HospiTaL
H NEWSPAPER
Online…
Looking for the right employee?
Join our Career Guide!
The New York Edition WWW.HOSPITALNEWSPAPER.COM
HOME SUBSCRIPTION - $36/YEAR
APRIL 2013
If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p13
BUILDING PATIENT SATISFACTION Ask An Expert
See p8
NEXT EDITION… Top Nurses recogNized National Nurse Week Education & Recruitment Opportunities
pediaTric care
CHANGE SERVICE REQUESTED
Children’s Health and Rehabilitation Hospital Newspaper 1 Ardmore Street New Windsor NY 12553
PRESORT STANDARD U.S. POSTAGE PAID PERMIT 7246 PHILADELPHIA, PA 19143
PAGE 2
April, 2013
Hospital Newspaper - NY
SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY
HONORED ON
‘Best Doctors’ LISTS YEAR AFTER YEAR
ROBERT BELKIN, MD CRAIG HJEMDAHL-MONSEN, MD MONICA REYNOLDS, MD GABRIELLE BOLTON, MD KUMAR KALAPATAPU, MD JAE RO, MD MARK BORKIN, MD SRIRAMA KALAPATAPU, MD WARREN ROSENBLUM, MD SUSAN CAMPANILE, MD RICHARD KAY, MD INDERPAL SINGH, MD LEO CARDILLO, MD ANDREW KUPERSMITH, MD SUSAN SOEIRO, MD MAXWELL CHAIT, MD STEVEN LANDAU, MD DAVID E. SOLARZ, MD ALBERT DELUCA, MD YAT WA (BETTY) LI, MD CARMINE SORBERA, MD JEFFREY DONIS, MD SANJAY NAIK, MD STEVEN L. VALENSTEIN, MD JOYDEEP GHOSH, MD DIMPLE PATEL, MD MELVIN WEISS, MD LAWRENCE GLASSBERG, MD RONALD PRESTON, MD RONALD WEISSMAN, MD EDUARDO GRANATO, MD ANTHONY PUCILLO, MD PRESTON WINTERS, MD
Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914) 593-7800
15 North Broadway 2nd Floor White Plains, NY 10601 (914) 428-6000
5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234
30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555
180 East Hartsdale Avenue 3 Michael Frey Drive Suite 1E Eastchester, NY 10709 Hartsdale, NY 10530 (914) 337-3500 (914)725-2010
688 White Plains Road Suite 210 Scarsdale, NY 10583 (914) 723-3322
Hospital Newspaper - NY April, 2013
Page 3
PAGE 4
April, 2013
Hospital Newspaper - NY
New $4M Inpatient Brain Injury Unit opens at Glen Cove Hospital my family and friends nearby to visit made things a lot easier.” At the time, he was a senior at Binghamton University. “I feel like I got a second chance,” said Mr. Young. Due to his brain injury, he experienced physical and cognitive challenges, including difficulty walking, writing, talking and memory issues. He and his family were not sure if he’d ever graduate college or drive a car again. After three weeks of intensive rehabilitation at Glen Cove, Mr. Young continued his recovery and graduated from college in December 2012. “Although I have slight physical limitations, my life has gotten better…I have more conviction in my
studying and my family has gotten closer,” he said. Mr. Young is fulfilling his dream to become a lawyer and has been accepted to several law schools. “My family and I will soon be deciding which school I’ll be attending in September,” he added. North Shore-LIJ’s Southside Hospital in Bay Shore also has an inpatient brain injury unit, which together with Glen Cove’s program, provides a greater ability to keep patients closer to their family members and loved ones. For more information about Glen Cove’s Brain Injury Unit, please contact the Rehabilitation admission’s office at 516-674-7692.
provided
Susan Kwiatek, RN, executive director of Glen Cove Hospital, and Zachary Young, a former patient of the hospital’s rehabilitation program, cut the ribbon to commemorate the opening of Glen Cove’s new Brain Injury Unit. Joining them for left to right, are: Gene Tangney, senior vice president and regional executive director, North Shore-LIJ; Raj Narayan, MD, chair, neurosurgery, North Shore-LIJ; Adam B. Stein, chair, physical medicine and rehabilitation, North Shore-LIJ; and Ronald Kanner, MD, chair of neurology, North Shore-LIJ.
To meet the increasing needs of patients requiring intensive brain injury treatment, Glen Cove Hospital recently opened a new $4 million, 10,000-square-foot Brain Injury Unit (BIU). Every year, about 1.7 million Americans sustain a traumatic brain injury, causing 52,000 deaths and contributing to a substantial number of cases of permanent disability, according to the US Centers for Disease Control and Prevention. In New York State alone, more than 12,000 people are hospitalized annually with a traumatic brain injury. In addition, acquired brain injuries, such as stroke or brain aneurysm, can also disrupt the normal brain function causing mild to severe symptoms. The BIU is the only New York State-designated, hospital-based, adult brain injury rehabilitation center in Nassau County. Rehabilitation specialists will treat patients from age 17 to elderly patients with a range of brain injuries, including complex stroke, brain hemorrhage, brain tumors and other brain injuryrelated conditions, as well as traumatic brain injuries, such as those caused by motor vehicle crashes, falls, sports-related concussions and violence. “The goal of the program is to help patients recover as optimally as possible and facilitate their return to the most active and highest
level of their functioning after an acquired or traumatic brain injury,” said Barry Root, MD, Glen Cove Hospital’s chair of physical medicine and rehabilitation. “Patients will benefit from a multidisciplinary clinical team, including a physiatrist with specialty training in brain injury medicine; a neuropsychologist; psychiatrists; physical, speech, recreational and occupational therapists; rehabilitation nurses and social workers.” The 10-bed unit includes eight single rooms furnished with sleep sofas for overnight visitors and one double room. The new facility includes a modern-designed physical therapy gym, occupational therapy treatment area and a studio apartment, complete with kitchen and laundry area, so patients are able to practice activities of daily living. Also included in the new unit are private speech therapy treatment rooms, a recreational therapy activity room and a restorative dining room. “Brain injury is a process; it is not just a single event,” Adam B. Stein, MD, chair of physical medicine and rehabilitation at the North Shore-LIJ Health System, said at a special ribbon-cutting ceremony to celebrate the facility’s opening. “Achieving the best outcomes for patients affected by brain injury requires an integrated team of medical and rehabilitation specialists.
