Raising The Bar - Spring/Summer 2015

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Topping Off Ceremony Concludes Steel Construction Orange Regional Medical Center held a Topping Off Ceremony on October 16 for its Spagnoli Family Cancer Center and Physician Office Building project. A Topping Off Ceremony is a tradition amongst construction companies and ironworkers marking the end of steel construction on a new project. Additionally, Orange Regional kicked off “The Future Is Orange” Capital Campaign to raise $3 million.

Here are some fun facts about the construction project that you probably did not know: • 738 tons of steel; 1,350 pieces • 219 exterior panels – 126,000 bricks • 4,341 light fixtures • 135 tons of rebar • 10,300+ tons of concrete • 67,500 ft. of electrical conduit = 12.78 miles • Linear accelerator vault – 10 truckloads of concrete for base • 40 truckloads of concrete for walls • 340 ton roof

In This Issue

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Physician Recognition

Healthgrades Recognition

Medical Education Endowment Fund A member of the Greater Hudson Valley Health System

Welcome New Practitioners March 2015 – October 2015

Ahmad, Sami, MD

OB/GYN

Malacoff, Robert Frederick, MD

Cardiology

Akunne, Chima, DPM

Orthopedics

Manheimer, Eric D., MD

Cardiology

Alvarez, Ralph J., MD

Medicine

Margolis, Nathaniel Evin, MD

Diagnostic Imaging

Amrute, Kaytan Vinod, MD

OB/GYN

Meigh, Matthew James, DO

Emergency Medicine

Arlievsky, Nina Zarudsky, MD

Pediatrics

Mogul-Ashraf, Zainab Naasir, MD

Medicine

Aung, Ye Kyaw, MD

Emergency Medicine

Moteelall, Meena Kumarie, MD

Emergency Medicine

Bach-Bachich, Vjera, MD

Emergency Medicine

Nensey, Cyrus Karim, MD

Medicine

Bakshi, Aman, MD

Medicine

Nowosielski, Izabela, MD

Medicine

Block, Kara Michelle, MD

Pediatrics

Nwulu, Chika Conrad, MD

Medicine

Bloom, Alan, DO

Emergency Medicine

Pampana, Vijay Shanker, MD

Neuroscience

Chavez Carey, Joseph, MD

Family Medicine

Paschal, Gehres M., MD

Emergency Medicine

Chirumamilla, Amala P., MD

Cardiology

Patel, Neal Mahash, MD

Medicine

Deng, Hui Ling, MD

Pediatrics

Patel, Rakesh H., MD

Rehabilitation Medicine

El Zarif, Samer, MD

Critical Care/Pulmonary

Pillai, Nisha Unnikrishnan, MD

Cardiology

Floyd III, Leroy Cordero, MD

Medicine

Protopapas, George Frank, MD

Gastroenterology

Fontaine, Michelle Lee, MD

Orthopedics

Punsalan, Ryan, MD

Medicine

Gilani, Aamir M., MD

Critical Care/Pulmonary

Rappaport, Marc Gerald, DO

Medicine

Grinbaum, Liel A., DMD

Eye, Ear, Nose, Throat

Sawhney, Jaskaran, MD

Anesthesia

Hardcastle, John M., MD

Orthopedics

Selvaraj, Dhana Rekha, MD

Diagnostic Imaging

Haskin-Cole, Crystal, DPM

Orthopedics

Szeto, Oliver J., MD, MBA

Pathology

Huan, Youming, MD

Pathology

Ton, Quang, MD

Medicine

Jacob, Noble, MD

Family Medicine

Vernatter, Joshua N., MD

Medicine

Jansen, Brent Matthew, MD

Pediatrics

Vieux, Ulrick, DO

Psychiatry

Jin, Yiping, MD, PhD

Medicine

Vohra, Rishi, MD

Emergency Medicine

Johnson, Nathan, MD

Family Medicine

Wang, Hongbei, MD, PhD

Pathology

Kim, Katherine, MD

Gastroenterology

White, Michael J., MD

Diagnostic Imaging

Krieg, Stephen J., MD

Psychiatry

Yang, Ying, MD, PhD

Cardiology

Laban-Grant, Olgica, MD

Neuroscience

Yao, Jorge Lo, MD

Pathology

Lankford, Dawud, MD

Urology

Congratulations

Orange Regional Medical Center Pathologist Rachel Hudacko, MD, FASCP, FCAP has been named to the American Society for Clinical Pathology’s (ASCP) prestigious 40 Under Forty list for 2015 in recognition of her achievements in the medical laboratory field.

