St. Elizabeth Med Staff Update - Issue 2, 2012

medical staff

U p dat e Issue 2, 2012

St. Elizabeth Health Center • St. Elizabeth Boardman Health Center

Accreditation Awarded to Physical Medicine Practice

HMHP Announces Expansion Plans

Looking at a model of what St. E’s Boardman will look like once the construction of a second patient tower is complete are, from left, Daryl Cameron, chair, HMHP Board of Directors; Sharon Hrina, vice president, Akron Children’s Hospital Mahoning Valley Enterprises; Bob Shroder, president and CEO, HMHP; Genie Aubel, president, St. E’s Boardman; John Finizio, president, St. Joe’s; and Don Koenig, executive vice president of operations, HMHP. Humility of Mary Health Partners (HMHP) unveiled plans to invest more than $203 million in new construction and equipment improvements over the next two years.

Master facility plans for St. Elizabeth Health Center in Youngstown (SEHC), St. Elizabeth Boardman Health Center in Boardman (SEBHC) and St. Joseph Health Center in Warren (SJHC) were announced Monday, May 21, in a news conference at SEBHC. The largest project on the list, at more than $100 million in capital costs, is the construction of a seven-floor, 122-bed patient tower at SEBHC. Construction contracts for the 165,000-square-foot addition will be awarded this summer and construction will begin this fall.

Phase 1 of construction includes in the addition of four operating rooms, which will give the hospital a total of 10 surgical

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suites. When the first phase of construction is completed in the spring of 2014, HMHP will move the maternity services currently offered at SEHC to SEBHC. Also moving will be Akron Children’s Hospital’s Neonatal Intensive Care Unit at St. Elizabeth.

Obstetric and gynecology clinics at SEHC will remain in Youngstown and maternity services at SJHC will not be affected by the move.

“The original hospital was built to support an additional patient tower,” explained Genie Aubel, president of SEBHC. “But when we opened in 2007, we had no idea this day would come so soon.”

A demand for additional rooms at the Boardman hospital is one of the reasons for expansion. Floors four through seven in the Continued on page 2

Howland Physical Medicine and Rehabilitation recently received Laboratory Accreditation status from the American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM).

The AANEM established laboratory accreditation criteria for electrodiagnostic (EDX) laboratories to ensure patients receive quality medical care in a safe environment. Laboratory accreditation provides patients, referral sources, and payers with a credible measure to differentiate the laboratory’s quality of care.

The accreditation standards evaluate the diagnostic services and clinical operations essential to providing quality patient care, which include: ● Clinical staff qualifications and continuing education ● Physical facilities ● EDX equipment ● Protocols for performing EDX studies ● Patient reports ● Policies for ensuring the health and safety of every patient Exemplary Status is the highest level of accreditation an EDX laboratory can achieve under the AANEM Accreditation Program. To be awarded Accreditation with Exemplary Status, physicians performing studies in the laboratory must: ● Have completed a neurology or physical medicine and rehabilitation residency program;

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HMHP Announces Expansion Plans Continued from page 1

new patient tower will be established as a mix of medical surgical and monitored units. They will open in a phased approach, beginning at the end of 2014 and continuing through early 2017, when SEBHC will have a total of 250 beds.

Once maternity services are relocated to SEBHC, renovations at SEHC will begin in earnest to convert all patient rooms at that hospital to private rooms.

“We are taking a very close look at the services we provide to make sure we have the most appropriate services in the locations where they can serve the greatest number of people,” said Robert Shroder, president and CEO of HMHP. “This is balanced with making sure that people who do not live in high-populations areas and who may have limited transportation opportunities are still able to get where they need to be to receive the care they need.”

“The steps we’re announcing today will strengthen St. Elizabeth’s position as the central hub of Humility of Mary Health Partners,” said Daryl S. Cameron, chair of HMHP’s board of directors. He pointed out that the system recently opened the Joanie Abdu Comprehensive Breast Care Center at SEHC. SEHC will also remain as the system’s Level I Trauma Center and will be the regional referral center for heart and brain surgeries and other high-risk procedures.

“Over the next 10 years,” Shroder said, “HMHP will develop centers of excellence in cardiovascular, primary care, oncology, neurosciences, orthopedics and women’s

services. We will focus on outpatient services, primary care, wellness, geriatrics and care management to support the development of a healthy community.”

The master facility plan at SJHC includes immediate improvements to the hospital’s diagnostic radiology services and radiation treatment options for cancer patients. Plans are proceeding to expand the hospital’s free-standing emergency and diagnostic center at Andover in Ashtabula County later this year. Future construction at SJHC will also include additional patient rooms.

