Inside Healthcare Summer 2018 by Oswego Health

INSIDE Healthcare a guide to your healthcare services

Jessica, Eric Goodnough and James Syrett, MD., pictured outside the Oswego Hospital Emergency Dept. Read inside about Eric’s superior ED care that saved his life.

New Breast Care Team — pg 3 Private Rooms — pg 5 ED: Saving Lives — pg 6 & 7

Summer 2018

INSIDE HEALTHCARE

Message from the CEO

A Publication of Oswego Health 110 W. Sixth St., NY 13126 315-349-5511

— Michael Harlovic, President and CEO for Oswego Health Welcome to our summer edition of Inside Healthcare, offering the latest news on local healthcare services offered in your community.

SENIOR LEADERSHIP TEAM Michael Harlovic President and CEO of Oswego Health Jeff Coakley Oswego Health Executive Vice President & Chief Operating Officer for Oswego Hospital

I am pleased to introduce you to our newly developed breast care team that ensures community members needing this care have access to the best physicians, nurses and other caregivers, who have not only had specialized training, but are also compassionate individuals. The team is profiled on Page 3.

Renato Mandanas, MD Chief Medical Officer Jason Santiago Vice President & COO, The Manor at Seneca Hill & Springside at Seneca Hill Valerie Favata Vice President & Chief Nursing Officer Margaret Glass Vice President of Ancillary Services and Privacy Officer Eric Campbell Chief Financial Officer Barry Ryle Chief Information Officer James Marco Interim Vice President of Human Resources

COMMUNICATIONS/MARKETING Marion Ciciarelli Senior Director of Communications Jennifer Martin Director of Marketing

In our quest to offer access to efficient care, our Oswego Health Care OnDemand provides you with a board-certified medical provider via phone call, click or Skype, 24 hours a day, 7 days a week. We are collaborating with one of the best known virtual clinic firms in the nation to offer this convenient service. To learn more, please turn to Page 4. The magazine’s center spread features one of our busiest clinical areas, Oswego Hospital’s Emergency Department. I hope you enjoy reading about a community member who shares how emergency medicine physician James Syrett, MD, and the staff saved his life. The department is also about to undergo a facelift, along with the development of two pediatric care areas. In closing, I wish you a safe and healthy summer and that you are able to enjoy this warm weather season with family and friends. Sincerely,

Anne Raham Communications Coordinator

CORRESPONDENCE Oswego Health Development & Community Relations 110 W. Sixth St., Oswego, NY 13126 dearoh@oswegohealth.org — ©2018 facebook.com/oswegohealthcare for Oswego Health community news, events and medical information twitter.com/oswegohealth oswegohealth.org for newsletters, medical information, provider listings and more Information in this issue comes from a range of medical experts. If you have any questions or concerns about specific content that may affect your health please contact your health care provider.

Michael A Harlovic, President and CEO for Oswego Health

The mission of Oswego Health is to provide accessible, quality care and improve the health of residents in our community. INSIDE THIS EDITION 3 — Breast Care Team 4 — Care OnDemand 5 — Oswego Hospital to build private rooms 6 — The ED: Saving lives, a generous gift 8 — Bariatric Program now on line 9 — Generosity started with $1.98 12 — Endowing for the Future

BREAST CARE TEAM Learning that you have breast cancer or any related breast issue is certainly scary and confusing. Oswego Health now has a breast care team that can take you from diagnosis to recovery with its knowledgeable and compassionate care each step along your journey. Fellowship-trained breast care surgeon Lisa Lai, MD, along with Oswego Health’s experienced Surgeon Jai Singh MD, and Certified Breast Health Navigator Lori Greeney, are providing comprehensive services not previously available locally.

Breast Health Navigator Helping to guide breast care patients through their many questions regarding what to expect, care options, identifying resources, and insurance is Breast Care Navigator Lori Greeney, RN. Greeney possesses an in-depth understanding of the disease process, the physician network and the health insurance arena. Greeney completed the EduCare’s Breast Health Navigator certification program. EduCare has established set standards of achievement for its professionals; enhance patient safety, quality of care and delivery of services; and recognize professionals who advance beyond basic knowledge in a field of specialty.

