Fall 2010 - Medical Staff Update - St. Joseph Health Center

E-Prescribing Available at HMHP Pharmacies The St. Elizabeth and St. Joseph employee and ambulatory pharmacy staff encourage physicians to send patient prescriptions via the e-prescribing system.

We are enrolled with Surescripts and can be identified in the system as follows: SEHC Employee Pharmacy, SEHC Ambulatory Pharmacy and SJHC Ambulatory Pharmacy. For more information, contact Coordinator Debra Schuller, RPh, at 330-480-3804

medical staff

1044 Belmont Ave PO Box 1790 Youngstown, OH 44501-1790

Issue 4, 2010

U p dat e

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

HMpartners.org

Message from Dr. Nick Kreatsoulas

Nursing Update

On-Line Credentialing

Magnet

"The application is called AppCentral, and it is analogous to the on-line application that the State Medical Board of Ohio uses for a similar purpose."

Dr. Nick Kreatsoulas, Vice President, Medical Affairs/Chief Medical Officer Over the past 100 years of HMHP, the Medical Staff Offices of all three hospitals have accepted physician staff credentialing information (State Licenses, CME, etc.) via a manual process. Once a physician provides the Medical Staff Office(s) with their credentialing application or re-application information, the staff extracts the information and subsequently places it into our database called Cactus.

As you can imagine, this is a time consuming and labor intensive process. For this reason, we have been exploring ways of improving the credentialing and re-credentialing process via an on-line application platform which is an add-on application to the Cactus software. This on-line credentialing and re-credentialing process is configured for our medical staff and allied health professionals. The application is called AppCentral, and it is analogous to the on-line application that the State Medical Board of Ohio uses for a similar purpose.

AppCentral helps streamline the application process so that HMHP and its medical staff/allied health professionals can be more productive with their time.

Physicians access a user-friendly web browser from any location (office, home, etc.) to submit their applications, documents, and copies of licensure(s).

Common information is entered one time to populate multiple documents, which in turn provides time savings for the applicant and the medical affairs staff. In addition, the re-appointment applications are pre-populated for quick on-line review and submission. The on-line application allows for drop-down pick lists, medical school look-ups, and automatic reminders.

AppCentral appears to be a complete on-line application solution that will allow our medical staff and allied health professionals an easier way to submit documents accurately through the web.

This will result in reduced turnaround time and will speed up the approval process.

We are planning to roll out AppCentral at all three HMHP facilities in the first quarter of 2011, so please be attentive to any mailings from your respective hospital.

In 2002 SJHC became a Magnet hospital. SJHC, along with SEHC were the first hospitals in Ohio to achieve this prestigious award. Magnet status represents excellence in nursing care based on evidence based practice, nursing innovation, strong, participative nursing leadership, and nursing research. Only 372 hospitals across the country have achieved Magnet status. In 2006, SJHC was re-designated and currently we are in the process of seeking a second re-designation. The nursing document that supports and provides evidence of meeting all of the Magnet standards was submitted on October 1st. The document is quite extensive and is quite an accomplishment.

We are awaiting word that our document “passed” and we can expect surveyors to visit us in late December or January 2011.

MEWS On November 1, nursing implemented the Modified Early Warning System (MEWS). This scoring system identifies adult patients at the earliest signs of deterioration so interventions can be implemented. The scoring system is based on heart rate, systolic BP, respiratory rate, temperature, and level of consciousness.

The MEWS score is calculated before patients are transferred from the ED or Intensive Care, upon admission to the nursing units and every eight hours.

(Exceptions include DNR, hospice, L & D, and pediatric patients.) You will be notified when the patient has a higher MEWS score.

St. Elizabeth Medical Staff Update is a quarterly publication serving the medical staffs of St. Elizabeth and St. Elizabeth Boardman health centers.

To submit an article, contact Sheila Donnadio, physician liaison, at sheila_donnadio@hmis.org or 330-480-8600.

