hospital Newspaper May New York

HOSPITAL

H NEWSPAPER

Online…

Looking for the right employee?

Join our Career Guide!

The New York Edition WWW.HOSPITALNEWSPAPER.COM

HOME SUBSCRIPTION - $36/YEAR

MAY 2013

If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p16

National Nurses Week

Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals p4

May 6-12, 2013

Congratulations New York Nurses!

Pediatric Care

Connecting Nurses, Supply Chain to Control Costs p8

Hospital of the Month!

Burke Rehabilitation Hospital p12

CHANGE SERVICE REQUESTED

Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

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

PAGE 2

May, 2013

Hospital Newspaper - NY

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

HONORED ON

‘Best Doctors’ LISTS YEAR AFTER YEAR

ROBERT BELKIN, MD CRAIG HJEMDAHL-MONSEN, MD MONICA REYNOLDS, MD GABRIELLE BOLTON, MD KUMAR KALAPATAPU, MD JAE RO, MD MARK BORKIN, MD SRIRAMA KALAPATAPU, MD WARREN ROSENBLUM, MD SUSAN CAMPANILE, MD RICHARD KAY, MD INDERPAL SINGH, MD LEO CARDILLO, MD ANDREW KUPERSMITH, MD SUSAN SOEIRO, MD MAXWELL CHAIT, MD STEVEN LANDAU, MD DAVID E. SOLARZ, MD ALBERT DELUCA, MD YAT WA (BETTY) LI, MD CARMINE SORBERA, MD JEFFREY DONIS, MD SANJAY NAIK, MD STEVEN L. VALENSTEIN, MD JOYDEEP GHOSH, MD DIMPLE PATEL, MD MELVIN WEISS, MD LAWRENCE GLASSBERG, MD RONALD PRESTON, MD RONALD WEISSMAN, MD EDUARDO GRANATO, MD ANTHONY PUCILLO, MD PRESTON WINTERS, MD

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

15 North Broadway 2nd Floor White Plains, NY 10601 (914) 428-6000

5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234

30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555

180 East Hartsdale Avenue 3 Michael Frey Drive Eastchester, NY 10709 Suite 1E Hartsdale, NY 10530 (914) 337-3500 (914)725-2010

688 White Plains Road Suite 210 Scarsdale, NY 10583 (914) 723-3322

Hospital Newspaper - NY May, 2013

Page 3

PAGE 4

May, 2013

Hospital Newspaper - NY

Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals

By Patrick Harrigan | Syracuse, NY

In a time of extraordinary change within the industry, healthcare professionals face a list of challenges that seems to grow longer by the day. Providers are required to juggle priorities and effectively delegate responsibility in an effort to deliver high quality care. External pressures such as declining reimbursements, increasing compliance requirements and uncertainty surrounding the Affordable Care Act only add to the burden.

Additionally, healthcare providers must adapt to the changing dynamics of the doctor-patient relationship as patients take a more proactive approach in how they gather information and interact with care providers.

Despite these challenges, providers must make sure that operations continue to run smoothly while maintaining a steady ÀRZ RI SDWLHQWV (TXLSPHQW QHHGV WR EH upgraded, additional staff may be needed to distribute the workload, and payroll or WD[ SD\PHQWV PD\ EH GXH 7KH ¿QDQFLDO burden can often be overwhelming, leaving bills unpaid and projects stalled.

In 2010, Fund-Ex, LLC was founded to provide healthcare professionals with the FRPPHUFLDO ¿QDQFLQJ QHFHVVDU\ WR UXQ DQG grow a practice. As a lender that works exclusively with healthcare professionals, )XQG ([ RIIHUV D VXLWH RI ¿QDQFLQJ VROXWLRQV GHVLJQHG DURXQG WKHLU VSHFL¿F QHHGV and challenges. The funds can be used for a wide range of business purposes including working capital, debt consolidation, HTXLSPHQW ¿QDQFLQJ UHDO HVWDWH RU WR VWDUW a practice. Fund-Ex’s goal is to simplify and shorten the lending experience for healthcare providers, ensuring that time away from patients is minimized. ³:H XQGHUVWDQG WKDW D GRFWRUœV RI¿FH doesn’t run like your typical business.

Every second that a doctor spends away from patients means lost revenue,� said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access

WR LQWHOOLJHQW ¿QDQFLQJ RSWLRQV ZKLOH keeping the disruption of their day-to-day routine to an absolute minimum.� $OWKRXJK )XQG ([ RI¿FLDOO\ RSHQHG LWV doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro KDYH EHHQ SURYLGLQJ ¿QDQFLQJ WR KHDOWKcare providers for more than two decades.

That extensive experience has helped them gain a deep understanding of healthcare business cycles. It also led them to the realization that healthcare professionals QHHGHG PRUH ÂżQDQFLQJ RSWLRQV “Our years of experience have helped XV ÂżQH WXQH WKH IXQGLQJ SURFHVV DOORZLQJ us to provide capital to our healthcare clientele with unparalleled speed, service DQG HIÂżFLHQF\ ´ VWDWHG (ULF &DVWUR Owner and COO of Fund-Ex. “Combine that low-stress, no-pressure experience ZLWK D EURDGHU RIIHULQJ RI ÂżQDQFLQJ solutions and you have winning combination for healthcare professionals.â€?

In addition to being time consuming and tedious, healthcare professionals IUHTXHQWO\ ÂżQG WKH VHDUFK IRU FDSLWDO fruitless. Traditional lenders are often

unfamiliar with healthcare professionals and unwilling to look outside their credit matrix to understand the complete picture surrounding the borrower. “Day after day we hear how challenging LW FDQ EH WR REWDLQ ÂżQDQFLQJ HYHQ IRU healthcare professionals with healthy incomes and solid credit histories,â€? said April Brissette, Chief Lending 2IÂżFHU IRU )XQG ([ Âł2XU FUHGLW PRGHO is rooted in a thorough understanding of their business process, and we take the time to understand the entire situation.

This understanding allows Fund-Ex to say yes when other lenders are saying no.�

The Funding Expert for Healthcare Professionals www.fund-ex.com

|

877.851.9405

Hospital Newspaper - NY May, 2013

Page 5

Your healthy financial future is here.

GET YOUR FUNDS IN

as few as

At Fund-Ex, our specialty is you. As a lender that works exclusively with healthcare professionals, we take the time to

days*

understand your needs and determine the best solution for you and your business. Fund-Ex can help you improve operational cash flow,

Rates as low as 6%*

expand or relocate, upgrade equipment or just simplify and save by consolidating high interest debt.

Saving healthcare professionals an average of $6,000/month

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

Loan amounts up to $5,000,000

* Express Program offers fund availability in as few as 5 days, Flex Program offers funds at interest rates as low as 6%.