Greeney also leads the monthly breast cancer support group, The team was initiated with the arrival of Dr. Lai earlier this year. Caring and Sharing, which meets the third Tuesday of each Dr. Lai is affiliated with the Cancer Center at Upstate Medical month from 6:30 to 8:30 p.m. at the Fulton Medical Center Center and serves as the medical director for the breast cancer Conference Room. program. “We’re working as a team for many local patients who we are treating quickly and efficiently,” said Dr. Lai. “Oswego Health’s partnerships with Upstate’s oncology and radiation services allow us to offer a complete multi-disciplinary team locally, so the patients can be treated close to their homes.” This partnership will further benefit local breast cancer patients who require specialized care or choose to have plastic surgery following a breast procedure.

Dr. Singh agreed, saying, “We are able to offer this high-quality and compassionate care locally, so there is no reason to travel elsewhere.” Dr. Lai completed her breast surgical oncology Fellowship at Emory University School of Medicine in Atlanta. She fulfilled her surgery residency at SUNY Upstate Medical University. Dr. Singh joined the Oswego Health medical staff in 2014 after completing his surgical residency at Westchester Medical Center, where he served as Chief Resident. Along with providing surgical care at Oswego Health, Dr. Singh is a Clinical Assistant Professor at Upstate Medical University. Community members who wish to learn more about the new breast care team, or to make an appointment, please call 315-342-6771.

Inside Healthcare SUMMER 2018— 3

New! Urgent Care Appointments — Stay at home until your scheduled time Without leaving the couch, community members can reserve their spot in line at Oswego Health’s two urgent care locations. Implemented in July, community members are able to remotely schedule a reservation at the Fulton or Central Square urgent care centers. It’s as simple as visiting the health system’s home page, oswegohealth.org.

Start Here

Check-In Kiosk

an opportunity to access healthcare services when it is convenient for them,” said Fulton Medical Center Director Kelly Montagna, RN. Both urgent care centers will continue to see patients on a walk-in basis, with no appointment necessary. The Fulton urgent care center is located at 510 S. Fourth Street in Fulton, while the Central Square location is 3045 East Avenue in the village. Both urgent cares are open from 9 a.m. to 8:30 p.m., seven days a week, and including most holidays.

From the website, community members are able to make an urgent care reservation that meets their schedule. Those who take advantage of this service are asked to arrive at urgent care 15 minutes prior Oswego Health’s urgent care centers are always staffed to their scheduled reservation, for registration purposes. with a board-certified physician onsite, and a range of If, for any reason your appointment needs to be changed, other services available, including a lab, medical imaging, you will be sent a text alerting you of a new time. physician therapy and occupational health. “This new service is also allowing community members

RMED Immersion Program

— Upstate Medical students shadow Oswego Health Physicians Oswego Health hosted a group of second year medical students in June for a week, providing them with a dose of what it’s like to not only practice medicine in a rural community, but also live there as well.

For Student Nina Juszczak, who grew up on Long Island, the program offered new experiences. “I wouldn’t have had any idea of what medical care would be like in a small community, so I gained some real insight,” she said.

This initiative, offered through the Rural Education Medical Program, gave six students an inside look at medical care in Oswego County for five days.

Zack Eklum, a student, who grew up in Jamestown, said his hometown hospital was part of a multi-hospital system. it was interesting for him to see how Oswego Health, as an independent hospital system, operated.

“The goal of the program is of course, to expose these medical students to rural medicine in hopes that they make it a career path,” said Oswego Health Chief Medical Officer Renato Mandanas, MD. The students shadowed at Oswego Hospital’s Emergency Department, Oswego Health’s PrimeCare and urgent care locations. Along with these rotations the students had the opportunity to experience a slice of local life as they stayed in an Oswego hotel for the week. They enjoyed dinners at local restaurants and with members

Second-year Upstate Medical University students during a rotation in Oswego Hospital’s Emergency Dept. from left, Danielle Clifford, Oswego Health Emergency Medical Services Physician Scott Glick, DO, and Alanna Glidden.

of the Oswego Fire Department. They also visited located sites such as the Safe Haven and Maritime Museums, Fort Ontario, and others.

