Hospital Newspaper New York September 2013 ebook

HOSPITAL

H NEWSPAPER

EMA’s Don’t Miss!

11th Annual Advanced Emergency and Acute Care Medicine Conference See Conference Ad on page 11

The New York Edition WWW.HOSPITALNEWSPAPER.COM

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SEPTEMBER 2013

If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p19

EMA Top Doc Jim Dwyer, MD, FACEP p10

Joel Kanick, Ask An Expert From Treatment to Health Management p8

Developer of interfaceMD Solves Business Needs through Technology p3

Fund-Ex Can Help you Consolidate Debt and Raise Working Capital p4

Hospital of the Month!

North Shore-LIJ p12

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PAGE 2

September, 2013

Hospital Newspaper - NY

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

HONORED ON

‘Best Doctors’ LISTS YEAR AFTER YEAR

ROBERT BELKIN, MD GABRIELLE BOLTON, MD MARK BORKIN, MD SUSAN CAMPANILE, MD LEO CARDILLO, MD MAXWELL CHAIT, MD ALBERT DELUCA, MD JEFFREY DONIS, MD JOYDEEP GHOSH, MD LAWRENCE GLASSBERG, MD EDUARDO GRANATO, MD CRAIG HJEMDAHL-MONSEN, MD KUMAR KALAPATAPU, MD

SRIRAMA KALAPATAPU, MD RICHARD KAY, MD ANDREW CARL KONTAK, MD ANDREW KUPERSMITH, MD STEVEN LANDAU, MD YAT WA (BETTY) LI, MD SANJAY NAIK, MD DIMPLE PATEL, MD RONALD PRESTON, MD ANTHONY PUCILLO, MD TODD C. PULERWITZ, MD MONICA REYNOLDS, MD JAE RO, MD

WARREN ROSENBLUM, MD ABDOLLAH SEDIGHI, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD ELENA L. TSAI, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD

Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914)593-7800

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Hospital Newspaper - NY September, 2013

Joel Kanick, developer of interfaceMD solves business needs through technology What began as a college job at a security firm for Western New Yorker, Joel Kanick, would catapult a 25-year career in solving business needs through technology.

In the late 80s, Kanick developed his first software application.

An application to help a security firm manage everything from work orders to billing–without leaving a paper trail. It was an overwhelming success and thoroughly improved the fluidity of the company. These days, Kanick continues to be an innovator.

Kanick’s development of interfaceMD, a ground-breaking electronic medical record (EMR) system, is his latest success.

“I have always been interested in how things work, said Kanick, President and CEO of Kanick And Company and an expert in the EMR field. “I need to understand the process of things. I think the work I have done over the years makes me unique and versatile. interfaceMD is something I visualized for years and it can thoroughly help private medical practices succeed. It makes much more sense than the other systems out there.”

Today, interfaceMD, a division of Kanick And Company located in Buffalo, N.Y., is a business model of sharing, efficiency and security as well as a trailblazer in the EMR arena. interfaceMD helps clients, not only succeed, but flourish in today’s digital landscape. Many EMR providers claim to be customized systems, but they really only allow clients to change a handful of fields or they have pre-made exam forms for particular specialties. From exam forms, to documents, to tabs, fields, or educational resources, the intuitive interfaceMD system works the way doctors do. As Kanick puts it, “A canned solution just doesn’t work.”

Perhaps, more importantly, with interfaceMD, all your office application needs are included in one system. There is no need to purchase an email or instant messaging network. All of your word processing, charting and presentation capabilities are included. interfaceMD provides one complete comprehensive solution that meets all of your EMR and practice management needs.

“Our buzz words are customized, comprehensive and connected,” Kanick said.

He continued, “We will customize all their requirements and manage all their IT needs. Nobody is doing that. We have the network to do it. This is important for the doctors, nurses, support staff and patients. We want to make sure doctors have the best technology, the best information, when they are treating you and your family. What if you are given a contradicting medication because someone misses something in your medical record? It all has to be there, in a system, not in a stack of papers.”

Kanick, a graduate of Canisius College, utilized his extensive professional experience in the fields of finance, big business, technology implementation and development to create the backbone for interfaceMD’s design.

As one of the first HIPAA certified consultants in the eastern U.S., Kanick, chief developer and lead architect of interfaceMD, has ensured that the program’s solution was built to match the present and future framework of the Federal and State legislation, and has chosen technology components that will allow his solution to evolve as new regulations are adopted and new technologies are developed. interfaceMD was launched in 2005 and the feedback from the medical community has been very positive. If your office is looking to switch EMRs or beginning the search for an EMR system, contact interfaceMD for a demo at: www.customEMRsolutions.com or sales@kanick.com.

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September, 2013

Hospital Newspaper - NY

Consolidate Debt and Raise Working Capital

By Patrick Harrigan | Syracuse, NY

Today’s doctors face a myriad of challenges in their efforts to deliver high-quality care. Increased regulation, declining reimbursements and industry uncertainty add pressure to an already high-stress environment. On top of that, many physicians are faced with the added responsibility of owning and running a practice.

Saving

healthcare professionals an average of

$6,000 per month

Juggling numerous due dates and balances can be time consuming, not to mention costly. Fund-Ex can help you consolidate your debt into a single, affordable monthly payment, allowing you to free up time and cash.

The Funding Expert for Healthcare Professionals

One of the most challenging aspects of running a successful business is managing WKH ¿QDQFHV )LQDQFH FDQ EH GLI¿FXOW IRU someone with training doing it full-time, even more so for doctors focused on providing care, managing a staff and PDLQWDLQLQJ D VWHDG\ ÀRZ RI SDWLHQWV As a practice grows, commercial debt is a frequent by-product of that progress.

Business credit cards offer convenience and attractive rewards, while commercial ÂżQDQFLQJ LV RIWHQ QHFHVVDU\ ZKHQ SXUchasing expensive medical equipment and keeping the practice up to date. Managing numerous payment dates and balances can be time consuming, not to mention costly. Amidst the scramble of changing priorities and daily tasks, payments can get overlooked leading to fees, higher rates and ultimately more debt.

