In Good Health: CNY #287 - November 2023

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CNYHEALTH.COM

NOVEMBER 2023 • ISSUE 287

10LONGEVITY

FOODS TO EAT FOR HEALTHY PAGE 12

Meet Your Doctor OFRONA A. REID, M.D. Syracuse Community Health Center’s medical director talks about the center’s new state-of-the-art facility in downtown Syracuse and about his five goals: improving health outcomes, cost savings, increasing patient satisfaction, clinical well-being and health equity P. 4

NEW ALZHEIMER’S ASSOCIATION DIRECTOR OPTIMISTIC ABOUT NEW TREATMENTS P. 16

HEALTHCARE WORKERS ON STRIKE P. 6

ALSO INSIDE

CROUSE GET $800K FROM SAINT AGATHA, JMA WIRELESS P. 2

Crouse Receives $800,000 from Saint Agatha Foundation, JMA Wireless Donation to support life-saving nextgeneration 3D mammography technology

C

rouse Health Foundation, the fundraising arm of Crouse Hospital, is acquiring two next-generation digital tomosynthesis machines — known as 3D mammography — that improve early breast cancer detection and save lives, thanks to a donation from Saint Agatha Foundation and JMA Wireless.

The foundation provided $406,000 to purchase a new digital tomosynthesis unit for the Hadley J. Falk Breast Health Center at Crouse Hospital, replacing an older version of the technology that was also funded through Saint Agatha support.

A second 3D unit, purchased through a Saint Agatha Foundation grant and a matching grant from JMA Wireless, is also in operation.

The addition of both machines coincided with breast cancer awareness month.

“These machines are a testament to the legacy of my sister, Laurie, who was a tireless advocate for breast cancer awareness and founded Saint Agatha during her own battle with the disease,” said JMA Wireless CEO John Mezzalingua.

“Laurie’s message to our family was

clear: Early detection saves lives. We have taken her words to heart and are continuing her fight on behalf of breast cancer patients. We are proud to be able to carry on Laurie’s important work by investing in the most high-tech 3D mammography machines available to make early detection possible for more Central New Yorkers.”

Amid her own battle with breast cancer, Laurie Mezzalingua founded the Saint Agatha Foundation in 2004 to provide financial assistance to individuals fighting the disease in Central New York. The foundation provides support, comfort, and care to uninsured and underinsured breast cancer patients in Onondaga, Cortland, Cayuga, Madison, Oneida, Oswego and Jefferson counties. Led

by Laurie’s mother, Kathleen Mezzalingua, since Laurie’s death in 2009, the foundation has provided more than $17 million to 10,032 men and women.

“Saint Agatha Foundation is proud to assist Crouse Hospital with the purchase of new tomosynthesis technology, providing the most advanced screening available and aiding in the earliest detection pos-

$800,000 Donation to Crouse: From left are John Mezzalingua, CEO, JMA Wireless; Kathleen Mezzalingua, board chairwoman of the Saint Agatha Foundation; physician Stephen Montgomery, former medical director for breast health services at Crouse Health; physician Seth Kronenberg, president and CEO of Crouse Health. sible for those who may have breast cancer,” said Kathleen Mezzalingua, the foundation board’s chairwoman. “Earlier detection means better outcomes for treatment and that is our hope. My daughter Laurie was always appreciative of the care provided by Dr. Stephen Montgomery and team following her surgery and treatment at Crouse Hospital during her battle with breast cancer.”

Using funds provided by the Saint Agatha Foundation, the Hadley J. Falk Breast Health Center was the first facility in CNY to offer mammography using digital breast tomosynthesis (DBT). This technology uses X-rays to create 3D images of the inside of the breast, producing

the highest resolution results available and making it easier for radiologists to spot small abnormalities – including those difficult to detect dense breast tissue — while using the lowest possible dose of radiation.

“We are enormously grateful to the Saint Agatha Foundation and JMA Wireless for their generous and ongoing support of Crouse’s breast health program,” said physician Stephen Montgomery, director emeritus of Hadley J. Falk Breast Health Center Crouse Hospital. “The new tomosynthesis units will make it possible to continue to provide our patients with the highest level of care while providing the most advanced imaging technology available.”

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Celebrate 40 years of ACR Health!

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November 9th, 2023 6-9 PM The RedHouse Arts Center 400 S. Salina St., Syracuse Sponsored By:

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Medicare recognizes Excellus BlueCross BlueShield for quality The Centers for Medicare and Medicaid Services (CMS) announced its 2024 quality ratings, and again this year recognized Excellus BlueCross BlueShield for its Medicare Advantage plans. This is the 11th consecutive year the health plan has ranked above average or higher for its Medicare Advantage plans for member satisfaction and quality performance in clinical care. Recognition from CMS comes in the form of Medicare Star ratings.

CMS awarded the Excellus BCBS Medicare Advantage PPO plan 4.5 out of 5 stars, the Medicare Part D prescription drug plan 4.5 stars out of 5 stars, and the Medicare HMO plan 4 stars out of 5 stars.

“When CMS recognizes the performance of our Medicare Advantage Plans, it’s really recognizing the local commitment and service our employees provide to our members,” says physician Ankit Garg, vice president of medical affairs at Excellus BCBS. “We are grateful to have members who are satisfied with our health plan and recognize the dedication and hard work our people provide every day.”

Medicare Stars reflect member satisfaction with the health plan and its providers.

They also recognize its success in caring for its members by meeting specific health care benchmarks, including how a Medicare member’s chronic conditions are being managed; if Medicare members are receiving their preventive screenings and vaccines; and how the health plan is helping members to take their medications as prescribed.

For example, Excellus BCBS clinical pharmacists reach out to members to conduct comprehensive reviews of their prescriptions to assure they are taking the right medications in the right dose, at the right time, and in the right way. The pharmacists also help identify opportunities to reduce out-of-pocket spending on prescription medications, such as finding opportunities to save by switching from a brand-name drug to an equally effective and lower cost generic alternative.

“The Medicare stars are a sign of our shared commitment with local health care providers to deliver high quality, and affordable care to our Medicare members,” says Garg.

Meet

Your Doctor

By Chris Motola

Ofrona A. Reid, M.D.

Syracuse Community Health Center’s medical director talks about the center’s new state-of-the-art facility in downtown Syracuse and about his five goals: improving health outcomes, cost savings, increasing patient satisfaction, clinical well-being and health equity Q: Syracuse Community Health is building a new state-of-the-art main facility at 930 S. Salina St. How are things coming along at the new site?

When do you expect it to open?

A: We should hopefully be relocating in mid-November.

Q: What are some the upgrades patients can expect at the new site?

A: It’s a brand new state-of-theart facility. Our primary care—including pediatrics, OB-GYN, optometry, dental, podiatry, nutrition — is relocating to the new building.

The new building will have a cafe, natural lighting, geothermal heating; it’s a really up-to-date, 2023 kind of building.

Q: Are the hours going to be the same?

A: Currently, on this side, we’re open 8 to 8. Those hours will stay the same for this site, but the new site is going to be 8 a.m. to 5:15 p.m., Monday through Friday. Quick care will remain here, and that’s also open on Saturdays noon to 8 as well.

Q: The current site was the only urgent care facility in downtown Syracuse when it opened. What has utilization been like?

A: It still is the only one downtown. It’s been very busy.

We have an agreement with AMR [American Medical Response of CNY] where any patient that they triage who should not go to the emergency department comes to us for quick care so the local hospitals aren’t being backed up and overwhelmed with patients who don’t belong in the ER. So they don’t go to Upstate, they don’t go to St. Joe’s, they don’t go to Crouse, they come here unless we deem it necessary for them to go, then we’ll transfer them. Most of the time these patients don’t need to go to the ER and just need a quick visit.

Q: What are some of the challenges of getting an urban urgent care facility running smoothly compared to, say, one in the suburbs? Are there logistical issues like parking?

A: We ac-

Page 4 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

tually have a lot of parking. The issue really is staffing. A lot of people don’t want to work until 8 at night. That’s really where the challenge comes in.

Q: Are you drawing from the immediate neighborhoods? Farther away?

A: Definitely many from the immediate neighborhood, but we also get a lot from outside of it, the AMR link. I think also once you develop a reputation for getting patients in and out quickly the word spreads. So we’re getting patients from Liverpool and even as far as Camillus.

Q: Are you able to offer some services that some urgent care facilities can’t?

A: I think that because we have access to podiatry and eye care, so it’s possible to see different specialists in the same day. I think that’s a difference.

Q: What got you interested in the medical director position? Did you always have an administrative focus?

A: It was always a focus. I think working in a primary care office from a young age and learning the operations got me interested in administration, which is why I went to grad school, to focus on administrative work.

Q: What are some of the challenges of running this kind of facility?

A: We’re dealing with a very challenging patient population.

They’re underserved, uninsured, suffering from chronic disease or mental health issues. If you get one patient with chronic disease and behavioral health issues, that’s a challenge.

Q: How do you work around that?

Does it help to have pools of services?

A: One of the things I’ve done here is integrate behavioral health and primary care so that we’re treating the whole person. It’s a patient-centered kind of treatment that’s been very successful.

Q: Does Syracuse Community Health Center serve as primary care for most of its patients?

A: We’re the primary care for them. When patients come in, they get primary care, pediatrics, OBGYN. So quick care is for patients who come in with an issue, but we also do regular screenings for diabetes, cholesterol, blood pressure, breast cancer, colorectal cancer. One thing we are able to do is do those routine screenings for patients who many only be seeing a doctor for quick care. You don’t always see that in urgent care.

Q: What level of disease complexity are you able to handle?

A: We manage hypertension, cardiovascular disease, diabetes, COPD. Anything acute we’ll usually treat and then transfer to an emergency department. So if someone comes in with a stroke or heart attack, we’ll do the preliminary testing, diagnose it and transfer them through AMR. Q: Do you use a particular hospital, or all of the Syracuse hospitals?

A: We use all of them.

Q: What are some of the things you’re working on now, administratively, to make an impact on local healthcare?

A: My whole thing right now is something I call the quintuple aim.

