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Hospital Newspaper - NE
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Nov/Dec 2012
Hospital Newspaper - NE
Hospital News and Sun Home Loans Team to Launch Mortgage Program Hospital News and Sun Home Loans have joined forces to bring the emergency services community an unprecedented mortgage opportunity: The Sun Home Loans Hospital Employee Loan Program (H.E.L.P.). Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. intiative will be offered to members of the hospital community and their families. The unique program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home. In addition, there are many more benefits available to the emergency services community through this program – including a complimentary evaluation of your particular financial situation, and credit repair if needed. You may take advantage of these other products and services, though they are offered separately from the H.E.L.P. “We are proud to work with Sun Home Loans to create the Hospital Employee Loan Program,” said Joe Belsito, Publisher of Hospital News. “Members of the hospital community are part of the core fabric of our country and putting together such a unique and value-added program for them to benefit from when buying a new home is a great way for us to leverage our newspapers’ brand to communicate it.” Added Steve Testa, Vice President Regional Sales Manager of Sun Home Loans: “We worked extremely hard to put together incentives for the hospital community. We are confident that those who are currently in the market for a mortgage will discover that the Sun Home Loans Hospital Employee Loan Program exceeds what they are able to find elsewhere in the marketplace.” Sun Home Loans, a division of Sun National Bank, and Hospital Newspaper are both proud to serve the hospital community, who dedicate their lives serving the rest of us. Clients enjoy unmatched customer service and attentiveness throughout the process – from their initial inquiry – to closing. However, after closing, the staff is there to address other financial needs. Working with its own resources and Federal government programs, Sun National Bank develops solutions that open the path to home ownership. Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Personal attention merges with world-class service and competitive products that meet the needs of today’s consumers and businesses. 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, Sun Home Loans has established a direct telephone number exclusively for members of the hospital community call 1-973-805-4156. When you call you will speak to a live program specialist who will discuss your needs and explain how the Sun Home Loans Hospital Employee Loan Program can H.E.L.P. You. Sun Home Loans and Hospital Newspaper are not affiliated. All loans are subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, N.A. Equal Housing Lender. Other Products and services are not banking products, not FDIC insured, may lose value, and are not a condition of credit or any banking product or service offerings. You may inquire about these additional services when you apply.
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 work and improve the lives of those living around us. Hospital News is the leading provider of local news and information for doctors, nurses and other hospital staff.
Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.
www.sunnb.com Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender.
NMLS #429900
Hospital Newspaper - NE Nov/Dec 2012
PAGE 5
A
! t ou e am ab re ogr r sk F A ur B p o
EH PR
Locations Bloomfield • E. Windsor • Farmington • Manchester
During Prehab, we perform comprehensive muscular-skeletal and biomechanical assessments to establish pre and post-surgery interventions and provide valid information for functional outcome measures. Prehab offers your patients the opportunity to:
• • • •
Experience less post-operative pain Achieve desired range of motion goals earlier in the recovery process Gain confidence with their new joint Get home faster, better, and ready to return to what's important to them
PREHAB: Sometimes exceptional healthcare is FREE! Complimentary prehab program provided to patients who prebook their post-operative stay with Touchpoints. Call today to learn more!
Touchpointsrehab.com
860.812.0788
PAGE 66 PAGE
Nov/Dec 2012 January, 2009
Hospital Newspaper - NE Healthcare Newspaper - Westchester
LETTER TO VIEW THE EDITOR OUR
ADVERTISER INDEX INDEX ADVERTISER company Page Company Page AdCare Hospital 26, 33 Brain Injury Association of MA 27 Classifieds 28 Braintree Rehabilitation Hospital 15 Candlewood Valley Health & Rehab 13 A&T Healthcare 19 Charter Oak College 39 Constellation Home Care 27 Barksdale 14 Coverys Home Care 25 EMA 3 Fairlawn Rehabilitation Hospital 19 Executive Park Physical Therapy 32 Gaylord Hospital 17 GNYHA Services 91 Fast Forward Marketing Hospital for Special Care 40 Jewish Geriatric Services 21 31 Hudson Valley Radiology Associates Keystone Financial Services 20 MedExcel 7 Keystone Financial Services 5 29 Metro West Medical Billing NorthWest Seminars 31 Medco 30 Northeastern 35 36 Resource Directory MedExcel 3 Salmon Family & Retirement 11 Seven Hills Pediatric Center 23 North Broadway Chiropractic Shrewsbury Children’s Center 347 Shrewsbury Nursing & Rehab Center 21 Sun Home Loans 44 Points Medical UMass Lowell 37 Touchpoints 5 Public Safety Ad 27 Waveny Care Network 2
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Joseph •P.• •Belsito MARkETING ASSOcIATE (Joe@hospitalnewspaper.com) Katie • • Rider • (Katie@hospitalnewspaper.com) GENERAL MANAGER ••• James Stankiewicz SENIOR cORRESPONDENT (Jim@healthcarenewspaper.com)
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Cathryn Burak Maureen Rafferty Linell (Cathy@healthcarenewspaper.com) (MRLinell@charter.net) • • •
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Hospital Newspaper - New England edition - Vol. 9 No. 6 Healthcare Newspaper Westchester, Yorkbyedition is published 6 times a- year for $18 New per year Belsito Vol. 2 No. 1 - is published monthly,Street, 12 times year for Communications, Inc., 1 Ardmore Newa Windsor, $36 year by Belsito Communications, Inc., 1 Ardmore NYper 12553. Postage Paid at New Windsor, NY and addiStreet, New Windsor, 12553. Postage Paid at New tional mailing offices. NY Postmaster: Send address changes Windsor, NY and additional mailing offices. Postmaster: to Hospital Newspaper, 1 Ardmore Street, New Windsor, Send address changes responsibility to Healthcare Newspaper, NY, 12553. No financial is assumed by this 1newspaper Ardmore Street, Newa Windsor, NY, 12553. No financial to publish display, classified, or legal ad or for responsibility assumed by this newspaperthat to publish distypographicaliserrors except of reprinting part of athe ad play, classified, or legal for typographical except which was omitted orad inor error. Omissions orerrors errors must ofbereprinting that part of the ad which was omitted or in error. brought to the attention of the newspaper during the Omissions or errors must be brought to the attention of the same month of publication. newspaper during the same month of publication.
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Waveny thanks staff throughout Sandy Deck the Halls in this economy?
On behalf of our board of directors, management team, and the patients, residents and clients whom we serve, we wish to extend our deepest thanks to Waveny Care Network’s entire staff for their dedication and Jim Stankiewicz tireless work throughout the recentBy hurricane and following days. General Manager
Despite severe weather conditions, rampant household power outages and looming uncertainty surrounding In a most challenging people arefor poised to cut onand traditional personal circumstances, ouryear staff most not only reported duty, but wentback above beyond – many staying over holiday expenditures. at Waveny for multiple days to assist with ongoing shift work and patient/resident needs. Cross departmental I was recalling some memories growing up when very tight assistance was readily volunteered, greatly appreciated, andthings allowedseemed us to continue to meet the needs and and our family seemed to almost become closer. One such year when I was exceed the expectations of all whom we serve. about 11 years old I joined my three sisters and brother in the downstairs area to their unfailing spirit teamwork and determination to helpout assist the community, our of Thanks our home in Newburgh. Weofmade Christmas tree decorations ofour conCenter,and The my Village andpopped New Canaan Innofallpopcorn helped toand accommodate numerous staff at Waveny struction paper Care and glitter Mom a bunch we and overnight guests in emergency situations, while our Adult Day Program, Care Managers visitors spray painted string of popcorn gold for garland. When I look back it was one andtheHome professionals continued to provide invaluable support for caregivers throughout of mostHealthcare memorable Christmases we shared. There was spirit of being the community. together. This when I realized it wasn't about whatand gifts we received or who In thewas wake of Sandy, we thank our staff profusely sincerely. Thank you for allhad you have done and all the show on We theare block. It fortunate really is to about spending with one of you. thatbest you light continue to do. so very be able to countquality on eachtime and every people you love. It's about helping others less fortunate then your self. youryear letters stories us: that news@hospitalnewspaper.com With thePlease eventsshare of this youand can't helpwith think there is a new opportuJim can be reached at 845-534-7500 ext. 219 via email at jim@hospitalnewspaper.com. nity to enjoy the basics. Are there seniors who needand a little attention? What can we do for those hospitalized around the holidays? What can we do for the troops risking their lives at holidays for our freedom? I want to thank all of our loyal customers for their support in 2008. I wish all of our readers a very memorable and meaningful holiday season!
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HOSPITAL
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Fairlawn Reh
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Nov/Dec 2012
Hospital Newspaper - NE
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
Maintaining the Right Image—Hospitals and Medical Imaging Technology Keeping up with the latest technological advances is standard operating procedure when trying to provide the best quality care. With its increasingly critical role in patient diagnosis and treatment, imaging serves as the nucleus of many 21st century hospitals. However, maintaining such cutting-edge technology as CTs, MRIs, and PET scans—and staff who know how to use it—presents financial, logistical, and administrative challenges in a time of limited healthcare resources. Given decreasing capital budgets and reimbursement prospects, imaging equipment, with its million-dollar-plus price tag, can easily get singled out for cost-saving initiatives. The high use of this evolving technology (95 million times a year), the increased use by non-radiologists—orthopedists, cardiologists, and others—coupled with the uptick in prospective imaging patients prompted by aging baby boomers—makes imaging a logical target for hospitals that need to cut costs. Additionally, reimbursement changes have prompted shifts in the imaging market. After the Deficit Reduction Act of 2005, many freestanding imaging centers closed or consolidated with hospitals, thereby boosting the demand on hospitals. Therefore, investments in imaging need to be performance-driven. Will these investments augment patient volume? Improve workflow? Increase hospital productivity? More and more, hospitals are relying on group purchasing organization (GPO) resources to help navigate the complex $100 billion imaging industry and to assess their institution’s technology needs. GPOs have industry and technology expertise. Their ability to research the market, evaluate potential and present equipment performance with evidencebased data, and negotiate the best contracts for purchases—which may include creative elements such as payment deferment and group buys—can offer fiscally conscious hospital imaging departments essential support in their purchasing decision making. Your GPO’s imaging expert can also help hospitals stay current on the industry’s latest use guidelines, which are frequently shifting given the lack of national standards for issues such as radiation dose management and patient safety. The healthcare community is under a great deal of scrutiny from the FDA, Congress, and the public about the safety of radiation delivery. GPOs can also be an essential source of valuable information. GNYHA Services’ imaging expert, Michelle Pollack, regularly educates our membership about important patient safety campaigns, like the American College of Radiology’s National Radiology Data Registry and the cross-organizational Image Wisely initiative to raise awareness about dosing. Our partners at Premier have drafted two reports in the past 14 months on the appropriate use of imaging, including examinations of cost-benefit analysis and radiation risk versus reward. By providing access to portfolio contracts, including training and maintenance programs, actively engaging your institution’s imaging professionals and other hospital staff in the equipment selection and implementation process, and providing opportunities for discussions on education, regulation, and other initiatives, your GPO can be a great partner in assessing and developing your organization’s imaging needs while simultaneously enhancing the image of your organization. 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. He is also Chair-Elect of AHRMM, the AHA’s premier membership group for healthcare supply chain professionals. Hospitals seeking more information about maximizing their investment in imaging technology should contact GNYHA Services’ Michelle Pollack, RN, at mpollack@gnyha.org.
Hospital Newspaper - NE Nov/Dec 2012
WHAT WILL BE YOUR NEW YEAR’S RESOLUTION? RESOLVE TO SAVE WITH GNYHA SERVICES. The GNYHA Services best-in-class contract portfolio offers health systems high-quality, low cost options to meet their every purchasing need. Hospitals interested in securing even more savings can take advantage of our many strategic supply chain solutions, which can be modified to meet each organization’s unique needs and produce long-lasting and meaningful results. ‘Tis the season of savings. Call GNYHA Services today at (212) 246-7100. gnyhaservices.com
555 West 57th St. I New York, NY 10019
Page 9
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Nov/Dec 2012
Hospital Newspaper - NE
Orthopaedic Surgeons recognize the benefits of “Prehab” Robert Edward Kennon, MD Board Certified Orthopaedic Surgeon, specializing in hip and knee replacement surgery. In demand speaker and educator. Orthopaedics of New England, PC Waterbury, CT CJRI, the Connecticut Joint Replacement Institute, St. Francis Hospital, Hartford, CT Total joint replacement is one of the most successful surgical procedures in modern medicine and the majority of the hundreds of thousands of patients annually undergoing joint replacement surgery can expect dramatic improvements in their function and quality of life. Rehabilitation and therapy after surgery is an integral part of the recovery, not only to recover from the surgery but also to regain muscle strength and range of motion lost in the months and years of arthritis preceding surgery. One of the biggest limitations that remains at this point of regaining actual strength and motion that has been lost due to atrophy. The replaced joint usually allows full weight bearing immediately, but it is the lack of muscle strength that constitutes the principle need for prolonged and diligent exercise to regain function. Given that regaining strength and motion lost prior to surgery remains the largest hurdle in expediting recovery after surgery, many surgeons have begun to recognize the benefits of “PREHAB” before surgery. The concept of “prehab” is not new, over time it has been embraced by more and more surgeons and patients. The earlier a patient can start the better. Other benefits of “prehab” include a better understanding on the patient’s part of what is expected of them post-operatively, particularly for the knee replacement patients who typically require more diligent physical therapy than hip replacement patients. Additionally, patients can establish a relationship with their physical therapist- who will be spending significant more time with them in the weeks after surgery than the surgeon – which facilitates the post-operative rehabilitation. They are more likely to be compliant with the regime if they have worked with their therapist preoperatively. In my practice, I have definitely found the patients benefit from preoperative therapy - “prehab” when they have the financial means to go and/or an insurance company that recognizes the value of prehab. Given that outcomes appear improved, accountable care organizations and healthcare systems that provide bundled care will probably begin to utilize prehab as well. In the future it is likely that this will continue to grow in recognized importance to the point that it may become the norm for patients to participate in prehab before joint replacement surgery.