Consolidating debt can help doctors save time and money, leaving a single, more affordable monthly payment. Lower interest rates can yield substantial cost VDYLQJV HDVLQJ WKH ¿QDQFLDO VWUDLQ WKDW many practices experience. Managing just a single payment can also save time, allowing physicians to focus on more important matters. Whether it’s more time with patients, the practice, family or just some free time, consolidating debt can help conserve the most limited resource; time.

7KH LQFUHDVHG RSHUDWLRQDO FDVK ÀRZ can help jump-start stalled practice improvements. Increased marketing can attract new patients. Additional staff

can be hired to help manage the workload.

Even building a healthy cash reserve can help ease the stress during leaner times.

While a debt consolidation loan may seem like a no-brainer, not all solutions are created equal. Be sure to do your homework. In addition to your monthly payment, make sure that you are comfortable with the loan rate and terms.

Lower interest rates can yield substantial cost savings, easing WKH ĹľQDQFLDO VWUDLQ that many practices experience.

Be cautious of debt consolidation services that don’t actually consolidate your debt.

Instead of paying off the entire balance, these organizations simply take your payment and pay each of your creditors every month, charging a fee for the service.

It is also important to carefully select a lender. While a local bank is always a logical starting point, these institutions ODFN VSHFL¿F XQGHUVWDQGLQJ RI WKH KHDOWKcare industry and the challenges you face. Working with a traditional bank can also be time consuming. Look into niche lenders that work exclusively with healthcare professionals. Their indusWU\ VSHFL¿F NQRZOHGJH KHOSV WKHP WDLORU WKHLU VROXWLRQV DQG ¿QDQFLQJ SURFHVV around your needs as a doctor. The Better Business Bureau is a great way to learn more about a lender and ensure that they are trustworthy. The BBB’s Trustlink site provides real, unedited customer testimonials that can give you some insight on what to expect.

Hospital Newspaper - NY September, 2013

Your healthy financial future is here.

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Page 5

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September, 2013

Hospital Newspaper - NY

OUR VIEW

ADVERTISER INDEX Company

Page

Bankers Healthcare Group, inc.

5

Burke rehabilitation Hospital

15

ColumbiaDoctors

2

EmA

7, 10, 11

GNYHA Services

9

interfacemD

24

North Shore-LiJ

13

NorthWest Seminars

17

resource Directory

20, 22

Sun Home Loans

H

Medicaid expansion…Good or Bad?

23

AkrimAx / Nitromist

The Affordable Care Act (ACA) Medicaid expansion can mean the difference between a colonoscopy now and undergoing rounds of chemotherapy in the future. Access to primary care can help identify diseases early, preventing the pain and costs associated with treating a progressed problem.

In a few short months, Medicaid will be expanded to previously excluded individuals and families. If you made $15,282 in 2012 as a single person or $25,975 as a family of three, you may qualify for Medicaid coverage, depending on where you live. Under the ACA, Medicaid eligibility will be extended to all groups of people under the age of 65 with an income below 133% of the Federal Poverty Level (FPL) who were not previously eligible for Medicaid. This includes childless adults, parents and children.

These important changes are upon hospitals and healthcare professionals across the industry. Hospital News wants to know how your organization is preparing for these monumental changes? Please e-mail your thoughts to news@hospitalnewspaper.com or write to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553.

Jim Stankiewicz can be reached at 845-534-7500 ext. 219 and via email at jim@hospitalnewspaper.com.

19

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11th Annual

Advanced Emergen and Acute cy Care Medicine Conference

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Hospital Newspaper - NY September, 2013

PAgE 7

Dr. Andrew Sama and Dr. Eric E. Howell to Keynote 11th Annual Advanced Emergency & Acute Care Medicine Conference Andrew Sama, MD, FACEP, president of the American College of Emergency Physicians (ACEP), will be the keynote speaker at the 11th Annual Emergency and Acute Care Medicine Conference. The conference will be held Sept. 17-20 at the Sheraton Atlantic City Convention Center Hotel in Atlantic City, N.J. Dr. Sama, of Manhasset, N.Y., is vice president of emergency services for the North Shore-Long Island Jewish Health System. He is chairman of the department of emergency medicine at North Shore University Hospital and chief of the emergency medicine department at Huntington Hospital.

He is the recipient of the endowed Dorothy & Jack Kupferberg Professorship of Emergency Medicine at New York University School of Medicine.

A graduate of Columbia University, Dr. Sama earned his medical degree from Cornell University Medical College.

His keynote address is entitled, “Emergency Medicine in an Era of Healthcare Reform.”

The featured keynote speaker for the complimentary Hospitalist Track is Society of Hospital Medicine’s president, Eric E. Howell, MD, FHM. Dr. Howell is a resident of Annapolis, MD, and the director for the division of hospital medicine at The Johns Hopkins Hospital. He is an associate professor of medicine at Johns Hopkins University School of Medicine and the recipient of the prestigious Professors Award for Teaching Excellence for his contributions to education at Hopkins.

His keynote address is entitled, “Hospitalist Medicine in an Era of Healthcare Reform.”

The complimentary hospitalist track will be offered to Society of Hospital Medicine (SHM) members in good standing.

Featuring nationally known emergency and acute care medicine lecturers, the conference offers a variety of courses on critical emergency medicine topics, including atrial fibrillation, risk management, acute pain management, emergency preparedness, cerebrovascular emergencies, dental emergencies and pediatric emergency medicine. Separate educational tracks for hospitalists, healthcare executives, and physicians are available. Hands-on skills labs for dental blocks; vascular access and ultrasound; and advanced difficult airways will be presented, as well as a 2013 Life Long Learning and Self-Assessment (LLSA) review course.

Speakers include: • Fredrick M. Abrahamian, DO, FACEP, FIDSA • Christopher Amato, MD, FAAP, FACEP • Richard Cantor, MD, FAAP, FACEP • Douglas McGee, DO, FACEP • Frank Peacock, MD, FACEP • Charles V. Pollack Jr., MA, MD, FACEP, FAAEM, FAHA, FCPP • Richard Shih, MD, FACEP The American College of Healthcare Executives (ACHE) track, co-sponsored by the New Jersey chapter of the American College of Healthcare Executives (ACHE-NJ) and Emergency Medical Associates, will provide participants with six (6) complimentary face-to-face category I credits.