Improving health outcomes. Cost savings, patient satisfaction, clinical well-being and health equity. The new building represents healthy equity. We’re one of the poorest zip codes in the country, so for us to have a new state-of-the-art building, that’s health equity. Improving health outcomes means things like making sure patients’ diabetes are controlled, blood pressure is controlled, all their screenings are done. Patient satisfaction is very important. And clinical well-being matters because they’re the ones taking care of the patients.

If they’re not doing well, you’re not going to get good outcomes. And cost savings are always important. So that’s the quintuple aim.

Lifelines

Name: Ofrona A. Reid, M.D. Position: Chief medical officer of

Syracuse Community Health Hometown: Bronx Education: Ross University School of Medicine; Cornell University (MBA and MS) Affiliations: Oneida Health Organizations: Omega Psi Phi Fraternity Family: Wife, three children Hobbies: Church, boating

Don’t wait to get the care you need. When you visit the St. Joseph’s Health Cardiovascular Institute, you can expect the best. They’re rated high-performing in more heart procedures than all other area hospitals.* You’ll be back home and feeling better in no time. *U.S. News & World Report

A H I G H E R L E V E L O F C A R E | sjhsyr.org/cvi © 2023 St. Joseph’s Health. © 2023 Trinity Health. All rights reserved.

SJH10290_CVI-FY23-in-Good-Health-9.75x13.75-no-bleed-V1.indd 1

November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper2/9/23 • Page 5:21 PM5

Healthcare in a Minute

By George W. Chapman

only get another prescription which they do not want; 67% fear being referred to multiple providers and still no definitive diagnosis; and 71% would leave their current position for better health insurance. The survey results are intended to educate and alert employers to the significant healthcare travails facing their female employees.

Health education vital

ON STRIKE

A

ON STRIKE

ON STRIKE

Healthcare Workers on Strike

s of this writing in mid-October, more than 70,000 Kaiser Permanente are on strike. This past summer, RUNAP, the Rochester Union of Nurses and Allied Professionals negotiated with Rochester Regional Health. The issues are the same for most hospitals throughout the country. Since COVID-19, thousands of healthcare workers have left their profession, leaving hospitals short staffed. Consequently, active staff are overworked and exhausted.

While pay is always an issue, it hasn’t been THE issue. Strikers are mostly

concerned with burnout, turnover and patient safety. The dilemma facing just about every private and public hospital is they are operating at razor thin, if not negative, margins.

Unlike most businesses, hospitals cannot simply raise prices to increase cash. (Well, they technically can raise prices, but virtually no one will pay them.) Hospital revenues are determined and controlled by Medicare, Medicaid and commercial insurers.

I’m sure most hospital executives are sympathetic to union demands. They can see what’s happening as they

work there, too. Adding to hospital financial woes are the extravagant fees charged by traveling nurse businesses. If hospitals can’t fill positions locally, they are forced to rely on contract staffing. This just exacerbates the situation as higher paid contract nurses are working side by side with the lower paid local nurses. It’s an HR nightmare. Third party payers are going to have to step up their payments if hospitals are to survive and provide care under safe and competent conditions.

34 million, are enrolled in commercially administered Advantage Plans.

The projected rate increase is 4%, but it won’t impact you if your stick with your current plan. Medicare Advantage Plans have been very profitable for commercial carriers.

and consumers, a federal court has struck down a Trump-era policy that allowed insurers not to count any drug manufacturer’s co-pay assistance toward the insured’s out-ofpocket obligation. The now outlawed policy permitted insurers and PBMs to counter the co-pay assistance by raising member annual out-of-pocket obligations. For example, if your copay on your diabetic drug was $100 and the manufacturer offered $50 co-pay assistance, the insurer would still consider your co-pay obligation as $100, not $50. The co-pay accumulator is a running tally that tracks what you still owe before reaching your total out of pocket obligation for the year.

Insurers faring well Meanwhile, as cash-strapped hospitals fight the battle, commercial insurers (far from the battlefield) are enjoying, in some cases, record profits. Notable profits for the first half of the year were $11 billion for United and $4 billion for CVS healthcare.

Centene, Cigna, Elevance (BCBS) and Humana have all made healthy profits so far this year. Locally, WellNow urgent care is threatening to disenroll from Excellus BlueCross BlueShield effective January 2024 unless they are paid fairly. Excellus has averaged around $130 million profit annually over the last five years. Their rate increases have been around 8% annually over the last five years.

Medicare enrollment Open enrollment started Oct. 15 and ends Dec. 7. More than half of seniors eligible for Medicare, about

Costco too?

Not to be outdone by the likes of Amazon, Walgreens, CVS and Walmart, the giant discounter has partnered with startup Sesame to offer virtual healthcare to its members.

The cash-only plan (they don’t accept insurance) will offer virtual primary care at $29 a visit and mental health therapy at $79 a visit via 10,000 participating providers. They are marketing primarily to under insured consumers. Amazon has purchased One Medical for $3.9 billion. CVS bought Oak Street Health for $10.6 billion while Walgreens grabbed Summit Health for $9 billion. While all this money is being invested in primary care, hospitals continue to struggle financially.

Drug co-pay accumulators In a major victory for patients

Page 6 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

Women’s health Women comprise 60% of the workforce and face $15 billion more than men in out-of-pocket expenses annually. A survey of 1,200 working women commissioned by Parsley Health revealed why women delay seeking care. 44% delay care due to time constraints; 37% delay care due to disappointment with previous visits; 33% delay care because of co-pays; 24% are worried they will

In yet another survey seeking to determine patient confidence in their healthcare, OnePoll found that 48% of respondents were anxious about their next appointment, up from 39% in 2022. Insufficient education and information about their condition and symptoms were cited as the major cause of their anxiety. 43% were anxious about being referred to providers they knew nothing about. 32% admitted to Googling their symptoms prior to their visit and 28% worried about their diagnosis. Overall, patient confidence was down due to feeling unempowered.

55% of respondents suggested more education from their provider prior to and during their visit would reduce their anxiety and increase their confidence. 53% said knowing that there is effective treatment would also lower their anxiety and increase their confidence. There is certainly plenty of time spent in waiting rooms that could be better spent on education and patient empowerment.

Nice try In yet another victory for consumers, a federal judge has denied a brazen request by the US Chamber of Commerce to delay the deadline requiring drug companies to negotiate drug prices with Medicare. (The deadline was Oct. 1 and negotiations have finally commenced.) The plaintiff tried to argue that the price negotiations authorized by the Inflation Reduction Act were unconstitutional giving the government “illegal and arbitrary price control.” “Control?”

Apparently, the clueless chamber (no doubt a straw man put up to challenge the government by the drug manufacturers) couldn’t understand the difference between “negotiating” prices as required by the IRA and “setting–controlling” prices. The plaintiffs also purported negotiations (or “control” as they claim) would result in less access to drugs and less investment in innovation, both of which are hollow and unfounded threats. We are talking about negotiating 10 drugs. Drug manufacturers have long negotiated prices with other countries with national health insurance.

George W. Chapman is a healthcare business consultant who works exclusively with physicians, hospitals and healthcare organizations. He operates GW Chapman Consulting based in Syracuse. Email him at gwc@gwchapmanconsulting.com.

Flu Shot Season Is Here: Why You (and Your Kids) Need One

I

t's time to get the flu shot.

They're important not just for adults, but also for children, and keeping the whole family safe, according to an expert in pediatrics.

“You never know how bad a flu season will be,” said Mona Patel, attending physician in the department of general pediatrics at Children's Hospital Los Angeles. “We like to think of flu shots as preventive care; getting one lessens the chances of more severe symptoms that may cause children to be hospitalized.”

Several major health groups — the U.S. Centers for Disease Control and Prevention, the American Academy of Pediatrics, and the Infectious Diseases Society of America — recommend that everyone aged 6 months and older get a flu shot.

Even if this doesn't keep you from getting the flu, it can prevent severe and secondary illness related to it.

Children who have conditions that put them at increased risk of illness are among those who especially need a flu vaccine, Patel said.

Vaccines are designed to stimulate the production of antibodies in the body. These can then attach to the outer structures on the protein coat of the virus, disabling it.

Epidemiologists and immu-

nologists at the CDC look at global patterns for flu to predict which formulation the current year's flu shots should have.

“If you got a flu shot last spring — basically, if you got it during the last flu season — it may not be effective against the flu that is circulating this season,” Patel said. “You never know which variant will be passing through, which is why the vaccine needs to be reformulated for every new flu season. That's why we say it's important for people to get their flu shots every single year.”

Typically, flu season starts around October and lasts through April.

Getting a flu shot at the beginning of flu season can maximize the benefits, Patel said, but it's still better to get it late than to not get it at all.

“You want to get it early enough that it has maximal effect a few weeks later,” she advised. “At the same time, I don't want folks to say, 'I missed it back in September and October, so I shouldn't get it.' If it's flu season, you should get the shot.

It's better to have some protection than none.”

SUFFERING FAILED BACK SYNDROME?

Editor’s Note: See Savvy Senior column in this issue showing what vaccines seniors should get this year.

Stop missing life’s greatest moments. Stop planning life around pain.

Back Pain should not mean fusion, screws, and lengthy recoveries. Regenerative Medicine is changing how back pain is solved.

ONONDAGA, OSWEGO, CAYUGA & MADISON COUNTIES A monthly newspaper published by Local News, Inc. 33,500 copies distributed throughout more than 1,000 high-traffic locations, including all Wegmans stores.

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No material may be reproduced in whole or in part from this publication without the express written permission of the publisher. The information in this publication is intended to complement—not to take the place of—the recommendations of your health provider.

Consult your physician before making major changes in your lifestyle or health care regimen.

M EDICI N E THAT M OVE S YO U

Richard Kim Medicine will be your last stop.

This is the call that will change your life!

518-871-9900 Now I am back to shoveling snow, hiking and looking forward to gardening this spring. Dr. Kim and his staff were great with my questions, friendly and attentive to my recovery. —MARCIA Learn from other patients at richardkimmedicine.com

November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 7

Live Alone & Thrive

By Gwenn Voelckers

Practical tips, advice and hope for those who live alone

Embracing Solitude: A Journey Toward Contentment

I

n a world that constantly moves at a breakneck pace, solitude can feel like an elusive luxury.

