Nov/Dec 2014

Hospital Newspaper - NE

education & careers “Adapting” Therapy Education photos provided

It’s a sunny August morning on a dock along the Little Mystic Channel near Spaulding Rehabilitation Hospitalin the Charlestown Navy Yard. A group of 20 entrylevel Doctor of Physical Therapy (DPT) students from nearby MGH Institute of Health Professionshuddles around instructor Allison Stoll, DPT, who explains how someone with a spinal cord injury can paddle a canoe.

As Stoll lists a number of approaches that combine the keen clinical intellect needed for patient care with the ingenuity to adapt to a patient’s needs, this next generation of therapists learns how they could include adaptive sports as a key piece of their therapy tool box.

“Now I have a better understanding of what people with disabilities have to go through to do something like this,” said third-year student Maria Victoria, climbing out of an adaptive Hawaiian-style outrigger canoe.

The class, a new collaboration between the two Partners HealthCare System affiliates, occurs at Spaulding Adaptive Sports Center’s Dr. Charles H. Weingarten Program, located at the east end of the former naval shipyard and just a short few blocks from the graduate school’s campus. Since its 2001 inception, the hospital’s award-winning and cutting-edge adaptive sports program led Mary Patstone, Director of Spaulding Adaptive Sports Centers (SASC) has assisted thousands of people

with disabilities participate in such activities as handcycling, kayaking, windsurfing, and even golf.

Participants range from needing significant equipment modification and full transfer assistance to those who need minimal modification or assistance. Regardless of ability, all participants are expected to be engaged to the full extent of their possibility, even if it involves securing a specially designed paddle grip onto their arm so they can help propel the boat.

“It’s a real eye-opener to see learn how people can do these activities,” says student David Debaere. “It can allow them to have a more involved and fuller life.”

First of its kind class The first of its kind six-week class came about rather quickly when Oswald “Oz” Mondejar, Senior Vice President of Mission and Advocacy at Spaulding, Mary Patstone, SASC Director, and a board member at the MGH Institute, discussed the idea with School of Health and Rehabilitation Sciences Dean Dr. Leslie Portney and her team.

For Mondejar, a lifelong disability advocate, the gap between formalized clinical training of adaptive sports activities and the documented positive outcomes was a great opportunity. And when the class filled minutes after it was offered, the three knew they were indeed on to something.

“The independence that a job provides, especially for those newly disabled, is so critical to the long-term quality of life of that individual as well as the greater community,” Mondejar says, who points to a 2009 study by Disabled Sports USAthat found people with disabilities who engage in adaptive sports activities were twice as likely as their non-participating counterparts to be employed.

While there are several adaptive sports certificate programs such as Blaze Sports America in Colorado, this is one of the first begin incorporating it into a physical therapy graduate degree curriculum.

“This opens a whole new avenue for our students to better understand how therapy plays an important role in a person’s full participation in life activities,” says Dean Portney.

“I look forward to working with our partners at Spaulding, as well as our faculty and students from physical, occupational and speech therapy, to create a vibrant interprofessional environment, to expand opportunities in winter sports, clinical research, and more.”

The students completed their sixweek course with their final exam involving working with real participants with disabilities, putting into practice the critical thinking and techniques they learned and ready to educate their peers on the benefits of adaptive sports.

“Spaulding and the Institute are at the forefront of something that could transform the approach to rehabilitation therapy education,” says Mondejar.

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Vital Healthcare Capital and Robert Wood Johnson Foundation announce $10 Million loan to Commonwealth Care Alliance · Pioneering model of care for vulnerable populations receives financing to support rapid growth in population served · Loan marks first investment from Vital Healthcare Capital toward pioneering models of healthcare Vital Healthcare Capital (VCap) and Robert Wood Johnson Foundation (RWJF) recently announced a $10 million investment in Commonwealth Care Alliance (CCA) to support a promising model of care for patients who are dually eligible for Medicare and Medicaid.

The loan – the first provided by the new social-impact fund, Vital Healthcare Capital, through support from the Robert Wood Johnson Foundation – provides funds needed by CCA for financial reserves required by the Commonwealth of Massachusetts as CCA rapidly expands membership in its programs. The loan is also intended to support CCA’s commitment to enhancing the roles of frontline healthcare workers in delivering quality person-centered care.

