St. Francis Hospital The Heart Center速 2010 Annual Report A Member of Catholic Health Services of Long Island
RESEARCH IN ACTION
Reaping the rewards of the revolutionary CoreValve
Contents 5 Catholic Health Services of Long Island:
St.FrancisHospital strives to be a regional leader in the prevention, diagnosis and treatment of heart disease while making the health care of tomorrow better through research and education. The Hos-
A Message from the President and CEO
pital seeks to provide an environment in which excellence in its totality is emphasized, incorporating
6 St. Francis Hospital, The Heart Center : ®
the scientific, technical, psychosocial and spiritual components of health care. It offers high quality cardiac care and noncardiac services to the community regardless of race, creed, ethnic origin, or
A Message from the President and CEO
11 Setting the Pace for the Future of Patient Care
ability to pay. As a Catholic health facility, St. Francis Hospital embraces the tradition, values and charism of its founders, the Franciscan Missionaries of Mary, emphasizing respect for the dignity of individuals and compassionate treatment for all.
27 The St. Francis Research and Educational Corporation St. Francis Hospital, The Heart Center® 2010 Annual Report is published by St. Francis Hospital,
30 The St. Francis Hospital Foundation 33 Volunteer Organizations: The Gift of Sharing and Caring 34 Officers and Boards of Directors/Trustees
The Heart Center®. Questions or comments can be directed to St. Francis Hospital, Office of Development and Public Affairs, 100 Port Washington Blvd., Roslyn, New York 11576. (516) 705- 6655. Copyright © 2011. All Rights Reserved. St. Francis Hospital is a member of Catholic Health Services of Long Island, the healthcare ministry of the Diocese of Rockville Centre. Writers: Paul Barry, Rosemary Gomez, LaShieka Hunter, Suzanne Stallone • Editorial Assistant:
35 Hospital Statistics 36 Medical Staff
Debra Tischler. • Photographers: Steve Moors, Steve Moors Photography. • Contributing Photographer: William Baker. • Designer: Roger Gorman, Reiner Design.
BYPASSING SURGERY (cover)
Co-principal Investigators Newell Robinson, M.D., and George Petrossian, M.D., along with Andrew Berke, M.D., and Roberto Colangelo, M.D., embarked on a major nationwide study in 2010 that could revolutionize aortic valve replacement. Using a minimally invasive device known as the CoreValve (left), they are helping patients, who are too elderly or ill, bypass open-heart surgery. 92-year-old Anthony Leto was the first person on Long Island to reap the benefits. Now he is back to his favorite hobby – tending to his beloved fig trees. “I feel great. I’m 92 and still kicking,” says the retired butcher, who recently returned from a trip to Aruba with his wife of 63 years.
Research in Action THE BENEFITS OF EXERCISE
Last year, the nursing department conducted the Cardiovascular Lifestyle Study to examine the cardiac risk proďŹ le of St. Francis nurses. Because the study concluded that SFH nurses did not participate in enough physical activity, the department decided to implement a six-week, hospital-wide walking contest to promote physical activity. Nurses were re-surveyed after the contest and noted an increase from 36 percent engaging in exercise to 44 percent. Who compiled all of the data? Matt Ronin, manager of St. Francis’ research database, who runs several times a week. He says the study helped him realize the importance of staying in shape, not just for himself, but also to set an example for his 9-year-old daughter. The research team consisted of (above, left to right): Mary Gallagher, R.N.; Sue Palo, R.N.; Fran Szaluta, R.N.; Kathy McGrath, R.N.; Joanne Kuplicki, R.N., and Elizabeth Haag, R.N.
Catholic Health Services of Long Island:
MESSAGE FROM THE PRESIDENT AND CEO At Catholic Health Services (CHS), we take great pride in serving as a trusted health resource for the residents of Long Island in every stage of life. In addition to six hospitals, we also operate three nursing homes, a center for disabilities services, and a comprehensive array of home care and hospice services to meet the community’s long-term health needs. And while we incorporate the latest technology to deliver the best patient care, we also make important investments in our mission of education and prevention. Healthy Sundays is an excellent example. Started in 2005, with the participation of CHS hospitals including St. Francis, the program provides free preventive health screenings and education to underJames Harden President and CEO, CHS
served communities. In 2010, CHS teams conducted nearly 50 events and provided nearly 5,000 free health screenings. For the hundreds of volunteers who staffed the events in their spare time, it was a way to make a difference in the lives of those in need. Many of the uninsured patients who were screened at the Healthy Sundays events are referred to the Bishop McHugh Health Center in Bay Shore, where they can receive quality follow-up medical care. CHS opened the Center in 2009. As a result of their care at the Center, many patients have experienced a significant reduction in their cardiac risk factors such as elevated blood pressure and elevated cholesterol. Where necessary, patients have been referred to appropriate specialty care. Later this year, another center of the same name will open in Hicksville under the auspices of St. Francis Hospital, where medically underserved patients can receive quality primary care. Another important dimension of our mission of education and prevention is research. In this area, St. Francis holds a unique place. As one of the leading cardiac centers in the country, the Hospital has assembled a renowned team of researchers that use the full complement of state-of-the-art imaging technology in their efforts. From participation in large national clinical trials, to their own institutional studies, the St. Francis team makes important contributions to our knowledge of the underlying causes of heart disease. All of our efforts in health prevention, research and education, help to fulfill our fundamental mission as the healing ministry of Christ. In this spirit, I would like to express my gratitude to the Most Reverend William F. Murphy, the Bishop of Rockville Centre, for his leadership and vision. I would also like to thank our Sisters – the Daughters of Wisdom, the Congregation of the Infant Jesus, the Franciscan Missionaries of Mary, and the Dominicans of Amityville – for their spiritual example. I am most grateful to our board members, benefactors and volunteers for their invaluable guidance and generous support. And finally, I would like to thank the physicians and staff at all of our organizations for keeping the health and well-being of all their patients as their North Star. St. Francis Hospital The Heart Center® 2010 Annual Report 5
St. Francis Hospital, The Heart Center®:
MESSAGE FROM THE PRESIDENT AND CEO Heart disease is the leading cause of death in the United States, claiming over 600,000 lives per year – more than cancer and more than stroke, respiratory disease and accidents combined. According to the CDC, nearly 27 million adult Americans have been diagnosed with heart disease, and the cost of cardiovascular diseases in the United States, including healthcare expenditures and lost productivity from deaths and disability, is estimated to be more than $503 billion in 2010. As the U.S. population ages, the economic impact of cardiovascular diseases on our nation’s healthcare system will become even greater. By the year 2020, there will be nearly 55 million men and women 65 years of age or older.
Alan D. Guerci,M.D.
To say the least, St. Francis Hospital’s top-ranked cardiac care will be needed more than ever in the future. But while we are proud of the high quality of care we provide our patients when they come to St. Francis now or in the years to come, our larger goal is to make sure that many more patients don’t have to come to any hospital in the first place. The plain fact is that American medicine has developed many life-saving drugs and treatments, and death rates have been declining, but the cause and cure of coronary artery disease still elude us. For as long as St. Francis has been a heart center, finding answers to the enduring questions about the origin and development of coronary artery disease has been a vital part of our mission. And with the growing strength of our noncardiac specialties, we are likely to see more research activity in those areas as well. Over time, St. Francis has also made significant investments in advanced cardiac imaging technology, which has greatly benefited our patients on a daily basis. We have also placed these high-tech tools in the hands of a dedicated and accomplished research team under the leadership of the renowned cardiac imaging expert, Nathaniel Reichek, M.D. This group employs state-of-the-art cardiac MRI, CT angiography, coronary calcium scoring, 3-D echocardiography, and nuclear scanning including PET and PET/CT imaging as a part of an ambitious research agenda. Today, the scope and quality of our research program have become marks of real distinction for our Hospital. From institutional studies that focus on the underlying mechanisms of heart disease,
St. Francis Hospital The Heart Center® 2010 Annual Report 6
President and CEO St. Francis Hospital
to participation in large-scale clinical trials that test innovative devices and treatments, St. Francis is making important, ongoing contributions to the field of cardiac research. Our physicians regularly present their findings at national conferences, review scientific papers, and publish studies in the leading journals. Patients volunteering to participate in our research studies gain access to promising new procedures and devices while helping to advance the frontiers of medical science. As we consider developments over the past year and the plans for the year ahead, the prospects of the St. Francis research program are exciting. For all of their important work in research and clinical care, I would like to thank our physicians, nurses, staff, volunteers, and benefactors for their dedication and commitment to excellence. I am especially grateful to our Board of Trustees and their Chair, Peter Quick, for their exceptional guidance and support. I would also like to thank James Harden, CHS President and CEO, for his leadership of Catholic healthcare on Long Island. And finally, I would like to express my deepest gratitude to the Sisters of the Franciscan Missionaries of Mary and our Bishop, the Most Reverend William F. Murphy. As healthcare enters even more challenging and dynamic times, we can draw inspiration from their tireless example.
St. Francis Hospital The Heart Center速 2010 Annual Report 8
Research in Action
SETTING THE PACE FOR THE FUTURE OF PATIENT CARE RUNNING FOR HIS LIFE
Healthcare in the U.S. is in a period of unprecedented change. Even as exciting new clinical
At 69 years old, he is incredibly fit, full of en-
breakthroughs are emerging, hospitals are facing fiscal and regulatory challenges and a steady de-
ergy and has competed in nearly 20 marathons. But in 2008, a nagging pain in Nick Nave’s left shoulder sidelined him after doctors discovered he had a 98 percent
cline in reimbursements. At the same time, with the promise of better coordination of patient care and enhanced patient safety, hospitals are in the midst of one of the largest transformations of medical communications and recordkeeping in history in the move from paper to electronic health records. St. Francis has successfully navigated these turbulent times and has reinforced its position as one
blockage in his left artery. He was treated at
of the highest volume heart centers in the U.S., with outstanding success rates. Over the past year,
St. Francis and because of his speedy recov-
the commitment to excellence on the part of our physicians, nurses and staff have earned the Hos-
ery and the stents he had implanted, Richard
pital significant accolades:
Shlofmitz, M.D., Chairman of the Department of Cardiology, asked Nick to be a part of the
• For the fourth consecutive year, U.S. News & World Report named St. Francis one of America’s best hospitals, and it was the only hospital on Long Island to be ranked in more than one of the magazine’s 12 adult medical and surgical specialty categories. The magazine honored St. Francis once again as a
Hospital’s study to test how long patients
leader in heart and heart surgery, geriatrics and, for the first time, neurology and neurosurgery.
should be treated with the antiplatelet drugs
• St. Francis was also ranked the best hospital on Long Island and seventh among New York Metro
and ways to transition off of them today.
area hospitals by U.S. News & World Report in the first Best Hospitals regional rankings. In addition to
Nick (pictured with wife Renee) has never
the three specialties for which the Hospital is nationally ranked – heart and heart surgery, geriatrics
felt better. He runs eight miles a day and has won several races since his surgery. “I love St. Francis and I am lucky to have the
and neurology and neurosurgery – St. Francis was rated high performing in seven more specialties: cancer, ear-nose-throat, gastroenterology, gynecology, kidney disorders, pulmonology, and urology. • St. Francis nurses were ranked among the top 10 percent in the nation by U.S. News & World Report. • For the second consecutive time, The Hospital earned the Magnet designation for excellence in
opportunity to have had Dr. Shlofmitz as my
nursing services, awarded to only 6 percent of American hospitals.
physician. Any way that I can channel my
• The cardiac surgery program at St. Francis Hospital was recognized once again by the New York
energy to helping the Hospital, I will.”
