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HealthAlliance hospitals are fully accredited by The Joint Commission on the Accreditation of Healthcare Organizations. This independent regulatory agency is dedicated to continuously improving the safety and quality of the nation’s health care. Gold Seal of Approval for Benedictine, Kingston and Margaretville Hospitals Gold Seal of Approval for Breast Cancer Care Program – First in NYS New Top Performer on Key Quality Measures for Surgical Care at Benedictine Hospital Kingston Hospital’s Chest Pain Center is the only accredited facility in the Hudson Valley by The Society of Chest Pain Centers. Kingston Hospital was awarded the Get With The Guidelines® Stroke Gold Plus Performance Achievement Award from The American Heart Association/American Stroke Association. This award recognizes the organization’s commitment and success in implementing excellent care for stroke patients. Mountainside Residential Care Center received a 5-star rating in U.S. News & World Report’s Best Nursing Homes
Benedictine Hospital is accredited as a Community Cancer Hospital by the American College of Surgeons’ Commission on Cancer.
ConsumerReports
Benedictine Hospital was ranked 2nd in NYS for Safety by Consumer Reports. Kingston Hospital earned a perfect rating from Consumer Reports for preventing central line infections in the intensive care unit.
Benedictine Hospital’s ‘The Dr. Joseph and Ester B. Hartman Sleep Center’ is an accredited member center by the American Academy of Sleep Medicine and The Joint Commission. Margaretville Hospital ranks on the top 100 Critical Access Hospital list from National Rural Health Association
Benedictine Hospital was one of seven hospitals in New York State to receive a 2011 HealthGrades Patient Safety Excellence Award™, indicating that its patient safety ratings were in the top 5% of U.S. hospitals. Eleven physicians on our medical staff were recognized on the Hudson Valley Magazine’s Top Docs list.
Benedictine Hospital Ŗ Kingston Hospital Ŗ Margaretville Hospital Mountainside Residential Care Center Ŗ Woodland Pond at New Paltz
TOP DOCTORS www.hahv.org
Hospital Newspaper - NY November, 2012
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November, 2012
Hospital Newspaper - NY
Martin Lectures at San Antonio Uniformed Services Health Education Consortium James Martin, MD, FACEP, presented “Professional Development for Military Career Officers” and participated in a panel discussion at the San Antonio Uniformed Services Health Education Consortium (SAUSHEC) Emergency Medical Exercise (EMX) Program.
News in Emergency Medicine Dwyer Appointed Medical Director of Emergency Medical Associates’ Site Support Team
Larsen Appointed Medical Director of Emergency Medical Associates’ Site Support Team
Miller Appointed Medical Director of Emergency Department at Westchester Medical Center
Jim Dwyer, MD, has been appointed Medical Director of the Emergency Department at Northern Westchester Medical Center, Mount Kisco, N.Y.
L. Scott Larsen, MD, has been appointed Medical Director of Emergency Medical Associates’ Site Support Team.
Ivan Miller, MD, has been appointed Medical Director of the Emergency Department at Westchester Medical Center, Valhalla, N.Y.,
Dr. Dwyer received his medical degree from the State University of New York at Buffalo (N.Y.) School of Medicine, and completed his emergency medicine residency at University of Buffalo Medical/Dental Consortium. He is board-certified by the American Board of Emergency Medicine. Dr. Dwyer joined Emergency Medical Associates in 2004 as an emergency physician at Catskill Regional Medical Center, Harris, N.Y. Most recently, he was associate director of emergency services at Nyack (N.Y.) Hospital. Dr. Dwyer was a certified public accountant prior to his career in medicine. Dr. Dwyer is a fellow of the American College of Emergency Physicians and a diplomate of the American Board of Emergency Medicine. He served on the board of the Rockland Paramedics/Rockland Mobile Care organization and is involved with several EMS organizations in Rockland County. He is a partner of Emergency Medical Associates. About Emergency Medical Associates Emergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicated to providing exceptional solutions for the measurable success of our hospital partners, EMA is recognized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, please visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.
Dr. Larsen received his medical degree from the University of Medical and Dentistry of New Jersey, Newark, and completed his emergency medicine residency at Overlook/Morristown, where he was chief resident. Dr. Larsen joined Emergency Medical Associates (EMA) in 1985 as associate director and clinical physician at Somerset Medical Center in Somerville, N.J. During his career with EMA, he also worked at St. Clare’s Hospital, Morristown Medical Center, eMedical Offices and Bayshore Community Hospital. While at Bayshore, Dr. Larsen served as director of the department of emergency medicine from 1991 to 2008. Most recently, Dr. Larsen served vice president of quality improvement and medical affairs at Bayshore. He is a former member of EMA’s Board of Directors. Dr. Larsen is a fellow of the American College of Emergency Physicians and a diplomate of the American Board of Emergency Medicine. He is a member of the Alpha Omega Alpha medical honor society, American College of Healthcare Executives and New Jersey Hospital Association. He is a partner of Emergency Medical Associates.
Dr. Miller received his medical degree from Albert Einstein College of Medicine, Bronx, N.Y. He completed a combined residency in emergency medicine and internal medicine at Long Island Jewish Medical Center and Albert Einstein College of Medicine, New Hyde Park, N.Y. He is board-certified by the American Board of Emergency Medicine and the American Board of Internal Medicine. Dr. Miller joined Emergency Medical Associates (EMA) in 2002 as an attending emergency physician at Saint Barnabas Medical Center in Livingston, N.J. During his career with EMA, he has worked at Hudson Valley Hospital Center, St. Vincent’s Hospital, Clara Maass Medical Center, Nyack Hospital and Richmond University Medical Center, where he was chair of the department of emergency medicine. Dr. Miller is a fellow of the American College of Emergency Physicians and a member the American College of Physicians and the American Academy of Emergency Medicine in India. About Newton Medical Center Newton Medical Center, part of Atlantic Health System, is a fully accredited, 148-bed acute care, not-for-profit hospital serving more than 250,000 people in Warren and Sussex counties in New Jersey, Pike County in Pennsylvania and southern Orange County in New York. Specialty service areas include cardiology, general and vascular surgery, orthopedics, gastroenterology, nephrology, oncology and neurology, mental health and sleep medicine.
The EMX is the capstone training event for the SAUSHEC Emergency Residency Training Program. It is a requirement for all graduating residents (Army and Air Force) to successfully complete this event prior to matriculating from residency and leaving for their first assignments. The event took place at Brooke Army Medical Center, Fort Sam Houston, Texas, on June 11, 2012. Dr. Martin, a partner of Emergency Medical Associates, is an attending emergency physician at Monmouth Medical Center, Long Branch, N.J. Dr. Martin most recently served as a general medical officer in the United States Army Reserve and was an emergency medicine physician with the Special Operations Command (SOCOM). He is the recipient of two Bronze Star Medal and a Meritorious Service Medal.
Allegra and Eskin Present Research at the Society of Academic Emergency Medicine (SAEM) PJohn Allegra, MD, FACEP, and Barnet Eskin, MD, FACEP, presented four research posters at the 2012 Society of Academic Emergency Medicine (SAEM) Scientific Assembly, held May 5-10 in San Francisco. The presentations were entitled: • “The Detection Rate of Pulmonary Embolisms by Emergency Physicians Has Increased” • “Trends in Emergency Department Visits for Asthma from 1996 to 2010” • “The Diagnosis of Aortic Dissections by Emergency Physicians is Rare” • “Days Out of Work Do Not Correlate with Emergency Department Pain Scores for Patients with Musculoskeletal Back Pain” Drs. Allegra and Eskin are attending emergency physicians at Morristown (N.J.) Medical Center and are active in emergency medicine research and education. Both physicians are partners of Emergency Medical Associates.
