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Anesthesiologists Knee replacement patients benefit when physician anesthesiologists quarterback care Knee replacement patients go home sooner, are highly satisfied and incur less cost when a physician anesthesiologist coordinates care, suggests research presented at the ANESTHESIOLOGY™ 2014 annual meeting. Researchers at Kaiser Permanente, the country’s largest health care maintenance organization (HMO), collected outcomes data after implementation of a perioperative surgical home (PSH) – a patient-centered, physician-led system of team-based care that guides the patient through the entire surgical experience. The PSH was implemented at a large hospital that serves a diverse population of 300,000 patients.
“The patient rather than the surgery becomes the center, and the physician anesthesiologist proactively manages all aspects of care, before, during and after the surgery,” says Chunyuan Qiu, M.D., lead author and physician anesthesiologist, Kaiser Permanente Baldwin Park Medical Center, Baldwin Park, Calif. “Before the PSH was implemented, there was no quarterback overseeing the entire process, leading to fragmented, disjointed care that caused delays.” The study included 546 patients who had knee replacement surgery within one year prior to the implementation of the PSH and 518 who had the procedure within one year after the PSH was in place. The na-
tional average for length of stay after knee replacement is 4 days and 40 percent of patients spend time at a skilled nursing facility after leaving the hospital. In the study, the average length of stay for the PSH group was 1.9 days, versus 3.2 days before the PSH was instituted. In the PSH group, 94 percent of patients went home after being released from the hospital, and 6 percent went to a skilled nursing facility. In the prePSH group, 80 percent of patients went home after being released from the hospital, and 20 percent went to a skilled nursing facility. The 30-day readmission rate was low in both groups: 1.2 percent in the pre-PSH group and .9 percent in the PSH group. It was estimated
that the cumulative reduced length of stay in the hospital and skilled nursing facility for all patients saved $1.4 million. Researchers surveyed 130 patients in the PSH group: 71 percent rated their experience as excellent and 25 percent said it was satisfactory. In the PSH, the physician anesthesiologist-led team performs a variety of tasks before, during and after the surgery. For example, prior to surgery, the anesthesia team meets with the patient to ensure appropriateness for surgery. The anesthesia team assesses social support and home safety issues, encourages smoking cessation, weight loss and exercise, and adjusts medications. Physical therapy is key to a good
recovery. Therefore, the PSH includes preferences for pain control that will help patients begin physical therapy sooner. Under the PSH process, more than 70 percent of patients began physical therapy the day after surgery, versus none in pre-PSH group. “The implementation of the PSH has been very beneficial, but we cannot pinpoint a single element that is responsible for its success,” said Dr. Qiu. “It’s an entirely new practice model that demonstrates the value of having physician anesthesiologists direct care of knee replacement patients. We believe the PSH model would benefit patients having other types of surgery as well.” source: https://www.asahq.org
Getting healthier before surgery gives patients a jump start on recovery Colorectal cancer patients benefit from “prehabilitation” program, study shows Following a conditioning, nutritional, and relaxation program before surgery is more helpful than waiting until after surgery to rehabilitate, suggests a new study. Colorectal cancer patients who participated in a “prehabilitation” program before surgery recovered more quickly than those who only did traditional rehabilitation afterward, according to research published in the November issue of Anesthesiology, the official medical journal of the American Society of Anesthesiologists® (ASA®). In the randomized controlled trial, patients assigned to a program of exercise, nutritional counseling with protein supplementation and relaxation exercises were able to walk significantly farther two months after surgery than those who did not participate in prehabilitation. Both groups were prescribed traditional rehabilitation after surgery.