Kim Wanegar-Nation, PT, Subacute Care Coordinator As a Physical therapist with over 34 years experience providing care at Touchpoints, a sub acute/post hospital setting, I have had the pleasure to working with many total joint replacement patients and their surgeons. What stands out most for me with these patients are the factors that affect their recovery time and regaining of function. I have found a common factor has been our “Prehab.” Touchpoints “Prehab” program is unique. In collaboration with surgeon, the patient receives a complimentary/free total body assessment with a Physical therapist. We identify patient specific issues that impact post op recovery such as compensatory habits in joint/ muscle /soft tissue and inefficient movement patterns and pain. These issues do not automatically resolve with the new joint. In average, our Prehab total knee replacement patients gain range of motion of 0-100 + flexion. 90% are discharged to home within 5 – 7 days able to ambulate safely and efficiently with a cane. The benefits to our total hip patients are they have fewer postural and biomechanical issues which allow muscle strength recovery to be much faster. We also find their compliance and integration of the post op precautions is improved.
Dr.Vipul Dua, Board Certified Orthopedic Surgeon, specializing in hip and knee replacement. S. Windsor, CT. A good indicator of the anticipated post total joint replacement result is what they are able to do before surgery. In any age patient, mobility, flexibility and strength before surgery will be reliable indicator to result. A course of patient specific pre-habiliation such as the prehab program at Touchpoints, can significantly improve flexibility, strength and general mobility thus having a better general post –operative result and shorter overall post –operative rehab time.
Feedback about Touchpoints Prehab and sub acute rehab program: Terry Curtis, “I was in so much pain before my surgery that I was not able to go to my grandson’s ball games or do my basic day to day activities. I went to Touchpoints to check out their rehab unit but also to take advantage of the free total body assessment with one of their Physical Therapists. It was the best thing I ever did!! In just a couple of sessions I was pain free. It made my time before surgery more productive and enjoyable. I did my post op rehab with Touchpoints. I was amazed how quickly my knee gained motion and strength. In only 6 days I was walking with a cane and stairs were no problem! I had total knee replacement on my other knee a few years ago… but my previous recovery was nothing like this one. Everything took so much longer. This time, even after I went home, my therapist continued to check in with me to make sure I stayed on track. Prebook and Prehab at Touchpoints, you will not regret it”
Hospital Newspaper - NE Nov/Dec 2012
Salmon expands education on Dementia Care
Page 11
If you’d like to reach the health and hospital communities of New England each month, there is no more cost-effective way than the Hospital Newspaper. Call Maureen Linell to place your advertisement: 508-869-6201
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Gary Davis, Licensed Social Worker and Director of SALMON Health and Retirement’s Tapestry Program, recently became a Certified Dementia Care Manger (CDCM). The certification qualifies Davis to teach the National Council of Certified Dementia Practitioner’s Alzheimer’s disease and dementia curriculum. Gary Davis, Licensed Social Worker and Director of SALMON Health and Retirement’s Tapestry Program, recently became a Certified Dementia Care Manger (CDCM). The certification qualifies Davis to teach the National Council of Certified Dementia Practitioner’s Alzheimer’s disease and dementia curriculum. SALMON’s Tapestry Program is described as an innovative program for seniors with memory impairment and was established in 1997. The program has been implemented at the company’s three Whitney Place Assisted Living Residences and five Beaumont Rehabilitation and Skilled Nursing Centers in Central Massachusetts. SALMON has been offering dementia training to their staff for well over 30 years. “All of our employees are given dementia education when first hired which explains core concepts and gives them a well-rounded feel for the disease and its effect on our clients,” says Davis. “In addition, we require staff working directly with dementia residents to attend another eight hours of training. Now, we can offer even more education, with this additional certification allowing me to train staff to be Certified Dementia Practitioners.” According to NCCDP, a staff member who becomes a Certified Dementia Practitioner (CDP) “shows a level of dedication and commitment to not only furthering their education, but the value their company places on education, their commitment to the healthcare industry and dementia patients.”
Davis will offer public training for dementia care professionals in March on SALMON’s Northborough campus. “It’s an exciting time. SALMON is all about growing, teaching and learning, and my new certification means we can work more closely with the community to focus attention on a disease we care deeply about that affects those we care for.” SALMON’s Chief Operating Officer Matt Salmon says, “Our Tapestry programs are one of our distinguishing factors At SALMON and we’re excited about the opportunities Gary’s CDCM provides. Adding the CDCM is another example of our continued commitment to training and education, which we believe is the key to high quality, consistent care.” There are eight on-site staff educators at SALMON; that number doesn’t include staff members that conduct the regularly scheduled general orientations. In addition to Alzheimer’s training, the organization offers nursing, management and professional training on a monthly basis, and assists with the continuing education of staff pursing their nursing degrees. For more information on the Tapestry Program and to register for the March class, contact Gary Davis at GDavis@SalmonHealth.com. Family owned and operated SALMON Health and Retirement is celebrating its 60th anniversary. Visit www.SalmonHealth.com.
A PROMISE THE S ALMON FAMILY HAS BEEN FULFILLING AT B EAUMONT FOR THREE GENERATIONS .
WE SPECIALIZE IN COMPLEX MEDICAL AND POST-SURGICAL CARE IN A WARM, PATIENT-CENTERED ENVIRONMENT: • Orthopedic Recovery • Neurological Rehabilitation
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PAGE 12
Nov/Dec 2012
Hospital Newspaper - NE
Mir acles of Rehab
Tom Gilbert and his wife Peggy.
Back at the Helm By Sarah Curtin and Timothy Sullivan One morning, while vacationing in Maine, Tom Gilbert felt there was something wrong. “I really didn’t feel well,” said Tom. “I was not myself.” Tom’s wife and daughter left to go sailing, leaving Tom at home to rest. In hindsight this should have been a red flag; Tom was always well enough to sail – a favorite activity and passion he shared with his family. Once he was alone, Tom could no longer raise his right arm or right leg. He struggled into bed. “It was clear to me I was having a stroke,” said Tom. When his family returned, they were surprised Tom was not waiting for them on the dock. His wife Peggy found him in bed, a heavy slur in his voice. She called 911 and Tom was med-flighted to Boston. By this time, Tom has lost consciousness and had slipped into a coma. A doctor, Tom had led a very full and active life with his wife and family. They traveled extensively, living all over the
country. They raised two children and were beginning to enjoy their empty nest together. Tom had endured a minor stroke six years prior, but had recovered. A Long Way to Go This time, a cavernous malformation had burst in Tom’s brain, causing a major stroke. Tom spent one week in a coma. After two weeks of receiving acute care he was transferred to Spaulding Rehabilitation Hospital in Boston. When he arrived, he could not walk or talk. Tom, who was 52 years old, began the long, uphill battle to recovery. He began to show improvement, but it was a slow process. “I received amazing care at Spaulding,” said Tom. “The therapists were very upbeat and gave me goals that were achievable. I had to wear my regular clothes for therapy, which made me feel like a person. Everyone treated me with dignity, everyone was respectful”
When Tom was discharged, Peggy wondered how they would survive without the help of Tom’s nurse and therapists. They were grateful for the additional therapy Tom received at Spaulding’s Outpatient Center in Wellesley. Helping Others Spaulding helped Tom learn to walk again. Over time, his speech improved and he has re-learned how to read, write and use a computer. He drives with an adapted foot pedal. When a Spaulding social worker invited Tom to participate in a new Peer Visitor Program, Tom jumped at the chance. Over the past nine years, he has visited other stroke patients and their families twice a week. Tom and Peggy now spend their summers in Maine, where he is able to sail, bike, and kayak using adaptive equipment. “For me, my stroke didn’t define me,” said Tom. “It was just one circumstance to overcome as part of the bigger picture of my life.”
Happy Holidays!
from the staff of Hospital Newspaper
Mir acles of Rehab
Hospital Newspaper - NE Nov/Dec 2012
PAgE 13
Tested But Not Defeated By Teresa Hayes, Director of Development, Braintree and New England Rehabilitation Hospitals Dianne Preston and Regina Pontes are survivors. Both have battled breast cancer and faced the prospect of never being able to walk again – in Dianne’s case following a horrific car accident and in Regina’s after a significant stroke. This is the story of two remarkable women whose lives became intertwined during the course of their amazing recoveries, aided by New England Rehabilitation Hospital (NERH), located in Woburn, Massachusetts. Although they share the same Arlington hometown, neither knew the other until a series of events rewrote their lives.
She would go on to spend the summer at NERH and receive intensive therapy to help rebuild upper body strength and coordination. As her condition improved she was allowed to go home, but continued to receive therapy and medical assistance. The fixator was removed at the end of September. By January 2011 she could take a few steps with a walker and began outpatient care at NERH. In April Dianne was dealt a double blow: the news that she needed a new hip and the unexpected death of her son, Eric. Dianne received the hip and focused on strengthening her lower extremities. She also was determined to get back on a dragon boat and honor her son. “I know how hard it was for Eric in Marine boot camp,” said Dianne. “I used his example as a way to motivate myself to go on.” NERH Physical Therapist Jane Tahmoush tried to simulate the conditions Dianne would encounter when boarding and disembarking. “We knew she didn’t have the flexibility she needed, so we worked with her to develop skills and coping strategies,” said Jane. Her gait much improved, Dianne was back on the water by June. She continues to race, but also finds time for her newfound friend, Regina, whose niece was Eric’s girlfriend.
A Life Forever Changed In June 2010 Dianne’s life took a dramatic turn when a highway crash left her with multiple injuries, worst among them a crushed pelvis and broken hip. Instead of competing in a dragon boat race for cancer survivors the next day, she faced weeks of hospital stays. A Massachusetts General Hospital trauma team repaired the damage. Among the measures they took was to place Dianne in an external fixator, a restrictive orthopedic device used to help bones mend properly.
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Back on Her Feet The two women met through Regina’s family; they found they had much in common. Beginning in 2001, Regina has been diagnosed with and rebounded from four different cancers and a brain cyst. In August 2011 she suffered a stroke which left her paralyzed on her left side with speech impaired. “But I’m like a punching bag,” said Regina. “I keep coming back.” Regina received occupational, physical, and speech therapies while at NERH, amusing caregivers by naming every piece of equipment used in her recovery. She also
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began the painstaking process of writing a book about overcoming seemingly insurmountable challenges, typing out each word using one finger. By mid-October she able to stand and take a few steps with a walker, and continued care elsewhere. She returned home on her December 5th birthday. “I received exceptional care,” Regina said. She continued to make progress in 2012 as an outpatient at NERH, working on mobility skills and strengthening the use of her left hand. And when she didn’t have a ride, her friend Dianne drove her there.
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Nov/Dec 2012
Hospital Newspaper - NE
Mir acles of Rehab
Above: Horsy rides provided the perfect chance to involve 19-month-old Owen and four-year-old Madison in their dad’s weight bearing and core strengthening work while he was an inpatient at Fairlawn. Left: In OT, Dan worked on his upper body strength and range of motion. Toward the end of his inpatient stay and throughout outpatient treatment, his occupational therapy focused on improving the fine motor skills in his right hand. Right: By mid-June, Dan was back working part-time and enjoying his family full-time.
photos provided
Family Takes Center Stage: A Young Stroke Survivor’s Story By Mary Herman-Cappoli Dan Kilcoyne was not the most likely person to have a stroke. Healthy, trim, and with none of the common risk factors, the 36-year-old mechanical engineer divided his time between work and having fun with family — his wife Tara and their two young children, Madison and Owen. Yet, on the morning of March 27th, Dan awoke with pervasive right-sided weakness and garbled speech. Fortunately, Tara, an RN who works at UMass Memorial Medical Center in Worcester, did what everyone should do when presented with stroke-like symptoms — she called 9-1-1. Treated at UMass Memorial, Dan was transferred to Fairlawn less than 48 hours after his stroke. According to Tara, the UMass
therapists who evaluated Dan said the best thing for him would be to start therapy right away, and “they highly recommended Fairlawn.” Upon admission to Fairlawn, unable to walk on his own and barely able to lift his right arm, Dan immediately began occupational and physical therapy. He also received speech therapy to address issues involving articulation. Tools of Recovery “In PT, we concentrated on neuro re-education, gait training and strengthening,” said Lauren Roberts, physical therapist. “Our treatments focused mainly on high level balance and gait activities.” Dan also used the Bioness L300TM, an electrical stimulation system for the leg, to assist with return of dorsiflexion during gait and functional mobility.