State Department of Health (NYSDOH) for having the largest cardiac surgical caseload in New York State and among the highest success rates. The NYSDOH also recognized St. Francis for being
St. Francis Hospital The Heart Center® 2010 Annual Report 11
RESEARCH VISIONARY Eddy Barasch, M.D., Co-Director of Echocardiography, has been working with Nathaniel Reichek, M.D., on researching aortic stenosis, the narrowing of the main outlet valve of the heart. Dr. Barasch has developed important information about assessing the risk for patients who may need aortic valve surgery.
one of six hospitals in the state that had risk-adjusted mortality rates significantly below the statewide average. St. Francis has been recognized for outstanding success rates in cardiac surgery 11 times in the past 15 years that the State has issued reports, more than twice the number of times
A HEALTHY RETURN TO
any other hospital in the metropolitan area has been recognized.
EXTRACURRICULARS
• St. Francis Hospital has received the American Heart Association/American Stroke Association’s Stroke Gold Plus Achievement Award, recognizing the Hospital’s excellence in stroke care. • The Hospital was selected as one of the best companies to work for in the U.S. by Modern Health-
Nathaniel Reichek, M.D., Director of Non-Invasive Cardiology, has led a number of stud-
care magazine.
ies focusing aortic valve stenosis. According
• The Hospital’s Outpatient Surgery and Emergency Departments were top-rated for overall satis-
to the nationally renowned researcher, St.
faction among large hospitals surveyed by HealthStream Research™, a leading patient satisfaction
Francis Hospital treats a very large number of
assessment company.
patients with this debilitating condition and a
• The DeMatteis Center for Cardiac Research and Education at St. Francis Hospital received the Summit Award from Press Ganey for outstanding patient satisfaction. Amidst a time of change, dramatic strides are still being made in new and improved treatments and in gaining a better understanding of disease processes. As St. Francis has grown over the years,
majority of them undergo aortic valve surgery. Fidel Trejo is one of the patients who have benefited from Dr. Reichek’s research.
so has its program of cardiac research. A large patient volume and outstanding clinical expertise
The public school safety officer works six
combine to create an ideal setting for research. Our highly experienced clinicians are constantly
days a week, but knew something was wrong
searching for better methods of treatment and for the best scientific evidence to guide their ap-
when he felt tired after walking two blocks.
proach to patient care. Research, education and prevention have become vital parts of our mission.
Since being diagnosed with the disease and
The Hospital’s Research Institute is the home of research studies using some of the most advanced and technologically innovative cardiac imaging methods, including magnetic resonance imaging (MRI), computed tomography (CT), cardiac PET/CT scanning, and 3-D echocardiography.
undergoing an aortic valve replacement, the self-described workaholic says he feels great
Under the leadership of Nathaniel Reichek, M.D., the Research Institute is a premier center for im-
and is able to concentrate on his extracurric-
proving cardiac care through research, education and prevention. From participation in large na-
ular activities – reading the newspaper and
tional clinical trials to our own institutional research, these important studies are essential to the
cooking for his family.
development of new cardiovascular diagnostic and treatment modalities. The following report chronicles the important clinical and programmatic developments at St. Francis Hospital in 2010 with a special emphasis on research in our cardiac and noncardiac specialties. St. Francis Hospital The Heart Center® 2010 Annual Report 12
Research in Action
One of the Nation’s Most Experienced Cardiac Surgical Teams At a time when demand for cardiac surgery declined at many hospitals throughout the country, St. Francis Hospital continued to counter this nationwide trend. The Hospital was recognized once again by the New York State Department of Health for having the largest cardiac surgical caseload in the state with one of the highest success rates. Under the leadership of Newell Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, St. Francis surgeons performed 4,588 cases of isolated coronary artery bypass surgery (CABG), valve surgery, or combined valve/CABG surgery over the latest three-year period to be analyzed by the state. Remarkably, the Hospital’s total volume of cardiac surgery was nearly 50 percent higher than the hospital with the next largest caseload. In addition to being recognized for having risk-adjusted mortality rates that were significantly lower than the statewide average, two of the most experienced surgeons at St. Francis were recognized for their outstanding success rates: Roberto Colangelo, M.D., and James Taylor, M.D., Vice Chairman of Cardiothoracic Surgery and Director of Thoracic Aortic Surgery. St. Francis has been recognized for outstanding success rates in cardiac surgery 11 times in the past 15 years that the state has issued reports, more than twice the number of times any other hospital in the metropolitan area has been recognized. The Department’s large caseload, combined with the extraordinary experience of its surgeons, A TEAM EFFORT
set the stage for its participation in a major nationwide study that could revolutionize the treatment
Each year continues to be
of aortic stenosis, a narrowing and thickening of the aortic valve that blocks blood flow. The
a successful and busy one for the St. Francis Hospital
Medtronic CoreValve Pivotal Trial relies on a small, minimally, invasive device that allows patients
research department. In
who are too old or sick, but need aortic valve replacement, to bypass open-heart surgery.
2010, the outstanding team, which is led by Nathaniel
“It will change the treatment landscape as we know it,” says Dr. Robinson, a co-principal investigator for the clinical trial. He will be working with Dr. Colangelo and two members of the Interventional
Reichek, M.D. (center), and includes (from left to
Cardiology team, George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, and
right) Andrew Van Tosh,
Andrew Berke, M.D., Director of Interventional Cardiology Research, on the landmark study.
M.D.; Aasha Gopal, M.D.; Xiao Li Ren, M.D.; Dennis
The device has yet to receive FDA approval in the U.S., but is already being used in Europe. The valve is delivered by catheter through a small opening in the groin to the femoral artery and
Mihalatos, M.D.; Eddy Barasch, M.D.; Nicole M. Orr, M.D.; Alan Katz, M.D.; and Jie Jane Cao, M.D. conducted several leading edge clinical trials and studies to improve cardiac care. Some of the studies focused on remote ischemic preconditioning, aortic valve replacement, and stress testing with 3-D echocardiography.
St. Francis Hospital The Heart Center® 2010 Annual Report 14
threaded upward to the aortic valve. Physicians then deploy a valve made of pig cardiac tissue fixed
CORE PLAYERS
inside a metal frame. The procedure takes about one and a half hours and is an easier recovery for
Elizabeth Haag, R.N., Research Nurse Manager;
older patients.
Dennis Mihalatos, M.D.,
Dr. Robinson and his department also continued to be at the forefront in the use of innovative
(left) Director, Clinical
cardiac assist devices such as Tandem Heart®. These small heart pumps are stepping stones in
Echocardiography; and
the treatment of patients with both acute and chronic end-stage heart failure. In 2010, the pro-
Robert Kates, M.D., Chairman of Anesthesiol-
gram continued its evolution, with St. Francis surgeons working toward permanently implanting
ogy, have all played
these crucial assist devices in people waiting for heart transplants, as well as patients who are not
instrumental roles in the
considered candidates for transplantation, but need continued support from the devices.
screening, evaluation,
During the year, the department also broke ground for a new hybrid operating room, which will
coordination, and treatment of patients in the
allow St. Francis physicians to extend the use of minimally invasive techniques into more complex
Medtronic CoreValve Study,
procedures. For example, a valvular problem can be treated with a minimally invasive operation.
which could offer new hope
Then, if that person also has coronary artery disease he or she can be treated with less-invasive
for patients with severe
stent therapy. According to Dr. Robinson, the new, state-of-the-art hybrid OR will allow for more
aortic stenosis.
complex procedures to be performed in a shorter period of time with better visualization, and therefore better outcomes.
Interventional Cardiology The Cardiac Catheterization Lab of St. Francis Hospital was the site of two major nationwide clinical studies in 2010 that could change the face of cardiac care. The year began with the culmination of an eight-year study of carotid artery disease that confirmed what lead investigator George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, had been saying all along, that carotid stenting is as equally safe and effective as surgery. “This is a huge step forward,” said Dr. Petrossian, after the results of the CREST study were released by the National Institutes of Health. St. Francis was the only hospital on Long Island to participate in the investigation. The analysis involved 30 local patients who had obstructed carotid arteries. The condition can block blood flow to the brain and ultimately lead to a stroke. Dr. Petrossian is also a lead investigator for the CoreValve Pivotal Trial, which commenced at the St. Francis Hospital The Heart Center® 2010 Annual Report 15
Research in Action
THE DOCTOR WHO DOESN’T MISS A BEAT Joseph Levine, M.D., Director of Electrophysiology at St. Francis Hospital, is an internationally renowned expert on diagnosing and treating irregular heartbeats. His pathbreaking research has led to establishing nationwide medical protocals for arrhythmia care.
end of the year. The study could revolutionize aortic valve replacement by using a new, minimally invasive device that allows patients with severe aortic stenosis to bypass open heart surgery. The Hospital’s Chairman of Cardiology, Richard Shlofmitz, M.D., was instrumental in bringing the study to St. Francis. He sees a time in the future when the benefits of these types of innovative devices will be available to a broader segment of patients. “This new approach is likely to have the same impact on the treatment of valvular disease as stenting did on coronary artery disease,” he LIVING PROOF
says. Dr. Shlofmitz. is also the principal investigator in two trials focusing on antiplatelet medication
George Petrossian, M.D., Director of
therapy following the implantation of drug eluting stents.
Interventional Cardiovascular Procedures, was the Hospital’s lead investigator for a major nationwide study which proved that carotid stenting is as good as surgery.
