RAISING THE BAR
AI NNNeI w sle eSr LfEoTr TO nOg Re M R Ee Dg IiCo An La lS M e Er ’ sR EMGeI OdNi cAaL l MSEtDaIfCf A L |C EVNoTl Eu Rm e 1W INNuTm b/eSrP 1 AWARD W NG N tEtW E rRa F T AeFdFi c OaFl OCReAnNtG ER RING 2018 ormc.org/raisingthebar
National Recognitions For Orange Regional Medical Center
Our progress in maintaining the highest standards of care at Orange Regional is reflected in our accreditations, rankings and awards. Each of these distinctions reinforce our mission to improve the health of our community by delivering exceptional healthcare. These prestigious distinctions also honor our caregivers for their excellence and commitment to providing extraordinary care every day. To see all of our accreditations, rankings and awards, visit www.ormc.org/quality.
In This Issue
3 Medical Staff Leadership 4 Increasing Patient Comfort With Integrative Therapies 5 Medical Education Program Update
A member of the Greater Hudson Valley Health System
Welcome New Practitioners April – December 2017
F
R O
M
T
H
E
CHIEF MEDICAL OFFICER
The Zone
What is important to you might not be to somebody else. There are instances, however, where this should not be the case. As we take care of patients and their families in our profession, we have to accept what they feel as important. It’s important to treat everyone as you would want to be treated, especially if you found yourself in your patients’ situations. It’s important to expect real communication from healthcare providers with honesty, compassion, time and respect. Remember what may seem routine to us and “no big deal” is often just the opposite for a patient. There is a saying that I am sure you have heard or seen: “Be kind, for everyone you meet is fighting a battle you know nothing about.” This is very true if you take the time to think about it. It pertains to us as physicians as well as our patients. We are all fighting some battle or dealing with some issue that can be consuming. Yet, we must go on living, do our jobs and, as physicians, show compassion and respect for those who often times we cannot identify with. We have to deal with complaints that may seem insignificant in comparison to what we are carrying around ourselves. As physicians one of the things we are really good at is compartmentalizing. We can shut out everything and deal with a singular issue. I really admire that in all of you and see it in the everyday acts of kindness and the respect you show. Often times you don’t even think about it, you just do it. What I am asking is that you take the time to think about how very special this trait is and how it goes with the essence of who we are and what we do. Be proud of it. Nurture it. Practice it here and outside of the hospital. To whom much is given, much is expected. Regards,
Jim Oxley, DO Chief Medical Officer
Have a Question? Need Info?
The Medical Staff Services Department can help. For assistance with initial credentialing, contact Deborah Lasch at 845-333-1110. For assistance with re-appointment credentialing, please call 845-333-1108. For general assistance, contact Michelle Reynoso at 845-333-1204. To speak with Director of Medical Staff Services, Sophia Michel, call 845-333-1107. 2
Rishi Bajaj, MD
Cardiology
Danielle Belser, MD
Medicine
Mercedes Blanche, MD
Pediatrics
Diana Calogrias, MD
OB/GYN
Pallavi Cherukuri, MD
Diagnostic Imaging
Alexander Cohen, MD
Emergency Medicine
Robert Dickason, MD
Emergency Medicine
Marise D’Souza, MD
Pediatrics
Adam Gitlin, MD
Orthopedics
Vincenzo Giuliano, MD
Diagnostic Imaging
Isha Gupta, MD
Medicine
Aldo Gutierrez, MD
Emergency Medicine
Ronen Harel, DO
Medicine
Drora Hirsch, MD
Emergency Medicine
Albert Ho, MD, PhD
Pathology
Mikhail Itingen, DO
Orthopedics
Robert Johnson, MD
Critical Care/Pulmonary Medicine
Neel Khanna, MD
Cardiology
Bryan Kleinman, DO
Gastroenterology
Ronni Levy, MD
Critical Care/Pulmonary Medicine
Divya Malhotra, MD
Cardiology
Artemio Manansala, MD
Diagnostic Imaging
Joseph Marchione, MD
Diagnostic Imaging
Abigail Meigh, DO
Anesthesia
David Morcos, DO
Family Medicine
Fauzia Paracha, MD
Medicine
Saravanan Ramalingam, MD
Surgery
Anthony Rios, MD