The immersion program also gave at least one student an experience she is not likely to forget. While shadowing Surgeon Jai Singh, MD, Danielle Clifford, was able to watch her first surgery, a gall bladder procedure. Fellow student Alanna Glidden, of Canastota, said the best part of the program was that it was all encompassing, from the community experiences to shadowing local providers and learning about their work.

$7.6M Investment Gives Patients Private Rooms — Private rooms offer safer, more restful and quiet stay Oswego Health has plans to completely renovate the third and fourth floors of Oswego Hospital, which will solve what patients and their physicians fear most during a hospital stay: infections, exhaustion and noise. Oswego Health President and CEO Michael Harlovic said the proposed project is the health system’s most important initiative. “We have designed the most advanced inpatient facilities in the region that will reduce infection rates, provide a restful patient environment and best of all, offer private rooms. We expect to renovate the two floors to offer A proposed waiting area on the renewed Med/Surg Floors. the best experience.” Work on the project is expected to begin late this year and take 14 months to complete. Once the entire project is done, the third floor will feature 13 private rooms, 8 semi-private rooms and four private bariatric rooms. The entire fourth floor will offer private rooms, which will total 23. Each floor will provide comfortable areas for family members to gather. The nurses station on both floors will be relocated from the center of each floor, to just off the elevator, allowing for more immediate access to the care staff. A smaller staff area will be located down the hall from the main nurses stations. Cheryl Stilwell, RN, Director of Surgical/Medical Services, said her staff is looking forward to the start of the project. “The

patients will love the privacy and having a quieter room will lead to better healing. It’s a proven fact. You need to get the proper sleep to heal. The staff and I are very much looking forward to delivering care in this improved environment.” The project is expected to cost $7.6 million. The renovation is one of five initiatives that the Oswego Health Foundation is soliciting support for and as the project progresses, there will be naming opportunities. Community members interested in supporting this project are encouraged to contact the Oswego Health Foundation office at 315-326-3473.

Call. Click. Skype.

— Healthcare right at home with Care OnDemand 24/7 In May, the health system introduced its Care OnDemand, which also uses technology to provide quick access to healthcare remotely. Through this service, residents can call, click or skype to receive medical care 24/7 from a board-certified provider. Once you contact our new Oswego Health Care OnDemand, you will be able to speak with a board-certified provider within 30 minutes of your initial call, by telephone, FaceTime, Skype or online video chat, using the camera or webcam on your device. To take advantage of this new service, please call toll-free 1-833-267-9346. Community members can also download a free app at either the App Store or Google Play by searching for Oswego Health Care OnDemand. Inside Healthcare SUMMER 2018— 5

Emergency Room Staff and Board Member Recognized Oswego Health is proud to announce that two of its staff members, plus a board member were recognized at the recent award ceremony held by the Oswego County Emergency Services Advisory Council. Scott Glick, DO, who has worked in the Emergency Department for the past three years, was presented the Physician of Excellence Award. It is the second year he has been presented with this award by the local EMS. He also received this honor in 2016.

Oswego couple Eric and Jessica Goodnough, with their sons, Damian, Gavin and Kamden.

Providing Life Saving Care — Oswego Hospital Emergency Room When Jessica Goodnough initially brought her husband, Eric, to the Oswego Hospitals’ Emergency Department last February, the couple thought he was suffering from serious flu symptoms. However, upon examining Eric, Emergency Medicine Physician James Syrett, MD, recognized that the Oswego State Programmer/Analyst had an illness that was much more serious. He was suffering from a type of strep that was attacking his body, causing his organs to shut down. Dr. Syrett immediately provided the necessary treatments and care for Eric to survive.