CCA’s expansion comes as Massachusetts continues to pioneer integrated, patient-centered care for people who are eligible for both the federally run Medicare program and the state and federally run Medicaid program. The newly created Massachusetts One Care: MassHealth plus Medicare program was the first demonstration program for dual eligibles to launch under the Affordable Care Act (ACA).

Since its beginning in October 2013, CCA has enrolled 7,846 members in this innovative program for dual eligibles ages 2164—more than any other participating plan. CCA also pioneered care for dual eligibles over 65 under its Senior Care Options (SCO) program, which began in 2004 and currently serves 6,000 patients.

While this so-called “duals” population comprises only 15 percent of Medicaid beneficiaries, it comprises upwards of 40 percent of spending for Medicare and Medicaid, making it a critical component of reforms aimed at improving the quality and value of healthcare.

CCA has proven that its model of care works. For example, CCA’s Senior Care Option Medicare Advantage Special Needs Plan has maintained a 4.5 star rating from the Centers for Medicare and Medicaid Services for three consecutive years while demonstrating a nine-year cost

trend that is significantly lower than the larger Medicare program.

In addition, when looking at key metrics such as hospital admissions and re-admissions, CCA has repeatedly proven that its highengagement care model helps vulnerable patients live healthier lives.

“In partnership with Robert Wood Johnson Foundation, we are honored to announce our investment in Commonwealth Care Alliance and its integrated model of care,” said Steven Weingarten, CEO of the newly launched Vital Healthcare Capital. “This loan delivers on V-Cap’s mission to meet the capital needs of organizations and providers committed to quality care to our most vulnerable populations.”

“We are so grateful to Vital Healthcare Capital and Robert Wood Johnson Foundation for their support as we continue to address the complex needs of the patients we serve,” said Commonwealth Care Alliance Chief Executive Officer Robert J. Master, MD. “We knew that obtaining reserves financing would be critical to enabling us to scale up our ability to provide fully integrated care for complex and hard to serve individuals, and will be critical to others like us around the country.”

“Commonwealth Care Alliance’s model is a shining example of results-driven care,” said Robert Wood Johnson Foundation senior program officer Michael W. Painter, MD. “As the Affordable Care Act reforms that serve dual eligible patients take effect in Massachusetts and beyond, this type of investment could not be more critical.”

The $10 million loan to CCA marks the official launch of VCap – a new institution dedicated to meeting the capital needs of organizations with innovative, high-impact models of care. VCap was founded to provide quality healthcare delivery and good jobs in communities that need it most. Over the next five years, V-Cap will establish a $100 million revolving loan fund, leveraging $500 million of total project capital for organizations that offer the promise of healthcare reform for patients in low-income communities.

“Our commitment to CCA is the first of what will be many more high-impact investments that support the healthcare needs of our nation’s most vulnerable populations,” said Weingarten.

About Vital Healthcare Capital Vital Healthcare Capital (VCap) is a nonprofit community development financial institution founded on the dual mission of supporting quality healthcare and good healthcare jobs in low-income communities. Over the next five years, Vital Healthcare Capital will establish a $100 million revolving loan fund, leveraging $500 million of total capital, to support projects that show particular promise in improving healthcare and health employment for vulnerable populations in communities that have traditionally lacked resources. V-Cap’s first transaction, made in partnership with Robert Wood Johnson Foundation, involved a $10 million loan to scale the integrated care plan of Commonwealth Care Alliance

in Massachusetts. V-Cap is led by an experienced management team with backgrounds in finance, healthcare, labor and community development.

About the Robert Wood Johnson Foundation For more than 40 years the Robert Wood Johnson Foundation has worked to improve the health and health care of all Americans.

We are striving to build a national Culture of Health that will enable all Americans to live longer, healthier lives now and for generations to come. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.