Surgery
Christian Roman-Rodriguez, MD OB/GYN Vanessa Santos, DO
Emergency Medicine
Shruti Sharma, MD
OB/GYN
Gowramma Shivashankar, MD Psychiatry Mohammad Siddiqui, MD
Surgery
Sarabjit Singh, MD
Medicine
Rafeel Syed, MD
Medicine
Rolando Vilar, MD
Pediatrics
2018 Medical Staff Meeting Schedule
Thursday, June 14, 2018 - 6:30 p.m. Conference Rooms 1-2-3
Thursday, September 13, 2018 - 6:30 p.m. Conference Rooms 1-2-3 Thursday, December 6, 2018 - 6:00 p.m. West Hills Country Club w w w. o r m c . o r g
Meet Your Medical Staff Leadership
President Nader Okby, MD
Vice President Phillip Massengill, MD
Secretary/Treasurer Victor Todisco, MD
Member-at-Large Adrian Paraschiv, MD
MEDICAL COMMITTEE EXECUTIVE LEADERS President – Nader Okby, MD
Member at Large – Adrian Paraschiv, MD
Vice President – Phillip Massengill, MD
Immediate Past President – Gregory Spencer, MD
Secretary/Treasurer – Victor Todisco, MD
Chief Medical Officer – James Oxley, DO
DEPARTMENTAL CHAIRMEN AND VICE CHAIRMEN Anesthesia Acting Chair – Gilbert Nazareno, MD
Neuroscience Chair – Andrew Faskowitz, DO
Cardiology Chair – Paul Eugenio, MD
Neuroscience Vice Chair – Olga Fishman, MD
Cardiology Vice Chair – Michael Cho, MD
OB/GYN Chair – Wico Chu, MD
Critical Care/Pulmonary Chair – Maryann Park, MD
OB/GYN Vice Chair – Lezode Kipoliongo, MD
Critical Care /Pulmonary Vice Chair – Douglas Fletcher, MD
Orthopedics Chair – Eric Martin, MD
Diagnostic Imaging Chair – A. Ramsey Abadir, MD
Orthopedics Vice Chair – Kevin Trapp, MD
Diagnostic Imaging Vice Chair – Victor Todisco, MD
Pathology Chair – Nader Okby, MD
Emergency Medicine Chair – Anuj Vohra, DO
Pediatrics Chair – Anjana Poonthota, MD
Emergency Medicine Vice Chair – Trevor McGinley, DO
Pediatrics Vice Chair – Jocelyn Dummett, MD
EENT Chair – Mark Driver, MD
Psychiatry Chair – Cesar Rojas, MD
EENT Vice Chair – Mandes Kates, MD
Radiation Oncology Chair – Thomas Eanelli, MD
Family Medicine Chair – Alicia Weissman, MD
Rehabilitation Chair – Jonathan Rudnick, DO
Family Medicine Vice Chair – Cristian Castro-Nunez, DO
Rehabilitation Vice Chair – Vincent Gulfo, MD
Gastroenterology Chair – Rosa Cirillo, MD
Surgery Chair – Sandra Sacks, MD
Gastroenterology Vice Chair – Parantap Gupta, MD
Surgery Vice Chair – Howard Karpoff, MD
Medicine Chair – Gurvinder Sethi, MD
Urology Chair – Ronald Raspa, MD
Medicine Vice Chair – Adrian Paraschiv, MD
Urology Vice Chair – Steven Rowe, MD
RAISING THE BAR
3
The Caring Arts Modalities Committee
Reducing Pain an d
Increasing Patient Comfort The Caring Art Modalities (CAM) Steering Committee, chaired by Dr. Nader Okby and facilitated by Greater Hudson Valley Health System Senior Administrator of Oncology Services, Regina Toomey Bueno, continues to meet regularly to explore, evaluate and introduce new complementary therapies. These therapies, also known as integrative therapies, can be combined with a patient’s conventional medical treatment to enhance their wellbeing. Integrative therapies (alternative, traditional or holistic therapies) treat the whole person, rather than the symptom of the disease. These include homeopathy, naturopathy, yoga, aromatherapy, Reiki and acupuncture, and are often used in conjunction with conventional medicine in a belief they can complement treatments. Thanks to a seed grant from the Orange Regional Medical Center Foundation, the Committee has worked on exciting projects such as the use of virtual reality (VR) goggles that can provide a guided meditation experience to help patients cope with pain or fear. Recently, Forbes.com featured Orange Regional in a video segment about our trial in Pediatrics and the Children’s Emergency Department, as well as Dr. Ralph Anderson’s use of Virtual Reality goggles to ease pain during labor. To see the video, visit www.ormc.org/CAM. The committee hopes to roll out Virtual Reality goggles to joint replacement patients and study its effectiveness in reducing pain after surgery. In 2017, there were 1,044 patients who received Reiki therapy at Orange Regional. Reiki is a non-invasive, gentle healing discipline that promotes comfort and rest through balancing the body’s energy centers.
