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Miracles of Rehab stories pages 18-21
Hospital News & Sun Home Loans Team to Launch Mortgage Program
66th Annual PostGraduate Assembly in Anesthesiology See page 31
Hospital Newspaper 1 Ardmore Street New Windsor NY 12553
Hospital of the Year! Bergen Regional Medical Center p16
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December, 2012
Hospital Newspaper - NJ
Only three New Jersey hospitals have received these awards. We’re proud to be one of them.
St. Joseph’s is one of only three hospitals in New Jersey to be five-star-rated for Maternity Care—and one of only three in New Jersey to receive the Maternity Care Excellence Award—placing us among the top 10% of hospitals nationwide in 2012 by HealthGrades. We’re equally proud to have received the Gynecologic Surgery Excellence Award, placing us among the top 5% of hospitals nationwide for both 2011 and 2012. From nationally recognized maternity and gynecological care to lifesaving breast health and cardiac care, St. Joseph’s offers everything you need to keep healthy.
www.StJosephsHealth.org • 877.757.SJHS (7547) St. Joseph’s Healthcare System • St. Joseph’s Regional Medical Center, Paterson, NJ • St. Joseph’s Wayne Hospital, Wayne, NJ • St. Joseph’s Children’s Hospital, Paterson, NJ St. Vincent’s Nursing Home, Cedar Grove, NJ • Visiting Health Services of NJ, Inc., Totowa, NJ • Sponsored by the Sisters of Charity of Saint Elizabeth
Hospital Newspaper - NJ December, 2012
XCELLENCE Transforming EDs into Centers of Excellence for 30+ Years Choose EMA for world-class, nationally recognized emergency services: Extraordinary commitment to patient care and quality Democratic medical group owned by its practicing emergency physicians Proven formulas and compelling success stories Unsurpassed resources, support and service at every level
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877.692.4665 www.ema.net
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December, 2012
Hospital Newspaper - NJ
News in Emergency Medicine Emergency Medical Associates named to Modern Healthcare’s Top 10 Emergency Department Contractors List Emergency Medical Associates has been named to the 2012 Top Emergency Department Contractors list reported by Modern Healthcare magazine. The 10 emergency department outsourcing companies on the list were ranked by total number of national healthcare clients as reported via the magazine’s 2012 Outsourcing Survey. Emergency Medical Associates manages 28 emergency departments and urgent care centers in five states: New Jersey, New York, North Carolina, Pennsylvania and Rhode Island. Additionally, the company’s Inpatient Medical Associates division operates adult and pediatric hospitalist practices in New Jersey and New York. Of the emergency department management companies that made the list, Emergency Medical Associates enjoyed the greatest percentage of growth year over year – a 33.3 percent increase in the number of clients.
“We’ve enjoyed a year of tremendous growth and have greatly expanded the company’s geographic footprint,” explains Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “Along with that growth we’ve been able to augment our services. We now not only manage the ED, but provide a continuum of care from the hospital’s urgent care settings, through the ED, to dedicated observation/rapid decision units and also hospitalist services.” “We’ve been able to continue to improve the quality of the services we provide and uphold our reputation for clinical excellence by truly partnering with the clients we serve. It’s been the hallmark of Emergency Medical Associates for more than 35 years,” says Dr. Iannaccone.
Hospital of the Month! Hospital Newspaper highlights one hospital per month as the centerfold feature. Great way to get information about your facility to interested readers.
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To request a proposal or receive additional information about Emergency Medical Associates’ management services, contact David Calabrese, senior vice president of new business development and marketing, at (973) 251-1046 or email calabresed@ema.net. About Emergency Medical Associates Emergency Medical Associates (EMA) is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.
Hospital Newspaper - NJ December, 2012
Page 5
Hospital News and Sun Home Loans Team to Launch Mortgage Program Hospital News and Sun Home Loans have joined forces to bring the emergency services community an unprecedented mortgage opportunity: The Sun Home Loans Hospital Employee Loan Program (H.E.L.P.). Whether purchasing a new home or refinancing an existing one, the Sun Home Loans H.E.L.P. intiative will be offered to members of the hospital community and their families. The unique program provides discounted mortgage rates designed for hospital employees and pre-qualifications to shop for your next home. In addition, there are many more benefits available to the emergency services community through this program – including a complimentary evaluation of your particular financial situation, and credit repair if needed. You may take advantage of these other products and services, though they are offered separately from the H.E.L.P. “We are proud to work with Sun Home Loans to create the Hospital Employee Loan Program,” said Joe Belsito, Publisher of Hospital News. “Members of the hospital community are part of the core fabric of our country and putting together such a unique and value-added program for them to benefit from when buying a new home is a great way for us to leverage our newspapers’ brand to communicate it.” Added Steve Testa, Vice President Regional Sales Manager of Sun Home Loans: “We worked extremely hard to put together incentives for the hospital community. We are confident that those who are currently in the market for a mortgage will discover that the Sun Home Loans Hospital Employee Loan Program exceeds what they are able to find elsewhere in the marketplace.” Sun Home Loans, a division of Sun National Bank, and Hospital Newspaper are both proud to serve the hospital community, who dedicate their lives serving the rest of us. Clients enjoy unmatched customer service and attentiveness throughout the process – from their initial inquiry – to closing. However, after closing, the staff is there to address other financial needs. Working with its own resources and Federal government programs, Sun National Bank develops solutions that open the path to home ownership. Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Personal attention merges with world-class service and competitive products that meet the needs of today’s consumers and businesses. Sun National Bank believes that doing business in the community means being a part of it. To receive more information about the program and its benefits, Sun Home Loans has established a direct telephone number exclusively for members of the hospital community call 1-973-805-4156. When you call you will speak to a live program specialist who will discuss your needs and explain how the Sun Home Loans Hospital Employee Loan Program can H.E.L.P. You. Sun Home Loans and Hospital Newspaper are not affiliated. All loans are subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, N.A. Equal Housing Lender. Other Products and services are not banking products, not FDIC insured, may lose value, and are not a condition of credit or any banking product or service offerings. You may inquire about these additional services when you apply.
Win an iPad! If you are a member of the hospital community, now is your chance to enter Sun Home Loans and Hospital Newspaper's contest to win a free iPad. Just to go our website at www.hospitalnewspaper.com and fill in the entry form. Once you complete it, you will receive an email that requires you to confirm your email address. Once you do that you are entered. Hospital Newspaper will also be accepting applications at all conventions that it attends. A total of Five iPads will be given away so your chances to win are excellent. Sign up today to win today!
Hospital Employee Loan Program
Sun Home Loans, a division of Sun National Bank, is proud to serve the heroes in our community
PROGRAM INFORMATION
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
challenges to home ownership. Working with our own resources and
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.
We understand that the current economic environment has created 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
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December, 2012
Hospital Newspaper - NJ
OUR VIEW
ADVERTISER INDEX Company
Page
AkriMAx / NitroMist
32
Bergen regional Medical Center
17
Daughters of israel
21
EMA
3
GNYHA Services
9
High Point Safety & insurance Mgt Corp
25
Matheny School and Hospital
23
MedExcel
7
NorthWest Seminars
13
PostGraduate Assembly in Anesthesiology 32 resource Directory
28, 29
Sheridan Healthcare
27
St. Joseph’s Healthcare System
2
Sun Home Loans
5
TESC
11
Trinitas regional Medical Center
19
U.S. Navy
15
H
Hurricane Sandy slams into Northeast Hospitals Stunning stories of care unfolded in the aftermath of one of the worst storms to ever hit the Northeast. A few hospitals in New York and New Jersey closed and had to evacuate patients. Palisades Medical Center in North Bergen, NJ had to find beds for 83 patients. The Hoboken University Medical center shut down temporarily and 131 patients had to be relocated. Valley, Cooper and Lourdes Hospital cut back on elective surgeries and outpatient treatments. In New York, the NYU Langone Medical Center had to evacuate about 250 patients. It was a moving sight to see nurses carrying babies down 15 flights of stairs, some squeezing air bags. The devastation to New Jersey and New York homes not only took lives, but also lifetime memories and valued possessions. Communication shut down as loved ones tried to contact those in danger. At the time of this printing, there is still no power in parts of Long Island, Staten Island, the Hudson Valley, Queens and South Jersey. I have never personally seen such destruction and I don’t think any of us will ever look at a major storm the same way. Please send your special story or some act of kindness that you would like to share. I wish everyone best wishes and safety as the holidays approach. I ask at this time if you can help those in need…please do. American Red Cross: 877-Red-Cross. 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. photo credit: Anthony Mairo
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December, 2012
Hospital Newspaper - NJ
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
Maintaining the Right Image—Hospitals and Medical Imaging Technology Keeping up with the latest technological advances is standard operating procedure when trying to provide the best quality care. With its increasingly critical role in patient diagnosis and treatment, imaging serves as the nucleus of many 21st century hospitals. However, maintaining such cutting-edge technology as CTs, MRIs, and PET scans—and staff who know how to use it—presents financial, logistical, and administrative challenges in a time of limited healthcare resources. Given decreasing capital budgets and reimbursement prospects, imaging equipment, with its million-dollar-plus price tag, can easily get singled out for cost-saving initiatives. The high use of this evolving technology (95 million times a year), the increased use by non-radiologists—orthopedists, cardiologists, and others—coupled with the uptick in prospective imaging patients prompted by aging baby boomers—makes imaging a logical target for hospitals that need to cut costs. Additionally, reimbursement changes have prompted shifts in the imaging market. After the Deficit Reduction Act of 2005, many freestanding imaging centers closed or consolidated with hospitals, thereby boosting the demand on hospitals. Therefore, investments in imaging need to be performance-driven. Will these investments augment patient volume? Improve workflow? Increase hospital productivity? More and more, hospitals are relying on group purchasing organization (GPO) resources to help navigate the complex $100 billion imaging industry and to assess their institution’s technology needs. GPOs have industry and technology expertise. Their ability to research the market, evaluate potential and present equipment performance with evidencebased data, and negotiate the best contracts for purchases—which may include creative elements such as payment deferment and group buys—can offer fiscally conscious hospital imaging departments essential support in their purchasing decision making. Your GPO’s imaging expert can also help hospitals stay current on the industry’s latest use guidelines, which are frequently shifting given the lack of national standards for issues such as radiation dose management and patient safety. The healthcare community is under a great deal of scrutiny from the FDA, Congress, and the public about the safety of radiation delivery. GPOs can also be an essential source of valuable information. GNYHA Services’ imaging expert, Michelle Pollack, regularly educates our membership about important patient safety campaigns, like the American College of Radiology’s National Radiology Data Registry and the cross-organizational Image Wisely initiative to raise awareness about dosing. Our partners at Premier have drafted two reports in the past 14 months on the appropriate use of imaging, including examinations of cost-benefit analysis and radiation risk versus reward. By providing access to portfolio contracts, including training and maintenance programs, actively engaging your institution’s imaging professionals and other hospital staff in the equipment selection and implementation process, and providing opportunities for discussions on education, regulation, and other initiatives, your GPO can be a great partner in assessing and developing your organization’s imaging needs while simultaneously enhancing the image of your organization. Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization, and Nexera, Inc., a healthcare consulting firm. He is also Chair-Elect of AHRMM, the AHA’s premier membership group for healthcare supply chain professionals. Hospitals seeking more information about maximizing their investment in imaging technology should contact GNYHA Services’ Michelle Pollack, RN, at mpollack@gnyha.org.