About Commonwealth Care Alliance Commonwealth Care Alliance is a nonprofit care delivery system committed to providing integrated healthcare and related social support services for people with complex needs covered under Medicaid and for those “dually eligible” for both Med-

icaid and Medicare. Commonwealth Care Alliance offers the Senior Care Options Program (HMO SNP) for individuals ages 65 and older, who have Medicare and MassHealth Standard or just MassHealth Standard alone, and One Care: MassHealth plus Medicare, for dual eligible individuals ages 21 to 64. These comprehensive health plans provide all the services covered under Medicare and MassHealth, and other benefits as determined necessary by the members’ interdisciplinary primary care team. Senior Care Options Program is a health plan with a Medicare contract and a contract with the Commonwealth of Massachusetts/EOHHS. Enrollment is voluntary.

For more information on Commonwealth Care Alliance, visit www.commonwealthcarealliance.org or call 1-866-610-2273.

Commonwealth Care Alliance is not affiliated with the Commonwealth Health Insurance Connector Authority’s Commonwealth Care program.

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Nov/Dec 2014

Hospital Newspaper - NE

Nature, Art and a cat named Sid: Ann’s story

By Mary Herman-Cappoli Ann McDougle is living a new reality. It began last January and has been evolving ever since.

Last January – that’s when an aneurysm burst in Ann’s brain, resulting in a two-week stay in the ICU at UMass Medical Center. She recalls very little of her time there, but she does know doctors performed a three-hour procedure to contain the aneurysm.

She also knows that UMass clinicians worked as a team, caring for her family as well as her. “They kept my three sons well informed along the way, including them in morning rounds and showing them my 3-D X-rays. The care was outstanding,” she said.

While the UMass team saved Ann’s life, it was clear she would need help putting her life back together. “I was very confused. I was having trouble identifying my family, had a very short attention span and very little recall,” she said, mentioning a time she tried to eat with an upside down spoon.

So her next stop was Fairlawn Rehabilitation Hospital.

When she arrived at Fairlawn, she was also having difficulty constructing thoughts and sentences. “I would search for words or forget what I was trying to say and jump to something else,” she recalled.

Given those cognitive deficits, as well as her impaired coordination and endurance, Ann began intensive PT, OT and speech therapies.

said, adding that her speech therapist gave her lots of homework so she could continue improving her memory and concentration.

Ann received services through the home care division of the Jewish Healthcare Center. She credits them and her Blue Cross Blue Shield case worker with ensuring she was physically and emotionally ready for another neuro procedure in March.

But it’s not just healthcare providers who have helped Ann to live her new reality, one in which she still struggles with a bit of fatigue and distractibility. Her family and many friends have been a huge part of her healing process.

This summer, when continued lack of concentration made it difficult for her to pick up her paint brushes again, she decided to give photography a try. Using her new IPad, she spent hours in her outdoor sanctuary capturing close-ups of nature in bloom. At the same time, she began collecting images of Sid, a neighbor’s playful cat who pretty much thinks Ann’s house is his too.

“I was so content all summer in my gardens planning my colors, dividing plants, adding new ones here and there. Then I would take photographs and post them on Facebook. I received many complements, which was so nice. Talk about therapy!” she said.

Ann works with her photographs at home.

“The therapists were professional and goal oriented. I felt as though I was a partner in my therapy sessions and that we were working together towards the goal of getting me independent.”

During the journey, Ann climbed more stairs than she cares to remember, dealt with the initial frus-

tration of not realizing a square peg just wouldn’t fit in a round hole, and burning a couple of grilled cheese sandwiches during an OT cooking activity.

But “I was independent at discharge. I could feed, dress and bathe myself. I just needed someone with me to walk outside,” she

Sid plays under the Hosta leaves in Ann’s backyard.

Ann chats about one of her watercolor paintings exhibited in Fairlawn Rehabilitation Hospital’s Patient-Staff Art Gallery.

So have nature, art, and a cat named Sid. “The therapists were professional and goal oriented. I felt as though I was a partner in my therapy sessions and that we were working together towards the goal of getting me independent.”

An artist who worked in many mediums prior to her illness, Ann is also an avid gardener. Her backyard is filled with flowering plants that bring color to her world well into the autumn months.

photos provided

Ann also makes greeting cards with her paintings, photographs and designs. She recently exhibited her photos locally and even shared some of work through Fairlawn’s Patient-Staff Art Gallery.