“During inpatient, I went from not walking on my own to walking independently,” said Dan, noting that his steps remained somewhat robotic and labored. He could also negotiate stairs without any assistance (just holding on to the railing). “The range of motion in my arm increased, and by discharge I was starting to be able to pick things up with my right hand.” Not missing a beat, Dan began outpatient treatment at Fairlawn just days after his discharge. Tara credits his inpatient team, with special kudos to his case manager, for ensuring the transition to outpatient was smooth and all necessary paperwork related to health and disability benefits were in place. Although he no longer needed speech therapy by the time he began outpatient treatment, Dan worked hard in occupational
therapy to further improve the use of his arm and hand; physical therapy was devoted to fine-tuning his walking. Better Balance In June, Dan was back to driving and working part-time; by July he had returned to his job on a full-time basis. However, his return to work came with a changed view about its role in his life. With the cause of his stroke undetermined, he is committed to doing everything he can to remain healthy, including going to a gym and eating better. “I am also seeing a life counselor to help with “the life-work balance,” said Dan, who often worked 50 to 60 hours a week before his stroke. “It only took them a day or two at work to replace me with someone who could do my duties. It would take a lot longer than that to replace me at home with my family.”
Hospital Newspaper - NE Nov/Dec 2012
New England Rehabilitation Hospital Awarded DiseaseSpecific Certification In Brain Injury Rehabilitation from The Joint Commission New England Rehabilitation Hospital (NERH), a world-class rehabilitative care provider located in Woburn, Massachusetts, has been awarded Disease-Specific Certification in Brain Injury Rehabilitation from the Joint Commission. With this certification, NERH gains the distinction of joining its sister rehabilitation facility, Braintree Rehabilitation Hospital (BRH) in Braintree, Massachusetts, as being the only two hospitals in New England and New York to have been awarded Disease-Specific Care Certification in both its Stroke Rehabilitation and Acquired Brain Injury Programs. “In recent years, New England Rehabilitation Hospital has significantly expanded its service capabilities into specialized areas to treat more complicated cases of acquired brain injuries, including minimally conscious patients,” said Dr. Deniz Ozel, Medical Director at NERH. “Joint Commission certification underscores our ongoing commitment to superior patient care and constant quest for improvement.” To better serve acquired brain injury patients, the hospital completed a renovation program in 2010 to create a unit of 15 private rooms tailored to the specific needs of this patient population. NERH underwent a rigorous onsite survey in July 2012. A team of Joint Commission expert surveyors evaluated NERH for compliance with standards of care specific to the needs of acquired brain injury patients and families, including infection prevention and control, leadership and medication management. Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health careorganizations and inspiring them to excel in providing safe and effective care of the highest quality and value. An independent, not-for-profit organization, The Joint Commission is the nation’s oldest and largest standardssetting and accrediting body in health care. NERH is located at 2 Rehabilitation Way, Woburn, Massachusetts. For more information about the Acquired Brain Injury Program, call 781.935.5050 or visit www.newenglandrehab.com.
PAge 15
Braintree Rehabilitation Hospital renovates Brain Injury Program Unit Only dedicated Brain Injury Unit in the metro area south of Boston offers state-of-the-art care Braintree Rehabilitation Hospital (BRH), a world-class rehabilitative care provider, announced that it has completed extensive renovations to its 35-bed Brain Injury Program unit. The only dedicated brain injury in-patient unit in the metropolitan area south of Boston, it offers a unique environment –now further enhanced – that is tailored to meet the specific needs of this specific patient population. “This renovation underscores our commitment to serving patients with the most complex cases, including those in unconscious or minimally conscious states,” said Dr. Douglas Katz, Medical Director of the Acquired Brain Injury Program at BRH. “In contrast to many facilities where brain injury patients are mixed among the general patient population, our hospital provides these patients the optimal setting to support recovery.” Throughout the unit, special features were incorporated to create an integrated low stimulation environment, improve safety and security for patients, and allow for better therapeutic treatment. BRH, nationally recognized for its Brain Injury Program, has the distinction of Disease-Specific Certification in Brain Injury Rehabilitation from The Joint Commission.
Among the many improvements are: • Dedicated low-stimulation therapy gym for physical, occupational, and speech language pathology sessions in-unit • Recreational therapy room with two full-time therapists • Added sound proofing to mitigate noise • Soothing décor featuring a palette of earth tone colors • An advanced security system and clutter-free hallways that allow for safe patient ambulation (walking) within the unit • Family room within sight of the nurses’ station for additional supervision • Some rooms with ceiling mounted lifts to help move patients BRH is located at 250 Pond Street in Braintree, Massachusetts. For more information visit www.braintreerehabhospital.com, or call (781) 348-2500.
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Nov/Dec 2012
Hospital Newspaper - NE
Mir acles of Rehab
Sharon Sadosky’s recovery from a terrible collision included riding her bike on the Cape Cod Canal bike path.
After Horrific Accident, Woman Uses Experience to Help Others By Carole Stasiowski and Sara Bartelson-Curtin It was an ordinary August afternoon when Sharon Sadosky of Forestdale, MA set out on a bike ride. The 52-year-old was an avid bicyclist and always took every safety precaution, including wearing a helmet and fluorescent tee-shirt. In spite of her precautions, a dump truck suddenly turned into a driveway, colliding with her and dragging her underneath its carriage. She was just a mile from home when the accident occurred. Sharon survived being dragged, but her injuries were extensive: a broken back, crushed pelvis, collapsed lung, and wounds that stretched from her lower back to her thighs thirty five open wounds in all. Sharon was sent via med-flight to Brigham and Women’s Hospital in Boston where, over the next five weeks, she underwent twelve surgeries, including multiple skin grafts. As Sharon faced the prospect of an extended recovery, she was determined to return to Cape Cod to be near her family. On September 12, she was transferred to Spaulding Rehabilitation Hospital Cape Cod for intensive rehabilitation. “When the ambulance arrived, I knew I was one step closer to going home,” she said. At first, Sharon couldn’t walk, had a feeding tube and a catheter, and could barely get out of bed. Because of her crushed pelvis, she was unable to put any weight on her right foot.
Her many painful wounds required daily care and made therapy even more difficult. Initially, even the smallest activity proved exhausting. Sharon’s rehabilitation physician, Andrew Judelson, M.D., and her team of skilled therapists and nurses, tailored her rehab plan around her unique circumstances. Super Motivation “Everything was tightly coordinated – the logistics of pre-meds for dressing changes, wound care, therapy,” says Dr. Judelson. “Sharon was scared, but she was also super motivated. She wanted to get home.” For her part, Sharon put all her energy into her therapy. She needed to re-learn daily activities - how to walk, bathe, dress. Soon she was walking 75 steps. By the end of September, Sharon had regained enough function to go home. “My team was excellent. They knew what I was working towards, even before I knew it. If I needed help they were right there. I made a 100 percent turnaround in 2 ½ weeks,” she recalled. Over the next months, Sharon continued to improve with the help of Spaulding’s outpatient therapy services and her own determination. Six months after the accident, Sharon was working 30 hours a week in her job as an administrator. Gradually, she began riding a bike again – this time on protected bike paths.
Though physically she could do it, cycling wasn’t fun anymore, and she set a new goal: running a 5K race. She started using a treadmill and began building up her stamina. Today, she’s running three miles on the treadmill. Though Sharon still has some limitations caused by her injury and surgeries, her plan is to keep working on the challenges. “I could get mad, but that doesn’t get you anywhere. I’m a work in progress ... and so lucky to be alive.” Helping Others Sharon has turned her experience to an unexpected purpose. As a member of Spaulding Cape Cod’s Patient Family Advisory Council, she shares her insights at a monthly forum with hospital leaders dedicated to continuous improvement of the patient’s and family’s experience of rehabilitation. “It’s so very hard to do rehab, to be a patient. I want to use what I learned to help others through the process.” From Dr. Judelson’s perspective, Sharon’s progress is a tremendous success story. “It was such a horrific accident, but her recovery shows that we can heal and regenerate with the right treatments and time. I’ve been fortunate to be part of her recovery and now to see what she brings to the Council. She’s awesome.”
Hospital Newspaper - NE Nov/Dec 2012
PAgE 17
Manes & Motions Therapeutic Riding Center raises $85,000 at Annual “Celebrity Waiter� Dinner Twenty-three “celebrity waiters� from throughout the region recently tended to 275 guests at the 13th Annual Manes & Motions Celebrity Waiter Dinner & Auction held at the Aqua Turf Club in Plantsville to support Manes & Motions Therapeutic Riding Center, Inc. located at Daniels Farm in Middletown. “This was a record-breaking year as the total amount raised was more than ever before,� said William J. Higgins, Chairman of the Board of Manes & Motions Therapeutic Riding Center, Inc. “We’d like to thank the attendees, the sponsors and the waiters for their support in making this year such a huge success!� Presenting sponsors of the event were Pratt & Whitney and Webster Bank. Additional sponsors included Northwestern Mutual; Murtha Cullina LLP; Aetna; CenConn Services, Inc.; Farmington Bank, James Massi, M.D.; Advanced Computer Technologies; Halloran & Sage LLP; Kaestle Boos Associates; and New England Home Care. Manes & Motions provides cognitive and physical benefits to chil-
dren and adults with a wide range of conditions including Autism, Down Syndrome, spinal cord injury, Spina Bifida, brain injury, Cerebral Palsy, and Post-Traumatic Stress Disorder (PTSD). Manes & Motions, A Member of the Hospital for Special Care Community, is a wholly-owned subsidiary of Hospital for Special Care. For more information on Manes & Motions, including volunteer opportunities, please call 860.685.0008, or visit http://hfsc.org/manes-motions/ volunteer-opportunities. About Hospital for Special Care Hospital for Special Care (HSC) is one of the 10 largest, free-standing long-term acute care hospitals in the United States and the nation’s only longterm acute-care hospital serving adults and children. HSC is recognized for advanced care and rehabilitation in pulmonary care, acquired brain injury, medicallycomplex pediatrics, neuromuscular disorders (including ALS research), spinal cord injury, comprehensive heart failure as
provided
Pictured above, from left, are members of the Manes & Motions Celebrity Waiter & Dinner Auction committee: Laura Napoletano; Sylvia Rulkowski; Carolyn McElravy; Anthony Labato; Elizabeth Schreiner; Joanne Humen; Elizabeth Kalinowski; Cathie Cannon; Beverly Jones; Cynthia Ruta; Sandy Howard; Roseann Sgroi; Elizabeth Avery and Marion Sgroi-Varano.
well as diagnostic, assessment and consulting services for children and adolescents with Autism Spectrum Disorders.
Ekso Bionic Makes Walking Possible.
Located in New Britain and Hartford, CT, HSC operates inpatient and outpatient facilities serving Southern New England on a
not-for-profit basis. For the latest news and information, please visit www.hfsc.org, and follow us on Twitter @HospSpecialCare.
Ekso is designed for people with lower-extremity paralysis and is available in Connecticut only at Gaylord Specialty Healthcare.
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One of 14 Model Spinal Cord Injury Centers in the United States. Specializing in: Brain Injury Stroke Recovery Complex Pulmonary and Vent Weaning Neurological Rehabilitation Orthopedics and Sports Medicine Sleep Medicine
For more information email publicrelations@gaylord.org or call 203-284-2835 to reach “The Ekso Lineâ€? and someone will get back to you. )C[NQTF 5RGEKCNV[ *GCNVJECTG KU C PQV HQT RTQòV NQPI VGTO CEWVG care hospital located in Wallingford, CT.
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Nov/Dec 2012
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Kelly Peverada, PTA from Paartner’s HealthCare at Home helps Sally O’Donnell maneuver down steps. Sally O’Donnell works with David Arel, OT from Partner’s HealthCare at Home.