All emergency medicine residents and fellows are provided complimentary admission as part of Emergency Medical Associates’ commitment to education in the field of emergency medicine.

The deadline for online registration is Sept. 13, 2013. Visit www.bestemconference.com for more information or to register. Onsite registration is available each day of the conference. Follow BestEMConf on Twitter for up-to-the-minute conference information.

About Emergency Medical Associates Emergency Medical Associates (EMA) is a physician-led, physicianowned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction.

For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

The Sign of Excellence ence in Emergency Medicine edicine® ree Decades for More Than Three

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35 yyears ears of expertise exper x tise

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Serving Ser ving patients patie ents in New York, York, New w Jersey and Pennsylvania, Pennsyllvania, as w ell as North No or th Carolina Carolina and Rhode Rho ode Island well

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Dedicated board-certified Dedicated bo oard-cer tified emergency emerge ency physicians physicians integrate integ gra te iinto nto yyour our hos spital’ss cultur e hospital’s culture

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Recognized for Recognized for clinical excellence, excellence, quality quality service ser vice and high patient satisfaction pa tient sa tisffaction

Top 2012 T op 10 Emergency Department artment Contractors 2012 Best Places to Work Work orrk in Healthcare

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

September, 2013

Hospital Newspaper - NY

Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.

From Treatment to Health Management In the current healthcare environment, less is more. Value-based purchasing and bundled payments provide an incentive to offer efficient quality care while discouraging unnecessary procedures and hospitalizations. A 2010 study found that $4 billion could be saved annually from unnecessary ER visits alone. Furthermore, the Centers for Medicare & Medicaid Services estimates that avoidable readmissions account for $17 billion in costs each year.

Acute and non-acute care providers are responding by forming collaborative relationships to invest in population health management and shore up care quality and outcomes. But it’s not collaboration for collaboration's sake, and it’s not happening in a vacuum. Integration and collaboration are markers of a larger-scale development— with each new medical home, accountable care organization, and transitional care initiative, hospitals and other providers are changing the very definition of healthcare.

Following the current patient-centered model, the crux of healthcare delivery is the provision of the most effective, cost-efficient treatments. But the most potent treatments address factors beyond health, such as lifestyle and environment. Today, people are patients prior to walking through the healthcare facility doors. A patient who is engaged before, during, between, and post care has a better prognosis and, therefore, has the potential to require fewer healthcare resources.

To that end, health systems that attempt to manage patients across the continuum of care are tasked with responsibilities that previously would have seemed beyond their scope. More than ever before, healthcare organizations must get involved with their communities, creating dialogue with them as well as educating them, collecting and sharing health data and information. They must get to know the population they serve as well as identify, monitor, and track high-risk and other patients. And the most successful preventative or transitional care plans must integrate patient needs and values (including cultural and language differences) and take into account their practical everyday concerns—financial and logistical limitations, for example. What’s more, a tailored community-based care plan requires innovative ideas for suitable activities and partnerships, such as door-to-door wellness education visits, nutrition classes, or social services tie-ins.

Proactive, collaborative, comprehensive—these are all characteristics of patient-centered care plans that typify today’s healthcare delivery system. Adjusting to the holistic and accountable care approach, and the care coordination that goes along with it, demands challenging, often dramatic organizational and personal cultural shifts, not to mention changes in workflow, staffing, duties, scheduling, and more. In order for this new approach to succeed, healthcare stakeholders must align their behaviors with the goals of quality care and positive outcomes, while keeping an eye on lowering costs.

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).

Hospital Newspaper - NY September, 2013

Patient-Centered Supply Chain Solutions Today’s patient-centered care model requires healthcare leaders to take a collaborative approach to purchasing.

GNYHA Services’ business experts can advise your supply chain professionals about how to promote collaboration and manage cost, quality, and outcomes effectively. Our service platform is designed to provide the high level of support needed to understand the role of the supply chain in patient-centered care and address reform-related challenges at the executive level.

Call GNYHA Services today at (212) 246-7100 to see how a strategic supply chain approach can positively impact your organization’s overall success.

555 West 57th St. I New York, NY 10019

Page 9

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September, 2013

Hospital Newspaper - NY

Top Docs of New York

Jim Dwyer, MD, FACEP Director of Emergency Services Northern Westchester Hospital, Mount Kisco, N.Y.

The Sign of Excellence in Emergency Medicine When hospital C-Suite leadership and board members are looking to transform their emergency departments into a “Centers of Excellence,” they select Emergency Medical Associates (EMA).

With more than 35 years of nationally recognized expertise in clinical, operational and financial excellence and patient satisfaction, Emergency Medical Associates is proud to have been named to Modern Healthcare’s 2012 Best Places to Work in Healthcare list. Our physician leaders are the core of our success. Physicians like Jim Dwyer.

Jim Dwyer, MD, FACEP, is the medical director of the emergency department at Northern Westchester Hospital in Mount Kisco, N.Y. He joined Emergency Medical Associates in 2004.

Dr. Dwyer is a fellow of the American College of Emergency Physicians and a diplomate of the American Board of Emergency Medicine. He serves as the medical director for Westchester EMS as well as several EMS organizations in Westchester County.

Dr. Dwyer received his medical degree from the State University of New York at Buffalo (N.Y.) School of Medicine, and completed his emergency medicine residency at University of Buffalo Medical/Dental Consortium. He is board-certified by the American Board of Emergency Medicine.

Dr. Dwyer previously held the position of associate director of emergency services at Nyack (N.Y.) Hospital, and was an emergency physician at Catskill Regional Medical Center, Harris, N.Y. He was a certified public accountant prior to his career in medicine.

Jim enjoys triathlons and spending time with his wife and children.

Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

The Sign of Excellence in Emergency Medicine® for More Than Three Decades

Hospital Newspaper - NY September, 2013

Page 11

Advanced anced Emergency E Emergen ncy t Adva th

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a nd Acute A t Care C re Car e and Medicine Conference Med dicine Co onference

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Key Dise Disease ease States Reduction Providers Risk Red duction for Pr oviiders Patient S Satisfaction Operations ED Opera ations

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• 2-hour ED Ultrasound/V Ultrasound/Vascular /V Vascular ascular Access Hands-On s-On Lab Course

• 3-hour Advanced Difficult Airway Hands-On Lab Course Hands-On

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• 1-hour 1 h D t l Block Dental Bl k Lab ab b Hands-On H d O C Course

Complimentary ntary Admission sion ffor: or : • EM Residents nts • IM/FP I M / F P Resid dents on 9/17 Residents Track • Hospitalist T rack on 9/17 • ACHE Members Memb bers in Good Standing Stan nding on 9/18

You Y ou may view the latest information information about this confer conference, ence, or rregister egister online online at www www.bestemconference.com .bes stemconference e.com Or, O r, contact: contact: Scott Sco ott Serbin, Director Directorr of Education & Research Resear esearch Emergency Med Medical dical Associates 3 Century Drive, Parsippany Parsippany,, NJ 07054 Phone: (973) 740-0607 0607 | Fax: (973) 740 740-9895 0-9895 | Email: Serbins@ema.net ins@ema.net V isit us at: www .be estemconference.com m | Follow us on Twitter Twitter tter at: bestemconf Visit www.bestemconference.com

All information, including Conference Registration and Hotel Room Registration, can be conveniently accessed on-line at: www.bestemconference.com.

PAGE 12

September, 2013

Hospital Newspaper - NY

HOSPITAL

H of the Month

LIJ Radiation Therapist Wins North Shore-LIJ President’s Award for Exceptional Patient Experience Each year, the President’s Award for Exceptional Patient Experience is given to an individual who has gone above and beyond to ensure service excellence of the highest standards, and in the words of Michael Dowling, president and chief executive officer at North Shore-LIJ, to “someone who inspires.” Chosen from 23 nominations, this year’s winner, Janine Lipari, senior radiation therapist at LIJ Medical Center, combines her talent for nurturing with her love of knitting to ease the fears of pediatric patients undergoing radiation therapy.

During her 16 years in the Department of Radiation Medicine, Ms. Lipari has seen how radiation therapy can cause distress and discomfort — especially for children. In addition to experiencing loss of hair and natural body heat, many patients are often immobilized on a hard table in a room that must be kept cold to ensure the equipment operates correctly.

Even more difficult, however, can be a loss of self esteem, as patients can feel self-conscious about their appearance. To help transform the experience for these children and bring smiles to their faces, Ms. Lipari created a Pediatric Hat Program.

On her own time and at her own expense, she knits unique, customized hats for these patients, meeting with each child to ensure the

finished product represents a favorite character or style. To bring patients fully into the process, she additionally implemented an idea catalog to help spark their imaginations on what is possible. Beyond offering physical warmth, the hats make each child feel special, a benefit that also extends to family members during what is usually a difficult time.

Ms. Lipari’s achievements were celebrated at a special awards dinner in June, where she received an

engraved crystal sculpture, a $10,000 bonus and a vacation for two to her destination of choice.

“My goal was to provide both comfort and a creative outlet for these children, to give them something that could make them feel better about themselves,” said Ms. Lipari. “These hats help to lift their spirits and remind them that there is life outside of treatment, and people who care.”

A role model for compassion, Ms. Lipari’s program has also had a tremendous impact on her colleagues, since the hats help to calm and comfort patients, making treatment easier for all involved. Recently, in the hopes that the Pediatric Hat Program will expand to other facilities, Ms. Lipari offered to teach colleagues how to knit.

“Ms. Lipari’s pioneering efforts have truly inspired both her entire department and the hospital, and have initiated positive changes as we continuously strive to improve the patient experience,” said Chantal Weinhold, executive director at LIJ Medical Center.

provided

LIJ radiation therapist Janine Lipari was awarded the President’s Award by North Shore-LIJ President & CEO Michael Dowling, left, Chief Operating Officer Mark Solazzo and Physician-in-Chief Lawrence Smith, MD.

Treating a Silent Killer in Queens In a confidential setting, on the fourth floor of the Queens Crossing Mall, Tai-Ping Lee, MD, a hepatologist in LIJ Medical Center’s Liver Program, screens and treats Flushing-area patients who show signs and symptoms of hepatitis A, B or C. Flushing has a diverse population and is home to many people from China, Vietnam, Taiwan, India,

provided

Pakistan and other Southeast Asian countries.

The prevalence of hepatitis B in these populations is estimated to be at least 10 per cent, making it even more important to perform testing for them.

cancer, which commonly occur without treatment, she added. Once diagnosed, patients with hepatitis B can be effectively treated and avoid longterm complications.

If left untreated, these conditions can be deadly.

“There needs to be much more public education and awareness of this dangerous health problem, especially in Flushing’s diverse Asian community,” said Dr. Lee. “Most infants and children with hepatitis B never develop signs and symptoms.

The same is true for some adults.

The time to seek medical care is when the diagnosis is made, whether there are symptoms or not.”

Signs and symptoms of hepatitis B, which usually appear about three months after infection and can range from mild to severe, may include abdominal pain, dark urine, fever, joint pain, loss of appetite, nausea and vomiting, weakness and fatigue, and yellowing of the skin and the whites of the eyes (jaundice).

Hepatitis B treatment generally consists of one pill a day. The drug has minimal side effects and can prevent complications like cirrhosis and liver

Dr. Lee was recently joined at LIJ by another liver specialist, Jamuna Karkhanis, MD. In addition to Flushing, LIJ also has a Liver Center at 410 Lakeville Road, Suite 107, in New Hyde Park, NY. To make an appointment at the Liver Center in Flushing, call 718-559-3600. For the New Hyde Park center, the contact is 516-562-4281.

Hospital Newspaper - NY September, 2013

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September, 2013

Hospital Newspaper - NY

Nurse’s Viewpoint

By Alison Lazzaro

Hospital Newspaper Correspondent

New Beginnings The alarm buzzes at an obscene time and instantly I think this cannot be correct - considering it is pitch black outside. Unfortunately, the time is accurate and being late is not an option.