ASCP’s 40 Under Forty program shines the spotlight on 40 highly accomplished pathologists, pathology residents, and laboratory professionals under age 40 who have made significant contributions to the profession and stand out as the future of laboratory leadership. The 40 honorees will each have the opportunity to share their knowledge about topics pertinent to pathology and laboratory medicine with a blog platform on ASCP’s ONELab website: www.labculture.ascp.org.

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Chief Medical officer

“Remembering Where You Came From and How You Got Here”

As we look around Orange Regional today, the landscape is changing.

Not just new buildings and new equipment, but also the young and eager faces of residents and students who seem to be everywhere and we are only in the early stages our medical education phenomenon.

I love seeing morning rounds at the table in the physician lounge. It brings back memories as does the procession of students following an attending, in a crisp long white coat, down the hall to patient rooms.

This is the upfront view. The behind the scenes view is even more fascinating. Watching the students give presentations at department meetings and being pleasantly surprised — might I say amazed — at the level of their knowledge at this early stage of their careers.

Watching residents in the ED and on the unit floors and observing how they easily interact with staff and patients is refreshing to see.

Think back to your days as a student or resident. Who influenced you for good or bad? Even if you don’t have a student or resident with you, know that you are being watched. Remember your first time in an OR, in an ICU or responding to a code? Remember when you wondered how you could learn everything you had to? Somehow the system worked and here we are now on the other end as teachers, mentors and role models. What message would you give now to a younger version of yourself? Right here, right now, please share your wisdom.

After all, in many ways, that is how you got to where you are now.

Regards,

Jim Oxley, DO Chief Medical Officer

Newsworthy

R A ISI N G THE B A R

Make Time For Your Flu Shot In July 2013, the New York State (NYS) Department of Health passed a regulation that requires personnel not vaccinated against influenza to wear a surgical or procedure mask while in areas where patients may be present during the influenza season as defined by the NYS Commissioner of Health. Accordingly, Orange Regional will comply with this regulation and has adopted a corresponding policy. The requirements apply to all personnel including members of the medical and allied health staff.

Like many healthcare systems and facilities, Greater Hudson Valley Health System believes that an annual flu vaccine or masking for all healthcare workers and others across the continuum of care is the right thing to do to protect our patients, residents, visitors and healthcare personnel.

Influenza vaccine will be provided free of charge to all credentialed medical staff and allied health professionals through the Employee Health Office. If you choose to receive your flu vaccine from another provider, proof of receiving the flu vaccination must be completed and submitted to Medical Staff Services.

Medical Staff Services will maintain vaccination records, track compliance and issue “flu stickers” to be worn on ID badges of those who have received the influenza vaccine. Medical staff members and other credentialed professionals who fail to comply with this policy will be banned from patient-care areas for the duration of the flu season.

For more information or if you have any questions, please contact the Medical Staff Services Department at 845-333-1106 or Employee Health at 845-333-2060.

Medical student, David Goldgrab, was recently recognized by the Touro College of Osteopathic Medicine. David was announced as the recipient of the 2015 Wellsford and Mildred Clark Memorial Scholarship. The annual scholarship awards outstanding students in their fourth year of medical school who demonstrate academic excellence and dedicated service to the community.

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2015 Annual Golf Classic On Monday, June 22, the Orange Regional Medical Center Foundation held its annual Golf Classic raising $240,000 in net proceeds to benefit Orange Regional Medical Center’s new Physician Office Building and Spagnoli Family Cancer Center. The event, chaired by Ray VanVoorhis and Jake Kriney, hosted 248 golfers at the Wallkill Golf Course and West Hills Country Club.