• Radiology Services Add Digital Mammography • E-Prescribing Available at HMHP Pharmacies • CarePATH Electronic Health Udate

Issue 4, 2010

U p dat e medical staff St. Eliza beth Health Center

Acute Rehabilitation Unit Lynn Mikolich, M.D. Medical Director, Acute Rehabilitation Unit St. Elizabeth Acute Rehabilitation Unit is a 30-bed unit with the goal to have patients regain as much independence as possible. Acceptable diagnoses to be admitted to the unit are: stroke, amputation, orthopedic, brain injury, burns, spinal cord injury, pain, multiple trauma, neurological disorders and arthritis. An Interdisciplinary Team consisting of physician, rehabilitation nurse, physical therapist, occupational therapist, speech therapist, social service specialist, case management, psychologist, recreational therapist and dietary specialist collaborate to organize a plan of care specific to each patient.

The team, headed by the physician, meets weekly to discuss the goals, progress, current treatment and discharge plan for each patient. The patient’s family is scheduled for family education sessions and actually participates in therapy so that they understand the patient’s therapy program and challenges.

Two requirements for admission to the unit are that the medical condition of the patient is reasonable and necessary for rehabilitation services and that the patient tolerates 3 hours of therapy at least 5 days per week. Patients actually receive therapy 7 days per week.

Tobacco Treatment Center Helps Patients Start New Year off Right Physicians, the New Year is one of the best times for your patients to make a commitment to stop smoking. The Humility of Mary Health Partners Regional Tobacco Treatment Center offers proven treatment results with no final cost to patients. Treatment includes medications and counseling. There are two locations: St. Joseph Minor Emergency and Diagnostic Center, 1296 Tod Place, Warren; and St. Elizabeth Health Center, 1044 Belmont Ave., Youngstown. For your

convenience, you can use the Fast Fax form to expedite referrals. Tobacco treatment center staff will do all follow up with patients to get them motivated and started in the program. For more information, call Manager Terri Grimmett, R.N., at 330-306-5010.

Quality Scores Core Measures Oct. 09 Sept. 10

Sept.

2010

HMHP

10/12

12/12

SEHC

3/4

4/4

SEBHC

4/4

4/4

SJHC

3/4

4/4

Appropriateness of Care Bundle

Board Approvals

2010 Year to Date Quality Data Includes:

CHP 2010 Target

11/12 Possible Bundles

St. Elizabeth Health Center

• 78% of patients are discharged home • ALOS is 14 days • Patient satisfaction is 92.9%

The Population of Patients in 2010 YTD: • • • • • • • •

Orthopedic Stroke Multiple Trauma Head injury Neurological Dysfunction Spinal Cord Amputation Other

27% 32% 6% 10% 8% 13% 2% 2%

The Unit is accredited by the Commission for Accreditation of Rehabilitation Facilities.

A referral to the Acute Rehabilitation Unit can be made to the referral pager (330) 613-0567 or the Pre-Screener’s office at (330) 480-3720. The patient information will be reviewed by the Rehabilitation Physician who will make the decision for admission.

Worthy of Note Congratulations to Robert Lewis, MD. Dr. Lewis achieved Maintenance of Certification (MOC) in Plastic Surgery.

Dr. Lewis is the first plastic surgeon in our area to complete the MOC. The St. Elizabeth and St. Joseph Surgical Weight Loss Center welcomes Mohammad Rashid, MD. A board certified general surgeon, Dr. Rashid comes to the program with a wealth of experience in caring for bariatric patients.

Michael Obeng, MD has been chosen as one of the 2010 “40 Under 40” honorees

by The Mahoning Valley Young Professionals and Community Foundation of Mahoning Valley. Each year the program honors community leaders aged 40 years or younger for their impact in their profession and their commitment to public service. This is the second time Dr. Obeng has been chosen, the first being in 2008.