All of those “what if” questions start scrambling through my brain at rapid fire. What if I’m not meant to do this? What if my preceptor doesn't like me? What if I can't remember how to program an IV pump? But those “what ifs” melt by the wayside because years of nursing school have prepared me for this first day.

Graduating seemed like the “commencement” of learning. Quickly, I realized that I was just beginning to learn nursing. Orientation consisted of countless lectures on policies, infectious control, IV therapy, risk management, and philosophies that the hospital built their foundation upon. However, petrifying would be an understatement to describe the feeling of walking on the nursing unit as a first time RN. As if the responsibility of moving out and learning to cook on my own wasn't enough...now I would be responsible for keeping people alive.

Window patients, door patients, residents, physical therapists, nutritionists, clergy, unit secretaries, critical care technicians, and family were just a few of the people I was trying to keep track of.

I felt like I utilized everything I learned in four years of nursing school in a single day. With diagnoses I had only read about in textbooks, I realized that nursing would not stop at the bedside because I definitely needed to do my research when I got home. Yet, I did not have the luxury of thinking about what I would be doing after work because all of my patients seemingly needed medications simultaneously, had pain that needed assessing, and call lights that needed answering...and the patient down the hall just pulled out that IV line that took three attempts to insert.

Twelve hours later it was time to wrap up even if things were not winding down. Signing “RN” on my documentation seemed surreal. Talking to the patients made the experience gratifying and gave me back the perspective that I was helping humans during a vulnerable time in their lives. I learned about the stories that brought these mothers, daughters, and grandparents into the hospital and wanted to make sure I could make their recovery as smooth as possible. Sitting on the train home and thinking about the positive impact I made on patients helped wash away the tiredness of my feet and usher in excitement for my second day. I know the career path I have chosen will bring good days and difficult ones; it will push me to my limits and force me to juggle more than I could imagine. Absorbing as much knowledge as I can from my preceptor and those around me, I strive to be the kind of nurse I would want to work alongside.

Hospital Newspaper - NY September, 2013

Page 15

Burke Medical Research Institute Student-Scientist awarded Summer Fellowship to study Parkinson’s Disease “It’s hard to understate her contribution to our work,” said John Cave, Ph.D., director of Burke’s Laboratory for Neuronal Specification and Weibman’s mentor. “From the histology to the sheer man hours logging data, she’s been invaluable to getting these first stages off the ground. Ideally, we get sufficient preliminary data [this summer] and can put together a competitive grant application to take it to the next level.”

According to James Beck, Ph.D., director of Research Programs at PDF, “The Parkinson’s Disease Foundation is proud to support Ms. Weibman as a Summer Student Fellow to cultivate her early interest in the field and to prepare her to be one of its future leaders. She will work to identify which of the many neurons in the brain involved in smell are lost to Parkinson’s disease that may even lay the foundation for early diagnosis one day.”

PDF’s Summer Fellowship Program supports advanced undergraduates, graduate and medical students in their pursuit of Parkinson’s-related summer research projects.

As a whole, PDF funds promising scientific research and supports people living with Parkinson’s through educational programs and services.

Funded by grants and private donations, Burke’s Medical Research Institute engages in cutting-edge basic, translational and clinical research to bring about new knowledge that can become the basis for future rehabilitation therapies in the areas of stroke, traumatic brain injury and spinal cord injury and other neurological conditions.

The institute, which also is academically affiliated with Weill Cornell Medical College, strives to assist patients to recover more fully, not just decrease disability, which has been the focus of mainstream rehabilitation research historically. For additional information on Burke Rehabilitation Center, please visit, burke.org.

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E X C E L L E N C E I N R E H A B I L I TAT I O N F O R N E A R LY 1 0 0 Y E A R S

Where You Go For Rehab Matters Founded in 1915, Burke Rehabilitation Hospital is the only hospital in Westchester County dedicated to rehabilitation medicine. Burke

PROGRAMS: • Amputee • Joint Replacement • Brain Injury • Cardiopulmonary • Neurological • Orthopedic • Spinal Cord Injury • Stroke Recovery

offers inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or surgery. Burke

is both a rehabilitation hospital and medical research institute.

Burke's doctors and therapists provide the highest quality

treatment, while its research scientists explore the frontiers of

rehabilitation medicine. All share the Burke mission to ensure that

every patient makes the fullest possible recovery.

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As an avid pianist and dancer, Ava Weibman of Bedford Corners has always taken an interest in movement. In the summer of 2012, after completing her freshman year at Oberlin College in Ohio, she followed that curiosity further by shadowing a neurologist specializing in treating Parkinson’s disease, a chronic, progressive movement disorder.

“That was truly an enlightening experience not only because I learned more about the motor symptoms like tremor and balance impairment, but also how Parkinson’s disease is a systemic disorder and produces many non-motor symptoms including depression, fatigue and loss of smell,” Weibman said. “I also learned that we know very little about the disorder.”

An ambitious pre-med student majoring in biology and neuroscience, Weibman decided to pursue further study on Parkinson’s disease and in the process, won a $4,000 Summer Student Fellowship from the Parkinson’s Disease Foundation (PDF) and a 10-week laboratory experience in Burke Medical Research Institute’s Laboratory for Neuronal Specification.

“I’m very excited about contributing to research that has the potential to dramatically improve the quality of life for so many people,” she said.

“Research is at the forefront of understanding diseases and developing the best treatments and cures,” Weibman continued. “By participating in the research of a disorder that currently has no treatments available to either cure the disease or permanently eliminate its symptoms, I hope to learn the approaches that scientists take as well as the questions they ask so that I may someday follow in their footsteps.”

Weibman is currently helping to get a new Parkinson’s disease research project at Burke off the ground. The project focuses on olfactory bulbs, the initial processing center for odorant information, which is one of the first regions of the brain affected by Parkinson’s disease causing a loss of smell. The research aims to identify the specific neurons in the olfactory bulb affected by the disease. From there, the lab hopes to find biomarkers that can help identify patients at risk or are in the early stages of the disease and provide an intervention before motor symptoms appear— which means the patient is already at a late stage of the disease.

