Your Partner in Health Today and Tomorrow

Your partner in health

today and tomorrow

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Looking ahead

Last year, Saint Barnabas Medical Center proudly celebrated its 150th anniversary. But even though we permitted ourselves a backward glance, our priority is on the future. Our focus remains on the care we provide to our patients and their families.

In these pages you’ll read about some of the important initiatives that we are focusing on in 2016 as we meet the challenges of a fast-changing health care industry. We are especially excited about taking the next steps as an RWJBarnabas Health System facility. We also are in the midst of several large projects to transform our campus, including the new Cooperman Family Pavilion, which you’ll read about on page 7. These changes reflect our efforts to serve our community, not only to treat people when they are ill but also to keep them well.

Safety is our highest priority. Throughout the year, Saint Barnabas Medical Center is recognized by various organizations for providing safe, evidence-based health care to the patients and their families that we serve. (See next page.)

Guarding your good health is our mission. As always, we appreciate your input and support. I hope you find this publication interesting and informative.

Best regards,

STEPHEN P. ZIENIEWICZ, FACHE PRESIDENT AND CHIEF EXECUTIVE OFFICER SAINT BARNABAS MEDICAL CENTER

Thi s s uppl e m e nt i s publi s h e d by Wain s c ot Me di a , Mo nt val e, N. J. © 2016. A ll ri ghts re s e r ve d. Mate ri al c o ntain e d h e re in i s fo r info r m ati o n al pu r p o s e s o nly. If yo u h ave m e di c al c o n c e r n s, s e e k th e gui dan c e of a h e al th c a re p rofe s s i o n al.

STEPHEN P. ZIENIEWICZ, FACHE

2015 vital statistics

5,803

75%

newborns

brought into this world

west orange

south orange

Livingston

60% 60%

Nearly 75% of Livingston residents who utilized a hospital in 2013, and more than 60% of the residents of South and West Orange who utilized a hospital, received care at Saint Barnabas Medical Center.

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treated as inpatients

1,000 adults

were treated in our beautifully renovated Department of Radiation Oncology, which now boasts the CyberKnife robotic radiosurgery system.

more than

850

adults and children cared for in our Emergency Department; more than 15,000 admitted for follow-up care

adults and children

procedures performed in our surgery center

outpatients received chemotherapy in a warm, caring, environment featuring private infusion rooms.

97,357

nurtured in our Neonatal Intensive Care Unit

32,940

16,840

157,823 Outpatient tests and procedures performed at Saint Barnabas Medical Center

1,100

premature and ill infants

lifesaving burn care provided for more than

350 adults, children and

firefighters

Saint Barnabas’ Kidney Transplant Program is among the largest nationally, performing an unprecedented

301 transplants in 2015.

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Kudos and credentials In several key clinical areas Saint Barnabas Medical Center excels, as these recent awards and designations show.

Health care professionals don’t choose their line of work to win awards. They choose it because they are drawn to medicine’s important mission and want to make a difference in people’s lives. But it’s nice, once in a while, to win recognition or earn a new credential.

More than that, earning commendation from prestigious medical organizations confirms that 2015 “Most Wired” Hospital A from the American Hospital Association Leapfrog Group 2015 “Top A Hospital” for Patient Safety and Quality—for the second consecutive year he Academic Center of Excellence T in Women’s Health—the first such center in New Jersey ward for promoting and supporting A breastfeeding from the International Board of Lactation Consultant Examiners and the International Lactation Consultant Association hree-year approval for the Cancer T Center from the American College of Surgeons Commission on Cancer ancer Center certification from the C Quality Oncology Practice Initiative Certification Program, an affiliate of the American Society of Clinical Oncology