Lingering Injuries No More By Timothy Sullivan and Sarah Curtin Sally O’Donnell was only in her 40s when a bad fall from years earlier, which had injured her hip joint and tore a ligament in her knee, left her with chronic hip problems and lingering pain. The complications from these injuries together with the challenges of managing diabetes meant Sally had not felt her best for years. Then last year, at 45, Sally suffered a debilitating cardiac aneurism that took away most of her abilities. "It was a true wakeup call for me; but, I was alive," Sally acknowledged. After surgery, she received at-home care from Partners HealthCare at Home. "The attention I received was amazing. I was released from the hospital at 5 p.m. on a Sunday, and someone came to my house that night." New challenges made everyday activities extremely difficult, but Sally was determined to get her life back. She quit smoking and started following a diabetic diet. She began to explore options for relieving the hip pain she still suffered. Renewed Determination Sally's doctor was very encouraging and recommended surgery as an alternative to a lifetime of pain. "He just said, 'Why suffer? You are young and you should live life while you have it.'" Sally's elective surgery in the summer of 2012 was an eventful turning point on her road to recovery. Sally was determined to regain full use of her body, and working with her physical therapists at Partners HealthCare at Home and its affiliate, Spaulding Hospital North Shore, she made great strides. "I recovered quicker than doctors predicted."
Even more remarkable is that Sally has been able to live at home during her recovery — in the same house she grew up in, on a quiet street in Salem where all the neighbors know each other. "The care I had in the hospital was terrific, but at home I have my dad, my neighbors, and my 12-year-old cat, Kelsey," she said. To Sally, recovering at home was a great comfort. "When you don’t feel well, you want to be around those you love." Home Care Like many people post-surgery, Sally was anxious about her recovery process. But Partners HealthCare at Home was there to help her through. Sally is very grateful to her full team of home healthcare professionals — her nurse, physical therapist, occupational therapist and home health aide. "I wouldn’t be where I am without them." Sally continued, "They are so good at their jobs and are really in tune with me and my needs. There is an intimacy with my caregivers that really puts me at ease. They really have helped me find my strength." Today, Sally anticipates once again being able to live life to the fullest. Soon she will be strong enough to return to her outpatient therapies at Spaulding, and she can’t wait to take long walks and ride a bike again. "It means so much to be at home — I got my freedom back. Getting treated helped me win the battle, but being home helped me win the war."
Hospital Newspaper - NE Nov/Dec 2012
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Fairlawn Rehabilitation Hospital named Hospital of the Year Fairlawn Rehabilitation Hospital received the Hospital of the Year Award during HealthSouth Corporation’s Annual Meeting and Awards Banquet held September 28 in Phoenix, Arizona. Fairlawn, a joint venture of UMass Memorial Health Care and HealthSouth, is the only hospital among HealthSouth’s nationwide network of 99 hospitals to receive this award recognizing outstanding performance in development of clinical programs, quality of patient care services and overall operational excellence. “This award recognizes our commitment to provide a differentiated level of care that gets patients back on their feet and functioning in their communities,” said Dave Richer, Fairlawn’s CEO. “Our success depends on the quality of care provided to each and every patient, and we hope to be the rehabilitative provider of choice for the people of Central Massachusetts by providing an exceptional patient experience. I am very proud of all that our hospital has accomplished.” Fairlawn is a 110-bed inpatient rehabilitation hospital that offers comprehensive inpatient and outpatient rehabilitation. Serving patients throughout Massachusetts, the hospital is located at 189 May Street Worcester.
Thank You
to the entire staff of Fairlawn Rehabilitation Hospital for making it HealthSouth Corporation’s
Hospital of the Year Chosen #1 from HealthSouth’s nationwide network of 99 hospitals. Fairlawn is a joint venture of UMass Memorial Health Care and HealthSouth 189 May Street, Worcester, MA
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Nov/Dec 2012
Hospital Newspaper - NE
A Valuable Medicaid Planning Solution Today many people are involved in “Medicaid Planning” with a certified elder law attorney. What does this kind of planning mean and why do they do it? In order to become eligible for Extended Medicaid coverage, an individual must not exceed their state’s minimum income & asset requirements1. This usually requires that a person transfer assets out of their estate in order to protect those assets from expensive long-term care bills. Moreover, any gifts or transfers have a 60 month look back period regarding eligibilty2. Most people are familiar with the “Medicaid Spend-Down” scenario and how devastating this can be to most families financially. Paying for the cost of long-term care of a loved one dollar-for-dollar is never a good option. Many families are financially ruined because of the cost of extended care. It is essential that every person carry out their advanced planning regarding long-term care services. Otherwise, these expenses can easily run into the hundreds of thousands of dollars. So what medical bills can be counted toward a spend-down? • • • • • • • •
Your own medical bills. Your spouse’s medical bills. Parent’s bills for their children’s spend down. Bills of a child living with you. Bills of a child who does not live with you, but whose medical bills you help pay for. Past unpaid medical bills (sometimes up to 6 years old) for yourself or any of the people named above. The part of any medical bill not covered by Medicare or private insurance. Medical expenses (including insurance premiums) paid for you by certain public programs, for example, the Elderly Pharmaceutical Insurance Program (EPIC) and the Child Health Insurance Program (CHIP).
Despite knowing about this potentially enormous liability, many folks still do not purchase long-term care insurance because they see it as too expensive. They just do not want to pay the premiums every year nor do they want to have to worry about if they can afford the policy if those premiums increase sometime in the future. So instead, they decide to transfer the majority of their assets out of their estate to facilitate eligibility for Medicaid benefits in five years. Having said that, there still remains the danger of a claim during the transfer period. Often, attorneys recommend that the Medicaid Planning involve the purchase of a temporary long-term care policy with a five year benefit period in order to “bridge” the liability of the 60 month look back period as per the Deficit Reduction Omnibus Reconciliation Act 2005. Once the look back period has expired, the client can cancel their coverage and avoid paying any future premiums. This strategy however still costs money, typically $30,000 to $50,0003. The following planning takes this concept to the next level… What if the client has the means to purchase a Single Premium Universal Life Insurance policy with a Long-Term Care Rider instead of the traditional LTCI policy in order to “bridge” the gap? These contracts are often referred to as “Linked” policies because during the 60 month look back period the client not only has adequate long-term care insurance, but also a guaranteed life insurance death benefit that is higher than the original deposit. And what if the policy can be cancelled for a 100% return of premium after the 60 month look back period with no surrender charges? Sounds too good to be true? Well, two carriers currently offer linked products with guaranteed return or premium riders4. Thus, the client can buy the insurance and keep it in force until such time as they no longer need it and their assets are fully protected. This strategy completes the entire leveraged transaction at no cost to the insured. EXAMPLE: John is a 68 year old male who purchases a single premium $100,000 Linked Universal Life Insurance policy with a Long-Term Care Rider to insure his liability while he waits for his assets to become Medicaid ineligible in 60 months. The $100,000 single premium buys him $190,000 of life insurance and $398,000 of long-term care coverage from day one. Assuming there are no claims, at the end of five years, he can surrender the contract and receive 100% of his premium back with no surrender charges. The transaction is essentially a 60 month FREE loan with some very significant tax-free insurance benefits5. Call us today if you would like additional information about this cutting edge estate planning concept. For more information about Single Premium Universal Life Insurance policies with a Long-Term Care Riders, please call Andrew J. Cavaliere, CLTC at 914-682-2190 or toll free at 877-676-9900. Andrew is certified in Long-Term Care (CLTC) from the Corporation for Long-Term Care Certification, Inc. Andrew is a member in good standing of the Million Dollar Round Table (MDRT), which is the premier Association of financial professionals nationally. Andrew’s offices are located at 50 Main Street, White Plains, NY 10606 and at 500 West Putnam Ave, Greenwich CT 06831. 1
Medicaid Eligibility vary from state to state
2
Deficit Reduction Omnibus Reconciliation Act of 2005
3
LTCI premiums based upon age & policy benefits
4
Genworth Financial Life & Lincoln Financial; see prospectus
5
Genworth Total Living Coverage Quote 2012
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Hospital Newspaper - NE Nov/Dec 2012
Hospice Southeastern Connecticut and American Ambulance team up to grant patients’ wishes Hospice Southeastern Connecticut and American Ambulance have joined together to grant wishes for hospice patients. The program called Sentimental Journeys, started 13 years ago in Colorado and now operates in 33 states. Originally a spur of the moment idea to grant a dying patient his last wish, Sentimental Journeys has grown into a formal program with specific protocols. Through this program, patients are able to visit people, places and memories one last time. Greg Allard, Vice President of American Ambulance, serving New London and Windham Counties, approached Hospice Southeastern Connecticut this past spring about the Sentimental Journeys program. They shared the protocols and after working out the details, the program is now up and running.“When I was first approached about this program I immediately knew that I needed tocontact Hospice Southeastern Connecticut to see if they were interested in partnering with us” said Greg. “We were very pleased when they accepted our offer.” “The American Ambulance team is honored to be partnered with Hospice SE CT. We’re confident this service we’re providing to people in our community is second to none because of the committed, professional staff of both organizations.”
Patients of Hospice Southeastern Connecticut and their family members can now take a “Sentimental Journey” to any location in eastern Connecticut in one of the American Ambulance carriers with EMT and Paramedic staff attending and providing medical assistance if needed. It all starts when a Hospice Southeastern Connecticut staff member brings a patient’s wish to the agency where they coordinate with American Ambulance to organize the journey. Patients are screened to ensure they are medically appropriate to make the journey and equipment and medication needs are assessed for the trip. Recently, Mrs. Elizabeth Heebner made the inaugural Sentimental Journey. She took a tour of her favorite places and memories in the Norwich area, ending with a stop for ice cream with her daughter and son-in-law Cindy and Gary Ambukewicz. “This has been so nice, I saw places I haven’t seen in years” said Mrs. Heebner. Sentimental Journeys is an important addition to the quality end of life care offered by Hospice Southeastern Connecticut. The patient’s emotional wellbeing is as important to the agency as is their physical state. Patients may not be able to choose when they will die but they can choose how well they will live and the quality of the life they have left.
Coverys receives RPLU Supporter Award from PLUS Coverys, a leading provider of medical professional liability insurance, is pleased to announce that it has received the 2012 Registered Professional Liability Underwriter (RPLU) Supporter Award from the Professional Liability Underwriting Society (PLUS). The RPLU Supporter Award is given annually to an organization that participates in PLUS activities and supports the RPLU program by encouraging its professional liability staff to pursue the designation. Coverys places a strong emphasis on education for its staff and is a dedicated supporter of PLUS in particular. As a co-sponsor of RPLU classes, Coverys continually promotes RPLU study internally with resources such as tuition reimbursement and in-house classes and instructors. Coverys employee Jennifer Burke, RPLU,
senior manager product development, is also the current chair of the PLUS New England Chapter Steering Committee. “As active supporters of PLUS, we are proud to receive this award,” said Gregg L. Hanson, chief executive officer and president of Coverys. “PLUS provides a strong curriculum and is an excellent resource that so many of our employees have utilized for both continuing education and sharing best practices. We thank PLUS for this recognition, and also our employees who give their personal time and energy for the development of themselves and their colleagues.” For more information about Coverys please contact Katharine Gould at kgould@coverys.com or (617) 946-8665, or visit the website at www.coverys.com.
PAge 21
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Nov/Dec 2012
Hospital Newspaper - NE
News in Emergency Medicine Emergency Medical Associates named to Modern Healthcare’s Top 10 Emergency Department Contractors List Emergency Medical Associates has been named to the 2012 Top Emergency Department Contractors list reported by Modern Healthcare magazine. The 10 emergency department outsourcing companies on the list were ranked by total number of national healthcare clients as reported via the magazine’s 2012 Outsourcing Survey. Emergency Medical Associates manages 28 emergency departments and urgent care centers in five states: New Jersey, New York, North Carolina, Pennsylvania and Rhode Island. Additionally, the company’s Inpatient Medical Associates division operates adult and pediatric hospitalist practices in New Jersey and New York. Of the emergency department management companies that made the list, Emergency Medical Associates enjoyed the greatest percentage of growth year over year – a 33.3 percent increase in the number of clients.
“We’ve enjoyed a year of tremendous growth and have greatly expanded the company’s geographic footprint,” explains Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “Along with that growth we’ve been able to augment our services. We now not only manage the ED, but provide a continuum of care from the hospital’s urgent care settings, through the ED, to dedicated observation/rapid decision units and also hospitalist services.” “We’ve been able to continue to improve the quality of the services we provide and uphold our reputation for clinical excellence by truly partnering with the clients we serve. It’s been the hallmark of Emergency Medical Associates for more than 35 years,” says Dr. Iannaccone.
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For more details: please contact Maureen
508.869.6201 MRLinell@charter.net
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To request a proposal or receive additional information about Emergency Medical Associates’ management services, contact David Calabrese, senior vice president of new business development and marketing, at (973) 251-1046 or email calabresed@ema.net. About Emergency Medical Associates Emergency Medical Associates (EMA) is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.