Emergency Medical Associates to Provide Emergency Department Management Services to Newton Medical Center Emergency Medical Associates was selected by Newton Medical Center, a member of Atlantic Health System, to provide emergency care services. Emergency Medical Associates began staffing the emergency department June 1. “Emergency Medical Associates relationship with the facilities of Atlantic Health System spans more than 30 years,” said Raymond Iannaccone, MD, FACEP, president and chief executive officer of Emergency Medical Associates. “We are excited to take that partnership to the next level to care for the residents of northwest New Jersey.” David Stuhlmiller, MD, FACEP, has been named medical director of the Emergency Department at Newton Medical Center. “Newton Medical Center is known for providing the best emergency medical care in the region,” explained Dr. Stuhlmiller. “The partnership between Emergency Medical Associates and the medical center will only enhance that reputation.” Emergency Medical Associates staffs two other Atlantic Health System hospitals: Morristown Medical Center and Emergency Services at Overlook Medical Center's Union Campus. Newton Medical Center’s state-ofthe-art, 22,000-square-foot emergency department sees an annual volume of 29,000 visits. It features 30 private treatment areas, as well as dedicated laboratory and radiology services. It is the only facility in Sussex County to receive state designation as a Primary Stroke Center, and has been the recipient of several VHA Leadership Awards for exceeding national performance standards.
Hospital Newspaper - NY November, 2012
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Honoring Our Heroes November 11th is Veterans Day. In a recent talk with my mom, she mentioned her Uncle Billy McGowan from Port Glasgow, Scotland. Billy was a strong young man who entered into the British Air force during World War 2. Billy was a fine gentlemen and would visit my mom and her bothers and sister before going off to war. He was only 21 years old and took pride in fighting for his country. Billy had a tough position as a gunner on his aircraft. One night a gunfight ensued over France and Billy's aircraft was hit. The plane crashed into a quiet area of France. All five airmen were lost. Years later , my Uncle Billy from Scotland went to France and found the headstone of the fallen heroes.
Later next year a monument will be installed honoring Billy McGowan and the other young men who perished fighting for freedom. In previous editions, I had written about Michael Monsoor, a young Navy Seal who gave his life by saving other Seals when a hand grenade was thrown into their post in Afghanistan. There are so many heroes that are never mentioned and I implore you to take time to honor those who served their nation. It would great to see every home with a flag flying on November 11th. The Veterans deserve it! 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.
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November, 2012
Hospital Newspaper - NY
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
An Open Letter to Supply Chain Professionals Healthcare supply chain is at a tipping point: sweeping healthcare reform—including significantly reduced reimbursements and new bundled payment policies—has created greater pressure to lower hospital costs while improving quality and patient outcomes. The supply chain must be a key player, and supply chain professionals must develop the skills and knowledge to lead their facilities strategically in order not just to survive, but to thrive under these growing challenges. In the past five years alone, the healthcare landscape has changed dramatically as a result of massive reform efforts and a turbulent economy. Thousands of articles and reports have been written about these changes and what they mean for doctors, patients, and insurers—even how reform might stifle innovation with respect to device manufacturers and other suppliers. But no one has really been talking about how reform will impact hospital operations, and certainly not how reduced revenues and bundled payment policies will impact supply chain management. Now more than ever, supply chain executives must own the intersection of cost, quality, and outcomes. Today’s supply chain professional should be fluent in complex analytics, payment policies, and procedures, as well as knowledgeable about legislation, regulation, and market and technology development. These leaders are relationship and consensus builders, agents of change for issues like clinical preference items. They are the first responders and problem solvers for such supply chain disruptions as drug shortages. They also understand the larger implications of medical supplies, devices, and pharmaceuticals on patient outcomes and reimbursement. As the 2013 board Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM), I am committed to creating robust educational programs in technology, analytics, value analysis, and other critical areas to ensure that hospital staff have the necessary tools to enhance the role that supply chain management plays in achieving overall institutional goals. While we build up current materials executives to be more strategic, we also need to start recruiting for the future. Together, we can create the necessary educational expectations and industry best practices to elevate the profession’s reputation from the basement to the boardroom—thereby attracting the next generation of supply chain executives. Supply chain professionals need to keep pace with the changes, challenges, and opportunities presented by health reform. By using the healthcare big picture to develop strategic responses that enhance hospital bottom lines and improve patient care, the materials managers of today can raise the supply chain executive to a C-suite profession. But not without owning the intersection of cost, quality, and outcomes. 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 2013 board Chair-Elect of AHRMM, the AHA’s premier membership group for healthcare supply chain professionals.
Hospital Newspaper - NY November, 2012
Page 9
PUT YOUR SUPPLY CHAIN STRATEGY IN THE FAST LANE
In order In order ttoo me meet et the de demands mands of our complex complex healthcare heallthcare eenvironment, nvironment, ssupply upply ch chain ain departments departm ments must m ust oown wn the intersection intersection of ccost, ost, qual quality, ity, aand nd out outcomes. comes. The GNY Th GNYHA YHA SServices er vic i es sservice er vic ice pplatform latfor tf m eencompasses ncompas a ses aan n aarray rray off ssupply uppply l ch chain hain i effic efficiency-based ffi ie i ncy-based ttools ools that that can can assist assist supply supply ch cchain ain pr professionals ofessionals inn their ne new w rrole ole aand nd pr produce oduce lon long-lasting g-lasting aand nd meaningful me aningful rresults esults for their or organizations. rganizations. Go ahe ahead, ad, ttake ake the w wheel. hheel. GNYH G GNYHA A SServices er vices iiss he hhere re ttoo ssupport upport yyou ou as a yyou ou ssteer teer yyour our ho hospital ospital ttoward oward savings savings and and ssuccess. uccess. C Call all us ttoday oday aatt (212) 258-5375.
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November, 2012
Hospital Newspaper - NY
North Shore-LIJ Doctor and Feinstein Institute Researcher honored at the "Moms Who Kick" Annual Gala Gala celebrates breast cancer awareness month and breast cancer survivors Annette Lee, PhD, associate investigator at The Feinstein Institute for Medical Research, and Iuliana Shapira, MD, director of the Cancer Genetics Program at the North Shore-LIJ Health System’s Monter Cancer Center, were honored last night at the Moms Who Kick Inc gala “Performance 2013Fitness in Motion” at a Garden City Hotel. Drs. Lee and Shapira were honored for their work in breast and ovarian cancer, and more specifically their efforts to discover and validate new biomarkers for early detection, prediction of disease course and outcome, treatment response, and risk of relapse in breast and/or ovarian cancer. Preliminary results of their studies have been presented at a number of national and international meetings. For example, they presented data this past year at the American Association for Cancer Research (AACR) Annual Meeting, which showed a genetic marker embedded in deoxyribonucleic acid (DNA), called microRNA, indicates if a patient with ovarian cancer has a benign or cancerous tumor and that she will benefit from chemotherapy after surgery on the tumor. And at the 2012 American Society of Clinical Oncology (ASCO) Annual Meeting, Drs. Lee and Shapira presented data which showed
breast cancer research and to support women’s health. Their annual gala is held to celebrate breast cancer survivors and women affected by cancer. Featuring fit and active moms, many who are breast cancer survivors, along with their bios, cancer awareness tips and tributes, the Moms Who Kick annual calendar was unveiled at the gala. The moms who are featured in the calendar also participated in a fashion show. The event also included a cocktail hour with open bar, seated dinner, dessert, raffle, door prizes, an auction and dancing.
