Hospital Newspaper NJ September ebook

HOSPITAL

H NEWSPAPER

EMA’s Don’t Miss!

11th Annual Advanced Emergency and Acute Care Medicine Conference See Conference Ad on page 15

The New Jersey Edition WWW.HOSPITALNEWSPAPER.COM

HOME SUBSCRIPTION - $36/YEAR

SEPTEMBER 2013

ANS. Making Next Generation Treatments Possible.

See pages 12-13

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 page 29

Matheny Medical and Educational Center

Hospital of the Month!

CHANGE SERVICE REQUESTED

See page 16

Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

PRESORT STANDARD U.S. POSTAGE PAID PERMIT 7246 PHILADELPHIA, PA 19143

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September, 2013

Hospital Newspaper - NJ

WHAT WHA AT MAKES MAKES A LEADER LEADER IN HEAL HEALTHCARE THCARE C COST OS ST MA MANAGEMENT? NAGE A EMENT?

TS PRODUC CE N A M R PERFO IP H S R E N T PAR

At PHX, we of offer fer a comprehensive solution th that’s hat’s tailored to fit your advantage innovative business – take adva antage of our suite of inno ovative Products and Performance long-term Partnership. outstanding Per formance m e while building a lo ong-term Par tnership. >> 888.311.3505 888.311.3505 | P HX-online.com PHX-online.com

©2013 Premier Healthcare re Exchange, Inc. All Rights Reserved.

Reser ved.

Hospital Newspaper - NJ September, 2013

The best-dressed wounds in New Jersey.

That’s the beauty of Trinitas.

T

he Center for Wound Healing & Hyperbaric Medicine at Trinitas Regional Medical Center is New Jersey’s leading comprehensive wound care center. We utilize advanced wound care technologies such as Hyperbaric Oxygen (HBO) Therapy and Vacuum-Assisted Closure (VAC®) negative pressure wound therapy. And we were the first in the state to use Apligraf ® - a living, bi-layered skin substitute.

We enjoy healing rates that are consistently above 90%. That’s why so many area hospitals send their most difficult wounds to us. And why Diversified Clinical Services named us a Center of Excellence.

This is wound care that goes way beyond bandages. And it’s available right here, right now. Beautiful.

CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE 240 Williamson St., Suite 104, Elizabeth, NJ 07202 908-994-5480 • www.WoundHealingCenter.org TRINITAS CENTERS OF EXCELLENCE

Behavioral Health • Cancer Care • Cardiology • Diabetes Management Maternal & Child Health • Renal Services • School of Nursing • Senior Services Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine

Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.

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September, 2013

Hospital Newspaper - NJ

An Integrated Delivery Case Study – PHX Network Management Premier Healthcare Exchange’s (PHX) Network Management solutions decrease claim costs while increasing operational efficiency for our clients. Through PHX’s Network Management suite of products, ProPoint Primary, ProPoint National Access, and Custom Network Solutions, we are able to fully customize network solutions for our clients, providing them with the deepest discounts and best available networks.

This case study is based on a hospital system as an employer, which like many businesses today, is confronted with rising healthcare cost, competitive challenges and health benefit plans that are not efficiently utilizing their own domestic network. Thus, to remain competitive, a change in the structure and utilization of their health benefit plan was needed to secure top-line revenue and eliminate outbound cash flow to competitive systems.

PRIOR TO PHX Where Whe ere were employees goi going? ng?

Domesticc Capture: 32%

Non-Dom Non-Domestic mestic Capture:: 68% Capture

Thi char This chart h t represents represe ents t the th percentage t off employees employe l ees utilizing tilizing nondomestic facilities vs. v domestic facilities over the span of one year year..

WITH W I TH PHX Where Wh ere are employees goin going? g?

Non-Do omestic Non-Domestic Capture e: 23% Capture:

Domest tic Domestic Capture: Capture e: 77%

This char chartt represents the percentage of employees utili utilizing zing domestic facilities vs. non-domestic facilities working with PHX. facilitie es over the span of one year after a

Healthcare Challenges The primary focus of this case study centers on how our spotlighted hospital system, which includes 5,500 employee lives, improved the utilization of its domestic network and recaptured their lost revenue stream. During an analysis of the hospital system’s health benefit plan, it was found that throughout a one year period over $130M was spent at non-domestic network facilities and an astonishing $6M was going directly to a single competitor. This resulted in lost revenue for the hospital, contributed to competitive promotion and expanded the business of other hospital systems.

Recognizing this opportunity, the hospital knew that it needed to reconfigure its health benefit plan in order to control employee spend, recapture employees as customers and boost top-line revenue.

In order to do this, the hospital system reached out to PHX to help customize its network and provide a solution.

PHX’s Custom Network Solution In order to improve and maximize the utilization of the hospital’s domestic network, PHX first crafted a primary network which consisted of the hospital’s own facilities and providers, also known as the hospital’s Domestic Capture.

After an in-depth analysis was conducted, PHX was able to customize a chosen PPO network to remove competitive facilities and retain selected providers. This resulted in a custombuilt PPO network so that the hospital could now offer a more comprehensive health benefit package to their employees.

All of the hospital’s networks were then merged into one, which created a fully redesigned panel of providers, specifically tailored to its needs. The outcome was a customized health benefit plan that is convenient and easily accessible to the hospital’s employees on its website. The link gives them access to the PHX portal where employees can easily search for available providers via a fully customized Provider Directory.

Results The integration of the PHX Custom Network resulted in a 220% increase in employee utilization of the institution’s domestic network providers. This generated nearly $93M in recaptured revenue for the hospital, which went directly back to the hospital’s own facilities, increasing top-line revenue and eliminating capital outflow to competitive hospital entities.

The PHX Custom Network Solution enabled the hospital to select its preferred providers and fully customize its own network. This in turn, provided greater control, maximum revenue and improved overall employee experiences.

At PHX, we believe that partnership with our customers is the best driver of success when navigating the complexities of today’s healthcare environment. This partnership provides our clients with increased member satisfaction, increased operational efficiency and most importantly, increased revenue and reduced healthcare costs. Simply put, we enhance your ability to control the distribution of your healthcare dollars.

Hospital Newspaper - NJ September, 2013

A uunique nique bus siness... business... requires i a unique nnetwork. etwork.

PHX – network solutions management solution ns to help lower your

Š2013 Premier Healthcare Exchange, Inc Inc. c. All Rights Reser Reserved. ved.

healthcare costs

>> 888.311.3505 888.311.3505 | PHX-online.com

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September, 2013

Hospital Newspaper - NJ

OUR VIEW

ADVERTISER INDEX Company

Page

Medicaid expansion…Good or Bad?

32

AkrimAx / Nitromist

Atlantic NeuroSurgical Specialists (ANS) 12-13 Bankers Healthcare Group, inc.

EmA

11 7, 14, 15

GNYHA Services

9

icare

31

Less Stress instructional Services

20

matheny School and Hospital

17

NorthWest Seminars

25

Plymouth rock management Co of NJ

27

Premier Healthcare Exchange, inc. (PHx) 2, 5 resource Directory

28, 30

rWJ rahway

23

Sun Home Loans

29

St. Peter’s University

21

TESC

19

Trinitas regional medical Center

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.