The Funding Expert for Healthcare Professionals

PAGE 6

may, 2013

Hospital Newspaper - NY

OUR VIEW

ADVERTISER INDEX Company

Page

U.S. Air Force

11

AkrimAx / Nitromist

24

Bankers Healthcare Group, inc.

5

Burke rehabilitation Hospital

13

ColumbiaDoctors

2

EmA

7, 18

GNYHA Services

9

icare

21

Long island University

15

medExcel

3

North Shore-LiJ

23

NorthWest Seminars

19

Planetree

17

resource Directory

20, 22

Sun Home Loans

H

Hospital Newspaper salutes all Nurses during National Nurses Week May 6-12, 2013 Hospital Newspaper is proud to recognize nurses as part of National Nurse Week which is May 6-12.

Facing unknown health issues can be very stressful. Hospital stays can be made more comfortable because of the gentle, encouraging care provided by nurses.

Around the clock, patients push the alert button to summon the nurses. What an immense sense of relief when the kind and helpful face of a nurse appears.

Most nurses feel their services are not recognized. However, they should be. Nurses are a special group, an important part of our communities. Many nurses expressed that a few encouraging words would mean so much to them after a 24-hour work shift. In today's healthcare system, these special men and women face ever changing challenges.

Please take the opportunity during national Nurse Week to put a smile on a valued nurse! Where we would be without them?

Please share your stories with us: news@hospitalnewspaper.com Jim can be reached at 845-534-7500 ext. 219 and via email at jim@hospitalnewspaper.com.

16

HOSPITAL

Online…

NEWSPAPER

H

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

PUBLISHER

Joseph P. Belsito

HOSPITAL

WWW.H OSPITAL NEWSPA PER.CO M

If you are HOME SUB SCRIPTI a Hospi ON - $36 /YEAR refinancin tal employee lookin g contact g for a mo Hospital Em Sun Ho rtgage or ployee Loa n Program me Loans about the ir and you cou ld WIN AN IPAD! See p16

Nationa Nurses W l eek

NEWSPAPER

May 6-12, 20

(Jim@hospitalnewspaper.com)

••• MANAGING EDITOR

MAY 2013

Fund-Ex (&," ) +)*&$". "% % "% &#+*"&%) *& #*! ( (& ))"&% #) p4 &%% *"% Nurses +''#- ! "% *& &%*(&# &)*) p8

Pediatri c Care

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

James Stankiewicz

13

Congratu lation New York s Nurses!

(Joe@hospitalnewspaper.com)

••• GENERAL MANAGER

Looking for right emplo the yee?

Hospital of

the Mo

nth!

Burke Reh abilitation Hospital p12

Cathryn Burak (Cathy@hospitalnewspaper.com)

••• SENIOR CORRESPONDENT

Subscription Form

Geraldine A. Collier

••• SENIOR SALES CONSULTANT

Maureen Rafferty Linell

Name: __________________________________________________________________________________________________________________

(MRLinell@charter.net)

••• MARKETING EXECUTIVE

Anthony Mairo (Anthony@hospitalnewspaper.com)

•••

CIRCULATION

Michelle Belsito (845-534-7500 x220)

••• BUSINESS DEVELOPMENT, PUBLISHER'S REPRESENTATIVE

Jeff Horton

Field office; Mahopac, NY cell- 845-729-2525 jeff.hospitalnewspaper@gmail.com

Telephone: (

) _________________ - ______________________

Fax: (

) _________________ - ______________________

Telephone: ( ) ______________- __________________ Address: ________________________________________________________________________________________________________________

ACity: ___________________________________________________ State:___________________________

Zip:_______________________

State:________________________ Zip:_____________________________

___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!

_

___ $60 for a two year subscription. Save over 17% off regular price! ___ NE ___ $18 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!

CORPORATE INFORMATION Hospital Newspaper - New York edition - Vol. 11 No. 5 is published monthly, 12 times a year for $36 per year by Belsito Communications, Inc., 1 Ardmore Street, New No.NY 1 - 12553. is published monthly, times a year NY for Windsor, Postage Paid at12 New Windsor, $and additional mailing offices. Postmaster: Send address changes to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

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

___ $25 for a two year subscription. Save over 17% off regular price!

Send payment to:

PAyMEnt MEthOD __ Check

CCard #:

_

__ Money Order __ Charge my Visa

_ Charge my Mastercard __

__ Charge my Discover Card

_ Charge my American Express __

Hospital Newspaper 1 Ardmore Street New Windsor, NY 12553

Amount enclosed: ________________

________________________________________________________________________________________

Exp.: ____________________________________________________________________________________________ Signature: ______________________________________________________________________________________

For Credit Card Orders: fax this form to 845-534-0055 or call Michelle at 845-534-7500 ext 220

Hospital Newspaper - NY May, 2013

Page 7

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

Gerardi Hosts Webinar for the Emergency Medicine Patient Safety Foundation (EMPSF) Michael Gerardi, MD, FACEP, presented a webinar entitled, “Safety in Pediatric Emergency Medicine” for the Emergency Medicine Patient Safety Foundation (EMPSF) Oct. 30, 2012.

Dr. Gerardi is a member of the faculty of the Department of Emergency Medicine at Morristown (N.J.) Medical Center; a senior vice president with Emergency Medical Associates; and a member of the Board of Directors of the American College of Emergency Physicians (ACEP).

Dr. Gerardi is a partner of Emergency Medical Associates.

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

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

Stuhlmiller Co-Authors Chapters in Commission on Accreditation of Medical Transport Systems Textbook David Stuhlmiller, MD, FACEP, CMTE, co-authored two chapters in the Commission on Accreditation of Medical Transport Systems textbook. The first surrounded measurement and data titled “Safety and Quality in Medical Transport Systems. Creating an Effective Culture” and the second chapter emphasized Essentials of learning and improvement “Safety and Quality in Medical Transport Systems. Creating an Effective Culture.”

Dr. Stuhlmiller is a partner of Emergency Medical Associates and chairman of the department of emergency medicine at Newton Medical Center, Newton, N.J. Weinberg Serves as Faculty at Base Camp 2013 Eric Weinberg, MD, served as a member of the faculty for Base Camp, a multidisciplinary conference for first-year pediatric emergency medicine fellows and pediatric emergency nurses. The conference was held February 910, 2013, at Weill Cornell Medical College in New York City.

Dr. Weinberg served as the facilitator throughout the day. Through simulation, lectures and hands-on practicals with cadavers and procedural simulators, Weinberg taught pediatric resuscitation techniques to pediatric emergency medicine fellows and nurses.