We are fortunate to be part of a comprehensive health system that can provide the full continuum of care, from acute management by neurosurgeons, neurologists and physiatrists to inpatient rehabilitation to home and community-based care.” The brain injury center staff will work closely with neurovascular and trauma surgeons at North Shore University Hospital, LIJ Medical Center and other hospitals to provide “seamless care and communication,” as patients transition from the acute hospital to rehabilitation and to home, said Dr. Stein. “It is critically important for family members to be part of the care team, because brain injury can cause ongoing disability in terms of physical, emotional, cognitive and personality changes,” explained Dr. Root “The more we work with patients and their families during treatment, the smoother and safer reintegration back to the community will be.” At Friday's opening, Zachary Young, 23, of Plainview, shared his story of recovery after sustaining a brain injury and sudden cardiac arrest in December 2011, which caused him to lose oxygen to the brain. After two hospitalizations and getting implanted with a defibrillator to regulate his heart beat, Mr. Young received treatment at Glen Cove’s rehabilitation unit in January 2012, noting that “having
internet address directory 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
Hospital Newspaper - NY April, 2013
How Many Prestigious Rankings Did We Receive? So Many That They Don’t All Fit on One Page. The numbers are in: North Shore-LIJ hospitals have been recognized with 57 national and regional designations of excellence by U.S. News and World Report. That’s more than any other health system in New York. For us, it’s an important validation of the great work being done every day by our teams in specialty areas like cancer care, cardiology, numerous pediatric specialities, and more. For our patients, it means the security of knowing they’ve made the right choice for their health care provider. And if you aren’t one of our patients? Now you have 57 new reasons to choose us. To find a North Shore-LIJ physician, go to northshorelij.com/physician
Hospitals recognized: Cohen Children’s Medical Center – 7 Specialties; Forest Hills Hospital – Gastroenterology and Urology; Glen Cove Hospital – Orthopedics; Huntington Hospital – 11 Specialties; Lenox Hill Hospital – 12 Specialties; Long Island Jewish Medical Center – 7 Specialties; North Shore University Hospital – 11 Specialties; Southside Hospital – 5 Specialties; Staten Island University Hospital – Nephrology. For more information: northshorelij.com/usnews
Page 5
PAGE 6
April, 2013
Hospital Newspaper - NY
OUR VIEW
ADVERTISER INDEX Company
Page
U.S. Air Force
11
AkrimAx / Nitromist
23
AlliedBarton Security Services
24
Burke rehabilitation Hospital
19
ColumbiaDoctors
2
EmA
7
GNYHA Services
9
icare
21
medExcel
3
North Shore-LiJ
5
NorthWest Seminars
17
Planetree
15
resource Directory
20, 22
Sun Home Loans
H
13
Senior Citizens have major concerns about Obamacare and for good reason! Most of the savings over the 10 initial years is to shave off an estimated $575 billion to the Medicare program. Parts of the massive law are designed to appeal to seniors, yet Medicare is already burdened by an unfolded liability of $38 trillion. Unless Medicare savings are captured and reinvested back into the Medicare program, it will continue to decline. Medicare drug coverage under Obamacare provides a $250 rebate for seniors who fall into the “donut hole” and requires drug companies to provide a 50 percent discount on brand name prescriptions filled in the hole. Obamacare has imposed a tax (a “fee”) on the sale of these brand name drugs in Medicare and other government health programs, ranging from $2.5 billion in 2011 to $4.1 billion in 2018. Meanwhile, the law will freeze payments to Medicare Advantage plans and restrict physicians from referring seniors in Medicare to specialty hospitals where physicians have an ownership interest. This year, the law eliminates the tax deductibility of the generous federal subsidy for employers who provide drug coverage for retirees. This could further undercut provision of employment-based prescription drug coverage for seniors. Hospitals and Doctors are forced to comply with the new rules and sometimes are forced to reduce reimbursement for treating senior citizens. It is critical that the Obamacare savings planned from the Medicare program be reinvested back into the program or Medicare will not be there eight to 10 years from now. Our seniors deserve to feel more security. Please let us know your opinion! Letter to the Editor: Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553 or e-mail Jim at jim@hospitalnewspaper.com
HOSPITAL
Online…
NEWSPAPER
H
845-534-7500 • (fax) 845-534-0055 Info@HospitalNewspaper.com
PUBLISHER
Joseph P. Belsito
HOSPITAL
Looking for right emplo the yee?
WWW.H OSPITAL NEWSPA PER.CO M
HOME SUB SCRIPTI If you are ON - $36 a Hospi /YEAR refinancin tal employee lookin APRIL 2013 g contact g for a mo Hospital Em Sun Ho rtgage or ployee Loa n Program me Loans about the ir and you cou ld WIN AN IPAD! See p13
BUILD
PATIENT S ING ATISFACT ION
NEWSPAPER
See p8
(Joe@hospitalnewspaper.com)
••• GENERAL MANAGER
Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form
James Stankiewicz (Jim@hospitalnewspaper.com)
••• MANAGING EDITOR
NEXT EDITIO N…
Cathryn Burak
National Nurs e Week Education & Recruitme nt Opportuni ties
(Cathy@hospitalnewspaper.com)
Children’s Healt and Rehabilita h tion
••• SENIOR CORRESPONDENT
Subscription Form
Geraldine A. Collier
••• SENIOR SALES CONSULTANT
Maureen Rafferty Linell
Name: __________________________________________________________________________________________________________________
(MRLinell@charter.net)
••• MARKETING EXECUTIVE
Anthony Mairo (Anthony@hospitalnewspaper.com)
•••
CIRCULATION
Michelle Belsito (845-534-7500 x220)
••• BUSINESS DEVELOPMENT, PUBLISHER'S REPRESENTATIVE
Jeff Horton
Field office; Mahopac, NY cell- 845-729-2525 jeff.hospitalnewspaper@gmail.com
Telephone: (
) _________________ - ______________________
Fax: (
) _________________ - ______________________
Telephone: ( ) ______________- __________________ Address: ________________________________________________________________________________________________________________
ACity: ___________________________________________________ State:___________________________
Zip:_______________________
State:________________________ Zip:_____________________________
___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!
_
___ $60 for a two year subscription. Save over 17% off regular price! ___ NE ___ $18 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!
CORPORATE INFORMATION Hospital Newspaper - New York edition - Vol. 11 No. 4 is published monthly, 12 times a year for $36 per year by Belsito Communications, Inc., 1 Ardmore Street, New No.NY 1 - 12553. is published monthly, times a year NY for Windsor, Postage Paid at12 New Windsor, $and additional mailing offices. Postmaster: Send address changes to Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.
845-534-7500 • (fax) 845-534-0055 Info@Belsito.com A division of:
___ $25 for a two year subscription. Save over 17% off regular price! Send payment to:
PAyMEnt MEthOD __ Check
CCard #:
_
__ Money Order __ Charge my Visa
___ Charge my Mastercard
__ Charge my Discover Card
___ Charge my American Express
Hospital Newspaper 1 Ardmore Street New Windsor, NY 12553
Amount enclosed: ________________
________________________________________________________________________________________
Exp.: ____________________________________________________________________________________________ Signature: ______________________________________________________________________________________
For Credit Card Orders: fax this form to 845-534-0055 or call Michelle at 845-534-7500 ext 220
Hospital Newspaper - NY April, 2013
PAgE 7
Calvary Hospital honors Michael Cashin and Lucy Tedesco, CCT-II with 2013 Meviar Smith Humanitarian Award
The Sign of Excellence ence in Emergency Medicine edicine® ree Decades for More Than Three
provided
Michael J. Brescia, MD, Executive Medical Director, Calvary Hospital (center) is flanked by the 2013 Meviar Smith Humanitarian Award honorees, Michael Cashin (left) and Lucy Tedesco (right).
Calvary Hospital recently honored Michael Cashin (Bronx) and Lucy Tedesco (Nassau County) with the 2013 Annual Meviar Smith Humanitarian Award. The award, which has been bestowed since 1988, was created to honor the memory of 28-year Calvary veteran, Meviar Smith. Until her death in 1987, Meviar was famous for her loyalty, conscientious work ethic, and dedication to the patients at Calvary Hospital. This year’s selection committee felt that Michael and Lucy best demonstrated the qualities for which Meviar was known. Michael Cashin Michael was born in the Bronx and has resided here his entire life. He completed public school and vocational training and volunteered at Jacobi Medical Center for a year before coming to Calvary Hospital. Michael started in the Housekeeping Department at Calvary in 1978 a few weeks before the new building opened and helped prepare the rooms for the arrival of the first patients. Michael’s dedication and heartwarming smile is a reminder to everyone to not let anything get in the way of performing your job with enthusiasm and optimism. Michael resides in the Pelham Bay section of the Bronx with his brother Bob and has recently taken up golf as a hobby.
Lucy Tedesco Lucy was born and raised in the Bronx and has resided in Long Island since 1990. Lucy first joined Calvary Hospital in 1972 and Meviar Smith was one of her instructors. Lucy left Calvary for one year in 1985 and returned in 1986. In total, Lucy has been with Calvary for 41 years. Lucy enjoys sharing her sto ries and the history of Calvary to the delight of the listener. She is known for welcoming patients, family members and visitors with open arms. She has been a Cancer Care Technician (CCT-II) for 13 years, and worked in the Brooklyn campus for 8 years. Lucy has one daughter, 3 grand children and 1 great grandchild. 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 225-bed 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 5,600 patients are cared for annually by Calvary’s inpatient, outpatient, homecare, hospice, nursing home hospice, and wound care services. To learn more, support the Calvary mission, or sign up for the Hospital’s e-newsletter, please go to www.calvaryhospital.org.