students who can analyze pain assessment data from those patients who have received Reiki. In 2017, there were 1,047 patients treated with aromatherapy. Aromatherapy can be defined as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize and promote the health of body, mind and spirit. Aromatherapy has been known to relieve stress and stimulate the body to produce pain-fighting substances. At Orange Regional, aromatherapy is provided using specific therapeutic grade essential oils to help comfort patients experiencing symptoms of depression, nausea, headache and insomnia. Staff must be trained and have a completed competency before providing aromatherapy. Clinical staff should always remember to document the use of aromatherapy in the medical records just as you would any other patient treatment. Dr. Christian Castro-Nunez is developing a pilot program to present to the hospital’s Institutional Review Board to perform Osteopathic Manipulation Treatment on 2 North patients. Osteopathic manipulative treatment, or OMT, involves using the hands to diagnose, treat and prevent illness or injury using techniques including stretching, gentle pressure and resistance. Committee members are also working on developing a beading therapy program where patients can create beautiful pieces of jewelry while hospitalized. For some patients, beading can decrease stress and lower blood pressure, as well as improve fine motor and visual skills. For more information about alternative therapies, contact CAM Coordinator, Judy Maloy, at jmaloy1@ghvhs.org.
The committee hopes to work with Touro Medical College
4
w w w. o r m c . o r g
Medical Education Program Update As we continue on our path to becoming the best academic medical center between New York City and Albany, we want to personally congratulate and thank each one of you who are part of the educational process. The past year has been a very exciting one. As you know with the single accreditation system by 2020, there will only be one unified match for both DO and MD medical school graduates.
Ron Israelski, MD
Designated Institutional Official/Director Academic Affairs
While all of our programs are accredited under the American Osteopathic Association (AOA), we have also received initial Accreditation Council for Graduate Medical Education (ACGME) for our Emergency Medicine and Psychiatry residency programs. Our other four residency programs, Internal Medicine, Family Medicine, General Surgery and Traditional Rotating Internship, are still in pre-accreditation status, but we anticipate having all six of our residency programs ACGME-accredited within the next year.
We intend to become our own ACGME-accredited academic medical center. We are delighted that we have been matched across all of our residency programs with top notch medical students who will be training at Orange Regional. One of the important aspects and requirements of becoming an ACGME-accredited institution is to foster an environment of scholarly activity and research. With this in mind, we have successfully recruited a stellar research director. Dr. Eleonora Feketeova has joined us and is now chair of our research committee. She works with attending physicians, residents and medical students to produce abstracts, posters, publications and presentations at national conferences. Over the past few years we have gone from about a dozen abstracts to well over 70 abstracts. We have dramatically increased our involvement and success in creating publications. We have received awards for poster competitions and have made presentations at key national conferences in a variety of specialty areas. In addition to all the above, we look forward to developing two additional graduate medical education training programs - a Rural Medicine program for Sullivan County, which will act as a ‘farm team’ to bring doctors to the second poorest and sickest county in the state as well as an Addiction Medicine Fellowship to help combat the serious epidemic of opiate and heroin abuse in our region. In conclusion, we remain extremely proactive, passionate and dedicated to becoming not only a quality teaching hospital but the best academic medical center between New York City and Albany. Thank you all for supporting this extremely exciting and important journey. Ron Israelski, MD Designated Institutional Official /Director Academic Affairs
RAISING THE BAR
5
Training & Recovery For Achieving Quality of Life (TRAQ) Oncology Rehabilitation Program Did you know that through our TRAQ Program® (Training & Recovery For Achieving Quality of Life) our goal is to minimize side effects and to encourage cancer survivors to have the best quality of life possible? The TRAQ Program® provides patients with coordinated cancer rehabilitation supported by a comprehensive team of clinicians and providers. Through the TRAQ Program® patients receive comprehensive cancer rehabilitation treatment to improve the symptoms affecting daily function and quality of life. These may include fatigue, musculoskeletal pain, joint stiffness, limb swelling (lymphedema), weakness, memory problems, balance and difficulty speaking or swallowing. To learn more, visit ormc.org/TRAQprogram.
