2011 Saint Francis Annual Report

St. Francis Hospital The Heart Center速 2011 Annual Report A Member of Catholic Health Services of Long Island

the culture of caring

Cover image:

family history Brooklyn matriarch, Evelyn Mattone, always remembered the outstanding care her husband, Vincent, received from cardiologist, John Venditto, M.D., and the staff at St. Francis Hospital. So when she began having symptoms herself in 2004, she came in to see Dr. Venditto, who diagnosed blockages in her coronary arteries. Soon after, she had successful triple bypass surgery. Today, at 82, she is still throwing holiday celebrations at her home in Williamsburg, Brooklyn, for her large extended family that includes 8 children, their spouses, 24 grandchildren, and six great-grandchildren. Given the family history, her son, Richard, one of three firefighters in the family (FDNY retired) is also now under the care of Dr. Venditto, as are two of his sisters, a brother, and several spouses. About Dr. Venditto, Richard says: “He is part of our family now. He is very caring and thorough and takes the time to listen to you.” With Dr. Venditto is a member of the expert Cath Lab team, Suzanne Sanidad, R.N.

contents 5

Catholic Health Services of Long Island:

diagnosis and treatment of heart disease while making the health care of

A Message from the President and CEO

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tomorrow better through research and education. The Hospital seeks to ®

St. Francis Hospital, The Heart Center A Message from the President and CEO

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Like Family

25 The St. Francis Research and Educational Corporation 30 The St. Francis Hospital Foundation 33 Volunteer Organizations: It’s All in the Family 34 Officers and Boards of Directors/Trustees 35 Hospital Statistics 36 Medical Staff

St. FrancisHospital strives to be a regional leader in the prevention,

provide an environment in which excellence in its totality is emphasized, incorporating 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 ability to pay. As a Catholic health facility, St. Francis Hospital embraces the tradition, values and charism of its founders, the Sisters of Franciscan Missionaries of Mary, emphasizing respect for the dignity of individuals and compassionate treatment for all.

St. Francis Hospital, The Heart Center 2011 Annual Report is published

by St. Francis Hospital, 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 © 2012. 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: Debra Tischler • Photographers: Steve Moors, Steve Moors Photography • Contributing Photographer: William Baker • Designer: Roger Gorman, Reiner Design

Frank (left) and Joseph Cormio (right) are avid baseball fans having grown-up playing the popular sport. But the two brothers’ athletic activities were temporarily put on hold when Frank suffered a stroke at age 14. He was diagnosed with two holes in his heart and his older brother was subsequently diagnosed with a similar congenital condition. That’s when Sean Levchuck, M.D., Chairman of Pediatric Cardiology and an avid sports fan himself, performed a lifesaving double play—repairing the holes in both boys’ hearts and getting a heartfelt thanks from their mother, Denise, who also underwent cardiac screening with her husband after the close call.

“I thought I was going to have a heart attack when I got the news about both of my sons, but now they are doing great,” says the grateful mom. “A day after Joseph had the procedure, he went to his high school prom.”

Catholic Health Services of Long Island:

a message from the executive chairman As we at CHS and St. Francis Hospital, The Heart Center® face a future fraught with change, challenge, and conflict, we prospectively can draw upon the events of 2011 to strengthen each of us at St. Francis and in the healthcare ministry of the Diocese of Rockville Centre.

Recall that last summer our island was threatened with a major catastrophe – Hurricane Irene – which could have yielded many casualties, deaths, and physical destruction. As it turned out, working together, the St. Francis family and her sister institutions stood together, reinforced each other, and in doing so provided a sanctuary for patients who needed to be evacuated from the South Shore.

Not only did St. Francis provide a place of safety, but also a place where necessary treatment continRichard J.J. Sullivan, Jr. Executive Chairman, CHS

ued without skipping a beat, underscoring the fact that even in the face of nature’s great power, Christ’s Healing Mission carries on.

Together, we succeeded where separately we may have failed. This will be no less true in the future. In microcosm, we see this principle at work daily at St. Francis. With their healing hands, our outstanding physicians, nurses, therapists, aides, volunteers – all part of the St. Francis Family – not only serve our patients and their families but serve each other as well. As the Holy Family serves as the ideal of domestic life, so does the family of St. Francis reflect the remarkable charism of its foundresses, the Sisters of the Franciscan Missionaries of Mary. All of us are devoted to serve the healthcare needs of the people of Long Island by providing a culture of caring. Our high standards of medicine, excellent outcomes, and reputation are directly related to the mutual support each physician, nurse, therapist, and other caregivers provide to each other and to our patients.