provided
Drs. Annette Lee (left) and Iuliana Shapira (right) attend the Moms Who Kick Annual Gala with Executive Vice President and Board Chairman Laura Hartman.
they discovered a potential explanation for why breast cancer is not experienced the same way with African American and Caucasian patients, and that there are four main subtypes of breast cancer, one of which has distinct similarities to ovarian cancer. Their efforts to simultaneously study both breast
and ovarian cancer place their research at the forefront of breast cancer research. Moms Who Kick has pledged a portion of the 2013 calendar campaign to benefit the research conducted by Drs. Lee and Shapira. Moms Who Kick is a 501(c)(3) Public Charity dedicated to raising funds for
About The Feinstein Institute for Medical Research Headquartered in Manhasset, NY, The Feinstein Institute for Medical Research is home to international scientific leaders in many areas including Parkinson's disease, Alzheimer’s disease, psychiatric disorders, rheumatoid arthritis, lupus, sepsis, human genetics, pulmonary hypertension, leukemia, neuroimmunology, and medicinal chemistry. The Feinstein Institute, part of the North Shore-LIJ Health System, ranks in the top 5th percentile of all National Institutes of Health grants awarded to research centers. For more information visit www.FeinsteinInstitute.org
Pink Game Arlington HS Field Hockey The Arlington High School Varsity Field Hockey team showed their colors recently by dressing in pink and raising over $1000 through bake sales and donation drives for the Miles of Hope Breast Cancer Foundation.The Pink game was done in conjunction with the JV team also. Parent and volunteer Alice Holzman: aholzmann@hvc.rr.com (914) 474-9609 helped to organize the event when the girls told her they wanted to do something to recognize October, Breast Cancer Awareness month. “All donations raised here in the Hudson Valley, stay right here for people affected by breast cancer,” said Miles of Hope Executive Director Pari Forood. “100% of this donation will go to the people who need it.”
From left to Coach Ste right: Alrington Hig h School phanie Tit Field Hock o, Miles o Pari Foroo f Hope Ex d, Arlingto ecutive Dir ey n HS Varsity Alexis Holz ector Field Hock mann, Lau ren Delia, J ey Captain Tolli, Miles o s: rd of Hope Co an Ballanty -Founder C ne, Nichole athy Varun ok
photos provided
Arlington HS Varsity Field Hockey Team in pink for the Pink Out game
Hospital Newspaper - NY November, 2012
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November, 2012
fo for n i t s Late es and s
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Hospital Newspaper - NY
Nurse’s Viewpoint
By Alison Lazzaro
Hospital Newspaper Correspondent
Banned from Saving Lives? We hear it all the time. Ad campaigns and incentives to donate blood seem to be following us, especially in the winter months. Donating blood saves lives and is a rewarding experience when you know you are helping someone in need. Whether for a leukemic patient, hemophiliac, or victim of a motor vehicle crash, blood is needed at a faster rate than people are able to donate. Knowing this information, why has the United States government prohibited a group of people from saving lives since 1983? The United States is supposed to be a melting pot of people, free of discrimination. Yet, to this day, gay men are banned by the Food and Drug Administration (FDA) from donating blood. This may have been justifiable during the height of the AIDS epidemic because of the high risk of HIV transmission by men who have sex with men. Blood testing has gone a long way since the 1970s. Gay men in a monogamous relationship who have been tested for HIV cannot donate blood by U.S. law. Meanwhile, it is perfectly acceptable for a heterosexual individual with extremely risky sexual behavior to donate blood, no questions asked. The idea of banning a group of people from donating blood who have no history of HIV seems ridiculous. Why not alleviate the shortage of blood and stop the discrimination? Although the Senate has revisited the issue of the ban, there has not been progress about overturning the issue thus far in the United States. The F.D.A. routinely screens blood for HIV and infectious diseases to ensure that safeguards are in place to keep blood from becoming contaminated. The Senate should take time to reexamine the issue since more sensitive tests have been developed since the time of the ban and blood shortages continue. Nursing students who readily hold blood drives at their college campuses should be proactive about trying to change this ban. By informing other students, writing to your congressmen, and taking a stance, nursing students can be at the forefront of change. We are entering the profession with the goal of helping people. Why not start by reversing the ban and allowing gay men to donate blood to help save a life.
Hospital Newspaper - NY November, 2012
careers Calvary honors Joseph G. Lutale, CCT “Catch a Star” Award
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Bronx resident honored for his professional excellence
Calvary awards the Catch a Star Award to Joseph G. Lutale, CCT, pictured (left to right): Marilyn Crockett, RN; Marlene Humphreys, RN, Director of Staff Development; Joseph G. Lutale, CCT (Honoree); Sally Umbro, Vice President, Patient Care Services; and Michael Troncone, Director of Human Resources.
Calvary Hospital recently honored Bronx resident, Joseph G. Lutale, CCT with the “Catch a Star” Award. The Hospital encourages patients, family members, visitors and employees to nominate members of the nursing staff (nurses, cancer care technicians, and administrative staff) who demonstrate the Hospital’s Core Values of Caring, Compassion, Commitment, Non-Abandonment, and Dignity through their work. Honorees are also expected to go above and beyond to make a difference, and exemplify a “healing touch” presence with patients and family members. Award recipients are chosen by their nurse administrators, peers, physicians, patients and families. Joseph G. Lutale, has worked as a nurse’s aide since joining Calvary in 1999 and graduated as a Cancer Care Technician, CCT in 2000. His nomination forms from colleagues and family members included comments such as: • “Joseph is an excellent Cancer Care Technician (CCT).” • “Joseph truly cares for the patients and the family members.” • “Wherever Joseph is, there is sure to be a smile and laughter.” • “I cannot think of someone more deserving of this recognition.” Joseph G. Lutale was born in Uganda, East Africa, is fluent in English and Swahili. He resides in the Wakefield section of the Bronx with his family. Established more than 40 years ago, Calvary Hospital’s rigorous six-month training program has produced hundreds of outstanding CCTs with the necessary skills to help people with advanced cancer achieve the best possible quality of life. These talented, dedicated professionals are responsible for skin care, wound care, assistance with feeding, patient safety, and the overall comfort of Calvary Hospital patients. Our CCT program has become a national model of appropriate, cost-effective, and competent palliative care, and has helped us achieve our reputation as a “National Leader in Palliative Care.” Calvary will mark the 50th anniversary of the CCT program later this month. Calvary Hospital is the nation’s only fully accredited acute care specialty hospital devoted exclusively to providing palliative care to adult advanced cancer patients. A 225bed facility with locations in the Bronx and Brooklyn, Calvary is the model for the relief of cancer pain and symptoms for more than a century. More than 6,000 patients are cared for annually by Calvary’s inpatient, outpatient, home, hospice, nursing home hospice, and wound care services. To learn more or sign up for the enewsletter, Calvary Life, please go to www.calvaryhospital.org.
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Hospital Newspaper - NY
careers HealthAlliance celebrates “New Era of Nursing” at Seminar
provided
Photo (l to r): Marcie Truesdale, Maria Robertson, Kathleen Lunney, Theresa Schwartz, Carol Struble, Brenda Ralyea, Tinesha Scnell, Karen McKenna, Jessica Wilson, Jackie Miller.