9th Annual Patient Experience: Empathy + Innovation Summit Thanks to an anonymous donor, who has established The WT Liddy Center to address physician patient empathetic communication, money has been designated to send 12 Orange Regional Medical Center physicians and medical students to the 9th Annual Patient Experience: Empathy + Innovation Summit. The summit will take place on from June 18-20, 2018 at the Cleveland Convention Center in Cleveland, Ohio. The Patient Experience Summit brings together patient experience leaders, healthcare CEOs, innovators, nursing leaders, policy makers, major stakeholders, industry experts and patients who are committed to not just the patient or caregiver experience, but also the human experience. The theme of this year’s three-day, inter-professional conference is “Empathy Where You Are” and features expert speakers, panel discussions and workshops representing multiple healthcare professions and disciplines engaged in exploring innovative ways to demonstrate empathy and provide value to patients and caregivers throughout their journey of care. Attendees will hear how organizations around the world strive to deliver the best clinical, physical and emotional experience to patients and families. Featured topics include: • Access • Care Technology and Innovation • Communication • Continuous Improvement • Engagement
• Marketing • Nursing • Operations and Support Services • Quality and Safety
For more information about the Patient Experience: Empathy + Innovation Summit, and to register, please visit empathyandinnovation.com. 6
w w w. o r m c . o r g
PHYSICIAN RECOGNITION AWARDS
Anuj Vohra, DO
Pamela Murphy, MD
The Physician Recognition Reception honored Anuj Vohra, DO this year with the Leadership Award and Pamela Murphy, MD with the Lifetime Achievement Award.
Humanitarian Efforts Orthopaedic Relief Services International (ORSI) has been instrumental in delivering an ambulance donated by a local not for profit community to the town of Jeremie in Haiti. According to ORSI President and Founder, Dr. Ron Israelski, the town was nearly wiped out by category five hurricane about a year ago, and ORSI was told that patients were being transported from the outlying Hills by wheel barrels.
Ms. Marie Gladice Lindy, St. Jean-MSPP Ministry of Health and Dr. Jean Wildric Hippolyte with the donated ambulance.
ORSI is a non-profit organization created in an effort to respond to the devastating 2010 earthquake in Haiti that killed 250,000 people, perhaps the worst event to affect the human condition in our hemisphere in our lifetime. Few, if any, countries on earth have ever suffered more natural, political or medical disasters than Haiti. ORSI provides Clinical, Educational and Infrastructural support for the largest hospital in Haiti: Hospital Universite D’Etat d’Haiti (HUEH) which is also home to the state medical/nursing school, as well as all medical and surgical residency training programs in the nation. In 2010, HUEH was decimated in the earthquake. Years later, HUEH continues to struggle as it serves a catch net of patients numbering in the millions. The magnitude of suffering in Haiti, particularly between the earthquake and the recent hurricane is immense and unprecedented in our hemisphere.
The donated ambulance. RAISING THE BAR
Help is still urgently needed. ORSI has not forgotten, and through their continued efforts have made a great impact on the people of Haiti and the conditions of HUEH. Anyone interested in helping or making a donation for this extremely urgent and needy cause, please contact ORSI by mail, phone or through their website www.orsinternational.org. 7
707 East Main Street Middletown, NY 10940
Non Profit US Postage PAID Newburgh, NY Permit No. 39
SAVE THE DATES Medical Staff Quarterly
Thursday, June 14, 2018 | 6:30 p.m. Conference Rooms 1, 2 and 3
Golf and Tennis Classic
Monday, June 18, 2018 8:30 a.m. West Hills Country Club & Mansion Ridge Golf Course For more information, contact the Foundation Office at 333-2333 or visit www.ormcclassic.org.
8
w w w. o r m c . o r g