Hospital Newspaper - NJ December, 2012
WHAT WILL BE YOUR NEW YEAR’S RESOLUTION? RESOLVE TO SAVE WITH GNYHA SERVICES. The GNYHA Services best-in-class contract portfolio offers health systems high-quality, low cost options to meet their every purchasing need. Hospitals interested in securing even more savings can take advantage of our many strategic supply chain solutions, which can be modified to meet each organization’s unique needs and produce long-lasting and meaningful results. ‘Tis the season of savings. Call GNYHA Services today at (212) 246-7100. gnyhaservices.com
555 West 57th St. I New York, NY 10019
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December, 2012
o for es and
t inf Lates
nursdents stu
Hospital Newspaper - NJ
Nurse’s Viewpoint
By Alison Lazzaro
Hospital Newspaper Correspondent
Nursing Implications of Genomics When discussing genomics, what comes to mind? You might be surprised by how much knowledge you actually have about genomics and genetics. Nurses utilize these concepts in assessments and might be overlooking their significance. Genomics looks at the study of genes and their functions in order be get a better understanding of mapping and sequences of genes and DNA. Chromosomes can be thought of as a filing cabinet, with genes as the “files”. Genetics refers to the study of heredity. Both genomics and genetics are becoming an important aspect of health care that nurses need to address. Nurses can advance the use of genomics and genetics in their practice with each patient they see. Eliciting a three-generation family health history can identify disease susceptibility or genetic conditions. Information that should be collected includes disease and age of onset, ethnicity, and maternal and paternal lineages. These few pieces of information can indicate disease susceptibility through diseases found primarily in males, early age of onset for chronic adult onset diseases, and multiple cases of rare diseases. The health history should also uncover environmental and lifestyle factors as well as social and emotional status. Approaching the patient with these questions will open up the door to more personalized medicine that goes beyond BMI and cholesterol levels, but rather looks at specific treatment options and could help avoid potential drug reactions due to the patient’s genetics. According to the National Center for Health Statistics, the top ten leading causes of death in the United States all have genetic or genomic components. Things like heart disease, cancer and diabetes are prominent in patients who nurses treat daily. Therefore, nurses should be at the front lines of uncovering the importance of genetics in practice. Nurses can use the health history they obtain to pick up risk factors that others might overlook and help a patient receive prevention care before it is too late. For instance, Kathleen Calzone, MSN, RN, APNG recalls a time in which a nurse identified paternal family history of early onset breast cancer and ethnicity of Ashenazi Jewish. Knowing that these factors have a greater risk of a mutation in breast cancer susceptibility, she referred the patient to a cancer genetic specialist. The woman went on for testing and was found to have pre-cancerous cells in her ovary. The nurse saved this woman from developing ovarian cancer. Nurses have the power to change and save lives through the use of their knowledge about genomics. Ethically, genetics continues to spark controversy. However, nurses are known for their caring attitude and therefore are in the best position to integrate science and genetic information into healthcare. Nurses can use their knowledge of health histories to elicit risk factors for their patients that have genetic links.
Hospital Newspaper - NJ December, 2012
PAgE 11
education First Graduates of Accelerated 2nd Degree BSN Program attend Pinning Ceremony They came from many walks of life and academic paths to fulfill a common goal – to become a registered nurse. On Sept. 21, the W. Cary Edwards School of Nursing at Thomas Edison State College held a pinning ceremony for the graduates of its inaugural Accelerated 2nd Degree BSN Program to celebrate their success. The accelerated, one-year Bachelor of Science in Nursing (BSN) degree program is designed for adult learners who already possess a non-nursing bachelor’s degree and who are interested in becoming registered nurses. “This program was intense, demanding and designed for motivated students only,� said 2012 graduate Amanda Pinnelli, of Sewell, N.J., who had earned a BS degree in Kinesiology from Temple University before enrolling in the one-year BSN program. She said that the program has afforded her the credentials she was seeking in a shorter period of time compared to conventional programs. “I always had a dream of becoming a nurse and a desire to care for people,� noted Pinnelli.
“Once I embark on my nursing career, I hope to gravitate toward post-surgical rehabilitation. If I can do this every day for the rest of my life, I can say that I have reached my goal.� Of the three program components that Pinnelli and her cohort completed – hands on clinical nursing experience, online courses and classroom-based instruction – the latter is a departure for the W. Cary Edwards School of Nursing, whose RN-to-BSN students customarily complete their course work online. “The students put forth an extraordinary effort and had to be fully committed to putting their lives on hold for the program,� said Dr. Phyllis Marshall, dean of W. Cary Edwards School of Nursing. “The program’s pace and rigorousness demanded that they exclude most other activities from their lives, including work, while they fulfilled their BSN course requirements.� The 16 graduates are now preparing to take the National Council Licensure Examination (NCLEX-RN) exams, which are nationallymandated for the licensing of registered nurses.
“This first Accelerated 2nd Degree BSN class is a remarkable group,� added Marshall. “They will bring a wealth of knowledge, compassion, adaptability, and professionalism to the field of nursing.�
To find out more about the programs available through the W. Cary Edwards School of Nursing, visit www.tesc.edu/nursing. provided
The first graduating class of Thomas Edison State College's Accelerated 2nd Degree BSN Program.
It’s time to check your vitals. ONLINE PROGRAMS: X RN-BSN X RN-BSN/MSN X MSN: Nurse Educator Nursing Informatics Nursing Administration X Graduate Nursing Certificate Programs X ACCELERATED 2ND DEGREE BSN
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PAGE 12
December, 2012
Hospital Newspaper - NJ
education Educational Partnership between Our Lady of Lourdes School of Nursing, Camden County College and Immaculata University allows Lourdes nursing students to earn Bachelor’s and Master’s Degrees Through an official educational partnership with Immaculata University and Camden County College, Our Lady of Lourdes School of Nursing will now offer its registered nurse diploma program with the option to earn a bachelor of science degree in nursing (BSN) as well as a master of science degree in nursing (MSN) on-site at Our Lady of Lourdes School of Nursing. This partnership is the result of a three-year collaboration to provide a seamless transition to higher education to its students, graduates and nurses within Lourdes Health System. For 32 years, Lourdes has had a strong educational partnership with Camden County College (CCC) through its Cooperative Program. This program enables all Lourdes School of Nursing applicants to concurrently earn an associate’s degree in science from CCC. Upon graduation from both schools, applicants are now eligible to be admitted to the RN to BSN program. “Lourdes is excited to enhance our nursing program through the educational partnerships we have with Camden County College and Immaculata University,” says Alexander J.
Hatala, president and chief executive officer, Lourdes Health System. “We are pleased that Lourdes students continue to benefit from our partnership with Camden County College. As we look to the future, we welcome a partnership with Immaculata. The university has an excellent reputation in nursing education and its emphasis on holistic care aligns with our mission to educate nurses that provide outstanding quality care, and serve and advocate for those in need.” “The Immaculata community is proud of this new educational partnership with Our Lady of Lourdes School of Nursing and Camden County College and we look forward to expanding our offerings throughout New Jersey through the Catholic Health East System’s institutions,” says Sister R. Patricia Fadden, IHM, Ed.D., president, Immaculata University. “To be able to offer the RN to BSN and MSN degree programs at Our Lady of Lourdes Medical Center, a mainstay in South Jersey, beginning 2013, also ensures that the educational outlook for the healthcare community in New Jersey will remain strong.”