HealthAlliance of the Hudson Valley® introduced a professional practice model called “shared governance” at its first annual Nursing Seminar for staff from Benedictine, Kingston and Margaretville Hospitals on September 25. Shared governance is an organizational model where the majority of patient-care decisions are made by nurses at the point of care, where they can control their own practice and be accountable for quality patient outcomes. According to the Online Journal of Issues in Nursing, successful adoption of the model can result in decreased nurse turnover rates, increased nurse and patient satisfaction and improved patient outcomes. Through the new data-driven Clinical Advancement Program, nurses’ strengths and weaknesses of nurses will be matched to the needs of patients and their families, while encouraging professional growth and continuing education. Nursing governing councils at HealthAlliance are now responsible for issues and de-
cisions related to nursing practice, education, quality assurance, research and management. David Lundquist, the CEO of HealthAlliance of the Hudson Valley, said the organization’s nurses will be empowered, incentivized and accountable to make decisions about what they do best. “Shared governance is a critical component of our evolution into a best practice environment,” said Lundquist. “Our patient care team is in a position to deliver the highest quality care and achieve strong patient outcomes for our community.” Kathleen Lunney, the Chief Nursing Officer at HealthAlliance of the Hudson Valley, said that despite the evolving healthcare environment, providing patient-centered care will always be the mission. “Our nurses are now empowered to make evidence-based decisions within the scope of their practice,” said Lunney. “We are confident that this new focus will equal improved patient outcomes and satisfaction while increasing nurse retention.”
Sound Shore Medical Center Nurses share expertise Recently Sound Shore Medical Center (SSMC) Department of Nursing Staff Development hosted a two-day learning opportunity for nurses at both SSMC and Schaffer Extended Care Center. Each nursing area was invited to create a learning station to showcase their area of expertise and share up-to-theminute information on their specialties. At Sound Shore Medical Center, education is the cornerstone of the Department of Nursing, and central to that mission is ensuring ongoing education. This latest in a series of educational opportunities provided SSMC’s nurses a chance for “hands on” learning, accompanied by instruction from individuals whose experience and expertise add dimension to procedures that are vital for excellence in patient care. More than 100 individuals acquired information or updated their competency in a wide-range of clinical areas. From refreshers on EKG’s to IV/Central line care – from blood transfusions to chest tubes, nurses as well as medical residents had an opportunity for educational exchange in a relaxed atmosphere. In addition to a learning station provided by New York Organ Donor Network and The Eye Bank for Sight Restoration, the units participating in this dynamic event included Maternal/Child Health, For more information on this and other nursing education activities at Sound Shore Medical Center, please contact Sue McLeer, BSN, RN at 914.365.3532 or Camille Drago, RN at 914.365.3561. For physician referrals, call MDs-LINE (914.637.5463) or visit www.ssmc.org to discover our Care. For Life. photos provided
Hospital Newspaper - NY November, 2012
Page 15
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. Director of Clinical Services, Warwick, RI provides effective leadership, management direction and administration of operations for AdCare's Warwick, RI Outpatient Office and assures that high quality services are delivered consistently, efficiently and in a timely manner. Responsibilities include management of support staff; clinical supervision of providers; budget preparation and monitoring responsibility, process improvements, community outreach, and compliance with hospital and regulatory requirements. Responsible for carrying a client case load. Qualified candidate will be independently licensed (LMHC or LICSW); have a minimum of: 4 year's experience in human services with a minimum of 2 years in substance abuse treatment and 2 years providing clinical supervision; demonstrated experience with managed care companies, strong oral/written communication skills, Microsoft Office skill required, EMR knowledge helpful. Bi-lingual Spanish speaking candidates are encouraged to apply. 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. W
(800) ALCOHOL
www.adcare.com
Visit our website to view current employment opportunities
Calvary Hospital 2012 f o s l ospita H t s Be
When asked about Calvary Hospital’s Mission during a recent interview, Nancy D’Agostino paused for a moment, before alluding to a saying by executive medical director Michael Brescia. “Cancer is an illness that spreads through the entire family,” said D’Agostino, Calvary’s vice president for community patient services. “Until you go through it, you don’t know what it feels like. But it’s like everyone has the disease. We at Calvary recognize dearly that we aren’t just treating a patient, we are treating an entire family.” With that caring approach, it’s no wonder that Calvary has been a trailblazer in the field. Calvary is the only fully accredited acute care specialty hospital, exclusively providing palliative care for adult advanced cancer patients in the U.S. Programs include inpatient care, pain management, outpatient care, hospice, home care, and wound care, with bereavement and support programs for families and friends. Over the years, Calvary has been recognized frequently for its outstanding and unique patient care. Calvary Hospital’s mission of providing care to adult advanced stage cancer or other terminally ill patients has not changed since it was founded by the Women of Calvary 113 years ago on Perry Street in Greenwich Village in Manhattan. Since then, and especially recently, the hospital has expanded its reach in order to make its services available throughout the entire New York City metro region. For all of the awards and accolades, Calvary prides itself on its caring, compassionate and loving staff. Frank Calamari, president and CEO of Calvary, expects the most from the staff. From the security guard who greets a new family at the door, to Calvary’s talented physicians, nurses and support staff. “In our mind, we aren’t just admitting patients. We are admitting a family,” Calamari said. “It is painful and hurtful for everyone. We are here for everyone and we want the family to be involved. This is a big part of our mission.” Furthermore, what distinguishes Calvary from other healthcare facilities, is the individual care it provides each patient and family, founded in the guiding principles of compassion, respect for the
HOSPITAL
H of the Month
Caring, compassionate care continues to set Calvary apart
Calvary provides inpatient care at a 200-bed hospital in the Bronx and a 25-bed Brooklyn Satellite.
dignity of every patient. Calvary leads the way in offering a complete array of supportive outreach, psychological and spiritual services. A full-time staff of 24 chaplains of various faiths provides pastoral care to inpatients, while additional chaplains care for home hospice patients. The primary goal is to make the patient as physically comfortable as possible, and to address with dignity the psychological and spiritual needs of
the patient and, equally important, the needs of the families. Since 2004, Calvary’s Family Care Center has provided family members with a respite from the stress of the patient units, informational health talks, massages and manicures. “We look at it as if we are treating God in that bed,” Calamari said. “Whoever your God is, whoever you honor, you are one of God’s children.”
Calvary@Home provides home hospice and home care to more than 2,300 patients each year throughout the greater New York Area.
Unlike other hospitals, Calvary encourages visitors at any time. Children are always welcome, and pets may visit, too. People who wish to stay over may do in the patient’s room or in several rooms on the premises - at no charge. Calvary understands that when a loved one is near the end of life, making it easy for family and friends to visit is a simple yet important thing to offer. Patients are referred to Calvary from every major hospital and medical center in New York City. Each year, Calvary cares for more than 6,000 patients and families as inpatients in a 200-bed Bronx campus and 25-bed satellite at Lutheran Medical Center in Brooklyn, as outpatients, through our Center for Curative and Palliative Wound Care; and through hospice and home care. The average length of inpatient stay is 26 days. With approximately 1,000 employees, the hospital’s mission is to address the symptoms of the disease, not the cure. Calvary Hospital is a voluntary, not-for-profit facility, operated in connection with the Archdiocese of New York. The hospital also offers hospice care in more than 30 nursing facili-
photos provided
ties located in Manhattan, the Bronx, Brooklyn, Westchester, Rockland and Nassau counties. In addition, the hospital’s Palliative Care Institute provides health care professionals its experience through education and research on the latest developments in the treatment of the advanced cancer patient and their loved ones. Calvary is consistently ranked in the top one percent in the Press Ganey Patient Satisfaction, a database of more than 10,000 hospitals in the U.S. Also, The Joint Commission, a leading health care accrediting agency, has granted Calvary Hospital its “Gold Seal of Approval.” However, at Calvary, it still comes down to the satisfaction of treating each patient and their family. Making their last days as comfortable as possible. “This is something you can’t get wrong,” D’Agostino said. “And we make sure nothing compares to the care you will get at Calvary Hospital. The family of a loved one usually will remember everything about this difficult experience. We want them to know we are always here for them. That’s what we strive for.”