If you’d like to reach the health and hospital communities of New York each month, there is no more cost-effective way than the Hospital Newspaper.
t
35 yyears ears of expertise exper x tise
t
Serving Ser ving patients patie ents in New York, York, New w Jersey and Pennsylvania, Pennsyllvania, as w ell as North No or th Carolina Carolina and Rhode Rho ode Island well
t
Dedicated board-certified Dedicated bo oard-cer tified emergency emerge ency physicians physicians integrate integ gra te hospital’s culture iinto nto yyour our hos spital’ss cultur e
t
Recognized for Recognized for clinical excellence, excellence, quality quality service ser vice and high patient satisfaction pa tient sa tisffaction
Top 2012 T op 10 Emergency Department artment Contractors 2012 Best Places to Work Work orrk in Healthcare
Call Jim Stankiewicz to place your advertisement:
845-534-7500 *219
(877) 692-4665 5
info@EMA.net
www.EMA.net www .EMA A.net
PAGE 8
April, 2013
Hospital Newspaper - NY
Ask An Expert Christopher J. O’Connor Executive Vice President, GNYHA Ventures, Inc., President, GNYHA Services, Inc. and President, Nexera, Inc.
Building Patient Satisfaction It’s not just people that make a hospital. The environment—the infrastructure, architecture, and design—also plays a key role in hospital viability. As the economy recovers, so does the will to invest in hospital facility upgrades and construction projects, albeit cautiously and on a smaller scale. And with the potential increase in patient load, coupled with the link between patient satisfaction, outcomes, and payments, facility investments present a long-term opportunity to make a positive impact on your bottom line. A 2011 survey found that patient satisfaction is one of the top three concerns of hospital executives. And in October of last year, the patient satisfaction stakes rose even higher when the Affordable Care Act tied payment cuts to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Poor HCAHPS scores will cost hospitals 1% of their reimbursement, a penalty that will grow to 2% in FY 2017. Among other questions, the survey asks patients to rate their hospital environment according to cleanliness and noise level—which should make facilities an essential part of every hospital’s reimbursement strategy. The 2012 Hospital Construction Survey by Health Facilities Management and the American Society of Healthcare Engineering reported that the majority of hospitals plan to spend more on renovations than new construction, consistent with the present climate of fiscal restraint. In this patient-centric, tight budget environment, hospitals need to make prudent decisions and invest in the right projects at the right price. Although not traditionally associated with facilities management, group purchasing organizations (GPOs), which provide access to competitive pricing for a variety of contracts for everything from planning to plumbing and from floor mats to roofing, make a perfect partner for facilities managers and other decision-makers before and during a renovation or building project. Hospitals that work with GNYHA Services from the inception of a construction project can present their proposed plan and gain access to custom-made supply and other contracts. They can also consult a GPO subject matter expert— who is armed with a background in construction and/or electrical, architecture, etc.—at any or every stage of the process. In addition, GPO representatives are available to help facilities managers identify savings through suggested contracts and can create contracts based on specific needs. GPOs are even equipped to become part of a hospital emergency preparedness plan, helping to arrange access to medical and non-medical supplies and technology. Hospitals are realizing that their facilities are fundamental to their overall success, affecting everyday but important issues, such as patient satisfaction and workflow. With well thought out construction plans and a GPO to maximize savings on supplies, equipment, and services, hospitals can ensure that they are providing an environment that allows for the highest possible level of care and brings them to the optimal 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. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials Management (AHRMM).
Hospital Newspaper - NY April, 2013
Upgrade your bottom line. Facility upkeep is vital to the safety and satisfaction of your patients and employees. The GNYHA Services facility maintenance portfolio is designed to help hospitals complete successful repair, renovation, and construction projects with reliable suppliers at significant savings. Repair and renovation don’t have to be DIY. Call GNYHA Services at (212) 246-7100.
555 West 57th St. I New York, NY 10019
Page 9
PAGE 10
or nfo f i t s e Lat es and
nursdents stu
April, 2013
Hospital Newspaper - NY
Nurse’s Viewpoint
By Alison Lazzaro
Hospital Newspaper Correspondent
61st Annual Convention: Kings and Queens of Hearts: Ace Your Career in Nursing Valentines Day 2013 was not the usual couples retreat at Bally’s Hotel in Atlantic City this year. Two-thousand nursing students chose to spend the day at the New Jersey Nursing Students Inc. 61st Annual Convention. This networking opportunity was themed Kings and Queens of Hearts: Ace Your Career in Nursing. The year-long diligent planning by a student run board of nursing students was in full swing on Valentine’s Day. Eager nursing students began their trip on Wednesday night if they were chosen to represent their schools as Delegates. The enthusiastic group followed Roberts Rules of Parliamentary Procedure to conduct business. Thursday was packed with forty-seven focus sessions on topics from prenatal care to resume workshops, run by the New Jersey Association of Healthcare Recruiters, to psychiatric-mental health concepts, caring for the LGBTQ population, political action, and cardiac pharmacology. There was a topic for every student's unique interest. Simultaneously, a blood drive hosted by the American Red Cross enabled students to save lives even when they were away from clinical for a day. Student nurse speakers also discussed the resolutions they prepared in order to present them at the National Student Nurses Association Convention. NCLEX preparation classes were even available to help students pass after graduation and land their dream job! The exhibit hall bustled with NCLEX test preparation organizations, colleges and universities, job opportunities, uniform sales, and raffle baskets. Students came prepared with resumes and enthusiasm as they professionally greeted exhibitors. Whether interested in applying to graduate school, ready to face the NCLEX, job searching, or just interested in seeing what opportunities were available, students were busily networking throughout the hall. Thursday night allowed participants to unwind from the long day and have fun with new acquaintances at the First Night Party. The theme was "Rodeo Roundup: Lasso in Some Fun" and included Country line dancing with the western theme. With “Watermelon Crawl” lessons, students came dressed in cowboy boots to enjoy food and dancing. Friday closed with the final House of Delegates meeting in which students prepared speeches to run for a 2013-2014 board position. Following delegate voting, students could choose to attend a NCLEX review course or if the exam seemed far away as an underclassman, students could participate in a Disaster Health Services Response Workshop held by the American Red Cross. The Convention was a huge success and a great way for students to get more involved in their pre-professional nursing organization.
Hospital Newspaper - NY April, 2013
SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?
In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If youÂśre looking for professional growth and development through leadership experience, come practice in the Air Force. AIRFORCE.COM/HEALTHCARE AIR FORCE HEALTH PROFESSIONS 212-349-2489
REGIONAL OFFICE NEW YORK, NY BFLT318@US.AF.MIL
Page 11
PAGE 12
April, 2013
Hospital Newspaper - NY
Sun Hospital Employee Loan program provides six ways to make your home purchase a success Coming off another snowstorm, it’s nice to know that, soon, you can put away the shovel and snow blower. The weather is about to break. Finally! Believe it or not, spring will soon have finally sprung. The springtime serves as peak home-buying season. Even though buyers have a greater advantage than they’ve had in awhile, it’s still easy to take a wrong, frustrating and – gasp – costly turn. But don’t worry: The Sun National Bank Hospital Employee Loan Program (H.E.L.P). provides six ways to make sure buying a new home proves to be a success. Hospital Newspaper and Sun Home Loans teamed up to create the H.E.L.P. Program. This exclusive mortgage opportunity provides discounted fees and low interest rates for firefighters and other members of the emergency services community. The program offers unmatched rates, minimal lender fees and promises to get clients in their new home by the contract date.
1
Be prepared: You will need to do a little homework before you get started looking for a new home. Make sure that you can locate all the documents necessary for you to be pre-approved for a mortgage. You will most likely need the following: Your two most recent pay stubs, your last two years W2’s, all of your asset statements, (checking, savings, 401k, stocks, bonds, mutual funds) and last two tax returns. Sit down and work up your budget, know how much you want to spend before you are told how much you can actually spend.
2 3 4
Get pre-approved: Call the H.E.L.P. Program to be pre-approved for your new mortgage. Without pre-approval, you will not know what you can afford to buy. This can get you into a very difficult situation. If you put an offer on a house without being approved and you can’t afford it, you might be opening the door to some very expensive litigation. Call the H.E.L.P. Program today and find out what you can afford to buy.
Ensure you are working with a real estate professional: Ask your H.E.L.P. Program representative if they can recommend a real estate professional to you. It is extremely important to have a real estate agent that is working for you and your best interests. A real estate agent will look out for the best deals in your market and are there to facilitate the negotiating process and the transition to your new home. Find a good real estate attorney: A lawyer can help you negotiate the real estate contract and renegotiate it if a home inspection finds flaws - or an appraisal deems the house less valuable than the sales price. A lawyer also represents your interests at the closing and does the lion’s share of paperwork and coordination associated with it. continued on next page
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
Hospital Newspaper - NY April, 2013
H.E.L.P. Program continued from previous page
5
Make a firm offer: When you see a house you want, you’ll make a verbal offer. If the seller is interested, your next step is to commit yourself in writing. The written offer, or contract, is usually drawn up by the seller’s agent, but if you choose to use a buyer’s agent and real estate lawyer, they can negotiate and review that contract on your behalf. If you end up negotiating the price of the property, make sure that you check in with your H.E.L.P. Program representative. You do not want to overbid the price of the property and then not be able to qualify.