“Prehabilitation prepares patients to withstand the stress of surgery so they are able to recover faster and function better after the procedure,” said Francesco Carli, M.D., M.Phil., lead author of the study and professor of anesthesia at McGill University Health Centre, Montreal. “Pre-surgery conditioning helps patients take an active role in their own recovery. We believe instituting prehabilitation before surgery when possible could improve health and recovery and reduce costs.” In the study, 38 patients participated in the prehabilitation program, while 39 were assigned to the rehabilitation-only group. The prehabilitation prescription included: - 50 minutes of home-based unsupervised exercise at least three days a week, including aerobic and resistance training, - a dietitian-created individualized nutrition program and whey protein supplementation, and
- a visit with a psychologist to learn how to reduce anxiety through relaxation exercises based on imagery and visualization and breathing exercises. The average length of prehabilitation was 24.5 days. After surgery, patients in both groups followed the same rehabilitation program. Researchers measured how far patients could walk in six minutes at the start of the study (before any intervention) and there was no significant different between the groups: 421 meters on average in the prehabilitation group, and 425 meters on average in the rehabilitation-only group. Researchers had patients repeat the walking test right before surgery and at four and eight weeks after surgery. Those in the prehabilitation group improved significantly during the pre-surgery period, walking an average of 25.2 meters farther than they had at the start of the study, while those in the
rehabilitation-only group declined, walking an average of 16.4 meters less. Eight weeks after surgery, prehabilitation patients walked an average of 23.2 meters farther than at the start of the study, while rehabilitation-only patients continued to lose ground, walking an average of 21.8 meters less. Colorectal cancer is the third most common cancer and the second leading cause of cancer death in the United States. The primary treatment is surgical removal of the cancer. “Even when there are no complications, colorectal cancer surgery patients suffer from a 20 to 40 percent reduction in functional capacity after surgery,” he said. “That’s especially true for elderly patients with other health conditions, who may not recover to the function levels they were at before surgery for several months, if at all. Getting these patients healthier before surgery would be of huge benefit.”
THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves. For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. source: https://www.asahq.org
Hospital Newspaper - NY December, 2014
New in 2014
FRIDAY - TUESDAY DECEMBER 12 -16, 2014 MARRIOTT MARQUIS NEW YORK
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Keepings spirits high during the Holiday Season Every year hospital's are faced with keeping the holiday spirit alive for patients that can't be at home. Patients benefit year-round from the outpouring of generosity the community demonstrates, especially during the holidays. Each December, there are multiple opportunities to capture the kindness of the season through the donation of time, talent and treasure.
Some ideas include: Providing a holiday for a whole family! This option includes being assigned a family and given information for each member. You would then shop for the whole family to fulfill their holiday needs. After wrapping your gifts they would be delivered to a special North Pole at the hospital.
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Gifts in kind for Donations Sometimes just helping a family with unique donations like providing meals, Grocery gift cards and rides to the hospital for the elderly are just what is needed. Please send in your best stories from past holidays and some plans for the upcoming season. Hospital News wishes your family a safe and healthily holiday season! Please share your stories with us: email@example.com. Jim can be reached at 845-534-7500 ext. 219 and via email at firstname.lastname@example.org.
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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 - NY December, 2014
What’s Wha at’s your your cost-containment costt-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 increased increased more more than 130%. 130% %. Implant prices prices 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 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 sur g al implant de gic vice procedures procedures Introducing Nexera Program™, approach surgical 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 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. Nexera strategic partner surgical device management. moree inf information Nexera LLet et Nex erra be your str ategic p artneer in sur gical implant de vicce manag ement. For For mor ormation about the N exera 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 essident Nexera of Nex era Consulting at email@example.com. psham@n nexerainc.com.
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555 West 57th S Street treet | Ne New w YYork, ork , NY 10019 | www www.nexerainc.com .nexerainc.com
or nfo f i t s e Lat es and
Hospital Newspaper - NY
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 - NY December, 2014
education & careers North Shore-LIJ focuses on hiring Veterans The North Shore-LIJ Health Systemâ€™s ongoing commitment to helping military veterans transition back into civilian life included the hiring of nearly 200 veterans so far this year. The North Shore-LIJ Health System not only provides veterans and their families with critical services that they need such as mental healthcare, but has also given them employment opportunities. The health systemâ€™s talent acquisition and workforce readiness divisions have been hosting workshops to help veterans better translate their military experience into a civilian career path. North Shore-LIJ has also created a guide called â€œFrom Barracks to Business: Translating Military Skills to Career Successâ€? to help veterans better navigate the job market. North Shore-LIJ has also been holding recruitment sessions specifically for veterans, including one on Oct. 30 where approximately 60 veterans were interviewed for various positions throughout the health system. Last year, the workforce readiness division also created the Veteran College Network, which includes several Long Island and New York City colleges, to help those returning veterans find jobs. â€œOur veterans have done so much for our country and we want to give back to them as much as we can,â€? said Cheryl Davidson, North Shore-LIJâ€™s director of workforce readiness. For North Shore-LIJ employees who are active service members, the health system pays them the difference between their military and health system salaries while they are on military leave. In addition, North Shore-LIJâ€™s office of diversity, inclusion and health
literacy created a business employee resource group last year so that veterans, military service members, their families and those interested in veteransâ€™ affairs could gain more of a sense of community. This group is called
Veterans and Allies: Liaisons of Reintegration (VALOR). To learn more about veteran hiring opportunities within the North Shore-LIJ Health System, contact the Office of Military and Veteransâ€™ Services at 516-562-3235.