Yet I’ve come to cherish and celebrate those moments when I find a quiet moment to reflect, contemplate and rediscover the simple joys of life.

I’ve learned that solitude is not about isolation; it’s a chance to reconnect with oneself and everything around us.

It was a gorgeous fall day when I took a walk in Mendon Ponds Park and was filled with the joys and benefits of solitude. On that crisp, cool afternoon, I heard the leaves crunching beneath my feet and listened to the wind rustling through the trees.

I was surround by the colors of fall, and was reminded that solitude isn’t an empty space, but rather an active state of being present with myself and the world around me.

It felt like a breath of fresh air for my soul.

• Personal Reflection — One of the greatest joys of solitude is the opportunity for personal reflection. In the midst of our daily chores and chaos, it’s so easy to lose sight of ourselves.

We’re often too preoccupied with our roles and responsibilities, constantly reacting to the world around us. I know I am.

But when I slow down, I can pause, take a step back and contemplate who I am, what I value, and where I’m headed. It’s a chance to reconnect with my “true north” and ensure I’m on the right path.

An anecdote that beautifully illustrates this occurred during a solo retreat I took last fall around this time. With no one to talk to but myself, I began a conversation with my own thoughts. It was during those moments that I realized I had been neglecting some of my passions and dreams.

This solitude provided me with clarity. It inspired me to make positive changes in my life. On returning home, I rededicated myself to my music and my writing.

• Creativity Unleashed — Another remarkable gift of solitude is its power to foster creativity.

In the peace and quiet, our minds are free from external distractions, allowing our thoughts to meander and merge in unique ways. Surrounded by silence, I find myself lost in thought, daydreaming about stories to share or problems to solve.

Solitude is a space where ideas are born and nurtured, unfettered by a “monkey mind,” which can overtake our thinking.

For readers who are not familiar with monkey mind, it is a Buddhist concept that describes a state of restlessness and lack of control over one’s thoughts.

The idea for this column on solitude was illuminated for me during one of my morning meditations. In that secluded moment, with my cat on my lap and no interruptions, I reflected on the topic and composed the words I am sharing with you now.

• Gratitude and Contemplation — Solitude also teaches us the profound art of gratitude and contemplation.

In the tranquility of time alone, we’re better able to reflect on the blessings that surround us. Whether it’s the taste of a warm cup of tea, the scent of a distant bonfire, the wonderous look in a child’s eyes or a friend’s warm hug, solitude amplifies our capacity for gratitude.

It makes us aware of life’s simple pleasures.

At the end of the day, before drifting off to sleep, I often take time for calm contemplation, considering life’s many intricacies and, sadly these days, life’s atrocities.

This restful lull before dozing off helps me count my blessings and appreciate the beauty that resides in and around each of us.

• Recharging the Soul — For me, one of the most valuable aspects of solitude is its role in reenergizing my soul. Life demands so much attention and energy. As my own sole provider, I’m pulled in many directions, as are all those who live alone.

Tranquil introspection allows me to slow down and recharge my batteries. It’s a sanctuary where I can step away from the hustle and bustle, relax and reconnect with what

Build Social Connection.

Prevent Loneliness.

We may not think of loneliness as posing serious health risks, but if feelings of loneliness are not addressed, they can significantly impact our health. There are ways to help prevent loneliness and the resulting health impacts. If you’re feeling lonely, consider the following: • Seek support: Reach out to friends, family or a therapist. Support groups can also foster a sense of community and understanding.

• Volunteer: Helping others can boost self-esteem and foster meaningful relationships.

• Take up a hobby: Engage in activities that bring you joy. Join a club or group with shared interests to meet new people and build relationships.

• Practice self-care: Maintain a healthy diet, get enough sleep, exercise regularly, and practice mindfulness and self-compassion.

• Try something new: Step outside your comfort zone. It can be intimidating but can also lead to new connections and relationships.

Listen to our episode, “The Loneliness Epidemic” on the Community Check-in to learn more about this issue and who is most at risk.

A nonprofit independent licensee of the Blue Cross Blue Shield Association

Page 8 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

matters.

Thanksgiving is just around the corner, as are the holidays in December. Social gatherings and obligations can be overwhelming. And exhausting.

I’ve learned that stepping away for a brief period can help me regain my balance and perspective. I can then truly enjoy and appreciate the time I’m spending with the people I love.

• Wrapping up ... — It bears repeating: Solitude is not an escape from the world, but rather a gateway to rediscovering its profound wonder and beauty.

It allows us to tap into our creativity, embrace gratitude, and recharge our spirits.

While it’s crucial to nurture meaningful connections with others, we should also remember the joys of solitude, especially during hectic and challenging times.

In closing, know this: In the stillness of your own company, you just might find the inner contentment you’ve been seeking all along.

Gwenn Voelckers is the founder and facilitator of Alone and Content empowerment workshops for women (now on hiatus) and the author of "Alone and Content: Inspiring, empowering essays to help divorced and widowed women feel whole and complete on their own" To contact Voelckers or purchase her book, visit www.aloneandcontent.com

ACR Health Turns 40, Looks to The Future

Provider started as AIDS Task Force of CNY at the height of the AIDS-HIV epidemic

By Mary Beth Roach

A

s ACR Health marks its 40 anniversary this year, the agency has experienced a great deal of adapting those four decades to meet the evolving healthcare needs of the Central New York community.

“We’re still here 40 years later, helping people live healthier lives.

How we do it and some techniques or targeting that may have changed,” said Lisa Alford, CEO. Its name has also changed over the years.

The agency, then called the AIDS Task Force of Central New York, was founded as an all-volunteer-run organization in 1983, at the height of the AIDS-HIV epidemic. It was renamed AIDS Community Resources in 1994.

Then in 2013, it was rebranded as ACR Health to reflect the broader population it serves —people with complex and chronic conditions, such as HIV, addiction, STDs, hepatitis C, along with other diagnoses.

However, the agency is still very rooted in its history.

“We have to build upon that legacy so we can serve the communities even better. It’s a continual learning process,” Alford said.

Its clients need to make good health decisions, she explained.

But “we want people to have information and resources so they can live healthier lives,” she added.

To help those with chronic and complex conditions and especially those facing other obstacles that impact their healthcare, ACR Health’s staff, which numbers about 120, administers programs throughout Cayuga, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswe-

go and St. Lawrence counties.

The care management and support teams connect qualifying clients with medical care, legal assistance, nutrition and health education, social services, housing, transportation and medication adherence.

The agency provides free and confidential HIV and STD testing, along with prevention services.

There is a syringe exchange program, including Narcan training and harm reduction counseling. It has Q centers, safe places for LGBTQ youth in Central New York, Mohawk Valley and Northern New York, offering housing assistance, support groups and afterschool drop-in programs. A family peer advocate provides support to family members as well.

A key component for the organization is its outreach efforts and in order to better serve and understand the diverse populations it serves, the agency seeks people who have lived the experience because, as Alford explained, “they’ve walked the same road.”

“We seek to have a staff that’s reflective of the communities that we serve and that we need to be serving,” Alford said.

They can relate to the clients, are aware of certain nuances, how certain individuals can and should be approached and what’s appropriate language.

Over 40 years, how addiction is viewed has changed.

ACR Health staff use a harm-reduction model, in which they attempt to keep those who use substance from further danger while working with them to go into treatment. This

Checking controls for HIV and syphilis tests are members of ACR Health’s prevention team. From left: Ron Flanagan, Megan Falzone, Timothy Hurn and Rebecca Rogers. ACR Health CEO, Lisa Alford, is at right. Also pictured are stacks of T-shirts to go out to various ACR Health sites to mark PrEP Aware Week, which was in late October. could include clean syringes, naloxone training and supplies or fentanyl test strips.

More of the staff, too, is getting what Alford called “trauma-informed care.”

“We know the experiences of trauma that people have, the more at risk they are for more adverse outcomes in their lives,” she said.

Alford pointed out that the agency uses data to inform what they’re doing. For example, they are studying health and health equity to a greater degree. As Alford explained, if 80% of the issues come from 20% of the population, then something needs to be done to offer people a better sense of connection and belonging. It’s not enough, she said, to be socially conscious. It requires new programming and policies to create equity.

Health insurance and medical debt are stumbling blocks for people seeking care. In mid-October, Syra-

cuse.com reported on a study from the Urban Institute that said Syracuse has the highest rate of people with overdue medical bills on their credit records in New York state, with 24.1%. This compares to 12.8% in Buffalo and 5.6% in Rochester.

ACR’s Health insurance care department can help people sign up for health insurance options and help find resources for those with large debt.

The ability to adapt, to address some of the changing health needs of people and to seek out resources and support to do that are some of ACR Health’s biggest accomplishments, Alford said.

As for the future of the organization, Alford remains cognizant of its past.

“We’re standing on the shoulders of these past 40 years. We want to make sure that we continue to be a voice and an advocate for people living healthier lives,” she said.

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November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 9

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We have to coach our negatively wired brains to find and embrace the AND. When we find it, we need to say it out loud and call attention to it

P

eople are feeling a certain sort of way lately and that way isn’t pleasant.

Maybe it’s the changing seasons.

Maybe it’s the incessant inflation and stagnant wages. Maybe it’s the dark promise of another heated, negative election cycle. Maybe it’s the reality that post-pandemic life has ushered in a new normal that doesn’t feel all that awesome.

Maybe it’s the constant grind of work and obligations that separate us from our family, friends and passions. Maybe it’s the wars, fires and humanitarian crises that flash across our phones and televisions just long enough to induce sadness and dread.

Whatever it is, the world is feeling it right now.

In the face of all of these circumstances, a lot of folks in my circles are feeling depleted, disconnected, exhausted, foggy and incapable.

I’ve had several conversations recently where someone has trailed off mid-sentence, only to apologize for their mental fatigue and lack of ability to carry on said conversation.

For a lot of people, especially parents, things are very difficult right now. I’m one of those parents.

• Where is our lifeline? — In the face of this mental funk, how do we pull ourselves out of the stress and sadness and into the brighter moments of our lives?

How do we not drag our children down with us?

In my opinion, I think our emotional rescue squad takes shape in a 25-cent word: cognitive dissonance.