"It is our goal to have all private patient rooms at all HMHP hospitals within the next 10 years,” said Donald Koenig, executive vice president of operations for HMHP. Cameron pointed out that in 2011, HMHP provided charity care in more than 99,000 cases at a cost of $26.7 million, a 12 percent increase over the system’s 2010 charity care cost.

“And this year, we’ve already seen increases in what it costs to provide care to those who either don’t have insurance at all, or whose insurance does not cover the care they need,” said Cameron. “By keeping a close eye on expenses, and with the help of the HMHP Foundation and its network of local philanthropists, we have made sure that funding is available to continue outreach programs and services that are crucial to the community’s health.”

Digital Radiography Offers Flexibility for Fast Diagnosis Clinicians at St. Joseph Health Center (SJHC) are using the new Proteus XR digital radiography system from GE Healthcare to see their patients in new ways. This Digital Radiographic x-ray system helps physicians clearly see the internal structure of their patients to view injuries and abnormalities and confidently prescribe the best treatment.

The system will be used primarily to assist the Emergency Department with throughput and patient flow. With the use of wireless digital detectors and automated features that are geared to improving the patient experience.

“The Proteus XR takes X-ray imaging to a new level of diagnostic power,” says John Finizio, president, SJHC. “With this technology we continue our tradition of putting the latest tools to work to benefit patients and families in our community.”

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Dr. Starr Named “Mentor of the Year”

Philip Starr III, DO Philip A. “Duke” Starr III, DO was awarded the George L. Eckert, Jr., D.O., Mentor of the Year Award earlier this year at the Ohio Osteopathic Symposium in Columbus, OH. Dr. Starr is currently director of the Family Practice Residency, chief of the Family Practice Department, and CORE assistant dean at St. Joseph Health Center.

The Mentor of the Year Award recognizes mentoring physicians for their dedication to osteopathic medical students and residents.

Dr. Starr began mentoring the next generation of osteopathic physicians when he was chief resident at Youngstown Osteopathic Hospital in 1998-2000 and then OU-HCOM preceptor starting in 2001.

His nominators wrote that Dr. Starr “…creates a feeling of family for this trainees, initiating several annual gatherings, hosting Thanksgiving dinner, encouraging participation at the OOA District Academy meetings…” and that “His residents appreciate his compassion, calm demeanor, individualized support, and accessibility, but also his clinical skills, including OMM. His bedside manner with patients is one to emulate.”

Established last year, the award is named in memory of George L. Eckert, Jr., DO, a family physician from Columbus who counseled hundreds of medical students, residents, and new DOs throughout his 57 years in practice. At the time of his death, he served on the Osteopathic Heritage Foundations Board of Trustees.

New Officers and Department Chairs for St. Elizabeth Health Center

Board Approvals St. Elizabeth Health Center

Officers Anthony Cutrona, MD, President of the Medical Staff Janardan Tallam, MD, Vice President of the Medical Staff James Kravec, MD, Secretary/Treasurer of the Medical Staff Steven Sheakoski, MD, Immediate Past President

Frank Gargas, CNS, Department of Surgery

Department Chairpersons Bert Collier, MD, Department of Radiology Antoine El-Hayek, MD, Department of Obstetrics/Gynecology Stephen Evan, MD, Department of Surgery Amy Hutchinson, MD, Department of Anesthesiology Carmen Julius, MD, Department of Pathology James Kravec, MD, Department of Internal Medicine Robert Moosally, DO, Department of Emergency Medicine Sandy Naples, DO, Department of Family Medicine Eugene Potesta, MD, Department of E.E.N.T. Elena Rossi, MD, Department of Pediatrics John Sorboro, MD, Department of Psychiatry/Behavioral Health Craig Wagley, DDS, Department of Dentistry

Dr. Wilkins Honored for Work in Geriatric Medicine

Charles Wilkins, MD Please extend congratulations to Charles Wilkins, MD, recently recognized for his work in geriatric medicine by The Greater East Ohio Chapter of the Alzheimer’s Association at their eighth annual Forget-Me-Not Gala.

Dr. Charles Wilkins, director of the Geriatric Assessment Unit at St. Elizabeth Health Center and a board-certified physician of internal and geriatric medicine, was recognized as the 2012

Request for Active Provisional Staff Status Ghazaleh Bigdeli, MD, Department of Internal Medicine, Section of Critical Care and Pulmonary Medicine Resignations

honoree for his work in the practice of geriatric medicine with a special dedication in the treatment of those who have Alzheimer’s disease.

The award is given to a person or group that has used the services of the association and advanced its mission.