785 Mamaroneck Ave. White Plains, NY 10605 888.99.BURKE www. Burke.org

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September, 2013

Hospital Newspaper - NY

education & careers St. Catherine’s educates future healthcare professionals

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Patricia Butera, MBA, BS, RN, Nursing Education, Informatics and Research, St. Catherine of Siena Medical Center, Corey Grosskopf, Emily Steil, Jennifer Rodriguez, Caitlin Marquit, Suzanne Tomitz, Barbara Gibbons RN, MS, FNP, Director of Education & Research, St. Catherine of Siena Medical Center.

St. Catherine of Siena Medical Center offered five senior nursing students a 10-week externship this summer. The externship allows senior nursing students the opportunity to shadow registered nurses and learn organizational skills, prioritization of patient care needs, medication administration and patient/family communication strategies.

“The 10-week program emphasizes learning and teaches nursing students to be patient care associates—the program is also a successful hiring means when they graduate from nursing school,” said Patricia Butera, MBA, BS, RN, Nursing Education, Informatics and Research, of St. Catherine of Siena.

For more information about St. Catherine of Siena Medical Center, please call (631) 870-3444.

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

Please contact Jim Stankiewicz for more information. jim@hospitalnewspaper.com • tel: 845-534-7500 x219

Medical Assistants Counselors Medical Imaging Dieticians

Hospital Newspaper - NY September, 2013

Page 17

Lenox Hill Hospital is first in Manhattan to perform MRI-compatible spinal cord stimulator procedure

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Dr. Kiran Patel and Patient Christine Lamana.

Lenox Hill Hospital performed the first magnetic imaging-compatible spinal cord stimulator (SCS) procedure in Manhattan today on a 36-year-old woman. The patient has been suffering from leg pain and nerve damage since a motor vehicle accident last year. As a single parent, chronic pain had severely impaired her quality of life and ability to care for her child. After using a trial device for several days, she found she had significantly less pain and was notably more functional. Subsequently, she decided to undergo permanent implantation of the device and was the first patient in Manhattan to receive this new spinal cord stimulator system which allows patients to safely have MRI body scans, should they be required.

Patients with chronic pain who have previous versions of the device implanted have to have the device surgically removed before undergoing an MRI due to concerns that the MRI’s magnetic fields will interfere with the stimulator.

“Until now, patients with a spinal cord stimulation device could not safely get an MRI scan,” said Kiran V. Patel, M.D., who performed the procedure. “With this new

technology, patients who are receiving neurostimulation therapy to manage their chronic pain now have access to the full benefits of MRI scans without compromising their health, and their physicians have the best opportunity to identify potentially life-threatening medical conditions.”

The stimulator is a device that is implanted under a patient’s skin and sends out mild electrical impulses to a person’s spinal cord. The impulses block pain signals from reaching the patient’s brain. This kind of treatment is helpful for people with chronic pain, which lasts for more than three months and is so severe it can be disabling, such as limiting a person’s activities and work schedule.

Approximately 116 million American adults experience chronic pain, which is more than the number of people who are impacted by diabetes, cancer and heart disease combined.

For more information about Dr. Patel, The Spine & Pain Institute of New York and pain management, please visit www.SpinePainNY.com For more information on Lenox Hill Hospital, please visit www.lenoxhillhospital.org.

EMERGENCY MEDICINE UPDATE CME 2013 Conferences 9/23-26 Las Vegas, Nevada

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7/5-12 7-Day Alaskan Cruise

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2014 Ultrasound in Emergency Medicine 3/20-21 Las Vegas, Nevada

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2015 Tentative Conferences 3/16-19 Las Vegas, Nevada

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2016 Tentative Conferences 3/14-18 Las Vegas, Nevada

north west S E M I N A R S

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(800) 222-6927 www.northwestseminars.com

PAGE 18

September, 2013

Hospital Newspaper - NY

education & careers Calvary Hospital awards 2013 Eddie Higgins Scholarships to Nickita Bennett Calvary Hospital recently awarded the 2013 Eddie Higgins Scholarship to an outstanding student, Nickita Bennett. Ms. Bennett’s father, Keble Bennett, is a 5-year Calvary veteran who currently works in the Hospital’s Nutritional Services Department. To win the scholarship, Nickita had to both demonstrate academic excellence, financial need, and the determination and spirit of Eddie Higgins.

Nickita, 17, is a graduate of the Bronx Collegiate Academy. During her time at the Bronx Academy, she was elected as a member of the Honor Society, participated in the competitive sport of Track & Field and was part of the Dance Club where she performed in various dance competitions. Nickita also contributed her time to the Foreign Language and Journalism club, volunteered as a tutor and spearheaded the Children’s Toy Drive at her school. This fall, she matriculates at Borough of Manhattan Community College CUNY for a major in Nursing. Nickita’s goal is to obtain a Master’s Degree and be-

come a Pediatric Nurse. Nickita and her family reside in the University Heights section of the Bronx.

The Eddie Higgins Scholarship is named after a cherished member of the Calvary family who came to the hospital as a young boy. Eddie was hospitalized intermittently for 15 years at Calvary until his death in 1982 at the age of 29. Eddie is remembered for his love of God and his remarkable courage despite his illness. Calvary has given the annual scholarship since 1985.

Calvary Hospital is the nation’s only fully accredited acute care specialty hospital devoted exclusively to providing palliative care to adult advanced cancer patients. A 225bed facility with locations in the Bronx and Brooklyn, Calvary is the model for the relief of cancer pain and symptoms for more than a century. More than 6,000 patients are cared for annually by Calvary’s inpatient, outpatient, home, hospice, nursing home hospice, and wound care services. To learn more or sign up for the e-newsletter, Calvary Life, please go to www.calvaryhospital.org.

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Calvary presented the 2013 Eddie Higgins Scholarship to Nickita Bennett. Pictured from left to right: Richard Kutilek, Chief Operating Officer; Keble Bennett, Nickita’s father; Nickita Bennett; and Frank A. Calamari, President & CEO, Calvary.