3 Don’t Mis s!

H

HOSPITAL

H

NEWSPAPER

845-534-7500 • (fax) 845-534-0055 Info@HospitalNewspaper.com

PUBLISHER

HOSPITAL

EMA’s

11th Annual

Advanced Emergen and Acute cy Care Medicine Conference

WWW.H OSPITAL NEWSPA PER.CO M HOME SUB SCRIPTI ON - $36 /YEAR

SEPTEM BER 2013

NEWSPAPER

Joseph P. Belsito (Joe@hospitalnewspaper.com)

ANS. Makin g

••• GENERAL MANAGER

Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form

James Stankiewicz (Jim@hospitalnewspaper.com)

••• MANAGING EDITOR

Next Gene ration

Treatment If you are a Hospita s Possible l employe about thei . e looking r Hospital for a Employee See pages 12-13 Loan Program mortgage or refinan cing contact and you cou Sun ld WIN AN IPAD! See page Home Loans 29 Matheny Med ical

and Educat ional Center

Hospital of the Month!

See page 16

Cathryn Burak (Cathy@hospitalnewspaper.com)

••• SENIOR CORRESPONDENT

Subscription Form

Geraldine A. Collier

••• SENIOR SALES CONSULTANT

Name: __________________________________________________________________________________________________________________

Maureen Rafferty Linell (MRLinell@charter.net)

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Anthony Mairo (Anthony@hospitalnewspaper.com)

•••

CIRCULATION

Michelle Belsito

Telephone: (

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Jeff Horton

cell- 845-729-2525 jeff.hospitalnewspaper@gmail.com

CORPORATE INFORMATION Hospital Newspaper - New Jersey edition - Vol. 11 No. 9 is published monthly, 12 times a year for $36 per year by Belsito No. Communications, 1 Ardmore Street, New 1 - is publishedInc., monthly, 12 times a year for Windsor, NY 12553. Postage Paid at New Windsor, NY $ and additional mailing offices. Postmaster: Send address changes to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

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

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Hospital Newspaper - NJ 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® for More Than Three ree Decades

t

35 yyears ears of expertise exper x tise

t

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

t

Dedicated board-certified Dedicated bo oard-cer tified emergency emerge ency physicians physicians integrate integ gra te iinto nto your your hos spital’s 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 rk in Healthcare

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

September, 2013

Hospital Newspaper - NJ

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 - NJ 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

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September, 2013

Hospital Newspaper - NJ

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 - NJ September, 2013

Your healthy financial future is here.

At Fund-Ex, our specialty is you. As a lender that works exclusively with healthcare professionals, we take the time to understand your needs and determine the best solution for you and your business. Fund-Ex can help you improve operational cash flow, expand or relocate, upgrade equipment or just simplify and save by consolidating high-interest debt.

Call 877. 851.9405 or visit www.fund-ex.com/HNNJ to connect with one of our funding experts.

The Funding Expert for Healthcare Professionals

Loan proposal in 24 hours, funding in 5 business days • No hard collateral required • Won’t appear on personal credit • Loan amounts from $25,000 to $5,000,000

Page 11

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September, 2013

Hospital Newspaper - NJ

For over 50 years Atlantic NeuroSurgical Specialists (ANS) has maintained their core value that the needs of their patients come first. This means constantly striving toward the application of leading-edge research to their clinical practice. Their neurosurgeons incorporate the most advanced surgical technology and neurosurgical techniques available for the treatment of stroke, back pain, brain tumors, brain aneurysms, spinal disorders, traumatic brain injury, and more. ANS is affiliated with New Jersey’s leading healthcare systems and with over 9 offices throughout the region, their reputation has made them the largest private neurosurgical practice in the state of New Jersey.

Stroke Treatment Atlantic NeuroSurgical Specialists continues to be a leader in the war against stroke. In 2012, ANS became the first group of doctors in the country trained on the Trevo® Pro Retriever following approval by the FDA. This product is part of a new category of devices known as “stent-trievers.” Unlike prior devices, these stent-trievers allow ANS physicians to immediately restore blood flow to the patient’s brain by opening up the blockage instantaneously while it is removed from the artery. In fact, ANS was one of only a few sites to be chosen for the initial FDA trial for this technology.

The practice remains the largest private neurosurgical practice in New Jersey treating stroke, with a success rate greater than the national average. ANS was the initial group to treat stroke at the first comprehensive stroke center in New Jersey, and has since expanded to 3 additional comprehensive centers. The endovascular team is engaged in clinical trials for new stroke technologies and therapies, giving patients access to the next generation of stroke management.

Spine All of ANS’s neurosurgeons are boardcertified and most notably, 5 of ANS’s neurosurgeons are fellowshiptrained in spine surgery and hold national recognition in their specialty.

In turn, ANS remains the largest and most reputable neurosurgical practice in New Jersey.

They boast a multidisciplinary team using the most advanced surgical techniques, including minimally invasive spine surgery. These procedures offer significantly less postoperative pain and shorter hospital stays. Conditions such as severe

herniated discs and kyphosis, which warranted major surgery in the past, can now be treated with less risk and minimal down time.

With the rising popularity of “boutique surgeries” being offered by less qualified specialists, ANS has launched an awareness campaign to educate the community on the importance of choosing a neurosurgeon for an accurate diagnosis and to dismiss the idea that you only go to a neurosurgeon when surgery is needed. Neurosurgeons are the most qualified specialists to diagnose and treat your back pain as well as other ailments associated with your delicate nervous system.

Brain Tumors As leaders in the surgery and management of patients suffering from brain disorders, tumors, and diseases, ANS performs treatments not found anywhere else in the state. They specialize in the rarest of surgeries, including skull base surgery and epilepsy surgery, and are also one of the few groups involved in vaccine trials for the treatment of brain tumors. Through collaboration, the ANS doctors routinely meet to discuss all treatment options for their patients.

Whether you suffer from a tumor, back problems, or even stroke, you should always choose a neurosurgeon. Don’t let insurance come before your health. ANS sees all patients. To learn more about the latest advancements in treatment or to view a listing of all hospitals they are affiliated with in your area, visit www.ansdocs.com or call 973.285.7800.

Hospital Newspaper - NJ September, 2013

Page 13

Making Next Generation Treatments Possible X ANEURYSM / NEUROVASCULAR X BRAIN MAPPING X BRAIN STIMULATORS X COMPLEX BACK AND SPINE X CONCUSSION CENTER X FUNCTIONAL NEUROSURGERY X HYDROCEPHALUS X KYPHOPLASTIES X MINIMALLY INVASIVE SURGERY X NEURO-ONCOLOGY X NEURO-SPINE INSTITUTE X PAIN MANAGEMENT CENTER X PERIPHERAL NERVE DISORDER X PITUITARY DISORDERS X RADIOSURGERY X TRIGEMINAL NEURALGIA X TUMORS

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

School House Village 350 Main Street Suite 5 Bedminster, NJ 07921 973.285.7800 464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800

89 Sparta Avenue Sparta, NJ 07871 973.729.0266 3700 Route 33 Neptune, NJ 07753 732.455.8225 1592 Route 739 Dingmans Ferry, PA 18328 973.729.0266

PAGE 14

September, 2013

Hospital Newspaper - NJ

Top Docs of New Jersey

David FE Stuhlmiller, MD, FACEP, CMTE Chairman, Department of Emergency Medicine Newton Medical Center, Newton, N.J.

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 David Stuhlmiller.

David Stuhlmiller, MD, FACEP, CMTE, is chairman of the department of emergency medicine at Newton Medical Center.