The Golf Committee raised funds by selling limited raffle tickets, basket raffles and procuring numerous sponsorships. Orange Regional’s President & CEO Scott Batulis tested the golfers’ skills at West Hills Country Club, while Orange Regional’s Chief Medical Officer, Dr. Jim Oxley challenged golfers at the Wallkill Golf Course. To see additional highlights of the event, visit www.ormc.org/CharitableGivingEvents.

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Celebrating Our Physicians

Orange Regional hosted its 2015 Physician Appreciation event in May at the West Hills Country Club in Middletown. Orange Regional’s Medical Staff was honored for its commitment to delivering quality healthcare to the community. This year’s special recognition was given to Dr. Karen Finnigan and Dr. Nader Okby for outstanding leadership. More than 50 Orange Regional physicians were also recognized for their 30 or more years of service as a member of our medical staff.

RAISING THE BAR

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5-Star Recognition By Healthgrades® For Bariatric Surgery And Natural Childbirth Orange Regional has achieved 5-star ratings in bariatric surgery and natural childbirth deliveries from Healthgrades®, the leading online resource for comprehensive information about physicians and hospitals.

This recognition distinguishes Orange Regional for its superior outcomes in surgical techniques to support weight loss efforts and in natural childbirth, as measured by in-hospital complication rates.

In the 2015 bariatric surgery performance evaluation, Healthgrades compared hospitals with statistically worse than expected performance (1-star), as a group, to those with statistically better than expected performance (5-stars), as a group. It found that from 2010 to 2013, patients having bariatric surgery in hospitals receiving a 1-star rating, on average, are 3.6 times more likely to experience one or more complications than if they were treated in hospitals with 5-stars.

During the 2015 study period (covering 2011 to 2013), Healthgrades analyzed clinical outcomes of bariatric surgery discharges from 355 hospitals across 13 states and measured hospital performance based on risk-adjusted in-hospital complications — preventable problems patients had during their hospital stay, as defined by the Agency for Healthcare Research and Quality (AHRQ).

For pregnant women, there are significant benefits to selecting a hospital that has achieved a 5-star level of performance in vaginal deliveries. In the 2015 vaginal delivery performance evaluation, Healthgrades compared hospitals with statistically worse than expected performance (1-star), as a group, to those with statistically better than expected performance (5-stars), as a group. It found from 2011 to 2013, patients with a vaginal delivery in hospitals with 5-stars have, on average, a 44.5 percent lower risk of experiencing a complication while in the hospital than if they were treated in hospitals with 1-star.

For the report, Healthgrades analyzed clinical outcomes of vaginal deliveries from 1,041 hospitals across 13 states where data was publicly available during the 2011 to 2013 timeframe. Healthgrades measured hospital performance based on risk-adjusted in-hospital complications — preventable problems patients had during their hospital stay.

To view the complete evaluations and white papers, including full methodology, visit: www.healthgrades.com/quality.

Orange Regional Announces 3D Mammography Technology Orange Regional is the first hospital in Orange and Sullivan Counties to offer 3D mammography. Provided at the Ray W. Moody, M.D. Breast Center, this technology is considered to be the latest in breast cancer imaging. The Ray W. Moody, M.D. Breast Center is located at the Orange Regional Medical Pavilion, 75 Crystal Run Road in Middletown. The purchase of the 3D mammography equipment was made possible by Orange Regional Medical Center Foundation.

3D mammography, also known as tomosynthesis, is used in conjunction with 2D digital mammography. This technology is proven to be up to 40 percent more accurate in detecting breast cancers, which can lead to earlier diagnosis. It also detects breast cancers that aren’t found by traditional imaging and provides greater accuracy in pinpointing tumor size and location. The technology can also decrease the number of patients who have false positive results, which in turn reduces patient anxiety.

3D mammography takes multiple images of the entire breast allowing Orange Regional’s specialized breast radiologists to see through layers of tissue and examine areas of concern from all angles. It produces 3D breast images from multiple angles using a small rotating digital scanner. Radiologists can move and enlarge the images to view any area of concern.