Walking through the halls of St. Francis, one feels that almost everyone is here because they wish to be here – a marker of the difference between “just a job” and having a calling. This special feeling, from which arises the feeling of “family” at the Hospital, is what makes it “The Heart Center” in both senses of the word “heart.”

Yes, there are trials ahead; changes in technology, reimbursement, allocation of services, competition, secularizing pressures, and most of all, the intention of our national government to circumscribe our providentially endowed religious freedom. But we have strengths yet to be properly focused that will be strong as steel when coalesced. We have the leadership of a resolute, Holy Shepherd, Bishop Murphy, supported by a culture of caring, exemplified by the family of St. Francis. Together, we shall face the future strengthened by Christ’s Healing Mission. This Ministry, our St. Francis family, will prevail, to continue our service to each other and all of Long Island, in accordance with Catholic ethics and with the highest standards of science and medicine.

St. Francis Hospital The Heart Center® 2011 Annual Report 5

St. Francis Hospital, The Heart Center®:

a message from the president and ceo What would you do if she was a member of your family?

Whenever physicians are asked that question, they are reminded of the heavy burden that rests on the shoulders of the healthcare decision-maker – mothers, fathers, sons and daughters – and the special trust they place in us. At St. Francis, our goal is to be worthy of that kind of trust, to treat patients as if they were members of our own family.

Every day we work hard to provide our patients with the best and safest possible medical care in a friendly, respectful, and compassionate setting, and remarkably, over time, a unique culture has grown and flourished here. A central feature is a concern for the individual that is expressed in an unusual degree of kindness and thoroughness. A friend of the Hospital describes it this way: “When you check into

Alan D. Guerci,M.D. President and CEO St. Francis Hospital

St. Francis, you don’t check your dignity at the door.”

Over the years, countless patients have expressed it in other ways. They point to the security guards who help them park, the volunteers behind the reception desks, the nurses on the patient floors, our physicians, and the staff who clean the rooms. They tell us about the staff’s willingness to take the extra step to help them or a family member. Most important, they tell us that the attentiveness to their medical care is second to none.

With this kind of dedication, the accolades St. Francis wins every year should come as no surprise, whether we are ranked one of America’s best hospitals by U.S. News & World Report or earning the prestigious Magnet designation for nursing excellence. St. Francis remains at or near the 99th percentile in overall patient satisfaction on our Press Ganey surveys, and on the Center for Medicare and Medicaid Services’ website, Hospital Compare, we were rated the number one hospital on Long Island for patient satisfaction.

To preserve our culture in the future, we will continue to set high standards and expectations, and to hold ourselves accountable for the results. We will continue to reward good work and to respond quickly and appropriately when improvement is necessary. As we navigate the challenges and opportunities in the changing world of healthcare, sticking to these principles will keep us strong.

Finally, I would like to acknowledge the original shaping force of our heritage and the founding Sisters of the Franciscan Missionaries of Mary, who still live and work among us. As they did in the beginning, they continue to bring us inspiration and a reminder of purpose. Ultimately, they deserve credit for establishing and helping to maintain our distinctive culture.

I am deeply grateful to the Sisters and to our physicians, nurses, staff, volunteers, and benefactors for all of the good work that we have done over the past year. I want to specially thank our Board of Trustees and their Chair, Peter Quick, for their leadership and support. I would also like to thank Richard J.J. Sullivan, CHS Executive Chairman, for his stewardship of the CHS system, and I would like to welcome the new CHS President and CEO, Lawrence E. McManus. Finally, I would like to express my deepest gratitude to our Bishop, the Most Reverend William F. Murphy, for his wisdom and moral example, and his efforts to expand access to healthcare for all the people of Long Island.