6
Get the home inspected: No matter how good a house looks and no matter how much you love it, you want to be sure it’s sound structurally and in every other way. If it’s not, you want to know whether the seller will address the issue before you seal the deal. If not you have to decide whether you want to back out of the deal or take care of the repairs yourself.
H.E.L.P. Program clients enjoy unmatched customer service and attentiveness throughout the process - from their initial inquiry - to closing. Working with its own resources and Federal government programs, Sun National Bank develops solutions that open the path to home ownership. Sun National Bank provides a full-range of banking products and services, delivered by experienced bankers. Personal attention merges with world-class service and competitive products that meet the needs of today’s consumers and businesses. Sun National Bank believes that doing business in the community means being a part of it. Whether purchasing a new home or refinancing an existing one, the H.E.L.P. Program is offered exclusively, providing personal service, benefits and rates not normally available to the general public. “The springtime is the perfect time to buy a home and we make it even easier with aggressive products and programs available to the men and woman who are such an important part of the fabric of our community,” said Steven Testa, an executive vice president with Sun National Bank. “The H.E.L.P Program really got off the ground running and continues to be a success. We are excited about it and look forward in continuing to build our relationship with the hospital community.” To receive more information about the program and its benefits, contact Steven Testa at stesta@sunnb.com or call 973-6159745. Sun National Bank Home Loans and Hospital Newspaper are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun National Bank Loans, Equal Housing Lender.
PaGe 13
Win an iPad! If you are a member of the hospital community, now is your chance to enter Sun Home Loans and Hospital Newspaper's contest to win a free iPad. Just to go our website at www.hospitalnewspaper.com and fill in the entry form. Once you complete it, you will receive an email that requires you to confirm your email address. Once you do that you are entered. Hospital Newspaper will also be accepting applications at all conventions that it attends. A total of Five iPads will be given away so your chances to win are excellent. Sign up today to win today!
Hospital Employee Loan Program
Sun Home Loans, a division of Sun National Bank, is proud to serve the heroes in our community who dedicate their lives to serving the rest of us: doctors, nurses and other hospital employees. That is why we teamed up with Hospital News to create the Hospital Employee Loan Program (HELP). With a competitive mortgage rate and discounted fees, this program helps our community heroes purchase new homes or refinance existing homes. Plus, the program comes with our pledge to get hospital employees in their new homes by their contract dates.
PROGRAM INFORMATION We understand that the current economic environment has created challenges to home ownership. Working with our own resources and Federal government programs we will create a solution that opens the path to home ownership. The Hospital Employee Loan Program delivers these advantages: » A competitive mortgage rate, available specifically for hospital employees » Discounted fees » Personal service from program specialists » Our pledge to have you in your home by the contract date
COMMUNITY FOCUS Sun National Bank, a full-service provider of banking products and services, is dedicated to playing an active part in the communities we serve. We support a variety of organizations, events and programs whose goals are to make our neighborhoods a better place to live and work and improve the lives of those living around us. Hospital News is the leading provider of local news and information for doctors, nurses and other hospital staff.
Learn More To find out more about our Hospital Employee Loan Program, email stesta@sunnb.com or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.
www.sunnb.com Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender.
NMLS #429900
PAGE 14
April, 2013
Hospital Newspaper - NY
education & careers Orange Regional Medical Center Recipient of Registered Nurse Grant Hospital establishes LPN to RN Pathway to Excellence Program Orange Regional Medical Center was awarded a grant through the New York State Department of Labor’s (NYSDOL) Registered Nurse Upgrade Project. The grant supports continued education of employed Licensed Practical Nurses (LPN) interested in enhancing their academic credentials to become Registered Nurses (RN) and further strengthen Orange Regional’s nursing workforce. Orange Regional’s grant application focused on tuition funding for a select group of currently employed LPNs to pursue their RN degrees. Orange Regional is proud to support twelve employees of the LPN to RN Pathway to Excellence Program who are attending programs offered through local higher educational institutions including Excelsior College, SUNY Orange, SUNY Rockland and SUNY Sullivan. These academic institutions, along with the 1199SEIU health workers union, provided Orange Regional with the support needed to launch this program.
“This grant reflects a strong support for continued education and training of nurses who have a critical role within our healthcare system,” says Vice President and Chief Nursing Officer, Joanne Ritter-Teitel. “Orange Regional has an ongoing commitment to retain highlyskilled nurses to provide excellent care to those in our community.” Each nursing scholar has been paired with an Orange Regional mentor that will provide support and assistance throughout their course of studies. The training is expected to last 18 months and upon completion and RN licensure, graduates will be promoted to carrying out roles and responsibilities of an RN throughout various units at the Hospital. To learn about the nursing opportunities available at Orange Regional Medical Center visit www.ormccareers.org. Orange Regional Medical Center is a member of the Greater Hudson Valley Health System.
provided
Orange Regional honored its Licensed Practical Nurses and their commitment to lifelong learning. Those who will utilize the LPN to RN Pathway to Excellence Program include Heather Sheehan-Essig, Mary Sandvik, Laurie Reina, Jeanette Babcock, Krista Esposito, Christina Fitzula, Gerri Hughes, Mary Gardner, Ingrid Betancur, Suzanne Baker, Rammel Hemmings-Love and Kristy Perini.
Hoper School of Nursing schedules Open House Hopfer School of Nursing at Mount Vernon Hospital will host Open House on April 18 at 1:00 PM and 6:00 PM – pre-registration not required - at the school, located at 53 Valentine Street, Mount Vernon, NY. Hopfer Administrators and Instructors will provide informational sessions on admission requirements as well as an overview of the two-year Registered Nursing program. In addition to a tour of the School, there will be an informal question and answer session at both times. Current students will be available to provide insight into their experiences and give helpful advice. Individuals looking for a nursing program incorporating a high-tech, handson, hospital-based approach in a fast-paced healthcare system will find what they’re looking for at Hopfer. Hopfer School of Nursing not only offers its highly regarded Associate Degree in Science (Nursing) Program, but also has established an innovative Dual Degree Partnership with Mercy College. Graduating high school seniors with 85% or higher grade point average can now
apply directly to Mercy College for a BS in Nursing Dual Degree Program with Hopfer School of Nursing. Accepted students attend Mercy for their freshman year, where they will fulfill requirements in liberal arts and the sciences. Then year two and three is accomplished through classroom instruction at Hopfer, including handson clinical education within the Sound Shore Health System (Sound Shore Medical Center, Mount Vernon Hospital and Schaffer Extended Care Center). With the successful completion of the Hopfer requirements, students receive an Associate Degree in Science (Nursing) and are prepared to take the National Council Licensing Examination. Upon passing the exam, they are qualified to work as Registered Nurses while they complete their senior year at Mercy, or students can postpone employment until they graduate with their Bachelor of Science in Nursing degrees. This is the only program of its kind in Westchester County – and one of only a few in New York State.
Understanding the needs of its students, who are often balancing personal as well as professional goals, Hopfer is one of the few nursing schools in Westchester offering Weekend/Evening Programs. Upon completion of their Associate Degree requirements, Hopfer students are well prepared to take the licensing exam for Registered Nurse (Hopfer graduates had a first-time pass rate in 2012 of 95.65%). If graduates desire to continue their education after successful completion of the two-year program, Hopfer has articulation agreements with a number of fouryear Bachelor of Science in Nursing Degree programs. These educational partners provide a seamless transition for Hopfer graduates. To learn more about Hopfer’s century-long tradition of providing strong academic preparation and hands-on learning – in a hospital-based setting – please contact Sandra Farrior, Coordinator of Student Services at 914.361.6472 or by email at hopferadmissions@sshsw.org. To view Hopfer’s program catalog, visit www.Hopfer.org today.