Request for Active Provisional Staff Status Brent Altenhof, MD, Department of Anesthesiology Urwa Barakat, MD, Department of Internal Medicine, Section of Cardiology Julie M. Bourbonnais, MD, Department of Internal Medicine, Section of Pulmonary/Critical Care Medicine Patrick Cestone, MD, Department of Radiology Steven D’Sa, MD, Department of Anesthesiology Matthew Gugliotti, MD, Department of Family Medicine Jessica Handel, DO, Department of Family Medicine Martin Hellman, MD, Department of Emergency Medicine Neville Irani, MD, Department of Radiology Samuel Jama, MD, Department of Internal Medicine, Section of General Internal Medicine Therese Linnon, DO, Department of Pediatrics, Section of General Pediatrics Kwon Miller, DO, Department of Internal Medicine, Section of Cardiology Kendra Morrison, DO, Department of Emergency Medicine Kenneth J. Ransom, MD, Department of Surgery, Section of General/ Trauma Surgery

David Fakier, MD, Department of Radiology, Telemedicine

Daniel Miller, MD, Department of Primary Care, Section of Family Medicine

Mark Jablonski, MD, Department of Radiology

Kwon Miller, DO, Department of Medical Specialists, Section of Cardiology

Manish Joshi, MD, Department of Internal Medicine

David Montanaro, DO, Department of Hospital Based Specialists, Section of Emergency Medicine

David Lee, MD, Department of Radiology Philip Leone, DDS, Department of Dentistry Leslie Murphy, MD, Department of Family Medicine US Radiology Oncall, Department of Radiology Richard Simmons, DO, Department of Family Medicine Philip C. Smith, MD, Department of Surgery, Section of Cardiothoracic Surgery Tina Swarm, DO, Department of Family Medicine Kenneth Swanson, MD, Department of Radiology

St. Elizabeth Boardman Health Center Request for Active Provisional Staff Status Brent Altenhof, MD, Department of Hospital Based Specialists, Section of Anesthesiology Urwa Barakat, MD, Department of Medical Specialist, Section of Cardiology Julie M. Bourbonnais, MD, Department of Medical Specialists, Sections of Pulmonary/Critical Care Medicine

Kene Ugokwe, MD, Department of Surgery, Section of Neurosurgery

Patrick Cestone, MD, Department of Hospital Based Specialists, Section of Radiology

Pantelhs Varlas, MD, Department of Emergency Medicine

Steven D’Sa, MD, Department of Hospital Based Specialists, Section of Anesthesiology

Resignations

Darrel Grace, DO, Department of Primary Care, Section of General Internal Medicine

Daniel Brown, DO, Department of Family Medicine Robert DeMarco, MD, Department of Internal Medicine, Section of Pulmonary/ Critical Care Tera DePaoli, DMD, Department of Dentistry

Matthew Gugliotti, MD, Department of Primary Care, Section of Family Medicine Martin Hellman, MD, Department of Hospital Based Specialists, Section of Emergency Medicine Neville Irani, MD, Department of Hospital Based Specialists, Section of Radiology

Kendra Morrison, DO, Department of Hospital Based Specialists, Section of Emergency Medicine Kene Ugokwe, MD, Department of Surgery, Section of Neurosurgery Pantelhs Varlas, MD, Department of Hospital Based Specialists, Section of Emergency Medicine Resignations Robert Beight, DO, Hospital Based Specialists, Section of Emergency Medicine Robert DeMarco, MD, Department of Medical Specialists, Section of Pulmonary/Critical Care David Fakier, MD, Department of Hospital Based Specialists, Section of Radiology, Telemedicine Mark Jablonski, MD, Department of Hospital Based Specialists, Section of Radiology Manish Joshi, MD, Department of Primary Care, Section of General Internal Medicine David Lee, MD, Department of Hospital Based Specialists Michael J. Scolieri, MD, Department of Surgery, Section of Urology Dean W. Varian, MD, Department of Hospital Based Specialists, Section of Emergency Medicine US Radiology Oncall, Department of Radiology