Saint Barnabas is at the top of its game—and tells consumers that it is worthy of being trusted with your family’s health care. Below are just some of the awards, accreditations and accolades with which Saint Barnabas Medical Center has been recognized recently. These honors show that it has met or exceeded the highest standards for quality care and service to patients:

omprehensive Stroke Center C Designation by the New Jersey Department of Health and Senior Services he Joint Commission certification T as a Primary Stroke Center esignated Level 4 Epilepsy D Center by the National Association of Epilepsy Centers onored as an H award-winning Level III Neonatal Intensive Care Unit 015 Leader in LGBT Healthcare 2 Equality from the Human Rights Campaign ew Jersey Bariatric and Metabolic N Institute is a Metabolic and Bariatric Surgery and Quality Improvement Program Comprehensive Center with Adolescent Qualifications

erification as a Burn Center by the V American College of Surgeons and the American Burn Association

150 years of Excellence

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Today’s busy Saint Barnabas:

facets of a jewel The medical center’s departments recall a notable 2015 and report on their next steps for the future.

When the clinical departments at SAINT BARNABAS MEDICAL CENTER WERE asked for an update on the past year, one doctor reached a bit further back. Mokhtar Asaadi, M.D., chairman of the Department of Plastic Surgery, recalled a comment he heard when he was in training at the hospital more than four decades ago. It came from a famous visitor—worldrenowned heart surgeon Denton Cooley, M.D. “Saint Barnabas is a jewel,” the surgeon said.

Today it shines brighter than ever, and like any jewel it has many facets. Here, from the departments, are some key Saint Barnabas accomplishments of 2015—and projects under way today.

Cardiology: Better heart-valve replacement—and quicker recovery This department’s latest achievement has been the expansion of its wellknown transcatheter aortic valve replacement (TAVR) program. (See page 42 of the April–May 2016 Morris/ Essex Health & Life.) This cutting-edge procedure does not require stopping the heart or cutting the old valve. It involves a catheter being threaded through an artery, squeezing a collapsed replacement valve into the damaged valve’s place and then expanding the new valve to push the old valve to the sides and regulate blood flow.

The result? Patients feel better almost immediately and get to go home the next day or the day after and resume normal activities within a week—as opposed to the six-to-eight-week recovery period typical of open-heart surgery. For those at immediate risk, the 30-day mortality rate is also reduced by 80 percent.

Emergency Department: Making every second count Our window to the community, this department handles close to 100,000

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patient visits each year for problems ranging from minor sprains to lifethreatening heart attacks and strokes.

To stay ready for the wide variety of cases that may come through the door at any moment, several teams are on hand. Pre-hospital emergency medical ser vices personnel work closely with the Emergency Department to ensure transmission of tests from the ambulance during transport and the rapid delivery of care once the patient is on-site.

Interventional Radiology: Treating tumors without a knife Collaborating with many subspecialties, the Inter ventional Radiology section per forms comprehensive ser vices such as radioembolization of liver tumors and cryoablation of many types of tumors.

MEDICINE: Spotting trouble early— and keeping patients safe Providing the only free lung cancer screening program in the area, the Department of Internal Medicine also continues to focus on patient safety and infection prevention.

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Neonatal Intensive Care: A room for the tiniest babies A year ago—in April 2015—Saint Barnabas’ Neonatal Intensive Care Unit (NICU) opened an important new facility called the Small Baby Room (SBR). It’s for “micropreemies,” babies born as much as 15 to 18 weeks premature. They’re born during an active stage of development in which an infant is especially sensitive to lights and sounds—even those of a traditional NICU. To ensure the best possible development of cognitive and motor skills, the dedicated SBR now offers a quieter, darker environment in which these early-arriving babies can be cared for using neuroprotective, family-centered, individualized, developmentally supportive care.

Parents are taught the importance of meaningful touch and/or skin-toskin contact and are encouraged to spend time with their babies.

Neurosurgery: Showing the nation how it’s done This field has seen remarkable growth in the past three years. There are now some 40 neurosurgeons on staff with expertise in ever y specialized categor y of neurosurger y.