Maplewood Registered Nurse honored by Seton Hall University Maplewood Resident Laura Tauscher, RN, BSN, CHPN, has been selected as the recipient of the Seton Hall University College of Nursing Nelson Aquino Humanitarian Award for 2012. Each year this award is bestowed upon an alumnus who has contributed significantly to the nursing profession. Laura, a Nurse Liaison for Barnabas Health Hospice and Palliative CareCenter in West Orange, works each day to assist families in negotiating difficult decisions regarding end-oflife care and serious illness. She has a bachelor’s provided degree in English Literature with a minor in Italian from the University of Texas, Austin and a bachelor’s degree in Nursing from Seton Hall University. About Barnabas Health Hospice and Palliative Care Centers Since its inception in 1981, Barnabas Health Hospice and Palliative Care Centers’ staff of trained professionals have provided comprehensive physical, emotional and spiritual care to more than 52,000 patients with advanced illness and their families. The program, which serves infants, children, adults and the elderly, honors the unique choices and values of patients and their families while offering full access to the broad array of services provided by the Barnabas Health. For more information, please visit www.barnabashealthhospice.org.
Says Anne McGinley, PhD, RN, APN, dean of Camden County College’s Division of Nursing, Health Science and Human Services, “This partnership provides a high-quality, affordable continuum of nursing education: General education at Camden County College, nursing education at Our Lady of Lourdes School of Nursing and completion of the BSN with Immaculata University. It is a perfect opportunity for students of many backgrounds to pursue the nursing profession, and it positions them for a long and satisfying career and future prospects.” Students entering the RN to BSN program will be afforded a discount in tuition at Immaculata as a result of the partnership. The RN to BSN program is currently being offered. Lourdes School of Nursing plans to have the MSN program available by summer 2013. The site at Lourdes School of Nursing is an open site. “All at Our Lady of Lourdes School of Nursing share in the excitement of this joint venture,” says Lisa Easterby, DNP, RN, CNE, dean of Our Lady of Lourdes School of Nursing.
“There is a strong demand among students to have on-site classes that allow them to continue their nursing education. We are thrilled to be able to now meet that demand. This partnership is a landmark accomplishment in our school’s history.” The venture is closely aligned with the national initiative, “The Future of Nursing: Call for Action,” which was launched after the Institute of Medicine Report, “The Future of Nursing: Leading Change, Advancing Health.” In New Jersey, the state action coalition has set a goal of having 80 percent of practicing nurses having their BSN degrees by 2020. Information sessions with Immaculata University’s admission representative will be scheduled in the near future. For additional information, call Our Lady of Lourdes School of Nursing at 856-757-3726 or visit online at www.lourdesnursingschool.org
Barnabas Health Hospice to Present Education Program – 4.25 Contact Hours May Be Earned On Thursday, November 29, from 9:00 a.m.—4:30 p.m., Barnabas Health Hospice and Palliative Care Center will host “Living to the End: Exploring the End-of-Life Experience.” The program will be held in Saint Barnabas Medical Center’s Islami Auditorium located at 94 Old Short Hills Road in Livingston, NJ. Contact hours are available for nurses who sign in and complete an evaluation form and contact hours for social workers have been applied for from the National Association of Social Workers, New Jersey Chapter. Cost is $75 for non-Barnabas Health employees. Breakfast and lunch will be served. Registration is required by November 23, by calling 888-724-7123. Presented by an experienced multidisciplinary panel of speakers —including Henry de Mena, MA, Dale G. Larson, Ph.D, Karl Pillemer, Ph.D, and Journalist Paula Span — “Living to the End” is designed to give attendees the knowledge to: Summarize the broad spectrum of factors which influence the end-of-life experience for patients and their families. Define the effects of caring for incurably ill patients on family and professional care providers. Identify ways to strengthen resilience in caregiving. Topics scheduled to be presented include Compassion Fatigue and Burnout: Building Resiliency in the Caregiving Team, A Family Affair: Decision Making at the End of Life, 30 Lessons for Living: Elders Speak Out on Life and Death, The Need to Grieve and Secrets at the End of Life: On Truth and Transformation in Life’s Final Moments. For more information, please email eolconference12@barnabashealth.org.
Hospital Newspaper - NJ December, 2012
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First National survey of Anesthesiologists over 50 identifies factors that could influence predicted physician shortage A large, first-of-its-kind national survey of older anesthesiologists has gathered important data that could be used by physicians and their employers to prepare for an expected undersupply of anesthesiologists in the near future. The resulting study was published in the November issue of Anesthesiology. Findings from the study include: • Older anesthesiologists’ long workweeks (49.4 hours per week on average) are similar to other physicians, but substantially longer than other professionals, such as attorneys (44.9), engineers (43) and registered nurses (37.3). • Older anesthesiologists devote 81 percent of their time on average to clinical care, particularly those specializing in critical care medicine or pain management. • Anesthesiologists participated in clinical care well into their 60s; forecasts predict that 30 percent of anesthesiologists are expected to work past age 65, approximately 18 percent past 70 years, and perhaps 10 percent will likely work at age 80. • Concurrently, it was found that as anesthesiologists age, time spent in clinical care decreased and the number of anesthesiologists working part-time increased, particularly for women. One-sixth of the survey population reported working in a self-defined part-time mode. “Anesthesiology is among 21 medical specialties experiencing or expected to experience physician shortages in the near future,” said lead study author Fredrick K. Orkin, M.D., an adjunct professor at Yale University School of Medicine. “Workforce shortages reflect many trends, including an aging physician population, medical debt, static production of new physicians, reduced physician work hours, a growing and aging patient population with complex medical conditions, and expansion of and enhanced access to health care services.”
According to Dr. Orkin, identifying older anesthesiologists’ practice patterns and retirement plans is an important first step in dealing with the consequences of an undersupply of anesthesiologists. “In designing interventions to retain practitioners in the workforce, initiatives may need to be age-specific or perhaps even subspecialist-specific,” said Dr. Orkin. For example, pain management and critical care subspecialists leaving practice cited loss of clinical autonomy as a major influence, and most anesthesiologists leaving clinical practice in their 50s cited poor health. “Our study lends further support for increased attention to potentially modifiable factors that could affect future workforce supply,” said Dr. Orkin. “Such factors might include workplace wellness programs and other initiatives that enhance professional satisfaction. Our study also highlights the under-recognized trend toward part-time work and how this trend could be managed to help retain larger numbers of older, but skilled, anesthesiologists in the clinical setting.” For more information, visit the Anesthesiology website at anesthesiology.org. THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS Anesthesiologists: Physicians providing the lifeline of modern medicine. Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with 48,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient. For more information on the field of anesthesiology, visit the American Society of Anesthesiologists Web site at www.asahq.org. For patient information, please visit LifeLineToModernMedicine.com
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PAGE 14
December, 2012
Hospital Newspaper - NJ
career guide Career OppOrtunity!
Rehabilitation Counselor NYC. Master Degree required Send resume to:
212-371-2250 Back & Body Medical Care PC.
UNIQUE RECRUITMENT OPPORTUNITY Hospital Newspaper believes that high school students should be informed about potential healthcare careers. Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools.
This is your opportunity to display opportunities for: Faculty/Physician Nursing Administrative Support Positions Clinical Care Medical Assistants Counselors Medical Imaging Dieticians
Please contact Jim Stankiewicz for more information. jim@hospitalnewspaper.com tel: 845-534-7500 x219
When Patients Turn to You, You Can Rely on AdCare® Career Opportunities at AdCare® Hospital, Worcester, MA Hospitalist. Full Time to offer medical care in inpatient and outpatient settings in addiction medicine. The qualified candidate must be a Massachusetts licensed physician or eligible for a license in Massachusetts, and ABAM or ASAM certified or eligible. Director of Nursing. FT will be responsible for providing leadership and direction to the development, implementation and evaluation of processes which ensure compliance with DPH, Joint Commission and other regulatory standards, improves quality and safety of patient care, facilitates and enhances professional nursing practice and ensures the highest of quality customer service in accordance with AdCare's Standards of Excellence. BSN required; Master's preferred; current RN license by the MA Board of Nursing. A minimum of 3 years in a nursing administrative/supervisory role; 3/more yrs. behavioral health experience. Experience using electronic medical record systems. Case Manager/Discharge Planning Full Time: To ensure, through direct coordination, individualized quality treatment to patients at the most appropriate level of care that safely addresses the acuity of the patient through the expedient, cost effective application of services and insurance benefits. Rounds with the treatment team daily. Qualified candidate must be familiar with managed care reviews for continued stays; knowledge of discharge planning; psych and substance abuse knowledge preferred. Education: Licensed RN preferred, LICSW acceptable. Two years utilization experience preferred. Skills: Ability to organize, manage and review appropriate treatment from both Managed Care and Utilization Review perspective. Ability to problem solve and coordinate treatment from a benefits perspective. Strong interpersonal skills. Familiarity with insurance benefits and national levels of criteria of care. Ability to document using electronic systems (EMR) and Microsoft Applications. For further job information and to apply please see www.adcare.com. AA/EEOC AdCare Hospital of Worcester Inc. is a 114 bed hospital equipped to meet the treatment needs of alcohol and drug abuse patients at all stages of addiction. AdCare’s staff is comprised of the region’s most highly qualified. At the heart of our acute care philosophy is recognition of the need to stabilize acute symptoms and to motivate the patient to continue receiving substance abuse treatment post inpatient discharge. AdCare is accredited by the Joint Commission and has been recognized as one of the 100 Best Treatment Centers for substances in the United States.