“He knew what needed to be done and it’s important for the community to know that the necessary services are here in our local hospital,” Jessica said. “Oswego Hospital clearly has people who know what needed to be done.” Following his Emergency Dept. visit, Eric underwent months of hospital care that included various tests and surgeries, all leading to allowing him to return home. “He still has a long way to go to heal and get stronger, but we have him!” Jessica wrote in a letter mailed to the hospital this spring. “Thank you for all that you did that night to save Eric, we are thankful that you were there when we needed you!”

Doris Matthew, a Senior RN, who works nights in the Emergency Department, was given the Registered Nurse of Excellence. A 35-year employee of the health system, Doris has provided care for the last 20 years in the department.

“It’s a great honor to have been nominated by our local EMS,” Doris said. At the dinner, Oswego Health Board Member Zach Menter was presented with a new award, the Oswego Health Outstanding Collaboration award. Zach has long been known for his collaboration with local EMS, the Oswego Health system and the community. The new award will be presented each year to an individual or company who goes above and beyond to collaborate within the EMS community.

EMERGENCY DEPT: New Comforting, Modern Look

A rendering of the new ED provided by King + King Architects, Syracuse.

Oswego Health’s busiest department, which provides care to more than 28,000 individuals each year, is about to undergo a facelift. Other related work within the department will transform two patient rooms to be more welcoming and comfortable for pediatric patients. As part of the overall project, the entire emergency department will be updated with attractive murals and a fresh coat of paint, along with other esthetic improvements.

“This is our most used hospital area and we want our patients and their families to have a clean and comfortable area in which they receive their care,” said Oswego Health President and CEO Michael Harlovic. “These upgrades will be completed quickly and with minimal disruption.” Complementing the project is a generous gift by the staff of a locally-well-known preschool and childcare business. This gift is enabling Oswego Health to provide new patient comforts to young emergency department patients. The employees of Little Lukes selected Oswego Hospital to benefit from its Friday jeans days, which raised $12,000. Little Lukes Oswego Director Michele Smith said the staff wanted the jeans day funds to benefit local children in some way and selected their local hospital. “We wanted to impact our own community and make a difference through the jeans days,” said Oswego Director Michele Smith.

Oswego Health will use the funds to renovate two of its hospital emergency department rooms to offer a kid-friendly atmosphere, as well as have books and electronic tablets available for children to use while they are receiving their care. “As you can imagine we have a significant number of pediatric patients each year in the emergency department and it’s important to the physicians and staff that while they are here they are as comfortable as possible,” said Wajeeh Sana, MD, Oswego Health Emergency Services Medical Director. “By providing both a comfortable environment and ageappropriate activities, thanks to Little Lukes staff, they will be more at ease.” Rehab Resources has been providing healthcare services such as physical, occupational and speech therapies locally for 20 years. Little Lukes provides speech therapy, occupational therapy, special education teacher services and physical therapy to children in seven counties in Upstate New York.

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Returned to his former lifestyle

My Surgery —Thanks to Dr. Singh Story

Michael Miceli of Fulton, has been able to return to his normal lifestyle following a successful surgery requiring complex abdominal wall reconstruction performed by Oswego Health Surgeon, Jai Singh MD. Before consulting Dr. Singh, he has had multiple failed surgeries for his abdominal hernia and was not able to perform his regular day to day activities because of pain. “Dr. Singh made sure that I knew all my options. He was very detailed on what would be involved and the outcomes I could expect, which really impressed me. It was great pre and post care.” — Michael Miceli To contact Dr. Singh or one of our other surgeons at General Surgery Associates, please call 315-342-6771.

Popular Bariatric Seminar Now On-Line

— Providing you with two options; online or attending a seminar Losing more than 800 pounds may not have been easy, but that’s just what the patients associated with Oswego Health’s Center for Weight Loss & Surgery have achieved since the program began in October. Community members interested in learning more about the program now have two options; an online video or attending a seminar. Residents can conveniently watch the seminar from just about anywhere by registering online and logging into: oswegohealth.org/weightloss. The health system’s weight loss program has been met with overwhelming success since it was implemented eight months ago. The program is allowing residents to gain back the lives they

once had following surgery. Linda Myers said that not only is she able to be more active, her persistent back pain is gone. Her stepdaughter, Chrissy Mendenhall, who also took part in the program, said her triglyceride level has been significantly reduced and that she no longer needs to take her blood pressure medications. Once you register, a staff member will call within a few days with a user name and password allowing you to view the presentation.Following the 30-minute video you will be required to take a short quiz, after which a staff member will arrange a physician appointment.