Returning to Fairlawn for the exhibit opening was a positive experience: “Going back to Fairlawn made me realize how far I have come since I was a patient there, and I really enjoyed being a part of the group.”

Hospital Newspaper - NE Nov/Dec 2014

Page 15

AdCare Hospital completes acquisition of Alcohol and Drug Treatment Center in North Kingstown, Rhode Island David W. Hillis, Chairman of AdCare, Inc., has announced the opening of AdCare Rhode Island, situated on 29-wooded acres just off of Route One in North Kingstown, Rhode Island, effective October 1st. Formally SSTAR of North Kingstown, AdCare’s new addiction treatment program provides medically-managed inpatient detoxification from a range of addictive sub-

stances; crisis stabilization for individuals with co-occurring substance abuse and psychiatric symptoms; and acute residential /rehab encompassing a full range of clinical services to stabilize patients and engage them in ongoing recovery and aftercare.

“The addition of AdCare Rhode Island augments AdCare’s continuum of care significantly,” noted Mr. Hillis.

“AdCare Rhode Island is being renovated to better serve our patients and their families; we are fully operational on one unit while we refresh our second unit.”

Conceived in 1975 as a ten bed alcoholism service in a general hospital, AdCare Hospital has grown to become New England’s most comprehensive provider of treatment services for

persons affected by substance use disorders. With conveniently located inpatient and outpatient facilities in Worcester, Boston, Quincy, North Dartmouth, West Springfield, MA and in Warwick and North Kingston, RI, AdCare is nationally accredited by The Joint Commission and offers nationally recognized treatment for individuals and families affected by substance use disorders.

Landmark Grant awarded to Essex County Sheriff’s Department Reentry Program to target services for mentally ill and substance use disordered adult offenders Awarded to only three agencies across the country, this $600,000 grant was developed in partnership with AdCare Criminal Justice Services and Volunteers of America Massachusetts.

The baseline recidivism rate for the Massachusetts Corrections population is 45.3% (MDOC 2011). The Essex County Sheriff’s Department, AdCare Criminal Justice Services and Volunteers of America will target services to 88 male inmates who have sentences longer than six (6) months and are also identified as being at “high-risk” for disciplinary action and recidivism based on their criminal records, lack of family support, sporadic work experience with past income gained mainly through criminal activity as well as limited education (less than high school) and history of unstable housing. The University of Massachusetts, Lowell will be instrumental in conducting research and tracking results.

The grant provides funds to enhance community safety by addressing the risk factors affecting those with both mental health and substance disorders which heighten their risk for disciplinary issues while incarcerated and for re-offending after release.

Aimed at maintaining a safer correctional environment, reducing recidivism and restoring offenders to productive social roles in the Commonwealth,

The Second Chance Act Reentry Program for Adult Offenders with Co-Occurring Mental Health and Substance Use Disorders program will provide specialized risk assessment, Co-Occurring Disorders (COD) treatment, rapid response to negative behavior driven by COD, increased case management and robust aftercare. – i.e., stabilized housing, medical care, mental and substance use disorder treatment, education, employment skills training and access to transportation.

AdCare Criminal Justice Services provides a range of services that meet the specific and unique needs of sentenced offenders and that assist insti-

tutions in inmate management and recidivism reduction. Conceived in 1975 as a ten bed alcoholism service in a general hospital, AdCare Hospital has grown to become New England’s most comprehensive provider of treatment services for persons affected by substance use disorders. With conveniently located inpatient and outpatient facilities, AdCare is nationally accredited by The Joint Commission and offers nationally recognized treatment for individuals, families affected by substance use disorders.

The Essex County Sheriff's Department houses sentenced county inmates, pre-trial county

inmates and sentenced state inmates. It also houses a handful of federal inmates. The department processes over 8,000 new inmates per year. Essex County Sheriff's Department's top priority is to protect residents in the region from criminal offenders. This is accomplished by housing inmates in a secure and fair manner, providing rehabilitation and academic training to offenders while they are incarcerated, so they will not repeat their mistakes once they are released, practicing correctional polices that comply with all local, state and federal laws, using innovative correctional approaches , and informing and educating the public.