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Hospital Newspaper - NJ December, 2012
careers St. Joseph’s Regional Medical Center radiologists selected as New Jersey Monthly 2012 ‘Top Doctors’ New Jersey Monthly magazine released their 2012 Top Doctors list and St. Joseph’s Healthcare System is proud to announce that among the 840 physicians in 68 medical specialties included are 5 of our radiologists. This annual list of the Garden State’s best medical practitioners is based on an independent survey. Congratulations to the following St. Joseph’s Regional Medical Center Radiologists for being selected: Kalavathy Balakumar, MD; Edward Milman, MD; Prashant Parashurama, MD; Orestes Sanchez, MD; and Frank Yuppa, MD, Chairman, Department of Radiology, SJRMC. For information about the expertise of these physicians, and other St. Joseph’s Healthcare System medical staff members, please visit us online at www.StJosephsHealth.org. To compile the list, ‘New Jersey Monthly’ commissioned an independent survey by Leflein Associates, a research firm in Ringwood, NJ. Questionnaires were mailed to every doctor licensed in New Jersey for at least five years. Each of the doctors was asked to vote for physicians he or she would choose to treat him or herself or a family member. The votes were tallied and preliminary results provided to ‘New Jersey Monthly’. Next, a blue-ribbon advisory board of New Jersey doctors was asked to examine the preliminary results for possible additions or deletions, with special attention to physicians in their respective fields of practice or regions of the state. The 24 member board was selected by New Jersey Monthly from among top vote getters in previous surveys. ‘New Jersey Monthly’ also received special assistance from the Medical Society of New Jersey in compiling this year’s list. About St. Joseph’s Healthcare System Founded by the Sisters of Charity of Saint Elizabeth in 1867, St. Joseph’s Hospital, now St. Joseph’s Healthcare System, has grown in size and scope of service to encompass St. Joseph’s Regional Medical Center, an academic tertiary medical center and state-designated trauma center which includes acute care comprehensive state-designated St. Joseph’s Children’s Hospital in Paterson, NJ; St. Joseph’s Wayne Hospital, an acute care community hospital and division of St. Joseph’s Regional Medical Center in Wayne, NJ; and St. Vincent’s Nursing Home, a long-term skilled nursing home in Cedar Grove, NJ. For more information about St. Joseph’s leading edge programs and services, visit www.StJosephsHealth.org or call 877.757.SJHS (7547).
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December, 2012
Hospital Newspaper - NJ
H HOSPITAL of the Year! Bergen Regional Medical Center Three Divisions of Care...One Commitment to Excellence. • Diversified Recreational Therapy activities for all functional levels including horticultural therapy in the BRMC • Greenhouse, arts and crafts, music programs, cooking programs, variety shows, dances, birthday parties, and many other dynamic interactions designed to allow our residents to enjoy life to its fullest • Regular community outings including trips to movie theaters, restaurants, shopping centers, parks, sporting events and museums • Flat Screen TV’s and Wii Entertainment Systems in dayroom areas • Greenhouse • Library • Game room • Kosher meals provided upon request • Dedicated Korean Program that meets the cultural needs of our Korean community With 323 beds, Bergen Regional is one of the largest medical resources providing a continuum of care for the behavioral health community. Behavioral Health Services at Bergen Regional Medical Center provides quality psychiatric and addictive disease treatment programs for children, adolescents, adults, and older adults. The full compliment of services includes:
Long Term Care | Behavioral Health Services| Acute/Ambulatory Care Located at 230 East Ridgewood Avenue in Paramus, NJ, Bergen Regional Medical Center provides a comprehensive set of quality services including Long Term Care, Behavioral Health Care and Acute Care to the Bergen County community. Bergen Regional is both the largest hospital with 1,070 beds and the largest licensed nursing home in New Jersey. It is also a safety net provider for the mentally impaired, elderly, uninsured or underinsured for the state of New Jersey. The entire Medical Center, including its Long Term Care Division, is fully accredited by the Joint Commission. Less than 6% of Long Term Care facilities nationwide pursue and receive Joint Commission accreditation. The Long Term Care Division of the Medical Center was named the 2012 NJ Biz HealthCare Heroes Nursing Home of the Year. The Division is known for the quality of life and quality of care it provides its residents and for more than 80 years, families have trusted Bergen Regional Medical Center to provide comprehensive, high-quality long term care services for their loved ones. As a full service, accredited medical center, Bergen Regional provides nursing care, as well as access to specialized onsite physicians 24 hours a day, 365 days a year. Because the facility has an on site acute care hospital, if residents experience medical emergencies day or night, the comprehensive medical care they need is always just an elevator ride away. Long Term Care specialty services include: • Rehabilitation services, including physical therapy, occupational therapy and speech therapy • In-house respiratory therapy services • 12-bed ventilator unit • Surgical care • Tracheostomy care • Professional dietitians and chefs who can accommodate most food preferences and therapeutic diets • Hospice services which, if elected, is provided in addition to the care offered by our professional nursing, social work and other staff • Several high medical acuity units are available. Intravenous therapies, gastrostomy tube feeding and advanced respiratory support services are available • A comprehensive wound care program • Respite program • Secure Alzheimer/Dementia units • Multi-faith pastoral care provided at bedside and in our interfaith chapel. • A personal care salon on site. Services offered in the salon or in the privacy of a resident’s room
• • • • • •
Mental Health and Substance Abuse Assessments Acute Psychiatric Hospital Care Sub acute/Intermediate Psychiatric Hospital Care Psychiatric Intensive Outpatient and Partial Hospital Programming Substance Abuse Intensive Outpatient and Partial Hospital Programming Outpatient Services
In addition to its long term care and behavioral health/substance abuse expertise, Bergen Regional also offers acute medical services including: 24/7 emergency department; surgical suites; physical rehabilitation; pharmacy; laboratory; radiologic services and 23 ambulatory specialties available through the BRMC Clinic. BRMC is certified as a Nurses Improving Care for Healthsystem Elders (NICHE) facility. Bergen Regional Medical Center is one of only two NICHE designated hospitals in Bergen County and one of 29 hospitals in New Jersey. Whatever your medical or mental health needs, Bergen Regional Medical Center is committed to providing you or your loved one with compassionate and quality care. Contact Bergen Regional • www.bergenregional.com Main Number Long Term Care Admissions Acute/Ambulatory Services Access Center for Mental Health and Addiction Services
201.967.4000 201.967.4073 201.225.7130 1.800.730.2762
photos provided
Hospital Newspaper - NJ December, 2012
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December, 2012
Hospital Newspaper - NJ
Mir acles of Rehab Elizabeth 90-year-old proves she’s “Got Heart”
Jean Mikita, RN, cardiac rehab nurse, enjoys a warm and cordial relationship with the workout wonder.
A 40 something woman keeps weight off by doing 20 minutes on the rowing machine. Another woman in her early 60s works on the recumbent bike to strengthen her heart following heart valve repair surgery. By the weights, a 20 year old man swaps stories with a 50 year old. Welcome to the world of movers and shakers at Trinitas Regional Medical Center’s Health and Fitness Center in Elizabeth where you’re suddenly taken by surprise when you see a healthy head of gray hair that belongs to a woman who could easily be the mother of the 60 year old! With grit and determination that dates back to her youngest years, Antonetta Paul of Elizabeth is a firm believer in staying active to stay young and healthy. A cardiac patient who underwent a quadruple bypass in 2005, at 90 years old Antonetta is among the oldest members of the Health and Rehabilitation Center at Trinitas Regional Medical Center. Antonetta suffered from polio as a child. Her mother died when she was six and she remembers being in a stroller until she was seven years old and started school. Her father, Antonio Rocco, owned and operated a scrap metal business in Elizabeth. Determined to strengthen his daughter, he encouraged 10-year-old Antonetta to work with him in the scrap metal yard.
Jill Adams, exercise physiologist, offers Antonetta encouragement that keeps her in step on the treadmill.
photos provided
Judy Christianson, RN, cardiac rehab nurse, monitors Antonetta Paul’s work out as she gets exercise designed to strengthen her upper body.
Antonetta got her first job at age 17 and worked for 55 years. She finally retired at 80. Antonetta shared 50 years of marriage with Anthony L. Paul until his death in 1997. The Pauls had three children --Anthony Jr., who died in 2011, Deborah, and Craig who live in Union County. Antonetta also has five grandchildren and a great grandchild. How she got into the workout regime at Trinitas is the story of attentive doctors and excellent follow-up care. While under the care of Elizabeth cardiologists David Pinnelas, MD, and Edward G.