In May 2015, the department presented a new technique in minimally invasive lumbar spine reconstruction at the American Association of Neurological Surgeons meeting in Washington, D.C., gaining nationwide attention. The year also saw notable progress with endovascular procedures to treat aneur ysms, brain and spinal injuries, and strokes.

Obstetrics and Gynecology: Just like home—with an upgrade This department kicked off 2016 by proving it’s in tune with what women want—and need. To provide mothers-to-be a safe, homelike environment while ensuring that they are supported with advanced medical help should a complication arise, Saint Barnabas opened a natural birthing suite last January.

The room is designed to allow a woman to give birth in any position in which she feels most comfortable.

Specially trained nurses with a focus on natural childbirth are available to assist the mom-to-be and her birthing partner or doula.

PEDIATRICS: Keeping docs in the loop Saint Barnabas is one of 19 U.S. medical centers participating in a joint American Academy of Pediatrics-sponsored initiative called Project IMPACT, which stands for Improving Pediatric Patient-Centered Care Transitions. It involves pediatric hospitalists (hospital-based doctors), private pediatricians, nurses and other health care providers working in pediatric inpatient units and the Pediatric Intensive Care Unit. The goal? To streamline and standardize discharge communication between hospital care teams and primary care doctors. Why? Because an integrated transition of care results in improved patient/family satisfaction, better-educated patients and families and better post-hospital care.

Also, the Pediatric Intensive Care Unit has successfully implemented family-centered multidisciplinary rounds. This innovation lets families participate in morning rounds, sharing information with clinicians and getting a clearer idea of what to expect.

Plastic Surgery: Per fectionists at work With 70 plastic surgeons, the department is proud of its ability to per form multiple different highly complex reconstructive surgeries at one time with outstanding results. Its work is marked by attention to detail and keeping up-to-date with the latest technology.

Radiation Oncology: Putting patients at ease Over the past couple of years, the Radiation Oncology suite has been transformed into a beautiful, modern and soothing environment designed to nurture body, mind and spirit. The technology and the environment match the team’s incredible expertise and talent. The department treated a record number of brachytherapy cases for prostate, liver and gynecologic cancer. This precise internal radiation therapy places tiny, hollow catheters either directly into or adjacent to the tumor.

The newest breakthrough is the CyberKnife system. This painless and highly effective nonsurgical treatment delivers high-dose radiation to tumors anywhere in the body with extreme precision.

Surgery: ORs for tomorrow’s technology Setting a new standard, four stateof-the-art operating rooms opened in April 2016. The new ORs are also equipped to per form the most advanced and complex minimally invasive laparoscopic and robotic surgery.

your partner in health today and tomorrow

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Technology

+ talent

With the push of one button, staff at Saint Barnabas Medical Center are always connected through Vocera.

Pictured is Melanie Caldorado, R.N., wearing her Vocera.

In the 21st century, it takes both to give patients the top-quality care they need.

Does tech rule all? These DAYS it can seem so.

Even the phones in our purses and pockets have capabilities we may not fully understand. When we think of the technology in a modern medical center, the mind boggles.

That’s why Mike McTigue may sound like a renegade when he says, “Not all technology is good technology.”

But he’s no rebel. McTigue is actually vice president for information technology at Saint Barnabas Medical Center.

And he takes pride in the fact that for three years in a row the American Hospital Association has named the medical center a “most wired” hospital—last year it was one of just 16 New Jersey facilities to win that prestigious distinction.

Still, McTigue points out that technology should be a hospital’s servant, not its master. “Smart tech is all about supporting your organization’s goals, so for us it is important that we think not like tech but like health care “TECHNOLOGY people, people,” he says. “Our focus is FACILITATES always on quality and safety, and on helping to coordinate A SAFER ENVIRONMENT the care patients receive from many different places.”