Under the leadership of Thomas Pappas, M.D., Director of Cardiac Catheterization Laboratory, the Cath Lab continued to be one of the busiest in the region and the entire state. It maintained or increased its volumes while most other hospitals experienced decreasing volumes. Its cardiologists treat older patients and more difficult cases, yet complications are low with excellent success rates. “We’re nationally recognized experts on a wide range of procedures because we perform so
Jan Zabieriek, a retired cabinet maker who
many of them successfully on a daily basis,” says Dr. Pappas. “Our vast experience also makes us a
came to this country from Poland, is living
chosen leader in clinical studies that could have a major impact in the fight against heart disease.”
proof of the benefits. After undergoing the procedure, Jan was able to resume his favorite activities – ice fishing upstate and
The Arrhythmia and Pacemaker Center The Arrhythmia and Pacemaker Center of St. Francis Hospital continues to be a destination of choice for patients from across the country and around the world in search of permanent cures and
traveling around the globe from Eastern
improved management of serious cardiac rhythm abnormalities. The Center has one of the highest
Europe to the Caribbean.
patient volumes with nearly perfect safety and success rates. In 2010, its physicians performed more than 4,000 procedures including ablations, pacemakers, and implantable defibrillators (AICDs). Under the leadership of Joseph Levine, M.D., Director of Electrophysiology, the center has been a pioneer in shaping developments in the field of electrophysiology. Dr. Levine was instrumental in developing radiofrequency ablation, a catheter-based procedure that can cure certain arrhythmias St. Francis Hospital The Heart Center® 2010 Annual Report 17
such as Supraventricular Tachycardia (SVT). In fact, he has performed more than 15,000 of these procedures in the past 25 years. His research studies have helped set the standard for medical institutions throughout the U.S. Founded in 1988, the Center was one of the first in the nation to offer implantable defibrillators, and its physicians were among the first to use implantable defibrillators as a way of preventing sudden cardiac arrest. They continue to be at the forefront of their specialties and are among the nation’s leaders in developing new technologies and applications. “We have some of the most experienced physicians in our field coupled with the best nurses and medical staff. This unique synergy has helped us to be innovators in finding the best possible treatments, while maintaining stellar success rates,” says Dr. Levine. In 2010, William Shin, M.D., joined the Center’s team of physicians. The Stanford-educated physi-
ST. FRANCIS RESEARCH BEGINS AT THE TOP
Alan D. Guerci, M.D., President and CEO of St. Francis Hospital, co-authored a study that
cian did his internship and residency at Yale New Haven Hospital and fellowship at New York Univer-
was pivotal in proving the value of coronary
sity Medical Center. The arrhythmia team also includes Steven Greenberg, M.D.; David Hoch, M.D.;
artery calcium scores for assessing the risk
Vinni Jayam, M.D.; and Stuart Schecter, M.D.; all highly regarded experts in electrophysiology.
of future heart disease. The findings, published in the Journal of the American Medical
Better Imaging, Improved Outcomes
Association (JAMA), showed that the diag-
Diagnostic imaging is traditionally a strength at St. Francis Hospital, both in cardiac and noncardiac services. It is the department’s breakthrough technological advances in radiology and expertise of our radiologists that consistently delivers excellence and quality in patient care. Led by Kenneth Goodman, M.D., Chairman of Radiology, the radiology department performed 152 oncology positron emission tomography (PET)/Computerized Tomography (CT) procedures in
nostic test is a better predictor in some populations than a standard coronary risk factors assessment. When Marie Taylor signed up for the study,
2010, compared to 125 procedures in 2009. In December 2010, the department began offering out-
the avid exerciser thought she was in good
patients the ability to receive a copy of their radiology report seven days after it is interpreted, giving
shape. People often tell her they can’t believe
sufficient time for the referring physician to receive the report prior to the patient. Also in 2010, the department focused on reducing the radiation dose to patients receiving CAT scan procedures. This was accomplished by installing Adaptive Statistical Intuitive Reconstruction (ASIR) software. The ASIR technology has ability to reduce patient dose by 40 percent and when
her age and that “it must be in her genes.” But after undergoing a CT Scan, the retired auditor for New York City discovered she also had
coupled with the snap shot pulse software currently on the CAT scanner, the radiation dose to the
a genetic predisposition to high cholesterol.
patient can be reduced up to 83 percent for patients undergoing cardiac computed tomography an-
She says she has been taking a cholesterol-
giography (CCTA) procedures.
lowering drug ever since and wowing people
Going forward, the department will continue to focus on radiation safety. Fluoroscopy on-time, which is the entire time the radiation is being emitted, will be correlated with each physician’s personnel dosimeter badge (worn outside the lead apron to record and monitor accumulated radiation exposure over a period of time) to ensure compliance with the New York State Department of Health radiation safety standards. In an effort to reduce the radiation exposure to patients, alternative imaging procedures such as ultrasound and MRI will be suggested during all consultations with the ordering physician. In the fall of 2011, the department will evaluate a ferrous detector that will be installed outside St. Francis Hospital The Heart Center® 2010 Annual Report 18
with the wedding arrangements she makes for family and friends.
Research in Action
Gary Gecelter, M.D., (fore-
the entrance door of the MRI suite. This state-of-the-art detector will enhance the current MRI
front), Chairman of the De-
safety program that has proved to be very successful. The department also plans to pursue a service
partment of Surgery, has helped to build a team of surgeons who have en-
line in molecular imaging, which will enable the visualization of cellular function. The Women’s Center of St. Francis Hospital performed over 12,000 exams in 2010, including
hanced the Hospital’s repu-
digital mammography with CAD (computerized aided detection), ultrasound (breast and gyneco-
tation for excellence in
logic), breast MRI, and bone density, as well as stereotactic, ultrasound guided and MRI-guided
noncardiac care, including Richard Johnson, M.D., Di-
breast biopsy capabilities, and cardiovascular screening. As an ACR Center of Excellence, a designa-
rector of Neurosurgery.
tion bestowed on a limited number of facilities, the Center provides state-of-the-art imaging in a caring, comfortable, and sensitive environment. Mammography is still considered the gold standard in screening for the early detection of breast cancer; however breast MRI continues to play an increasingly significant role. This includes patients with strong family history, positive BRACA gene status, dense breasts, as well as family history and personal history of breast cancer. “Breast MR continues to make a significant difference in the evaluation of breast diseases and early detection of breast cancer,” states Carolyn Birnbaum, M.D., a staff physician at the Women’s Center. “If a patient is diagnosed with breast cancer, it is now the standard of care to utilize breast MR prior to further management in order to increase survival rates.” The Women’s Center is another example where innovation in diagnostic imaging technology combined with dedicated and knowledgeable staff means better outcomes for patients at St. Francis.
Advances in Noncardiac Care St. Francis Hospital’s Department of Surgery received nationwide recognition in 2010 when two of its specialties, neurology and neurosurgery, were recognized for the first time by U.S. News & World Report for being among the best in the country. The latest kudos are an affirmation that the Hospital is expanding its presence as a leader in both cardiac and noncardiac care. It is also a reflection of the leadership of Richard Johnson, M.D., who started the neurosurgery program. “When people think of St. Francis, they typically think of heart care, but now there is growing recognition that we are leaders in many noncardiac specialties as well. We have proven our ability to provide world-class, comprehensive cancer and orthopedic care to patients with pre-existing seSt. Francis Hospital The Heart Center® 2010 Annual Report 20
vere heart disease – combining all the qualities of this wonderful hospital,” says Gary Gecelter, M.D., Chairman of the Department of Surgery. Under Dr. Gecelter’s guidance, the department has integrated use of the Hospital’s high-def ORs with leading edge instrumentation, particularly in the laparoscopic management of colorectal and other intestinal cancers. In light of the significant growth in demand for these complex oncological procedures, the department has taken proactive steps to offer its patients the latest diagnostic devices. In 2010, Dr. Gecelter, along with Anthony Celifarco, M.D., Director of Gastroenterology, was crucial in introducing endoscopic ultrasound to the department. The device combines endoscopy and ultrasound to obtain high quality images of organs inside the body. The Hospital’s team of highly skilled noncardiac surgeons continued to bring a wide range of expertise to the region. Felix Badillo, M.D., Director of Urology, performed more robotic prostate surgeries than any other surgeon on Long Island. In addition, under the stewardship of Richard D’Agostino, M.D., Director of Orthopedic Surgery, St. Francis experienced a steady growth in joint replacement surgery. At the same time, his division achieved outstanding patient satisfaction scores that have become hallmarks of our ongoing dedication to providing excellence in noncardiac care.
New Developments in Emergency Care Volume continued to grow for St. Francis Hospital’s Emergency Department (ED) in 2010. Nearly 22,000 patients came to our ED seeking medical attention, a 3 percent increase from the previous year. The Department continued to receive stellar patient satisfaction scores by Press Ganey in all areas of patient care by both physician and nursing staff. Our ED was also recognized by Health Stream Systems as second in the nation among large hospitals for best practices by Emergency Departments in patient care. In addition, in 2010 it received the American Heart/American Stroke Associations’ Silver Plus Award, and in 2011 it received the Gold Plus Award for meeting the highest standards in stroke care. “All of these national and regional recognitions are testaments to our continued emphasis on providing excellence in emergency care,” says Mark Hoornstra, M.D., Chairman of the Department of Emergency Medicine. “Our physicians, nurses, and medical staff are dedicated to providing every patient with the utmost attention in situations where every second counts.” The ED, which was one of the first on Long Island to use therapeutic hypothermia, was responsible for some amazing “code blue saves” in 2010. The technique relies on a special suit that cools a patient’s body temperature 8 degrees below normal to preserve brain function. In one case, a 38year-old man who collapsed in a gym while exercising suffered no residual effects after going into cardiac arrest and made an astounding recovery. In 2011, our ED will begin a complete renovation which will dramatically improve the physical plant. Negative pressure private rooms with electrically opaquing “privacy glass” will provide stateof-the-art, treatment space. Additionally, we will embark on a quest to become the first “green ER” on Long Island. The LEED certified plans include using environmentally friendly materials for inSt. Francis Hospital The Heart Center® 2010 Annual Report 21
Research in Action
terior renovations, expanding our recycling program and implementing a series of energy conserving measures. We look forward to when our new ED will be complete so that the architecture and space are as good as the medical care.
Nursing Excellence at St. Francis The nursing department at St. Francis Hospital spent 2010 enthusiastically preparing for re-designation of the Hospital’s Magnet status. The department’s hard work and consistent level of high quality patient care paid off. In the spring of 2011, St. Francis Hospital once again received one of the most coveted and prestigious honors a hospital and its nurses can achieve - Magnet redesignation for excellence in nursing services. After an extremely thorough evaluation that included extensive interviews, in addition to reviews of nursing services, clinical outcomes and patient care and patient satisfaction, St. Francis became one of just three hospitals on Long Island and the only hospital is Nassau County to hold this national distinction. The designation marked the second time in a row that the Hospital received this recognition for providing the very best in nursing care. “Our nurses were very proud after we received the first Magnet designation,” says Ann Cella, R.N., Senior VP of Patient Care Services and Chief Nursing Officer. “So this time around it was an affirmation that we are truly among the best. The reputation of this hospital is based on good physicians and good nurses, and good nurses follow good physicians – and good physicians follow good nurses.” In August of 2010, U.S. News & World Report named St. Francis one of the best hospitals in the naRESULTS THAT ARE
tion for nursing care. Among the elite medical centers cited on the magazine’s “America’s Best Hos-
ANYTHING BUT MILD
pitals” website, St. Francis was ranked among the top 10 percent for patient satisfaction. The
Pain management expert Patrick Annello,
Hospital had one of the highest percentages of patients who said their nurses were “always” courte-
M.D., introduced a new method of treating
ous, listened carefully and gave clear explanations. St. Francis Hospital was the only medical center
chronic back pain at St. Francis. The minimally invasive procedure, known as MILD, allows patients with spinal stenosis to avoid
in New York and one of only 17 in the United States to receive this esteemed ranking for nursing care. “We are blessed to have very intelligent and dedicated registered nurses at St. Francis. You could not get the type of results we get for patient satisfaction without the sustained commitment from our nursing department,” says Cella.