Dr. Weinberg is an attending pediatric emergency physician and assistant professor of the department of pediatric emergency medicine at Maria Fareri Children's Hospital at Westchester Medical Center in Valhalla, N.Y. Dr. Weinberg is a partner of Emergency Medical Associates.

t

35 yyears ears of expertise exper x tise

t

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

t

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

t

Recognized ffor Recognized or clinical e excellence, xcellence, quality quality service ser vice and high patient satisfaction pa tient sa tisffaction

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

(877) 692-4665 5

info@EMA.net

www.EMA.net www .EMA A.net

PAGE 8

May, 2013

Hospital Newspaper - NY

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

Connecting Nurses, Supply Chain to Control Costs All too often, conversations about product quality, costs, and nursing take place separately. While the relationship between nurses and the quality of hospital care has been a frequent topic of discussion and research (with much of it linking nursing care to safety, patient satisfaction, and outcomes), the same cannot be said about nurses and their impact on costs. The celebration of National Nurses Week (May 6-12) provides a good time to recognize the vital role nurses play in helping to control hospital costs, specifically in the supply chain.

As supply chain management rightly takes ownership of the intersection of cost, quality, and outcomes in response to the integrated care delivery model, the once deeply siloed supply chain will need to become more collaborative.

Nurses—with their hands-on experience using the majority of hospital products, their expanding professional duties, and their clinical backgrounds—are indispensable supply chain allies in helping to select the right product and technology at the right price.

The disconnect between nurses and the supply chain does not work in today’s collaborative supply chain, which, more than ever before, has a big-picture focus that goes beyond costs. According to an American Society of Health-System Pharmacists survey, nurses administer medications in 99.7% of hospitals. And for many patients, nurses, who have the most patient contact, are the face of the hospital, delivering life-saving care and advice, and making valuable patient care decisions. Nurses comprise most of hospital staff. Therefore, hospitals that relegate nurses solely to the role of supply users who have little or no input on products, tools, or equipment choices—and who are left out of training on product purchasing and cost savings—are bypassing a critical resource that could facilitate major improvements that lead to a better bottom line.

In order to evaluate a new product or technology, or fix supply chain issues by prioritizing patient care over process approach, supply chain professionals need to go beyond the numbers and learn about care practices and how products are used on the hospital floor. Nurses, in turn, should be aware of how their work with patients connects to hospital costs. Nurses who are engaged with their supply chain department can positively affect the product decision-making process by adding valuable product usage insight, such as the long-term expense of a low-cost but inefficient product.

Supply chain educated nurses can also serve as partners in promoting cost consciousness and product use efficiencies to hospital physicians and other clinicians who are often more responsive to colleagues who understand their job firsthand. In addition, nurses can add a perspective based on experience rather than supplier claims.

The value of nurses’ unique skill set—patient care, clinical expertise, and supply and equipment knowledge—cannot be ignored. Involving nurses early and often in the supply chain process (especially during value analysis) should be a fundamental requisite of any optimized, strategic, clinically integrated supply chain.

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

Hospital Newspaper - NY May, 2013

Collaborate to Innovate GNYHA Services provides support to both clinicians and non-clinicians in the acute care setting. Our physician preference, product evaluation, continuing education, and communication services help bring clinicians together with supply chain executives to implement innovative processes that benefit your bottom line as well as your patients.

Join forces today. Call GNYHA Services at (212) 246-7100.

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

Page 9

CELEBRATING NATIONAL NURSES WEEK May 6−12, 2013 GNYHA Services thanks nurses everywhere for the extraordinary work they do to support our communities and improve the lives of the patients they serve.

PAGE 10

May, 2013

or nfo f i t s e Lat es and

nursdents stu

Hospital Newspaper - NY

Nurse’s Viewpoint

By Alison Lazzaro

Hospital Newspaper Correspondent

Celebrating Caring, Commitment, and Compassion National Nurses Week allows nurses to be recognized for their around the clock diligence and caring. The week actually ends on May 12 to celebrate Florence Nightingale's birthday. National School Nurse Day is incorporated into the Wednesday of the weeklong holiday. In February of 1974, President Nixon designated National Nurse Week through a proclamation. Later in 1982, the American Nurses Association formally acknowledged May 6th as National Nurses Day, which helped pass a joint resolution of the United States Congress to recognize the day for nurses.

During this week, nurses can take some time to show each other their appreciation, reflect on growth, and cherish unique nursing friendships. Whether the individual is a co-worker on your unit, professor, or preceptor, show a special nurse how much he or she meant to you and helped your career.

College chapters of Student Nurses Associations are a great avenue for student nurses to show their appreciation to mentors and friends in nursing who have aided in their success. The American Nurses Association Board of Directors actually designated May 8th as National Student Nurses Day. Candy grams are an easy fundraiser that allows students to purchase a piece of candy for a fellow nursing student or professor in order to show their appreciation. All profits from the candy sale can go directly to the organization or contribute to a small award honoring a nurse or teacher. Nursing friendships are bonded through countless hours of studying, group projects, and long hours at clinical.

College chapters can also honor the nursing profession and their peers through a health fair or preventative screening in their student center. This promotes the positive influence nurses can have and brings awareness to all organizations throughout campus. Using promotional pins, tee-shirts and posters can help to make it an inspirational event and raise awareness.

Nurses working in hospitals or facilities after graduation can recognize other nurses on their unit through awards, honorary breakfasts or a simple card. Think about the nurses who are always willing to go out of her way to switch hours with you so you can make it to an appointment, the nurse who brought you a coffee to help jump start your night shift, or the nurse who got out late but helped you review a procedure so you would feel more comfortable. Do not let these special people who work days, nights, weekends, and holidays go unnoticed.

Hospital Newspaper - NY May, 2013

SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?

In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If youÂśre looking for professional growth and development through leadership experience, come practice in the Air Force.

AIRFORCE.COM/HEALTHCARE AIR FORCE HEALTH PROFESSIONS 212-349-2489

REGIONAL OFFICE NEW YORK, NY BFLT318@US.AF.MIL

Page 11

PAGE 12

May, 2013

Hospital Newspaper - NY

H

HOSPITAL OF THE MONTH

BURKE Rehabilitation Hospital

photo provided

When she was a 1-year-old, Kathleen Friel was diagnosed with cerebral palsy, and given a poor prognosis for becoming an independently-functioning adult.

However, through her determination, she began developing compensatory motor strategies to make up for her significant deficits with movement. Being unable to grasp Cheerios, her favorite cereal, she developed a strategy of licking her fingertip, inserting them into the center of the O and bringing the snack to her mouth.