Dr. Stuhlmiller received his medical degree from Temple University School of Medicine in Philadelphia, and completed his emergency medicine residency at Indiana University School of Medicine Clarian Health-Methodist Hospital in Indianapolis.

He is certified by the American Board of Emergency Medicine.

Dr. Stuhlmiller joined Emergency Medical Associates in 2005 as an emergency physician at Westchester Medical Center.

He worked with EMS in the Hudson Valley and as medical director of the Air Methods LifeNet of New York/Guthrie Air medical helicopter.

In 2010, Dr. Stuhlmiller became the associate director of the emergency department and medical director for the mobile intensive care department at Robert Wood Johnson University Hospital at Rahway, and was named medical director of the emergency department at Newton Medical Center in 2012.

Dr. Stuhlmiller represents the National Association of EMS Physicians (NAEMSP®) on the Board of Directors of the Commission on Accreditation of Medical Transport Systems (CAMTS) and in October will begin a two-year term as chair of the Air Medical Transport Section of the American College of Emergency Physicians (ACEP).

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 - NJ September, 2013

Page 15

Advanced anced Emergency E Emergen ncy t Adva th

11

Annual An nnua al

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

SEPTEMBER SEPTEM MBER 17 – 20 Sheraton Atlantic City Convention Hotel Conventio on Center Hot el Learn the Latest Inform Information mation on: • • • •

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

Featuring:: Featuring • • • • •

Physicia Physician nT Track rack Complimentary Track on 9/18 Complim mentary ACHE T r rack Complimentary Hospitalist Complim mentary Hospital list Track Track Variety V ariety of o Hands-On Lab b Courses Nationall ly Recognized Lectur L ers Nationally Lecturers

Voted V oted as a s the t h e “Best “ CME Value Value in the Northeast” N

ADDITIONALL PROGRAM H HIGHLIGHTS: • Registration Inclu Includes udes Daily Br Breakfast eakfast and and Lunch (Tuesday (T Tuesday thr through ough h Thursday)

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

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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.com 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) 740-9895 0-9895 | Email: Serbins@ema.net ins@ema.net V isit us at: www .be estemconference.com m | Follow us on Twitter Twittter at: bestemconf Visit www.bestemconference.com

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PAGE 16

September, 2013

Hospital Newspaper - NJ

HOSPITAL

H of the Month

Matheny Provides Special Education and Medical Care For Children with Medically Complex Disabilities

photos provided

When he was around 2 ½ years old, Jacob Rolaf exhibited signs of bruising and was diagnosed with mild hemophilia.

About 4 ½ years later, he began to experience gastro intestinal bleeding and, as a result, needed to be treated with high doses of coagulation factor VIII to combat an inhibitor. A resulting infection caused him to develop septic shock and multi-organ failure. “Before that,” says Lisa Cohen, MSW, LSW, social worker at Rutgers Robert Wood Johnson Medical School Hemophilia Center in New Brunswick, “he was an average kid. But he developed sepsis, multi-organ failure, central nervous system injury and seizure disorder. That really started all of his multiple medical issues.”

From that point on, Jacob was in and out of the hospital. “He stayed at Jersey Shore Medical Center if had a seizure,” says Cohen, “because his neurologist was there.

For treatment of his hemophilia, he came here.” At home in Toms River, NJ, he had special accommodations and lots of nursing support. Then, his mother became ill and was unable to care for him physically. He was then placed in St. Clare’s Home for Children, an institution that offers transitional care to infants and children with specialized medical needs. “His hemophilia,” says Cohen, “had stabilized because the immune tolerance therapy was successful and his medicine was working. But we needed to find a long-term placement that had the therapies he needed and so he would not just sit all day.”

The Matheny Medical and Educational Center is located in Peapack, NJ.

In December 2012, a representative of Child Protection and Permanency, CP&P, (formerly DYFS) contacted the Matheny Medical and Educational Center regarding permanent placement for Jacob. CP&P was operating as a resource to help Jacob’s mother identify placement options, and the agency determined that Matheny was best able to meet his needs. He was eventually admitted to Matheny in May 2013. Cohen believes, “He really needed a place like Matheny. Seeing him there is wonderful.

Jacob Rolaf works on his math with teaching assistant Kristin Barone.

You can see it on his face. You can see the difference.” CP&P is New Jersey’s child protection and child welfare agency under the Department of Children and Families. Its mission is to ensure the safety, permanency and well-being of children and to support families.

Matheny is licensed as a special hospital, caring for children and adults with medically complex developmental disabilities. But it is also a special education school that serves students with multiple disabilities. Students such as Jacob Rolaf are provided with the opportunity to reach their highest level of academic achievement while also obtaining maximum independence. When Jacob was still living at home, he attended the Silver Bay Elementary School in Toms River, and received therapies as part of the special education program. At Matheny, related services are vital to the core of the program.

Occupational, physical and speech therapies are integrated into the school program through authentic tasks and settings. In physical therapy, students utilize adaptive tricycle riding and standing and alternate positioning programs developed by PTs. In speech, students are not limited to speech patterns and topics chosen by curriculum teams; they enjoy phrases selected by either themselves or their parents. Occupational therapy looks to enhance all areas of functional life with a focus toward real world expectations.

Matheny students also benefit from the latest technology such as SMART Boards and Tables, iPads, iMacs, Powerbooks, HO-Touch computers and much more.

Matheny asks, “How can our students do that?” and uses everything to help its students attain higher results than any have felt possible.

Matheny also operates a comprehensive outpatient center providing medical, dental and therapy care to people with all types of disabilities in communities throughout New Jersey. And Matheny trains healthcare professionals, therapists and educators in how to work effectively and appropriately with persons who have developmental disabilities.

While the majority of Matheny’s inpatients have cerebral palsy as their primary diagnosis, the medical complexities of the patients have increased over the years.

Matheny’s patients have a long list of associated medical conditions such as vision and hearing deficits, seizure disorders, mental retardation and dysphagia, with resulting aspiration problems. In addition to cerebral palsy, Matheny has patients with spina bifida, a rare metabolic condition known as Lesch-Nyhan disease (LND) and a wide range of uncommon conditions including Rett syndrome, Angelman syndrome, Cornelia De Lange syndrome, Wolf-Hershorn syndrome and 4Q Deletion syndrome.

Matheny student uses a walker, assisted by a physical therapist

Hospital Newspaper - NJ September, 2013

Page 17

PAGE 18

or nfo f i t s e Lat es and

nursdents stu

September, 2013

Hospital Newspaper - NJ

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 - NJ September, 2013

Page 19

education & careers Hunterdon Medical Center’s Diabetes Education Program Merits ADA Recognition The prestigious American Diabetes Association Education (ADA) Recognition Certificate for a quality diabetes self-management education program was recently awarded to Hunterdon Medical Center’s Center for Nutrition and Diabetes Management. The Center for Nutrition and Diabetes Management was originally recognized in 1992. ADA believes that this program offers high-quality education that is an essential component of effective diabetes treatment.

The Association’s Education Recognition Certificate assures that educational programs meet the National Standards for Diabetes Self-Management Education Programs.

These Standards were developed and tested under the auspices of the National Diabetes Advisory Board in 1983 and were revised by the diabetes community in 1994, 2000 and 2007.

Programs apply for recognition voluntarily. Programs that achieve recognition status have a staff of knowledgeable health professionals who can provide participants with comprehensive information about diabetes

management. “The process gives professionals a national standard by which to measure the quality of services they provide,” explained Beverley Manganelli, RD, Director, Center for Nutrition and Diabetes Management. Manganelli added, “And of course, it assures the consumer that he or she will likely receive high-quality service.” Education Recognition status is verified by an official certificate from ADA and awarded for three years.