undergoing back surgery. Dr. Annello will
In addition to providing key leadership, support and guidance to the clinical physician team and
soon be taking part in a study aimed at re-
principal investigators of the CoreValve trail, the nursing department is also playing a key role in the
cruiting new patients. Clayton Johnson would
Hospital’s commitment to implement a comprehensive electronic medical record application,
urge others to enlist. He was one of the first
called EPIC. The application, which links and documents patient care from the physician’s office to
patients to undergo the procedure and says walking his son’s dog around the block is no longer a pain, but a pleasure. The Long Island insurance executive already has a fan club at a local dog walk near the Hospital.
the hospital, will give hospital representatives access to clinical, registration, scheduling, and billing information. St. Francis will “go live” with the application in December 2012. Nurses at the Hospital will serve as subject matter experts and assist in computerizing physician order entries and creating user friendly charting templates for test results, medications, and other information. In the second half of 2010, the nursing department embarked on the Cardiovascular Lifestyle Study, which examined the cardiac risk profile of St. Francis registered nurses compared to the Preventive Cardiovascular Nurses Association (PCNA) published guidelines. Surveys were given to all St. Francis Hospital The Heart Center® 2010 Annual Report 23
registered nurses. According to the results, St. Francis registered nurses were on par with most of the PCNA’s risk factors and even scored better in desirable Body Mass Index (BMI) than the PCNA’s reference group. However, an area for improvement was exercise. The study concluded that nurses at the Hospital did not participate in enough physical activity. The registered nurses then partnered with the Employee Wellness Committee to distribute pedometers and implement a six-week, hospital-wide walking contest to promote physical activity. At the conclusion of the contest, the registered nurses were re-surveyed on their level of physical activity and an increase from 36 percent engaged in exercise to 44 percent was noted. “The study was very revealing,” admits Cella. “We know how to be healthy, yet we found our own deficit. But the improvement we saw in getting those motivated to start exercising was a major step. Now we just have to sustain it and I’m confident that we will.” The department plans to do more onsite blood pressure, glucose, and cholesterol screenings for the nurses and possibly conduct another survey in the fall of 2011.
Education and Community Outreach The Education and Outreach programs of St. Francis Hospital began 2010 with the advent of community bus screenings. The self-contained, state-of-the-art mobile clinic visited dozens of communities throughout Long Island screening hundreds of clients a month for blood pressure, glucose and cholesterol levels, and referring those who were at risk for further evaluation. The mobile screenings were one of several milestones reached during the year in an effort to enhance patient wellness at all ages. The Hospital’s free Student Athlete Cardiac Screening Program went into full swing at the DeMatteis Center for Cardiac Research & Education in Greenvale. More than 200 high school athletes from dozens of districts were screened for pre-existing conditions that can cause sudden cardiac death. In addition, a Tai Chi workshop was launched to help reduce falls among the elderly by helping them to increase balance, posture and strength. The new workshop is one of many fitness classes being offered at the DeMatteis Center, which is also home to the region’s oldest and largest hospital-based Cardiac Rehabilitation Program. St. Francis Hospital The Heart Center® 2010 Annual Report 24
In its ongoing effort to reach the under- or uninsured, the Hospital’s Cardiac Outreach Program also increased its number of physician-supervised cardiac screenings. The mobile screenings are designed to reach patients at risk who may not have access to transportation. It also works with the Mike Francesca Champions of the Heart Fund to help patients who cannot afford medical care. “Now more than ever, in these tough economic times, the St. Francis Hospital Outreach Program remains a vital service to those in our community who cannot afford screening or cardiac care,” says Louise Spadaro, M.D., the Program’s Director. “With the addition of our mobile unit, we are now able to reach out to even more people in need to provide these services,” says Sue Palo, R.N., Director, Rehabilitation and Community Services. “Our aim is to both prevent heart disease by early detection of risk factors, most of which are only detected through screening tests and education, and treat it early to avoid secondary complications.” The program also continued to reach out to underserved communities here and abroad through Rotocare and Rotary International’s Gift of Life. In addition, it reached out to a wide range of Long Island communities through the “Healthy Sunday” initiative sponsored by Catholic Health Services. As a participating hospital, St. Francis offered free health screenings at local churches following Sunday Mass. The Hospital’s work in the community carries on a tradition of caring established by our founders, the Sisters of the Franciscan Missionaries of Mary, and the Hospital remains committed to finding those in need and providing care to all, without regard for ability to pay. St. Francis Hospital The Heart Center® 2010 Annual Report 25
Research in Action
The St. Francis Hospital
RESEARCH AND EDUCATIONAL CORPORATION
Research is essential to the development of new cardiovascular diagnostic and treatment modalities at St. Francis Hospital, The Heart Center®. The Hospital’s Research Institute is located at The DeMatteis Center for Cardiac Research and Education in Greenvale. The 14,500-square foot facility is the home of research programs using some of the most advanced and technologically innovative cardiac imaging methods, including magnetic resonance imaging (MRI), computed tomography (CT) and 3-D echocardiography. Under the leadership of Nathaniel Reichek, M.D., a distinguished cardiac imaging expert, and its world class staff, the Research Institute is a premier center for improving cardiac care through research, education and prevention. In 2010, St. Francis Hospital was selected as one of 40 centers nationwide to test the Medtronic CoreValve system for transcatheter aortic valve implantation (TAVI), a device that may offer new hope for patients with symptomatic, severe aortic stenosis. Newell Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, along with Andrew Berke, M.D., and Roberto Colangelo, M.D., have collaborated to evaluate the less invasive catheter-based way of replacing a narrowed aortic valve and have
SOWING THE
begun the process of implanting the device in patients who are at high risk, or are ineligible for
SEEDS OF HEALTH
open-heart surgery. Replacing the aortic valve is the most common cardiac valve operation in
Five years ago after fighting a terrible bout of
adults, and many people who have the surgery are very elderly with a host of other medical prob-
acute bronchitis, K. Diane Giardino (below)
lems. “Many of these patients are high-risk candidates for surgery, and so the study will further as-
was diagnosed with chronic obstructive
sess how placing an artificial valve via catheter can reduce risk to the patient,” says Dr. Reichek.
pulmonary disease (COPD), a progressive disease that makes it hard to breathe. After receiving care at St. Francis, Diane decided to become a part of a COPD study conducted by
A Lifesaving Blood Pressure Cuff? Also in 2010, the Research Department continued to examine the benefits of remote ischemic preconditioning (RIPC), which may protect the heart during coronary bypass surgery or stenting procedures, by compressing a blood vessel in the arm repeatedly using a blood pressure cuff. The
Jie Jane Cao, M.D., Clinical Director of
department has been looking at the mechanisms of this surprising effect using blood sampling and
Cardiac CT and MRI. “St. Francis Hospital is
cardiac and vascular imaging. “Amazingly, even though there is a steady stream of clinical trials that
such a caring and friendly place. Aestheti-
appear to show benefit, our understanding of the mechanisms involved is really very poor,” says Dr.
cally, it’s so warm. Just look at all of the
Reichek. “Our first studies have been in healthy volunteers, but we’ve applied the RIPC treatment
plants!” says the avid gardener. “You feel like
and are measuring its effects. We will then go on to study patients with coronary artery disease.” Dr.
you’re in a pleasant surrounding.” Has COPD
Reichek believes that the research will garner interesting results in the future.
changed her life? Not really. Every morning and evening you can still find her in her garden tending to her flowers.
Along with Eddy Barasch, M.D., Co-Director of Echocardiography, Dr. Reichek is continuing research on aortic stenosis, the narrowing of the main outlet valve of the heart. St. Francis Hospital treats a very large number of patients with aortic stenosis, and now with the CoreValve study, instead of surgery, the alternative will be replacing the valve in the catherization lab. Dr. Barash has been doing research on close to 400 patients with aortic stenosis treated at the Hospital, with a majority of them having undergone aortic valve surgery. He has developed important information about assessing risk for patients considering surgery. St. Francis Hospital The Heart Center® 2010 Annual Report 27
Dr. Barasch has also developed expertise in detecting heart muscle fibrosis, or collagen deposition in the heart muscle. MRIs can detect large collections of collagen or scar tissue in the heart muscle from a heart attack after injection of a gadolinium, contrast agent. However, methods are now emerging for detection of microscopic collagen deposition that cannot be seen on an MRI image, but can be detected by measuring some of the magnetic resonance properties of the image. “That means that in addition to the kind of the work that Dr. Barash has done, relying on blood tests to detect signs of collagen deposition, we’ve now got an imaging method that will enable us to detect early stages of fibrosis, which occurs in aortic stenosis among other conditions,” explains Dr. Reichek. “Fibrosis appears to be a determinant of who does well and who gets sick with aortic stenosis. And that may be true with some other diseases, like high blood pressure.” Jie Jane Cao, M.D., Clinical Director of Cardiac CT and MRI, has been working on new ways to determine how much malfunction of the heart is affecting its ability to deliver blood supply to the rest of the body. Using MRI, she has been watching how blood transits through the heart and has developed new methods for tracking the flow of the blood through the heart and how much time it takes. Dr. Cao has been able to show that this approach can also be used to evaluate the distribution of blood flow in the lungs, which is very important not only with patients with heart failure, but also in patients with lung disease, who develop pulmonary hypertension, or high blood pressure affecting the arteries in the lungs. She has also be able to show that measures of the transit time of the blood through the heart also correlate with results from the catherization laboratory, so that this may be a noninvasive way to assess some things that until now could only be assessed in the cath lab. In addition, Dr. Cao has shown that transit time measurements can predict results of some blood tests that reflect heart failure.
Studying Coronary Disease in Diabetics Although in the formative stages, the Research Department recently collaborated with a major pharmaceutical company to examine function of the coronary arteries in people with diabetes. According to Dr. Reichek, “Diabetics often develop coronary disease and coronary narrowing. But even before coronary artery plaque begins to narrow an artery in a diabetic patient, there is evidence that the blood vessels do not function properly, or dilate when they should.” Researchers at St. Francis have developed a number of methods for measuring blood flow by imaging the arteries and determining their size. The team plans further work to develop MRI methods suitable for large scale multi-center trials of new diabetic medications and compare results to those obtained using positron emission tomography (PET) techniques that Andrew Van Tosh, M.D., Clinical Director of Nuclear Cardiology and his collaborators have developed. Aasha Gopal, M.D., Director of Advanced Echo Technology, continues to work on ways to improve the diagnostic performance of stress testing using 3-D echocardiography, which can improve detection of abnormalities of heart muscle function during a stress test. Over the past year, PET imaging has become a high point in the research program. With its sophisticated methods of quantitating blood flow through the heart muscle, superior images and betSt. Francis Hospital The Heart Center® 2010 Annual Report 28
ter accuracy, PET imaging has proven to be a more advanced diagnostic technique than conventional nuclear imaging. Now researchers can measure the amount of blood flow in milliliters through a gram of heart muscle per minute – at rest and under stress – which provides important information on coronary artery function. The research teams will continue to study PET imaging which has already become a valuable clinical technique at St. Francis. The Research team is also studying the use of ultrasound and echocardiography immediately before a coronary CTA scan to determine when the heart is still enough during a heartbeat to get the clearest pictures. In early stages of the work, the department is comparing the measured period of motionlessness of the heart to the assumptions that CTA scans are based on. “So far, the preliminary results suggest that the CT scan assumptions are not accurate in every individual, and there is considerable variability,” explains Dr. Reichek. “It also appears that at the time needed for the highest X-ray dose could be shorter than it now is – which would mean less radiation overall for each patient.” After reviewing these initial results completely, the team will move on to a trial comparing the amount of radiation and the quality of the images using the ultrasound approach versus the standard approach, to see if higher quality images can be produced with lower radiation doses. “Right now we’re doing many other things to reduce the radiation dose and we’ll keep pushing as far as we possibly can,” he says.