Hospital Newspaper - NE Nov/Dec 2012
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Hospital for Special Care announces plans for Autism ‘Health Neighborhood’ Medical home model first step towards integrated care for Autism in Connecticut At a recent luncheon hosted by First Lady Cathy Malloy on behalf of the Autism Center at Hospital for Special Care (HSC), hospital officials convened supporters, autism advocacy leaders and healthcare providers to underscore the need, raise awareness and outline plans for Connecticut’s first health neighborhood for Autism. Joined by his wife Amy and father, former UConn Men’s Basketball Coach Jim Calhoun, Jeff Calhoun shared his family’s experience with Autism underscoring the need for coordination of services. Since the Autism Center at HSC opened last February, the hospital has assisted Connecticut families with a triage of comprehensive services in collaboration with The Center for Autism and Behavioral Studies at The University of Saint Joseph. The center now has a growing waiting list of patients waiting to be seen further underscoring the need for expanded and coordinated services.
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Pictured from left to right are Amy Calhoun, Jim Calhoun, Jeff Calhoun and Lynn Ricci, Senior Vice President & COO at Hospital for Special Care.
“HSC and its partners are working towards developing a medical home and ultimately a health neighborhood for individuals and families affected by Autism,� said Lynn Ricci, senior vice president,
chief operating officer, Hospital for Special Care. “The goal of a medical home/health neighborhood is to coordinate care and improve communication between families and providers. As a first step, HSC has
formed an Autism Advisors group that will map needed services and align regional resources on behalf of our patients and their families,� she said. The American Academy of Pediatrics describes a ‘medical home’ as a model of delivery of care that is accessible, continuous, comprehensive, family-centered and culturally effective. This model not only considers medical issues but addresses social, educational, transitional and housing concerns. “Because of our history in successfully treating patients with complex needs, we are uniquely positioned to begin this effort. However, we need help in taking the next steps to ensure a continuum of care for people with Autism,� Ricci added. “Unfortunately, there is a lack of resources in Connecticut including disparities in access to services, and our state needs a hub of coordination. I know this professionally and personally because my son has Autism.�
Children with Autism use healthcare at a higher rate with higher costs but have very limited access to the coordinated care provided by a medical home. What’s more, as a child with Autism gets older, fewer services are available for the transition from school-based services to adulthood. However, the proposed Health Neighborhood can be the next step towards integrated and accountable care in Connecticut. The Autism Center at HSC offers an array of psychological and academic evaluations as well as a wide range of assessment and therapy options in the areas of occupational therapy, physical therapy and speech and language therapy. Behavioral and educational planning also will be provided with the objective of including all caregivers, teachers and others involved in the life of the child to present a consistent and structured environment where the child can thrive. For more information about the Autism Center, call 860.827.4797, or visit www.hfsc.org.
Fi ve-Star e , LongLon ng--T Ter m Car C Five-Star, Long-Term Caree in lace The me.� aP Place Theyy Call “Hom “Home.� enn Hills P ediatr ic Center (SHPC), C),, w e’re taking the quality of long-ter ong-ter m car At Seven Pediatric we’re long-term caree to eights with a ranking in the topp 1% of U .S. nnursing ursing facilities facilities bbyy U .SS. News & new heights U.S. U.S. W orld Repor tive yyear ear based on a perfect fiv e e-star rating bbyy the World Reportt for the second consecuti consecutive five-star FFederal ederal ral Go ver nment. Government. ven H Hills P ediatr ic Center offer edically adv anced,, long-ter m rresidential e esidential Seven Pediatric offerss m medically advanced, long-term hoort-ter m rrespite espite car enn and yyoung oung adults with pr rofound ofound und co gnitive and short-term caree to childr children profound cognitive lities and complex medical needs. eds.. In this home-lik t highly skilled disabilities home-likee setting,, the ovides indi vidualized zed tr eatment to each child in the pr ivacy of nursingg staff pr provides individualized treatment privacy oom. An on-site roved,, special his or her beautifully appointedd rroom. on-site,, DESE-appr DESE-approved, tion school enab les thee childr en to exper ience a widee range of lear ning education enables children experience learning tunities. opportunities. Seven Hills
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Nov/Dec 2012
Hospital Newspaper - NE
Waveny Care Network announces campus-wide wireless accessibility Delivering upon a continuing commitment to offer the “latest and greatest” in technology to those it serves, Waveny Care Network recently installed a series of wireless access points (WAPs) to establish a Wi-Fi network throughout the 3 Farm Road campus. This comprehensive installation was made possible by generous funding from the Jeniam Foundation. Available to all staff, patients, residents, family members and visitors, Waveny’s campus-wide Wi-Fi capabilities enable the use of wireless devices and convenient access to popular social media platforms like Facebook, Twitter and Skype to better stay in touch with friends and family. Waveny is delighted to offer a wireless network to all whom it serves. “We now have the ability
provided
Village resident, Lorraine McGettigan enjoys a game of Scrabble on a wireless tablet with her daughter, Sue Carroll.
to access the internet instantly,” said Patty Scavo, director of therapeutic recreation. “Not only can
Hebrew Health Care’s Dr. Harry Pruce turns 101
we more easily engage our residents and participants in online leisure activities, but we can
download additional ‘apps,’ information or software instantly when residents make special requests.” Waveny’s residents and family members are especially excited about the recent technology installation. “Mom enjoys shopping online,” said Sue Carroll, whose mother Lorraine resides at The Village at Waveny Care Center. “She now plans to do all her Christmas shopping at online stores for everyone on her list.” “We also use Skype so that she can stay in touch with all her children and family who live in other states,” added Carroll. “In fact, during her birthday parties at Waveny, we use Skype so that every one of my siblings can join in the celebration and wish her a Happy Birthday.”
Waveny Care Network provides a comprehensive continuum of care – now including skilled Home Healthcare – to serve the growing needs of older adults from all areas. Waveny is a not-for-profit organization that offers independent living at New Canaan Inn, assisted living for people with Alzheimer’s and memory loss at The Village, and skilled nursing at Waveny Care Center. It also includes the Brown Geriatric Evaluation Clinic, a Geriatric Care Management team that provides 24-hour coverage, an Adult Day Program that offers flexible hours and transportation six days a week, inpatient and outpatient Rehabilitation Services, and respite programs at both The Village and Care Center. For information call (203) 594-5200 or visit www.waveny.org.
Don’t Miss the January/February New England Edition of Hospital Newspaper! Featuring… Professional development & recruitment The Top Education and Recruitment Opportunities
Boomers & Beyond Senior Residences
provided
Hebrew Health Care’s Adult Day Center will help Dr. Harry Pruce blow out 101 birthday candles this year. In attendance will be members from the VFW and the Jewish WWII Breakfast Club, as well as members of the Hebrew Health Care and HHC Adult Day Center. Dr. Pruce will be presented with an Air Force pin and a star; the star is part of a new program where stars from American flags that are no longer able to fly are removed and given to veteran. Not only will we be celebrating another year, we will
be celebrating a life of the American dream come true. Harry signed up for the Air Force in 1942; he reported to the Air Force base in New Orleans. In 1945 he was deployed to the Pacific where he served on several island bases and then Tokyo, Japan where he remained for about 1½ years. While stationed in Japan, he worked on the Floating Hospital. Harry started his military service as a First Lieutenant and then was promoted to Captain and Major. He was discharged in 1946.
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Fairlawn Rehabilitation Hospital recently earned a full three-year accreditation Fairlawn Rehabilitation Hospital recently earned a full three-year accreditation from The Joint Commission, as well disease specific care accreditations in brain injury, Parkinson’s disease, and stroke rehabilitation. Fairlawn is one of only five hospitals in the nation to have TJC accreditation for Parkinson’s disease rehabilitation.
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Hospital Newspaper - NE Nov/Dec 2012
Page 25
Hebrew Health Care grants a wish for resident Roslyn Cohen, patient of Hebrew Health Hospice at the Hospital at Hebrew Health Care had just one wish for her 91st birthday: to receive a visit from a fireman. Upon hearing this request, the Hospital staff set out to find a fireman to visit Roslyn on her special birthday. Rhoni Yearwood, unit secretary on the Hospital unit, began making calls to local fire departments. When she called the West Hartford Fire Department, she was informed that Roslyn was a former 30 year employee at the department. On November 9, 2012 Roslyn’s wish was granted when six fully uniformed firemen from the West Hartford Fire Department arrived at her room at the Hospital at Hebrew Health Care to celebrate her birthday. Overjoyed, Roslyn was overhead saying, “This was all I wanted. Thank you.” Hebrew Health Care is a non-profit, non-sectarian health care provider featuring a full spectrum of integrated and seamless in-patient; out-patient and community based geriatric services to meet the needs of older adults in the Greater Hartford community. Hebrew Health Care is committed to providing comprehensive care of the elderly. Not simply saying it, not simply building it, HHC does it – every day, every week, every year, for over 100 years. Hebrew Health Care’s commitment to the elderly in the Greater Hartford area is unparalleled and is the foundation on which our reputation for excellence is based. Hebrew Health Care is comprised of the following service affiliates:
provided
Roslyn and the West Hartford Firefighters.
The Hospital at Hebrew Health Care Hoffman SummerWood Community Hebrew Health Visiting Nurses Hebrew Health Hospice Hebrew Health Assisted Living Services Hebrew Health Adult Day Services Hebrew Rehabilitation Group Connecticut Geriatric Specialty Group The Gene and Anja Rosenberg Hebrew Home and Rehabilitation Center
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Nov/Dec 2012
Consultants Corner
Hospital Newspaper - NE
Bulimia: The Secret Disease By Stuart Koman, Ph.D.
"I know this rigidity, this feeling that if you eat one thing that's wrong, you're full of self-loathing and then you punish yourself, whether it's one cookie or a stick of gum that isn't sugarless, that I would sometimes beat myself up for that." Katie Couric, ABC News In some ways, bulimia nervosa is the most insidious of the three major eating disorders. Bulimia is a secret disease. Because bulimics feel shame about their disorder, they typically try to hide it. It is not unusual for those who have it to hide the condition even from their immediate family for years. They can hide it, because individuals with bulimia look very much like everyone else. A person with bulimia may have a normal body weight and may look as healthy as Katie Couric, who recently talked about her struggles with bulimia during her talk show. Conversely, a patient with anorexia nervosa is typically thin to the point of looking starved and those with binge-eating disorder are often, although not always, obese. While it’s been many years since Ms. Couric had bulimia, the disorder had a lasting impact on her, as it does on millions of others. The definition of bulimia is evolving, but symptoms include regularly binging by eating an excessive amount of food, feeling a lack of control over the binging and compensating to prevent weight gain by “self-induced vomiting; misuse of laxatives, diuretics or other medications; fasting, or excessive exercise,” according to the American Psychiatric Association. Possibly Deadly Perhaps because those with bulimia look like everyone else, there is a tendency for some not to take bulimia seriously. Yet, like other eating disorders, it can be deadly. Purging can result in the loss of minerals the body needs to function properly, resulting in an electrolyte imbalance. This imbalance can result in irregular heartbeats, increasing the potential for heart failure. Those who use drugs to stimulate vomiting, bowel movements or urination also increase the risk of heart failure. Frequent vomiting can cause other health problems, such as inflammation or tearing of the esophagus, and swollen glands. Acid from vomit can wear down the protective enamel on a person’s teeth. Those with bulimia often have irregular menstrual periods and lowered interest in sex. In addition, a majority of bulimia patients have other psychiatric disorders, such as depression, anxiety or obsessive-compulsive disorder. The incidence of drug or alcohol abuse among bulimics is also high.
Further complications arise because not everyone who binges and purges is considered bulimic. A majority of people with bulimia symptoms do not meet the precise clinical definition and are considered to have an eating disorder not otherwise specified (EDNOS). The American Psychiatric Association is modifying the definition of bulimia as part of its DSM-5, the fifth edition of its Diagnostic and Statistical Manual of Mental Disorders, which is scheduled to be published next spring. Recognition DSM-5 will recognize binge eating as an eating disorder for the first time and patients who do not purge may be defined as having binge-eating disorder instead of anorexia. In addition, the incidence of binging and purging necessary to be classified as bulimia is expected to decrease from at least twice a week for at least three months to just once a week. The National Institute of Mental Health (NIMH) estimates that 1.1 percent to 4.2 percent of females have bulimia at some point in their lives. Bulimia is still rare among males, but the numbers have been increasing. It is most common in women who are teens, but it is increasingly common in pre-teens and can affect seniors, too.