Indeed, Kathleen Friel has come a long way, and she serves as an inspiration to – among others – the patients she now treats. Kathleen Friel, Ph. D., joined Burke Medical Research Institute’s Early Brain Injury Recovery Program earlier this year. Being part of this program lends itself to her mission of helping others who suffer from the same disease she has battled throughout her life.

Approximately one million people in the U.S. suffer from cerebral palsy, a disorder of movement and posture caused by injury to the developing brain.

“In neurology, anatomy is considered destiny, with the pattern of brain injury determining which neurological functions are lost,” explains Dr. Friel, the director of the Clinical Laboratory for the Early Brain Injury Recovery at Burke, “but we believe that for children with early brain injury, anatomy is not destiny and we can improve their neurological outcomes.”

Just as Dr. Friel figured out how to compensate for her lack of motor function during her childhood, Dr. Friel and Jason B. Carmel, M.D., Ph.D., who will direct the clinic portion of the Early Brain Injury Recovery Program, have found that the uninjured regions of the developing brain also have the ability to take over and compensate for the injured portions, when trained properly.

The Early Brain Injury Recovery Program, which consists of a clinic and a laboratory, will be the first of its kind in New York and the Northeast, and will serve as an important new resource for parents of children with cerebral palsy or who have experienced a traumatic brain injury. To date, scientific efforts have focused largely on protecting brain cells at the time of injury and there are currently no FDA-approved treatments for improving neurological function in children with brain injuries. This program is one of the few in the nation that aims to restore function in children with chronic injuries.

The program’s approach will be two-fold. First, the clinic will evaluate the neurological function of children, set goals for rehabilitation and monitor progress to provide insight into brain regions and connections affected by injury. This will help determine which alternative brain pathways might be used to restore lost motor function.

Second, the laboratory will enroll qualified children in clinical trials to test newer treatment methods including high-intensity training programs and non-invasive brain stimulation. Both have been proven as safe and practical treatments to restore neurological function based on research that previously has been conducted at the Institute.

“The addition of Dr. Friel to the Early Brain Injury Recovery Program is a great stride in our quest to restore motor function and improve neurological outcomes in children with injury to their developing nervous systems,” says Dr. Carmel, who initiated the program and also heads Burke’s Motor Recovery Laboratory. “Her deep understanding of the use of intensive hand rehabilitative training on children will help us better understand brain structure and function in children with cerebral palsy and be able to devise new therapies for them.”

Dr. Friel, who was recruited from Columbia University in New York City where she was an assistant professor in the Division of Experimental Therapeutics, has spent more than a decade studying various aspects of brain injury and repair.

Her research uses sophisticated techniques to non-invasively study the anatomy and function of the brain and spinal cord as well as how brain structure and function may change as children receive rehabilitative training. Her studies show the utility of activity-based therapies for restoring motor function.

She brings these insights and understanding to the Early Brain Injury Program where she will focus on improving hand function in children with cerebral palsy.

According to Rajiv R. Ratan, M.D., Ph.D., executive director of the Burke Medical Research Institute and professor of neurology and neuroscience at Weill Cornell Medical College, “The goal of the Burke Medical Research Institute is to provide the tools necessary to reduce neurological disabilities, the number one causes of disability in the United States.

The addition of Dr. Friel to our research staff and the opening of the Early Brain Injury Recovery Program bring us another step closer to achieving this goal.”

Dr. Friel is a resident of White Plains, New York. She received her doctorate in neurophysiology from the University of Kansas Medical Center and conducted her post-doctoral studies at Columbia University. These studies were seminal in demonstrating the importance of motor activity in neurorehabilitation.

Founded in 1978 as the medical research affiliate of the Burke Rehabilitation Hospital, the Burke Medical Research Institute is one of the only free-standing rehabilitation research facilities with dedicated programs in basic research (understanding how the normal brain functions and how it is affected by disease), translational research (understanding how to bring basic research to the patient bedside), and clinical research (testing of new therapies in patients). These research endeavors are funded by private donations and through highly competitive grants awarded by the National Institutes of Health (NIH) and private and public foundations.

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

Hospital Newspaper - NY May, 2013

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

Where You Go For Rehab Matters Founded in 1915, Burke Rehabilitation Hospital is

the only hospital in Westchester County dedicated to rehabilitation medicine. Burke offers inpatient

and outpatient programs for those who have

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

experienced a disabling illness, traumatic injury or

surgery. Burke is both a rehabilitation hospital and medical research institute. Burke's doctors and

therapists provide the highest quality treatment,

while its research scientists explore the frontiers of

rehabilitation medicine. All share the Burke mission

to ensure that every patient makes the fullest

possible recovery.

BURKE R

EH

E

ON

IFRED MAST

ILI

PI

W

OS

IN

TATION H

L TA

TH

E

BURKE

RS

AB

Rehab + Research = Results

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

Page 13

PAGE 14

May, 2013

Hospital Newspaper - NY

education & careers Hospital Association offers $2,000 Scholarship

NUMC Emergency Department Nurses raise funds for children in Haiti

The Nassau-Suffolk Hospital Council (NSHC) announces a $2,000 scholarship with optional internship for college juniors/seniors or post graduate students who are studying Journalism, Marketing/Communication, or Healthcare Administration. The Ann Marie Brown Memorial Scholarship honors the late Ann Marie Brown, who served as vice president for government and public relations for the Hospital Council from 1983 to 1993.

The scholarship is administered by the Hospital Council’s Communications Committee. Filing deadline is May 17, 2013.

Recipient is expected to attend the award luncheon on June 12, 2013. For more information and an application go to www.nshc.org and click on programs or call 631-963-4156.

The NSHC represents the not-for-profit and public hospitals on Long Island.

Its goal is to enhance health care for all Long Islanders through its advocacy with lawmakers, regulatory agencies, the media, and the public.

NUMC staff save lives in many ways.The staff of the Emergency Department took the time amidst the commotion of their work days to share Dr. Rosarion’s passion for education and service to benefit women and children in Haiti.

A five hundred and thirty dollars gift was raised on behalf of Eye of a Dream.This sum will pay in full a year tuition for one of the children in secondary school in Gonaives, Haiti.Dr. Rosarion thanks the emergency department nurses, especially Irene Sheehan, RN, who spearheaded the fundraising.

provided

NUMC’s emergency department nurses and Dr. Rosarion commemorate their donation to Eye of a Dream. Liz, Irene, Dr. Rosarion, Jody and Jane

internet address directory associations NYSNA www.nysna.org

H

HOSPITAL NEWSPAPER

Salutes all Nurses during

National Nurses Week May 6-12, 2013

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

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

Hospital Newspaper - NY May, 2013

PAge 15

education & careers Teen “teachers” educate classmates about dangers of smoking More than 150 students from Saint Aidan’s School in Williston Park joined over 1,000 schools and youth groups across the country on National Kicks Butt Day to take a stand against smoking and educate their peers about the dangers of tobacco.