Hospital Newspaper - NY April, 2013
PAGE 15
Sound Shore Health System joins Mid-Atlantic Consortium
Harnessing the Power of Patient-Centered Lean® to Transform the Patient Experience and Your Bottom Line Patient-Centered Lean® Practitioner Training
provided
Sound Shore Health System (SSHS) is pleased to announce its participation in an innovative, nonprofit consortium, through Health Science Library Association of New Jersey (HSLANJ). Not only does HSLANJ encourage professional development and advancement of librarianship, it is dedicated to improving the quality of library services provided by healthcare organizations. Through this group licensing initiative, SSHS is harnessing the consortium’s purchasing power to provide the latest electronic medical information, research, journals and databases for the benefit of its patients. Joining more than 100 hospitals throughout the Mid-Atlantic, including Robert Wood Johnson University Hospital at Rahway, Long Island Jewish Medical Center and Lenox Hill Hospital, SSHS is ensuring its physicians, medical and surgical residents, nurses and
allied professionals have up-to-the minute, interactive, medical information at their fingertips 24/7. Through the partnership with HSLANJ, Sound Shore Health System has the most current medical information possible, including access to research, journals and databases. Since hospital libraries are moving away from traditional hardcopy and toward electronic resources that use audio, video and interactive applications and links to bring medical material to life, participation in the Association is timely and vital. SSHS’s library now provides electronic access to the latest medical information anywhere and anytime it’s needed. Leading edge technology at costeffective prices is the future, and the future is now at Sound Shore Health System. To learn more about Sound Shore Health System, visit us at www.soundshore.org.
Safely dispose of unused/expired drugs Good Samaritan Hospital Medical Center’s Pharmacy Department has scheduled a drug “take back” day on Saturday, April 27, from 10:00 am to 2:00 pm, in partnership with the federal Drug Enforcement Administration. Members of the community may safely dispose of unused or expired medications rather than discarding them in the garbage or flushing them down the toilet which could lead to environmental contamination. There will be bins in the hospital’s main lobby for the collection of these items. Good Samaritan successfully collected more than 300 pounds
of unused medications in 2012. Unused or expired pharmaceuticals can pose unnecessary risk to individuals and the community. Drug “take back” days offer a safe and environmentally friendly disposal program that proactively addresses potential hazards associated with improper management. The program helps protect the natural environment, avoid accidental poisoning and helps prevent against prescription drug abuse. For further information on the proper disposal of unused or expired drugs, please call (631) 376-4444.
Be the change agent at your organization! Increase time at the bedside with patients and families Engage and educate patients Reduce wait times Minimize discharge delays Enhance staff satisfaction Cut costs Northern Westchester Hospital 400 East Main Street, Mt. Kisco, New York April 8-11, 2013 Planetree’s Patient-Centered Lean® is a unique methodology that helps health care organizations balance the competing demands of efficiency and cost reduction with the mission of providing personalized and highly-responsive care to patients and creating a nurturing work environment for staff. Its distinctive approach integrates Planetree’s well-established patient-centered care model with Lean and Six Sigma methods and best practices, creating a method of aligning organizational strategic planning with value stream management to enhance the patient, resident, family and staff experience through improved operational efficiency and effectiveness. Results A 371- bed teaching hospital has significantly improved patients understanding of their medication regimen. Data shows that patients’ recall of new medications increased from 64% to 92% and explanation of side effects climbed from 18% to 58%. A 160-bed community hospital is projected to save $400,000/year while maximizing time at the bedside, significantly cut down on ED wait times, and reallocate 700 nurse hours/year to value added direct patient care time. Who should attend? All health care practitioners who want to change their workplace through process improvement in order to spend more time caring for patients and families, especially Quality Directors, Chief Nursing Officers, Directors of Operations, CEOs, Quality Managers, ED Managers, and Patient Safety Directors. REGISTRATION—$2,500 Register before March 15 and two colleagues from the same organization can attend for the price of one registration To register, please email Denise Samartano, dsamartano@planetree.org or call 203-732-1378. For more information about Planetree, visit www.planetree.org.
PAGE 16
April, 2013
Hospital Newspaper - NY
Consultants Corner Binge-Eating Disorder gets real By Stuart Koman, Ph.D. Although it is the most common eating disorder, binge-eating disorder (BED) has not been officially recognized as a legitimate eating disorder – until now. This spring, when the American Psychiatric Association (APA) publishes the fifth edition of The Diagnostic and Statistical Manual of Mental Disorders, widely known as DSM-5, bingeeating disorder will be among the new additions. The fourth edition, DSM-IV, included binge-eating disorder in its appendix “for further study.” The addition of binge-eating disorder to the manual legitimizes the disorder and gives new hope to those who have it. This is a big deal because: • Nearly half of all states have parity laws that require insurers to cover officially recognized disorders. While insurers have generally covered BED, they may now provide more comprehensive coverage. • DSM is used as a reference for psychiatrists and other healthcare professionals worldwide. Now, they will have common criteria for diagnosing BED. • DSM provides healthcare professionals with the language they need to communicate effectively with patients, their families and insurance companies. Everyone affected by the disorder will now have consistent, shared language to use when discussing BED. • By making BED a legitimate diagnosis, it helps those who have the disorder from a psychiatric perspective, because they are more likely to accept it and to seek treatment. • It should improve research funding. More research would lead to a better understanding of BED, and hopefully to improvements in treatment and recovery. • The extensive research behind DSM-5 gives the manual a great deal of credibility. DSM-5 took more than a decade to produce and includes contributions from more than 1,500 mental health experts. Identifying Binge-Eating Disorder Until now, individuals with binge-eating disorder were typically diagnosed as having EDNOS, which stands for “eating disorders not otherwise specified.” While insurance companies have generally shown flexibility in covering EDNOS patients, the failure to meet medical criteria for a disorder puts coverage in question and may have dissuaded some from seeking treatment. In addition, being categorize with EDNOS can be distressing to many patients. They may have a life-threatening disorder, but the medical limbo of EDNOS makes it not seem like a real eating disorder. Now, those who meet specific criteria will be diagnosed as having binge-eating disorder. While DSM-5 will not officially be published until May, publication available online during a comment period included the following criteria. To be diagnosed with BED, a patient would: • Eat, in a discrete period of time (e.g., within a two-hour period), an amount that is definitely larger than most people would eat in a similar period under similar circumstances. • Feel loss of control over eating during the binge. Those with BED believe they cannot stop eating; they cannot control what or how much they eat. Also, they must have three or more of the following symptoms: • Eat an unusually large amount at one time. It’s difficult to define how much is typically consumed during a binge, but studies show that consumption in the average binge ranges from 2,000 to 5,000 calories. • Eat much more quickly during binges than during normal eating episodes. • Eat until physically uncomfortable and nauseated due to the amount of food consumed. • Eat when depressed or bored. • Eat large amounts of food even when not hungry. • Often eat alone during periods of normal eating, because of feelings of embarrassment about food.