That fancy term describes the uncomfortable feeling us humans get when we realize two conflicting things are simultaneously true.

Said another way, we often feel two ways about many situations and that doesn’t make sense to our brains.

When you think about it logically, that discomfort doesn’t make much sense. A lot of situations demand mixed emotional reactions and varying perspectives. But much of what us humans think and do isn’t rational or logical. We just have to be aware of our less-rational tendencies and then be ready to run those tendencies off at the pass.

• Our childhoods didn’t have room for 25-cent words — Rationally, most of us understand we can feel a variety of feelings about the same situation, but why does cognitive dissonance give us so much discomfort? Besides being hard wired for it, I think it was our generational upbringing. Many of us 30- and 40-something parents were raised in black and white worlds.

Things were one way, or they were another way. There were right decisions and wrong decisions. There

was no room for the in-between or gray areas and if we dared to feel two ways about a situation, we were told we always had to pick a side and disregard much of what we were feeling.

But as we grow older and, hopefully, wiser, we owe it to ourselves and our children to give cognitive dissonance room to flourish. We need to accept it as a healthy part of human nature and encourage our kids to do the same. That’s easier said than done, but I think it’s possible.

• Cognitive dissonance in the parenting world — As parents, how liberating would it be to wake up and tell yourself you can feel two ways about almost every situation in the day ahead? What if we could dread the school drop-off line AND be thankful we had a healthy kid who could attend school (and a vehicle to get them there)? What if we were dreading the workday AND thankful for the financial stability and mental stimulation our jobs provided?

What if we were allowed to shudder at a week full of after-school events and then find joy in watching our kids experience those events?

What if we could be both enraged AND amused by another sibling bicker-fest? What if we could curse filling out another permission slip AND be incredibly thankful for the PTA providing enrichment for our children? What if we could be annoyed by the books thrown all around the house AND be thankful that our children are reading books?

Doesn’t the “AND” sound a lot better than just being annoyed by the drop off line? Doesn’t the “AND” sound better than letting a sibling argument finally push us over the deep end? Doesn’t the “AND” sound better than resenting a beautiful thing like a book?

• Stressed AND blessed We have to coach our negatively wired brains to find and embrace the AND. When we find it, we need to say it out loud and call attention to it, especially in the presence of our kids.

In short, as we all tackle the exhaustion that comes from parenting and adulting in unprecedented times, embracing cognitive dissonance may be just the cure-all we’ve been searching for.

We shouldn’t feel guilty when we admit we’re incredibly stressed AND incredibly blessed. We just have to find the energy and emotional resilience to emphasize, admire and spotlight the blessed. If we teach our kids it’s OK to feel a range of emotions about all of the complicated things life throws at us, we might just give them the tools to be both human AND happy. Just maybe, AND can save us from ourselves.

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10

FOODS TO EAT FOR HEALTHY

LONGEVITY

By Deborah Jeanne Sergeant

E

ating right represents one of the pillars of good health and longevity. As part of an overall healthful diet, every older adult

Protein It’s easy to slip into the habit of fixing snacks instead of meals when living alone. But many times, these lack nutrients, including protein.

“Lean protein is my primary recommendation for older adults,” said Drew Michael Hemler, registered dietitian in private practice in Syracuse. “Older adults tend to reduce their intake. Foods like chicken, turkey, fish, legumes, and soy products help maintain muscle mass and their low sources of saturated fat, which helps improve cardiovascular function.”

Eggs, nuts, seeds and dairy products also provide protein.

should consider including these foods (assuming they’re not contraindicated for any medication or health issues they’re experiencing).

greens Kale, spinach, Swiss chard, arugula, beet greens, bok choy, collard greens, mustard greens, turnip greens, cilantro, parsley and Romaine are all examples of nutrient-packed greens. Faughnan said that these “are high in essential vitamins and minerals as well as fiber and other nutrients to help support immune health. They can also be a good source of iron.”

Although green in color, iceberg lettuce isn’t as packed with nutrients as the darker greens.

BLUEBERRIES “Blueberries have high levels of antioxidants and natural compounds called phytochemicals which promote both brain and bone health,” Faughnan said.

Whether frozen or fresh, berries such as raspberries, blackberries, or strawberries offer many nutrition benefits.

BEETS “Beets contain high levels of nitrates which can help promote cardiovascular and gut health as well as increase energy levels,” said Gregory Faughnan, physician and board certified in primary care at St. Joseph’s Physicians Primary Care in Syracuse.

Water While not technically a nutrient, water is vital for good health.

“Fluid intake is chronically low among the older age population,” Hemler said. “This can be from beverages, but we can also look to fruits and vegetables, which have a high water content.”

He added that drinking enough fluids helps with digestion, reduces constipation and boosts cognitive function and overall energy. Fluids also help balance digestion when improving fiber intake.

To avoid bathroom emergencies in the night, plan more fluid intake in the morning and afternoon and consume less in the evening, especially before bedtime.

GARLIC Tasty in numerous dishes, garlic also “promotes cardiovascular health and can also help fight inflammation,” Faughnan said.

PRODUCE Include in your table’s vegetable line-up Brussels sprouts, broccoli, and cabbage. Faughnan said that these “are great sources of fiber, vitamins and antioxidant phytochemicals.

“These are blanket statements,” he added. “Always ask your primary care provider regarding nutritional advice based on your own individual medical conditions and medications.”

Page 12 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

A tasty treat that treats you well, dark chocolate (at least 70% cacao) “contains high levels of polyphenols and flavonoids which act as antioxidants promoting good brain and cardiovascular health,” Faughnan said.

Consume only a standard portion size, as its calories add up fast.

LEFT: Gregory Faughnan, physician and board certified in primary care at St. Joseph’s Physicians Primary Care in Syracuse.

OMEGA 3 These help to promote the health of the brain and joints.

Hemler noted that fatty fish, nuts, seeds and olive oil are great sources of omega-3s.

“Many nuts have plant stanols and sterols that help reduce cholesterol,” Hemler said.

DARK CHOCOLATE

HONEY “Honey has high concentrations of natural enzymes that can boost your immune system and aid in digestion,” Faughnan said.

Although high in calories, it’s a better choice as a sweetener than processed sugar.

RIGHT: Drew Michael Hemler, registered dietitian in private practice in Syracuse, Buffalo and Toronto.

Getting More Nutrition Carolyn Allen, registered dietitian and owner of Rural Roots Nutrition in Manlius, offered a few tips for increasing nutrition.

Need more protein? Allen suggested “incorporating more protein into snacks, like apple and cheese or nut butter. Or hummus and veggies or whole wheat pita chips.”

She added that a can of rinsed beans could add more protein to a soup, casserole or salad.

Need more fluids? Try hydrating foods. Allen mentioned produce, soup, Jell-O, pudding, popsicles, ice cream, frozen yogurt and sherbet.

“Changing the temperature of the liquid can help people drink more,” Allen said. “Some like it ice cold. Use a different type of cup or bottle.”

Hate wasting food? Try single-serving fruits and vegetables.

“They have smaller portion sizes of frozen and canned options,” Allen said.

Steamed bags of frozen vegetables serve around three portions, which isn’t overwhelming.

Hate cooking?

Allen said that programs such as Meals on Wheels can help “incorporate more nutrient dense foods. The milk and juice is in individual portion size and it is already prepared.”

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November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 13

Golden Years

Nursing Homes on the Brink

78% of the nursing homes in Upstate are operating at losses, says Loretto CEO. ‘It’s reached a crisis point,” she says

By Deborah Jeanne Sergeant

A

ll areas of healthcare experienced significant challenges during the pandemic, but not as extreme as the seismic shift in long-term care facilities.

Already struggling to care for a huge influx of aging baby boomers on decade stagnant budgets, facilities faced an employment crisis, supply shortages, increased protocols and greater demand as seniors sick with COVID-19 needed someplace to go after discharge from the hospital.

In more recent months, skyrocketing inflation and continuing employment and budgetary difficulties have pushed many nursing homes to the edge.

“Across New York State in 2022, all nursing facilities collectively lost more than $756 million,” said Joe Murabito, president and managing member of Elemental Management Group based Oswego. His business manages living facilities, residential care centers and rehabilitation and nursing centers in Oswego, Joe Murabito is Oneida, Monroe president and and Chemung managing member counties. He is also part of the of Elemental Management Group New York Providers based Oswego.

Alliance, a group of 50 for-profit and nonprofit longterm care organizations from Buffalo to Lake Placid.

This figure comes from the New York Providers Alliance most recent report. Murabito said that the report clearly indicates that Downstate for-profit nursing homes made a $133 million profit as a group, but in every other category — nonprofits statewide and for-profits Upstate — “lost significant hundreds of millions of dollars,” Murabito said.

He believes this stems from Medicaid bias and disproportionate funding allocation.

“These numbers demonstrate while there’s a collective problem, a very big one, it’s not across the board,” Murabito said. “There have been influences over time that allow the for-profit nursing homes in Downstate to operate differently than all other in other areas.”

One factor is wages, employers in New York City have been paying mandated higher minimum wages compared with Upstate, which places Upstate employers in a position of trying to catch up. Despite ubiquitous budget struggles at long-term care facilities, Upstate facilities are spending proportionately more on wages to raise them to a competitive level.

Staffing shortages have caused lower occupancy rates. Upstate facilities lag around 83% occupancy rates while Downstate, the rate has rebounded nearly to pre-pandemic levels.

“The census recovery for Upstate is much slower for skilled nursing,” Murabito said. “That’s part of the answer.”

The aging population both creates more demand for skilled nursing and thins the ranks of older workers.

Murabito said that the projection of those 75-plus who will need assisted living or skilled care is 183% from 2016 to 2036, which he called “a significant increase in need and not the same labor projection to meet those needs. Whatever we’re feeling now for access, that will continue to get worse if we don’t find some way to incentivize people to work in the profession.”

He thinks that increased funding for both paying for education and more instructors will help bring in more care providers. Greater access to education through technology may also help, especially for mid-career workers.

Each day, the average Upstate facility loses $46 per person per day, according to the NYPA report. That averages $22 million per facility annually.

“The level of the crisis is higher than anyone knows,” Murabito said.