Hospital Newspaper - NY November, 2012
“During their final days, Calvary gave both my mom and dad the quality of life they deserved.� “When my dad was suffering from pancreatic cancer, there was only one place that could relieve his pain – and ours, as well. Calvary Hospital. But dad’s wish was to die at home. And it was granted. Calvary Home Hospice provided dad with unrivaled comfort, compassion and love. He passed away with dignity and grace, with all of us with him. Calvary became part of our family. What could be better than that? Well, one year later, after years of dealing with severe medical issues, mom, also, needed the same Calvary care. So at the end of her life, Calvary’s expert staff was there, once again, for all of us. As a daughter whose parents gave her unqualified love her entire life, there was no better way to return this love than with Calvary’s care. I feel doubly blessed that Calvary was in our lives.� – Deborah DeGregorio Visit us today at www.calvaryhospital.org or call us at 718-518-2465.
2012 Winner of the Circle of Life AwardÂŽ for innovative programs in palliative and end-of-life care.
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November, 2012
Hospital Newspaper - NY
Maria Fareri Children’s Hospital
2012 f o s l ospita H t s Be
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Hospital Newspaper - NY November, 2012
2012 f o s l ospita H t s Be
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Burke Rehabilitation Hospital
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PAGE 20
November, 2012
Hospital Newspaper - NY
Westchester Medical Center
2012 f o s l ospita H t s Be
At Westchester Medical Center, Advanced Care is not a Goal, Itâ&#x20AC;&#x2122;s a Responsibility.
Located in Valhalla, New York, Westchester Medical Center is the Hudson Valley region's advanced medical care and referral hospital, serving more than 3.5 million people. Each year, more than 120,000 patients receive care at Westchester Medical Center in every clinical specialty through our main hospital, our Maria Fareri Children's Hospital â&#x20AC;&#x201C; the only all-specialty children's hospital in the region - and our Behavioral Health Center. Westchester Medical Center's services are also accessible to residents of New York City and portions of Fairfield County, Connecticut. With more than 900 attending physicians and 3,300 healthcare professionals, Westchester Medical Center delivers industry-leading advanced medical care in specialties and services ranging from, but not limited to: cardiovascular diagnostics, cardiothoracic surgery, vascular surgery, vein treatment, neurosciences, neurosurgery, neuro-psychology, neurovascular intervention, heart, liver and kidney transplants, advanced obstetrics and gynecology, robotic surgery. We are a Level I Trauma & Burn Center; are a nationally recognized bariatric surgery center. Westchester Medical Center is also home to one of the most technologically and clinically proficient advanced imaging centers in the region. Our advancements extend across the entire medical facility, from the latest technology and life-saving procedures, to nationally recognized doctors, nurses and staff. At Westchester Medical Center, Advanced Care is Not a Goal, itâ&#x20AC;&#x2122;s a Responsibility.
Hospital Newspaper - NY November, 2012 Ho Best
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012
Bergen Regional Medical Center LONG TERM CARE AT BERGEN REGIONAL MEDICAL CENTER
Quality of Care and Quality of Life Everything your loved one needs in one award winning facility. 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. Access to specialized on-site physicians 24 hours a day, 365 days a year. Because our facility has an on-site acute care hospital, if our residents experience medical emergencies day or night, comprehensive medical care is always just an elevator ride away. Our Long Term Care Division is accredited by the Joint Commission. Less than 6% of LTC facilities nationwide pursue and receive Joint Commission accreditation. No other nursing home offers more specialty services including: Rehabilitation Horticultural Therapy Multi-Faith Pastoral Care Pet Therapy Diversified Recreational Therapy Respite Care Behavioral Health Care On-Site Pharmacy and Acute Hospital Kosher Meals upon request Dedicated Korean program For more information about a tour or admission process, please call 201.967.4073
! r e n n i W
2012 me o H g n i Nurs ea r of the Y
Congratulations! BRMC’s Long Term Care Division named 2012 NJ BIZ Healthcare Heroes Nursing Home of the Year.
230 East Ridgewood Avenue Paramus, New Jersey, 07652
www.bergenregional.com
Page 21
PAGE 22
November, 2012
Hospital Newspaper - NY
North Shore-LIJ Health System
2012 f o s l ospita H t s Be
Long Island’s Fourth Annual Brain Aneurysm Awareness Walk Raises $60,000 to Fund Essential Research Photo credit: Bill Perlman
Brain aneurysm survivors and their families, along with staff from the Cushing Neuroscience Institute's Brain Aneurysm Center, participate in Long Island's Fourth Annual Brain Aneurysm Awareness Walk at Jones Beach
The Brain Aneurysm Center of the North Shore-LIJ Health System’s Cushing Neuroscience Institute (CNI), along with the Brain Aneurysm Foundation (BAF), recently hosted Long Island’s Fourth Annual Brain Aneurysm Awareness Walk at Jones Beach State Park to promote awareness and education. Approximately $60,000 raised from the walk will benefit CNI’s Brain Aneurysm Center and the Brain Aneurysm Foundation (BAF) to support essential research that may directly benefit those affected and help to reduce the incidence of ruptured aneurysms. Hundreds of walkers, including brain aneurysm survivors and their family and friends, attended the fun-filled event on September 29. Many doctors, nurses and staff members from the Brain Aneurysm Center at North Shore University Hospital (NSUH) in Manhasset, NY were also in attendance to show their support of the many patients they have treated over the years. Among the physicians present were David Chalif, MD, and Avi Setton, MD, co-directors of the Brain Aneurysm Center. “One of the goals of this event is to increase awareness about the warning signs of a brain aneurysm,” said Dr. Chalif. “The symptoms can include severe headache, nausea, blurred or double vision, stiff neck or neck pain, pain above or behind the eye, and loss of sensation.” One of the brain aneurysm survivors honored at the walk was 38 year-old Tamara Danzilo, a stay-at-home mom of two young children from Wantagh, NY. Ms. Danzilo shared her story with the crowd and thanked Dr. Chalif, Dr. Setton, Jennifer Laffey, RN, Nicole Salant, RN, and the rest of the NSUH staff for saving her life: In January 2012, she was treated for a brain aneurysm that could have taken her life had she not paid attention to symptoms when they first occurred. Dr. Chalif was able to surgically clip the aneurysm, closing off the blood flow to the brain. Another unexpected highlight of the event was a special “creature of the ocean” in attendance– a unique whale sighting off the shoreline while the brain aneurysm walk was in progress. Hundreds of walk participants stood in awe of the beautiful whale as it spouted water and put on a spectacular show. About the Brain Aneurysm Center at North Shore University Hospital: The Brain Aneurysm Center, located at North Shore University Hospital, offers state-of-the-art diagnosis and multimodality treatments for brain aneurysms including endovascular coiling, micro-surgical clipping and a variety of adjunctive diagnostic techniques used to improve clinical outcomes for ruptured aneurysms. In addition, the Brain Aneurysm Center is one of the few national centers with expertise in intracranial bypass surgery, including the recently FDA approved ELANA laser assisted bypass technique. For more information about the Brain Aneurysm Center, call (516) 562-3070 or visit www.northshorelij.com/cushing-neuroscience-institute/our-centers/brain-aneurysm-center-overview
Hospital Newspaper - NY November, 2012
2012 f o s l ospita H t s Be
PAgE 23
The New York City Health and Hospitals Corporation
HHC Honors Outstanding Nurses with First Annual Nursing Excellence Awards The New York City Health and Hospitals Corporation (HHC) recently honored six nurses and a nursing team with its first-ever Nursing Excellence Awards for their leadership, skill and compassion in areas including improving patient outcomes, teamwork and community service. The nurses recognized include the supervisor of a program that provides home visiting services for first-time mothers; a leader of changes in healthcare delivery that led to a decrease in readmission rates for heart failure patients; and a volunteer who finds time to serve her community outside of work by teaching children at Sunday school, promoting women’s issues and raising funds for distribution of food and clothing to the elderly. They come from among 8,000 men and women who provide nursing care each day in the city’s public hospitals, long-term care facilities and health centers in every borough. “HHC nurses play a vital role in our organization’s ability to deliver quality, patient-centered care to the 1.4 million New Yorkers who rely on us for their healthcare every year,” said HHC President Alan D. Aviles. “We thank them for the passion and commitment they bring every day to care for our patients and their families.” “This is a remarkable group of individuals who practice as staff nurses, educators, leaders, innovators , collaborators, coaches, mentors and passionate patient advocates,” said HHC Chief Nursing Officer Lauren Johnston, RN, MPA. “They touch lives every day, insisting on the best from themselves, their partners in care and the patients we serve.” The nurses were recognized during a reception and ceremony at Harlem Hospital Center.