Acute Rehabilitation Unit Lynn Mikolich, M.D. Medical Director, Acute Rehabilitation Unit St. Elizabeth Acute Rehabilitation Unit is a 30-bed unit with the goal to have patients regain as much independence as possible. Acceptable diagnoses to be admitted to the unit are: stroke, amputation, orthopedic, brain injury, burns, spinal cord injury, pain, multiple trauma, neurological disorders and arthritis. An Interdisciplinary Team consisting of physician, rehabilitation nurse, physical therapist, occupational therapist, speech therapist, social service specialist, case management, psychologist, recreational therapist and dietary specialist collaborate to organize a plan of care specific to each patient.

The team, headed by the physician, meets weekly to discuss the goals, progress, current treatment and discharge plan for each patient. The patient’s family is scheduled for family education sessions and actually participates in therapy so that they understand the patient’s therapy program and challenges.

Two requirements for admission to the unit are that the medical condition of the patient is reasonable and necessary for rehabilitation services and that the patient tolerates 3 hours of therapy at least 5 days per week. Patients actually receive therapy 7 days per week.

Tobacco Treatment Center Helps Patients Start New Year off Right Physicians, the New Year is one of the best times for your patients to make a commitment to stop smoking. The Humility of Mary Health Partners Regional Tobacco Treatment Center offers proven treatment results with no final cost to patients. Treatment includes medications and counseling. There are two locations: St. Joseph Minor Emergency and Diagnostic Center, 1296 Tod Place, Warren; and St. Elizabeth Health Center, 1044 Belmont Ave., Youngstown. For your

convenience, you can use the Fast Fax form to expedite referrals. Tobacco treatment center staff will do all follow up with patients to get them motivated and started in the program. For more information, call Manager Terri Grimmett, R.N., at 330-306-5010.

Quality Scores Core Measures Oct. 09 Sept. 10

Sept.

2010

HMHP

10/12

12/12

SEHC

3/4

4/4

SEBHC

4/4

4/4

SJHC

3/4

4/4

Appropriateness of Care Bundle

Board Approvals

2010 Year to Date Quality Data Includes:

CHP 2010 Target

11/12 Possible Bundles

St. Elizabeth Health Center

• 78% of patients are discharged home • ALOS is 14 days • Patient satisfaction is 92.9%

The Population of Patients in 2010 YTD: • • • • • • • •

Orthopedic Stroke Multiple Trauma Head injury Neurological Dysfunction Spinal Cord Amputation Other

27% 32% 6% 10% 8% 13% 2% 2%

The Unit is accredited by the Commission for Accreditation of Rehabilitation Facilities.

A referral to the Acute Rehabilitation Unit can be made to the referral pager (330) 613-0567 or the Pre-Screener’s office at (330) 480-3720. The patient information will be reviewed by the Rehabilitation Physician who will make the decision for admission.

Worthy of Note Congratulations to Robert Lewis, MD. Dr. Lewis achieved Maintenance of Certification (MOC) in Plastic Surgery.

Dr. Lewis is the first plastic surgeon in our area to complete the MOC. The St. Elizabeth and St. Joseph Surgical Weight Loss Center welcomes Mohammad Rashid, MD. A board certified general surgeon, Dr. Rashid comes to the program with a wealth of experience in caring for bariatric patients.

Michael Obeng, MD has been chosen as one of the 2010 “40 Under 40” honorees

by The Mahoning Valley Young Professionals and Community Foundation of Mahoning Valley. Each year the program honors community leaders aged 40 years or younger for their impact in their profession and their commitment to public service. This is the second time Dr. Obeng has been chosen, the first being in 2008.