With the help of nurses and smoking cessation experts from the North Shore-LIJ Health System’s Center for Tobacco Control (CTC), students in six through eighth grade transformed their gym into a health classroom and theatre, complete with information booths, educational games, a gigantic cigarette filled with toxic substances found in real cigarettes and a “tobacco store” showing how much cigarettes cost. Trained as teachers for the day by CTC staff, eighth graders teamed up to write and produce short videos, or public service announcements, about the health dangers of smoking and tobacco advertising.

While the event had a carnival-like atmosphere, the messages to students and teachers were hard-hitting. Boys and girls are vulnerable to smoking through advertising targeted

to them, and second-hand smoke poses a health risk to children.

According to the US Center for Disease Control and Prevention, smoking is still a major problem among middle-school students. In the US, more than three million adolescents smoke cigarettes. Each day, 3,550 kids try their first cigarette; another 1,000 kids under age 18 become new, daily smokers. That’s approximately 400,000 new underage daily smokers in this country each year. Another startling statistic: tobacco use kills more than 400,000 Americans each year.

“We hope that students discover for themselves that the best way to stop smoking is to never start in the first place,” said Patricia Folan, DPN, director of the Center for Tobacco Control.

“Approximately 90 percent of all adult smokers started smoking as adolescents,” said Dr. Folan. “Our goal is to reach kids when they’re at the age where they’re going to be more vulnerable to peer pressure and smoking. Middle school is the perfect time to emphasize prevention.”

provided

Students from Saint Aidan’s School compare healthy pig lungs to black diseased lungs, which were simulated to 20 years of tobacco use. Dan Jacobsen, NP, of North Shore-LIJ’s Center for Tobacco Control emphasized the health benefits of staying smoke-free.

LIU Hudson’s M.B.A. in Healthcare Management Gives Executives an Edge in a Growing Field management and business needs of individuals in healthcare and related industries, the program provides individuals who are seeking to secure or advance in middle- and upper-management positions in the healthcare industry with the knowledge and specialized skills they need to compete in this growing market sector, including competencies in finance, management, organizational dynamics, information systems management and other matters critical to the rapidly changing healthcare environment.

For McGregor, LIU’s program was attractive for a number of reasons, not the least of which was its “interesting and relevant curriculum,” she said. The 48-credit curriculum includes six general business core courses and five advanced core courses.

Students in the program also complete a capstone course consisting of practical application of relevant principles and theories through an individual study project based on a current issue in a healthcare sector organization.

Leading these courses is a faculty comprised of business and healthcare practitioners who are leaders in their field.

When Donna McGregor completed her M.B.A. in healthcare management at LIU Hudson in 2001, little did she know it would help her become Co-CEO of Health Quest, the Mid-Hudson Valley’s largest healthcare system.

“I decided to get my M.B.A. to expand my career opportunities beyond finance into administration,” McGregor said. My passion was to grow and expand my career in healthcare administration.”

Demand for healthcare administrators and managers has never been greater. The $2-trillion U.S. hospital industry continues to expand, making healthcare sector management one of the fastest growing and in-demand career fields in the U.S. today. According to the Bureau of Labor Statistics, approximately 12% of the US workforce — one out of 10 people — is in healthcare. Projected growth in this decade is considerably above all other occupations.

According to Dr. Lynn Gunnar Johnson, director of the M.B.A. Program, “Medical and health services manager jobs are expected to grow more than 22% over the next five years. Hospitals and other healthcare-related organizations are looking for people with managerial and financial expertise.”

LIU Hudson at Westchester now offers two options for graduate study in healthcare sector management. Designed to meet the

“We are extremely proud of our faculty in the program,” said Dr. Johnson. “The CEO of Nyack Hospital is teaching the capstone course; the EVP of Greenwich Hospital teaches healthcare management; the comptroller of Burke Hospital teaches finance.

In this M.B.A. program, the faculty is made up of people with advanced academic credentials with extensive leadership experience in business or healthcare.”

like McGregor who have leadership potential in the healthcare field but need the business discipline and competencies.

“I wouldn’t be where I am without my LIU M.B.A.,” McGregor said.

Learn about our M.B.A. Concentrations • Finance • Management • Cyber Security • Healthcare Sector Management Rockland Information Session Tuesday, May 7 • 5 - 7:30 p.m.

70 Route 340 • Orangeburg, NY rockland@liu.edu*845-359-7200 Westchester Information Session Thursday, May 9 • 4 - 8 p.m.

735 Anderson Hill Road • Purchase, NY Westchester@liu.edu • 914-3831-2700

McGregor also cites the faculty as a key element of her success in the program. “The faculty was very supportive of a working student’s schedule,” McGregor said. “I also appreciated the flexibility to apply work-related projects to my graduate studies.” McGregor’s group thesis project focused on a “real life” business plan that she developed and was able to bring to life at Health Quest.

“Donna exemplifies in many ways the kind of person that benefits from this M.B.A. program,” said Dr. Johnson. “She brought previous experience with her into the program, and learned how to apply the business concepts to the work that she is doing in the workplace in an ongoing basis.”

In McGregor’s case, what she learned in the M.B.A. program enabled her to move upwards in the healthcare field. According to Dr. Johnson, the healthcare management component that recently has been added to the program will benefit many others

liu.edu/hudson

PAGE 16

May, 2013

Hospital Newspaper - NY

Sun National Bank Hospital Employee Loan program helps local Physician gain mortgage with outstanding service During the process of getting his mortgage, Dr. Anil Narula had questions.

Some even came to Narula on the weekends.

However, no broker is available unless it’s Monday through Friday – between 9 a.m. to 5 p.m. At least, unless, you are working with the Sun National Bank Hospital Employee Loan Program (H.E.L.P). Steven Testa, an executive vice president with Sun National Bank, answered all of Narula’s questions, all the time.

“My interaction with Steve was outstanding,” Narula said. “Whenever I had any questions, he never hesitated to get back to me. He was very honest and fair. I have the highest praise for Steve and his staff. I wouldn’t expect anyone to get back to me 24/7, but Steve always was available. He was outstanding.”

Sun Home Loans and Hospital Newspaper came together to bring the emergency services community a special mortgage opportunity.

Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. program is offered to members of the hospital community and their families.

Dr. Narula is a general surgeon who practices in the Bronx. His wife, Dr. Anita Narula, is a physican at Bronx Lebanon Hospital.

The H.E.L.P. program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home. Refinancing can save you hundreds, even thousands, of dollars per year. But, remember, your home may be your most valuable financial asset.