According to the American Diabetes Association, there are 25.8 million people or 8.3% of the population in the United States who have diabetes. While an estimated 18.8 million have been diagnosed, unfortunately, 7 million people are not aware that they have the disease. Many will first learn that they have diabetes when they are treated for one of its life-threatening complications – heart disease and stroke, kidney disease, blindness, and nerve disease and amputation. About 1.9 million new cases of diabetes were diagnosed in people aged 20 years or older in 2010.

Diabetes contributed to 231,404 deaths in 2007.

The staff of the Center for Nutrition and Diabetes Management.

The Center for Nutrition and Diabetes Management is located in the Wescott Medical Arts Center at 9100 Wescott Drive in Flemington (next to Hunterdon Medical Center).

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PAGE 20

September, 2013

Hospital Newspaper - NJ

education & careers Nursing Camp at Trinitas defines Summer, and often future, of teens In its 10th year, program still gets high marks As one of the most sought-after camp experiences for high school students in Union County and elsewhere, Nursing Camp at Trinitas Regional Medical Center, now in its 10th year, has again received rave reviews. A total of 72 teens participated throughout the summer, getting a first hand view of the daily lives of nursing and other healthcare professionals at Trinitas. Following orientation and introduction to medical terminology, the students hear presentations from a wide array of clinical departments and functions in the organization. The week-long program offers “shadowing” opportunities for campers who give the program high marks for helping them see, in a realistic light, a career they may want to pursue.

Lisa Liss, Director of Volunteer Services, who conceived of the Nursing Camp program in 2004 to introduce local high school students to the nursing field, reports that the program has expanded to include teens from beyond Union County. She developed the program in concert with Patricia Haydu, RN, Coordinator of Health Occupations in the Thomas Edison Career and Technical Academy of Elizabeth High School, who recently retired from that position after 35 years with the school system. Pat, together with Eileen Mulroy, RN, MSN, Health Occupations Instructor at the Thomas Edison Career and Technical Academy, serve as facilitators in the program, helping the campers connect effectively with Trinitas staff members and ensuring that they have a positive camp experience.

This group of enthusiastic teens gave rave reviews to the 2013 Trinitas Regional Medical Center Nursing Camp. The camp consists of six one-week sessions with orientation to the hospital environment, introduction to medical terminology, and exposure to the emergency room, the operating room, and patient care units as students “shadow” experienced nurses.

Lisa derives great satisfaction from knowing that the program has helped students make decisions on their careers. “For some, this week at Trinitas crystallizes their thinking about the healthcare field. It’s a revealing week that can make all the difference in the world to young people exploring what they might want to do with their lives.”

For many, their week at Nursing Camp inspires them to pursue nursing careers or other healthcare profes-

sions, as evidenced by comments like, “Nurse Camp impacted my future. It allowed me to see things that I’d never been able to see before” and “My best experience was visiting the Lab. I’ve been interested in pursuing a career in Pathology and it made me realize it was definitely what I wanted to do as a future career.”

Taryn Wilson Condron, RN in the Emergency Department, and 2006 alumna of the Trinitas Nursing Camp, recalls that viewing the television

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medical drama ER was part of the reason why she became interested in nursing. However, the strongest influence came from her aunt, Ginny Wilson, Nurse Manager of two patient care units who has been with Trinitas for 15 years. Taryn completed her senior year in high school and then went on major in nursing at Pennsylvania’s Moravian College.

She describes her summer at Nursing Camp as “a fun, learning experience.

I learned that day-to-day nursing is a

whole lot different from what you see on television. I got to see different aspects of the hospital. Campers get to see what jobs are out there for them.”

This year’s participants agreed wholeheartedly. Julianne Smolyn expressed her thanks to Lisa Liss: “Thank you for giving me the opportunity to attend the Nursing Camp at Trinitas. It was a very rewarding experience, and I enjoyed it very much.” Emily Yang, another participant, wrote, “Thank you for incorporating me into the Trinitas family through Nursing Camp and Medical Mentors. I’m truly grateful for the experiences that I’ve had and the opportunities that have opened up to me, all because of what I’ve learned here. Thank you so much!”

Through her camp experience, Taryn learned about interacting with patients, working with technology needed for patient care in the Emergency Department, and getting a first-hand look at the business of nursing every day. A piece of advice she gives to all aspiring nurses and healthcare professionals who are interested in volunteering or career programs prior to college: “Get ready for hard work and don’t give up.”

Camps and internship programs are essential for students who seek a career that is both challenging and enriching.

According to Taryn, her Nursing Camp experience was a validation of her early interest in nursing: “I always wanted to become a nurse. I would definitely recommend this program to anyone considering a career in nursing.

It helped me finalize my decision.”

For more information on TRMC, visit: www.TrinitasRMC.org or call (908) 994-5138.

Hospital Newspaper - NJ September, 2013

education & careers Back to School – In Style University Hospital and Rutgers Biomedical and Health Sciences Schools help low-income Elementary students prepare for class Some 575 elementary students from lowincome Essex County households picked out full sets of clothing, backpacks and supplies at the recent free “Back 2 School Store” set up in a West Orange synagogue’s gymnasium. Their parents enjoyed free health screenings, education and information about health and child well being from University Hospital and Rutgers Biomedical and Health Sciences in Newark.

Held at B’nai Shalom for the fifth consecutive year, the event was sponsored by the National Council of Jewish Women’s Essex Section (NCJW/Essex). The children, aided by hundreds of volunteers assembled brand new, well-fitting outfits complete with hat, scarf and gloves, undergarments, personal care items and backpacks of their own choosing. They gathered free school and art supplies from paper to pencil sharpeners. About 360 volunteers served the children, including personal shopping aides and others from all over the county.

“Watching the looks of pure joy and excitement on the children’s faces truly put everything into perspective for me,” said Karen Cherins, president of NCJW/Essex. “Many of these youngsters have never had anything to wear but hand-me-downs, and this year they can proudly sport their own new clothes and supplies as they go back to school fully equipped to learn.”

“The ‘Back 2 School Store’ is a wonderful event and is very well planned and organized,” said attendee James R. Gonzalez, MPH, FACHE, President and CEO, University Hospital.

“I definitely see a tremendous amount of passion within NCJW, and its members really focus on helping children start the school year off well. This program is truly beneficial to children in need, and University Hospital considers it a privilege to be a participant.”

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“Pretty and Pink” – A young girl proudly displaying her matching new pink book bag and coat is joined by James R. Gonzalez, MPH, FACHE, President and CEO, University Hospital, and Karen Cherins, President, National Council of Jewish Women (NCJW), Essex Section, during the Back 2 School Store.

School of Nursing

PAGE 21

PAGE 22

September, 2013

Hospital Newspaper - NJ

RWJ Rahway HeartHealth; Whole-Heartedly Better When it comes to heart health, Robert Wood Johnson University Hospital Rahway is bigger than you might think. That’s because RWJ Rahway’s cardiac services are backed by the strength of the Robert Wood Johnson Health System.

During a cardiac emergency, when every second counts, RWJ Rahway is there with the expertise of an experienced mobile intensive care unit, a 24/7 Emergency Department, a state-of-the-art cardiac catheterization lab and an average door-to-balloon time under 60 minutes for life-saving angioplasty, well below the 90 minute standard.