Williams, MD, Antonetta went for a routine stress test that proved to be anything but routine. Within a moment of getting on the treadmill, Dr. Pinnelas advised his patient to immediately step off and come into his office. “When I got there, Dr. Pinnelas told me that I had serious cardiac problems,” recalls Antonetta. “He recommended a quadruple bypass. Well, I told him the surgery would have to wait a few days since I had plans to visit the Liberty Bell in Philadelphia with my children and grandchildren,” she quips. The Elizabeth resident, who remembers only experiencing some
Hugh Rappaport, exercise physiologist, checks Antonetta’s weight on a regular basis so that she knows and can appreciate the benefits of her exercise routine.
nagging fatigue, had the surgery at Beth Israel Hospital in Newark when she was 83. Following her hospital stay, Antonetta spent three weeks in a rehabilitation/nursing home setting. But since then she has lived independently in Elizabeth. And she likes it that way. “My mother has always been independent,” says Deborah Paul Wendel. “She still drives occasionally and a few years ago she finally joined a local senior citizens group. She swore she never wanted to be around ‘old people’.” Since the major surgery, Antonetta’s fatigue is a thing of the past and her heart health couldn’t be better. She is one of the most frequent and consistent users of the Health and Rehabilitation Center at Trinitas. Her three-daya-week schedule that begins at about 7 am includes 20 – 25 minutes on the stationary bicycle, 6 – 10 minutes on the treadmill and up to 12 minutes on the Nu-Step recumbent bicycle. She also does four minutes on the bicycle-like apparatus designed to improve upper body strength in women. In between these exercises that elevate her heart rate, Antonetta spends downtime to allow her heart rate to return to normal before moving on to the next set of exercises.
At every step of the way, Antonetta’s progress is monitored under the guidance of Exercise Physiologist, Hugh Rappaport. With nearly 30 years experience, Hugh has seen a lot of people work hard to come back following cardiac surgery. “To describe Antonetta in a word, it would have to be feisty,” observes Hugh. “She might have turned 90 recently, but she has the spunk of a woman 30 years her junior. She is a pleasure to work with, she encourages everyone around her, and I look forward to assisting her reach 100 and beyond.” Also keeping an eye on Antonetta are cardiac rehabilitation nurses, Judy Christianson and Jean Mikita. They, too, marvel at the energy and spunk of their 90 year old friend. They consider Antonetta a major success story who deserved an celebration in honor of her 90th birthday. “Antonetta is one of a kind. Her spirit and dedication to her own health is an inspiration for all,” explains James Dunleavy, PT, Director of Rehabilitation Services at Trinitas. “When she is in the Center, it brightens my day to see her working out, smiling and telling jokes. She makes our day!” For Antonetta, a day without a visit to the Center is like a day without sunshine. “I enjoy the time I spend at the Center. I look forward to it and it helps me get my day started,” Antonetta says. “Jean, Judy and Hugh tease me a bit. But, I know that they just like to bring a smile to my face.” Antonetta appreciates the excellent care and attention she received from Dr. Pinnelas at the time of her surgery. Without that brief yet fateful walk on the treadmill, she might not have lived to reach her 90th birthday. She recalls a visit to his office a few years back after her surgery when the cardiologist told her he was leaving the Elizabeth area to establish an office in Neptune at the Jersey Shore. “He asked me if I would be willing to visit his new office once a month so he could keep on eye on me,” she explains. “Well, I looked at him and said, ‘I tell you what, how about if you come up to the office here in Elizabeth to see me once a month?’ Dr. Pinnelas just couldn’t stop laughing.”
Hospital Newspaper - NJ December, 2012
Page 19
Kick your Knee Pain Good-Bye!
D
on’t let knee pain put you on the sidelines. At the Trinitas Regional Medical Center
Total Joint Replacement Program you’ll find
orthopedic surgeons known throughout the region for their skill and expertise. Our staff of highly skilled and compassionate nurses and physical and occupational therapists will put you back on the road to recovery. You’ll be making quick strides to pain-free function. To learn more about our staff of orthopedic surgeons and the services offered by the Total Joint Replacement Program, call (908) 994-5406.
Enjoy pain-free living again. TOTAL JOINT REPLACEMENT PROGRAM at TRINITAS REGIONAL MEDICAL CENTER
HEALTH & REHABILITATION CENTER Gregory P. Charko, MD
John W. King, DO
David E. Rojer, MD
240 Williamson St., Suite 103 Elizabeth, NJ 07202
908-994-5406 Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.
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December, 2012
Hospital Newspaper - NJ
photos provided
Mir acles of Rehab
Rob shows off his new-found skills, scaling a 35-foot rock climbing wall in 2.5 minutes flat. Rob shown here with his bevy of rehab clinical team (from left to right) Andrea Smeraski, SLP, (dysphagia therapist), Bridget Peterson, OT; Victoria Falat, PT; Mia Aubrey, SW, and Deana Montufar.
No Wall Too High for Him to Scale By Diana Ryan, RN, Victoria Falat, MPT and Roselyn A. Roxas, PT Robert Coxe, Jr. is an extraordinary young man. Nearly three years ago, Rob suffered a traumatic brain injury due to a car accident that left him in a coma and changed his life forever. He remained in a coma for three months and woke up with subsequent functional deficits. He was unable to walk, talk or eat. Needless to say, Rob’s journey towards recovery was truly remarkable and quite an uphill battle. A few months ago, with the help of his team of therapists, he literally did just that. He was able to scale a 35-foot indoor rock climbing wall in two and a half minutes flat. He also recently completed his own therapeutic yoga video and instruction manual with the help of his physical therapist. This is just a bird’s eye view of Rob’s story and how passion, dedication and perseverance can change someone’s life. VPF Therapy In May of 2010, rob was transferred to Voorhees Pediatric Facility after being discharged from his acute rehabilitation program. At VPF, he began an intensive program of physical therapy, occupational therapy, speech and dysphagia therapy, as well as therapeutic recreation.
Prior to him injury, Rob completed his final community service project for the Boy Scouts of America to become an Eagle Scout. In March of 2011, with the help of his dedicated team of therapists, Rob was able to give his induction speech at the podium during the Eagle Scouts Ceremony. Rob confidently spoke about his accomplishments, and expressed how proud he was to be an Eagle Scout. Future Goals When asked what he feels is his best accomplishment, Rob explained that prior to his injury, he would have responded – “becoming an Eagle Scout.” However, post-injury, Rob stated that being able to eat independently is his biggest accomplishment. “It doesn’t sound like a big deal but for me it is.” Rob underwent intensive dysphagia therapy and continues to do oral exercises to overcome many obstacles and setbacks. In the past year, Rob has focused on helping others, to show his appreciation to everyone who helped him through his recovery, and be able to give back to the community. Rob is now an official member of the VPF Volunteer Program and is frequently found reading to children within the facility. He also joined the volunteer program at the
Voorhees Animal Welfare Association and organized a bake sale to raise funds for their program. Most recently, Rob decides to run a VPF food drive for a local church. These are just a few of Rob’s multiple accomplishments and community projects. Helping Others Through his therapy services, he has developed the ability to use strategies not only for functional gain, but to help change the lives of others. Rob also understands the reality of his injury and the long term effects that will continue to impact his goals in life as he moves forward. “I think that my overall view in life has changed since my accident, but I feel that it is a blessing in some ways because it made me a better person. My focus on life has shifted to being part of the community and helping people in any way I can,” Rob said. Rob’s social worker and the Interdisciplinary Care Team at VPF have facilitated a plan for his discharge with the assistance of community resources, to a supported community home for young, adults who experienced traumatic brain injury.
Hospital Newspaper - NJ December, 2012
Mir acles of Rehab Impaired Walking Limited Activities
Rehab client Lorna Seiger is putting the finishing touches on her cheese tortellini in cream sauce, as occupational therapist, Fran Davis, COTA, looks on. Lorna also chopped up vegetables for the tossed salad on her left.
By Renee Glick Lorna Seiger, a resident of Cherry Hill, arrived at the Rehab Center at Daughters of Israel located in West Orange in December 2011, with a complicated foot ulcer that affected her ability to walk around. She was forced to relearn walking and climbing steps. Lorna selected Daughters for her rehab stay at the recommendation of her daughter-in-law, Dr. Mia Seiger, a dentist at Daughters. However, it was not just being in close proximity to her daughter-in-law that urged her to select Daughters. It was Dr. Seiger’s recommendation that she come to Daughters due to the “superb quality of rehabilitation and nursing.” Lorna received therapy six days per week, for 2 ½ hours per day in the spacious rehab gym at Daughters, using the state-of-the-art equipment funded through the generosity of The Healthcare Foundation of New Jersey. Lorna’s therapy routine included intervals on the Omnicyle, parallel bars, and stairs, with the help and encouragement of her team of therapists.
Does Your Treatment Plan Include Rehabilitation?
State-of-the-Art However, the most enjoyable part of Lorna’s rehab routine was whipping up gourmet cuisine in the new bi-level therapeutic kitchen, also funded by the foundation, which accommodates both those who are in a wheelchair, and those using a walker or no aids. The kitchen, located in the gym, features stainless steel appliances, sleek cabinetry and even a Keurig coffee machine. According to one of her physical therapists, Jamie Giabia, “Lorna was fun to work with. She also worked diligently with us as she was motivated to return home and resume her daily routine.” Lorna was discharged in March 2012, exceeding expectations, able to walk more than 500 feet independently with her walker, and able to climb the stairs by holding onto a single rail.
Sub-Acute SubAcute Rehabilitation
Staff And Facilites Lorna was thrilled with her rehab experience at Daughters, “The staff was wonderful, warm and caring. I was also very impressed with the high quality of care I received from both the nurses and therapists.” She also enjoyed the relatively new recovery suites equipped with amenities such as flat screen televisions and WiFi access. Now Lorna is back home, picking up her daily routine, playing Mah Jong with friends, knitting, and spending time with her family. In fact, this past summer, she had a fabulous time on an overnight trip to New York’s Soho, visiting family.
s Expert On-Site Medical Care
Daughters of Israel offers a relaxing, safe environment with trained medical professionals. Our private rehabilitation campus features: s A Spacious, State-of-the-Art Gym, s Recovery Suites and Lounge with Luxury Amenities s Fine Kosher Cuisine
For more information or to schedule a private tour call 973-400-3307 or visit www.DaughtersofIsrael.org Daughters of Israel is a non-sectarian community.