Bulimia statistics are imprecise, not only because the definition of bulimia is imprecise, but because of the secrecy around the condition. Because bulimics hide the disease, the numbers may be even higher than the NIMH estimate. While bulimia is not as apparent as other eating disorders, medical professionals can learn to diagnose the disease fairly quickly. Typically, the first medical professional to know when a person has bulimia is the patient’s dentist, because of the impact of purging on a person’s teeth. Severely bruised or calloused knuckles are another sign, since a person who consistently sticks her hand down her throat to induce vomiting will suffer some damage. Medical professionals who suspect that a patient has bulimia should try to discuss weight issues with the patient. Do not, for example, outright ask the patient, “Are you bulimic?” or “Do you binge and purge?” Because individuals with bulimia are typically ashamed of their actions, they will be evasive if confronted. Diagnosing Bulimia Instead, begin by asking the patient, “Do you worry about your weight?” and follow up with, “Do you do a lot of dieting?” Those who diet frequently are much more likely
to develop bulimia than those who eat acceptable amounts for three meals a day. During the discussion, assuming the patient responds that she is worried about her weight, ask her whether she purges or takes laxatives. Once you’ve engaged the patient, you’ll usually get an honest answer. Research into the chemistry of the brain has shown that bulimics have a similar neurochemical response to foods that addicts have to drugs and alcohol. Given that the patient’s dependence on binging and purging resembles an addiction, it is difficult to stop he cycle. However, bulimia is more treatable than anorexia. Patients often recover, but frequently revert to past behavior when they are under stress. While in-patient treatment is necessary in the most severe cases, bulimia can often be overcome with aggressive outpatient treatment that combines medication, behavioral therapy and nutritional therapy. There is no medication approved specifically for treating bulimia, but high doses of the antidepressant Prozac can moderately decrease binging and purging episodes. It’s important to know that a dosage of 40 milligrams – twice as high as the dosage typically prescribed for depression – is needed.
Treating Bulimia Topamax, which is typically used to treat seizures and prevent migraine headaches, can also help control binging and purging, and promote weight loss. Pharmacotherapy is more effective when used in conjunction with cognitive behavioral therapy, which seeks to change the way a person thinks. Professional nutritionists are also important to the treatment process. Typically, those with bulimia restrict their eating during the day in an attempt to lose weight. This increases their compulsion to binge at night, which then results in purging. Dietary modifications can help prevent the uncontrollable urge to binge that typically takes place at night. Constant monitoring of electrolytes is also important, given that heart failure can result from an electrolyte imbalance. When co-occurring disorders exist, it is essential that they be treated concurrently. In a person with multiple disorders, if treatment concentrates on just bulimia or any one disorder, the patient may show improvement with whatever is being treated, but other disorders typically will worsen. Treatment of bulimia can be complex and recovery takes time, so be certain to involve professionals who had experience treating the disorder. Bulimia is a secret disease, but it’s a secret that needs to be told. Bulimia, and the shame and medical issues that it causes, can be overcome, but the first step is recognizing that the disorder exists. Stuart Koman, Ph.D. is president and chief executive officer of Walden Behavioral Care in Waltham, Mass. He can be reached at skoman@waldenbehavioralcare.com
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Hospital Newspaper - NE Nov/Dec 2012
State of-the-art imaging system provides safer, more precise spinal surgery at Bridgeport Hospital
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If you’d like to reach the health and hospital communities of New England each month, there is no more cost-effective way than the Hospital Newspaper. Call Maureen Linell to place your advertisement: 508-869-6201
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The O-arm/Stealth Station navigation system being used for spinal surgery at Bridgeport Hospital. Patients with spinal injuries are receiving safer, more precise surgical treatment, thanks to the new O-arm/Stealth Station Navigation system at Bridgeport Hospital, one of the first hospitals in Connecticut to use the state-of-the-art imaging system. The system is a major advancement over previous technology in that it provides real-time 3D images of the surgical site—including surgical instruments—as procedures are taking place. As the name suggests, the donut-shaped O-arm can rotate around the patient, providing images from many angles. Computer-assisted surgery ensures safety and accuracy by: • guiding surgeons through the safest route to the surgical site • giving surgeons a broader, multi-angle view of the site and • confirming the placement of instruments and hardware (such as pedicle screws in the spine) during surgery in real time The system can also take images from traditional sources such as Xrays, CT scans, MRIs and ultrasounds and transform them into 3D images to use with the real-time guidance images taken in the operating room during the procedure. After falling and injuring himself, Joseph Camillo of Milford had four fractures in his neck repaired by Bridgeport Hospital Chief of Neurosurgery Kenneth Lipow, MD, in July, using the Oarm system. The injury left Camillo without the ability to move his head, right arm, right leg and both hands.
“This was a potentially fatal injury,� Dr. Lipow explains. “The location of the uppermost fractures was very close to the arteries that feed the brain stem. Repairing the fractures without the precision guidance of the O-arm/Stealth Station would’ve been nearly impossible and extremely risky.� Fortunately for Camillo, the surgical procedure was successful. It saved his life and he began physical therapy with improved ability to move his head, right arm, right leg and both hands. Chantel DiJulio of Trumbull picked up a bag of wood chips in her yard and woke up the next day in “excruciating� pain. An MRI revealed multiple herniations (bulges) in her spinal discs and severe narrowing of the spinal canal. “I couldn’t even bend down to use the sink,� DiJulio says. Guided by the O-arm/Stealth Station system, orthopedic spinal surgeon John Awad, MD, performed a new type of less invasive spinal procedure to address her symptoms. “The sophisticated guidance capabilities of the O-arm/Stealth Station system help us perform spinal surgeries with greater precision than ever before,� says Dr. Awad. “Not only are the procedures safer for the patient, we now have the ability to do less invasive procedures, which minimizes post-operative pain and increases the rate of recovery. “I feel wonderful now,� says DiJulio, whose treatment is continuing with physical therapy. “The surgery has made a tremendous difference.� For more information about, or a referral to, a Bridgeport Hospitalaffiliated neurosurgeon or orthopedic surgeon, call 1-888-357-2396.
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Nov/Dec 2012
Hospital Newspaper - NE
people on the move Coverys appoints Jack Donehue as COO; announces promotions of Miele-Cesario, Kubik, Staples, Crockett, Lynch
Jack Donehue
Donna Miele-Cesario
Michael Kubik
Barbara Staples
Mark Lynch
Leading provider of medical professional liability insurance, Coverys, is pleased to announce Jack Donehue has been named the new chief operating officer (COO). Additionally, Donna Miele-Cesario has taken on the role of chief claims officer, in addition to her role as CIO; Michael Kubik has been promoted to senior vice president of marketing; Barbara Staples has been promoted to vice president of claims; Eric Crockett has been promoted to vice president of information technology (IT); and Mark Lynch has been promoted to vice president and controller of corporate finance. Jack Donehue, former chief financial officer for Coverys (then ProMutual Group) from 1989 to 2010, has returned to the organization as chief operating officer. In his role as COO, Donehue will assist in developing and executing the annual business plan and long-term strategic plan. He will also oversee the Healthcare Provider Education, Marketing, Risk Management and Underwriting Departments and Coverys Insurance Services, the company’s insurance agency based in Lansing, Mich. Prior to joining the organization in 1989, Donehue served as deputy controller and assistant treasurer for Commercial Union Insurance Company and was a former manager of corporate accounting for Liberty Mutual Insurance Company. Donehue has served on the Board of Managers and
the Investment Committee of the Property Casualty Initiative and is a past member of the Association of Mutual Insurance Accountants and the Society of Insurance Accountants. He graduated from Northeastern University with a Bachelor of Science degree. As the chief claims officer, Miele-Cesario will mentor and develop staff and oversee vision and strategy, in addition to her responsibilities as chief information officer. As chief information officer, she leads strategy for the IT Department, which supports all Coverys member companies. Prior to these roles, Miele-Cesario was senior vice president of IT. From 1979 to 1988 she worked in the Claims Department as both a claim representative and a claim supervisor before taking over the implementation of company-wide IT services. Miele-Cesario received a Bachelor of Science degree in Management from Lesley College. In addition, she holds an Information Systems Management graduate certificate from Boston University and a Strategic Internet Management graduate certificate from Northeastern University. Michael Kubik has been promoted to senior vice president of marketing. Since taking on the role of vice president of marketing in 1998, Kubik has implemented the company’s expansion into 12 new states. He was also integral in the development of the newly formed Coverys RRG. Kubik has more than 25 years of
experience in the sale and marketing of professional liability insurance. He is a graduate of Central Connecticut State University where he received a Bachelor of Science degree in Marketing. He is a licensed property-casualty agent. Barbara Staples has been named the new vice president of claims for Coverys. Previously a director of claims, Staples will be responsible for overseeing the day-to-day activities of the Claims Department and for assisting Miele-Cesario with overall claims strategy. Staples has been with Coverys and its predecessors for 35 years. Prior to that, she was a claim representative for St. Paul Companies. She received a Bachelor of Science degree in Nursing from Salem State University. As the new vice president of IT, Eric Crockett will be responsible for all IT staff and for the daily IT operations for the entire organization. Crockett joined Coverys in 2002 as manager of information systems. He has since served as a senior manager of information systems and director of infrastructure and operations. Prior to joining Coverys, Crockett held various information technology positions at Arbella Insurance. Crockett received a Bachelor of Science Degree in Business Administration from St. Michael's College in Vermont. He has Local Area Networks and Data Communications certifications from Northeastern University.
In recognition of his responsibilities in the Corporate Finance Department, Mark Lynch has been promoted to vice president of corporate finance, and will also maintain his role as controller. He will continue to oversee the daily operations in the department and contribute to overall strategy in his role as corporate controller. Prior to joining the organization in 2010, Lynch held a variety of finance roles at MiddleOak, a property casualty insurer, where he began his career in 1984 as an accountant. Lynch is a past president of the CPCU Boston Chapter and a member of the Property and Casualty Initiative Investment Committee. He received a Bachelor’s Degree in Business and Economics from Gordon College, as well as a Master’s in Business Administration from Salem State University. For more information about Donehue, Miele-Cesario, Kubik, Staples, Crockett, Lynch or Coverys please contact Katharine Gould at kgould@coverys.com
or (617) 946-8665, or visit the company’s website at www.coverys.com.
Eric Crockett
About Coverys Coverys is one of the top 10 medical professional liability insurance providers in the country based on direct written premium. Coverys member companies insure more than 20,000 physicians, surgeons, dentists, certified nurse midwives and allied healthcare providers, as well as nearly 500 hospitals, health centers and clinics in 23 states from coast to coast. Coverys is committed to financial strength and stability with net admitted assets in excess of $3.2 billion, direct written premium of $375 million and policyholder surplus of $1.1 billion, as of December 31, 2011. In addition, all Coverys insurance member companies have a Best’s Rating of A(Excellent). Coverys emphasizes physician education and patient safety, and the company is acknowledged as a leader in providing supportive risk management services and resolute claim defense to the healthcare community. Coverys also offers a variety of interactive and relevant continuing medical education (CME) activities to healthcare providers across the country. For more information visit the Coverys website at www.coverys.com. Timely industry and company news can also be found on the Coverys blog at coverys.wordpress.com, on Twitter (@Coverys) and on the company’s Facebook page.
Hospital Newspaper - NE Nov/Dec 2012
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people on the move Braintree Rehabilitation Hospital appoints Medical Director of Spinal Cord Injury Program Dr. Matthew Lopresti to oversee expansion of services Braintree Rehabilitation Hospital (BRH), a world-class rehabilitative care provider, has named Dr. Matthew Lopresti Medical Director of its Spinal Cord Injury Program. The appointment underscores BRH’s plan to expand its service capabilities to this unique patient population, including increased clinic offerings for outpatients. “We are excited to welcome Dr. Lopresti at a time when we are building on more than 40 years of experience in treating spinal cord injury to extend services to meet the needs of more acute patients,” said Dr. Arthur Williams, Medical Director of BRH. “This is a very specialized field, with few service providers. We are proud to be among them.” “The spinal cord injury patients we serve have experienced a life changing event and are working hard to persevere and get back to every day life,” said Dr. Lopresti. “My goal is to help them maximize their abilities and independence by leveraging the many resources at our command, from the expertise of our staff, to our on-site orthotic assessment and fabrication, to our extensive technology,” said Dr. Lopresti.
A resident of Malden, Dr. Lopresti has published and presented in the proceedings of the Endocrine Society, San Francisco. He is a member of the American Medical Association, American Academy of Family Physicians, and the American Osteopathic Association. BRH is located at 250 Pond Street in Braintree, Massachusetts. For more information visit www.braintreerehabhospital.com, or call (781) 348-2500.
Dr. Lopresti is a graduate of the University of Massachusetts, Boston, and received his medical degree from the University of New England College of Osteopathic Medicine in Biddeford, Maine. He completed his internship at St. Joseph’s Medical Center in Reading, Pennsylvania, and his residency at Boston Medical Center. He recently completed the ACGME accredited Harvard Medical School / VA Boston Spinal Cord Injury Fellowship.
Commission and also has been awarded Disease-Specific Care Certification in its Stroke Rehabilitation and Acquired Brain Injury Programs. Five Star Quality Care, located in Newton, Massachusetts, is the parent company of Braintree Rehabilitation Hospitals
and its Massachusetts-based sister rehabilitation hospital network, including New England Rehabilitation Hospital in Woburn, satellite units in Danvers and Lowell, and an array of outpatient rehabilitation centers.