But if more complex heart care is needed, RWJ Rahway is the doorway to the expertise of the Cardiovascular Center of Excellence at Robert Wood Johnson University Hospital (RWJ) in New Brunswick, recognized as one of America’s Best Hospitals by U.S.News & World Report for six consecutive years.

Because RWJ is the principal teaching hospital of Robert Wood Johnson Medical School, patients can benefit from advances in technology and research, as well as the combined expertise of faculty and community physicians who work in partnership to treat heart disease.

RWJ is one of the few hospitals in the state to perform 3-D transesophageal echocardiography to diagnose aortic and mitral valve disease. Its cardiac electrophysiology specialists are among the nation’s leaders in the number of atrial fibrillation ablation procedures for heart arrhythmias and its surgeons provide minimally invasive robotic surgery for mitral valve repair and replacement.

Beating Heart Surgery RWJ now offers Transcatheter Aortic Valve Replacement (TAVR), an aortic valve replacement technique that provides new hope for patients diagnosed with severe aortic valve disease suffering from end-stage heart disease. TAVR allows doctors to replace a patient’s diseased aortic valve without traditional open-heart surgery while the heart continues to beat.

In performing TAVR, the replacement valve is pinched and inserted into the body through a small cut in the patient’s groin area. It is then threaded with a catheter up the femoral artery. Once delivered to the site of the patient's diseased valve, the replacement valve is expanded with a balloon and functions in place of the patient's existing valve.

Transplantation and Ventricular Assist Device RWJ’s heart failure and transplant program stands at the forefront of specialized, expert care for heart failure and heart transplantation.

The program offers the full spectrum of care for the advanced heart failure, including: • Biventricular pacemakers • Left ventricular assist devices (LVADs) as a bridge to heart transplantation • Access to clinical trials • Medicare-certified heart transplantation with shorter waiting times than at hospitals in New York and Philadelphia. RWJ is one of two hospitals in the state certified to perform heart transplants and has a one-year survival rate of 97 percent.

The program has Joint Commission accreditation to offer LVAD as a therapy for end-stage heart failure patients not eligible for a heart transplant. Neither an artificial heart nor a heart replacement, an LVAD attaches to a patient’s heart and is designed to assist or take over the pumping function of the left ventricle, the heart’s main pumping chamber.

RWJ performs more than 1,000 cardiothoracic surgical procedures per year with excellent outcomes and uses board-certified cardiac anesthesiologists for the management and care of all cardiac surgery, including minimally invasive procedures.

“Working in partnership with faculty at Robert Wood Johnson Medical School and private community physicians, RWJ’s Cardiovascular Center offers patients a highly skilled and experienced team of cardiologists, surgeons and nurses equipped with innovative technology to treat the most seriously ill cardiac patients,” says James Coromilas, MD, Professor of Medicine and Chief of the Division of Cardiovascular Diseases & Hypertension at Robert Wood Johnson Medical School.

Recover Close to Home As patients recover from their surgery, know that cardiac expertise is close to home to help regain strength, confidence and stamina.

For over a quarter century, the Nicholas Quadrel Healthy Heart Center at RWJ Rahway provides the best in cardiac rehabilitation and monitoring. Cardiac rehab is an effective combination of exercise, education, nutritional counseling and support that helps in preventing future cardiac events.

“For many people, this program is the first positive thing they’ve ever done for their heart,” said Helen Peare, BSN, RN, coordinator of Ambulatory Cardiac Services, which includes the Healthy Heart Center. “Many come to cardiac rehab anxious, depressed or angry.

We teach them how to exercise, how to be independent, how to feel good about themselves again.”

Patients benefit from the hearthealthy focus of the program, as well as the camaraderie of being with those who have been there.

Many of Ms. Peare’s patients continue long past their allotted sessions because they get so much from the program. A number have logged more than 1,500 hours of cardiac rehab.

Support Close to Home And there is even more support close to home. RWJ Rahway has cardiac and diabetes support groups that meet each month. The hospital also provides healthy cooking demonstrations each month led by a registered dietitian at its fitness center in Scotch Plains. These programs are free and open to all.

RWJ fitness and wellness centers also get you back on track with personal trainers experienced in working with beginners or those with pre-existing medical conditions.

provided

Helen Peare, BSN, RN, Coordinator of Ambulatory Cardiac Services, checks in on John Dziedzic in cardiac rehabilitation at RWJ Rahway.

Six days after Superstorm Sandy, Mr. Dziedzic had a massive heart attack and went into full cardiac arrest in front of the hospital.

The Emergency Department fought hard to save his life and after 40 minutes, got a pulse, stabilized him, then rushed him to the Cardiac Catheterization lab, where he receive two stents. Today he attends cardiac rehab several days, where his exercise is monitored and he gets the education and emotional support he needs. "I feel so much stronger now," says Mr. Dziedzic. "It's really a miracle."

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Hospital of the Month?

Hospital Newspaper features one hospital per month as the centerfold.

Great way to get information about your facility to interested readers.

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Hospital Newspaper - NJ September, 2013

Page 23

Start the school year off right with a healthy breakfast every morning It’s long been touted as the “most important meal of the day” but many people, including children, overlook this nutritional jump start in the morning.

“A healthy breakfast refuels your body with nutrients,” says Eileen Keating, a Registered Dietitian at Community Medical Center, “You and your child may not make up the nutrients missed at breakfast, which provides food energy for the morning’s activities.”

Breakfast skippers also have a harder time fitting important nutrients into their diet. Many foods eaten at breakfast contain significant amounts of vitamins C and D, calcium, iron, and fiber.

“Start your day off right by eating a nutritious breakfast and not only will you be less likely to crave fattening snacks during the day, you will also have the energy to accomplish mental and physical tasks, which is especially important for school-aged children,” said Keating.

She notes that the brain and central nervous system run on glucose -- the fuel you need to think, walk, talk, and carry on any and all activities. “If you go long hours without eating, the brain is surely deprived -- and your body has to work extra hard to break down any stored carbohydrate or turn fat or protein into a usable form for your brain to function.”

That's a lot to ask for when you're sitting in a classroom, trying to concentrate on reading, or doing any other work. Breakfast is especially important for children and adolescents. Eating breakfast has been proven to improve concentration, problem solving ability, mental performance, memory, and mood.

According to the Academy of Nutrition and Dietetics, children who eat breakfast are more likely to have better concentration, problemsolving skills and eye-hand coordination. They may also be more alert, creative, and less likely to miss days of school.

“Your children will certainly be at a disadvantage if their classmates have eaten breakfast and they've gone without,” comments Keating.

“On average, kids who eat breakfast will think faster and clearer, and will have better recall.”

“Breakfast not only starts your day off right, but also lays the foundation for lifelong health benefits,” says Keating.

A healthy breakfast should consist of a variety of foods — whole grains, low-fat protein or dairy sources, and fruit, for example. This provides complex carbohydrates, protein and a small amount of fat — a combination that delays hunger symptoms for hours.

To make a healthy breakfast each day, Keating suggests that you choose one item from at least three of the following four food groups: Fruits and vegetables, Grains, Dairy, and Protein.

“You can even make healthy breakfast choices at fast-food restaurants,” notes Keating. “Whole-grain bagels, rolls and English muffins are better than fat-filled doughnuts, scones, croissants or biscuits.