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H HOSPITAL of theYear! MidHudson Regional Hospital of Westchester Medical Center About MidHudson Regional Hospital of Westchester Medical Center From the state-of-the-art Center for Robotic Surgery to the specialized Total Joint Rehabilitation Unit, MidHudson Regional Hospital of Westchester Medical Center is home to the latest healing techniques and technology in the Hudson Valley. Advanced clinical protocols are seamlessly combined with mission driven compassionate care delivered by the areaâ€™s top healthcare team. Operating the regions only Level 2 Trauma Center, MidHudson Regional Hospital is a destination hospital for patients with traumatic injuries that require care beyond what is routinely provided by their local
community hospital. Whether itâ€™s a life-threatening injury or a few stitches, you can turn to MidHudson's top-notch medical team for a better patient experience in the newly expanded Emergency Department. The patient-centered Redl Center for Cancer Care offers people living with cancer compassionate, technologicallyadvanced care in one convenient and newly expanded location. The Cancer Center offers advanced treatments for all major cancers including breast, lung, colon, as well as others including digestive tract, prostate, bladder, lymphoma and melanoma. Patients benefit from the col-
lective expertise of board-certified and fellowship-trained surgical, radiation, and medical oncologists and the specialized skills of certified oncology nurses. The Comprehensive Breast Center offers a full range of leading-edge breast health services, including risk assessment, diagnostics, surgery, medical and radiation oncology, patient navigation, and support services. Our extraordinary team of breast cancer experts and compassionate staff provides advanced treatment techniques and emerging therapies in one convenient location. Proud to be a Westchester Medical Center campus since May of this year, MidHudson Regional Hospital is a community hospital backed by the
academic and advanced care resources of Westchester Medical Center. From prevention and education to diagnosis and treatment, the physicians, health care team and staff at MidHudson
Regional Hospital are well-regarded as the regionâ€™s most innovative health care delivery system. They consider it an honor and a privilege to serve the Hudson Valley for another 100 years! photos provided
Hospital Newspaper - NY December, 2014
From Poughkeepsie to Pawling and beyond, we’re feeling better already.
People everywhere around our region have a healthy new outlook. That’s because of the expanded care and expertise that MidHudson Regional Hospital of Westchester Medical Center is bringing to the community — including the only Level 2 Trauma Care Center in the region. One more reason why more people count on us than ever before.
Hospital Newspaper - NY
education & careers Somnia Anesthesia wins Platinum at 2014 eHealthcare Leadership Awards Somnia’s Marketing Department Recognized for Innovative Website Somnia Anesthesia, a national anesthesia practice management company, is proud to announce a “platinum” win for “Best Overall Internet Site” at the 2014 eHealthcare Leadership Awards. Winners were selected from more than 1,000 entries. “The demands of healthcare reform and an increasingly competitive environment have accelerated digital innovation,” says Mark Gothberg, eHealthcare Leadership Awards chairman.