“These losses are not sustainable.

We’re approaching a ledge. There needs to be a targeted Medicare rate increase of 12%. The need is not at Downstate proprietary facilities.”

He added that in 30 years of working in the industry, he has not seen such dismal numbers.

“If these numbers aren’t addressed in the right way, this is a survival issue for a lot of facilities,” Murabito added. “You can’t sustain losses like this for more than a year.”

He said that hiring sufficient staff to meet minimum staffing require-

Page 14 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

ments has been “a big challenge. We have significant agency use across the region.”

One of the reasons that nursing homes across the state are in such financial distress is that they have gone 15 years without a Medicaid increase. The most recent approved increase was supposed to be a combination of 6.5% from New York and 1% from the federal government, spread across three years. So far, facilities have received only half the amount for one of those three years and that the proposed 7.5% increase was folded into a $168 million approved by New York two years ago to fund a mandated staffing ratio legislation passed two years ago. The situation is like a company offering a raise and then a holiday bonus, but later reneging on the bonus, claiming that it’s part of their raise.

Low reimbursement, higher wages, shortage of workers Kim Townsend, president and CEO at Loretto, said that the biggest challenges her organization currently faces are “in no particular order: the recently enacted staffing mandate, our unprecedented healthcare worker shortage Kim Townsend is and our low president and CEO reimbursement of Loretto, CNY’s rates.”

Although largest senior she agrees that facility. proper staffing rates lead to high quality care, the mandates focus on medical staffing, which ignores therapists, social work staff and dietary staff.

“In long-term care, evidence-based practice suggests that the best staffing and care goes to the individual needs of the residents,” Townsend said. “Some residents require more clinical services; some require more social or therapy services.

Their care plans should reflect the services needed for their wellbeing.

A minimum staffing ratio sets that aside. It not only ignores the needs of the individual residents but also the important role that other staff members play in delivering their care.”

By demanding a certain number of clinicians, the mandate forces organizations to allocate funding to those roles rather than other important roles. The staffing shortage also makes meeting staffing mandates challenging. Townsend said that 20% or 400,000 frontline caregivers have left the long-term care industry since the pandemic’s beginning in 2019.

Although some of those have shifted to other healthcare roles, she said that some have left healthcare as a profession.

“If you don’t have staff to staff beds, then you have to take those beds offline,” Townsend said. “In Central New York, we have 1,600 fewer nursing home beds online today than 2019.”

The lack of staffed, available beds in nursing homes affects more than just the elderly and their families.

When hospitals discharge an older patient who needs in-patient rehabilitation or long-term care, they’re unable to do so if beds are unavailable at an area nursing facility. Other patients needing acute care cannot

receive admission right away if the hospital has no space to put them.

“That impacts every person who lives in this area,” Townsend said.

“This is particularly pronounced in Central New York and Rochester.”

Her organization experiences up to a $100 loss per resident per day because the reimbursement rates have stagnated. Although other employers have raised their payrates, long-term care facilities cannot afford to do so.

Townsend likened the cost of a day at a nursing home to that at an average hotel, which is about $235 per day.

“You get a room, bathroom and maybe a breakfast buffet,” she said.

“The average reimbursement rate for skilled nursing $235 per day. You get a room, meals, therapy, medical care, activities, dietary service, personal laundry, case management and therapy. There’s a real disconnect between cost of services and reimbursement.”

To help fund adequate levels of care, Townsend said that her organization has become more focused on community needs for high acuity care. Loretto’s restorative care unit allows people to discharge from the hospital three to five days earlier.

They receive monitored beds and therapy at the bedside.

“We try to jumpstart their rehab and then they’re on the move to our regular rehab the remainder of their stay,” Townsend said. “This really helps our hospital partners, particularly those with cancer centers and trauma centers.”

Loretto also relies upon donations from community members and grants from private organizations in the state. The community also participates in Loretto’s mission through volunteering. Because many of their volunteers are retirees, their numbers are fewer since the pandemic.

“Volunteers provide a critical role in socialization and another pair of hands for basic needs,” Townsend said. “It’s not back to the way it was.”

Townsend fears for the entire long-term care industry. Offering other services such as rehabilitation, respite care and continuing care helps some long-term care organizations scrape by. But the widespread budgetary shortfalls and employee shortages make it hard to staff these additional revenue streams.

“Seventy-eight percent of the nursing homes in Upstate are operating at losses,” Townsend said. “It’s reached a crisis point.

“This was a system that was invisible in its crisis, but the pandemic made it visible. When occupancy dropped, costs went up and staffing problems appeared, you could really see the lack of funding from New York state.”

Unless funding increases, she foresees many nonprofit long-term care facilities selling to for-profit entities, which she believes operate more for the benefit of shareholders than to benefit the community.

Townsend believes that funding the education of healthcare workers, creating sufficient openings for education and providing sufficient qualified preceptors willing to work with clinical students are part of the solution to the workforce issues.

“We can’t afford to let our regional healthcare networks collapse,” Townsend said. “We have to have a smooth, functioning regional healthcare network. The long-term care piece of that is a critical piece to keep hospitals functioning.”

Golden Years

Q A &

with Mark Schafer

St. Camillus’ new president and CEO talks about the challenges nursing homes face today, sees less dependency on skilled nursing facilities in the future

M

By Mary Beth Roach

ichael Schafer was named CEO and president of St. Camillus in December 2022, having served as former VP for the St. Camillus Nursing Facility for 11 years. Nearly a year into the job, Schafer discusses his work and the ever-changing skilled nursing care.

Q: To give our readers an idea of the size of St. Camillus, what levels of care are provided, how many patients are in your care, how many employees do you have, and what is your budget?

A: Currently our operating budget is approximately $35 million for this year and obviously, with inflation, it will be increased moderately as we turn into ’24. St. Camillus currently has 352 staff. In addition, we have both agency and contracted staff that brings the total to about 450. Our bed capacity is 284. We’ve been averaging about 87% year-todate now.

Q: As CEO and president, what are some of your responsibilities, challenges and rewards?

A: One of the big things that health care is challenged with across

the board — from acute all the way through the private practices — is the financial stability and long-term viability, so continuing to take a look at the operations from a financial perspective; seeing where some of those controls can be put in place; the provision of quality care and services; regulatory compliance; workforce stability, which is obviously another big one in our healthcare industry today; overall strategic direction to see how you revision the organization and what direction you need to go in.

Some of the challenges, all the inflationary pressures; the healthcare workforce challenges; supply-and-demand continues to be a big one across all sectors of healthcare; the ongoing regulatory requirements; and infection control challenges, how organizations have to realign to put those appropriate measures in place to continue to be on a positive front as it relates to managing COVID-19.

Q: How about rewards?

Some rewards, continuing to work with a dedicated and committed board. Because we’re a not-for-

profit, we have a board of trustees and members. It’s rewarding to be able to work with them and get their support; continuing to work with our dedicated and committed staff, who are ultimately the ones driving the organization; achieving our star rating. The federal government set forth a star rating, and we achieved the highest star rating earlier this year, which is a five-star rating. It’s based on survey results, quality metrics and staffing. We’re one of a few facilities in Onondaga County that has achieved the five-star rating. That’s a direct reflection of our quality team, as well as all of our staff in multiple departments that continue to drive those metrics.

About the organization, we have one of the only certified brain injury units in the state. We offer short-term rehabilitation, skilled nursing, and some transportation. We bring in many of our new admissions, which makes things more streamlined for the hospitals upon discharge. A lot of our residents, short-term and longterm, have appointments that they need to go to outside provider specialists and that is offset significantly by our team.

Q: Nursing home care is a field that seems to be constantly changing. What do you see for the future of nursing home care, and more specifically, St. Camillus?

A: Skilled nursing facilities will continue to experience an increase in the shift of patients transitioning to home and community-based programs, resulting in a potential decreased dependency on skilled nursing facilities. St Camillus has an ongoing commitment to enhance our clinical capabilities and programs to accommodate more clinically complex referrals to align with hospital and community needs.

We are going to continue to develop further specialty programs, working with other key stakeholders to continue to leverage their expertise and experience; continue to leverage technology. We all know the benefits of harnessing that technology can help with the provision of care and services. I think payment models are going to continue to change. They’re going to be more value-based on outcomes and it’s going to be interesting to see how that ultimately plays out.

Workforce will continue to be a key focus, something that we will continue to invest a lot of time and energy, working and enhancing our culture to continue to have satisfied workers. In an organization like ours, the success is predicated on our team, an engaged team. We’ll continue to drive that experience for patients.

Q: What would you like to see there in the next year or two?

A: We’ve been a recipient of a $6.4 million grant. So successfully implementing that grant, which basically equates to a significant amount of capital improvements. We’re really trying to enhance the home-like environment for our patients and residents we serve, looking at continuing to try to drive our occupancy from a financial perspective, and really focusing a significant amount of time and energy on our workforce to continue to try to enhance that culture.

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November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 15

Golden Years

Kate Flannery, the new executive director of Alzheimer’s Association in Upstate New York: “The mission of the Alzheimer’s Association really spoke to my heart,” she says.

New Alzheimer’s Association Director Optimistic About New Treatments

Based in Syracuse, new director will lead three Upstate New York chapters of Alzheimer’s Association, following a new leadership restructuring, which previously had individual directors for each chapter

By Norah Machia

T

he new executive director for the Upstate New York Chapters of the Alzheimer’s Association is quite optimistic about the current research being done to improve treatment options for patients and their families struggling with the disease.

“I’m incredibly hopeful the treatments for Alzheimer’s and dementia will change,” said Kathleen “Kate” Flannery of Syracuse.

The Alzheimer’s Association has been working to get information about the current research to patients and their families so they may have hope as well, she added.

Alzheimer’s disease is a degenerative brain disease and the most common form of dementia, according to the Alzheimer’s Association.

Dementia is not a specific disease, but it’s an overall term that describes a group of symptoms. It’s estimated that 55 million people worldwide are living with Alzheimer’s and other dementias.

There are currently medications available that temporarily improve symptoms of memory loss and problems with thinking and reasoning. Although these treatments may help to improve symptoms in some patients, they don’t stop the progression of the disease.