For breakfast on the go, munch dry, ready-to-eat cereal with a banana and drink a small carton of low-fat or skim milk. The best cereals are those that are higher in fiber. If counting calories, choose cereals that are lower in calories.

“Do yourself and your kids a favor by making nutritious breakfast choices that can set you up for healthier eating all day long,” Keating concludes. "The combinations are limited only by your imagination and taste."

For information about the Outpatient Nutrition Counseling program at Community Medical Center, offering nutritional counseling for patients at risk, please call 732.557.8000 Ext. 11484.

People who eat a healthy breakfast are more likely to: Consume more vitamins and minerals and less fat and cholesterol Have more strength and endurance Have better concentration and productivity throughout the morning Control their weight Have lower cholesterol, which reduces the risk of heart disease

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PAGE 24

September, 2013

Hospital Newspaper - NJ

Trinitas again achieves “Most Wired Hospital” Designation One of Nine NJ institutions to show commitment to electronic records push Trinitas Regional Medical Center, which provides health care to those who live and work in Central New Jersey, has again received accolades for its commitment and progress in information management from Hospitals & Health Networks' (H&HN) 15th annual Health Care's Most Wired Survey. The medical center has been named one of nine health care institutions in the state to achieve “Most Wired” status.

According to H&HN, many more hospitals now use technologies that improve patient documentation, advance clinical decision support and evidence-based protocols, reduce the likelihood of medication errors, and rapidly restore access to data in the case of a disaster or outage. That’s much improved from a few short years ago, when in 2007, HH&N reports that “just 58 percent of Most Wired hospitals had systems capable of producing real-time alerts on drugto-drug interactions.”

Trinitas has been on the crest of this technology tsunami. Judy Comitto, Vice President of Information Services/Chief Information Officer at Trinitas, notes: “When legislation was enacted in 2009 to spur a greater use of technology in information management, we easily focused our existing

health information technology efforts in electronic data sharing and retrieval to transition to ‘meaningful use’ in order to assure patient safety.”

This has meant such changes as electronic order entry for physician use that makes physician directives easier to read and the creation of electronic medication information that helps reduce medication errors. “Moreover, Trinitas has been one of the ‘prime movers’ in the establishment of New Jersey Health Connect. As one of the early adopters of this health information exchange initiative, Trinitas has had a significant influence in the growth of this program of sharing clinical information statewide among hospitals and physicians’ offices. Our Emergency Department is heavily involved in this sharing program and our emergency patients have benefitted immeasurably from this sharing.”

In order to qualify for consideration as a “Most Wired” hospital, Ms. Comitto reports that Trinitas’ Information Technology Department completed a multi-page survey that provided thorough details on its technology infrastructure, how wireless technology is used in business and administrative management, how such technology influences and ensures clinical quality and safety measures for inpatient and

outpatient services, and the importance of wireless technology in the continuum of care as it involves ambulatory care, physicians and the community.

“To receive this ‘Most Wired’ designation again attests to our commitment to making electronic information management part of doing the business of healthcare effectively and compassionately every day at Trinitas,” Ms. Comitto sums up. “Trinitas understands that integrated systems help caregivers give the highest level of patient care in a safe and secure environment.”

About Trinitas Regional Medical Center Trinitas Regional Medical Center (TRMC), a major center for comprehensive health services for those who live and work in Central New Jersey, is a Catholic teaching medical center sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation. With 10 Centers of Excellence across the continuum of care, Trinitas has distinguished itself in cardiology, cancer care, behavioral health, renal care, nursing education, diabetes management, wound healing and sleep medicine. Learn more at www.trinitasrmc.org.

provided

Trinitas Regional Medical Center captured “Most Wired Hospital” status as a result of its advanced electronic systems for patient records, test ordering and image viewing.

Also, Trinitas has one of the highest percentages in the state among physicians who place orders electronically.

Computerized Physician Order Entry (CPOE) reduces the likelihood of errors that may result from hand written test ordering. Geraldo Capo, MD (pictured) a hematologist with the Trinitas Comprehensive Cancer Center, is among the nearly 80 percent of Trinitas physicians who use electronic ordering.

Clara Maass Medical Center congratulates winners of Humanism in Healthcare Awards Barbara Corey, RN, Operating Room nurse and Constance Snelgrove, APN, RN, Perioperative Services, have been awarded “Humanism in Healthcare” Awards by the Healthcare Foundation of New Jersey, after being nominated by their supervisors for demonstrating “kindness, compassion and concern” to their patients. The two women, both nurses at Clara Maass Medical Center, were recognized at a reception hosted by the Healthcare Foundation of New Jersey and each given a $500 award.

“These nurses have shown outstanding care and commitment to their patients and go above and beyond the call of duty every day,” said Mary Ellen Clyne, Ph.D., President and Chief Executive Officer at Clara Maass. “They demonstrate an excellence of standards we are proud to have at Clara Maass.”

Each year, the Healthcare Foundation recognizes two employees from participating medical facilities who are nominated by their supervisors.

Susan Gallina, RN, CNOR, MAS, Director of Perioperative Services, wrote this about Corey, “She is known for the compassion and support that she provides every patient with whom she comes in contact. As a result, she is often mentioned with gratitude in patient surveys and letters and has been recognized by her fellow nurses and the physicians who work with her for her non-judgmental and positive attitude.”

Dr. Frank Mazzarella, Chief Medical Officer of CMMC, said this about Snelgrove, “Her kindness and patience do not go unnoticed by the patients whose lives she touches or by her colleagues. One patient wrote that the care Connie gave

provided

TV Personality Steve Audubato Jr. interviews Barbara Corey, left and Connie Snelgrove, right.

her, ‘was superior, loving and professional’ and noted that Connie went out of her way to answer any questions and to make the patient feel as comfortable as possible.”

Both recipients said they were humbled and flattered by the honor.

“I’ve always wanted to do this,” said Corey, of her career as a nurse. She said she is from a family of nurses, including her mother. She graduated from Clara Maass when it had a nursing school on campus and said she strives to make her patients feel as comfortable as possible before and after surgery, “I really just try to make them at ease. I reassure them that everything is going to be fine and answer their questions. . .

I tell them I will stay with them until they go to sleep and will be there when they wake up. They’re appreciative just to have someone there.”

Snelgrove, an Advanced Practice Nurse, said her goal is to add the personal and human touch for patients who are in the hospital, “I can take some quality time with the patient, listen to their concerns, needs and fears . . . I treat them as if they are my own family member.” She added that she makes sure to explain their post-operative treatment and discharge plan so it is easily understood by the lay person, “They say they’re happy that someone is able to understand how they feel.”

What made the award even more special, Snelgrove noted, is that she was able to share it with Corey, with whom she worked when she was freshly out of nursing school. “It was such an honor,” Snelgrove said. “She was my mentor.”

For more information about Clara Maass, please call 1-888-724-7123 or visit www.barnabashealth.org/claramaass

Hospital Newspaper - NJ September, 2013

Page 25

Non-verbal Bridgewater six-year-old learns to communicate by using voice output switches Six-year-old Dylan Vongrej was born with Canavan disease, a disorder that causes progressive damage to nerve cells in the brain. Dylan is non-verbal and unable to walk, but, according to his mother Noreen, “He understands everything you’re saying.” He’s also learning to communicate, thanks to speech therapy he’s receiving from the Matheny Medical and Educational Center as part of its Solutions For Schools program.