Matthew Prager, recent Smithtown High School West graduate will start his college journey at Western New England University in Springfield, Massachusetts, this fall—and with extra funds, as a result of his award winning essay submitted for St. Catherine of Siena’s Medical Staff Scholarship award. Matthew was the winning recipient of the $250 scholarship and he credits his victory to completing the hospital’s Health Care Career Exploration and Internship Program.

“I knew I wanted to work in health care, and the internship gave me that extra step ahead, especially after listening to a lecture from Jose Perez, who is a physician assistant at the hospital, ,” said Matthew. “I listened to every word he said and knew at that moment I found the area I wanted to work in—I want to be a physician assistant.”

Matthew was 1 of the 28 students that graduated from the program this spring.

The Health Care Career Exploration and Internship Program initiated through a partnership with the Smithtown Industry Advisory Board to offer high school students the opportunity to earn credits while gaining hands-on experience. The program has grown to include Commack High School. Students receive a half a health credit through participation in a 16-week lecture series in health care careers, including nursing, pharmacy, dietary and laboratory, to name a few.

Matthew is looking forward to beginning a specialized pre-physician assistant program at Western New England University this fall and now wears his soon to be alumni cap proudly.

For more information about St. Catherine’s Health Care Career Exploration and Internship Program, please call (631) 870-3444.

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Smithtown West student awarded Siena Medical Staff Scholarship

Hospital Newspaper - NY September, 2013

Page 19

Doctors and nurses are definition of H.E.L.P. According to the Webster-Merriam online dictionary, help is defined as – among other things – to give assistance or support to; to make more pleasant or bearable; to be of use to; to change for the better.

Sound familiar?

Just about every one of us has been touched by a doctor or nurse that has taken care of us or a family member. Doctors, nurses and the support staff that surround them are part of the fabric of our society.

They are always there to, of course, help.

Win an iPad! If you are a member of the hospital community, now is your chance to enter Sun Home Loans and Hospital Newspaper's contest to win a free iPad. Just to go our website at www.hospitalnewspaper.com and fill in the entry form.

Once you complete it, you will receive an email that requires you to confirm your email address. Once you do that you are entered. Hospital Newspaper will also be accepting applications at all conventions that it attends. A total of Five iPads will be given away so your chances to win are excellent. Sign up today to win today!

Sun National Bank is proud to H.E.L.P. these good people with the Hospital created the Employee Loan Program. Sun Home Loans and Hospital Newspaper teamed up to bring the emergency services community this unique opportunity. Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. program is offered to members of the hospital community and their families.

“This was a no-brainer for us. Why not help the people who help us every day and work tirelessly doing so,” said Steven Testa, a Vice President with Sun Home Loans.

“It’s been an honor for us to work with all of these fine people, the doctors, nurses and support staff. We are proud to offer them this kind of mortgage opportunity and we are excited by the growth of H.E.L.P.” The H.E.L.P. program has been a hit since being introduced last year. That makes sense.

The H.E.L.P. initiative has set itself apart with unmatched customer service and some of the best mortgage rates in the country.

Sun National Bank makes that pledge to all of its satisfied clients – from initial inquiry, through paperwork and phone calls, up to the big day – closing.

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank, is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees.

PROGRAM INFORMATION

That is why we teamed up with Hospital News to create the Hospital Employee Loan Program (HELP).

the path to home ownership.

With a competitive mortgage rate and discounted fees, this program helps our community heroes purchase new homes or refinance existing homes.

Plus, the program comes with our pledge to get hospital employees in their new homes by their contract dates.

We understand that the current economic environment has created challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens

The Hospital Employee Loan Program delivers these advantages: » A competitive mortgage rate, available specifically for hospital employees » Discounted fees » Personal service from program specialists » Our pledge to have you in your home by the contract date

COMMUNITY FOCUS Sun National Bank, a full-service provider of banking products and services, is dedicated to playing an active part in the communities we serve. We support a variety of organizations, events and programs whose goals are to make our neighborhoods a better place to live and

A H.E.L.P. program representative will assist you in making sure the process is cost-effective and works for you and your family. In addition, Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Sun National Bank believes that doing business in the community means being a part of it.

To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-615-9745.

Sun National Bank Home Loans and Hospital Newspaper are not affiliated.

All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun National Bank Loans, Equal Housing

work and improve the lives of those living around us. Hospital News is the leading provider of local news and information for doctors, nurses and other hospital staff.

Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.

www.sunnb.com Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender.

NMLS #429900

PAgE 20

September, 2013

Hospital Newspaper - NY

RESOURCE DIRECTORY ARCHITECTURE

Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction.

We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States.

Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services.

The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper.

Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration.

The firm also offers sustainable or “green” healthcare design.

The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”.

Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com).

Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 • Fax: 212.463.9898 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

FAST & COMFORTABLE PELVIC EXAMS TSK PRODUCTS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, SANE and Women’s Health. It is a much more comfortable than using a hard bedpan. The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie’s unique cutout design allows the physicians to maneuver their speculum in all directions without interference. The Wedgie support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional: disposable one-time use protective covers and room wall holders are available.

12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 • Fax: (732) 389-9044

CAREER MAnAgEMEnT

Connect with Leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically.

Join BlueSteps today and receive 15% OFF your membership!

Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount.

Contact info@bluesteps.com to learnmore or for assistance getting started!

COnTRACT/PRACTICE MAnAgEMEnT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERgEnCY MEDICInE COnTRACT MAnAgEMEnT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes

EDUCATIOn

Prepare for a Career in Healthcare Sector Management at Long Island University.

Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester.

Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration.

After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry.

Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters.

Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations.

The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays.

“The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program.

For 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

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

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 Please contact Marie Buchanan at 800.563.6384 Ext. 249 mbuchanan@medexcelusa.com all inquiries are confidential

Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NY September, 2013

PAgE 21

Syosset, Southside Hospitals are first on Long Island to offer MRI-Compatible Spinal Cord Stimulator The North Shore-LIJ Health System announced that the first magnetic resonance imaging-compatible spinal cord stimulator (SCS) in New York State was implanted recently in a patient at Syosset Hospital.

Physicians at Southside Hospital were also among the first on Long Island to perform the procedure to implant one of these devices.