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December, 2012
Hospital Newspaper - NJ
10 Years of Excellence in Caring For You: Acute Rehabilitation Unit at St. Joseph’s Wayne Hospital The Acute Rehabilitation Unit (ARU) at St. Joseph’s Wayne Hospital, a division of St. Joseph’s Regional Medical Center and member of the St. Joseph’s Healthcare System, recently celebrated their 10th Anniversary, recognizing the excellent and professional care they offer to the community. The ARU was honored as a 2012 NJBIZ Healthcare Heroes Award Finalist in the “Physical Therapy Rehabilitation Center of the Year” category. A warm supportive healing environment, the Acute Rehabilitation Unit at St. Joseph’s Wayne Hospital (SJWH), is the only rehabilitation facility of its kind in Passaic County. Uniquely located in a hospital setting, it offers comprehensive individualized services for adults in need of intensive medical rehabilitation. The 20-bed ARU consists of four private and eight semi-private rooms designed to accommodate the special needs of its patients. The spacious 14,000 square-foot facility features comfortable dining and patient activity rooms, state-of-the-art physical/occupational therapy gym, an evaluation room, and conference room designated for family meetings. Located on the 7th floor of SJWH, the ARU offers restful breathtaking views of the park-like campus.
The ARU’s interdisciplinary team – Board-certified physician and registered nurses specializing in rehabilitation, physical, occupation and speech therapists, case managers and social workers – pride itself on meeting each patient’s medical, physical, spiritual and psychological needs, while ensuring maximum recuperation, with improved quality of life as the ultimate goal. The unit serves patients with a wide range of diagnoses from spinal cord and brain injuries, hip fractures and joint replacements to congenital deformities, amputations, burns, and major multiple trauma, as well as stroke and neurologic disorders. The Acute Rehabilitation Unit exceeds regional and national benchmarks by discharging 80% of patients directly to the community. The hospital-based location and size of the ARU, in comparison to most other rehabilitation units, ensure immediate and appropriate treatment, a personalized care plan that is team-reviewed twice weekly, and one-on-one care. In addition, the ARU offers patients fast, convenient access to a continuum of services available at the hospital and across St. Joseph’s Healthcare System. Onsite diagnostic and treatment services
provided
Pictured, standing (left to right): John P. Bruno, Vice President, Human Resources, St. Joseph’s Healthcare System (SJHS); Priscilla Kaszubski, MD, Chair, Rehabilitation Medicine, St. Joseph's Regional Medical Center (SJRMC); Donna Stone, Administrative Director, EEG, Orthopedics and Rehabilitation Medicine, SJRMC; Linda Cronk, PT, Administrative Director, Rehabilitation Services, St. Joseph’s Wayne Hospital (SJWH); Supriya Massood, DO, Medical Director, Acute Rehabilitation Unit, and Chair, Department of Physical Medicine & Rehabilitation, SJWH; Daniel P. Kline, Vice President, SJHS and Site Administrator, SJWH. Sitting (left to right): Francine Halushka Katz, Esq., Vice President & General Counsel, SJHS; Suji Thomas, Nurse Manager, Acute Rehabilitation Unit, SJWH; Sr. Maryanne Campeotto, SC, Vice President, Mission, SJHS.
include radiology, laboratory, respiratory therapy, diabetes education, wound care, pastoral care, a sleep center, driver rehabilitation and emergency intervention, if necessary.
Community-sponsored programs include yoga classes and pet therapy. Extremely gratifying work, the staff at the Acute Rehabilitation
Unit impacts peoples’ lives each day, successfully empowering patients to see what they really can do while helping them attain their goals.
Happy Holidays! from the staff of Hospital Newspaper
Hospital Newspaper - NJ December, 2012
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Remembering a Pediatrics Pioneer Dr. Lawrence T. Taft was a member of the Matheny Medical and Educational Staff medical staff for 13 years before he died in 2008. At that time, Matheny changed the name of its annual Service Awards to the Lawence T. Taft Awards, in honor of the man who helped establish the field of neurodevelopmental pediatrics. He founded the Children’s Evaluation and Rehabilitation Center at Albert Einstein College of Medicine of Yeshiva University in the Bronx, and was the first chairman of the Department of Pediatrics at Robert Wood Johnson University Medical School where he established the Institute for the Study of Child Development. While at RWJUH, he developed a pediatrics department that reflected his philosophy and included a division of neonatology, in which high-risk births and prematurity were treated and studied. He also received the University Excellence Award “for demonstrating a high level of achievement and recognition by his peers for patient care.”
Odette Taft and Gary Eddey, MD, Matheny vice president and chief medical officer, at Taft’s home in Princeton, NJ.
Dr. Taft’s widow, Odette Taft, remembers how much her husband “loved going to Matheny. He loved working with the kids, and he loved the parents as well. He would always shake the child’s hand. That way he felt they wouldn’t be afraid of him. And he
always made a point of telling the parents, ‘You’re doing a good job.’ We’d get letters from families all the time.” Matheny is a special hospital and educational facility in Peapack, NJ, for children and adults with medically complex developmental disabilities.
Visual Tracking System eases computer access for Matheny students Matheny School student Daniel Gaudreau is able to select his favorite music videos by gazing at a computer screen. It’s part of a new indirect access communications program made possible by an $8,451 grant to the Matheny Medical and Educational Center from the Summit Area Public Foundation (http://sapfnj.org). With the grant, Matheny is training students with medically complex developmental disabilities to control a computer by using visual tracking and scanning technology. Matheny is a special hospital and educational facility in Peapack for children and adults with developmental disabilities.
Gaudreau is in the beginning stages of learning how to use this technology, but with assistance from Matheny speech language pathologist Christine Mayercik, he can make choices on the computer screen that were previously impossible. So, for example, he chooses Taylor Swift and Gangnam Style music videos over a video clip of President Barack Obama appearing on the David Letterman Show. “You need to look for two green lights,” Mayercik advises Gaudreau. “Then an arrow will take you to the next screen, and the finger pointer will take you to the video.” photos provided
Matheny student Daniel Gaudreau, assisted by Christine Mayercik, uses the eye tracker to click on a Taylor Swift music video.
The equipment used for this project was purchased with funds from the SAPF grant and has been set up on a dedicated computer table that will allow students easy access. “The trial group of students is using the eye tracker during therapy sessions,” Mayercik points out, “and data and photos are being collected. Students are currently able to maneuver the cursor around the screen and use either an eye blink or maintain the cursor in one spot for a predetermined amount of time to activate a mouse click. PowerPoint is currently being utilized for practice activities where students have to use either one click, to change a slide moving through a presentation, or two clicks to activate an animation and then change slides.” Once students become comfortable with this technology, they will be encouraged to begin using it during offprogram hours with support from Matheny’s recreation therapy staff. Teaching students to use technology such as this is integral to Matheny’s goal of improving the lives of its students and patients. Technology such as the eye tracker system not only facilitates education and increases leisure activity options; it also enables unprecedented levels of communication between the students and patients and their teachers, family and community.
Herbert J. Cohen, MD, professor emeritus at Albert Einstein’s Department of Pediatrics, recalls that Dr. Taft, “pushed for the team approach. He brought together a number of people from different departments for an interdisciplinary approach.” That approach, adds Odette Taft, “is now an established, respected form of care.” Dr. Taft was Dr. Cohen’s mentor. “When I came here in 1964, he trained me in what became developmental pediatrics. Larry was a good observer of children’s behavior and development and an excellent teacher. He was clearly a leader in the field of developmental pediatrics. He really cared about what he was doing and helping children, and a number of people he trained went on to have
leading positions in the field. He was a very good teacher and role model.” Dr. Taft was also a mentor to Gary Eddey, MD, vice president and chief medical officer at Matheny. Working with Dr. Taft, says Dr. Eddey, was “pure pleasure. Until the very end – three months before he died – he was training the medical staff and me how to provide care for the patient population with complex disabilities.” Odette Taft remembers a trip to China. “One of the Chinese doctors came over to him and said, ‘I’ve read your papers.’ We were in Greece, and a woman brought her child to see him. He was so gratified that people thought so highly of him.”
PAGE 24
December, 2012
Hospital Newspaper - NJ
Umbrella Gala at MetLife Stadium raises $390,000 Children’s Specialized Hospital Foundation celebrates Gala’s 25th Anniversary
Ali Stroker and Jessica Galli on the field during the speakers program.