Volunteers of America Massachusetts is a non-profit CARF accredited organization dedicated to serving those most in need, especially the vulnerable, the hardest to serve, and those facing multiple challenges. Our work touches the mind, body, heart, and spirit of those we serve. Volunteers of America Massachusetts provides comprehensive programs for veterans, at-risk youth, individuals formerly incarcerated, adults and youth in recovery from drug and alcohol addiction, elders in need of housing and health services, and those in need of mental health treatment.

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PAGE 16

Nov/Dec 2014

Hospital Newspaper - NE

Gaylord Specialty Healthcare held Therapeutic Horse Event at Wallingford Facility On Saturday, October 18, 2014 Gaylord Specialty Healthcare held a Therapeutic Horse Event at their facility in Wallingford Conn.

Patients had the opportunity to come outside and visit with the horses from the Cheshire Horse Council while participants took part in Hoof Ball, Pony Painting, Therapeutic Riding and more! Approximately 75 people and patients attended the event.

The Cheshire Horse Council at the Therapeutic Horse Event

Patient Nancy Rossi reaches out for a healing touch from her hospital bed at the event.

Pony painting at the event.

Participants playing hoof ball at the event.

photos provided

Hospital Newspaper - NE Nov/Dec 2014

Travel tips for seniors during the holiday season It’s that time of year again, and if you’re planning to travel for the holidays, there are some important things that you should remember. Whether you’re flying out to visit with the family or driving to see family, the following tips will help make sure that you stay safe, save money and enjoy your holiday travel to the fullest • Plan ahead: If you are driving, it makes sense to plan your route and the times you will be traveling ahead of time. Pick the most efficient route for you. This does not mean the quickest route. You want to pick the route that will get you to your destination quickly, but safely. Sometimes that means taking the long way around.

For instance, when traveling near large cities, you will often have the choice of a route around the city or through it. Unless your destination is inside the city, you may want to go around. Taking the long way around will allow you to avoid unnecessary traffic jams and accidents. Plan your route so that you are traveling through the highest traffic areas in the late morning, afternoon, or late evening to avoid the morning and evening rushes.

• Always have a backup: If you don’t have a smart phone or prefer not to use one, take your map and use highlighters.

Highlighting your route will make it easy to see where you are going. Add and highlight exit numbers and rest stops as well.

The easier it is to see, the less stressful your tip will be.

Plan ahead when flying to save money: Purchase your tickets ahead of time for lower prices and travel on lighter traveling days. You can sign up for many online services that will let you know ahead of time about travel deals during the holidays. The day before Thanksgiving and the following Sunday are the busiest travel days, so avoid traveling by air on those days. Flying on Black Friday will almost guarantee that you will avoid the crowds because most people will be shopping.

• Take advantage of mobile apps: iPhone users can take advantage of useful applications on their phones. Smart phones can track airport information while traveling. Keep track of gate changes, flight delays, take-off times, and eating and bathroom locations (for those “gotta go now!” times). Some airlines have apps for check-in, tracking flight status, and even seat confirmation.

Whether driving or flying, smart phones have great GPS applications that will get you where you’re going without having to look at a map.

• Be sure to fill up: Driving in bad weather is taxing enough without worrying about running out of gas. Be sure to fill your tank when it hits the halfway point so that you don’t risk running out.

PAge 17

PAGE 18

Nov/Dec 2014

Hospital Newspaper - NE

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PAGE 19

Hebrew Health Care begins iPod Program Hebrew Health Care is the first long-term care facility in greater Hartford to begin the Music & Memory® program. This is an innovative program sweeping the globe to connect people with advanced dementia to a personalized music playlist to improve well-being. “We need new or used iPods and iTunes gift card donations to bring this program to more than 250 elders in our community,” said Amanda Aaron, TRD, Director of Life Enrichment at Hebrew Health Care.

The program at Hebrew Health Care is generously supported by the William and Alice Mortensen Foundation to provide the staff training, purchase of a laptop and to start the program for residents. The staff and volunteers need to collect old devices (iPod Shuffle, Nano or Touch) or iTunes gift cards for the purchase of music. Cash donations for the program are also accepted.