Request for Active Provisional Staff Status Brent Altenhof, MD, Department of Anesthesiology Urwa Barakat, MD, Department of Internal Medicine, Section of Cardiology Julie M. Bourbonnais, MD, Department of Internal Medicine, Section of Pulmonary/Critical Care Medicine Patrick Cestone, MD, Department of Radiology Steven D’Sa, MD, Department of Anesthesiology Matthew Gugliotti, MD, Department of Family Medicine Jessica Handel, DO, Department of Family Medicine Martin Hellman, MD, Department of Emergency Medicine Neville Irani, MD, Department of Radiology Samuel Jama, MD, Department of Internal Medicine, Section of General Internal Medicine Therese Linnon, DO, Department of Pediatrics, Section of General Pediatrics Kwon Miller, DO, Department of Internal Medicine, Section of Cardiology Kendra Morrison, DO, Department of Emergency Medicine Kenneth J. Ransom, MD, Department of Surgery, Section of General/ Trauma Surgery

David Fakier, MD, Department of Radiology, Telemedicine

Daniel Miller, MD, Department of Primary Care, Section of Family Medicine

Mark Jablonski, MD, Department of Radiology

Kwon Miller, DO, Department of Medical Specialists, Section of Cardiology

Manish Joshi, MD, Department of Internal Medicine

David Montanaro, DO, Department of Hospital Based Specialists, Section of Emergency Medicine

David Lee, MD, Department of Radiology Philip Leone, DDS, Department of Dentistry Leslie Murphy, MD, Department of Family Medicine US Radiology Oncall, Department of Radiology Richard Simmons, DO, Department of Family Medicine Philip C. Smith, MD, Department of Surgery, Section of Cardiothoracic Surgery Tina Swarm, DO, Department of Family Medicine Kenneth Swanson, MD, Department of Radiology

St. Elizabeth Boardman Health Center Request for Active Provisional Staff Status Brent Altenhof, MD, Department of Hospital Based Specialists, Section of Anesthesiology Urwa Barakat, MD, Department of Medical Specialist, Section of Cardiology Julie M. Bourbonnais, MD, Department of Medical Specialists, Sections of Pulmonary/Critical Care Medicine

Kene Ugokwe, MD, Department of Surgery, Section of Neurosurgery

Patrick Cestone, MD, Department of Hospital Based Specialists, Section of Radiology

Pantelhs Varlas, MD, Department of Emergency Medicine

Steven D’Sa, MD, Department of Hospital Based Specialists, Section of Anesthesiology

Resignations

Darrel Grace, DO, Department of Primary Care, Section of General Internal Medicine

Daniel Brown, DO, Department of Family Medicine Robert DeMarco, MD, Department of Internal Medicine, Section of Pulmonary/ Critical Care Tera DePaoli, DMD, Department of Dentistry

Matthew Gugliotti, MD, Department of Primary Care, Section of Family Medicine Martin Hellman, MD, Department of Hospital Based Specialists, Section of Emergency Medicine Neville Irani, MD, Department of Hospital Based Specialists, Section of Radiology

Kendra Morrison, DO, Department of Hospital Based Specialists, Section of Emergency Medicine Kene Ugokwe, MD, Department of Surgery, Section of Neurosurgery Pantelhs Varlas, MD, Department of Hospital Based Specialists, Section of Emergency Medicine Resignations Robert Beight, DO, Hospital Based Specialists, Section of Emergency Medicine Robert DeMarco, MD, Department of Medical Specialists, Section of Pulmonary/Critical Care David Fakier, MD, Department of Hospital Based Specialists, Section of Radiology, Telemedicine Mark Jablonski, MD, Department of Hospital Based Specialists, Section of Radiology Manish Joshi, MD, Department of Primary Care, Section of General Internal Medicine David Lee, MD, Department of Hospital Based Specialists Michael J. Scolieri, MD, Department of Surgery, Section of Urology Dean W. Varian, MD, Department of Hospital Based Specialists, Section of Emergency Medicine US Radiology Oncall, Department of Radiology