Publications and Presentations In 2010, St. Francis researchers presented over 30 original
SAFEGUARDING
research papers at meetings of organizations such as the
RESEARCH VOLUNTEERS
American Heart Association, the Society for Cardiovascular
“Research at St. Francis Hospital is conducted in compliance with Federal and State regulations which are designed to protect the rights and welfare of participants in clinical research. The Institutional Review Board (IRB) is charged with the responsibility of assuring that the research at St. Francis is conducted in compliance with these regulations.”
Magnetic Resonance Imaging, the American College of Cardiology, the European Cardiology Society, the American Society for Nuclear Cardiology, the Society for Nuclear Medicine, the American Society of Echocardiography, EuroEcho, the Society for Cardiovascular CT, and the International Society for Magnetic Resonance in Medicine, a number of which were published as full-length articles in major journals. In addition, researchers gave invited lectures or chaired sessions at those meetings. Last year, there were 79 clinical trials under way at St. Francis, in addition to the imaging research projects. Currently, there are active clinical trials enrolling patients, including 22 that began in 2010 and eight that began in 2011 and were submitted to and approved by the Institutional Review Board (IRB). This level of activity promises to reinforce and expand the Hospital’s reputation nationally and internationally as an important contributor to cardiac research. St. Francis Hospital The Heart Center® 2010 Annual Report 29
– Jack Soterakis, M.D., Senior Vice President Medical Affairs & Medical Director Chair, Institutional Review Board St. Francis Hospital
THE ST. FRANCIS HOSPITAL FOUNDATION There are tough choices being made in healthcare today, as hospitals try to balance the rising cost of delivering quality care against declining reimbursement rates. In some cases, the very resources which distinguish a hospital’s standard of care – such as investments in new technology and research programs that help attract the best talent among physicians and nurses – are the same “extras” which are being cut from shrinking budgets. Fortunately for St. Francis Hospital, the generous support of our grateful patients and members of the community is helping to preserve important investments that allow the hospital to remain a leader in patient care. Many of the Hospital’s benefactors are motivated by their own gratitude for the exceptional care they received when it was needed most. Our donors also understand that we must now rely upon philanthropy to offset the cost of major capital expenses. By directing their support to St. Francis Hospital, these generous donors are helping to ensure that today’s patients will benefit from the same level of expertise as they once did. This philanthropic support is a driving force behind our ability to explore the latest advances in care and pursue research on new approaches to diagnosis and treatment where none existed before. In 2010, gifts to St. Francis Hospital included: • More than $2.3 million in support of the capital campaign to fund the Master Facilities Plan. Major gifts from individuals, corporations and foundations are helping to complete a renovation of the Heart Center operating rooms, where New York State’s highest caseload of cardiac procedures is performed, and a significant expansion of the Emergency Department, which will double in size and feature patient rooms with solid walls and privacy glass. • Planned gifts, or philanthropic gifts included in a donor’s estate plans, are increasingly becoming a vehicle of choice for donors to St. Francis Hospital. Seven new charitable gift annuities and more than $1 million in bequests naming St. Francis Hospital were received in 2010, as well as a charitable distribution made from a grateful patient’s IRA to help fund the purchase of a new robot for minimally invasive surgery. • More than $250,000 was contributed by grateful patients and other members of the community through direct mail. Many of the 2,000 gifts received last year were in appreciation of a favorite St. St. Francis Hospital The Heart Center® 2010 Annual Report 30
Francis Hospital physician or nurse.
Alan D. Guerci, M.D.,
• Special events helped raise much-needed funding for the expansion project as well as St. Francis
President and CEO of St. Francis Hospital, and Peter
Hospital’s community outreach initiative, which provides free medical care to the underserved.
Quick, Board Chair, with
This outreach program made great strides thanks to an event headlined by Mike Francesa, host of
Robert Kissane, (center),
the sports radio and television programs “Mike’d Up”, earlier in the year. Brian Hehir chaired one of
honoree of the 2010 SFH
the Hospital’s most successful golf outings in June, while the St. Francis Hospital Gala drew over
Hooray for Hollywood Challenge Gala. The black-
600 guests in November for a black-tie event chaired by August DiRenzo and honoring Robert
and-white tie event raised
Kissane, which grossed nearly $800,000.
$800,000 for the Hospital’s
Overall, the St. Francis Hospital Foundation received more than $7.9 million in new cash and pledges during 2010, under the leadership of Board Chair Peter Quick and Capital Campaign Chair Christopher Pascucci. This brings us closer to the goal of completing the Master Facilities Plan in 2011, and demonstrates that the St. Francis Hospital community is truly invested in the future of healthcare. St. Francis Hospital The Heart Center® 2010 Annual Report 31
Master Facilities Plan.
Volunteer Organizations:
You can find them behind the information desk, in the gift shop or transporting patients down the
THE PEOPLE WHO KEEP ON GIVING
In 2010, 494 men and women, from 14 to 94 years old, donated 75,578 hours of their time to St.
corridors. The volunteers at St. Francis have become an integral part of the community and culture at the Hospital and continue to be an uplifting, comforting staple for our patients and their families.
Francis. The monetary value of their collective service is estimated to be nearly $1.4 million based on figures compiled by the U.S. Bureau of Labor and Statistics. Seven days a week, the volunteers contribute their essential services to a variety of departments at the Hospital, including the Emergency Department, Day-Op and the Hospital’s Endoscopy Unit. They can also be found giving reassuring words to patients and families in the surgical waiting area, Pastoral Care, and at the cardiac rehabilitation center at the DeMatteis Center. Arlene Miller, the oldest volunteer at St. Francis, donated 882 hours in 2010 and has volunteered more then 32,000 hours over the last 33 years. She is a tireless worker whose total dedication has been tremendously beneficial to the Hospital. “People want to volunteer at St. Francis because they were treated so well here either as a patient or when a loved one was here as a patient,” says Barry Baretela, Director of Volunteers. “They want to give back to the Hospital because they were impressed by the care and compassion that was shown to them.” The Volunteer Department’s pool of teenage applicants continues to grow each year. “Every year I am so overwhelmed with requests from junior volunteers that I have to close the program by the end of January for new applicants,” says Baretela. “Presently I have 57 active junior volunteers and approximately 40 new applicants for 2011. More young people want to get involved whether it’s for community service for school or because they might be interested in the medical field. We’ve had several junior volunteers go on to become nurses and doctors.” The department has grown considerably since its inception in 1941, when several women volunteers established the Guild of St. Francis. Nearly seven decades later, the Guild continues to thrive. In 2010 the Guild hosted a number of notable fundraising events, including their popular Annual Spring Luncheon and Fashion Show at the Crest Hollow Country Club, as well as an intimate dinner with political commentator Bill O’Reilly in March, and a Day at the Races at Belmont Park Race Track in the fall. Their dedicated efforts resulted in $175,000 of donations, bringing the total of $938,000 closer to fulfilling their $1 million pledge to the Hospital’s Master Facilities Plan for a new outpatient surgical OR. The Brave Hearts of St. Francis also continued to provide support and information for recovering heart patients. This volunteer group was founded in 1975 by a group of patients who had received life-saving cardiac care at St. Francis. Their mission is to serve as ambassadors for all open-heart surgery patients, and today the group continues to promote friendship between open-heart patients, their families and the Hospital. In 2010, the Brave Hearts completed their $100,000 pledge in support of the Hospital’s capital campaign. St. Francis Hospital The Heart Center® 2010 Annual Report 33
Officers and Boards of Directors/Trustees Catholic Health Services of Long Island – Corporate Members Most Rev. William Murphy Msgr. Robert Brennan Most Rev. Peter Libasci, D.D. Most Rev. Paul Walsh, D.D. Sister Ann Gray, D.W. Most Rev. John C. Dunne, D.D. Sister Lois Ann Pereira, FMM Sr. Dolores Wisniewski, CIJ
Most Rev. William F. Murphy Presiding Member, CHS Corporate Members
Catholic Health Services Board of Directors Richard J.J. Sullivan, Jr., Chair James Harden, President Lionel Barrau, M.D. Barbara Ellen Black Sister Elaine Callahan, OP Thomas E. Christman Thomas Dowling, Jr., M.D. Sister Audrey Harsen Sister Margaret John Kelly, DC Msgr. Robert Morrissey Eugene Murphy Patricia Nazemetz Joseph Tantillo Rev. James Vlaun Jack Wagner
Richard J.J. Sullivan, Jr. Chair, Board of Directors, CHS
Chair
Peter Quick, Chair Daniel J. Denihan, Vice Chair Alan D. Guerci, M.D., President and CEO Rev. Msgr. Francis J. Caldwell Thomas E. Christman Kevin J. Conway Edward J. Cook, Ph.D. James D’Addario Thomas J. Fanning Joseph A. Grimaldi Sr. Betty Keegan, F.M.M. Delores C. Kershaw C. Justin McCarthy David J. Miller, D.D.S. Eugene F. Murphy John J. O’Brien Carole E. O’Sullivan* Kevin O’Sullivan** Christopher S. Pascucci Robert P. Quinn Newell Robinson, M.D.*** Susan Powers Schott Rabbi Barry Dov Schwartz Matthew D. Serra Eugene P. Souther, Esq. Sr. Dolores Wisniewski, C.I.J. *Honorary Member
St. Francis Hospital Board of Trustees
Peter Quick
St. Francis Hospital Foundation and St. Francis Hospital Research and Educational Corporation – Board of Directors
Peter Quick, Chair Daniel J. Denihan, Vice Chair Alan D. Guerci, M.D., President and CEO Rev. Msgr. Francis J. Caldwell Thomas E. Christman Kevin J. Conway Edward J. Cook, Ph.D. James D’Addario Thomas J. Fanning Joseph A. Grimaldi Sr. Betty Keegan, F.M.M. Delores C. Kershaw C. Justin McCarthy David J. Miller, D.D.S. Eugene F. Murphy Carole E. O’Sullivan* Kevin O’Sullivan** Christopher S. Pascucci Robert P. Quinn Newell Robinson, M.D.*** Susan Powers Schott Rabbi Barry Dov Schwartz, Ph.D. Matthew D. Serra Eugene P. Souther, Esq. Sr. Dolores Wisniewski, C.I.J.