The 2012 Nursing Excellence Award winners are: • Marcia Phillips, RN at Harlem Hospital Center, who received the Excellence in Home, Community and Ambulatory Care award for her work in supervising the home visiting services provided for first time mothers. • Alma Pamandanan-Pierson, RN at Bellevue Hospital, who received the Professional Management Award for leading changes in care delivery that has led to a decrease in the readmission rate of patients with congestive heart failure. • Elsykutty Mathew, RN, who received the Volunteerism and Service Award for the selfless service she brings to the wider community in addition to her dedicated work at Coler-Goldwater. • Christine Iwanicki, RN, who received the award for Excellence in Clinical Nursing for her outstanding work in the Coronary Care Cardiovascular unit at Coney Island Hospital. • Susan Domingo, RN, who received the Education and Mentorship Award for her skills as an educator who guides the growth of new and current employees at Elmhurst Hospital Center. • Angela Grigg-Beeson, RN at Woodhull Medical Center, who received the award for Advancing and Leading the Profession for her efforts to help transform the nursing practice, focus on collaboration among disciplines and improve outcomes. • The Neonatal Intensive Care Unit at Bellevue Hospital received the Team Award for demonstrating how effective teamwork is central to HHC's strategy to achieve excellence and for their unwavering commitment to quality care to benefit some of our most vulnerable patients. provided
Also recognized were three HHC hospitals that have been certified as Nurses Improving Care for Healthsystem Elders (NICHE) facilities, senior-friendly hospitals designed to meet the special needs of hospitalized elder adults. HHC’s Harlem Hospital Center, North Central Bronx Hospital and Queens Hospital Center were designated as NICHE hospitals in May after partnering with the Hartford Institute for Geriatric Nursing and the New York University College of Nursing to implement a nationally recognized training program designed to bring the most current knowledge and skills in geriatric patient care to bedside nurses and hospital staff. More than 100 nurses and healthcare professionals at these three institutions have already begun to adopt age-sensitive, patient-centered best practices in elder care to help improve the health status of New Yorkers age 65 year and older. About HHC The New York City Health and Hospitals Corporation (HHC) is a $6.7 billion integrated healthcare delivery system with its own 420,000 member health plan, MetroPlus, and is the largest municipal healthcare organization in the country. HHC serves 1.4 million New Yorkers every year and more than 475,000 are uninsured. HHC provides medical, mental health and substance abuse services through its 11 acute care hospitals, four skilled nursing facilities, six large diagnostic and treatment centers and more than 70 community based clinics. HHC Health and Home Care also provides in-home services for New Yorkers. HHC was the 2008 recipient of the National Quality Forum and The Joint Commission's John M. Eisenberg Award for Innovation in Patient Safety and Quality.
PAGE 24
November, 2012
Hospital Newspaper - NY
HealthAlliance’s Benedictine Hospital Campus named ‘Top Performer on Key Quality MeasuresTM’ by the Joint Commission HealthAlliance of the Hudson Valley’s Benedictine Hospital campus was named one of the nation’s Top Performers on Key Quality Measures for surgical care by The Joint Commission, the leading accreditor of health care organizations in America. The hospital was recognized for exemplary performance in using evidence-based clinical processes that are shown to improve care. David Lundquist, CEO of HealthAlliance of the Hudson Valley, said the accreditation shows the organization’s commitment to provide quality healthcare close to home. “This is one of many indicators that our community does not have to travel to get quality surgical care,” said Lundquist. “Congratulations to our excellent physicians, nurses, technicians and staff who have worked diligently for this recognition.” Joseph Marsicovete, Chief Quality & HR Officer at HealthAlliance, said the accolade was based on achieving 95 percent or above in all accountability measures of performance for surgery. “Accountability measures include the correct medication selection and use, prevention of blood clots and appropriate surgical preparation and post-operative care,” said Marsicovete. “These results attest to the level of care we provide, the progress we are making in delivering best practice, evidencebased medicine and our ongoing commitment to process improvement.” Benedictine Hospital is one of 620 hospitals in the nation to earn the distinction, which was awarded for attaining and sustaining excellence in performance for measures such as heart attack care, heart failure, pneumonia, surgical care, stroke and more. The ratings are based on an aggregation of accountability measure data reported to The Joint Commission during 2011. The list of Top Performers represents 18 percent of more than 3,400 eligible accredited hospitals that reported data. For a list of HealthAlliance of the Hudson Valley’s accreditations, visit www.hahv.org/accreditations-awards.
provided
About HealthAlliance of the Hudson Valley® HealthAlliance of the Hudson Valley is the alignment of Benedictine Hospital, Kingston Hospital, Margaretville Hospital, Mountainside Residential Care Center and Woodland Pond at New Paltz. As the parent organization, HealthAlliance provides a unified governance structure, while still allowing each hospital to continue as a separate and distinct corporation. The goal of HealthAlliance is to strengthen the
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quality of care and bring forward enhanced technology to serve the present and future healthcare needs in the Hudson Valley. HealthAlliance and its affiliate facilities are committed to providing compassionate, patient-centered care and ensuring patient safety, privacy and dignity to all. For further information about HealthAlliance visit our website at www.HAHV.org.
Hospital Newspaper - NY November, 2012
PaGe 25
Giants’ Mark Herzlich speaks to 700+ pediatric cancer survivors about his greatest triumph – And it wasn’t winning a Super Bowl Eisenhower Park was filled with the laughter of more than 700 pediatric cancer survivors and family members who gathered for the inaugural Les Nelkin Pediatric Cancer Survivors’ Day hosted by Cohen Children’s Medical Center (CCMC) of New York. They cheered as the event’s keynote speaker, New York Giants’ linebacker Mark Herzlich talked about his own successful battle with Ewing’s sarcoma, a rare form of bone cancer. When he was diagnosed at age 21 before starting his senior year at Boston College, Mr. Herzlich was told that he would not be able to play football again -- and may never run again. “I decided that I wasn’t going to let cancer beat me,” Mr. Herzlich told fellow survivors. His dream of playing football pushed him to not just be a survivor, but to “be a thriver.” A threeyear cancer survivor who won a Super Bowl ring with the Giants in February during his rookie season, he encouraged attendees to “fulfill your dreams.”