Dylan is unable to physically attend school, but the Bridgewater-Raritan Regional School District has contracted with Matheny to have speech-language pathologist Jaclynne Dietrich visit Dylan twice a week. Dietrich is currently using two voice output switches to help Dylan communicate. “He’s pretty much mastered those,” Dietrich says. “We have programmed ‘hello’ and ‘goodbye’, and we make choices between music and books. And we have weather and numbers. His vision is pretty questionable, so we rely on his auditory abilities. We want to extend it beyond the two switches, so he can really lead his activities and tell us what he wants to do and how he’s feeling. The iPad allows for that. There is auditory

photos provided

Dylan with, from left, his father Cliff, mother Noreen and speechlanguage pathologist Jaclynne Dietrich.

Jaclynne Dietrich helps Dylan communicate by using a voice output switch.

scanning and switches that connect to the iPad that will make things more accessible for him.”

Before Dietrich began working with Dylan about three years ago, he was not able to communicate. “It was amazing what Jackie did with him,” says his mother. “He has really progressed with all of his therapists, but I’m partial to Matheny because they understand children like this more than anyone.” Matheny is a

Dylan currently does not attend school because he’s too medically fragile. “We started him at a preschool when he was three, and he just became very, very sick,” Vongrej says. “We’d love for him to eventually go to school one day; we’re not ruling it out.”

Matheny views public school districts, such as Bridgewater, as partners and provides help with those services districts are not able to pro-

special hospital and educational facility in Peapack, NJ, for children and adults with medically complex developmental disabilities. In addition to speech therapy through the Solutions program, the Vongrejs bring Dylan to Matheny’s outpatient clinic, the Matheny Center of Medicine and Dentistry, for both his seating and mobility and medical needs.

“It’s great,” says his mother, “that everything is in one place.”

vide on their own for special needs students. Help available through Matheny Solutions For Schools includes: specialized evaluations, therapy services, home-based services and adaptive equipment and assistive technology.

For more information, please call Linda Newsome, Director of Community Services, at (908) 229-7342 or email her at mathenysolutions @matheny.org

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PAGE 26

September, 2013

Hospital Newspaper - NJ

St. Joseph’s Children’s Hospital announces new same-day surgery center Convenient Fair Lawn location offers specialized care, convenience St. Joseph’s Healthcare System is pleased to announce the opening of the St. Joseph’s Children’s Hospital Pediatric SurgiCare Center at Fair Lawn, an outpatient surgery center provided in partnership with Surgem, LLC. “This new center offers the services of pediatric specialists trained and certified to provide sophisticated surgical services for our young patients in a unique outpatient setting,” says William A. McDonald, President and Chief Executive Officer, St. Joseph’s Healthcare System. “At St. Joseph’s Children’s Hospital, we’re taking care of our greatest resource — our kids.”

John Hajjar, MD, FACS, MBA, Chief Executive Officer and President, Surgem, LLC, agrees, “The St. Joseph’s Children’s Hospital Pediatric SurgiCare Center is a modern outpatient surgery center offering multi-specialty care to children and their families. Three years in the making, the children’s SurgiCare Center opened July 29, 2013.”

The St. Joseph’s Children’s Hospital Pediatric SurgiCare Center, designed especially for children in need of same-day procedures, and located on 14-01 Broadway, Fair Lawn, offers highly skilled personalized surgical specialty care which brings together many of the region’s foremost pediatric surgeons and pediatric anesthesiologists in a diagnostic and treatment ambulatory setting. Pediatric specialty services include orthopedics, otolaryngology (ENT), ophthalmology, plastic surgery, and gastroenterology.

“This center is a wonderful expression of people of vision — the union of the staff of St. Joseph’s Healthcare System and Surgem, LLC. It speaks to the mission and

vision of St. Joseph’s, that of its sponsors, the Sisters of Charity of Saint Elizabeth, and that of the Surgem team,” says Fr. Martin Rooney, Director, Mission Services, St. Joseph’s Healthcare System. “This Pediatric SurgiCare Center is a place for family, full of openness, compassion and commitment to providing superior care for our community, within our community.”

Fair Lawn Mayor John Cosgrove adds, “This is a fabulous space, child-friendly and not intimidating at all. I am extremely proud to welcome the St. Joseph’s Children’s Hospital Pediatric SurgiCare Center to the Borough of Fair Lawn.”

For details regarding appointments at the St. Joseph’s Children’s Hospital Pediatric SurgiCare Center in Fair Lawn, please call the center directly at 201.791.0100.

About St. Joseph’s Children’s Hospital St. Joseph’s Children’s Hospital (SJCH) is a state-designated children’s hospital offering a broad spectrum of advanced services for patients from birth to 21 years of age and their families. A member of St. Joseph’s Healthcare System and sponsored by the Sisters of Charity of Saint Elizabeth, SJCH is recognized for its high standards of quality, responsive and compassionate pediatric care. For more information about St. Joseph’s Children’s Hospital, please call 877.757.SJHS (7547) or visit StJosephsHealth.org.

About Surgem, LLC Surgem is a development and management company for ambulatory surgeries centers located in New Jersey, New York, and Florida.

The Pediatric SurgiCare Center in Fair Lawn is a state-of-the-art child-friendly environment.

photos provided

St. Joseph’s Children’s Hospital celebrated the opening of the its new Pediatric SurgiCare Center in Fair Lawn with a reception, tours and a ribbon cutting. Shown left to right are: Sister Maryanne Campeotto, SC, Vice President, Mission, St. Joseph’s Healthcare System (SJHS); Michael Lamacchia, MD, Chairman, Pediatrics, St. Joseph’s Children’s Hospital; William A. McDonald, President and Chief Executive Officer, SJHS; Mayor John Cosgrove, Borough of Fair Lawn; John Hajjar, MD, Chief Executive Officer and President, Surgem, LLC; and Father Martin Rooney, Director, Mission Services, SJHS.

Emergency Medical Associates now provides Emergency Department Management Services at busiest ER in New Jersey Contract at Community Medical Center Largest in Company’s 35-Year History Emergency Medical Associates was selected

by Community Medical Center, Toms River, N.J., a member of Barnabas Health, to provide emergency care services. It is the busiest emergency department in New Jersey, treating more than 100,330 patients each year.

“Emergency Medical Associates is proud to partner with Community Medical Center and continue its reputation for delivering high-quality care,” said Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “We’re looking forward to collaborating with the medical staff to meet the varied healthcare needs of this portion of Ocean County and beyond.”

Vikram Varma, MD, MBA, FACEP, has been named chair of the emergency department at Community Medical Center.

“Community Medical Center is a vibrant, thriving facility that provides top-notch care to an ever-growing senior community, younger

seasonal visitors and families, and everyone in between,” said Dr. Varma.

Community Medical Center is a 592-bed, fully accredited acute care hospital. Opened in 1961, it is New Jersey’s largest non-teaching hospital and Ocean County’s largest and most active healthcare facility.

Emergency Medical Associates staffs several other Barnabas Health hospitals: Clara Maass Medical Center, Kimball Medical Center, Monmouth Medical Center and Saint Barnabas Medical Center.

Emergency Medical Associates began staffing the emergency department May 1.

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 http://www.ema.net, http://www.facebook.com/EMANews or www.twitter.com/EMANews.

Physical Therapist has personal connection to her job Cindy LaBar, MSPT, always wanted to work with children, but she had never spent much time around children with developmental disabilities until interning at the Matheny Medical and Educational Center in 2003, after receiving her MS in physical therapy from Columbia University. Matheny is a special hospital and educational facility in Peapack, NJ, for children and adults with medically complex developmental disabilities.