• Feel disgusted, depressed or guilty after binging. • Binge, on average, at least once a week for three months. • Binge in a manner not associated with the recurrent use of inappropriate compensatory behavior. Like others with eating disorders, binge eaters almost always suffer from one or more additional disorders, such as depression. Binge eaters typically become obese over time, but not everyone who is obese has binge-eating disorder. BED has a cognitive aspect lacking in those who are obese and do not have binge-eating disorder. When those who have BED binge, they think about it to the point where it ruins their day. They feel guilty and either do not eat or restrict their eating for the rest of the day. It is important to diagnose BED in those who are obese, because unless it is treated and the patient recovers, any treatment for obesity has the potential to fail over time. If a patient with BED has weight-loss surgery, for example, he or she may continue to struggle with loss of control over eating, especially once the post-operative period of severely limited eating passes. The first step for medical professionals who want to determine if their patients have BED should be to use a screening questionnaire, such as the SCOFF Questionnaire, which is similar to the CAGE Questionnaire used by medical professionals to evaluate alcohol use. There is also a Binge Scale and Night Eating Questionnaire. Combining Therapies As with other eating disorders, successful treatment of binge eating typically requires a combination of therapies. Using these therapies, the prognosis for recovery is usually good. Treatment typically begins by educating patients about their condition, so they are more aware of their eating patterns and can identify triggers that influence how and what they eat. Typically, cognitive-behavioral therapy (CBT) is the most effective treatment. CBT integrates behavior therapy with cognitive psychology and is based on the idea that changing maladaptive thinking can change behavior. The therapist provides information, guidance, support and encouragement. Goals include normalized eating, the reduction or elimination of binging and a reduction in eating behavior triggered by mood and events. Cognitive goals include improving the patient’s self-esteem and weight-related concerns. When patients fail to respond to CBT combined with interpersonal therapy, dialectical behavioral therapy (DBT) is typically used. DBT combines cognitive behavioral techniques for regulation of emotion, and reality testing with distress tolerance, acceptance and mindful awareness. DBT seeks to reduce binging by improving adaptive emotion-regulation skills. Behavioral weight-loss therapy is another option, but many believe that it is best for the patient to recover from BED before addressing weight loss. What works for one individual does not necessarily work for another, so treatment should be based on an in-depth diagnosis and a plan developed by a team, covering medical, behavioral and nutritional care, while also considering co-occurring disorders. Depending on how far the disorder has advanced, in-patient care or residential care may be necessary to help the patient become medically stable and to begin intensive therapy. Insurers have often been resistant to that level of care, but they may be more flexible because of DSM-5. When there are co-occurring disorders – and there are more often than not – it is critical to treat them concurrently. Otherwise, another disorder will likely become more advanced as the patient makes progress with BED. Many in the industry are hopeful insurers will be increasingly supportive of treating co-occurring disorders concurrently because of DSM-5. With the publication of DSM-5, the APA is acknowledging that BED is a real disorder. That’s something that those who have BED have long known. Now that professionals in the field have acknowledged the reality of BED, it should get the attention it warrants as America’s most common eating disorder. Stuart Koman, Ph.D. is President and CEO of Walden Behavioral Care in Waltham, Mass. He can be reached at skoman@waldenbehavioralcare.com.
Hospital Newspaper - NY April, 2013
Page 17
Franklin Hospital ranks among Top US Hospitals, Best on Long Island for Orthopedics Franklin Hospital recently announced that it has been ranked the best on Long Island for overall orthopedics and among the top 10 percent of all hospitals in the US for its orthopedic surgery outcomes in 2013, according to Healthgrades, a leading national independent ratings group. Franklin has received a five-star rating from Healthgrades in total joint replacements for three consecutive years (2011 – 2013) and the following designations this year: • Healthgrades Orthopedic Surgery Excellence Award (2013); • Ranked ninth in New York State for overall orthopedic services (2013); • Ranked best on Long Island for overall orthopedic services for the last three years (2011 – 2013); • Five-star recipient for overall orthopedic services (2013);
• Five-star recipient for total knee replacement for the last three years (2011 - 2013); and • Five-star recipient for hip fracture treatment for the last two years (2012 - 2013). “Healthgrades’ recognition of our orthopedic achievements underscores the clinical excellence of our orthopedic staff and their extraordinary teamwork,” said Catherine Hottendorf, RN, Franklin’s executive director. “Franklin Hospital has distinguished itself throughout Long Island and the entire metropolitan area for the quality orthopedic services it provides to its patients. We are grateful to our dedicated and talented staff for all of their hard work as well as the community for its support.” Giles Scuderi, MD, vice presi- Franklin Hospital executives and dent of the North Shore-LIJ Health 2013 Healthgrades award. System orthopedic service line, “It is very rewarding to have our said, “Once again achieving a five- talented orthopedic team help hunstar rating from Healthgrades, dreds of patients continue their Franklin Hospital orthopedics has every-day activities and have a betshown that the ability of everyone ter quality of life with the help of to work together as a team toward a our services,” said Gus Katsigiorcommon goal is key to success and gis, DO, chief of orthopedics at national recognization.” Franklin Hospital.
heads of the orthopedics department with the
Franklin’s rankings can be found in the American Hospital Quality Outcomes 2013: Healthgrades Report to the Nation. Healthgrades analyzed approximately 4,500 hospitals across the country for procedures performed between 2009 and 2011. Patients who are treated in Health-
grades’ five-star-rated hospitals have about a 61 percent lower risk of having a complication from their treatment than those patients in hospitals that received one-star ratings. For more information about Franklin’s orthopedic services, call 516-256-6606.
EMERGENCY MEDICINE UPDATE CME 2013 May 6-9 Monterey, California
September 23-26 Las Vegas, Nevada
November 4-8 Maui, Hawaii
2014 January 20-23 Duck Key, Florida
February 2-7 Providenciales, Turks and Caicos
February 10-14 Telluride, Colorado
March 17-20 Las Vegas, Nevada
April 12-19 Western Caribbean Cruise
May 19-22 New Orleans, Louisiana
July 21-25 Yosemite, California
September 15-18 Las Vegas, Nevada
December 9-12 Paradise Island, Bahamas
north west S E M I N A R S
(800) 222-6927 www.northwestseminars.com
provided
PAGE 18
April, 2013
Hospital Newspaper - NY
Hailey’s Hope Foundation supports Orange Regional Medical Center’s Rowley Family Birthing Center Organization donates NICU equipment Hailey’s Hope Foundation, a Goshen-based nonprofit organization dedicated to helping meet the special needs of families with premature babies in New York area Neonatal Intensive Care Units (NICUs), has donated equipment to Orange Regional Medical Center’s NICU located in the Rowley Family Birthing Center. Hailey’s Hope Foundation donated a digital infant scale, breast pumps as well as a digital camera outfitted with a printer so new parents may have photos of their newborn. In addition, the organization often provides families of NICU patients with financial support including lodging, gas cards and assistance with breast pump rental fees, if needed. “The support provided by Hailey’s Hope Foundation is invaluable to the families and babies we care for,” says Orange Regional Medical Center’s Nursing Service Administrator of Women and Children, Theresa Fay Conte, RN-C, MSN. “We look forward to continuing our partnership with Hailey’s Hope Foundation and our ability to assist families in need.”
For more information about Orange Regional Medical Center’s Neonatal Intensive Care Unit, visit www.ormc.org/nicu. To learn more about Hailey’s Hope Foundation, please visit www.haileyshopefoundation.org. About Orange Regional’s Rowley Family Birthing Center The Rowley Family Birthing Center, located on the sixth floor of the Hospital, is a state-of-the-art facility where moms deliver in a nurturing, safe and comfortable environment. The Birthing Center includes a high-tech security system, 12 private labor/delivery and recovery rooms, 23 private postpartum rooms, private triage rooms and two operating rooms for caesarean delivery. Each room has a bathroom with a soothing shower, scenic views, HDTV, an individual thermostat and sleeper sofa for birthing partners. The Level II Neonatal Intensive Care Unit (NICU) provides specialized care for newborns in need. The 10-bed unit complements current perinatal
provided
From L to R: Nursing Director of Rowley Family Birthing Center; Cindy Chapman, Neonatologist; Dr. Manuel DeCastro, Orange Regional Medical Center Foundation President; Christine Maraia, Hailey’s Hope Foundation Board Members; Dawn Singer, Debra Randazzo and Ann Siegel.
services and provides a full array of specialized equipment and delivery room coverage along with all required support services
Hospital of the Month! Hospital Newspaper highlights one hospital per month as the centerfold feature. Great way to get information about your facility to interested readers.
For more details contact: Jim Stankiewicz at 845-534-7500 ext. 219 jim@hospitalnewspaper.com
Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com
around the clock. Full-time neonatologists affiliated with Maria Fareri Children’s Hospital at Westchester Medical Center and
specially trained neonatal nurses and nurse practitioners will provide expertise and support to you and your infant.
Hospital Newspaper - NY April, 2013
Page 19
provided
Burke Rehabilitation Hospital’s Dr. Barry Jordan named to NCAA Concussion Task Force and Pop Warner Advisory Committee vited to join the Pop Warner Football Medical Advisory Committee. The committee is led by physicians with expertise in neuro-medicine and sports safety. It focuses on the prevention, proper identification and treatment of concussions; and increasing awareness regarding hydration, proper nutrition, and health and safety issues, especially for those involved in football and cheerleading. The committee was formed in 2010 by Pop Warner Little Schol-
ars, Inc., a non-profit organization that provides youth football and cheer and dance programs for about 425,000 participants aged 5 to 16 years old, in 42 states and several countries around the world, to ensure Pop Warner remains proactive on all medical issues that affect youth sports. “As a former Pop Warner Football player, I am delighted to be part of the committee and look forward to helping keep our young athletes playing and, most importantly,
playing safely,” Dr. Jordan said. Dr. Jordan is committed to the safety of athletes at all levels. Along with the NCAA and Pop Warner, Dr. Jordan serves as the chief medical officer of the New York State Athletic Commission, team physician for U.S.A. Boxing, and a member of both the National Football League (NFL) Players Association Mackey-White Traumatic Brain Injury Committee and the NFL Neuro-Cognitive Disability Committee.