Medical Staff Update • Issue 4, 2010

CarePATH Electronic Health Record Update From Vince Vanek, MD HMHP Ambulatory Go Live

Affiliated Physician Offering

On Monday, Nov. 1, 2010, CarePATH went live in 29 Humility of Mary Health Partners (HMHP) physician practices at 15 different ambulatory sites in Youngstown, Warren, and Boardman. There was a fully staffed command center at the HMHP Finance Building in downtown Youngstown as well as onsite support staff at each location. The support staff included individuals from Epic, Catholic Health Partners (CHP) CarePATH and Power Users from our region, as well as other CHP regions. As with the implementation of any major system, there were glitches that came up; however, these were identified and handled quickly. The command center closed at the end of business Friday, Nov. 12. Ongoing support will be available through the CHP Help Desk and our local clinical and IT support systems. Work to improve and optimize the system will be an ongoing process.

HMHP is continuing to work on offering affiliated physicians the opportunity to purchase CarePATH ambulatory for their own offices. HMHP will subsidize the system to the maximal extent allowable by law. The advantage to the affiliated physicians is that their patients will be truly “one patient, one record.” Anything that happens in their office will be available to the health care team caring for their patient in the hospital and vice versa.

Site assessments will be available for physicians interested in determining if the CarePATH ambulatory EHR would fit their office operations. The assessment is free and enables members of the CHP/HMHP affiliated physician CarePATH team to understand the equipment and infrastructure needs of the practice. Following the assessment, a tentative contract is developed and provided to the physician for review and to

Radiology Services Add Digital Mammography Humility of Mary Health Partners is pleased to announce the addition of the Selenia™ digital mammography system to the radiology departments at St. Elizabeth, St Joseph and St. Elizabeth Boardman.

HMHP strives to deliver the highest quality care to patients by using the most advanced technologies available. The Selenia digital mammography system: • Uses an amorphous selenium, direct conversion detector. This technology produces incredibly sharp digital images by completely eliminating the image-degrading effects of light diffusion found on other digital mammography systems.

• Offers exceptional diagnostic tools for the radiologists that support more confident diagnoses and saves valuable time, allowing physicians to get answers to their patients faster.

In addition to digital mammography, HMHP radiology continues to utilize the MammoPad® breast cushion, which dramatically decreases the pain many women experience and provides a softer, warmer mammogram.

By combining digital mammography with MammoPad, women get a high-tech, soft touch mammography experience.

To schedule your patients for a digital mammogram, call St. Elizabeth, 330-480-2609; St. Joseph, 330-841-4230; or St. Elizabeth Boardman, 330-729-1450.

All three hospitals will be fully operational by mid December.

decide if they want to proceed with implementation. Site assessments are expected to begin in mid to late Dec. 2010.

It is anticipated that the first affiliated physician practice installations will start in the first quarter of 2011.

Physicians interested in learning more about the CarePATH Ambulatory EHR are encouraged to contact HMHP physician liaisons Alyson Moorhead (330-841-4992), Sheila Donnadio (330-480-8600) or Christine Rhoades (330-480-7863), director, physician network development for additional information.

Inpatient Roll-outs CHP went live with the CarePATH inpatient product on Feb. 21 at Mercy Fairfield in Cincinnati. On Nov. 6, Mercy Anderson and Mercy Clermont hospitals in Cincinnati went live. Jewish Hospital in Cincinnati will be the fourth CHP hospital to Go Live with the inpatient system in mid June 2011.

The HMHP CarePATH steering committee is continuing to work on preparations for Go Live of CarePATH at all three HMHP hospitals. Our official inpatient kickoff will be in Jan. 2011 and our tentative Go Live date for all three HMHP hospitals is in Aug. 2011.

Following the kickoff, there will be numerous opportunities for the staff and physicians to learn more about the CarePATH inpatient system.

Please contact me if you have any questions. Thanks!!