Dr. Wilkins graduated from the University of Cincinnati Medical School and completed his residency at St. Elizabeth’s. He advanced his studies in geriatrics at the University of Glasgow, Scotland, known as the birthplace of geriatrics. He established the first Alzheimer’s Day Care Center in the Youngstown area; he is a member of the American Geriatrics Society, the British Geriatrics Society and a Fellow of the Royal College of Physicians of Glasgow.

Tamara Goda, CNP, Department of Surgery, Section of Cardiothoracic Surgery Debra Hromyak, CNP, Department of Internal Medicine, Section of General Internal Medicine Tammi Johnson-Bowers, PA-C, Department of Emergency Sherri Shopinsky, CRNA, Department of Anesthesiology

St. Elizabeth Boardman Health Center Request for Active Provisional Staff Status Ghazaleh Bigdeli, MD, Department of Internal Medicine, Section of Critical Care and Pulmonary Medicine Resignations Lawrence Bub, MD, Department of Hospital Based Specialists, Section of Radiology Steven DeMaiolo, DO, Department of Primary Care, Section of General Internal Medicine Kristyn Essad, DO, Department of Primary Care, Section of Family Medicine Norman Pennington, MD, Department of Hospital Based Specialists, Section of Radiology Paul Rosman, DO, Department of Medical Specialists, Section of Endocrinoloy Tammi Johnson-Bowers, PA-C, Department of Hospital Specialists, Section of Emergency Medicine Sherri Shopinsky, CRNA, Department of Hospital Based Specialists, Section of Anesthesiology Surgery

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The Assumption Village Collaborates with St. Elizabeth’s Acute Rehabilitation Unit

Terry Puet, MD The Assumption Village is looking to expand its rehabilitation unit to better suit the needs of our aging population. Most importantly, The Assumption Village is not looking to just grow its census, but to truly

become a sub-acute rehabilitation unit.

Terry Puet, MD, who shares the Rehabilitation Institute of Chicago’s concept for sub-acute therapy, says, “A sub-acute rehabilitation unit should have the following: a rehabilitation physician; rehabilitation nurses; physical, occupational and speech therapies; a team process to coordinate care, and a relationship with a CARF-accredited acute rehab unit.”

The collaboration between The Assumption Village and the acute rehabilitation unit at St. Elizabeth Health Center establishes all of those criteria.

There are times when a patient is not yet ready for acute rehabilitation, but would benefit from a period at a sub-acute unit for strengthening and conditioning, then either return to an acute rehabilitation setting or return to the community.

This type of relationship will decrease unnecessary hospital re-admissions, provide the most appropriate setting for patients for healing, and enable patients to return to the community more independently.

Area Dedicated to Dr. Edmund Massullo In June, St. Elizabeth Health Center (SEHC) marked the 50th anniversary of the Mahoning Valley’s first open-heart surgery with the dedication of the Dr. Edmund Massullo CVIC Family Waiting Area.

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Dr. Massullo and his partner, Dr. Angelo Riberi, performed the first open-heart surgery in the region at SEHC in June 1962. They also performed the first double bypass surgery in all of northeast Ohio at St. Elizabeth.

A life-long resident of the Mahoning Valley, Dr. Massullo established the cardiac surgical and intensive care departments at St. Elizabeth and served as chief of surgery for 10 years.

His daughter, Anne Massullo Sabella, and other members of his family were in attendance as well as Dr. Massullo’s first open-heart surgery patient, Cora E. “Betty” Rushton, her mother and other members of her family.

Rushton was just 2 years old when Dr. Massullo repaired a large hole in her heart on June 11, 1962.

The Dr. Edmund Massullo CVIC Family Waiting Area is located outside the cardio-vascular intensive care unit.

Interventional Radiologists Treat Liver Cancer with SIRT St. Elizabeth Health Center is pleased to announce a new outpatient procedure for the treatment of liver cancer. The procedure, Selective Internal Radiation Therapy (SIRT) is a targeted treatment using SIR-Spheres to treat unresectable metastatic colorectal cancer that has spread to the liver.

The SIRT procedure takes approximately 90 minutes to complete and is performed by an interventional radiologist and a team of medical professionals trained to assist with this type of procedure. The interventional radiologist inserts a catheter into the groin through the femoral artery and to the liver. Once the catheter is appropriately positioned, the radiologist precisely administers millions of micro-particles containing the radioactive isotope yttruim-90 to hepatic arteries, where they are carried through the arteries to lodge in the tumor complex. Delivering the radioactive material directly to the tumor allows a larger dose of radiation to the affected area of the liver.