New research is focused on potential Alzheimer’s treatments that could actually slow down or stop the disease process, Flannery explained.

The Alzheimer’s Association is the largest nonprofit funder of Alzheimer’s research and is committed to the development of new treatments, prevention and ultimately, a cure for

the disease.

One of the major roles of the nonprofit organization is to share the latest advances in Alzheimer’s treatment with the public. “We need to raise the level of information out there,” Flannery said. “We’ve become better educated about diagnosis and treatment options.”

The organization offers numerous resources to help families and caregivers, including information about arranging for home care services or finding a memory-care-certified nursing home or assisted living community.

“There is more awareness of the needs of family members and caregivers for those with Alzheimer’s disease,” said Flannery. “It’s one of the biggest issues we’re facing.”

The agency provides information on what to expect in the different stages of the disease and a variety of support programs. It also operates a free 24/7 helpline (1-800-272-3900) that is staffed by specialists and master’s-level clinicians who offer confidential support.

“It’s incredibly difficult to watch someone you love navigate these symptoms,” she said. “We’re hoping that will change in the near future.”

In the meantime, there are many resources available to help both patients and their families, and “it’s important that caregivers take care of themselves as well,” she said.

The organization is also working to respond to the diverse needs of communities and reach out to underserved populations to provide information about resources in their areas,

Page 16 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

she said. “We’re also working to help debunk any myths out there” about Alzheimer’s disease and dementia, she added.

Some of the latest research in Alzheimer’s disease prevention includes taking a more holistic and integrative approach to the disease, Flannery said. This includes actively engaging the brain in new tasks and finding meaning and purpose in life.

In her new role, Flannery will lead the Western New York, Rochester/Finger Lakes region and Central New York chapters. She is responsible for the overall strategic and operational functions, including programming, fundraising, community engagement, government and private grant funding, media relations and the growth and delivery of the association’s mission.

Her position as executive director for Upstate New York chapters is part of a new leadership structure for the three chapters, which previously had individual directors. The new structure also includes the promotion of Amanda Nobrega to vice president of programs for Upstate New York and Cathy Wilde to director of marketing and public relations for the Western New York, Rochester/Finger Lakes Region and Central New York Chapter.

“This new position was a great opportunity for me,” said Flannery.

“The mission of the Alzheimer’s Association really spoke to my heart.”

The changes in leadership will have a very positive impact on the communities, she added. “We’re streamlining operational components

and coordination and being smart stewards of resources,” she said.

Prior to the new position with the Alzheimer’s Association, Flannery had served as executive director for the Office of Community Engagement Planning at Syracuse University and director of mission outreach and education for Francis House, a community care home in Syracuse for People facing terminal illness.

She has also worked as an executive director of the Susan G. Komen organization, overseeing six affiliates encompassing 49 New York counties, and was responsible for growing “Race for the Cure” from $250,000 to $1 million.

The three Upstate New York Alzheimer’s Association offices “will be staying open in the communities and no services will be minimized” with the leadership structure changes, said Flannery. “We’re actually hoping to be more impactful by sharing the professional skill sets of different staff.”

For more information about the Alzheimer’s Association, visit www. alz.org (the site can navigate users to individual chapters).

The website has a wealth of information, including safety tips to remain independent for as long as possible in a safe environment as the disease progresses.

Those safety issues include driving, accommodations in the home, taking medications and wandering.

The Alzheimer’s Association provides information about enrolling in a wandering response service to help locate someone who unexpectedly leaves the home.

Golden Years

Former Auburn Nurse to Turn 102 in December

By Dawn Wightman Perrault

M

eet Stella Zanowick Chalanick served as first lieutenant in the U.S. Army Air Corps from 1943-46.

Chalanick served as a general duty nurse in World War II at Buckingham Army Airfield in Fort Myers, Florida. Lasting from 1939-45, it is the deadliest military conflict the world has ever seen; involving more than 30 countries.

I sat down with Chalanick in her retirement community, The Faatz-Crofut Home for the Elderly, in Auburn, for a conversation about her military and civilian life. She was at first pensive, full of smiles at times, eager to share. And, somehow even flipped the conversation around and started interviewing me.

She graduated from Auburn High School in 1939 and earned a registered nurse degree at Binghamton City Hospital in 1942. When asked why she entered the military, she replied, “The signs were everywhere in the country — they needed nurses.”

Chalanick enlisted in 1943 with her best friend from Binghamton City Hospital, Vivian (Vi) Hunt.

When asked why she chose the Army Air Corps, Chalanick said, “I didn’t choose them, they chose me. I

was sent where I was needed.”

For her, the decision to become a nurse was not a difficult one. It was something she wanted to do her entire life. She watched her mother take care of her younger brother, Russell, and was drawn to the nurturing aspect of the role. And nurturing she did.

While at Fort Myers, the military built a station hospital exclusively for the Air Corps. She cared for the enlistees; some injured due to the war, some injured during training.

She has no regrets about serving her country. If she had to do it over, she would do again.

She separated from the Army Air Corps at Maxwell Field, Alabama, on March 3, 1946. Her citations included an ATO Ribbon and Victory Medal WWII. She resumed her career at Mercy Hospital in Auburn, working as a nurse from 1946-64. Mercy Hospital is better known today as Loretto’s “The Commons on St. Anthony.”

Chalanick also got engaged to Andrew Chalanick in 1946, who was a machinist mate S, 3rd class Navy, until March of that year. They met in high school and wed in June 1947.

In 1964, she shifted gears slightly and worked as a social worker until 1986.

Stella Zanowick Chalanick lives at Faatz-Crofut Home for the Elderly in Auburn.

“It’s really the same role,” she explained. “Caring for people.”

She officially retired from the workforce at 65, but remained active in the church choir at Sts. Peter & Paul Ukrainian Church, as well as the Altar Rosary Society. She also volunteered with various veterans’ groups.

Aside from her rewarding nursing career and volunteer work, her life remains full. Stella and Andrew had three sons, Donald, Michael and Andrew William. She is blessed with four grandchildren and five great-grandchildren.

UPSTATE CARDIOLOGY CONTINUES TO GROW

Like her grandmother, Chalanick’s granddaughter, Elizabeth, has a fulfilling career as a traveling nurse.

And Chalanick’s younger brother, Russell, he went on to become Dr. Russell Zanowick, a well-respected family physician.

Her husband died in 1960. Russell died in 2020.

Chalanick closed the conversation with some very insightful lifelong advice: “Think about what you want to do, what’s good for you, and do it.”

She will turn 102 on Dec. 23.

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November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 17

Golden Years

What’s New for Medicare in 2024

By Deborah Jeanne Sergeant

I

f you receive Medicare, look for these changes coming in 2024:

• Premium increases “As far as it relates to Medicare itself, you’ll see a slight increase in premiums for Part B and slight changes to the deductibles,” said John Kulakowski, NYS licensed insurance agent and founder and CEO for Senior Advisory Insurance Services in Cicero. “Medicare Advantage plans will see conservative changes and very few increases in ancillary benefits like dental, vision and hearing. Medicare supplements will show increases in premiums. Their benefits aren’t changing much.

“The part D drug supplement plans will show for the most part spikes in premiums and higher cost shares for drugs, which is not a good thing. The supplement way may not be a good option if they want to conserve on premiums.”

• New Medicare supplement look-alike plans “They are higher-premium Advantage Plans with zero copays and better coverage,” Kulakowski said.

“Drugs would be in the plan. It may

include dental, vision and hearing which the Medicare supplements don’t.

“You have to be careful. If you have cancer with radiation or chemotherapy, you would still have to pay 20% coinsurance. If someone wanted to go to one of these plans and they go to specialists a lot they’d have zero copays, but someone with kidney dialysis or cancer, high maintenance types of illnesses, they’d want to stay with the supplement.”

• No more catastrophic stage for the “doughnut hole” The “doughnut hole” that pertains to Part D prescription plans and Advantage Plans with prescription drug coverage will no longer have the catastrophic stage.

“Someone gets into the ‘doughnut hole’ when the total cost of the amount of their medications once they reach $5,030,” said Theresa Cangemi, Medicare specialist. “When they enter the doughnut hole at $5,3030, they will pay 25% of the total cost of their medications until they reach a total cost of $8,000. In 2024, they won’t owe anything after the catastrophic stage or $8,000, which

Page 18 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

has changed from the 2023 ‘doughnut hole’ requirements.”

Cangemi operates Retirement Health Plans Made Simple, formerly called Medicare Made Simple, LLC in Syracuse.

• All-in-one cards “For 2024, the biggest thing and--it’s mostly for those with Medicaid--is that there’s an all-in-one card with a food allowance, utilities allowance, over-the-counter items, gas allowance and it could cover extra transportation. But it’s typically for those on Medicare and Medicaid.

Not all of these benefits are offered with all insurance companies or all Medicare Advantage Plans. These benefits will also depend on the area that someone lives in and will depend on their income.”

• More over-the-counter “That allows you to buy things medically related like Band-Aids, aspirin or cough and flu medication,” said Lee Kern, licensed insurance agent and owner of NY Medicare Specialists in Rochester and Buffalo.

This can lower costs for everyday items that help support good health.

• More lifestyle inclusions “Some plans have allowed that for healthy foods, pet food and utilities,” Kern said. “It’s a lifestyle benefit. Some of the lower income supporting plans have transportation for beneficiaries.”

Transportation benefits can help

recipients stay current with visits to healthcare providers and seek preventative health.

He added that some new plans provide gift cards for recipients who schedule a check-up in their homes.

Another offers rewards to enrollees who track their steps with an app and record sufficient steps. Lifestyle inclusions are all about promoting healthy living.

• More plan counseling “They require us to go over plan benefits with clients and make sure their doctors are within their plans, and to go over the formulary and explain benefits,” Kern said.

Although that’s how he’s always operated his office, the review service is now a requirement for agents.

“I don’t see how you could provide good service without doing this,” he added, “because it changes each calendar year. People have to look at their annual notice of change.

“It’s about finding a plan that will provide the right coverage if you’re planning on traveling. Understand the cost of a surgical procedure. If you’re using a network facility, usually, that is covered. I have a license in Florida and it seems they have a lot of fragmentation within the system.”