“Organizations have made major improvements in their websites, expanded use of social media, and are employing mobile applications to engage current and prospective customers and enhance quality and operational efficiency.” Gothberg notes that improvements in websites were largely focused on enhancing visual interest, simplifying navigation, and showcasing key service lines. Video, audio, virtual
tours, social media tie-ins, and calls-to-action now populate many key service sections.“ A significant number of organizations are also seeing the benefits of integrating digital and traditional media communications,” Gothberg adds. “Digital receives the greatest focus.” Judges looked at how websites and other digital communications compared among competitors in each organization’s classification. They also
Unique Recruitment Opportunity Hospital Newspaper believes that high school students should be informed about potential healthcare careers. Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools. This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care
Medical Assistants Counselors Medical Imaging Dieticians
Please contact Jim Stankiewicz for more information. firstname.lastname@example.org tel: 845-534-7500 Ext. 219
reviewed entries based on a proprietary multi-point standard of Internet excellence. The best overall Internet site category, for example, had to pass muster on more than 40 factors. As in previous years, Somnia’s website continues to gain recognition for its easy navigation, innovative platform, and information-rich content. “We are very proud that Somnia’s website continues to gain as much recognition as it
does,” says, Laura Herrera, vice president of Marketing for Somnia. “We worked hard to develop a site that would help our customers understand what we do, how we do it, and how the partnership will benefit them. Regardless of our wins, our team is always looking for new ways to improve the customer experience – that’s what keeps us one step ahead.” To view the Somnia website, visit www.somniainc.com.
Hospital Newspaper - NY December, 2014
education & careers Orange Regional Medical Center dedicates “Hallway of Heroes” to its Veterans
From L to R: Orange Regional Medical Center Volunteer, Walter H. Garner, U.S. Navy Seabee; Security Officer, Floyd Hicks, U.S. Marine Corps and U.S. Army Reserve and Sterile Processing employee, Edward McGinnis, U.S. Army.
In honor of Veteran’s Day, the Gallery at Orange Regional Medical Center showcased a photo exhibit of employees who served our country in the United States Armed Services and held a ceremony honoring these brave individuals. The celebration provided employees the opportunity to speak about their personal experiences. It also honored employees, volunteers and patients who are veterans. Photos of Orange Regional veterans and their short biographies were also displayed in a “Hallway of Heroes” at the Main Campus for several weeks leading up to Veteran’s Day. “Veteran’s Day is set aside to thank and honor veterans who served honorably in the military during wartime and peace,” said Jeffrey Peterson, CMAS, Manager of Security and Courier Services at Orange Regional Medical Center and a veteran who
served in the United States Army, Army Reserve and currently the Navy Reserve. “Our display here today is a small sample of the veterans from our community who swore an oath, put on a uniform and served in defense of our nation.” Orange Regional Medical Center President & CEO Scott Batulis was also presented with the Patriotic Employer Award by Director of Biomedical Engineering and a Sergeant First Class in the Army Reserve, Ralph Gorbea and Director of the Orange County Veterans Service Agency Christian Farrell. “Supportive employers are critical to maintaining the strength and readiness of our National Guard and Reserve Units,” said Gorbea. “The Patriotic Employer Award recognizes deserving employers whose support is important to retaining highly skilled and qualified members. “
Hospital Newspaper - NY
education & careers North Shore-LIJ Igniting Interest in Healthcare Careers The North Shore-LIJ Health System recently announced that 31 teams of people across the health system will be informing high school students about various aspects of healthcare throughout the months of November and December. These efforts are part of the new SPARK! Challenge program which was created by North Shore-LIJ’s workforce readiness division and involves a partnership of Nassau County, Suffolk County, Queens, Manhattan and Staten Island high schools and the health system. Starting in November, students from different public and private high schools were matched with a facility and given the opportunity to shadow people from various fields for a day. A college representative will also participate to answer questions and gain career insight to better guide their students. Some of the shadowing opportunities that will be taking place in November and December include: · Simulating a patient going through emergency and trauma protocols at Southside Hospital in Bay Shore. · Watching a joint replacement surgery at Syosset Hospital. · Taking part in a cooking challenge at North Shore University Hospital. · Learning about wound care and hyperbaric chambers at Plainview Hospital. Nearly 500 students will be taking part in these shadow days. After they have completed their visit at a North Shore-LIJ facility, they will create a video to show what they have learned with the help of a mentor from North Shore-LIJ. There will then be a video contest based on number of views and on the quality of video representing the careers they observed. A judging panel will select winners which will be announced at a Spark! Challenge celebration event on April 15, 2015. “It is important to engage our high school students and show them what a career in healthcare might look like,” explains Cheryl Davidson, director of North Shore-LIJ’s workforce readiness division. “There are a wide variety of opportunities in healthcare and exposure at this age will help these students make better choices for successful futures.” The health system is a big proponent of educating local children about careers in healthcare. North Shore-LIJ is a co-steward, along with Brookhaven National Laboratory, of the Long Island STEM (Science, Technology, Engineering and Math) Hub and has helped foster several healthcare career academies on Long Island and in New York City schools.