**Honorary Member, Deceased ***President of the Medical Staff of St. Francis Hospital
St. Francis Hospital
Administration Alan D. Guerci, M.D. President and Chief Executive Officer Ruth Hennessey Executive Vice President and Chief Administrative Officer William C. Armstrong Senior Vice President and Chief Financial Officer Ann Cella, R.N. Senior Vice President, Patient Care Services/CNO Sherry J. Friedman Vice President for Development and Public Affairs Patricia J. Hajnosz, Esq. Vice President, Legal Affairs George Huryn Vice President, Facilities Anthony Pellicano Vice President, Human Resources Jack Soterakis, M.D. Senior Vice President, Medical Affairs and Medical Director
St. Francis Hospital The Heart Center® 2010 Annual Report 34
Hospital Statistics 2010
2009
2008
2007
2006
2005
1,630 4,751 12,018 5,227 3,366 3,425 14,076 62,271 4,107 1,010 757 2,340
1,597 4,674 12,331 5,413 3,326 3,592 13,251 61,388 4,499 1,087 850 2,562
1,568 4,524 12,303 5,802 2,957 3,544 11,896 60,983 4,516 1,078 844 2,594
1,549 4,448 11,405 5,407 2,877 3,121 11,886 61,094 4,626
1,685 4,224 13,798 6,133 3,704 3,961 12,177 61,996 4,427
1,642 4,240 14,798 6,226 4,310 4,262 12,637 60,315 4,425
312 18,197 104,914 5.8 92% 21,677
316 18,087 104,295 5.8 90% 21,073
336 18,433 106,084 5.8 97% 19,499
279 17,338 97,371 5.6 96% 18,806
279 17,902 106,320 5.9 104% 18,396
279 17,882 102,279 5.7 100% 18,512
SERVICES TO PATIENTS Operating Room Procedures (Including Cardiac Surgery) General Surgery Ambulatory Surgery EP Study Cases Laboratory Tests Electrocardiograms Radiology Exams & Special Procedures Pharmacy Prescriptions Respiratory Therapy Procedures Physical Therapy Procedures Full-Time Employees Part-Time Employees Volunteer Members Hours of Volunteer Services
17,726 3,841 7,504 2,340 2,304,067 48,525 88,466 2,078,448 295,593 22,180 1,926 466 494 75,578
16,892 3,485 7,136 2,562 2,205,316 49,814 87,127 2,070,906 246,265 21,339 1,863 455 [1] 450 68,000
16,579 3,523 6,964 2,594 2,144,381 48,196 86,510 2,081,399 219,655 21,050 1,712 446 426 63,422
16,149 3,494 6,658 2,756 2,006,723 46,638 82,911 1,850,428 191,032 20,541 1,564 371 427 64,125
16,861 3,435 7,517 2,820 2,038,108 49,413 84,402 2,049,184 219,132 20,434 1,628 836 368 60,432
16,852 3,406 7,564 2,840 1,996,519 50,750 83,189 1,999,056 222,799 18,865 1,596 837 375 59,600
Year Ended December 31 (In Thousands/Audited) Patient Service Revenue Less: Charity Care (**) Net Patient Service Revenue Other Operating Revenue Total Operating Revenue
473,046 7,991 465,055 16,225 $481,280
442,593 6,830 435,763 13,755 $449,518
405,127 14,497 390,630 11,671 $402,301
362,265 17,232 345,033 11,765 $356,798
374,190 17,588 356,602 11,347 $367,949
352,432 12,380 340,052 13,776 $353,828
203,728 213,931 6,960 22,989 447,608 $33,672
186,511 200,587 7,446 24,871 419,415 $30,103
158,339 178,029 5,263 18,391 360,022 $42,279
140,858 167,850 3,989 15,016 327,713 $29,085
139,702 178,935 3,026 13,414 335,077 $32,872
134,296 174,735 2,638 14,511 326,180 $27,648
HEART CENTER Open-Heart Surgery Other Cardiothoracic Surgery Cardiac Catheterization Patients Inpatient Catheterizations Outpatient Catheterizations Cornonary Angioplasty Noninvasive Cardiac Lab Procedures Cardiac Rehabiltation Visits Cardiac Arrhythmia Procedures AICDS Pacemakers EP Studies PATIENT CARE Number of Beds (In Service) Patient Admissions Days of Patient Care Average Patient Stay (Days) Bed Occupancy Rate Emergency Room Visits (Gross)
Operating Expenses: Salaries and Wages Supplies, Insurance and Utilities Interest Expense Depreciation Total Operating Expenses Income from Operations SOURCES OF REVENUE 2010 Inpatient Services Outpatient Services Other Operating Revenue
78% 19% 3%
CONSUMPTION OF RESOURCES 2010 Purchase of Plant Assets: 7% Interest and Depreciation: 7% Supplies and Services: 29% Salaries and Employee Benefits: 57% St. Francis Hospital The Heart Center速 2010 Annual Report 35
Medical Staff Compiled July 2011 DEPARTMENT OF
Shafie Arif, M.D.
Michael Aaron, M.D.
Stephen J. Gulotta, M.D.
Steven W. Seiden, M.D.
ANESTHESIOLOGY
Leslie Lidonnici, M.D.
Olakunle O. Akinboboye, M.D.
Martin H. Handler, M.D.
Justin Shaber, M.D.
Robert A. Kates, M.D.
Soterios C. Philippou, M.D.
James R. Albanese, M.D.
Ronnie Hershman, M.D.
William Shin, M.D.
Chairman
Kaiduan Pi, M.D.
Larry Altschul, M.D.
David A. Hess, M.D.
Edward Skwiersky, M.D.
Ramesh C. Raichoudhury, M.D.
Hemanth Badhey, M.D.
David H. Hoch, M.D.
Louise A. Spadaro, M.D.
Eddy Barasch, M.D.
Richard Horowitz, M.D.
Jeffrey Spivak, M.D.
Zaid Ahmad, M.D. John R. Alfarone, M.D.
VASCULAR SURGERY
Andrew D. Berke, M.D.
Hitender Jain, M.D.
Jeffrey A. Stahl, M.D.
Patrick Annello, M.D.
Richard Matano, M.D.
Jeffrey M. Bernstein, M.D.
Vinod K. Jayam, M.D.
Neil H. Stein, M.D.
Jeffrey E. Baumel, M.D.
Director of Service
Greg Blair, M.D.
Sanjiv Jhaveri, M.D.
Eric Steinberg, D.O.
William L. Blau, M.D.
Madhavi Kadiyala, M.D.
Mark J. Stern, M.D.
Jeffrey Ciccone, M.D. Ching H. Chan, M.D.
Renato B. Berroya, M.D.
Lauren Boglioli, M.D.
Alan Katz, M.D.
William Shin, M.D.
Christopher Choi, M.D.
Patrick DePippo, M.D.
Elias Bonaros, M.D.
Roger Kersten, D.O.
William Tenet, M.D.
Michael I. Cohen, M.D.
Peter Patetsios, M.D.
Kaupin J. Brahmbhatt, M.D.
Mark Kessler, M.D.
Emmanuel F. Troulakis, M.D.
Wayne T. Cohen, M.D.
William A. Purtill, M.D.
Douglas A. Byrnes, M.D.
Marc Kirschner, M.D.
Rose Tse, M.D.
David J. Elkin, M.D.
Toufic Safa, M.D.
Jie Jane Cao, M.D.
Morey Klein, M.D.
Theofanis Tsiamtsiouris, M.D.
Adam Graziani, M.D.
Robert B. Swersky, M.D.
Goolam Carim, M.D.
Steven M. Kobren, M.D.
Manish B. Undavia, M.D.
Barry Ginsberg, M.D.
John G. Yuan, M.D.
Timothy Chen, M.D.
Jerome H. Koss, M.D.
Eric Uyguanco, M.D.
Alan B. Cohen, M.D.
Paul Lee, M.D.
Andrew Van Tosh, M.D.
Bryan Kahan, M.D. John P. Kelly, D.O.
DEPARTMENT OF
Barton E. Cohen, M.D.
Daniel E. Levy, M.D.
John A. Venditto, M.D.
Uday M. Kumbar, M.D.
EMERGENCY MEDICINE
Kenneth H. Cohen, M.D.
Jay Lisker, M.D.
Vasundhara Vidyarthi, M.D.
Audrey Leverich, M.D.
Mark P. Hoornstra, M.D.
Stephan Cokinos, M.D.
Andrew E. Lituchy, M.D.
Qamar M. Zaman, M.D.
Valerie Makarick, M.D.
Chairman
Arnold Conrad, M.D.
Antonio P. Madrid, M.D.
Jerome B. Zisfein, M.D.
Maureen Corry, M.D.
Scott W. Mandel, M.D.
Stephen H. Covey, M.D.
Michael M. Mannino, M.D.
Marvin Cramer, M.D.
Michael Masciello, M.D.
DEPARTMENT OF MEDICINE
Adam Church, M.D.
Ronald D. D'Agostino, D.O.
Janice McCormack, M.D.
Marvin J. Tenenbaum, M.D.
Craig Lerman, M.D.
Edward T. Davison, M.D.
Stephen A. Mezzafonte, M.D.
Chairman
Christopher Maurischat, M.D.
Bruce M. Decter, M.D.
Dennis G. Mihalatos, M.D.
James Milano, M.D.
Emilio Del Priore, M.D.
Joseph Minadeo, M.D.
CRITICAL CARE MEDICINE
Robert Miller, D.O.
Donna P. Denier, M.D.
Evan B. Mintz, M.D.
Evan S. Sorett, M.D.
Russell W. Raskin, M.D.
Ezra Deutsch, M.D.
Guy L. Mintz, M.D.
Director of Service
Nimish S. Dharia, M.D.
Bernard B. Monteleone, M.D.
DEPARTMENT OF
Robert J. Dresdale, M.D.
Anthony J. Moschetto, D.O.
Melissa Devlin, M.D.
CARDIOLOGY
Jay J. Dubowsky, M.D.
Mohammed Muneeruddin,
Kush Dholakia, M.D.
DEPARTMENT OF
Richard A. Shlofmitz, M.D.
Fred Fefer, M.D.
M.D.
Irina Shpak, M.D.
CARDIOTHORACIC
Chairman
Randy J. Feld, M.D.
Joseph Musso, M.D.
Perry A. Frankel, M.D.
Sriram Naidu, M.D.
Israel Freeman, M.D.
Thomas A. Nicosia, M.D.
Aaron Freilich, M.D.
Stuart Okin, M.D.
Gary H. Friedman, M.D.
Edward H. Oruci, M.D.
Gary R. Friedman, M.D.
Felix I. Oviasu, M.D.
Anthony Gambino, M.D.
Adina Pascaru, M.D.
Anthony Garafalo, M.D.
Raj R. Patcha, M.D.
ENDOCRINOLOGY
Philip M. Gelber, M.D.