About Braintree Rehabilitation Hospital Since 1975, Braintree Rehabilitation Hospital has gained recognition as a world-class rehabilitative care provider dedicated to helping patients maximize functionality, mobility, and independence following illness or injury. Braintree Rehabilitation Hospital is a licensed 168-bed acute facility, which includes a 21-bed satellite hospital at MetroWest Medical Center in Natick, Massachusetts, and multiple outpatient clinics. The hospital is accredited by The Joint
Metro West Medical Billing Fairlawn names new Director of Physical Medicine and Rehabilitation
Debra Twehous, M.D.
Debra A. Twehous, M.D., of Lancaster, MA, has been named Director of Physical Medicine and Rehabilitation at Fairlawn Rehabilitation Hospital. A Diplomate of the American Board of Physical Medicine and Rehabilitation, Dr. Twehous most recently served as an assistant physiatrist and Medical Director of the General Rehabilitation Program at Spaulding Rehabilitation Hospital in Boston, MA. She also previously held the position of Medical Director of the Burbank Rehabilitation Center in Fitchburg, MA and Associate Medical Director for the Farnum Rehabilitation Center at Cheshire Medical Center in Keene, NH. Dr. Twehous earned her medical degree and completed an internship in Internal Medicine at the University of Texas Health Science Center at San Antonio. She completed her residency in Physical Medicine and Rehabilitation at the University of California, Irvine. An assistant professor in the Department of Orthopedics and Physical Medicine at the University of Massachusetts Medical School in Worcester, Dr. Twehous has also held academic positions at Harvard Medical School in Boston and The University of California at Irvine in Orange, CA.
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photos provided
New Trumbull Radiation Oncology Center will expand services, improve access to care for cancer patients
The new Trumbull Radiation Oncology Center is equipped with state-of-the-art technology, such as this linear accelerator used in radiation therapy.
to reduce the risk of flooding in the adjacent residential neighborhood. “The closer the support, the better for patients and their families,” Trumbull First Selectman Timothy Herbst said of the Center’s convenient location. “This new facility will help put Connecticut on the map as a leader in cancer care.” Herbst participated in the grand opening with Fourth District Congressman Jim Himes, State Rep. Tony Hwang, hospital staff and other community members. “We thank the Town of Trumbull, and in particular, First Selectman Herbst, for supporting our efforts,” said Bridgeport Hospital President and CEO Bill Jennings. “We could not have selected a more ideal site for our new Center—a serene suburban setting, almost exactly on the spot where Trumbull, Bridgeport, Easton and Fairfield converge, just off the Merritt Parkway.” The Center is staffed by Dr. Mani and fellow radiation oncologist Bruce McGibbon, MD, both from the Yale School of Medicine and Yale Cancer Center. The doctors work with an experienced support team, most of whom were previously based at Bridgeport Hospital. Bridgeport Hospital is a member of Yale New Haven Health System and the Yale-New Haven Cancer Network, an alliance of hospitals across Connecticut that provides access to the latest breakthroughs and delivers an unparalleled level of expertise in cancer, prevention, diagnosis and treat-
Waveny Care Network recently celebrated our nation’s servicemen and women with a special Veteran’s Day Waveny Care Network recently celebrated our nation’s servicemen and women with a special Veteran’s Day event held on “Main Street” at The Village at Waveny Care Center. Waveny welcomed local veterans Richard Iannucci, Michael Bennedetto and Don Gels, in leading the Pledge of Allegiance, singing the national anthem and sharing stories of their individual military experiences. The numerous veterans among Waveny’s patients, residents, and Adult Day participants were recognized and thanked for their dedicated service as trumpeter, Don Gels, performed the anthem for each military branch.
provided
Bridgeport Hospital recently held a grand opening ceremony for its new Trumbull Radiation Oncology Center at 5520 Park Avenue. The single-story, 10,000 square foot facility provides all of the radiation therapy services previously available at the hospital in a centrally located suburban setting just off Exit 47 of the Merritt Parkway. More spacious than the former radiation therapy quarters at the hospital, the Trumbull Radiation Oncology Center will allow new services to be added in the coming months, including stereotactic radiosurgery and stereotactic body radiation therapy. “We are committed to providing high quality care in comfortable, state-of-the-art surroundings for our patients and their families, closer to where they live,” said Bridgeport Hospital Chief of Radiation Oncology Sheida Mani, MD. “The Trumbull Radiation Oncology Center affords us the perfect place to do this, and take further steps to meet our patients’ needs.” The Trumbull Radiation Oncology Center is one component of a planned comprehensive outpatient cancer center at the Park Avenue site. Affiliated doctors’ offices are already located in an adjacent building and a third building for additional cancer services is already on the drawing board. A new parking garage is also planned for the site to complement the existing surface parking lot. In addition, the project also calls for improvements to pre-existing drainage problems on the property
Taking part in the ribbon cutting for the new Trumbull Radiation Oncology Center (left-right): Dr. Bruce McGibbon, Bridgeport Hospital President Bill Jennings, First Selectman Timothy Herbst, Congressman Jim Himes, Dr. Sheida Mani, Bridgeport Hospital Chief Operating Officer Norm Roth and State Rep. Tony Hwang.
From left to right: Adult Day participant, Joseph Minkiewicz; Village resident, Nate Lindabury; Master Chief Richard Iannucci, United States Navy; Adult Day participants Tony Cipri, Angelo Burno, Joseph Mossa, Emillio Lupinacci, and Sergeant Michael Bennedetto, United States Marine Corps.
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“Waveny Walkers” raise funds for Alzheimer’s Disease research Waveny Care Network employees, volunteers and family members helped fight Alzheimer’s disease by participating in this year’s annual Memory Walk at Calf Pasture Beach in Norwalk on Sunday, September 30. Waveny’s team, which has participated in the three-mile walk since its inception 16 years ago, raised close to $3,000 for the Alzheimer’s Association Connecticut Chapter through donations and sponsorships. The funds collected will stay in the community to fund essential care and support services for people with the disease. Dressed in Waveny tee shirts, the team joined scores of walkers from throughout Fairfield County at Calf Pasture Beach in support of medical research to improve treatments and find a cure for Alzheimer’s disease. Waveny’s team is especially passionate about this mission given the dedicated care Waveny provides to patients and residents with Alzheimer’s disease at both the Care Center and The Village at Waveny Care Center, Waveny’s assisted living residence for people with memory loss.
“Every year, the Memory Walk brings hundreds of people together to raise funds to research and combat a disease that presents enormous challenges to the people it affects directly, their families and friends,” said Ilene Sumberg, director of Waveny’s Adult Day Program and Waveny team captain. “We were proud to have such strong representation and to raise a significant amount of money for the cause.” The Alzheimer’s Association Connecticut Chapter is dedicated to enhancing the quality of life of all people affected by Alzheimer’s disease and related disorders through advocacy, education and support systems, while promoting research efforts. According to the Association, Alzheimer's disease is the most common cause of dementia and affects as many as 5.4 million Americans. It is a degenerative disease that attacks the brain and progresses at a variable rate. It results in impaired memory, thinking, and behavior and can last from eight to 20 years from the time of onset of symptoms. Waveny Care Network provides a comprehensive continuum of care
provided
Members of Waveny Care Network’s 2012 Memory Walk team, the “Waveny Walkers,” raised close to $3,000 in contributions for the Alzheimer’s Association that will be used to fund essential care and support services for people with Alzheimer’s disease.
– now including skilled Home Healthcare – to serve the growing needs of older adults from all areas. Waveny is a not-for-profit organization that offers independent living at New Canaan Inn, assisted living for people with Alzheimer’s and
memory loss at The Village, and skilled nursing at Waveny Care Center. It also includes the Brown Geriatric Evaluation Clinic, a Geriatric Care Management team that provides 24-hour coverage, an Adult Day Program that offers
flexible hours and transportation six days a week, inpatient and outpatient Rehabilitation Services, and respite programs at both The Village and Care Center. For information call (203) 594-5200 or visit www.waveny.org.
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Nov/Dec 2012
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Hospital Newspaper - NE
Nurse’s Viewpoint
By Alison Lazzaro
Hospital Newspaper Correspondent
Nursing Implications of Genomics When discussing genomics, what comes to mind? You might be surprised by how much knowledge you actually have about genomics and genetics. Nurses utilize these concepts in assessments and might be overlooking their significance. Genomics looks at the study of genes and their functions in order be get a better understanding of mapping and sequences of genes and DNA. Chromosomes can be thought of as a filing cabinet, with genes as the “files”. Genetics refers to the study of heredity. Both genomics and genetics are becoming an important aspect of health care that nurses need to address. Nurses can advance the use of genomics and genetics in their practice with each patient they see. Eliciting a three-generation family health history can identify disease susceptibility or genetic conditions. Information that should be collected includes disease and age of onset, ethnicity, and maternal and paternal lineages. These few pieces of information can indicate disease susceptibility through diseases found primarily in males, early age of onset for chronic adult onset diseases, and multiple cases of rare diseases. The health history should also uncover environmental and lifestyle factors as well as social and emotional status. Approaching the patient with these questions will open up the door to more personalized medicine that goes beyond BMI and cholesterol levels, but rather looks at specific treatment options and could help avoid potential drug reactions due to the patient’s genetics. According to the National Center for Health Statistics, the top ten leading causes of death in the United States all have genetic or genomic components. Things like heart disease, cancer and diabetes are prominent in patients who nurses treat daily. Therefore, nurses should be at the front lines of uncovering the importance of genetics in practice. Nurses can use the health history they obtain to pick up risk factors that others might overlook and help a patient receive prevention care before it is too late. For instance, Kathleen Calzone, MSN, RN, APNG recalls a time in which a nurse identified paternal family history of early onset breast cancer and ethnicity of Ashenazi Jewish. Knowing that these factors have a greater risk of a mutation in breast cancer susceptibility, she referred the patient to a cancer genetic specialist. The woman went on for testing and was found to have pre-cancerous cells in her ovary. The nurse saved this woman from developing ovarian cancer. Nurses have the power to change and save lives through the use of their knowledge about genomics. Ethically, genetics continues to spark controversy. However, nurses are known for their caring attitude and therefore are in the best position to integrate science and genetic information into healthcare. Nurses can use their knowledge of health histories to elicit risk factors for their patients that have genetic links.
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career guide Career OppOrtunity!
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UNIQUE RECRUITMENT OPPORTUNITY Hospital Newspaper believes that high school students should be informed about potential healthcare careers. Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools.
This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care Medical Assistants Counselors Medical Imaging Dieticians
Please contact Jim Stankiewicz for more information. jim@hospitalnewspaper.com tel: 845-534-7500 x219
When Patients Turn to You, You Can Rely on AdCare® Career Opportunities at AdCare® Hospital, Worcester, MA Hospitalist. Full Time to offer medical care in inpatient and outpatient settings in addiction medicine. The qualified candidate must be a Massachusetts licensed physician or eligible for a license in Massachusetts, and ABAM or ASAM certified or eligible. Director of Nursing. FT will be responsible for providing leadership and direction to the development, implementation and evaluation of processes which ensure compliance with DPH, Joint Commission and other regulatory standards, improves quality and safety of patient care, facilitates and enhances professional nursing practice and ensures the highest of quality customer service in accordance with AdCare's Standards of Excellence. BSN required; Master's preferred; current RN license by the MA Board of Nursing. A minimum of 3 years in a nursing administrative/supervisory role; 3/more yrs. behavioral health experience. Experience using electronic medical record systems. Case Manager/Discharge Planning Full Time: To ensure, through direct coordination, individualized quality treatment to patients at the most appropriate level of care that safely addresses the acuity of the patient through the expedient, cost effective application of services and insurance benefits. Rounds with the treatment team daily. Qualified candidate must be familiar with managed care reviews for continued stays; knowledge of discharge planning; psych and substance abuse knowledge preferred. Education: Licensed RN preferred, LICSW acceptable. Two years utilization experience preferred. Skills: Ability to organize, manage and review appropriate treatment from both Managed Care and Utilization Review perspective. Ability to problem solve and coordinate treatment from a benefits perspective. Strong interpersonal skills. Familiarity with insurance benefits and national levels of criteria of care. Ability to document using electronic systems (EMR) and Microsoft Applications. For further job information and to apply please see www.adcare.com. AA/EEOC AdCare Hospital of Worcester Inc. is a 114 bed hospital equipped to meet the treatment needs of alcohol and drug abuse patients at all stages of addiction. AdCare’s staff is comprised of the region’s most highly qualified. At the heart of our acute care philosophy is recognition of the need to stabilize acute symptoms and to motivate the patient to continue receiving substance abuse treatment post inpatient discharge. AdCare is accredited by the Joint Commission and has been recognized as one of the 100 Best Treatment Centers for substances in the United States.
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education & careers Charter Oak State College awarded Military Friendly Schools title by Victory Media Victory Media, the premier media entity for military personnel transitioning into civilian life, has named Charter Oak State College to the coveted Military Friendly Schools list. The 2013 Military Friendly Schools list honors the top 15 percent of colleges, universities and trade schools that are doing the most to embrace America's military service members, veterans, and spouses as students and ensure their success on campus.
