medical staff
U p dat e Issue 2, 2012
St. Joseph 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.
Enteroscopy Innovation at SJHC The Endoscopy department will provide small intestinal videoscopes using a single balloon enterscope system this Spring. Despite the rapid technology advances of the 21st century, enteroscopy continues to prove more difficult than upper gastointestinal endoscopy or colonoscopy. Now, thanks to the ground breaking single balloon enteroscope system, there is a simple yet efficient system that redefines enteroscopy. The system provides high quality imaging, while offering capabilities in terms of operability and functionality that has shed new light on a region once considered the "last frontier" of the body. As the only facility in the Valley providing this type of care patients no longer have to travel to Cleveland or Pittsburgh to receive top notch endoscopic care.
da Vinci Robotics at SJHC St. Joseph Health Center (SJHC) is proud to announce da Vinci Robotics services. The most state-of-the-art, minimally invasive treatment options available in Trumbull County. SJHC currently provides Gynecology procedures: Hysterectomies and Myomectomies. This state-of-the-art robotic instrument facilitates intricate movements and visualization inside the patient’s body. Instruments have wrists that move much like the human wrist, but are much smaller allowing for them to work in very tight spaces in a precise manner. The surgeon, located at the surgical console operates hand controls and watches the surgical field through a 3-D monitor. Each movement that is made by the surgeon’s hands is directly into movements by the da Vinci instruments inside the patient’s body. Advantages of these procedures are less pain, decreased blood loss and quick recovery.
Board Approvals St. Joseph Health Center Request for Active Provisional Staff Status Rajendra P. Koirala, MD, Department of Psychiatry
Announcement: The Surgical Services Department would like to welcome Dr. Douglas Musser, D.O. He is a graduate of Ohio University College of Ostopathic Medicine and completed a fellowship in Spine surgery, PSC and Neurosurgical. He is currently performing laminectomies with and without fusions, kyphoplasties and other spine procedures at St. Joseph Health Center.
St. Joe's New Cafeteria A newly renovated space with an enhanced menu awaits you at St. Joseph. Stop in and check out the new cafeteria.
Reintroducing Spine Services St. Joseph Health Center (SJHC) reintroduced spine services earlier this year, enabling individuals with spinal injuries who reside in Trumbull County to seek treatment close to home. Services available include laminectomies with and without fusions, kyphoplasties and other spine procedures. Laminectomies are surgical procedures in which the bony arches of one or more vertebrae are removed to relieve the symptoms of herniated disks. Kyphoplasties are minimally invasive surgical procedures that stabilize vertebral compression fractures using acrylic cement. Until now, a full line of spine services had not been available at SJHC since 2008. Kyphoplasties were reintroduced in 2009. Other procedures were reintroduced this year.
2012 Family Medicine Resident Scientific Paper Competition Congratulations to St. Joseph Family Medicine Senior Resident, James Rider DO, received 3rd place honors for his paper entitled: A Case Study in Alpha-1-Antitrypsin Deficiency in the 2012 Family Medicine Resident Scientific Paper Competition sponsered by the Ohio Osteopathic Association. Dr. Rider has been invited to present his article at the OOA convention this summer.
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Take your CarePATH skills to THE NEXT LEVEL We are nearing our one year anniversary for implementing CarePATH at HMHP. to work with the system,
to help you be more efficient and proficient with CarePATH, saving you time in caring for your patients.
These sessions are scheduled on the following dates, times, and locations:
Tuesday 7/10 8 am to 6 pm Medical Staff Lounge, St. Elizabeth Health Center Wednesday 7/11 8 am to 6 pm Medical Staff Lounge, St. Elizabeth Boardman Health Center Thursday 7/12 8 am to 6 pm Medical Staff Lounge, St. Joseph Health Center You can come any time during the optimization session and stay for as CarePATH team member one-on-one to further personalize and optimize the system to better meet your needs. The trainer can also review specific workflows or functionality in the system that you still feel are challenging or that you may have questions about. In appreciation for your time and effort in implementing CarePATH to benefit our patients, continental breakfast, light lunch, and afternoon refreshments will be provided.
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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.
Welcome The Surgical Services Department would like to welcome Dr. Douglas Musser, D.O. He is a graduate of Ohio University College of Ostopathic Medicine and completed a fellowship in Spine surgery, PSC and Neurosurgical. He is currently performing laminectomies with and without fusions, kyphoplasties and other spine procedures at St. Joseph Health y Center.
Physician Office Staff Reception
Andover Offers Wireless Digital X-Ray St. Joseph Emergency and Diagnostic Center in Andover has a new GE wireless Digital X-ray Imaging Unit. The new unit uses 2 detectors in place of the cassettes, delivering high quality, detailed images in just seconds, compared to the several minutes with a CR unit. The Digital X-ray is easy to use. The table has foot controls that can be used to raise and lower the table for easier access for patients and assist in patient positioning. For patient convenience, the wall unit can be rotated in order to image extremities from a standing position or for patients in wheelchairs. Safety features prevent the table from moving when assisting patients on and off the table, and protect the table itself by alerting technicians if the weight of the patient is too far past the fulcrum.
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.