Alfred B. Randall, M.D.
Rory S. Breidbart, M.D.
Aaron J. Gindea, M.D.
Scott J. Ratner, M.D.
Director of Service
Robert Glaser, M.D.
Asif Rehman, M.D.
HC Glick, M.D.
David Reich, M.D.
Rachel Fetner, M.D.
Douglas A. Goldberg, M.D.
Xiao Li Ren, M.D.
Jeffrey Gordon, M.D.
Joel Goldberg, M.D.
Gerald S. Roberts, M.D.
Onoufrios Goussis, M.D.
Andrew M. Goldfarb, M.D.
Edward Rutkovsky, M.D.
Tharakaram Ravishankar, M.D.
George J. Goldman, M.D.
Michael L. Sacher, D.O.
Brian Schwartz, M.D.
David Goldstein, D.O.
Gonzalo M. Saravi, M.D.
Henry E. Gomez, M.D.
Leonard Saulle, M.D.
FAMILY PRACTICE
Aasha S. Gopal, M.D.
Stuart O. Schecter, M.D.
Farzad Tabibzadeh, M.D.
Steven M. Greenberg, M.D.
Carl S. Schreiber, M.D.
Director of Service
Andrew M. Grunwald, M.D.
Richard Schwartz, D.O.
Alan D. Guerci, M.D.
Evan H. Schwarzwald, M.D.
Scott Rex, M.D.
Ronald J. Gulotta, M.D.
Jorge E. Secchi, M.D.
Anna Siasoco, M.D.
Gene A. Musto, M.D. Michele Novak, M.D. Lisa Phillips, M.D. Alan Resnick, M.D. Daniel Sajewski, M.D. Steven B. Schulman, M.D. Eugene W. Segall, M.D. Andrew Suh, M.D. Barry Tabakin, M.D.
Scott R. Strumpfler, M.D. Vice Chair
Philip H. Weinberg, M.D. Jason B. Wells, M.D
AND VASCULAR SURGERY Newell Robinson, M.D.
Alan Goldman, M.D.
Chairman
Vice Chair
James Taylor, M.D.
Ari M. Ezratty, M.D.
Associate Chair, CT Surgery
Director, Clinical Research
and Director of Thoracic Aortic Surgery
Joseph H. Levine, M.D. Director, Electrophysiology
Harold Fernandez, M.D. Director, Heart Failure Surgery
Patrick J. Monteleone, M.D. Director, Medical Education
Neil R. Bercow, M.D. Roberto G. Colangelo, M.D.
Thomas W. Pappas, M.D.
Christopher LaMendola, M.D.
Director, Cardiac Cath Lab
THORACIC SURGERY
George A. Petrossian, M.D.
Lawrence Durban, M.D.
Director, Interventional
Director, Thoracic Surgery
Cardiology
Laurence Spier, M.D.
Nathaniel Reichek, M.D.
Cardiac Surgical Assistants
Director of Research and Director,
Georges J. Abou-Eid, M.D.
Noninvasive Cardiology
St. Francis Hospital The Heart Center速 2010 Annual Report 36
DERMATOLOGY John Garofalo, M.D. Director of Service Lance A. Barazani, M.D. Joshua Fox, M.D.
GASTROENTEROLOGY
INFECTIOUS DISEASES
Sixto A. Siasoco, M.D.
Kenneth Kahaner, M.D.
Samuel Bangug, M.D.
Anthony J. Celifarco, M.D
Alan M. Bulbin, M.D.
Vincent Siasoco, M.D.
Glenn R. Kalash, D.O.
Sol Gourji, M.D.
Director of Service
Director of Service
Jack Soterakis, M.D.
Edgar Lerias, M.D.
Joseph W. Szczesniak, M.D.
PULMONARY MEDICINE
Douglas Luxenberg, D.O.
Chaim Abittan, M.D.
David B. Brieff, M.D.
Paul G. Tolins, M.D.
Philip Marcus, M.D.
Steven Purrier, M.D.
Gregory M. Ackert, M.D.
Joel Greenspan, M.D.
Stephen A. Tranchina, M.D.
Director of Service
Barbara L. Seifert, M.D.
Rajiv Bansal, M.D.
Dava Klirsfeld, M.D.
Roman Urbanczyk, M.D.
Eugene S. Bonapace, M.D.
Vitaliy Krol, M.D.
Frank R. Vezza, M.D.
Vlassi Batidy, M.D.
Michael J. Bradford, M.D.
Salvatore Scoma, M.D.
Marco E. Vezza, M.D.
William R. Basta, M.D.
John Costable, M.D.
Farah Shams, M.D.
Gilbert Weinstein, M.D.
Jay Berland, M.D.
DEPARTMENT OF SURGERY
Raymond A. Diaz, M.D.
Nathalie Schulhof, M.D.
Edward Wolff, M.D.
David M. Breidbart, M.D.
Gary Gecelter, M.D.
Mordecai Dicker, M.D.
Marvin J. Tenenbaum, M.D.
Janette Yap-Marcelo, M.D.
Mylene Colucci, M.D.
Chairman
Genghui Zhu, M.D.
Michael V. Como, M.D.
David S. Eskreis, M.D.
Ambrose Vallone, M.D. Masood Yeroushalmi, M.D.
Blanche Fung Liu, M.D.
INTERNAL MEDICINE
Gary W. Freeberg, M.D.
George DeNoto, III, M.D.
Lev Ginzburg, M.D.
Florence Barricelli, M.D.
NEPHROLOGY
Joseph Genovese, D.O.
Director of General Surgery
Ira S. Goldman, M.D.
Director of Service
Steve W. Rucker, M.D.
Jodilyn Gingold, M.D.
Director of Service
Jason B. Karp, M.D.
Javier Andrade, M.D.
David Katz, M.D.
Louis J. Auguste, M.D.
Michael J. Goldstein, M.D. Carylann Hadjiyane, M.D.
Florentin Abrudescu, M.D.
Robert D. Herman, M.D.
Marvin Base, M.D.
Sayed Ali, M.D.
Jill Karpel, M.D.
Seymour Katz, M.D.
Doris Berland, M.D.
Jeffrey Cohen, M.D.
Paul Kuperschmid, M.D.
Neeraj Kaushik, M.D.
Deborah Blenner, M.D.
Adam N. Criss, D.O.
Leonard J. Landesberg, M.D.
Gina S. Kwak, M.D.
Richard S. Blum, M.D.
Jeffrey E. Haller, M.D.
Lewis M. Levin, M.D.
David E. Milkes, M.D.
Maria Brountzas, M.D.
Jim N. Hilepo, M.D.
Stuart Lowenkron, M.D.
Alex Novogrudsky, M.D.
Girish Bulsara, M.D.
Susana Hong, M.D.
Martin B. Moskowitz, M.D.
Dean Pappas, M.D.
Patrick J. Cavanaugh, M.D.
Abrar Husain, D.O.
Sanford M. Ratner, M.D.
Howard M. Rattner, M.D.
Emia Chan, M.D.
Lionel Mailloux, M.D.
Denise Janus Ruttgeizer, M.D.
John Rizzo, M.D.
Lori Cohen, M.D.
Alicia Notkin, M.D.
Alan J. Schecter, M.D.
Stephen R. Siegel, M.D.
Michael DeAngelis, D.O.
Simon Prince, D.O.
Robert T. Schreiber, M.D.
Alan F. Sloyer, M.D.
Kenneth A. Ewing, M.D.
Lance D. Rubel, M.D.
William Sherman, M.D.
Ian Storch, D.O.
Charles Gambino, D.O.
George Sunil, M.D.
Evan S. Sorett, M.D.
Kevin L. Tack, M.D.
Burton H. Goldberg, M.D.
Gerard Tepedino, M.D.
Deborah M. Ushkow, M.D.
Arthur L. Talansky, M.D.
Craig R. Grobman, D.O.
Marc J. Yunis, M.D.
Jonathan Waxner, M.D.
Robert E. Tepper, M.D.
Marianne Hamra, M.D.
Joseph Tripodi, D.O.
Louis R. Heisler, M.D
NEUROLOGY
James Ho, M.D.
Anthony S. Cohen, M.D.
HEMATOLOGY/ONCOLOGY
Tom Hopkins, M.D.
Director of Service
Rita Weiss, M.D., Ph.D.
Michael Hundert, M.D.
Director of Service
William S. Knight, M.D.
Richard H. Blanck, M.D.
Peter J. Kurzweil, M.D.
Laurence D. Haber, M.D.
Anu Chandok, M.D.
William Kutcher, M.D.
Michael Han, M.D.
Gerard B. Donnelly, M.D.
Lewis M. Lebetkin, M.D.
Jeffrey T. Kessler, M.D.
Julius P. Duic, M.D.
Robert Linden, M.D.
Denis Ostrovskiy, M.D.
Debra Ferman, M.D.
Mitchell R. Locke, M.D.
David Podwall, M.D.
Triantafillos Fillos, M.D.
Anthony L. Luciano, M.D.
Philip Ragone, M.D.
Richard S. Forte, M.D.
William Kutcher, M.D.
Dwight J. Rosenstein, M.D.
Francisco Garcia-Moreno, M.D.
David P. Magier, M.D.
Izabella Rozenfeld, M.D.
Ari L. Ginsberg, M.D.
Ralph Mastrangelo, M.D.
Laura G. Schoenberg, D.O.
Jai Grewal, M.D.
Joseph L. Mollura, M.D.
Paul Wright, M.D.
Christi Kim, M.D.
Carole Moodhe-Lysaght, M.D.
Ummekalsoom Malik, M.D.
Javier Morales, M.D.
PSYCHIATRY
John S. Marino, M.D.
Reza Naghavi, M.D.
Seymor H. Block, D.O.
Jonathan Marsh, M.D.
Alice S. O'Shaughnessy, M.D.
Co-Director
Brian T. McNelis, M.D.
Kathleen M. Restivo, M.D.
Anju Ohri, M.D.
Howard Sacher, D.O.
Marvin P. Frogel, M.D.
Frank A. Tomao, M.D.
Barry Schuval, D.O.
Co-Director
George A. Zervos, M.D.
Leon E. Schwechter, D.O.
Peter Weil, M.D. Jeffrey M. Wolf, M.D.
Adam R. Chester, D.O.
Susan Sharma, D.O.
Allison Hinds, M.D.
Rashmae Chardavoyne, M.D. Charles C. Conte, M.D. Dwight C. DeRisi, M.D. Mark W. Dobriner, M.D. Robert Dring, M.D. Dominic A. Filardi, M.D. Dominick Gadaleta, M.D. Michael Gallo, M.D. Victor A. Gallo, M.D. Shawn M. Garber, M.D. Larry Gellman, M.D. Marc L. Greenwald, M.D. Michael Grieco, M.D. Douglas K. Held, M.D. Spencer Holover, M.D. Sanjay Jobanputra, M.D.
RHEUMATOLOGY
Alan S. Kadison, M.D.
William P. Given, M.D.
Paul Katz, M.D.