Charter Oak State College is proud to partner with the U.S. Navy (as a member of the Navy College Program Distance Learning Partnership), the U.S. Coast Guard and the Army National Guard Education Support Center to facilitate degree completion for servicemembers and their spouses. Charter Oak is also a member of the Servicemembers Opportunities Colleges.
"Addressing the special needs of active duty service members, their spouses and the veteran populations is important to Charter Oak," said Bob Frederick, Military Transfer Advisor & Enrollment Counselor for Charter Oak. "We are excited to gain recognition as 'Military Friendly' by G.I. Jobs Magazine as it validates our dedication to these students." "Inclusion on the 2013 list of Military Friendly Schools shows Charter Oak's commitment to providing a supportive environment for military students," said Sean Collins, Director for G.I. Jobs and Vice President at Victory Media. "As interest in education grows, we're thrilled to provide the military community with transparent, world-class resources to assist in their search for schools." Now in its fourth year, the 2013 list of Military Friendly Schools was compiled through extensive research and a data-driven survey of more than 12,000 VA-approved schools nationwide. The survey tabulation process, methodology and weightings that comprise the 2013 list were independently verified by Ernst and Young LLP. Each year schools taking the survey are held to a higher standard than the previous year via improved methodology, criteria and weightings developed with the assistance of an Academic Advisory Board (AAB) consisting of educators from schools across the country. A full list of board members can be found at www.militaryfriendlyschools.com/board. The Military Friendly Schools media and website, found at www.militaryfriendlyschools.com, feature the list, interactive tools and search functionality to help military students find the best school to suit their unique needs and preferences. The 1,739 colleges, universities and trade schools on this year's list exhibit leading practices in the recruitment and retention of students with military experience.
Griffin Hospital School of Allied Health Careers offers CNA Course in January The Griffin Hospital School of Allied Health Careers, at 300 Seymour Avenue, Suite 206 in Derby, will offer its Certified Nursing Assistant program beginning in January 2013. The CNA program begins on Jan. 14. The 13-week course will be held on Monday and Wednesday evenings from 5 - 9 p.m. Course content includes infection control, legal and ethical responsibilities, communications, body mechanics, moving and positioning residents, personal care skills, nutrition, measuring vital signs, and restorative care. Once a student successfully completes the course and clinical experience, they will be qualified to take the State exam for certification as a Nursing Assistant in Connecticut. The $1,200 CNA course tuition fee includes the course book, workbook, and malpractice insurance coverage for the clinical rotation, which will be held on Monday and Wednesday evenings as well as Saturday mornings. Anyone 18 years of age or older with a High School Diploma or GED may apply for admission. For more information or to apply, call 203.732.1276 or visit griffinheath.org/allied-health. Early application is encouraged, as space is limited. Griffin Hospital's School of Allied Health Careers was one of the first hospital-based schools of its kind to be authorized by the Connecticut Department of Higher Education and offers professional educational programs to provide training, education, and certification in selected health careers. Classes are taught by certified instructors in the Griffin Hospital Medical Building, located at 300 Seymour Avenue in Derby.
VNA Care Network & Hospice awarded $75,000 grant to address shortage of home health care nurses in Central MA VNA Care Network & Hospice, a nonprofit agency providing home- and community-based health care, was recently awarded a $75,000 grant from The Health Foundation of Central Massachusetts to address the significant shortage of home health care nurses in Central Massachusetts. “The increasing demand for home-based health care is being driven by a number of factors. Advances in medicine and technology allow patients with complex needs to be cared for at home. The growing elderly population, shorter hospital stays, efforts to reduce re-hospitalizations, elements of health care reform related to quality and cost, and new models of care, such as home medical models and accountable care organizations, have hospitals, physicians and others in the medical community turning to home health care,” said Mary Ann O’Connor, RN, president and CEO of VNA Care Network & Hospice. The Home Health Care Preceptor and Nurse Training Program is expected to cut the orientation time of registered nurses without a home health background in half — from an average of 12 to six months.
Registered nurses currently on staff with VNA Care Network & Hospice will have the opportunity to complete a nurse preceptor training program to learn how to mentor new home health care nurses. These nurse preceptors will then be matched to new home health RNs for six weeks of one-to-one education and support in providing quality care in the patients’ homes. Preceptors will cover a wide range of skills including physical assessment, documentation, communication and organization. The new staff will have additional time with clinical experts within VNA Care Network & Hospice, such as cardio-pulmonary, wound and IV specialists. They will also participate in classroom and on-line learning, home visits with other field nurses, and other orientation activities that will allow them to carry a full patient caseload. Jane Woodbury, RN, vice president of fund development, said, “This grant will make an enormous difference in our ability to care for local residents. We’re so grateful to The Health Foundation of Central Massachusetts for their generous support.” For more information, please call 800-728-1862 or visit vnacarenetwork.org.
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education & careers Braintree Rehabilitation Hospital Physical Therapists receive Neurologic Specialist Certification Certification recognizes advanced knowledge and skills About Braintree Rehabilitation Hospital Since 1975, Braintree Rehabilitation Hospital has gained recognition as a world-class rehabilitative care provider dedicated to helping patients maximize functionality, mobility, and independence following illness or injury. Braintree Rehabilitation Hospital is a licensed 168-bed acute facility, which includes a 21-bed satellite hospital at MetroWest Medical Center in Natick, Massachusetts, and multiple outpatient clinics. The hospital is accredited by The Joint Commission and also has been awarded Disease-Specific Care Certification in its Stroke Rehabilitation and Acquired Brain Injury Programs. Five Star Quality Care, located in Newton, Massachusetts, is the parent company of Braintree Rehabilitation Hospitals and its Massachusetts-based sister rehabilitation hospital network, including New England Rehabilitation Hospital in Woburn, satellite units in Danvers and Lowell, and an array of outpatient rehabilitation centers.
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Braintree Rehabilitation Hospital (BRH), a world-class rehabilitative care provider, is proud to announce that seven of its therapists have recently received Neurologic Specialist Certification through the American Physical Therapy Association (APTA). The therapists are: Kelly Allen, Valerie Allen, Kelly Landis, Christina Miranda, Kristen Piscatelli, Aleksandra Pourer, and Alexis Roche. “The criteria for certification are stringent and this represents a tremendous achievement,” said Daniel Parkinson, PT, MBA, and Director of Clinical Services at BRH. “Nationwide, there are only about 1,000 physical therapists that have earned this honor and now, with this latest certification, we have a total of eight of them at Braintree Rehabilitation Hospital,” he continues, noting that Dan Coughlan of Wrentham previously passed the exam. “This underscores the commitment our staff shares in providing the highest level of patient care to realize the best possible outcomes.” The APTA established the specialist certification program in 1978 to provide formal recognition for physical therapists with advanced clinical knowledge, experience and skills in special areas of practice, and to assist consumers and the health care community when seeking physical therapy specialists. Candidates for Neurologic Specialist Certification must be licensed to practice physical therapy in the United States, provide evidence of 2,000 hours of direct patient care in the specialty area or have completed an APTA credentialed neurologic residency program, and pass a comprehensive examination. Medical conditions covered on the exam include cerebral palsy, muscular dystrophy, stroke, acquired brain injury, multiple sclerosis, Parkinson disease, Guillain-Barre syndrome, and spinal cord injury. BRH is located at 250 Pond Street, Braintree, Massachusetts. For more information about the hospital, call 781.348.2500 or visit www.braintreerehabhospital.com.
From Right to Left (Not Photographed Kelly Allen) First Row: Kristen Piscatelli, Alexis Roche, Kelly Landis Back Row: Christina Miranda, Aleksandra Purer, Dan Coughlan, Valerie Allen
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CliniCal OutsOurCing/ EmErgEnCy mEdiCinE sOlutiOns
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Bernstein & associates, architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction. We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services. The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper. Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration. The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”. Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com). Bernstein & Associates, Architects - PLLC 100 Pearl St. - 14th Floor, Hartford, CT 06103 Contact: William N. Bernstein, AIA Managing Principal Tel: 860-616-2200 Fax: 860-616-0018 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON
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Hospital Newspaper - NE Nov/Dec 2012
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Part-Time RN to BS Degree Completion Option for Licensed RNs
With today’s ever-present threats of emerging infectious diseases, pandemics, food and water-borne illnesses, natural disasters and biological/chemical attacks, the demand for appropriately-trained personnel in public health laboratories, environmental testing facilities and private medical laboratories has been on the rise.
UMass Lowell’s RN to BS Degree Completion Option is available parttime, making it more convenient than ever for licensed RN’s to earn a Bachelor of Science in Nursing. Nursing courses are offered in a blended face-to-face and online format, plus students can take many of their non-nursing electives entirely online, or on campus if preferred.
For more details on this program, visit continuinged.uml.edu/online/public_health.cfm
For more details on this program, visit continuinged.uml.edu/rntobs.cfm
Online Graduate Certificate in Sleep & Sleep Disorders
Master’s Degree in Health Informatics & Management
UMass Lowell’s Online Graduate Certificate in Sleep and Sleep Disorders has been designed to address the need for clinical training in sleep and chronobiology for practicing healthcare professionals.
UMass Lowell's Master’s Degree in Health Informatics and Management is a 12-course master's degree program designed to produce healthcare and management professionals with knowledge and expertise that is essential to the delivery of high-quality, costeffective health services, and critical in the design, analysis and evaluation of public health and private sector health policies.
For more details on this program, visit continuinged.uml.edu/online/sleep
Online Graduate Certificate in Clinical Pathology This four-course graduate certificate program was developed for medical laboratory personnel, medical professionals, nurses and people working in the pharmaceutical industry who are interested in expanding and updating their knowledge of clinical pathology.
For more details on this program, visit continuinged.uml.edu/online/clinicalpath.cfm Winner of Six Sloan-C Excellence Awards for Online Programs
Years of Innovation in Online Education
For more details on this program, visit continuinged.uml.edu/online/hmp
Graduate Certificates in Health In addition to the Master's Degree in Health Informatics and Management, UMass Lowell offers three graduate-level certificate programs in: Health Management, Health Informatics and Health Policy. These four-course certificate programs are designed to help professionals acquire advanced knowledge and skills while pursuing studies beyond their Bachelor's Degree.
For more details on this program, visit continuinged.uml.edu/online/hmp
Spring Courses Begin January 22nd! Questions? Call 978-934-2474 to speak with an advisor today! UMass Lowell is an Equal Opportunity/Affirmative Action,Title IX, H/V, ADA 1990 University. This ad was produced at no cost to the Commonwealth.
http://continuinged.uml.edu
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Nov/Dec 2012
Hospital Newspaper - NE
HOSPITAL
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Contact Jim Stankiewicz GM for more information • Phone: 845-534-7500 *219 • Email: Jim@hospitalnewspaper.com
Hospital Newspaper New England 2013 Editorial Calendar
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Nov/Dec 2012
ONE IN 88 CHILDREN ARE AFFECTED BY AUTISM. Research now suggests that children as young as one-year-old can show signs of Autism. The most important thing you can do as a parent or caregiver, is to learn the early signs of Autism and understand the typical developmental milestones your child should be reaching at different ages. Signs and symptoms to look for:
Hospital Newspaper - NE
THERE IS NO ROAD MAP FOR THE TREATMENT OF AUTISM. BUT, THERE IS ONE PLACE TO TURN.
s . O BIG SMILES OR OTHER WARM JOYFUL expressions by six months, or thereafter s . O BACK AND FORTH SHARING OF SOUNDS smiles, or other facial expressions by nine months, or thereafter s .O BABBLING BY MONTHS s . O BACK AND FORTH GESTURES SUCH AS pointing, showing, reaching, or waving by MONTHS s .O WORDS BY MONTHS s . O TWO WORD MEANINGFUL PHRASES WITHOUT imitating or repeating), by 24 months s ! NY LOSS OF SPEECH BABBLING OR SOCIAL skills at any age
4HIS INFORMATION HAS BEEN PROVIDED BY &IRST 3IGNS )NC Š Reprinted with permission. For more information about recognizing the early signs of developmental and behavioral disorders, please visit First Signs at www.firstsigns.org or the Centers for Disease Control at www. cdc.gov/actearly.
When your child is diagnosed with an Autism Spectrum Disorder (ASD), seeking help is not as simple as finding a specialist. Your child needs evaluation and support in so many ways. It can be a daunting challenge. The Autism Center at Hospital for Special Care was established to be an integrated resource to meet the needs of children and adolescents with ASD. We offer a variety of diagnostic assessment and consulting services. Just as important, we are here to offer comprehensive guidance to the caregivers, educators and family members whose love and support are the true key to your child’s future. To learn more, visit hfsc.org, or call 860.827.4797. The Autism Center at Hospital for Special Care is a joint effort with University of Saint Joseph’s Institute for Autism and Behavioral Studies.