E X C E L L E N C E I N R E H A B I L I TAT I O N F O R N E A R LY 1 0 0 Y E A R S
PROGRAMS: • Amputee • Joint Replacement • Brain Injury • Cardiopulmonary • Neurological • Orthopedic • Spinal Cord Injury • Stroke Recovery
Where You Go For Rehab Matters
Founded in 1915, Burke Rehabilitation Hospital is the
only hospital in Westchester County dedicated to rehabilitation medicine. Burke offers inpatient and
outpatient programs for those who have experienced a
disabling illness, traumatic injury or surgery. Burke is
both a rehabilitation hospital and medical research
institute. Burke's doctors and therapists provide the
highest quality treatment, while its research scientists
explore the frontiers of rehabilitation medicine. All share
the Burke mission to ensure that every patient makes the
fullest possible recovery.
BURKE R
EH
E
ON
IFRED MAST
ILI
W
OS
IN
TATION H
L TA
TH
E
BURKE
RS
PI
Rehab + Research = Results
AB
Barry Jordan MD, MPH, assistant medical director of Burke Rehabilitation Hospital in White Plains has been selected to be part of the National Collegiate Athletic Association (NCAA) Concussion Task Force that will begin meeting in April to study the issues surrounding sports concussions in student athletes. “It is an honor to be selected to be part of a group of people dedicated to protecting our young athletes from this serious trauma,” said Dr. Jordan, who is also director of Burke’s Brain Injury Rehabilitation program. Over the last eight years, the NCAA’s Injury Surveillance Program found that the rate of concussions for the NCAA overall is 1.9 concussions per 1,000 game-related exposures when injuries can occur. This has remained steady even as efforts have been made to better recognize and treat this injury. During the 2011 NCAA football season, 2.5 concussions were reported for every 1,000 periods of athletic activity. "We need to get a better idea of the epidemiology of the situation and see what we're dealing with," Dr. Jordan said. And that is exactly what the task force will attempt to do. According to NCAA Chief Medical Officer Brian Hainline, M.D., the goal of the dozen physicians and scientists on the task force is to try to make sense out of everything—to come to a consensus about what is known, unknown and how to move forward. The task force will also look at concussions from what is causative versus
correlative, and determine a management plan. The results will then be submitted to the NCAA Board that will evaluate the findings and determine the next course of action. The NCAA says this process will take place over the next few years and that there is no timeline for the completion of the study. In addition to the NCAA Task Force, Dr. Jordan has also been in-
785 Mamaroneck Ave White Plans, NY 10605 888.99.BURKE www. Burke.org
PAgE 20
April, 2013
Hospital Newspaper - NY
RESOURCE DIRECTORY ARCHITECTURE
Bernstein & Associates, Architects Founded in 1990, Bernstein & Associates, Architects, specializes in the design and construction of hospital and healthcare facilities. Our focus: high-quality design, excellent service, and client satisfaction. We have worked for over 100 hospitals and another 200 private healthcare facilities, across the United States. Our project types have included all hospital and healthcare service groups, including: Adult Day Care, Alcoholism Treatment Facilities, Ambulatory Surgery Centers, Assisted Living, Cancer Centers, Cardiac Cath, Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Dermatology, Dialysis Clinics, Doctors Offices, Drug Treatment Facilities, Elder Care, Employee and Student Health Support Services, Emergency Departments, Emergency Preparedness, Endoscopy, ENT, Expert Witness, Group Practices, Hospices, Hospitals, Infectious Disease, Information Systems, Intensive Care, JCAHO Survey, Joint Commission Survey, Laboratories, Master Plans, Medical Offices, Medical Equipment, Medical Libraries, Medical Records, Neurology, Nursing Homes, Ophthalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facilities, Pathology, Patient Safety Consulting Services, Pediatric, Pharmacy, Physical Fitness and Sports, PT/OT, Primary Care Programs, Psychiatric, Radiology, Rehabilitation, Senior Citizen Facilities, Sleep Centers, Social Services, Statement of Conditions, Surgical Suites and Ambulatory Surgery Centers, Urgent Care Centers, and USP 797 Consulting Services. The firm's projects have won design awards from Progressive Architecture, Architectural Record, and the Architectural Woodworking Institute, and have been published in Advance, Health Facilities Management, Medical Technology Today, Bio/Technology, Progressive Architecture, Architectural Record, Design Solutions, Hospitality Design, Sound and Communication, Contract Design and Hospital Newspaper. Architectural Services include: programming, planning, design, construction documents, bidding and negotiation, and construction administration. The firm also offers sustainable or “green” healthcare design. The firm has a number of LEED-accredited professionals, has successfully completed numerous green healthcare projects, and has published articles on “Greening the Healthcare Environment”. Project Management (or Owner’s Representative Services) is offered as a stand-alone service through our affiliated project management company, Empire Projects, Inc. (www.empireprojects.com). Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001 Contact: William N. Bernstein, AIA Managing Principal Tel: 212.463.8200 • Fax: 212.463.9898 wb@bernarch.com NEW YORK - HARTFORD - PRINCETON
BARIATRIC EQUIPMENT & PRODUCTS TSK PRODUCTS FAST & COMFORTABLE PELVIC EXAMS The Wedgie Pelvic Exam Wedge provides fast, comfortable pelvic exams in the ER, Radiology, and Women's Health. It is a much more comfortable than using a hard bedpan. The 6" height of the Wedgie lifts the patient's pelvis significantly higher then a bedpan, thus allowing physicians to perform a better exam. The Wedgie's unique cutout design allows the physicians to maneuver their speculum in all directions without interference. The Wedgie can support patients weighing up to 350 lb. It is made of a medical grade foam and an anti-microbial, anti-bacterial, tear resistant, and stain resistant medical grade vinyl cover. It can be cleaned with standard disinfectant products. Optional disposable protective covers and wall holders are available.
12 Windsor Drive, Eatontown, NJ 07724 www.tskproducts.com Phone: (732) 982-1090 • Fax: (732) 389-9044
CAREER MANAgEMENT
Connect with Leading Healthcare Recruiters Join BlueSteps, the executive career management service of the Association of Executive Search Consultants Healthcare executives are in demand. Are you being considered for the top leadership jobs? Join BlueSteps today to put your resume and confidential careerprofile at the finger tips of over 8,000 of the world’s top executive recruiters, including hundreds who specialize in healthcare and life sciences recruiting. In addition to a unique connection to the executive search community, BlueSteps also provides a suite of proactive career management tools including: • a free resume review and career consultation • access to the International Executive Search Firm Directory • exclusive information on hundreds of active executive searches • online brand management tools • career management content and events specifically for senior-level executives As a service of the Association of Executive Search Consultants, you can rest assured that your career details will be confidentially and securely managed within BlueSteps. Unlike other mass job boards, only the highest caliber executive search consultants (all members of the AESC) will have access to your BlueSteps profile. Each year, AESC members recruit for over 70,000 of the highest level executive positions globally, many of which are never advertised publically. Join BlueSteps today and receive 15% OFF your membership! Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this exclusive discount. Contact info@bluesteps.com to learnmore or for assistance getting started!