The event, made possible by the support of Ruth and Harold Nelkin as a way to honor the memory of their son, Les, attracted former child cancer patients of all ages. They included Tracy Vicere, who is celebrating 22 years of survivorship after being diagnosed at age 16 with two different types of cancer, Hodgkin’s Disease and Non-Hodgkin’s Lymphoma. CCMC was her home away from home for months. Despite the difficulties of treatment, she had the support of her family and made many great friends with the hospital staff and her team of doctors. “I felt I was saved for a reason and am thankful to give back to Cohen through my foundation, Friends and Angels: The Tracy Vicere Foundation,” she said. The foundation hosts fundraisers to benefit the Division of Hematology/Oncology and Stem Cell Transplantation at CCMC. As a leading center of pediatric oncology, CCMC sees approximately 200 new cases of childhood cancer every year. Thanks to improvements in chemotherapy, radiotherapy and surgery, there are more
provided
NY Giants’ linebacker and bone cancer survivor Mark Herzlich, center, celebrates with some of the hundreds of pediatric cancer survivors treated at Cohen Children’s Medical Center of New York
than 300,000 children, teens and young adults in the United States who are survivors of childhood cancer and require ongoing care. To help meet the complex needs of survivors, CCMC pediatric oncologist/hematologist Jonathan Fish, MD, created the Survivors Facing
Forward Program (SURFF). “Though we cannot choose our challenges,” Dr. Fish said, “Survivors Facing Forward will help survivors face the unique concerns ahead, and will advocate for your well-being and serve as a resource.” Survivors also know the importance of a positive attitude,
a fact evident in the smiles of the hundreds present. To make a donation to support the Division of Hematology/ Oncology and Stem Cell Transplantation at Cohen Children’s Medical Center, visit: https://support.northshorelij. com/ sslpage.aspx?pid=999.
(800) 222-6927 www.northwestseminars.com
north west S E M I N A R S
2013 EMERGENCY MEDICINE UPDATE CME February 18-22 Jackson Hole, Wyoming
April 21-26 Providenciales, Turks and Caicos
March 6-9 Las Vegas, Nevada
May 6-9 Monterey, California
March 24-31 7-Day Western Caribbean Cruise
September 23-26 Las Vegas, Nevada
March 31-April 7 7-Day Eastern Caribbean Cruise
November 4-8 Maui, Hawaii
PAGE 26
November, 2012
Hospital Newspaper - NY provided
North Shore-LIJ donates Ambulance
The Foundation for Community Assistance (FUPAC), which provides services such as medical assistance in the Dominican Republic, will soon have an ambulance donated by the North Shore-LIJ Health System. The suggestion of the donation came from Rita Obregon, assistant director of performance improvement in pathology at North Shore
University Hospital, after she spent two days last October volunteering for FUPAC and helping to treat about 2,000 patients in two days. Ms. Obregon contacted the health system’s Center for Emergency Medical Services (CEMS) and asked if it could spare an ambulance for FUPAC to use in the future. As luck would have it, Paul Power, CEMS
assistant director of operations, had a surplus van available that was fully functional. He stocked it with basic medical equipment, and repainted it with FUPAC and “donated by North Shore-LIJ.” Ms. Obregon anticipates that the ambulance will be received in the next few weeks.
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HOSPITAL
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Hospital Newspaper - NY November, 2012
Page 27
2012 Carnation Ball to celebrate Joseph A. Quagliata’s 40 years of leadership South Nassau Communities Hospital’s president and CEO, Mr. Joseph A. Quagliata, is the guest of honor of the hospital’s 2012 Annual Carnation Ball to be held Saturday, November 3 at the Crest Hollow Country Club in Woodbury, NY. Mr. Quagliata, who is retiring after nearly 40 years of distinguished service to the hospital and the communities it serves, will be presented with the hospital’s prestigious Mary Pearson Award. The Mary Pearson Award, named for South Nassau’s first administrator, is presented to an individual for extraordinary effort and individual contributions that significantly advance South Nassau’s commitment to compassionate care and standard setting healthcare services. Proceeds from the 2012 Carnation Ball will benefit The Gertrude & Louis Feil Cancer Center at South Nassau Communities Hospital. The center is the only one on Long Island that is equipped with three of the most advanced and effective technologies used to treat and eradicate cancer: the Varian Novalis Tx™, da Vinci® Surgical System and Gamma Knife®. It is a recipient of many prestigious honors and citations, including the American College of Surgeons Comprehensive Community Cancer Center designation and the Commission on Cancer’s Outstanding Achievement Award. “The evening’s proceeds will help ensure that the communities and residents served by South Nassau continue to have convenient access to the most advanced cancer care available anywhere,” said Elizabeth Nardone, South Nassau’s vice president of development. “We are thankful for our many generous and benevolent sponsors, including Co-Exclusive Ball Sponsors Orlin & Cohen Orthopedic Group and Neurological Surgery P.C.” Mr. Quagliata, who will be succeeded by Richard J. Murphy, was named president and CEO of South Nassau in October 1998. He started his career at South Nassau in 1973, when he was appointed Chief Financial Officer, a position he held until his appointment as president and CEO. During Mr. Quagliata’s tenure as president and CEO, South Nassau’s inpatient admissions increased by 90 percent and its ambulatory volume jumped by 127 percent, outpacing those of many other hospitals in the area. In addition, new services, specialty lines of practice, technological advances and new construction have been added, including, most notably, the hospital’s 174,000 square-foot North Addition,
provided
which set the standard for hospital development and design excellence when it opened in April 2006. Other leading-edge care added has included interventional cardiology, a Center for Advanced Orthopedics, and The Gertrude & Louis Feil Cancer Center. Mr. Quagliata has been an advocate for hospitals on Long Island for more than 30 years and is recognized for his leadership in shaping the future of healthcare in the region. He is Immediate Past Chairman of the Board of Trustees of the Healthcare Association of New York State (HANYS). He is also a Past Chairman of the Board of Directors of the Nassau-Suffolk Hospital Council, a body that comprises the chief executives of the 23 not-for-profit and public hospitals on Long Island. He also served on the Long Island Regional Advisory Committee of the New York State Commission on Health Care Facilities in the 21st Century (also known as the Berger Commission).
Additional industry roles include past President and Advanced Member of the Metropolitan New York Chapter of the Healthcare Financial Management Association. He has been a fervent supporter of Long Island Blood Services throughout the years and, due to his dedication, is in part responsible for the increase in much-needed blood donations on Long Island. Mr. Quagliata is also a champion of programs to help combat breast cancer and is a member of the inaugural class of inductees to the 1-in-9 Long Island Breast Cancer Action Coalition Hewlett House Hall of Fame. He is also responsible for spearheading South Nassau Communities Hospital’s 5K Breast Cancer Run/Walk that attracts more than 1,500 participants annually. Numerous organizations have honored Mr. Quagliata for his enduring commitment to ensuring the quality and vitality of healthcare services on Long Island and in New York. This includes Honoree of the Queens-Long Island Chapter of the American Association of Physicians of Indian Origin (AAPIQLI); Advancement for Commerce, Industry & Technology Reverend Monsignor Thomas J. Hartman Award; School-Business Partnerships of Long Island, Inc. SixtyOver-Sixty Award; and Hispanic Brotherhood of Rockville Centre Annual Scholarship Dinner Honoree. For more information on the event contact South Nassau’s Development department at (516) 377-5360 or visit the hospital’s website www.southnassau.org. South Nassau Communities Hospital is one of the region’s largest hospitals, with 435 beds, more than 900 physicians and 3,000 employees. Located in Oceanside, NY, the hospital is an acute-care, not-for-profit teaching hospital that provides state-of-the-art care in cardiac, oncologic, orthopedic, bariatric, pain management, mental health and emergency services. In addition to its extensive outpatient specialty centers, South Nassau provides emergency and elective angioplasty and is the only hospital on Long Island with the Novalis Tx™ and Gamma Knife® radiosurgery technologies. South Nassau is a designated Stroke Center by the New York State Department of Health and Comprehensive Community Cancer Center by the American College of Surgeons and is recognized as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery. For more information, visit www.southnassau.org.