Morris Lenczicki, treasurer of Children’s Specialized Hospital Foundation Board of Trustees, and vice president of operations at L’Oréal USA, 9th from right and Bear Pascoe, NY Giants Player (middle in back row) with the L’Oreal USA team
Children’s Specialized Hospital Foundation celebrated the 25th anniversary of its annual Umbrella Gala at MetLife Stadium in East Rutherford on October 16. Supporters helped raise a record setting $390,000 to fund the hospital’s newest outpatient care center in Newark. Children’s Specialized Hospital is the largest pediatric rehabilitation system of its kind in the nation. The outpatient center in Newark, scheduled to open in 2013, will offer physical therapy, occupational therapy, speech, psychology and physician services and allow hundreds of families to receive access to services closer to home. The gala committee selected Investors Bank as this year’s honoree and their president and CEO Kevin Cummings graciously accepted this special honor. Drummers With Attitude, a high school percussion group from Pennsylvania, found the beat on plastic tubs and greeted guests as they made their way into the stadium. Current New York Giant Bear Pascoe and former New York Giants Bill Ard, Don Herrmann, Scott David, Brian Saxton, Stephen Baker and Scott Brunner attended the celebration as over 330 guests filled the Toyota Club with field level access. Supporters bid on silent auction items and tossed around the football on the field. Michael Harrison, Esq., gala committee chairman and Children’s Specialized Hospital Foundation trustee, says this year’s team focus at the Umbrella Gala is a perfect metaphor for the hospital. “Children’s Specialized Hospital works like a well-run team. I’m proud to be associated with such a winning organization that tirelessly works to support patients in need of care. The committee has generously donated their time to make this gala a huge win for the kids.” The celebration continued with a short speakers’ program which featured two former Children’s Specialized Hospital patients. Ali Stroker, a former patient, sang a beautiful rendition of the National Anthem and shared her story of recovery after a nearly fatal car accident. Ali has found success in the performing arts
and most recently was a finalist in the “Glee Project.” Jessica Galli, a four-time Para-Olympian, shared her story and her recent success winning a bronze medal and representing the United States at the 2012 Games in London on the track and field team. Both Ms. Stroker and Ms. Galli suffered spinal cord injuries at very young ages and both received rehabilitative care at Children’s Specialized Hospital. Special appreciation to the Gala’s major sponsors BASF, L’Oreal, Investors Bank, Michael Harrison, Prudential, and CR Bard. Gala chairman Michael Harrison is joined by committee members Alan Blake; John Boyle; Annette Catino; Kevin Cummings; John A. Deford, PhD; Leonard Gannet; Karen Hess; Margaret Hollywood; Anne Hoskins; Tom M. Kay; Thomas Koestler, PhD; Joe Lamendola; Morris Lenczicki; Stella Matteace-Esposito; Jeffrey Rosen; Neal Rotenberg; Barbara Rothman; Anita J. Siegel, ESQ.; Debbie Spicehandler; Donald Witmondt; Phil Salerno III; and Nicholas Boccella. Children’s Specialized Hospital is the preeminent provider of rehabilitation services for children with special needs. The hospital serves children affected by brain injury, spinal cord injury, premature birth, autism, developmental delays, and life-changing illnesses. Children’s Specialized Hospital has nine sites in New Jersey and treats 19,000 children each year, making it the largest pediatric rehabilitation system of its kind in the nation. Services include outpatient services, acute rehabilitation, and long-term care through its sites in Bayonne, Clifton, Egg Harbor Township, Mountainside, Toms River, Fanwood, Hamilton, New Brunswick and Roselle Park as well as outreach programs in many communities. Children's Specialized Hospital is a proud member of the Children's Miracle Network Hospitals. Children’s Specialized Hospital Foundation supports the programs and services of the hospital. The Foundation is ranked among the top six pediatric hospital foundations in the country. To help, or find more information: visit www.childrens-specialized.org; find us on Facebook, or follow us on Twitter @ChildrensSpecNJ.
John DeFord, Ph.D., 3rd from Right wearing #3, Senior Vice President, Science, Technology and Clinical Affairs, C.R. Bard with the C.R. Bard team photos provided
(L to R) Phil Salerno, III, president and chief development officer, Children’s Specialized Hospital Foundation; Kevin Cummings, president and CEO, Investors Bank; Michael Harrison, Esq, gala committee chairman and Children’s Specialized Hospital Foundation trustee and Amy B. Mansue, president and CEO Children’s Specialized Hospital.
Hospital Newspaper - NJ December, 2012
PAGE 25
ASA rebukes CMS rule for jeopardizing patient safety and quality health care Final rule passed to pay nurses for chronic pain services is severely flawed and dangerous The American Society of Anesthesiologists (ASA) expressed its serious concern regarding the Centers for Medicare & Medicaid Services’ (CMS) decision to adopt a new and untested national policy that will allow Medicare funds to be used to pay untrained providers to diagnose and treat chronic pain. The policy jeopardizes patient safety, lowers the quality of health care and increases the risk for fraud and prescription drug abuse. “The basic premise of this rule is flawed,” said ASA President John M. Zerwas, M.D. “At a time when government health care programs are spending millions of dollars pursuing comparative effectiveness, value-based payments and other quality related measures, it is baffling that CMS would pursue a policy departing so considerably from using evidence-based norms and the ‘triple aim’ of improving care, improving health and reducing cost.” Additionally, CMS overruled its Medicare administrative contractors (MACs) that reviewed this issue. These contractors concluded the assessment skills required for the diagnosis and treatment of chronic pain are not part of nurses’ training curricula. By contrast, anesthesiologists’ extensive medical training also includes a rotation in pain care during residency training, and those choosing to specialize in pain medicine must complete a minimum one year multidisciplinary pain fellowship. “Current restrictions on nurse anesthetists providing chronic pain services are appropriate and necessary because nurse anesthetists simply lack the training and education to accurately diagnose, evaluate and treat patients with chronic pain,” explained ASA Chair of the Committee on Pain Medicine Richard W. Rosenquist, M.D. “Even in the hands of specially trained physicians, chronic pain procedures are inherently dangerous due to the anatomy and delicate structure of the spine and nerves upon which chronic pain interventions are performed.” By advancing this policy, CMS effectively endorses a group of providers caring for Medicare patients even as the agency itself
acknowledges in the final rule that it is unable to assess whether such providers are competent and qualified to deliver the care: “We are unable, at this time, to assess the appropriateness of the CRNA training relating to specific procedures. We are also unaware of any data regarding the safety of chronic pain management services when furnished by different types of professionals.” ASA stands firm that the ambitions of certain providers must not trump patient safety and quality care. The Centers for Disease Control & Prevention (CDC) has labeled prescription drug abuse an epidemic, and, in addition to the Institute of Medicine (IOM) 2011 report Relieving Pain in America, the White House Office of National Drug Control Policy (ONDCP) has called for more education and training on opioids. Such actions illustrate a clear disconnect between CMS and other government agencies that make the safety of all Americans their top priority through greater education. Regrettably, the final rule failed to address this threat to public health. “Nurse anesthetists lack the ability to safely and effectively treat patients with chronic pain using a comprehensive approach, and to appropriately manage the medical conditions contributing to their pain. Paying nurse anesthetists to provide chronic pain services undermines efforts by these and other federal agencies to curb prescription drug abuse,” continued Dr. Zerwas. THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS Anesthesiologists: Physicians providing the lifeline of modern medicine. Founded in 1905, the American Society of Anesthesiologists is an educational, research and scientific association with 48,000 members organized to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the patient. For more information on the field of anesthesiology, visit the American Society of Anesthesiologists Web site at www.asahq.org. For patient information, please visit LifeLineToModernMedicine.com
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PAGE 26
December, 2012
Hospital Newspaper - NJ
Local Veterans receive Camden County Service Medal
The Camden County Freeholders, Camden County Veterans Affairs Office and the Jewish War Veterans Post 126 of Cherry Hill sponsored a Veterans Day Medal Ceremony, held at the Kennedy Health System’s corporate office in Voorhees , NJ, on November 8th. More than 25 veterans, ranging in age from 33 to 90 , who have served in the military from World War II on received special medals at the ceremony, which has been held annually since 2001.