“Enhancing quality of life through the arts is something we’ve been doing at Hebrew Health Care for more than a decade,” explained Pamela Atwood, MD, CDP, Director of Dementia Care Services for Hebrew Health Care, “but this program is the first which pairs new technology and resident-specific preferences in music. Music therapy, art therapy and dance and movement therapy are provided through our “Fresh Canvas” program. Now we can provide simple, individualized music for those who prefer solitude or cannot participate in groups. Nothing could be more person-centered.”

The Music & Memory program has been gaining popularity with the documentary Alive Inside which chronicles the program developed by Dan Cohen, MSW. The film premiered in Connecticut on September 12th at Real Art Ways in Hartford.

Since receiving accolades at Sundance and other festivals, and since the movie trailer has been viewed by thousands on social media, the program has been providing hope for connecting with people who seem lost in their cognitive impairment.

Hebrew Health Care also utilizes music therapy, and points out that these are two different approaches.

Maggie Carchrie, a Board Certified Music Therapist who works with Hebrew Health Care clarified, “Music therapy is an individualized intervention to engage people in expression and work on specific goals. It is provided by Board-certified music therapists. The Music & Memory program is different; although it may have a therapeutic effect, putting a pair of headphones on and hitting “play” is a facilitated leisure activity.”

“The key to this approach is the personalized playlist,” said Aaron. If you are from the current generation of younger people, the so-called Millenials, it doesn’t mean you will automatically like Justin Beiber and Taylor Swift. Similarly, we cannot assume that all people in their 70s like Sinatra.”

To donate a used iPod or to give iTunes gift cards, call 860-5233885; or for monetary donations call the Development office at 860523-3994.

Hebrew Health Care is a nonprofit, non-sectarian health care provider featuring a full spectrum of integrated and seamless in-patient; out-patient and community based geriatric services to meet the needs of older adults in the Greater Hartford community. Hebrew Health Care is committed to providing comprehensive care of the elderly. Not simply saying it, not simply building it, HHC does it – every day, every week, every year,

for over 113 years. Hebrew Health Care’s commitment to the elderly in the Greater Hartford area is unparalleled and is the foundation on which our reputation for excellence is based. Hebrew Health Care is comprised of the following service affiliates: The Hospital at Hebrew Health Care Hoffman SummerWood Community Hebrew Health Visiting Nurses Hebrew Health Hospice Hebrew Health Assisted Living Services Hebrew Health Adult Day Services Hebrew Rehabilitation Group Connecticut Geriatric Specialty Group The Gene and Anja Rosenberg Hebrew Home and Rehabilitation Center

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Nov/Dec 2014

Hospital Newspaper - NE

RVNA named a Top Workplace, again!

Ridgefield Visiting Nurse Association (RVNA) proudly announces that it has been named a Top Workplace 2014 in southwestern Connecticut by Hearst Connecticut Media for the third time. Based on the results of a 22 question employee survey conducted by Workplace Dynamics for Hearst Media, RVNA was identified as a great place to work. Questions addressed how informed employees feel about important decisions the agency makes, their confidence in organization leaders, and other issues such as salaries, benefits and alignment with agency values, ethics and direction. RVNA is one of 30 small organizations recognized as Top Workplaces in southwestern Connecticut this year. Theresa Santoro, President & CEO, credits this distinction with recruiting and retaining the highest quality staff, year after year, and the warm, open and caring work environment RVNA enjoys. Of being named a Top Workplace, Ms. Santoro said, “It may be because we make it a priority to be a model employer and this is reflected in the tremendous feeling of pride, loyalty and ownership for RVNA among our staff.” RVNA, celebrating its centennial in 2014, serves 23 towns in southwestern Connecticut by providing home health care and community wellness services.

2014 annual staff photo.

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Page 21

Tip 3: Find local resources Identify and call your local agency on aging. After you have assessed your loved one’s needs, area agencies on aging offer the most efficient way to find the resources you need.

Tip 4: Tap the Internet Surf the Web, or find someone to do it for you. The Internet offers a wealth of information for caregivers. If you don't have a computer, perhaps a relative or neighbor can help. ask them to print information from national caregiving Websites for you to read.