Vince Vanek, MD CHP Eastern Division and HMHP Chief Medical Information Office vince_vanek@hmis.org

State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 Richard A. Whitehouse, Esq. (614) 466-3934 Executive Director med.ohio.gov

Physician Licensure Renewal Form Redesigned On October 4, 2010, the Medical Board launched a redesign of the on-line physician renewal application form. In addition to the standard questions, the new form includes a series of mandatory demographic questions to provide data upon which policy makers can make decisions based on a more accurate illustration of the Ohio physician workforce than has ever before been available.

The demographic questions ask the number of hours per week a physician spends in direct patient care and other activities; the clinical setting of such activities; the county and zip code of the location(s) the physician provides the most patient care; whether the physician is a solo practitioner, part of a group practice, or employed by a clinical facility or hospital; whether languages other than spoken English are available at the primary practice location; and board certification status. All of the demographic questions on

the on-line renewal form can be answered by choosing the correct response from a drop down box. Answers must be provided to the questions in order to continue the renewal process. The average time to complete the on-line renewal remains 15 minutes or less. Licensees are responsible for assuring that the information provided to the Medical Board is complete and accurate.

License renewal notices are sent by the Medical Board six months before the license expiration date. Licensees with last names beginning with C-D will be the first group to use the redesigned renewal form.

Questions regarding licensure renewal are handled by the Medical Board’s Records Department at (614) 728-3113.

Richard A. Memo, MD Department of Surgery Website The Department of Surgery at St. Elizabeth Health Center takes pride in the surgical expertise and compassionate quality of health care provided by its surgeons and would like to publicize that effort to the community so that they are aware of the experience and effectiveness of surgical care right here in Youngstown, Ohio. With the assistance of Tina Creighton and HMHP Public Relations, the department has developed a website that will be an accessible site not only for the community to view, but also for staff, personnel, and future students and residents. The website will contain information about surgical procedures and techniques, the environment and dynamics of the operating room, the surgical sections and faculty, and our surgical facilities. We are proud of our heritage and history in Youngstown, Ohio, and include the details of our historical beginnings of the surgery department and its evolution from 1911 to present day operations. Surgical faculty will be highlighted to recognize our governing body, national association and committee leadership, and department news and events that are noteworthy and exceptional.

Each surgical section is individualized with information about the latest procedures and technology, along with the names and biographies of section members.

Each section will have a list of the procedures performed by their surgeons.

The Education Department will be a separate site that will include an overview, the requirements, curriculum, and goals and objectives of the residency program, the clinical research and publication from the department, as well as information about the surgical skills laboratory and the surgery CME programs. This site will be accessible to future applicants who can extract the information of the department and health center and view the advantages of furthering their education here in Youngstown.

With our close association as a component hospital of the Northeastern Ohio Universities College of Medicine and Pharmacy, we strengthen our present residency program and recruit future physicians for undergraduate education.

Our surgical teaching faculty has and always will be committed to the development of strong surgical education programs.

Updates will be made on a regular basis; new diagnostic and therapeutic opportunities are expanding constantly; i.e., robotics, endovascular surgery, reconstructive surgery, etc. We hope that the patients in our community view our website as a primary source to explore our resources to diagnose and treat conditions that are of concern to them. View the site at HMpartners.org/surgery.

Surgery Brochure Many times, people are grateful for their surgical outcomes and service and would like the opportunity to be thankful through donations. We will have that availability for the community to donate to the Surgical Education Fund through the efforts of the HMHP Development Foundation and the resulting brochure that will be placed in the surgical lobby. The Department of Surgery follows the mission and guidelines of HMHP in the distribution of funds for furthering the education of our surgical residents as well as attending surgeons and to enhance our research efforts in the biomedical, community health and behavioral sciences.

E-Prescribing Available at HMHP Pharmacies The St. Elizabeth and St. Joseph employee and ambulatory pharmacy staff encourage physicians to send patient prescriptions via the e-prescribing system.