The yttrium-90 microspheres are called SIR-Spheres® microspheres. SIR-Spheres microspheres were FDA approved for the treatment of unresectable metastatic liver tumors. More than 20,000 doses of SIR-Spheres microspheres have been administered worldwide. Recent peer-reviewed data suggest SIRT can improve patient outcomes related to

Doctors Day

Accreditation Awarded to Physical Medicine Practice Continued from page 1

response rate, time-to-tumor progression and overall survival when compared to other conventional treatment options Your patient may be eligible for SIR-Spheres microspheres if he/she has: ● ● ● ●

Unresectable liver metastases Bilirubin of <2.0 Less than 60% tumor involvement ECOG performance score <2

Before SIRT can be offered as a treatment option, there are a number of factors that have to be evaluated. Most insurance companies cover this type of procedure, however, this will be determined during the evaluation phase and prior to scheduling the procedure.

For more information, or if you have a patient you believe may be a candidate for SIR-Spheres microspheres, please call 330-480- 3170.

● Have completed a minimum of three months of training in EDX medicine as part of a residency or fellowship program; and ● Be certified by the American Board of Electrodiagnostic Medicine (ABEM), or by the American Board of Psychiatry and Neurology (ABPN) in clinical neurophysiology, or by the ABPN/American Board of Physical Medicine and Rehabilitation in neuromuscular disease.

“Providing quality care for my patients is my top priority and achieving the AANEM lab accreditation demonstrates my commitment to continue providing the highest quality care available to my patients,” said Dr. Stephanie Kopey, medical director for the Howland Physical Medicine and Rehabilitation Center. “I am proud to be the pioneer in this area locally and to be able to make this level of care more accessible to Mahoning Valley patients.”

New Lab Draw Site Opens in Warren HMHP Laboratory Services has opened a new draw site at 2219 E. Market Street, Warren. Hours are 8 a.m. to 4:30 p.m. Monday through Friday, and phone is 330-306-5795; fax is 330-306-5762.

The new lab draw site has convenient parking and quick service. For more information, call Karen Andrus in HMHP laboratory services at 330-480-3718.

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Physician Office Staff Reception

CarePATH Optimization Sessions We are nearing our one year anniversary for implementing CarePATH at HMHP. Now that you’ve had an opportunity to work with the system, we’re offering physician optimization hours to help you be more efficient and proficient with CarePATH, saving you time in caring for your patients.

Physician CarePATH team members will be available on the following days/locations – stop in for as long as you’d like to optimize your CarePATH experience.

Tuesday 7/10 – 8am-6pm Medical Staff Lounge, St. Elizabeth Health Center Wednesday, 7/11 – 8am-6pm Medical Staff Lounge, St. Elizabeth Boardman Health Center Thursday, 7/12 – 8am-6pm Medical Staff Lounge, St. Joseph Health Center In appreciation for your time and effort in implementing CarePATH, a continental breakfast, light lunch and afternoon refreshments will be provided.

Motion Sensing Technology in Pain Management Chronic pain affects an estimated 116 million American adults. For some, chronic pain is so severe that it interferes with working, eating, participating in physical activity, and enjoying life.

That’s why the St. Joseph Pain Management Center in Howland is pleased to announce it is the first pain management center in Ohio to offer the AdaptiveStim™ with RestoreSensor™ neurostimulation system, the first and only chronic pain treatment to provide effective pain relief and convenience by automatically adapting stimulation levels to the needs of people with chronic back and/or leg pain.

Traditional neurostimulation systems consist of an implantable medical device similar to a pacemaker to interrupt pain signals from reaching the brain. A change in body position can result in an increase or decrease in the intensity of stimulation as a patient’s spinal cord moves closer or further

away from the stimulation site. As a result, patients may need to make frequent manual adjustments to their stimulation levels as they move, using a handheld patient programmer.

No need for manual programming AdaptiveStim with RestoreSensor reduces the need for manual programming changes by automatically adapting stimulation levels to the needs of the patient by recognizing and remembering the correlation between a change in body position and the level of stimulation needed. It also records and stores the frequency of posture changes, providing objective feedback to clinicians to help understand how a patient’s individual stimulation requirements are changing over time.

“Chronic pain is a disabling condition,” said Dr. Tracy L. Neuendorf, St. Joseph Pain management center medical director. “And this new technology will help our patients enjoy the activities of daily living without worrying about adjusting stimulation levels – this new system does it all for them.”

The St. Joseph Pain Management Center offers proven methods of treatment for people with chronic pain. The pain management team includes physicians and other health care professionals specially trained in the alleviation of pain that has been unresponsive to usual treatment methods.

The St. Joseph Pain Management Center is located at 1934 Niles-Cortland Rd., Howland. For more information, call 330-841-4032.