Caregivers need help and support,too

Tip 5: Share your feelings Find a support group. The old saying “there’s strength in numbers” holds true for caregivers. Just talking to others who are in your shoes offers camaraderie and practical advice about caregiving. Check area hospitals or senior centers for support groups.

If caregiving becomes too much, consider the services of a geriatric care manager.

These professionals are trained to help families who need help with caregiving issues, says the National Association of Professional Geriatric Care Managers.

Are you a Caregiver?

According to the National Family Caregivers Association, there are about 50 million American caregivers.

But you may have taken on the role without even knowing it.

Experts have some helpful tips for caregivers: Identify yourself as a caregiver and get help to avoid caregiver burnout.

Tip 1: Take stock Assess your loved one’s situation. Take an inventory of his or her individual needs.

Can he bathe, use the toilet, get dressed and eat? Can she get out of bed, climb stairs and take medications? This will help you figure out where you or your loved one may need outside assistance.

A geriatrician, a physician who specializes in treating older people, can also help to evaluate your loved one's needs.

Tip 2: Ask for help Ask friends, family or your place of worship for assistance. Three words are very important for caregivers: Ask for help.

Keep a list of tasks, such as shoveling snow or sitting with your loved one, so you have an answer when people ask what they can do to help.

Enlisting friends, family or organizations is a sign of strength in a caregiver. Engage people to help you and try to take time for yourself. Self-care is not a luxury. It's your right as a human being.

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Nov/Dec 2014

Hospital Newspaper - NE

RESOURCE DIRECTORY

ARCHITECTURE

AssIsTEd lIvIng

CAREER MAnAgEMEnT

WHAlER’s CovE AssIsTEd lIvIng “ExCEpTIonAl CARE AT An ExCEpTIonAl pRICE”

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 100 Pearl St. - 14th Floor, Hartford, CT 06103 Contact: William N. Bernstein, AIA Managing Principal Tel: 860-616-2200 Fax: 860-616-0018 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

Whaler’s Cove Assisted Living has 120 safe and affordable rental apartments in a beautifully restored historic building.

Life at Whaler’s Cove means living independently for senior adults who no longer want the responsibility of maintaining a home, but may need a helping hand with personal care and other needs.

Located in Southeastern Massachusetts, on the site of the former Whitman Mills, bordering the Acushnet River, Whaler’s Cove offers all of the comforts of home. Amenities include a spacious dining room, large sunroom with interior gardens, chapel, library, beauty/barber salon and beautifully furnished lounge areas. Whaler’s Cove has recently added a billiards room and gym, as well as refurbished the Reception Desk area.

At Whaler’s Cove, our professionally trained and dedicated staff is sensitive to residents’ changing needs, assuring that they receive the services they need to maintain their independent lifestyles.

Whaler’s Cove is one of the most affordable assisted living facilities in the area. In addition, our units are 20-50% larger than other local facilities, making ours the most generously sized apartments in Southeastern Massachusetts.

Are you in need of accommodations following surgery or an injury or just want to try us out before you decide? Ask about our Short Stay Suites.

At Whaler’s Cove, we understand that everyone’s financial situation is unique and that these circumstances determine how you will fund your or your loved one’s stay in an assisted living. There are a wide variety of options available which offer the flexibility and additional resources that you need. Call us today to ask how we may be able to help you make the transition to assisted living.

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ElIMInATIng HospITAl ACQUIREd InFECTIons TSK Products has over 5 years experience in hospital wide surface disinfection and 20+ years in environmental engineering applications. As an engineers, we develop solutions, not simply sell products. We offer two unique, mobile, surface disinfection options; an UltraViolet light and a hydrogen peroxide fogger. Both are very effective. We look for the best solution to help you control costs and reduce hospital acquired infections.

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Hospital Newspaper - NE Nov/Dec 2014

PAGE 23

$20 Million Gift from Cohen Foundation to create the Cohen Children’s Institute at Stamford Hospital Largest single donation in hospital history creates new pediatric emergency and enhanced in-patient and outpatient care The Stamford Hospital Foundation has announced that the Steven & Alexandra Cohen Foundation has donated a total of $20 million to create the Cohen Children’s Institute at Stamford Hospital. The Cohen Children’s Institute will offer unparalleled pediatric healthcare to children in our region through a collaboration of highly trained pediatric experts. The Institute will incorporate all current and future pediatric services at Stamford Hospital, including the Cohen Children’s Specialty Center located at Stamford Hospital’s Tully Health Center; as well as a fully integrated, pediatric inpatient unit to be created in the Hospital’s Whittingham Pavilion following the opening of the new Stamford Hospital in 2016.