For those who would like to attend a seminar in person, one will be held from 4 to 5 p.m. on August 15th. To register, or if you have questions about the program, please call 315-3495822.

Lemonade Sale Turns into Legacy Gift — Gift of $1.98 Still Supports Maternity Care It all started with a lemonade stand more that 100 years ago. The $1.98 profit was the beginning of lifelong giving by a prominent individual leading to the largest bequest to the health system, which today still supports the purchase of maternity center equipment. At about the time of World War I, a young Ruth Barnhart stopped by Oswego Hospital with $1.98 asking officials, “will you use this to buy something for the babies?” This heart-felt gift was the start of the Ruth Barnhart Baby Ward Fund. Barnhart, who grew up on West Second Street, would go on to attend Wells College and then the Medical College of Ruth Barnhart Cornell University. After graduating from medical school, Dr. Barnhart settled in Roanoke, VA, providing care herself as a practicing pediatrician for some 30 years. Even though she lived and worked in Virginia, Dr. Barnhart made regular monetary gifts to Oswego Health and as the Barnhart fund grew, she was integral in helping to make decisions on what maternity center equipment would be purchased.

Upon Dr. Barnhart’s death in 2000, at the age of 97, she generously thought of her hometown healthcare system, leaving Oswego Health its largest to date charitable bequest, totaling $5.7 million. Through the years the Fund has supported the purchase of critical maternity center equipment and this year is no different. Thanks to this fund, in the upcoming months, new fetal monitoring systems will allow expectant mothers to leave their rooms and walk around while in labor or enjoy hydrotherapy in one of the large soaking tubs. “This is a wonderful safe patient comfort as it allows Mom to walk around, get in our large tubs, while we can still monitor her heartrate and contractions, as well as the baby’s heartrate,” said Maternity Center Director Kimberly Spurling, RN. “This allows the Moms freedom of movement and non-medicated pain control options, while still ensuring the baby’s safety and well being.” The fund also supported the purchase of a new infant warmer resuscitation unit which allows infants to receive the recommended levels of blended oxygen and air. A new vital

Maternity Center’s Kristen Fox, RN, tests the hearing of Melia Roseman, using new equipment.

sign monitoring unit provides instant feedback on the baby’s heart rate, EKG status, respiratory rate and oxygen saturation. Also purchased was specialized portable equipment for more accurate screening of a newborn’s hearing. “We so appreciate the use of these funds to purchase equipment that provides our families with the best, safest and most comfortable experience,” Spurling said. Philanthropic gifts to support the work of Oswego Health allow the health system to provide the highest level of care with the most up-to-date technology right here in our own community. Bequests come in many forms. While this gift was large and went into an endowment, many planned gifts are smaller and are designated for current use or a project close to the donor’s heart. The Foundation staff is always willing to help those interested in furthering Oswego Health’s mission through a gift today or through a future gift. For more information on making a gift, please call the Foundation at 315-326-3795.

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The Manor — Providing The Best Skilled Nursing Care A new training program for direct care givers at The Manor at Seneca Hill has resulted in four individuals gaining the training and skills to provide exceptional skilled nursing care at the facility. The four students recently passed the NYS Certified Nursing Assistant written and practical exams after taking part in The Manor’s new Certified Nursing Assistant (CNA) program. The six-week comprehensive CNA program, approved by the NYS Department of Health, includes 56 hours of theory, 74 lab hours and 110 clinical hours.

“Through this program, we are able to provide the knowledge and skills the students needed to meet our high standards,” said Jason Santiago, The Manor’s Chief Operating Officer and an Oswego Health Vice President. Those who are interested in obtaining their CNA are encouraged to apply for an open unit helper position at The Manor at Seneca Hill on the Oswego Health website, oswegohealth.org. Once a community member has accepted a unit helper position, they will be enrolled in the next CNA course, expected to be offered this fall at The Manor. For additional information on the new CNA program, community members can call Shannon Isbell at 315-349-5335.