A H.E.L.P. program representative will assist you in making sure refinancing is cost-effective and works for you and your family. H.E.L.P. Program clients enjoy unmatched customer service and attentiveness throughout the process - from their initial inquiry - to closing. 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.

Whether purchasing a new home or refinancing an existing one, the H.E.L.P. Program is offered exclusively, providing personal service, benefits and rates not normally available to the general public.

“Our rates and customer service are some of the things that set our program apart,” Testa said.

“To hear Dr. Narula compliment us like that really means a lot. We are committed to providing the best rates for our clients with products and promotions that make sense for them. It was our pleasure working with Dr. Anil Narula and Dr. Anita Narula. They are great people.”

To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-615-9745. Sun National Bank Home Loans and 1st Responder Newspaper are not affiliated. All loans subject to approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun National Bank Loans, Equal Housing Lender.

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, 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).

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.

PROGRAM INFORMATION We understand that the current economic environment has created challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the 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 - NY May, 2013

PAGE 17

Orange Regional Medical Center Foundation names Golf Classic Co-Chairs

photos provided

Proceeds raised from the tournament will benefit Orange Regional’s new Pediatric Center

Frank Giordano III Orange Regional Medical Center Foundation is pleased to announce Frank Giordano III, CPA and Jonathan Nasser, MD as Co-Chairs of its 2013 Annual Golf Classic to take place on Monday, June 17, 2013. The tournament will be held at West Hills Country Club and Wallkill Golf Course, both located in Middletown. The event will conclude with a celebratory dinner and awards ceremony at West Hills Country Club.

Mr. Frank Giordano III, CPA is a shareholder of Judelson, Giordano & Siegel, CPA, PC and has been with the firm since 1991. Mr. Giordano is an expert in management advisory services and information technology. He has assisted new clients and startup businesses in implementing complete accounting packages including both hardware and software. Mr. Giordano has become an outsourced controller to companies that have experienced changes in personnel – to retrain new employees and keep the accounting department functioning without interruption. His specialty consists of organizations within the beverage distribution industry and he also advises manufacturers, wholesalers and professional service providers. Mr. Giordano received his Bachelors of Science degree in accounting and finance from Pace University. He is a member of the New York State Society of Certified Public Accountants and the American Institute of Certified Public Accountants.

Dr. Jonathan Nasser is an Internist and Pediatrician at Crystal Run Healthcare, where he has been in practice since 2002. At Crystal Run, Dr. Nasser is the Division Leader for Pediatrics and the Co-Chief Clinical Transformation Officer, helping to lead the organization’s transition to accountable care. Dr. Nasser has been a member of Orange Regional’s medical staff since 2002.

Jonathan Nasser, MD He received his medical degree from the University of Virginia and completed his residency training at the University of Rochester. Dr. Nasser is a fellow of the American Academy of Pediatrics and a member of the American College of Physicians.

Proceeds raised from the tournament will benefit Orange Regional’s new Pediatric Center, aimed to bring exceptional pediatric services to our community.

Various levels of sponsorship packages are available. With their round of golf, golfers receive breakfast, golf cart, lunch and appreciation gift as well as golfers’ hour and buffet dinner at our awards ceremony.

To learn more about the sponsorship opportunities available, please call the Orange Regional Medical Center Foundation at 845-333-2333 or please visit www.ormc.org/foundation.

Orange Regional Medical Center is a member of the Greater Hudson Valley Health System.

About the Orange Regional’s Pediatric Center The Pediatric Center will be phased in over three years. The plan will include construction of a designated Pediatric Emergency Unit within Orange Regional's current Emergency Department, the hiring of Pediatric Hospitalists, Pediatric Unit staff and a Child Life Specialist, the addition of Pediatric sub-specialty services for outpatients and inpatients, enhancements to the existing Pediatric Inpatient Unit, as well as the addition of a Pediatric Intensive Care Unit (PICU) plus community outreach and education programs focusing on children's health and wellness.

All this will be done with the goal of creating a child-friendly environment and experience suited for children from birth to 18 years.

October 6-9, 2013 You are Invited to the Longest Running, International Conference on Patient-Centered Care!

Join the longest running, most successful educational event for healthcare professionals who strive to create culture change and deliver health care that puts the needs of the patients first.

Participate in a variety of breakout sessions that appeal to different learning styles Enter the no power point zone and immerse in “Planetree Live” Engage with the best minds in health care and be inspired and re-invigorated by our world renowned keynotes Experience patient-centered care real time by touring premier Planetree facilities Connect with more than 1,200 attendees from across the continuum of care from large urban systems to small critical access hospitals and long-term care communities Collaborate with conference participants from around the globe. Our global presence, with countries ranging from Canada, Denmark, France, Belgium Italy, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., come together as a true collaborative community Gain vital information, innovative tools, and the support needed to transform your health care organization Location Montreal, a cosmopolitan city enriched by the diverse cultures of its people embodies the personality of this a one-of-a-kind educational event for health care professionals who strive to create culture change and deliver health care that puts the needs of the patients and residents first.

Keynote Presenters Lyn Heward, Montreal's Cirque du Soleil Director of Creation David Nash, MD, Founder of the Jefferson School of Population Health Regina Holliday, Trailblazing patient rights arts advocate Polly LaBarre, Best-selling author, original team member of Fast Company magazine Rosalind W. Picard, ScD, Founder and Director of the Affective Computing research group at MIT Media Lab Richard Kogan, MD, Distinguished concert pianist and psychiatrist To learn more and sign up now while space is available: www.patient-centeredcareconference.com

PAGE 18

May, 2013

Hospital Newspaper - NY

New $130M Pavilion dedicated at Cohen Children’s Medical Center Hundreds of supporters of Cohen Children’s Medical Center recently celebrated the upcoming opening of a new $130 million pavilion that will house the region’s largest, dedicated pediatric emergency department and 50 additional beds, further enhancing the hospital’s reputation as the leading provider of children’s health services in the metropolitan area.

The six-story, 120,000-squarefoot facility doubles the size of Cohen’s Emergency Department to 30 beds and two trauma bays, and expands the number of beds in its pediatric intensive care unit to a capacity of 37. The new pavilion also contains shell space for pediatric operating rooms. The expansion was especially important in meeting community needs, considering that Cohen is one of only two pediatric trauma centers in the New York area and the number of emergency visits has jumped by more than 20 percent in the past five years to over 60,000 children annually.

The new facility, also includes the lowest radiation dose computed tomography (CT) scanner, a dedicated pediatric-only pharmacy and 25 additional medical-surgical beds -- all private rooms to accommodate parents and loved ones.