CONTRACT/PRACTICE MANAgEMENT SERVICES MED★EXCEL USA Providing Emergency Medicine Excellence for over 20 years EMERgENCY MEDICINE CONTRACT MANAgEMENT Physician Owned and Managed Award winning Customer Relations Program Continuous Quality Improvement Risk Management Innovations Cost Containment Measurable Outcomes EMERgENCY MEDICINE SERVICES CONSULTATION SERVICES Customer Satisfaction TeamBuilding/Staff Development Conflict Mediation ED Systems Analysis PRACTICE MANAgEMENT SERVICES Hospital and Physician Billing/Coding/Auditing/Consultation NEW YORK BASED OFFICE MED★EXCEL USA
Please contact Marie Buchanan at 800.563.6384 Ext. 249 mbuchanan@medexcelusa.com all inquiries are confidential
EDUCATION
Prepare for a Career in Healthcare Sector Management at Long Island University. Earn an advanced certificate or an M.B.A. degree in the growing field of healthcare management at Long Island University’s Hudson Graduate Center at Westchester. Demand for healthcare managers with business skills has never been greater. Responding to this need, Long Island University has launched a new Healthcare Sector Management program, offering two graduate study options in the field of healthcare administration. After completing your advanced certificate or your M.B.A. at the University’s Hudson Graduate Center at Westchester, you will be prepared to advance in middle and upper management positions in the healthcare industry. Option A: The Advanced Certificate in Healthcare Sector Management Enhance your credentials by enrolling in the advanced certificate program. Certificate candidates will complete four healthcare sector management courses for a total of 12 graduate credits on a part-time basis in just two semesters. Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration Students in the M.B.A. program follow the standard 48-credit curriculum, normally completed by part-time students over a 24-month period, with a focus on leadership in healthcare organizations. The Healthcare Sector Management Program will be offered at Long Island University’s Hudson Graduate Center at Westchester, located on the grounds of Purchase College, 735 Anderson Hill Rd., Purchase, N.Y. Courses are offered on weekday evenings and on Saturdays. “The healthcare management field is one of the few sectors of our economy we know will continue to grow significantly over the next five years,” according to Dr. Lynn Gunnar Johnson, director of the M.B.A. Healthcare Sector Management program. For information, contact Dr. Johnson at 914-931-2711 or lynn.johnson@liu.edu. Long Island University Hudson Graduate Center at Westchester 735 Anderson Hill Rd. Purchase, NY 10577
Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.
845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com
Hospital Newspaper - NY April, 2013
PaGe 21
NO Calibration & NO Drops Icare速 Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare速 has over 32,000 satisfied users in over 50 countries.
Contact: Bob Goldbacher
(609) 412-2134
bob@visioninstruments.net
PAGE 22
April, 2013
Hospital Newspaper - NY
RESOURCE DIRECTORY HOSPITALS Calvary Hospital Founded in 1899, Calvary Hospital is the nation’s only accredited acute care hospital devoted to palliative care for adult advanced cancer patients. Its mission is to address the physical, psychological, and spiritual needs of patients and their families. Calvary’s continuum of care includes inpatient, outpatient, home hospice, nursing home hospice, home care, and the care of complex wounds. Press Ganey has consistently ranked Calvary among the top one percent in patient satisfaction among 7,000 hospitals in the country. Each year, Calvary cares for more than 6,000 patients and their families. It cares for inpatients at its 200-bed hospital in the Bronx and at its 25-bed Brooklyn satellite at Lutheran Medical Center. Calvary@Home offers home care, hospice, and nursing home hospice for patients suffering from advanced cancer and other chronic and acute terminal illnesses. • Home care is available in the Bronx, Queens, Manhattan, and lower Westchester. • Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties. • Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties. In 2004, Calvary opened the Center for Curative and Palliative Wound Care at its Bronx facility. Since then, a team of experienced physicians, surgeons, and certified wound care nurses has helped more than 800 patients to date with complex chronic wounds caused by complications of diabetes, cancer, venous and arterial disease, and other illnesses. For more information, visit www.calvaryhospital.org or call the following numbers: Calvary Hospital (718) 518-2300, Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.
NEW PRODUCT TECHNOLOGY
NURSING HOME Jewish Home Lifecare is one of the premier non-profit geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily through traditional long term care, subacute care, rehabilitation services, community services and senior housing programs. These services are offered on the Home's three campuses in Manhattan, the Bronx, and Westchester at the Sarah Neuman Center for Healthcare and Rehabilitation, as well as through our Lifecare Services Division, which provides programs throughout the metropolitan area. Many levels of care are provided by the Home's health system so that as needs change, individuals can transfer from one level of care to another. Skilled nursing and medical care are provided 24 hours a day by on-site clinical staff as well as a complement of physicians representing a full range of medical specialties. The Home also educates and trains physicians and medical professionals in geriatrics. In an unprecedented teaching program with Mt. Sinai School of Medicine, over 2400 fourth year Mt. Sinai Medical School students have participated in a mandatory rotation program at the Home. A strong component of the Home's activities include conducting research to improve the quality of life of older adults. Jewish Home Lifecare is the home of the Lester Eisner, Jr. Center for Geriatric Education, the Saul Alzheimer's Disease Special Care Unit (Bronx), the Greenberg Center on Ethics in Geriatrics and Long Term Care and the Center on Pharmacology for the Elderly (COPE). The Home has added a new service titled, CONNECTIONS, an information and referral service for the professional and lay communities, connecting people to programs. Jewish Home Lifecare Manhattan - Bronx - Sarah Neuman Center 120 West 106th Street, New York, New York, 10025 Call Connections Information and Referral at 212- 870-5919 or 800-544-0304
WORKERS’ COMPENSATION HOSPITAL WORKERS HAVE YOU BEEN INJURED ON THE JOB? Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights! Do Not Make These Mistakes That Can Cost You Benefits 1. You must report the accident or injury as soon as possible, even if you might not lose time from work or need immediate medical care. 2. Report all injuries to all body parts, no matter how minor they may seem. If you do not report it and the injury gets worse over time, the job may deny benefits. 3. Remember, you are entitled to treatment and benefits even if you have previously injured the same body part in a prior accident. Do not let the job tell you different. 4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the experienced attorneys at BAGOLIE FRIEDMAN can fight to get it approved at no cost to you. 5. When you are released from treatment, you may be entitled to money for your injury and disability. You may also collect for repetitive stress, cumulative trauma, cancer, hearing loss & hepatitis. 6. Contact Attorneys Ricky Bagolie or Alan Friedman now for a confidential and free consultation and to discuss your workers' compensation and disability rights. There is no fee if there is no recovery.
BF
BAGOLIE FRIEDMAN, LLC Workers' Compensation & Disability Attorneys
CALL TOLL fREE 1-866-333-3529 (After Hours / Emergency Number - 201-618-0508) The Five Corners Building - 660 Newark Ave Jersey City, NJ 07306 • (201) 656-8500 790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414
www.bagoliefriedman.com
SENIOR LIVING NO Calibration & NO Drops Icare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air. Quick, easy to use and patient friendly. The technology requires no calibration. From beginning to end the test takes under 60 seconds. Icare® has over 32,000 satisfied users in over 50 countries.
Contact: Bob Goldbacher (609) 412-2134 bob@visioninstruments.net
PLACE YOUR AD HERE!
Getting better…. just got better. We are proud to announce that our stunning new nursing center has opened and has private and semi-private rooms with magnificent views of Long Island Sound. United Hebrew is a not-for-profit, non-sectarian, multi-service senior living campus serving the Westchester metropolitan area since 1919. Our dedicated short-term rehabilitation suite is staffed by Burke Rehabilitation professionals. The exemplary clinical team of professionals will design a personalized treatment plan for care in our nurturing environment. Features include country kitchens, recreation rooms on each floor, a courtyard garden for recreational use, private dining and family rooms and wireless internet access. United Hebrew Family of Services: • Nursing Home Care • Burke Rehabilitation at United Hebrew • Willow Towers Assisted Living Residence • Soundview Apartments for Independent Seniors • Long Term Home Health Care Program • Azor Home Health Agency For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff at knodiff@uhgc.org. United Hebrew 391 Pelham Road, New Rochelle, NY 10805 914.632.2804 www.uhgc.org
Contact Jim Stankiewicz to find out how your organization can be featured in our Resource Directory.
845-534-7500 ext.219 Fax: 845-534-0055 Online Directory available at www.hospitalnewspaper.com
Hospital Newspaper - NY April, 2013
Page 23
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
PAGE 24
April, 2013
Hospital Newspaper - NY
Preparing for Change: The Impact of Healthcare Reform Are you prepared? If the full measures of healthcare reform legislation go into effect as planned in 2014, it could have a major impact on your vendors. Featuring the security industry as an example, learn how Healthcare Reform will impact your service providers and therefore, you. Learn about your options. Visit AlliedBarton.com/HCReform2014 today.
212.481.5777 x51668 | AlliedBarton.com/HCReform2014