3D mammography is recommended for all women over age 40, especially those who have been previously identified as having dense breast tissue, have a family history of breast cancer or who may be at a higher risk for developing the disease. Also, women who have breast related symptoms may benefit from 3D mammography after evaluation from their doctor.

To learn more, visit www.ormc.org/BreastCenter or call 845-695-5900.

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The Future Is Orange Campaign

The two most recent fundraising campaigns at Orange Regional Medical Center had physicians’ opinions in mind.

for technology and equipment, $500,000 for the healing environment and $500,000 for the endowment fund.

The first one, of course, was constructing a new hospital with unparalleled service and hotel amenities. Then just three years ago, physicians, led by Dr. Erick Fethke, said that too many children were leaving the area for care that could be offered right here. The Lend A Hand For Kids Campaign raised $2.1 million to construct a Pediatric Emergency Room, hire pediatric hospitalists, implement a child life therapy program and develop a pediatric telemetry program among other important services to the pediatric service line. The volume and quality generated by these new services speak for themselves, clearly outdistancing financial projections.

All you have to do is speak with Ron Israelski, MD about the impact of the research endowment fund. “Next to building the new hospital, the academic medicine initiative is the single most important project impacting our region,” said Dr. Israelski.

“It will raise the bar for everything we do while generating economic impact through the area.”

Now as part of the Hospital’s North Campus Expansion Project, the Hospital will create a comprehensive cancer center with services under one roof, relocating many outpatient services and developing an endowment fund for its growing role as a teaching hospital with research responsibilities.

Managed by the Orange Regional Foundation, the new campaign will be called “The Future Is Orange” and will raise $3 million in funding for the completely redesigned Spagnoli Family Cancer Center, the necessary interior design and art work to create a healing environment, and a medical research endowment fund. The campaign plans to raise $2 million

RAISING THE BAR

According to Dr. Israelski, nearly 25 percent of graduating physicians reside locally and with the health disparities of Sullivan County at the bottom of the state’s list, placement of new physicians there, in Orange and surrounding counties will change the health of this region. As Orange Regional continues its academic medical center journey, full-time physician leadership for its clinical programs will become more and more important. To assure a robust clinical experience for medical and nursing students, residents and fellows, and of course, for the complete care of patients, the recruitment of sub-specialty physicians unavailable in the region will become a priority.

Additionally, the path to academic medicine would require additional resources to support medical research, educational projects and conferences.

The Medical Education Program, as structured, is expected to break-even in the first few years. continued on page 8 7

707 East Main Street Middletown, NY 10940

Non Profit US Postage PAID Newburgh, NY Permit No. 39

Save The Dates Medical Staff Quarterly Meeting Thursday, December 3, 2015 6:00 p.m.

West Hills Country Club Middletown, NY

Medical Staff Meeting Schedule The 2015 Medical Staff meeting schedule is now available on Orange Regional’s Web site and can be accessed by visiting ormc.org/medicalstaff.

The 2016 Medical Staff meeting schedule will be available in mid-November.

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continued from page 7 Currently, there is no funding for research and “out of program” conferences for medical students and speaker honorariums, etc. The Hospital will experience additional challenges in space, computers and medical technology, administrative support for new departments and regularly scheduled lecture space. These will be the specific reasons for the endowment fund.

An endowment fund is defined as an investment fund set up by a not-for-profit institution in which regular withdrawals from the invested capital are used for ongoing operations or other specified purposes. Endowment funds are often used by nonprofits, universities, hospitals and churches. They are funded by donations, which are tax deductible for donors.

While all donors to this fund will be welcome, Orange Regional physicians receive special recognition. There will be naming opportunities for all gifts to “The Future Is Orange” Campaign which will include a student conference center, meeting rooms and offices with additional recognition placed on donor walls. The Foundation’s Caduceus Society recognizes donors for annual and cumulative giving in the Hospital’s main entrance elevator lobby.

For more information about supporting the Medical Education Endowment Fund, please contact Bill Dauster at the Foundation Office at 845-333-2333. w w w. o r m c . o r g