The four students include Stephanie Patchen and Asia Rose, along with Hailey and Trevor Stiles, who are siblings. Trevor Stiles said he took the class as his start in a healthcare career. “My plan was to become a CNA and then earn my license practical nursing degree and then advance to a registered nurse,”Trevor said. “I also got inspiration from my mom, Jennifer Beginski, an Oswego Hospital nurse. Conducting the CNA training program was Shannon Isbell, The Manor’s Director of Staff Development. “I enjoyed watching these young adults grow and develop in their skill sets,” she said. The Manor developed the CNA certification program earlier this year to ensure its residents and rehab program patients, received the highest level of care. The Manor has consistently earned four stars (out of a possible 5) from the Centers for Medicare & Medicaid Services for the quality of care provided at the skilled nursing facility.

From left are Students Stephanie Patchen, Trevor Stiles, Asiz Rose and Hailey Stiles, with Shannon Isbell, RN, The Manor’s Staff Development Director.

Oswego Health Welcomes Lawton — Executive Director of Springside

Kelly Lawton was welcomed to Springside at Seneca Hill as Executive Director this spring. She is excited to be working at the upscale retirement community, saying she was impressed on her first visit. “When I walked through the door, I found Springside to have a very nice atmosphere, very calming and friendly,” she said. She has approximately 20 years of experience managing and operating senior housing communities and multi-family housing and apartment complexes. She most recently was a Regional Property Manager at Millenia Housing Management, where she was responsible for managing 13 properties in four different states. Kelly is a native of Liverpool. She is a graduate of Liverpool High School and has an accounting degree she earned at Bryant and Stratton, all while working 60 hours a week and managing her family. She has four grown children and six grandchildren.

Grilling with an eye toward good health Cooking and eating in the great outdoors seems like such a healthy thing to do. These tips will help ensure healthy, safe grilling this summer. Marinate your meats. “Marinating your meat can lower the amount of harmful-cancer causing chemicals produced when meats are cooked at high temperature. The moisture helps the meat cook more slowly and reduces charring. You should leave the meat in the marinade for at least 30 minutes. Choose more fish and poultry, and less red and processed meats. No matter how you cook it, eating a lot of red meat can increase your risk for colorectal cancer. Avoid charring. Grill at lower temperatures by turning the gas down or cooking your meat in the center of the grill after you moveby: coals off to the side. Sponsored Reduce grill time. Grill meat in smaller portions that cook more quickly, such as skewered on kebabs. Flipping meat frequently also speeds up cooking. You

can also cook meats first in the oven or microwave, and then finish on the grill for just a few minutes. Eliminate drips. Use tongs or a spatula instead of piercing meat with a fork. Or try covering the grill surface with punctured aluminum foil so that fat can drip off but less smoke comes back onto the meat. Avoid These Grilling Pitfalls. Never reuse marinade that’s been in contact with raw meat—not even if you boil it. Don’t baste with marinade that has touched raw meat. Set aside a small amount before marinating to use just for basting.

thermometer. This is the only way to make sure it’s fully cooked. Don’t leave any perishable food out of the refrigerator for more than two hours— one hour if the outdoor temperature is 90 degrees or higher. Also, scrub your grill with hot, soapy water before each use, and follow all the safety precautions and rules of operation in the owner’s manual. Improper use of a grill could cause a fire or explosion.

Marinate all meats in the refrigerator, never on the counter or near the grill. Grill meat you have precooked immediately to avoid bacteria that can cause illness. Always use separate cutting boards, dishes and utensils for raw meat. Go ahead and cook vegetables on the rEgistEr 24 HOurs OnlinE same grill surface as the meat—but only if the meat was thoroughly cooked. at oswegohealth.org/bloodanalysis Judge meat’s doneness using a food

Multi-Organ BlOOd analysis Multi-Organ BlOOd analysis