Albany Med-Led Brain Mapping Research showcased at International Workshop Some of the world’s top scientists, neurologists and neurosurgeons convened this week at the seventh annual International Workshop on Advances in Electrocorticography, hosted by Albany Medical Center and the New York State Department of Health’s Wadsworth Center. The conference continues through Friday in Washington, D.C. Physicians and researchers at Albany Med and Wadsworth have pioneered many of the advances in electrocorticography (ECoG), the recording and interpretation of electrical activity from the surface of the brain. Since Albany Med
has been holding these international gatherings, publications in the field have significantly increased. Electrocorticography has become a dominant method for understanding how the brain processes language, generates intention for movement and integrates our senses. ECoG controlled devices, given direct instruction from the brain, could help those who are paralyzed or disabled communicate or move using only these signals. “Over the past several years, the unique qualities of ECoG have become widely and increasingly rec-
ognized by scientists engaged in basic and translational research,” said Anthony Ritaccio, M.D., J. Spencer Standish professor of neurology and neurosurgery and director of the epilepsy and human brain mapping program at Albany Medical Center. “Basic research suggests that ECoG can decode brain function in ways that cannot be readily achieved using other imaging modalities, and translational research is producing exciting new ECoG-based applications that are already becoming available in the clinic.” Dr. Ritaccio and Gerwin Schalk, Ph.D., associate professor
of neurology at Albany Medical College and research scientist at the Wadsworth Center, are conducting BCI research funded by a multi-million dollar grant from the United States Department of Defense, and are currently leading an international academic partnership to create a research lab in Italy modeled after the BCI lab at Albany Med/Wadsworth through a three-million euro ($3.7 million) grant from the European Union. Albany Medical Center, northeastern New York’s only academic health sciences center, is one of the largest private employers in the Capital Region. It incor-
porates the 734-bed Albany Medical Center Hospital, which offers the widest range of medical and surgical services in the region, and the Albany Medical College, which trains the next generation of doctors, scientists and other healthcare professionals, and also includes a biomedical research enterprise and the region’s largest physicians practice with more than 400 doctors. Albany Medical Center works with dozens of community partners to improve the region’s health and quality of life. For more information: www.amc.edu or www.facebook.com/albanymedicalcenter.
Hospital Newspaper - NY December, 2014
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Lenox Hill Hospital’s Kevin Cahill, MD receives Ireland’s 2014 Presidential Distinguished Service Award Kevin M. Cahill, M.D., director of the Tropical Disease Center at Lenox Hill Hospital was honored by the government of Ireland for his vast contributions to peace, reconciliation and development. In a ceremony in Dublin on October 30th, Dr. Cahill was presented with the 2014 Presidential Distinguished Service Award by Ireland’s President, Michael D. Higgins. The award is given to individuals living outside of Ireland who have made great contributions to Ireland and Irish communities abroad, as well as to Ireland’s international reputation. In addition to his medical career, Dr. Cahill serves as the president of the Center for International Humanitarian Cooperation, a nongovernmental organization that promotes healing and peace in nations shattered by national disasters, armed conflicts, or other violence. He is also the founder of Fordham’s Institute of International Humanitarian Affairs. In October, Lenox Hill Hospital opened the Kevin M. Cahill, MD, Exhibition and Study Center, a new study and exhibition space in honor of Dr. Cahill. The new space features Dr. Cahill’s collection of books,
many of which are antiquarian volumes, a study center and an exhibition space. The first exhibition focuses on the connection between herbs and medicine. The New York Botanical Garden, Memorial SloanKettering Cancer Center and the Museum of Natural History have contributed material for this exhibit. Dr. Cahill is a medical doctor with a decades’ long record of service to the Irish community in New York and the global community. He is President-General Emeritus of the American-Irish Historical Society and has been active on its behalf for more than 40 Years. As a distinguished doctor of medicine, Dr. Cahill has not only treated patients including Pope John Paul II and Ronald Reagan but has offered his vast expertise to a number of national and international organizations including the United Nations and the New York Police Department. He began his medical career in 1961 studying tropical disease in the slums of Calcutta beside Mother Theresa. Dr. Cahill's relief efforts have since spanned the globe and include treating refugees in Sudan, and
Australian author Thomas Keneally, and Irish-American activist and newspaper publisher Niall O’Dowd.