“We stand as a beacon of hope for the communities in the New York Metropolitan area and beyond,” said Kevin McGeachy, executive director of Cohen Children’s. “Last year alone we received transfers of more than 2,500 patients from more than 100 hospitals throughout the New York metropolitan region.”

Charles Schleien, MD, chair of pediatrics, said the expansion of the hospital’s emergency department and pediatric ICU (PICU) will have a dramatic impact on the delivery of pediatric care in the community.

“Obviously, the idea of bringing their child to an emergency room or intensive care unit is traumatic for the parents as well as the patients,” he said. ”Great care was placed in the design of this new facility.” For example, the new PICU has been designed as a forest, with custom floor patterns, mosaic murals of wildlife and unique staff stations.

To add to their comfort while visiting, each private patient room contains a dedicated parent area.

The expanded medical-surgical unit has been designed as a mountain ecosystem. Tracks of mountain animals crisscross the floor, encouraging discovery and play. Rooms designed with families in mind have

provided

Alexandra and Steven Cohen, third and fourth from left, front, join representatives from Cohen Children’s Medical Center and the North Shore-LIJ Health System in cutting the ribbon on a new $130 pavilion that features a dedicated pediatric emergency department and 50 additional single-bed rooms.

In total, the expansion increases the bed capacity of the children’s hospital to more than 190.

“Alex and I are committed to helping sick children get well and we are very pleased that the Cohen Pediatric Center will help innumerable Long Island families and their children heal,” said benefactor Steven Cohen. The children’s hospital was named in honor of his wife Alexandra and

him in 2010, after their $50 million pledge enabled the new pavilion to be built.

“This pavilion is an exciting new chapter in the illustrious 30year history of what is truly becoming a world-class children’s hospital,” said Michael Dowling, president and chief executive officer of the North Shore-LIJ Health System, of which Cohen Children’s is a member.

a sleeper sofa and two televisions in each patient room (one for the patient, one for family) and a gaming system for the child. Each unit will provide family focused amenities such as shower facilities, free WiFi, a parent/family lounge and a dedicated playroom for patients.

This modern facility would not have been possible without the generosity and vision of Steven and Alexandra Cohen, who have enjoyed a 17-year-relationship with the North Shore-LIJ Health System.

Prior to the $50 million gift that led to the renaming of the Children’s Hospital in March 2010, the Cohen Foundation donated $7 million to North Shore-LIJ to build a new ambulatory pediatric chemotherapy unit at the children’s hospital and to establish an endowment called the Philip Lanzkowsky, MD, Professorship in Pediatrics. Dr. Lanzkowsky, the long-time executive director of the hospital, was one of more than 200 supporters to attend the dedication of the new facility.

The opening of this new facility marks a crowning achievement in the history of the hospital, which celebrates its 30th anniversary of service to the community since its official opening in 1983.

Good Samaritan Pediatric Services receives grant from New York State Senator Good Samaritan Hospital Medical Center was recently the recipient of a $250,000 grant secured with the assistance of New York State Senator Owen Johnson. The Senator has been a long-time supporter of Good Samaritan Hospital services and programs. The grant funding went towards a Central Monitoring System for the hospital’s Pediatric Unit.

“Having a state-of-the-art monitoring system for children in Good Samaritan’s

Pediatric Unit offers a significant advantage in caring for patients,” said Good Samaritan Hospital’s Chair of Pediatric Services Catherine Caronia, MD. New York State Senator Phil Boyle, members of the Hospital Foundation Board and physicians shared in the celebration on the Good Samaritan pediatric roof top garden, a beautiful and soothing outdoor space, available for patients and

their families to help speed the recovery and minimize the stress associated with a hospital stay.

“It was an honor to join Senator Johnson and my friends at Good Samaritan Hospital in celebrating this grant. The funding will help the hospital’s Pediatric Unit continue to provide innovative, quality health care to children in our community,” said Senator Boyle.

Good Samaritan’s commitment to children’s health begins at birth and continues throughout childhood. By offering a seamless network of pediatric subspecialties, Good Samaritan provides families with the advanced medical care they require.

For more information on Good Samaritan’s pediatric services, please call (631) 376-4444 or visit www.good-samaritan-hospital.org.

Advanced ced Emergency ncy th Advanc

11 1

Annual Annu ual

a nd Acute cute Care Carre e and Medici ine Confer en nce Medicine Conference

Voted V oted “Best CME V Value alue in the Northeast” ortheast”

Save Sa ave The Date Da ate SEPTEMBER SEPT TEMBER 17 – 20, 2013 13 Sheratton Atlantic City Sheraton Convention Conve ention Center Hotel

Learn n the Latest Information Informatio on on on:

provided

Pictured (L-R): The Good Samaritan Foundation board member Kelly Daniele-Crosman, Chair, Department of Pediatrics Catherine Caronia, MD, The Good Samaritan Foundation board member Daniel O’Donnell, New York State Senator Owen Johnson (Former), New York State Senator Phil Boyle, The Good Samaritan Foundation Vice Chairperson Aileen Eppig, Good Samaritan Executive Vice President and CAO Nancy Simmons and Good Samaritan Department of Medicine and Senior Vice President of Medical Affairs Jerome Weiner, MD.

• • • •

Keyy Disease States Risk k Reduction for Providers Providers Patie ent Satisfaction Patient ED Operations O

Featuring: Featu uring: • Com Complimentary mplimentary ACHE T Track rack Complimentary Track • Com mplimentary Hospitalist T rac ck Variety • V ariety arie ety of Hands-On Lab Courses es View V iew more more info and Register at www.BestEMConference.com www . .Best EMC onference. co m

Hospital Newspaper - NY May, 2013

PagE 19

First-of-its-kind natural gas-powered ambulance debuts on Long Island The North Shore-LIJ Health System has recently added a new cleaner, greener and quieter ambulance to its ambulance fleet. Powered by compressed natural gas (CNG) and built to the health system’s specifications, it is the first ambulance of its kind operating in the US. According to Paul Power, assistant director of operations for the health system’s Center for Emergency Medical Services (CEMS), the CNG-powered ambulance hit the streets at the end of 2012 as a pilot project, mainly servicing the Village of Rockville Centre. Mr. Power, who researched the CNG ambulance over the last two years with vehicle manufacturers and the West Nyack, NY-based Clean Vehicle Solutions, a leader in the CNG vehicle industry, said that using compressed natural gas offers many advantages over diesel or gasoline fuel.

“We have a goal to green our fleet of ambulances and emergency vehicles to protect the environment, and reduce pollutants and noise in the neighborhoods we serve,” said Mr. Power. “The CNG-ambulance reduces greenhouse gas emissions by about 30 percent, improves air quality and decreases fueling costs.”