Patients with chronic pain in addition to health concerns such as multiple sclerosis who had previous versions of the device implanted would have had to have the device surgically removed before undergoing an MRI because of concerns that the MRI’s magnetic fields would interfere with the stimulator.

SCS was first created by Medtronic in the 1980s and since then about 250,000 people across the globe have benefitted from the device.

The stimulator is a device that is implanted under a patient’s skin and sends out mild electrical impulses to a person’s spinal cord. The impulses keep back and limb-related pain signals from reaching the patient’s brain. In lieu of pain, a patient will feel a tingling sensation.

Anthony Smith of Westhampton Beach with Southside Hospital’s Dr. Luis Fandos.

This kind of treatment is helpful for people with chronic pain, which lasts for more than three months and is so severe it can be disabling, such as limiting a person’s activities and work schedule.

Approximately 116 million American adults experience chronic pain, which is more than the number of people who are impacted by diabetes, cancer and heart disease combined, according to Medtronic.

Dr. John Stamatos, director of interventional pain management at Syosset Hospital, performed the first procedure in New York State with the stimulator.

Emergency Medical Associates named to Modern Healthcare’s Best Places to Work in Healthcare list for the third year

Orange Regional Medical Center opens new Wound Healing Center photos provided

Orange Regional Medical Center is pleased to announce the opening of its new outpatient Wound Healing Center located at the Orange Regional Medical Pavilion at 75 Crystal Run Road, Suite 240 in Middletown. The Wound Healing Center is open Monday through Friday from 8:00 a.m. – 4:00 p.m. Led by Medical Director Cleveland Lewis, MD, the Wound Healing Center offers hyperbaric oxygen therapy and a team of specialized clinicians as well as the most advanced treatments and therapies for chronic and non-healing wounds.

“Orange Regional continuously strives to provide the best individualized care to those in our community,” says Vice President of Oncology Services and Outpatient Operations, Sandra Iberger. “Our new Wound Healing Center supports our mission to improve the health of our community by meeting a growing unmet need. The new center has state-of-the-art equipment and offers advanced therapies so patients can get back to living their lives the way they want.”

Orange Regional’s multidisciplinary team of specialists offer customized wound healing treatment plans including hyperbaric oxygen therapy, graft applications and compression therapy. Our experienced staff treats diabetic wounds that are slow to heal or not healing; foot, leg ulcers and sores; surgical wounds that have opened; skin grafts or surgical flaps that are not healing post-surgery; open wounds caused by radiation therapy and bone infection.

To learn more about the wound care services offered at Orange Regional Medical Center call 845-333-7700 or visit www.ormc.org/WoundHealingCenter.

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“Not only is this device giving patients significant relief from their chronic pain, but it’s also allowing people who need an MRI to do so without another surgery needing to be performed,” Dr. Stamatos said.

Dr. Luis Fandos, chief of pain management at Southside Hospital, said, “Until now, removal of spinal cord stimulation devices to ensure a safe body MRI scan was unavoidable. With SureScan technology, patients who are receiving neurostimulation therapy to manage their chronic pain now have access to the full benefits of MRI scans without compromising their healthcare, and their physicians have the best opportunity to identify potentially life-threatening medical conditions.”

The spinal cord stimulator is one of a handful of options to treat chronic pain. Other treatments include rehabilitation, medications and corrective surgery.

For more information about chronic pain management, call (516) 496-6447 to learn about treatment options at Syosset Hospital. For Southside Hospital call, (631) 422-6166.

Emergency Medical Associates is among 100 companies nationwide who have been named to the 2013 Best Places to Work in Healthcare list compiled by Modern Healthcare magazine.

The recognition program, now in its sixth year, honors workplaces that enable employees to perform at the optimum level to provide patients and customers with the best possible care, products and services. This is the third year that the company has been named to the list.

“Since 1977, our physicians, mid-level providers and support staff have enjoyed a work environment where quality and excellence in practice is the norm. We reward clinical acumen with competitive compensation and benefits, and opportunities for advancement,” explains Raymond Iannaccone, MD, FACEP,

president and chief executive officer of Emergency Medical Associates. “We’re honored to again be recognized by Modern Healthcare.”

Nearly 350 healthcare companies participated in this year’s program. The program surveyed employees and analyzed their responses in eight core areas: • Leadership and planning • Culture and communications • Role satisfaction • Working environment • Relationship with supervisor • Training and development • Pay and benefits • Overall satisfaction Modern Healthcare will reveal the ranked order of the 100 Best Places to Work in Healthcare Oct. 24 at a banquet in Atlanta.

About Emergency Medical Associates Emergency Medical Associates (EMA) is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine.

Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

PAGE 22

September, 2013

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.

NURSING HOME 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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3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident. Do not let the job tell you different.

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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 knodiff@uhgc.org.

United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org

associations NYSNA www.nysna.org healthcare consultants Medco Consultants, Inc. www.medcoconsultants.com hospitals HealthAlliance of the Hudson Valley® www.HAHV.org North Shore LIJ www.northshorelij.com medical equipment & Products TSK Products www.tskproducts.com rehabilitation www.stcharles.org

To list your business website contact: Jim Stankiewicz Tel: 845-534-7500 ext. 219 jim@hospitalnewspaper.com

Hospital Newspaper - NY September, 2013

Page 23

Calling All Emergency Responders

When every second counts...

Count on NitroMist

®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.* NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.† Available in 90 & 230 spray bottles.

For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.com Now covered on UnitedHealthcare.

Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease.

CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARNINGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive.

Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefits of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported.

DRUG INTERACTIONS – PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myocardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministration of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissuetype Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the first-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability.

Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossification were seen. The latter finding probably reflects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

Not Actual Size

orted clinical experience has not identified differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume.

Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and difficult, and invasive monitoring may be required. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color change on exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.

NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fibrotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity in an in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and body weight gain in both sexes at all matings. No specific effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafil, vardenafil, and tadalafil.

These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.

Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016

by Dynamit Nobel GmbH, Leverkusen, Germany E Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USA NitroMist is a registered trademark of NovaDel Pharma Inc., used by permission.

141B002 10/2012

*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays. † Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).

NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.

©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T

PAGE 24

September, 2013

Hospital Newspaper - NY

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