FOR, AND Indeed, Saint Barnabas GREATER invests a lot of time and money CONNECTIVITY to keep its providers and its at the cutting edge of WITH, PATIENTS facilities both clinical and information AND THEIR technology. “We see the importance of technology in FAMILIES.” order to effectively facilitate stephen p. zieniewicZ, FAche, a safer environment for, and president and ceo greater connectivity with, patients and their families,” says Stephen P. Zieniewicz, FACHE, the president and CEO. Because, as McTigue says, “technology is only as good as the people who use it,” clinicians are asked to review and give input on all new technology before it is purchased. “We continue to improve our electronic medical record systems and are regularly training and retraining the staff,” he says, adding that physician and staff use of computerized order entry and medication technologies has reached 93 percent, far above the national average. Another recent advance is Vocera, a wireless communication device doctors and nurses wear to

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instantly alert others about patients at risk for such conditions as infection or heart attack.

Saint Barnabas is one of 32 hospitals that participate in Jersey Health Connect, a repository of secure patient data that facilitates access to the information doctors need to provide comprehensive treatment. The hospital has also increased its commitment to telemedicine, providing video consults with patients in other facilities—stroke patients, for example—as well as with other physicians and even with patients in their homes.

Technology helps emergency room doctors get vital signs transmitted from an ambulance and prepare for incoming patients before they reach the hospital. It even helps track and locate equipment such as wheelchairs, which for patients can speed up the process of getting in, around and out of the hospital.

“Talent is found in those delivering care, and technology is there to assist them,” McTigue says. “At the end of the day, technology can greatly benefit the health of the people we serve—but it must be used wisely.”

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A dream is fulfilled Numbers tell a story

Here are a few key stats about the building of the Cooperman Family Pavilion and what it requires: cubic yards of soil removed

10,000 tons of structural steel

500

SQuare FeeT of decorative metal panel siding

Set to open next year, the Cooperman Family Pavilion will raise the bar for hospital facilities to a new level.

For some, the phrase “West Wing” may bring to mind an old television series about staffers in the White House. But for the people at Saint Barnabas Medical Center, it signifies a dream of what a hospital building could be—a dream that is coming true on the medical center’s campus day by day.

In 2014, the Leon and Toby Cooperman Family Foundation pledged $25 million toward the Saint Barnabas Medical Center West Wing Initiative. It was the largest single gift in Saint Barnabas history and one of the largest donations ever to a New Jersey hospital. This gift provided the financial cornerstone for the 270,000-square-foot, fivefloor Cooperman Family Pavilion, designed by the renowned architectural firm Francis Cauffman, which will be the “West Wing” of Saint Barnabas. Its goal is to provide the best possible health care for the community in a facility that is compatible with the very latest

32,000 roofing

62,000

technology (or even innovations still a few years down the road) and conducive to the highest levels of patient comfort and cheer.

Ground was broken for the new facility on May 13, 2015, and a grand opening is slated for 2017. There will be a state-of-the-art, 37,000-square-foot neonatal intensive care unit, a laboratory for noninvasive cardiology, cardiopulmology and neurodiagnostics and one for endoscopy. Also included will be facilities for pre-admission testing and central registration, same-day surgery preoperative and recovery units, not to forget a light-filled, two-story lobby and a new parking garage.

And the “evidence-based” design of the new pavilion draws on not only the latest architectural knowledge, but also suggestions from Saint Barnabas clinicians, staffers and patients.

The hospital of the future? It’s being completed today at Saint Barnabas.

ceiling tile

120,000 Number of windows

180

custom headwall units for hospital beds

200+ doors

620 light fixtures

6,000 bricks

190,000

your partner in health today and tomorrow

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CYBERKNIFE In our hands it does wonders ALISON GRANN, MD CHAIRWOMAN I RADIATION ONCOLOGY

is one of the most experienced Radiation Oncologists in our region. Along with her highly skilled team, she uses CyberKnife速 to destroy tumors throughout the body painlessly with laser like precision.

Because technology can only fight cancer when it is in the right hands.

973.322.5630

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www.sbmcCyberKnife.org

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