We are enrolled with Surescripts and can be identified in the system as follows: SEHC Employee Pharmacy, SEHC Ambulatory Pharmacy and SJHC Ambulatory Pharmacy. For more information, contact Coordinator Debra Schuller, RPh, at 330-480-3804

medical staff

1044 Belmont Ave PO Box 1790 Youngstown, OH 44501-1790

Issue 4, 2010

U p dat e

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

HMpartners.org

Message from Dr. Nick Kreatsoulas

Nursing Update

On-Line Credentialing

Magnet

"The application is called AppCentral, and it is analogous to the on-line application that the State Medical Board of Ohio uses for a similar purpose."

Dr. Nick Kreatsoulas, Vice President, Medical Affairs/Chief Medical Officer Over the past 100 years of HMHP, the Medical Staff Offices of all three hospitals have accepted physician staff credentialing information (State Licenses, CME, etc.) via a manual process. Once a physician provides the Medical Staff Office(s) with their credentialing application or re-application information, the staff extracts the information and subsequently places it into our database called Cactus.

As you can imagine, this is a time consuming and labor intensive process. For this reason, we have been exploring ways of improving the credentialing and re-credentialing process via an on-line application platform which is an add-on application to the Cactus software. This on-line credentialing and re-credentialing process is configured for our medical staff and allied health professionals. The application is called AppCentral, and it is analogous to the on-line application that the State Medical Board of Ohio uses for a similar purpose.

AppCentral helps streamline the application process so that HMHP and its medical staff/allied health professionals can be more productive with their time.

Physicians access a user-friendly web browser from any location (office, home, etc.) to submit their applications, documents, and copies of licensure(s).

Common information is entered one time to populate multiple documents, which in turn provides time savings for the applicant and the medical affairs staff. In addition, the re-appointment applications are pre-populated for quick on-line review and submission. The on-line application allows for drop-down pick lists, medical school look-ups, and automatic reminders.

AppCentral appears to be a complete on-line application solution that will allow our medical staff and allied health professionals an easier way to submit documents accurately through the web.

This will result in reduced turnaround time and will speed up the approval process.

We are planning to roll out AppCentral at all three HMHP facilities in the first quarter of 2011, so please be attentive to any mailings from your respective hospital.

In 2002 SJHC became a Magnet hospital. SJHC, along with SEHC were the first hospitals in Ohio to achieve this prestigious award. Magnet status represents excellence in nursing care based on evidence based practice, nursing innovation, strong, participative nursing leadership, and nursing research. Only 372 hospitals across the country have achieved Magnet status. In 2006, SJHC was re-designated and currently we are in the process of seeking a second re-designation. The nursing document that supports and provides evidence of meeting all of the Magnet standards was submitted on October 1st. The document is quite extensive and is quite an accomplishment.

We are awaiting word that our document “passed” and we can expect surveyors to visit us in late December or January 2011.

MEWS On November 1, nursing implemented the Modified Early Warning System (MEWS). This scoring system identifies adult patients at the earliest signs of deterioration so interventions can be implemented. The scoring system is based on heart rate, systolic BP, respiratory rate, temperature, and level of consciousness.

The MEWS score is calculated before patients are transferred from the ED or Intensive Care, upon admission to the nursing units and every eight hours.

(Exceptions include DNR, hospice, L & D, and pediatric patients.) You will be notified when the patient has a higher MEWS score.

St. Elizabeth Medical Staff Update is a quarterly publication serving the medical staffs of St. Elizabeth and St. Elizabeth Boardman health centers.

To submit an article, contact Sheila Donnadio, physician liaison, at sheila_donnadio@hmis.org or 330-480-8600.

• Radiology Services Add Digital Mammography • E-Prescribing Available at HMHP Pharmacies • CarePATH Electronic Health Udate

Issue 4, 2010

U p dat e medical staff St. Eliza beth Health Center