Director of Service
Lewis M. Kurtz, M.D.
Lenore Brancato, M.D.
Howard Nadjari, M.D.
Michael Hoffman, M.D.
Lynn O'Connor, M.D.
Anna Imperato, M.D.
Susan M. Palleschi, M.D.
Douglas J. Mund, M.D.
Patricia Pezzello, M.D.
Andrew J. Porges, M.D.
Angelo J. Procaccino, M.D.
Walter B. Schulman, M.D.
John L. Ricci, M.D.
Marjorie Van de Stouwe, M.D.
Eugene Rubach, M.D.
Howard S. Weiss, M.D.
Tereza Sardinha, M.D.
Michael Moseson, M.D.
Marc Sher, M.D. DEPARTMENT OF PATHOLOGY Richard J. Strauss, M.D. Ana Anagnostopoulos, M.D.
Owen T. Su, M.D.
Chairperson
James D. Sullivan, M.D. Laura A. Sznyter, M.D.
Peter Hoffmann, M.D. Tibor Zahajszky, M.D.
Jane Serio, M.D.
Mansoor H. Beg, M.D.
DEPARTMENT OF PEDIATRICS/ PEDIATRIC CARDIOLOGY Sean G. Levchuck, M.D. Chairman
St. Francis Hospital The Heart Center速 2010 Annual Report 37
Dimitra Theodoropoulos, M.D. John Wang, M.D. Raza Zaidi, M.D. DENTISTRY/ORAL SURGERY John A. Sheehan, D.M.D. Director of Service
Medical Staff Lawrence E. Becker, D.M.D.
Perry F. Garber, M.D.
PHYSICAL MEDICINE AND
Sanford Dubner, M.D.
Jed Pollack, M.D.
Jay William Bridbord, D.D.S
Demetrios Halikopoulos, D.O.
REHABILITATION
Marc Elkowitz, M.D.
Craig Sherman, M.D.
Ralph Cangiano, D.D.S
Oscar J. Kranz, M.D.
Randall S. Feingold, M.D.
Scott J. Sherman, M.D.
Richard Faber, D.D.S
Willy Ky, M.D.
Rebecca Fishman, D.O.
Candido Fuentes-Felix, M.D.
Lee D. Stein, M.D.
Scott Fauvell, D.D.S
Eunice Lee, M.D.
Pericles Hadjiyane, M.D.
Laurence T. Glickman, M.D.
Arlene Sussman, M.D.
Edwin Ginsberg, D.M.D.
Alan B. Marks, M.D.
Barry C. Root, M.D.
Burt Greenberg, M.D.
Anne F. Vinokur, M.D.
Laurie Gish, D.D.S
Barry S. Pinchoff, M.D.
Joseph Rothenberg, M.D.
Khawaja A. Hassan, M.D.
Sydney S. Yoon, M.D.
Leonard Hoffman, D.D.S
Kenneth J. Rosenthal, M.D.
Perry Stein, M.D.
Ron Israeli, M.D.
Alan Zakheim, M.D.
Robert B. Light, D.M.D.
Marc Sirota, M.D.
Jennifer Mendocha, D.D.S.
Burton S. Sultan, M.D.
Alex Meneshian, D.D.S.
Kathleen R. VanValkenburg, M.D. Mitchell Greenbaum, D.P.M.
Alex Keller, M.D.
Victor L. Nannini, D.D.S
PODIATRY Director of Service
Martin E. Kessler, M.D.
HONORARY MEDICAL STAFF
Matthew Kilgo, M.D.
Henry Abrams, M.D.
Peter Korn, M.D.
Filippo Balboni, M.D.
Lawrence Lin, M.D.
Harry Barbaris, M.D.*
Petros Panagos, D.D.S.
ORTHOPEDICS
Eugene P. Pezzollo, D.M.D.
Richard D'Agostino, M.D.
Jeffrey A. Fishman, D.P.M.
Frederick N. Lukash, M.D.
Lionel P. Barrau, M.D.
Lawrence A. Popkin, D.D.S
Director of Service
AnnaMaria Giordano, D.P.M.
Eric Mager, M.D.
H. Sinan Berkay, M.D.
Brian P. Lynn, D.P.M.
Peter R. Neumann, M.D.
Paul Damus, MD
Michael Pliskin, D.P.M.
Louis Riina, M.D.
Klaus Dittmar, M.D.
Mark I. Silberman, M.D.
Michael R. Dubin, M.D.
Scott A. Siegel, D.D.S., M.D. Stanley E. Asnis, M.D. GYNECOLOGY
Hargovind DeWal, M.D.
Linus Chuang, M.D.
Thomas J. Dowling, M.D.
UROLOGY
Roger L. Simpson, M.D.
Sidney Fenig, M.D.
Monique DeFour Jones, M.D.
Steven M. Erlanger, M.D.
Felix L. Badillo, M.D.
B. Donald Sklansky, M.D.
Stephen Fortunoff, M.D.
Alan Garely, M.D.
Michael J. Errico, M.D.
Director of Service
Antonio L. Uria, M.D.
Burton H. Goldberg, M.D.
Herbert Gretz, M.D.
William A. Facibene, M.D.
Humayun Waheed, M.D.
Gasper Gulotta, M.D.*
James Hess, D.O.
A Philip Fontanetta, M.D.
Craig Baldenhofer, M.D.
Diana Yoon-Schwartz, M.D.
Robert I. Hamby, M.D.
Hilma M. Yu, M.D.
Barry Katzman, M.D.
Keith Bloom, M.D.
Arthur Wise, M.D.
Edward Honig, M.D.
Samuel Kenan, M.D.
Mitchell I. Buchbinder, M.D.
NEUROSURGERY
Lewis B. Lane, M.D.
Johanna Figueroa, M.D.
RADIOLOGY
Jules Levine, M.D.
Richard Johnson, M.D
Thomas M. Mauri, M.D.
Lawrence A. Fish, M.D.
Kenneth J. Goodman, M.D.
Frank Losito, M.D.
Director of Service
Laurence Mermelstein, M.D.
Sarah K. Girardi, M.D.
Chairman
Frank Marici, M.D.
Edward Mills, M.D.
Gary D. Goldberg, M.D.
Jonathan Brisman, M.D.
John E. Morrison, M.D.
Eric M. Hochberg, M.D.
Kenneth Crystal, M.D.
Milton J. Reitman, M.D.
Michael H. Brisman, M.D.
Hamid R. Mostafavi, M.D.
Michael A. Levine, M.D.
Vice Chair
Riccardo Ricciardi, M.D..
Jeffrey A Brown, M.D.
Richard Obedian, M.D.
Charles E. Libby, M.D.
Stephen D. Burstein, M.D.
Steven J. Ravich, M.D.
Randy Makovsky, M.D.
Isamettin Aral, M.D.S
Joseph Sferrazza, M.D.
David J. Chalif, M.D.
Daniel S. Rich, M.D.
Sanford A. Meyersfield, M.D.
Patricia Barry, M.D.
Irvin Spira, M.D.
Benjamin Cohen, M.D.
Jeffrey Richmond, M.D.
Leonard J. Mondschein, M.D.
Carolyn Birnbaum, M.D.
Nathaniel Spier, M.D.
Donald Krieff, D.O.
Bruce A. Seideman, M.D.
Elliot M. Paul, M.D.
Jay L. Bosworth, M.D.
Alex Stone, M.D.
Michael Lefkowitz, M.D.
Nicholas A. Sgaglione, M.D.
Steven Robbins, M.D.
Bruce Campbell, M.D.
Norman Thomson, M.D.
Alan Mechanic, M.D.
Neofitos Stefanides, M.D.
Omid Rofeim, M.D.
Angela Capo-Granata, M.D.
William P. Wagner, M.D.*
Mark Mittler, M.D.
Peter D. Stein, M.D.
David Schnapp, M.D.
David W. Ebling, M.D.
Robert Waldbaum, M.D.
Alon Mogilner, M.D.
Joshua Steinvurzel, M.D.
Joseph Silletti, M.D.
Elisa Kadish, M.D.
Joseph R. Whelan, M.D.
Harrison Mu, M.D.
David V. Tuckman, M.D.
Michael M. Ziegelbaum, M.D.
Menachem Mandell, M.D.
B. George Wisoff, M.D.
John Pile-Spellman, M.D.
David Wolk, M.D.*
Ramin Rak, M.D. Brian Jeffrey Snyder, M.D.
OTOLARYNGOLOGY
PLASTIC SURGERY
William J. Sonstein, M.D.
Philip W. Perlman, M.D.
Joseph Feinberg, M.D.
Lee Tessler, M.D.
Director of Service
Director of Service
Elizabeth Trinidad, M.D. Artem Vaynman, M.D. OPHTHALMOLOGY
Tommaso Addona, M.D.
Karen A. Haunss-Sapinski, M.D.
David J. Antell, D.O.
Andrew A. Jacono, M.D. William Kennedy, M.D.
Director of Service
Kenneth F. Mattucci, M.D. Saul Modlin, M.D.
Ronald A. Balkin, M.D.
Michael Setzen, M.D.
Herman B. Berg, M.D.
Raymond L. Soletic, M.D.
Joseph A. Blanco, M.D.
Alexander Sorin, M.D.
Robert D. Broderick, M.D.
Josh Werber, M.D.
Peter D'Arienzo, M.D. Aimee L. Eichen, M.D. Martin Fletcher, M.D.
William J. Noble, M.D
Charles E. Rogers, M.D.*
*deceased
Gifts to St. Francis Hospital
St. Francis Hospital’s commitment to the highest quality cardiac care and medical services has been made possible Glenn A. Becker, M.D. by a tradition of generous private support. Your contribuCraig Baldenhofer, M.D. tion, for either general or specific purposes, helps us fulfill Ian Bourhill, M.D. our commitment to excellence. The Development staff at Arnold Breitbart, M.D. St. Francis Hospital is prepared to assist you in planning Bruce W. Brewer, M.D. gifts that provide substantial benefits to both you and the Kambiz Jacob Cohen-Kashi, M.D. Hospital. For further information on outright gifts, trusts, Robert A. Cooper, M.D. bequests, and other donations, please call: Thomas A. Davenport, M.D. Sherry J. Friedman Leland M. Deane, M.D. Gregory A. Devita, M.D. Vice President for Development and Public Affairs Barry K. Douglas, M.D. (516) 705-6653
Michael K. Ditkoff, M.D.
Leslie P. Goldberg, M.D.
Ali A. Kawi, M.D.
St. Francis Hospital The Heart CenterÂŽ 2010 Annual Report 38
Hooray for Hollywood, Challenge Gala 2010
Last year’s Gala was held at the RXR Plaza in Uniondale. The festivities helped support the Hospital’s Master Facilities Plan.
Save the Date: Roaring 20's Gala 2011, Saturday, November 19
St. Francis Hospital The Heart Center 速 100 Port Washington Boulevard Roslyn, New York 11576 Tel: (516) 562-6000 www.stfrancisheartcenter.com St. Francis Hospital The Heart Center速 2010 Annual Report 1