James advises people to talk with a local agent rather than responding to an advertisement on TV or the radio, since sometimes they may be calling a national call center operated by people who are not related to their local area.

By Jim Miller

Misleading Medicare Advantage Ads: What to Look Out For Dear Savvy Senior, I’m currently enrolled in original Medicare but have been thinking about switching to a Medicare Advantage plan during the open enrollment period. Many of the Medicare Advantage ads I’ve seen offer lots of extra benefits beyond what traditional Medicare offers and no monthly premiums.

What are your thoughts?

Considering a Switch

Dear Considering, Be very leery of the Medicare Advantage ads on TV, radio, social

media and that come in the mail.

While many of these ads may tout free vision, hearing, dental and other benefits with zero monthly premiums, they aren’t always what they claim to be.

Advantage Basics Medicare Advantage or MA plans (also known as Medicare Part C) are government approved health plans sold by private insurance companies that you can choose in place of original Medicare.

The vast majority of Advantage plans are managed-care policies such as HMOs or PPOs that require you to get your care within a network of doctors in a geographic area. You can sign up for one of them during open-enrollment season from Oct. 15 through Dec. 7.

MA plans have exploded in

popularity in recent years as insurers have flooded the airways with advertisements, often by celebrity pitchmen, that promote low-cost options with lots of extra benefits.

But be aware that the federal government has deemed many claims in MA ads fraudulent and misleading.

Some ads imply that the Centers for Medicare and Medicaid Services endorses or prefers a specific plan.

Others promise more cost savings than you really get. And if you choose the wrong plan, your doctor may not be a member of that plan’s network or you may end up paying out-of-pocket for medically necessary care.

This past September, the U.S. Department of Health and Human Services began cracking down on these ads, but you still need to practice self-defense. Here are some tips to help you make a good decision.

• Cover your needs: When evaluating MA plans, make sure the one’s you’re considering cover the doctors you like and the health care facilities you normally go to. Also, make sure all of the prescription medications you take are on the drug plan’s formulary.

To help you compare plans, a good first step is to call the office managers of the doctors you use and find out which Advantage plans they accept, and which ones they recommend. Then go to the Medicare Plan Finder tool at Medicare.gov/ plan-compare to compare plans in your area.

• Understand the details: Some MA plans promote no monthly premiums, but the reality is that you are still responsible for your original Medicare costs including your Part

B premium and deductibles and copays for covered services. Moreover, you may have to pay more out-ofpocket if you see a doctor outside the network. Also, if the plan is an HMO, it generally doesn’t cover non-emergency care out of network, so an individual may be responsible for full costs. A PPO on the other hand, allows people to go out of network, but they generally have to pay more to do so.

• Do some digging: Many MA plans tout free vision, hearing and dental benefits that are not covered by traditional Medicare, but these benefits are often limited. For example, a plan that offers free dental coverage may cover only cleanings and X-rays.

Extensive procedures such as root canals or caps may not be covered, or the plan may limit the dollar amount it pays. Find out the coverage details so you’re not surprised later.

• Get help: Reach out to your local State Health Insurance Assistance Program (SHIP) at ShipHelp.org or call 877-839-2775. These are nonprofit programs that provide unbiased one-on-one Medicare counseling and assistance.

You can also report any misleading MA claims to the Senior Medicare Patrol Resource Center at SMPResource.org or by calling 800-447-8477.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior. org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 19

The Social Ask Security Office

From the Social Security District Office

At Home or On The Go: Social Security Is Online

By Warren Beck Social Security District Manager in Syracuse.

W

hen you retire, if you become disabled or if someone you depend on dies— we are there when you need us. With your personal and secure my Social Security account, you can access your information, benefits and important services from just about anywhere.

Having a personal My Social Security account allows you to: • Compare future benefit estimates for different dates or ages when you may want to begin receiving benefits.

• Check the status of your benefits application or appeal.

• Review your earnings history.

• Request a replacement Social Security card (in most states).

If you already receive benefits, you can also: • Get a benefit verification or proof of income letter.

• Set up or change your direct deposit.

• Change your address.

• Get a Social Security 1099 form (SSA-1099).

You can even use your personal My Social Security account to opt out of receiving certain notices by mail, including the annual cost-ofliving adjustments notice and the income-related monthly adjustment amount notice. These notices are available in your Message Center when you sign into your account.

We will email you when you have a new message, so you never miss an important update.

It’s easy to sign up for a My Social Security account. Please let your friends and family know that they can create their own My Social Security account today at www.ssa. gov/myaccount.

Living Like Loretta Starts with Loretto.

As one of Central New York’s largest and most comprehensive continuing healthcare organizations, Loretto delivers personfirst, affordable adult care. Through our 19 specialized programs and communities, we empower each resident and patient to continue living their best life, Like Loretta.

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Loretta Ad_In Good Health_9.75x6.69_AUG22.indd 1 Page 20 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

10/20/22 9:43 AM

Health News Oneida Health Welcomes Felissa Koernig as President and CEO

O

neida Health has a new president and chief executive officer. Felissa Koernig officially began on Sept. 18. At that time, Jeremiah Sweet who served as interim president and CEO resumed his role as vice president of finance and chief financial officer.

“We performed an exhaustive six-month search across the country for the ideal candidate to move our healthcare network into the future,” said Mike Kallet, chairman of Oneida Health board of trustees.

“We couldn’t be happier with our selection. The board and I are confident that Felissa’s experience and expertise perfectly align with Oneida Health’s current and future organizational goals.”

Koernig comes to Oneida Health with over 15 years of leadership experience in strategic and operational

management in the nonprofit, federal and private sectors. She received her Juris Doctorate (law degree) and Master of Business Administration (MBA) from Pennsylvania State University and previously served as the president of Guthrie Corning Hospital in Corning.

Additionally, Koernig has served as senior vice president and chief operating officer of Guthrie Towanda Memorial Hospital in Towanda, Pennsylvania, and associate director and chief operating officer of the Veterans Affairs Medical Center in Charleston, South Carolina.

Koernig holds a Presidential Management Fellow (PMF), a highly selective and prestigious two-year training and leadership training program offered by the U.S. Office of Personnel Management. The PMF program is the federal government’s

Kathleen White joins Loretto as marketing and PR manager

at SUNY Oswego, in addition to working in various progressive PR roles on both the agency side and in higher education, among others.

She brings an enthusiastic passion for writing and storytelling from her foundation, starting in TV broadcasting that will be pivotal in continuing to grow the positive reputation of Loretto in the region,” said Sheedy.

A native of Syracuse, White is thankful for the opportunity to work for a brand that has meant something to her family. “I have family members who have worked at Loretto, and I recently had a loved one receive care here, so it is a special place for me and my family. I look forward to communicating on behalf of Loretto, where caring is core to its mission and values.”

White earned a bachelor’s degree in English and an MBA from Providence College in Rhode Island.

She lives in Syracuse with her husband and three children. She enjoys reading and volunteering in her community as an advocate and teacher in her spare time.

Kathleen White is the new marketing and public relations manager for Loretto. She is responsible for producing and managing strategic marketing and public relations initiatives across multiple channels to promote the Kathleen White work of Loretto and its 19 programs and services.

White has previously served as a SUNY Oswego faculty member, teaching courses in public relations writing, media management, event planning and public relations strategy for the School of Communication, Media, and the Arts. Before that, she was the director of creative content and strategy for CinSyr Creative Group, a marketing agency based in Syracuse. She has also worked in sales for both Reliant Pharmaceuticals and NewsChannel 9.

As the marketing and public relations manager, White will work closely with Loretto’s Chief Marketing Officer Julie Sheedy, to strategically implement external marketing and public relations activities that communicate the mission and vision of Loretto and its strategic goals.

Some of her responsibilities include media and third-party partner management, content curation, social media strategy and the strategic use of disruptive technologies to promote the Loretto brand.

“Kathleen brings a wealth of in-depth experience to this position with a unique perspective, having been an instructor of public relations

Excellus appoints new VP for health equity, community investments Excellus BlueCross BlueShield re cently appointed Simone E. Edwards as vice president health equity and community investments, reinforcing the health plan’s ommitment to foster a more equitable and inclusive health Simone Edwards care landscape for all.

“We are excited to have Dr. Edwards join our team and believe that

premiere pipeline for promoting advanced degree graduates into government leadership positions.

“I am excited to join a healthcare organization with a well-known reputation for providing award-winning patient safety and experience to the community it serves,” said Koernig.

“Our top priority will continue to be providing convenient access to the highest quality of healthcare. I am honored to serve the residents of Madison and Oneida County while leading a talented team of medical

her unique perspective and strategic vision will help drive positive change within our organization,” says physician Lisa Harris, senior vice president, corporate medical director at Excellus BCBS. “We look forward to working with Dr. Edwards to reinforce our dedication to high-quality care, reducing health disparities and making a difference in the lives of our members and the community.”

Edwards has dedicated over 15 years in the health care field to advance the health and well-being of underserved populations. She will play a pivotal role in advancing the health plan’s mission to promote health equity, cultural sensitivity, and community health. As vice president of health equity and community investments, she will lead the development and implementation of innovative strategies to eliminate health disparities and promote health equity within our communities. She’ll also establish partnerships with community organizations, health care providers, and other stakeholders to drive impactful initiatives, and collaborate with internal teams to integrate health equity principles into the health plan’s products, services, and operations.

“Health equity means everyone has a fair chance at living the healthiest life possible. It is also key to building a vital and thriving society.

I look forward to taking a community-driven approach to engage and invest in activities that promote equity and ultimately member and community health,” says Edwards.

Edwards received her bachelor’s degree in biology from Stony Brook University and her master and doctor of public health degrees from New York Medical College. She received a certificate in leadership development to advance equity in health care from the Harvard T.H. Chan School of Public Health.

Edwards lives in Rochester and enjoys traveling.

providers and professional staff.”

In 2024, Oneida Health will be celebrating 125 years of providing healthcare. Koernig is the first female CEO in Oneida Health’s history.

“Our organization has a rich history of great leaders for more than a century,” said Kallet. “While leaning on our vast experience, we will continue to strive to deliver progressive care and produce the best results for our patients. In Oneida, the future of healthcare is bright.”