“I had not been around this population before,” LaBar recalls, “but I quickly realized that it’s the small accomplishments that are so rewarding and are so huge for our students and patients.” For example, “one of my students had a really hard time holding up his head.

By putting him on the therapy ball on his back, he was able to hold his head up for a brief time, and he broke into a big smile.”

After her internship, LaBar, a resident of Long Valley, NJ, joined

the Matheny staff and was named director of physical therapy in 2006. Ironically, her daughter Hanna, now seven, was born with a rare chromosome anomaly as well as a cleft palate and heart defect. “We knew about the cleft palate and heart defect from the beginning,” LaBar says, “but not about the chromosome anomaly.”

Hanna is non-verbal and in a wheelchair, although, according to LaBar, “she can take about 20 steps alone.” Her experience with Hanna has helped LaBar understand “what the families of our students and patients are faced with. It’s a constant job. You constantly have to be an advocate for your child – the right school, the right therapies. My focus here has shifted a little to really get involved with the families.”

Hanna has also had an impact on LaBar’s own family. “If my fiveyear-old son Jack sees a kid in a wheelchair,” she says, “he wants to know him.”

Hospital Newspaper - NJ September, 2013

Page 27

If you’d like to reach the health and hospital communities of New Jersey each month, there is no more cost-effective way than the Hospital Newspaper.

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Cindy LaBar with Matheny student Ryan O’Connor on the therapy ball.

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Annual average savings based on customers who switched to High Point from 1/2010 to 4/2012. Your premium may vary due to available discounts, eligibility requirements, driving record, and other factors. ©2013 Plymouth Rock Management Company of New Jersey. All rights reserved. 6880/042013

Cindy LaBar and her daughter Hanna.

photos provided

PAGE 28

September, 2013

Hospital Newspaper - NJ

RESOURCE DIRECTORY ARCHITECTURE

FAST & COMFORTABLE PELVIC EXAMS TSk PRODUCTS

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 1201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 609-309-7005 Fax: 609-309-7006 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON

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.

COMMUNICATION SkILLS Aspirin for Your Language Headache!

When nurses, administrative staff and technicians speak a different language than patients and their families: •

Patients may not be able to understand simple questions or directions.

• Hospital staff may not be able to give or get important information from caregivers or family members.

• Employees may not understand proper protocol and procedures.

On your site on your schedule: • Spanish for Healthcare

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CONTRACT/PRACTICE MANAGEMENT SERVICES

...and more Language Directions can help doctors, nurses, technical, and administrative staff to communicate more effectively between each other, patients, and their families

www.languagedirections.com Contact Donna Clark 1-888-554-8848 donna@languagedirections.com

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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

HOME MORTGAGES Gateway Funding specializes in mortgage options to the healthcare industry.

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Hospital Newspaper - NJ September, 2013

Page 29

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.

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.

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

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

Hospital Employee Loan Program

Sun Home Loans, a division of Sun National Bank,

PROGRAM INFORMATION

is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees.

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

We understand that the current economic environment has created

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.

challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the path to home ownership.

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

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

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.

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page 30

September, 2013

Hospital Newspaper - NJ

RESOURCE DIRECTORY extended caRe & aSSiSted living daUgHteRS oF iSRael Daughters of Israel is a multi-faceted, stateof-the-art skilled nursing facility offering the most modern and comprehensive services available including: • • • • • •

Sub-Acute Rehabilitation Long-Term, Skilled Nursing Care Alzheimer’s Care Hospice & Palliative Care Respite Stays The Charles Bierman Home Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute for Continuing Education Our team of skilled and dedicated professional staff deliver the highest quality of care for our 300+ residents. Services provided include: round-the-clock professional nursing care; 24hour medical coverage by board-certified geriatricians; on-site synagogue with full-time rabbinical services; a full range of stimulating and innovative recreational activities; on-site beauty salon, barber shop, work activity center, gift shop and coffee shop; spacious dining rooms, auditoriums, lounges and outdoor patio areas.

Our sub-acute rehabilitation facility, which functions as a separate unit within the Home, features a spacious gym with state-of-the-art equipment and comfortable recovery suites with luxury amenities.

Semi-private and private rooms are available at Daughters of Israel. The facility is covered

by Medicare, Medicaid, commercial insurances and private payment. Daughters of Israel is a beneficiary agency of United Jewish Communities of MetroWest, N.J. 1155 Pleasant Valley Way, West Orange, NJ 07052 www.doigc.org Contact: Adena Twersky, Director of Admissions Tel: 973-400-3307 Fax: 973-731-8364 atwersky@doigc.org

HoSpitalS BeRgen Regional Medical centeR, l.p.

Located in Paramus, Bergen Regional Medical Center is the largest hospital in New Jersey dedicated to serving the residents of Bergen County and surrounding communities. With 1000+ beds and 1,500 staff members, the hospital specializes in Behavioral Health Services, which include child and adolescent, adult and geriatric psychiatric treatment. Long Term Care Services provides a scope of services, which far exceeds that offered in a standard nursing home. As a full service accredited medical center, we provide wound care, surgical care, cardiac care, rehabilitation services, respiratory care unit which includes ventilator dependent residents, Korean care services and an acute care unit all under one roof for our residents. The hospital excels in the treatment of substance abuse.

The hospital offers detoxification, 21-day rehabilitation program, outpatient services, and treatment for the mentally ill and chemically addicted. Our Acute and Ambulatory Services offers same day surgery, medical and specialty clinics and state-of -the-art operating suites. www.bergenregional.com Tel. 201-967-4000

Medical Billing Cape Medical Billing (CMB) is your single source billing provider for curing undetected “revenue leakage” that plagues today's healthcare practices. CMB has been in business for 22 years and is uniquely qualified to help your medical practice reverse “revenue leakage” with fast, efficient, innovative and customized billing programs.

We offer personalized and cost effective service with 92.9% of charges paid upon the first submission! We accomplish this everyday by utilizing our “state of the art” billing software and paying close attention to critical detail used to match and process data. We also pride ourselves on significantly reducing days in accounts receivable by deploying aggressive and consistent follow-up procedures. Our technology, expertise and personal approach drive our billing practices and produce unparalleled results for our clients.

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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

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1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care.

2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits.

3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident.

Do not let the job tell you different.

4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you.

5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis.

6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery call toll FRee 1-866-333-3529 (After Hours / Emergency Number 201-618-0508) Bagolie FRiedMan, llc Workers' compensation & disability attorneys The Five Corners Building 660 Newark Avenue - Jersey City, NJ 07306 (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

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HQ Location: Cape Medical Billing 5 Locust Lane P.O. Box 670 Cape May Court House, NJ 08210 Office: 609-465-8900 Fax: 609-463-8106 www.capebilling.com

apparatus Campbell Supply company www.campbellsupplyco.com expositions Abilities Expo www.abilitiesexpo.com financial Institutions Healthcare Employees Federal Credit Union www.hefcu.com home care specialists Comprehensive Home Care www.homecarenj.com hospitals Children’s Specialized Hospital www.childrens-specialized.org Matheny Medical & Educational Center www.matheny.org

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Hospital Newspaper - NJ September, 2013

PaGe 31

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PAGE 32

September, 2013

Hospital Newspaper - NJ

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