hospital newspaper internet address directory Hackensack Hospital and Medical Center www.humc.com
associations NYSNA www.nysna.org healthcare consultants Medco Consultants, Inc. www.medcoconsultants.com hospitals HealthAlliance of the Hudson Valley® www.HAHV.org
North Shore LIJ www.northshorelij.com medical equipment & Products TSK Products www.tskproducts.com rehabilitation www.stcharles.org
To list your business website contact: Jim Stankiewicz Tel: 845-534-7500 ext. 219 jim@hospitalnewspaper.com
PAGE 28
November, 2012
Hospital Newspaper - NY
RESOURCE DIRECTORY ARCHITECTURE
Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction. We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services. The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper. Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration. The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”. Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com). Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 Fax: 212.463.9898 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON
BARIATRIC EQUIPMENT & PRODUCTS TSK PRODUCTS TSK Products is dedicated to helping Healthcare facilities meet the unique needs and challenges of treating obese patients. We offer a complete line of Bariatric equipment; from RoomLobby Chairs, to Lifts, Walkers, Beds, Commodes, Stretchers, Exam Tables…even Bed Pans and Blood Pressure Cuffs. Call us today for more information.
12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 Fax: (732) 389-9044
CAREER MANAGEMENT
Connect with Leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically. Join BlueSteps today and receive 15% OFF your membership! Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount. Contact info@bluesteps.com to learnmore or for assistance getting started!
CLINICAL OUTSOURCING/ EMERGENCy MEDICINE SOLUTIONS
Emergency Medical Associates (EMA) 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. Emergency Medical Associates (EMA) 3 Century Drive Parsippany, NJ 07054 www.ema.net Contact: Debbie Harris Director of New Business Development & Marketing Tel: (866) 630-8125 Fax: (919) 620-6064 harrisd@alpha-apr.com
CONTRACT/PRACTICE MANAGEMENT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERGENCy MEDICINE CONTRACT MANAGEMENT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERGENCy MEDICINE SERVICES CONSULTATION SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MANAGEMENT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation NEW yORK BASED OFFICE MED★EXCEL USA Please contact Marie Buchanan at 800.563.6384 Ext. 249 mbuchanan@medexcelusa.com all inquiries are confidential
EDUCATION
Prepare for a Career in Healthcare Sector Management at Long Island University. Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester. Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration. After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry. Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters. Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations. The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays. “The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program. For information, contact Dr. Johnson at 914-931-2711 or lynn.johnson@liu.edu. Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577
Contact Jim Stankiewicz to find out how your organization can be featured in Hospital Newspapers Resource Directory. 845-534-7500 ext. 219
Hospital Newspaper - NY November, 2012
PAgE 29
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RATE PROTECTION PROMOTION Receive preferred placement of all news and photos Lowest advertising rates locked in for all of 2013! Online presence on your state page on www.hospitalnewspaper.com Upcoming editions: Your CEO's Vision of Patient Care in 2013 Hospital of the Month Professional Development & Recruitment Innovative Heart Procedures
Contact Jim Stankiewicz to start your effective marketing plan! Jim@hospitalnewspaper.com Direct line: 845-202-4737
PaGE 30
November, 2012
Hospital Newspaper - NY
RESOURCE DIRECTORY HOSPITaLS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Calvary’s continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country. Each year, Calvary cares for more than 6,000 patients and their families. It cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center. Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses. • Home care is available in the Bronx, Queens, Manhattan, and lower Westchester. • Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties. • Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties. In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses. For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.
NEW PRODUCT TECHNOLOGY
NURSING HOME
REaL ESTaTE
Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area. Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties. The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home. A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE). The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs.
CR Properties Group, LLC CR Properties Group, LLC, established in 1983, has been involved in the sale and lease of regional medical centers, hospitals, nursing homes, assisted living facilities, private practices and government related medical facilities. We are experts in the commercial real estate market throughout the Hudson Valley. In addition to offering the properties below, we are locating medical properties for a multitude of medical buyers.
Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304
SENIOR LIVING NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries. Contact: Bob Goldbacher (609) 412-2134 www.icare-usa.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
Getting better…. just got better. We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound. United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access. United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at knodiff@uhgc.org. United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org
Phone: (845) 485-3100 Email: info@crproperties.com Website: www.crproperties.com
Medical / Office Building for Sale or Lease Vassar Medical Center Area & Mid-Hudson Medical Group Area’s Poughkeepsie, NY 2,500 SF Suitable for Specialists
Prime Class A Office Suites for Lease U.S. Route 9, Poughkeepsie, NY Up to 4,000 SF Available Join Successful Health Club
Medical / Professional Building for Lease U.S. Route 9 Crossroads Wappingers Falls, NY 30,000 SF Total Suitable for Specialists & General Practices
Medical Office Building for Sale U.S. Route 9, Hyde Park, NY 858 SF Available – Currently Orthodontist Suitable for all medical practices
(845) 485-3100 WORKERS’ COMPENSaTION HOSPITaL WORKERS HaVE YOU BEEN INJURED ON THE JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights! Do Not Make These Mistakes That Can Cost You Benefits 1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care. 2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits. 3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident. Do not let the job tell you different. 4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you. 5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis. 6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery.
BF
BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability attorneys
CaLL TOLL fREE 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
www.bagoliefriedman.com
Hospital Newspaper - NY November, 2012
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Think of us as healthcare you can grow old with. No matter what stage of life youâ&#x20AC;&#x2122;re at, North Shore-LIJ Health System has the health services you need. With 15 hospitals, including a dedicated pediatric hospital, dozens of specialized outpatient centers, rehabilitation facilities, nursing homes, and home health services in the New York metropolitan area, you will find worldclass health and wellness services to meet your specific need. Our
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professionals
work
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November, 2012
Hospital Newspaper - NY
Calling All Emergency Responders
When every second counts... Count on NitroMist
®
NitroMist provides fast, effective symptom relief. NitroMist provides a consistent dose with each metered spray.* NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.† Available in 90 & 230 spray bottles. For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.com Now covered on UnitedHealthcare. Check with your GPO for low contract pricing. For additional information, please contact us at info@akrimax.com BRIEF SUMMARY NitroMist® (nitroglycerin) lingual aerosol Rx Only INDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARNINGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefits of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported. DRUG INTERACTIONS – PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myocardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministration of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissuetype Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the first-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability. Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossification were seen. The latter finding probably reflects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-
Not Actual Size
orted clinical experience has not identified differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamic effects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and even bloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either flushed or cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specific antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerin overdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fluid volume. Passive elevation of the patient’s legs may be sufficient, but intravenous infusion of normal saline or similar fluid may also be necessary. The use of epinephrine or other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and difficult, and invasive monitoring may be required. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color change on exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required. NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fibrotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity in an in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and body weight gain in both sexes at all matings. No specific effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafil, vardenafil, and tadalafil. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructed that prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness or dizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly flammable propellant (butane), do not have the container burned after use and do not spray directly towards flames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content. Manufactured for Akrimax Pharmaceuticals, LLC E Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany E Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USA NitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012
*Priming NitroMist: After receiving a new prescription or refill, patients should remove the plastic cap, place forefinger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays. † Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F). NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.
©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T