Kevin M. Cahill, M.D., Director of the Tropical Disease Center at Lenox Hill Hospital (left) was presented with the 2014 Presidential Distinguished Service Award by Ireland’s President, Michael D. Higgins (right) on October 30, 2014.
serving concurrently as the special assistant to the governor of health affairs, chairman of health planning commission and chairman of the health research council of New York State. Dr. Cahill has cared
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for patients in some of the most war-torn places in the world. Fellow honorees of Ireland’s Presidential Distinguished Service Award included actress Fionnula Flanagan, top EU civil servant Catherine Day,
About Lenox Hill Hospital: Lenox Hill Hospital, a member of the North Shore-LIJ Health System, is a 652-bed, fully accredited, acute care hospital located on Manhattan’s Upper East Side with a national reputation for outstanding patient care and innovative medical and surgical treatments. US News & World Report has ranked the hospital among the nation’s top 50 in Cardiology and Heart Surgery and among the top 10 hospitals in the state of New York with a total of 11 “high performing” designations for its clinical performance in Cancer, Diabetes & Endocrinology, Ear, Nose & Throat, Gastroenterology & GI Surgery, Geriatrics, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology and Urology. It is also recognized nationally as a leader maternal/child health and offers a wide range of services in radiology, and medical and surgical specialties. For more information, go to www.lenoxhillhospital.org.
Rate PRotectioN PlaN This special plan will allow your organization to market your company’s services to those that are most likely to patronize your business. Circulation NY 94,000 NJ 79,000 NE 98,000 (average 3 readers per edition) Monthly Digital edition!
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Hospital Newspaper - NY December, 2014
NewYork-Presbyterian honored with Association of American Medical Colleges Community Service Award N e w Yo r k - P r e s b y t e r i a n Hospital is set to be honored by the Association of American Medical Colleges (AAMC) for its innovations in patient-centered health care and community service. The hospital will receive the prestigious Spencer Foreman Award for Outstanding Community Service for its groundbreaking program, the NewYork-Presbyterian Regional Health Collaborative, as well as other community outreach efforts. Representatives from NewYork-Presbyterian will accept the honor at Learn Serve Lead 2014: The AAMC Annual Meeting in Chicago. “We exist for the public good and have a profound obligation and responsibility to serve our local community,” said Dr. Steven Corwin, CEO of NewYork-Presbyterian. “This model of care has allowed NewYork-Presbyterian to extend beyond the walls of our institution and truly improve the health dynamics of our community.” The Spencer Foreman Award honors AAMC members with a longstanding institutional commitment to addressing community needs. The award recognizes exceptional programs that go beyond the traditional role of academic medicine and reach communities whose needs are not being met through the traditional health delivery system. The NewYork-Presbyterian Regional Health Collaborative, a health care program designed to address the specific needs of the some 205,000 residents of the Washington Heights-Inwood community, has improved residents’ health by reducing emergency department visits, hospitalizations and 30-day readmissions. The program has also led to higher patient satisfaction scores, and may serve as a model for academic medical centers across the country. “We’re on a journey that doesn’t really have a final destination,” said Dr. Herbert Pardes, executive vice chairman of the
NewYork-Presbyterian Hospital Board of Trustees. “Our dream has become a reality, and we want to reproduce it in other communities in the city and across the country.” The NewYork-Presbyterian Regional Health Collaborative began in 2008 when the hospital collaborated with Columbia University Medical Center to find ways to improve health care delivery in Washington HeightsInwood. The hospital found that the community could benefit from improvements in several targeted areas: cultural competency, information technology and access to care.
In 2010, the Regional Health Collaborative conmedical homes, nected providers and community resources to the same IT infrastructure, an organization that created a “medical village” designed to be more effective, efficient and patient-centered. The program also incorporated care management for high-risk patients with complex conditions. This enabled providers to help prevent, reduce or delay complications associated with chronic diseases, which in turn reduces health care costs to the hospital and patients.