SOS names Michele Flavin its chief financial officer Michele Flavin, CPA, has been named the chief financial officer of Syracuse Orthopedic Specialists (SOS) and the Specialists’ One-Day Surgery Center (SODS).

Michele has been with SOS for 10 years and has played an Michele Flavin integral role in the finance department, including being appointed CFO of the Specialists’ One-Day Surgery Center in 2019.

In her new role, Flavin will serve as the CFO of both SOS and SODS and will be responsible for overseeing all finance department activities.

This includes representing both SOS and SODS in many key relationships with vendors and financial institutions.

“We are grateful for Michele’s continued work and dedication to SOS and SODS.” said Mike Humphrey, CEO, Syracuse Orthopedic Specialists.

Syracuse Orthopedic Specialists is Central New York’s regional leader in providing total orthopedic care to patients. Founded in 1999, its team of experienced orthopedic physicians and support staff offer state-of-theart medical care, from diagnosis and treatment to rehabilitation and recovery. SOS has more than 25 physicians and employs approximately 700 additional staff.

November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 21

Health News SOS has new director of orthopedic and sports therapy Syracuse Orthopedic Special ists (SOS) announced it has named physical therapist Stacy Griffith as the director of the SOS Orthopedic & Sports Therapy (SOS O&ST) department. He will lead the department which works Stacy Griffith collaboratively with SOS surgeons and other referring providers.

The SOS O&ST team specializes in the evaluation and treatment of both non-operative orthopedic injuries and conditions as well as pre-operative and post-operative procedures.

“Stacy brings a wealth of knowledge and experience to this role and is truly dedicated to providing the highest level of care to our patients,” stated Mike Humphrey, CEO, Syracuse Orthopedic Specialists. “He has consistently shown a dedication to the core fundamentals of SOS and has always been committed to creating a positive work environment.”

Griffith has been with SOS since 2014 and was at Fitness Forum for 16 years prior, with multiple responsibilities including site operations and supervision, and working clinically.

At SOS, Griffith has been an integral part of the opening of two clinics and established a total joint program to implement at each site.

Griffith received a Bachelor of Science in Physical Therapy from Daemen College after receiving a Bachelor of Arts in mathematics from SUNY Potsdam. He also received certification in McKenzie mechanical diagnosis and treatment and has been a member of the Joint Council since 2015.

Oswego Health doctor earns recognition, two new titles Physician Mohammad Fahad Ali has recently been recognized

by Becker’s Healthcare as one of the “Top 5 Gastroenterologists to Know.”

Ali joined Oswego Health in March.

Ali, who is currently the director of Mohammad Ali endoscopy, was recently appointed as chief of gastroenterology and hepatology and director of the Center for Gastroenterology & Metabolic Diseases. In this new role, he will assist and oversee the establishment of protocols and patient pathways related to the provision of gastroenterology services to increase efficiency. He will also serve as a mentor to providers and staff to ensure safe,

quality and efficient care.

“Dr. Ali has demonstrated wholeheartedly our ‘we care’ mantra here at Oswego Health and we are confident in his leadership of the program that we will continue to increase the capacity of gastroenterology services in the community and positive patient outcomes,” said Oswego Health’s President and CEO, Michael C. Backus.

Ali is board-certified in gastroenterology and internal medicine.

He is a member of the American College of Gastroenterology and was the president of the Cortland County Medical Society. He is a member of the American College of Gastroenterology’s research committee as well as its diversity, equity and inclusion committee, and in 2021 he was recognized by the ACG as a Young Physician Leadership Scholar. In addition, earlier this year, Doximity, the largest community of healthcare providers in the country, ranked Ali in the top 10% for H-index, which measures both the productivity and citation impact of his research publications among peers.

Since 2013 he has published several research and scholarly articles, including on the Medium and maintains his own medical blog, “Musings on Medicine.”

Dr. Merola joins St. Joe’s in Liverpool Physician Kristen A. Ranallo Merola recently joined St. Joseph’s Physicians Primary Care in Liverpool.

Merola brings to the practice a passion for applying her primary care experience and skills, treating a wide range of Kristen Merola patients and illnesses. Her goal is to work with patients to optimize their health by treating acute and chronic conditions and promoting disease prevention.

“After growing up in Syracuse and completing residency training at St. Joseph’s Health Hospital, it is truly a dream come true to be taking on the role of an attending physician in my hometown,” Merola said. “This community has given me so much, and I am thrilled to have the opportunity to give back and remain a part of St. Joseph’s Health. It’s an honor to serve the Syracuse community.”

Merola received her medical degree from Liberty University College of Osteopathic Medicine in Lynchburg, Virginia. She earned her undergraduate degree in biology from Robert Wesleyan College in Rochester. During her tenure at Liberty University, she was a member of a research team investigating techniques to improve and refine the performance of back dissections and served as a mentor to incoming medical students.

Throughout her studies, Merola was employed in a variety of care settings including Crouse Hospital emergency department, Upstate

Page 22 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • November 2023

Medical University geriatrics department, and Upstate Health care center. She also served as the Healthy People, Happy Families project manager leading a team of eight interns to plan and execute the program designed to assist low-income and refugee families and teach the importance of a healthy lifestyle.

When she’s not working, Merola enjoys spending time with her family, traveling, and hiking in the Adirondacks.

HOPE for Bereaved announces new director Kelly Ocampo is the new executive director at HOPE for Bereaved, beginning Oct. 2.

Ocampo has almost two decades of experience in the nonprofit sector with a focus on program development and grant writing.

Kelly Ocampo “When our long-time founder Terese Schoeneck retired there was much concern on our board as to whether we could find a person worthy of the role. I believe Kelly has the experience, maturity, and seriousness of purpose required to take this great organization to the level necessary to ensure its continued mission for another 40 years,” said Rodger Loomis, member of Hope for Bereaved board of directors.

Said Steve Schoeneck, president of the board of director,“Kelly has all the skills to excel as the executive director, but specifically she has the desire and drive to ensure Hope is here serving the community for many years to come. We all look forward to working with Kelly to serve the bereaved wherever they are.”

Forty-five years ago, Therese Schoeneck turned a personal tragedy into an opportunity when she founded HOPE for Bereaved. Since then, she has rallied family, friends, and community members around the mission to provide free services to those grieving the loss of a loved one.

“As someone who has lost both parents, I have a personal connection to the organization’s mission,” said Ocampo. “I will work to ensure HOPE for Bereaved is here to serve our diverse community for another 45 years.æ

Giannuzzi Named VP at Christopher Community Christopher Community, Inc. has announced the appointment of John Giannuzzi as vice president of property management.

Giannuzzi will be responsible for overseeing Christopher Community’s property manJohn Giannuzzi

agement, Housing Choice Voucher (Section 8) Program, and the facilities department.

His industry career spans over 30 years, initially working at Longley Jones Management Corp. He most recently was at Conifer Realty in Rochester, maintaining positions as district manager, regional vice president of property management, and senior vice president of property management. While at Conifer, he oversaw 221 affordable assets in five states totaling over 15,000 units.

A resident of Camillus, Giannuzzi attended Boston University and earned a Bachelor of Science degree from Canisius College.

He maintains numerous industry designations including Accredited Residential Manager (ARM), Certified Residential Manager (CRM) and the C3P designation in the affordable housing industry.

Giannuzzi is married to wife Holly, and they have two children, Isabella and Jack. He enjoys boating, fishing, coaching high school football, and leadership training and development.

William Veit named Upstate’s chief audit executive William G. Veit has been named assistant vice president for internal audit and enterprise risk management at Upstate Medical University. He also serves as university’s chief audit executive.

Veit brings to Upstate signifiWilliam Veit cant experience in higher education risk management, regulatory compliance, accounting, financial and information security controls, and other areas.

He previously served as vice president and chief financial officer at Cazenovia College (2021-2023), where he was a key member of the president’s leadership team interacting on issues related to finance, audit, payroll, information technologies, human resources and facilities maintenance, and more.

He also served as senior risk management consultant for FoxPointe Solutions, a division of the Bonadio Group, Syracuse (20192021), providing expert advice on risk assessments to hospitals, social services and banking, among others.

At SUNY Cortland (2015 to 2019), Veit served as risk management officer and director, where he directed the college’s internal controls and enterprise risk management program. He also developed the college’s first-ever risk management plan.

Veit also held positions at Badoud Enterprises Inc., Syracuse, (1990-2014) as CEO and president, vice president commercial printing and chief financial officer.

Veit earned an MBA and bachelor’s degree from Le Moyne College.

We’re here to help ensure your golden years are your best years!

Committed to exceptional, family-focused care – and provided by over 60 physicians, 40 advanced practitioners, and 28 locations across our region – FCMG is uniquely situated to care for seniors. Our comprehensive range of services includes: • General family care and internal medicine • Endocrinology, including diabetes testing, care and education • Sleep lab and treatment of sleep disorders • Physical medicine and rehabilitation • Among many others FCMG is also a proud partner in Salt City Senior Care Advantage – which provides a new approach to care delivery by focusing on preventative care and care coordination resources when you need them.

Turning 65? FCMG participates in of Senior Health Connect . Talk to your provider for more details!

Let our family care for yours!

315-472-1488 • fcmg.org

Let us help you breathe easier with a free lung cancer screening!

November is Lung Cancer Awareness month. As a service to our community, Hematology-Oncology Associates of CNY and CRA Medical Imaging are offering a free lung cancer screening to qualified participants.

Who:

Free screenings are available for individuals ages 50-80 who: - are heavy smokers (e.g., 1 pack a day for 20 years or 2 packs a day for 10 years) - OR are former heavy-smokers who quit in the last 15 years - AND have not previously received a free lung cancer screening from us.

Note: Anyone with insurance can contact our office to discuss getting a lung cancer screening at your convenience.

When: Saturday, November 4, 8:00 a.m. to 2:00 p.m.

Where: HOA’s Onondaga Hill, East Syracuse and Auburn offices To learn more, call 315-472-7504 extension 1301 or visit hoacny.com

This free screening event is co-sponsored by:

November 2023 • IN GOOD HEALTH – CNY’s Healthcare Newspaper • Page 23

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