Running on natural gas is about about $2 cheaper per gallon than diesel or gasoline prices. The CNGambulance, which runs 60 hours a week, would see about an annual fuel savings over $6,000, said Mr. Power.

Alternate fuel vehicles are one way that North ShoreLIJ is working toward reducing green house gas emissions, as part of its comprehensive sustainability plan, said Lisa Burch, the health system’s director of sustainability and social responsibility.

“It’s also important to diversify our fueling options for our fleets, especially after the crippling gas shortage during superstorm Sandy, said Mr. Power.

“After the hurricane all CNG stations were open.”

North Shore-LIJ’s CEMS owns over 100 emergency vehicles and consumes the majority of the health system’s diesel and gasoline, costing over $1.1 million annually.

While equipping ambulances for CNG adds about $20,000 to cost of the $115,000 vehicle, Mr. Power says the additional investment is recouped over the life of the ambulance in terms of fuel savings and decreased maintenance costs. The health system is working on acquiring another CNG-fueled ambulance in the coming months.

Compressed natural gas is delivered to the ambulance in cylinders that are encased in a metal box behind the driver’s seat and underneath the vehicle.

CNG fueling stations are readily available in the tristate area and close to CEMS headquarters and other service areas.

Natural gas powers about 120,000 vehicles in this country, mainly fleets of taxicabs, transit and school buses, construction vehicles, garbage trucks and other trucks due to lower fuel costs, cleaner emissions and easier maintenance. This represents less than one percent of all vehicles powered by natural gas worldwide. According to Clean Vehicle Solutions, converting one truck from diesel to natural gas is the equivalent of taking as many as 325 cars off the road in terms of pollution reduction.

provided

Paul Power, CEMS assistant director of operations, refuels the specially-equipped ambulance with compressed natural gas.

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

11/4-8 Maui, Hawaii

2014 Conferences 1/20-23 Duck Key, Florida

2/2-7 Turks and Caicos

2/10-14 Telluride, Colorado

3/17-20 Las Vegas, Nevada

4/12-19 7-Day Caribbean Cruise

5/19-22 New Orleans, Louisiana

7/5-12 7-Day Alaskan Cruise

7/21-25 Yosemite, California

8/25-29 Whitefish, Montana

9/15-18 Las Vegas, Nevada

11/13-16 Key West, Florida

12/9-12 Paradise Island, Bahamas

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

9/18-19 Las Vegas, Nevada

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

4/19-24 Turks and Caicos

9/14-17 Las Vegas, Nevada

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

north west S E M I N A R S

9/12-16 Las Vegas, Nevada

(800) 222-6927 www.northwestseminars.com

PAgE 20

May, 2013

Hospital Newspaper - NY

RESOURCE DIRECTORY ARCHITECTURE

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

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

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

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

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

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

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

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

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

BARIATRIC EQUIPMENT & PRODUCTS TSK PRODUCTS FAST & COMFORTABLE PELVIC EXAMS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, and Women's Health.

It is a much more comfortable than using a hard bedpan.

The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie's unique cutout design allows the physicians to maneuver their speculum in all directions without interference.

The Wedgie can support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, tear resistant, and stain resistant medical grade vinyl cover.

It can be cleaned with standard disinfectant products. Optional disposable protective covers and wall holders are available.

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

CAREER MANAgEMENT

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

Join BlueSteps today and receive 15% OFF your membership!

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

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

CONTRACT/PRACTICE MANAgEMENT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERgENCY MEDICINE CONTRACT MANAgEMENT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERgENCY MEDICINE SERVICES CONSULTATION SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MANAgEMENT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation NEW YORK BASED OFFICE MED★EXCEL USA

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

EDUCATION

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

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

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

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

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

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

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

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

For information, contact Dr. Johnson at 914-931-2711 or lynn.johnson@liu.edu.

Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577

Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.

845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NY May, 2013

PaGe 21

NO Calibration & NO Drops Icare速 Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air.

Quick, easy to use and patient friendly.

The technology requires no calibration.

From beginning to end the test takes under 60 seconds.

Icare速 has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher

(609) 412-2134

bob@visioninstruments.net

PAGE 22

May, 2013

Hospital Newspaper - NY

RESOURCE DIRECTORY HOSPITALS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Calvary’s continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country.

Each year, Calvary cares for more than 6,000 patients and their families. It cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center.

Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses.

• Home care is available in the Bronx, Queens, Manhattan, and lower Westchester.

• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.

• Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.

In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses.

For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.

NEW PRODUCT TECHNOLOGY

NURSING HOME Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country.

The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area.

Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties.

The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home.

A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE).

The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.

Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304

WORKERS’ COMPENSATION HOSPITAL WORKERS HAVE YOU BEEN INJURED ON THE JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits 1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care.

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

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

4. Your doctor controls the treatment, not risk management.

If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you.

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

6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery.

BF

BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability Attorneys

CALL TOLL fREE 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

www.bagoliefriedman.com

SENIOR LIVING NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher (609) 412-2134 bob@visioninstruments.net

PLACE YOUR AD HERE!

Getting better…. just got better.

We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound.

United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed

by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access.

United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at knodiff@uhgc.org.

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

Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.

845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com

Hospital Newspaper - NY May, 2013

How Many Prestigious Rankings Did We Receive?

So Many That They Don’t All Fit on One Page.

The numbers are in: North Shore-LIJ hospitals have been recognized with 57 national and regional designations of excellence by U.S. News and World Report. That’s more than any other health system in New York. For us, it’s an important validation of the great work being done every day by our teams in specialty areas like cancer care, cardiology, numerous pediatric specialities, and more. For our patients, it means the security of knowing they’ve made the right choice for their health care provider. And if you aren’t one of our patients? Now you have 57 new reasons to choose us.

To find a North Shore-LIJ physician, go to northshorelij.com/physician

Hospitals recognized: Cohen Children’s Medical Center – 7 Specialties; Forest Hills Hospital – Gastroenterology and Urology; Glen Cove Hospital – Orthopedics; Huntington Hospital – 11 Specialties; Lenox Hill Hospital – 12 Specialties; Long Island Jewish Medical Center – 7 Specialties; North Shore University Hospital – 11 Specialties; Southside Hospital – 5 Specialties; Staten Island University Hospital – Nephrology. For more information: northshorelij.com/usnews

Page 23

PAGE 24

May, 2013

Hospital Newspaper - NY

Calling All Emergency Responders

When every second counts...

Count on NitroMist

®

NitroMist provides fast, effective symptom relief.

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

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

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

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

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

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

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

Not Actual Size

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

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

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

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

Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016

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

141B002 10/2012

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

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

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