“The Washington HeightsInwood community has struggled with high rates of asthma, diabetes, heart disease and depression,” said Dr. J. Emilio Carrillo, vice president of community health at NewYorkPresbyterian Hospital and an associate professor of clinical medicine at Weill Cornell Medical College. “The NewYorkPresbyterian Regional Health Collaborative is addressing this challenge through an evidencebased and collective impact approach that connects providers, coordinates care and communicates with patients in a culturally competent manner.”
The AAMC will also recognize NewYork-Presbyterian for its outreach to Washington Heights-Inwood youth. The hospital pioneered a comprehensive childhood obesity prevention program, Choosing Healthy & Active Lifestyles for Kids (CHALK), which became a model for first lady Michelle Obama’s Let’s Move! Active Schools program. In addition, the Lang Youth Medical Program is a six-year science enrichment, mentoring, internship and college preparatory program for Washington Heights-Inwood students hoping to pursue a career in medicine.
No two patients are alike… Why should their rehabilitation be? BURKE REHABILITATION HOSPITAL offers custom-designed programs based on your individual needs. Whether you have experienced a life changing event such as a stroke, brain injury, neurological condition or joint replacement, Burke is here to help you reach your maximum recovery. You are unique. Make sure your rehabilitation journey is too. Pioneering Rehabilitation
785 MAMARONECK AVENUE WHITE PLAINS, NY 10605 888-99-BURKE WWW.BURKE.ORG
Hospital Newspaper - NY
RESOURCE DIRECTORY ARCHITECTURE
CONTRACT/PRACTICE MANAGEMENT SERVICES
Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction. We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services. The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper. Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration. The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”. Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com). Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 • Fax: 212.463.9898 email@example.com NEW YORK - HARTFORD - PRINCETON
MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERGENCY MEDICINE CONTRACT MANAGEMENT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERGENCY MEDICINE SERVICES CONSULTATION SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MANAGEMENT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation NEW YORK BASED OFFICE MED★EXCEL USA
Prepare for a Career in Healthcare Sector Management at Long Island University. Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester. Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration. After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry. Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters. Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration
Please contact Marie Buchanan at 800.563.6384 Ext. 249 firstname.lastname@example.org all inquiries are confidential
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.
Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations. The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays. “The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Kevin Nash, director of the M.B.A. Healthcare Sector Management program. For more information, please contact the Admissions Department at 914-831-2700 or Westchester@liu.edu. Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577
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Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.
845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com
Online Directory available at www.hospitalnewspaper.com
Hospital Newspaper - NY December, 2014
Good Samaritan, Mercy and St. Charles named Top Performers Only four named on Long Island Good Samaritan Hospital Medical Center, Mercy Medical Center and St. Charles Hospital, all members of Catholic Health Services, have been ranked Top Performers on Key Quality Measures™ by The Joint Commission, the leading accreditor of health care organizations in the U.S. They are among just four Long Island hospitals to achieve this designation. The ratings are based on an aggregation from the accountability measure data reported to The Joint Commission during the 2013 calendar year. “We strive to deliver quality care. The Joint Commission’s ranking recognizes our hospitals’ extraordinary level of commitment to sustaining this level of care across a wide spectrum of performance measures,” said CHS Senior Vice
President for Medical Affairs and Chief Medical Officer Patrick M. O’Shaughnessy, DO. “Everyone at CHS is proud of the patient care teams at Good Samaritan, Mercy and St. Charles.” Earning a place on the Top Performers list for the fourth consecutive year, St. Charles, Port Jefferson, most recently received this recognition for pneumonia, surgical care and stroke measures. For a second year, Mercy, Rockville Centre, excelled in heart attack, heart failure, pneumonia and surgical care. Good Samaritan, West Islip, excelled in measures of heart attack, heart failure, pneumonia and surgical care. The three hospitals achieved a performance of 95% or above on a single, composite score that includes all the accountability measures in data reported to
The Joint Commission, for every one of which each hospital also met a 95% performance threshold, excluding any measures with fewer than 30 eligible cases or patients. In addition to Joint Commission accreditation, Good Samaritan, Mercy and St. Charles—along with other CHS hospitals—participate in the New York State Partnership for Patients, a quality and safety initiative developed by the Centers for Medicare & Medicaid Services (CMS). Both Good Samaritan and St. Charles earned a place among the Best Hospitals for 2014–2015, as ranked by U.S. News & World Report, along with St. Francis Hospital, The Heart Center®. In addition, CHS’s Our Lady of Consolation and St. Catherine of Siena were recognized as among the Best Nursing Homes in the nation.