The new Hospital will also house the Cohen Pediatric Emergency Services Center and trauma program, the first dedicated pediatric emergency center of its kind in Fairfield County.

“Steven and I are happy to support the continued expansion of pediatric services at Stamford Hospital and to help create state-ofthe-art facilities needed to care for our community’s children,” said

Alex Cohen. “We want families in our region to know that they can get access to top-quality medical care right here in Stamford, no matter what their financial status.”

The Steven & Alexandra Cohen Foundation has been a longtime supporter of Stamford Hospital, helping provide both inpatient pediatric care as well as access to toptier pediatric specialists.

“This most recent gift from the Steven & Alexandra Cohen Foundation reinforces our long-standing relationship with Alex and Steve as they continue their exemplary support for children across the country and right here in our communities,” said Brian Grissler, President and CEO of Stamford Hospital. “They have been such strong supporters of Stamford Hospital since 2004, and this generous donation represents not only the largest gift for the Hospital’s current capital fundraising campaign – it is the largest in the Hospital’s history.”

This latest gift will also support the Hospital’s mission to educate and advance the breadth and depth of expertise in our regional pediatric care, today and well into the future.

“This generous gift will enable the Hospital to provide a world-class, patient-centered comprehensive healing environment, as well as advanced emergency, trauma, surgical and non-urgent medical care for our pediatric patients,” said Gerald Rakos, MD, Chair, Department of Pediatrics and Medical Director of the Cohen Children’s Institute at Stamford Hospital. “The Cohen Children’s Institute will be a platform for attracting and retaining nationally recognized talent. We are extremely grateful to Steve and Alex Cohen for their continued and generous support as we move into a new generation of pediatric patient care.”

Slated to open in 2016, the new Stamford Hospital is designed to meet the needs of tomorrow’s patient-centered care, allow for continuously advancing and high-tech medicine and provide a more calming and welcoming environment for patients and their families. More information can be found on the new Stamford Hospital website.

Fairfield County. The mission of Stamford Hospital is to provide, together with its physicians, a broad range of high quality health and wellness services focused on the needs of our communities. Stamford Hospital is affiliated with the NewYork-Presbyterian Healthcare System and is a major teaching affiliate of the Columbia University College of Physicians and Surgeons. In addition, Stamford Hospital has been formally designated as a “Planetree Designated® Patient-Centered Hospital.” For more information, please visit www.stamfordhospital.org.

The Steven & Alexandra Cohen Foundation The Steven & Alexandra Cohen Foundation is committed to achieving lasting and meaningful change in our community through four main areas of focus: education, children’s health, veterans, and the arts. The Foundation places an emphasis on improving the lives of children through education reform and healthcare initiatives, providing help to our returning heroes with mental health and employment programs for veterans, and supporting the arts that inspire us all. For more information, visit www.steveandalex.org.

About Stamford Hospital Stamford Hospital is a not-forprofit provider of comprehensive healthcare services in lower

Metro West Medical Billing P.O. Box 312 Hudson, MA 01749 Tel: (978) 562-4503 (888) 568-MWMB Fax: (978) 562-MWMB Fax: (978) 567-MWMB sue.ferguson@metrowestmedicalbilling.com

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Chris Riendeau, Senior Vice President, Fund Development, Stamford Hospital Foundation; Gerald Rakos, MD, Chair, Department of Pediatrics and Medical Director of the Cohen Children’s Institute; Brian Grissler, President and CEO of Stamford Hospital; Michael Fedele, Chairman of the Board of Directors for Stamford Hospital; Alexandra Cohen; Jeanne Melino, Director of Philanthropy and Community Relations for the Steven & Alexandra Cohen Foundation; and Edward Schuster, MD, Stamford Hospital Cardiologist.

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PAGE 24

Nov/Dec 2014

Hospital Newspaper - NE

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