provided
Pictured from left are: Kennedy ER Nurse Teresa Crutchfield, RN, and her son, Christopher Mohrmann of West Berlin, who served in the U.S. Marine Corps from 19972001; SFC Allen Rodesky of Oaklyn; Stanley Quammen of West Berlin, who served in the U.S. Army in 1970, and his son, Steve Quammen. Pictured far right is Lt. Col. Al Bancroft, U.S. Marines, Retired, Camden County Veterans Affairs Office
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HOSPITAL
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Hospital Newspaper - NJ December, 2012
PAge 27
Statewide Psychiatric Program will benefit adults over 55 Trinitas will work with staffs at ERs, screening centers, nursing homes, and psych inpatient facilities to support those suffering from dementia and/or behavioral problems Studies and experience show that the process of aging in some individuals may result in more than debilitation of the body or medical issues associated with chronic illnesses. Often, as people age, they may develop behavioral and cognitive issues that need to be treated so that they can have an improved quality of life and also a higher degree of safety as they age. The New Jersey Division of Mental Health and Addiction Services (DMHAS) of the Department of Human Services has recognized the challenges that this population faces and created a new service to assist in the care of older adults in the long term care setting who may suffer from mental illness and dementia. DMHAS has announced that Trinitas Regional Medical Center, in collaboration with the New Jersey Institute of Successful Aging, UMDNJ, will implement the Statewide Clinical Outreach Program for the Elderly (S-COPE) throughout all 21 counties in the state. Through S-COPE, older adults who are at risk for making trips to emergency rooms and screening centers can be seen and assessed by clinicians who specialize in the care and management of geropsychiatric and behavioral problems. The target population is adults 55 years of age and older who reside in nursing facilities or DMHAS residential sites and who are at risk for psychiatric hospitalization. “Trinitas’ involvement with this innovative program that addresses the needs of this distinct population underscores the reach of our services to the community, not only in the Central New Jersey region, but now throughout the state,” observes Gary S. Horan, President and Chief Executive Officer. “We greatly appreciate that the state has awarded Trinitas this contract. Our exceptionally qualified specialists and clinicians in the fields of behavioral health and psychiatry bring superior service, care and treatment to those in our community who face challenges that accompany mental and emotional conditions. We expect S-Cope to benefit many patients across the state who will receive these valuable assessments and other services.” Clinical Administrator Lucille Esralew, PhD, and Program Director Roni Zarbiv, LCSW, will coordinate the consulting activities of clinicians at offices in Parsippany (Morris County), Cranford (Union County), Wall Township (Monmouth County) and Stratford
(Camden County). S-COPE services are available round the clock, seven days a week, free of charge, at screening centers, inpatient psychiatric units, and long-term care facilities. Services include face-toface on-site assessments and phone consultations; professional consultation regarding medication management; support recommendations; short-term assistance as clients transition following hospital discharge to long-term care residences; assistance to care facilities in development of emergency protocols for best use of acute care psychiatric resources; training and
coaching for staff in the management of behavioral problems; assessment of clients to clarify diagnosis and assist in treatment planning and treatment and casespecific intervention suggestions. “S-COPE provides crisis response and training of professionals that benefits older adults who experience psychiatric and behavioral issues,” explains Dr. Esralew. “We take a multi-disciplinary approach and use the expertise of a geropsychiatrist who specializes in treating older adults, geriatric nurse practitioners, a geropsychologist, and Master’s level clinicians. By work-
ing with nursing facility staffs, we will help them become more competent in responding to the needs of older residents with behavioral problems, especially those with dementia and psychiatric disorders.” Long-term care facilities, DMHAS residential centers, inpatient psychiatric facilities and screen centers, may contact the S-COPE program 24 hours a day, 7 days a week at 855-718-2699. About Trinitas Regional Medical Center Trinitas Regional Medical Center (TRMC), a major center for com-
prehensive health services for those who live and work in Central New Jersey, is a Catholic teaching medical center sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation. With 10 Centers of Excellence across the continuum of care, Trinitas has distinguished itself in cardiology, cancer care, behavioral health, renal care, nursing education, diabetes management, wound healing and sleep medicine. For more information on Trinitas Regional Medical Center, visit: www.TrinitasRMC.org or call (908) 994-5138.
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PagE 28
December, 2012
Hospital Newspaper - NJ
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 1201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 609-309-7005 Fax: 609-309-7006 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON
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Hospital Newspaper - NJ December, 2012
PAGE 29
RESOURCE DIRECTORY ExTENdEd CARE & ASSiSTEd LiviNG dAUGHTERS OF iSRAEL Daughters of Israel is a multi-faceted, stateof-the-art skilled nursing facility offering the most modern and comprehensive services available including: • • • • • •
Sub-Acute Rehabilitation Long-Term, Skilled Nursing Care Alzheimer’s Care Hospice & Palliative Care Respite Stays The Charles Bierman Home Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute for Continuing Education Our team of skilled and dedicated professional staff deliver the highest quality of care for our 300+ residents. Services provided include: round-the-clock professional nursing care; 24hour medical coverage by board-certified geriatricians; on-site synagogue with full-time rabbinical services; a full range of stimulating and innovative recreational activities; on-site beauty salon, barber shop, work activity center, gift shop and coffee shop; spacious dining rooms, auditoriums, lounges and outdoor patio areas. Our sub-acute rehabilitation facility, which functions as a separate unit within the Home, features a spacious gym with state-of-the-art equipment and comfortable recovery suites with luxury amenities. Semi-private and private rooms are available at Daughters of Israel. The facility is covered by Medicare, Medicaid, commercial insurances and private payment. Daughters of Israel is a beneficiary agency of United Jewish Communities of MetroWest, N.J. 1155 Pleasant Valley Way, West Orange, NJ 07052 www.doigc.org Contact: Adena Twersky, Director of Admissions Tel: 973-400-3307 Fax: 973-731-8364 atwersky@doigc.org
HOSPiTALS BERGEN REGiONAL MEdiCAL CENTER, L.P. Located in Paramus, Bergen Regional Medical Center is the largest hospital in New Jersey dedicated to serving the residents of Bergen County and surrounding communities. With 1000+ beds and 1,500 staff members, the hospital specializes in Behavioral Health Services, which include child and adolescent, adult and geriatric psychiatric treatment. Long Term Care Services provides a scope of services, which far exceeds that offered in a standard nursing home. As a full service accredited medical center, we provide wound care, surgical care, cardiac care, rehabilitation services, respiratory care unit which includes ventilator dependent residents, Korean care services and an acute care unit all under one roof for our residents. The hospital excels in the treatment of substance abuse. The hospital offers detoxification, 21-day rehabilitation program, outpatient services, and treatment for the mentally ill and chemically addicted. Our Acute and Ambulatory Services offers same day surgery, medical and specialty clinics and state-of -the-art operating suites. www.bergenregional.com Tel. 201-967-4000
HOME MORTGAGES Gateway Funding specializes in mortgage options to the healthcare industry. We understand the nuances involved with obtaining mortgages for physicians, nursing staff, residents, or general staffing. You’re busy, we know it. Your unique, we get it. You need financing for a home, we provide it. One call or email to our experienced, licensed and fully trained loan officers, will put your mind at ease. We can provide No Cost Pre-Approvals prior to looking for a home, and highly competitive rates and fee’s once you do find your dream home!
Frank Mancino, Branch Manager NMLS#133472 3564 Quakerbridge Rd Hamilton, NJ 08620 877-583-3562 fmancino@gatewayfunding.com www.TheMancinoTeam.com
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
MEdiCAL BiLLiNG Cape Medical Billing (CMB) is your single source billing provider for curing undetected “revenue leakage” that plagues today's healthcare practices. CMB has been in business for 22 years and is uniquely qualified to help your medical practice reverse “revenue leakage” with fast, efficient, innovative and customized billing programs. We offer personalized and cost effective service with 92.9% of charges paid upon the first submission! We accomplish this everyday by utilizing our “state of the art” billing software and paying close attention to critical detail used to match and process data. We also pride ourselves on significantly reducing days in accounts receivable by deploying aggressive and consistent follow-up procedures. Our technology, expertise and personal approach drive our billing practices and produce unparalleled results for our clients. Are you currently doing billing in house and considering outsourcing? No problem, we can integrate our technology with your current EMR software package and help you convert your medical services to consistent cash flow! Our billing specialties: Cardiology, Internal Medicine, Podiatry, Family Practice, General Surgery, Pathology, Infectious Disease, Gastroenterology, OB/GYN, Neurosurgery, Urology, Trauma Surgery, PT/OT, Mental Health and Ambulance. We're the experts...STOP risking your money and profit by collecting it yourself, or utilizing a billing company with less experience. We collect the HARD Stuff and we do it every day! Call for a FREE Billing Analysis to detect and solve your revenue leakage! Contact: Richard Papperman, CEO/President of Cape Medical Billing Office: 609-465-8900 rich@capebilling.com or Sherrii Brentari Director of Sales and Marketing Cape Medical Billing sherrii@capebilling.com 609-465-8900 HQ Location: Cape Medical Billing 5 Locust Lane P.O. Box 670 Cape May Court House, NJ 08210 Office: 609-465-8900 Fax: 609-463-8106 www.capebilling.com
internet address directory apparatus Campbell Supply company www.campbellsupplyco.com
hospitals Children’s Specialized Hospital www.childrens-specialized.org
expositions Abilities Expo www.abilitiesexpo.com
Hackensack Hospital and Medical Center www.humc.com
financial Institutions Healthcare Employees Federal Credit Union www.hefcu.com
Matheny Medical & Educational Center www.matheny.org Meridian Health www.meridianhealth.com
NEW PROdUCT TECHNOLOGY
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 www.icare-usa.com
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 CALL TOLL FREE 1-866-333-3529 (After Hours / Emergency Number 201-618-0508) BAGOLiE FRiEdMAN, LLC Workers' Compensation & disability Attorneys The Five Corners Building 660 Newark Avenue - Jersey City, NJ 07306 (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
www.bagoliefriedman.com
home care specialists Comprehensive Home Care www.homecarenj.com
medical equipment & products TSK Products, Inc. www.tskproducts.com
healthcare consultants Medco Consultants, Inc. www.medcoconsultants.com
rehabilitation Kessler Institute for Rehabilitation www.kessler-rehab.com
Online Directory available at www.hospitalnewspaper.com
PAGE 30
December, 2012
Hospital Newspaper - NJ
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Hospital Newspaper - NJ December, 2012
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December, 2012
Hospital Newspaper - NJ
Calling All Emergency Responders
When every second counts... Count on NitroMist
®
NitroMist provides fast, effective symptom relief. NitroMist provides a consistent dose with each metered spray.* NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.† Available in 90 & 230 spray bottles. For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.com Now covered on UnitedHealthcare. Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARNINGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefits of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported. DRUG INTERACTIONS – PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myocardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministration of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissuetype Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the first-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability. Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossification were seen. The latter finding probably reflects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-
Not Actual Size
orted clinical experience has not identified differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume. Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and difficult, and invasive monitoring may be required. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color change on exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required. NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fibrotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity in an in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and body weight gain in both sexes at all matings. No specific effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafil, vardenafil, and tadalafil. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content. Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany E Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USA NitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012
*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays. † Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F). NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.
©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T