St. Catherine of Siena Medical Center earned the 2013 Get With The Guidelines® Stroke Gold Plus award. St. Joseph Hospital earned the Get With The Guidelines® Stroke Gold Plus award and received Recognition for Outstanding Commitment to Quality Patient Care from the American Nurses Association’s National Database of Nursing Quality Indicators for 2011-2013. Catholic Health Services (CHS) is an integrated system encompassing some of the region’s finest health and human services agencies. With six acute care hospitals, three nursing homes, a home nursing service, hospice, a communitybased agency for persons with special needs and a regional lab, CHS’s high standards have resulted in a nearly 24% market share.
Hospital of the Month Hospital Newspaper highlights one hospital per month as the centerfold feature. Great way to get information about your facility to interested readers. For more details contact: GENERAL MANAGER
Jim Stankiewicz (Jim@hospitalnewspaper.com) 845-534-7500 ext 219 Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com
Catholic Health Services (CHS) offers an array of quality services to the community, as featured in CHS’s newly issued Services Guide. With many programs available across Long Island, this free guide makes it easy to locate a specific service and includes a helpful checklist for quick reference. These include award-winning services in cardiology, cancer care, neuroscience, orthopedic, minimally invasive surgery, breast imaging, laboratory services, bariatric treatment, sleep medicine, rehabilitation, wound care and many other areas. For more information or to receive a free copy of CHS’s Services Guide, call 1-855CHS-4500.
Hospital Newspaper - NY
RESOURCE DIRECTORY HOSPITALS
Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country Each year, Calvary cares for more than 6,000 patients and their families. The continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Calvary cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center. Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses. • Home care is available in the Bronx, Brooklyn, Queens, Manhattan, Staten Island, and lower Westchester. • Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties. • also offers hospice services in more than 35 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties. In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses.
Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area. Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties. The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home. A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE). The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.
For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, and Wound Care (718) 518-2577.
Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304
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Contact: Bob Goldbacher (609) 412-2134 email@example.com
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Getting better…. just got better. We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound. United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access. United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at firstname.lastname@example.org. United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org
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Hospital Newspaper - NY December, 2014
Our Community, Our Hospital Over 125 Years of Service Gustavo DelToro, MD Chief Medical Of¿cer Dr. Gustavo Del Toro leads our medical team of highly skilled physicians. A University of Michigan Medical school graduate, widely published and Sloan Kettering trained, Dr. Del Toro exempli¿es our medical commitment to providing excellent patient care, ensuring that the physicians under his charge are meeting the highest standards of medical care.
Stephen Carryl, MD Laparoscopic Surgery Highly specialized, board certi¿ed and an experienced surgeon, as the chairman of surgery Dr. Carryl oversees our surgical department. From minimally invasive ambulatory surgery to the complexities of neurosurgery Dr. Carryl says, “It is my job to ensure that we are providing the best possible care with the most experienced doctors in what is and often can be a highly stressful moment.”
Ralph Ruggiero, MD OB\GYN As a Fellow of the American College of Surgeons and assistant professor of Obstetrics/Gynecology at New York Medical College and having overseen more than 7,000 deliveries, Dr. Ruggiero has the knowledge, clinical experience and leadership skills to head a team of vibrant and excellent OB\GYN physicians.
Gopi Punukollu, MD Cardiology Trained at the highly acclaimed Albert Einstein College of Medicine, Dr. Punukollu has more than 20 years’ of cardiac care experience, successfully performing numerous complex, life sustaining cardiac procedures. Dr. Punukollu brings a highly advanced clinical approach and commitment to patient care in rendering this vital clinical medical service to WHMC.
J Jacqueline li N Nieto, ieto iie eto to, o, M MD D Oncology Trained at Mount Sinai, Dr. Dr Ni N Nieto e o ha eto hass 23 23 years y of experience rendering excellent excell ellent e t medical medic me dical a care ca e to patients car patie ents hematological suffering from hematologica al and and d oncological oncolo onc ologic g al conditions. ons She has dedicated her life to the care ca of cancer patients not only providing medical care, care social support but also improving the quality of life of her patients.
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Hospital Newspaper - NY
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