St. Francis Hospital The Heart Center® 2011 Annual Report 6

After more than 50 years of marriage, Roland and Muriel Driscoll (center) consider themselves really close – so close they even shared the same two St. Francis physicians. Mr. Driscoll suffered a silent heart attack that went undetected until it was diagnosed by Richard Shlofmitz, M.D., Chairman of Cardiology. He subsequently underwent successful quadruple bypass surgery at St. Francis with Newell Robinson, M.D, Chairman of Cardiothoracic & Vascular Surgery (second from left). Four years later, Mrs. Driscoll was diagnosed with a coronary artery blockage by Dr. Shlofmitz (second from right) and she had a triple bypass with Dr. Robinson that was also a success.

Now their cardiac care is truly “all in the family.” The Driscoll’s daughter Deborah ( left), her husband Vincent Iorio (right), and their son Roland F. are all patients of Dr. Shlofmitz for preventative purposes.

“There are doctors and there are doctors and they are the best,” says Mrs. Driscoll.

“Not only did this team of physicians save both of my parents’ lives, they saved our whole family as well. For that, we will all be forever grateful,” says their daughter, who also happens to be a registered nurse.

n the pursuit of quality in the delivery of healthcare, St. Francis Hospital has traditionally been an outstanding per-

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former in patient outcomes, both in terms of success rates and procedure volumes. However, there is another dimension of excellence that may be less tangible but no less important. Richard Shlofmitz, M.D, the Chairman of Cardiology at St. Francis, put it this way, “We consider ourselves a family at St. Francis. It’s not unusual for us to treat husbands, wives, and even their children, and this is an extension of how much we care for them.” It is a statement that helps to define the St. Francis approach to patient care, its culture of caring.

In objective measures such as surveys of patient satisfaction and experience, St. Francis has been ranked at the top both regionally and nationally. In the federal government’s ranking of hospital quality indicators published on the Center for Medicare and Medicaid Services’ website, Hospital Compare, St. Francis was rated the number one hospital on Long Is-

land for patient satisfaction, and in the New York metro area, only one hospital had a higher score. Over the past year, the commitment to excellence on the part of our physicians, nurses, and staff have earned other notable accolades as well:

• For the fifth consecutive year, U.S. News & World Report named St. Francis one of America’s best hospitals. It was the only hospital on Long Island to be ranked in cardiology and heart surgery, and the only one to be ranked in three adult medical and surgical specialties. In addition to cardiology and heart surgery, the magazine honored St. Francis once again as a leader in geriatrics and neurology and neurosurgery.

• U.S. News & World Report also rated St. Francis high performing in eight additional specialties: cancer, ear-nosethroat, gastroenterology, gynecology, kidney disorders, pulmonology, urology, and orthopedics in its Metro Rankings.

It was also ranked the best hospital on Long Island.

• St. Francis has more top doctors for cardiac care on New York Magazine’s Best Doctors list than any other hospital on Long Island.

• St. Francis Hospital has earned the Magnet designation for excellence in nursing services, an honor awarded to only 6 percent of American hospitals. It is the second time in a row the Hospital has achieved this distinction.

• According to U.S. News & World Report, St. Francis also has the most physicians recommended for cardiac care on Long Island. Eighteen St. Francis cardiologists and heart surgeons were selected and three of them were rated among St. Francis Hospital The Heart Center® 2011 Annual Report 9

the top one percent in the nation.

• Consumer Reports rated St. Francis the safest hospital in the New York City metropolitan area.

• The DeMatteis Center for Cardiac Research and Education at St. Francis Hospital received the Summit Award from Press Ganey for outstanding patient satisfaction.

• The Hospital’s Outpatient Surgery and Emergency Departments were top-rated for overall satisfaction among large hospitals surveyed by HealthStream Research™, a leading patient satisfaction assessment company.

One of the Nation’s Most Experienced Cardiac Surgical Teams The home of St. Francis Hospital’s nationally recognized cardiac surgery program experienced a major renovation and expansion in 2011 that offered cardiac patients the “best of both worlds.” The Hospital unveiled one of the most advanced cardiac operating suites in the country – featuring six new state-of-the-art operating rooms with high-tech imaging systems that include a hybrid OR. The highly versatile hybrid room allows cardiac surgeons and interventional cardiologists to perform procedures alongside each other on the same patient. Coronary artery stenting, normally performed in the cardiac catheterization laboratory, can be performed in the hybrid OR as well as surgical procedures such a heart valve replacements. The allin-one approach can help save time and eliminate the need to transport patients from room to room. It also keeps patients from having to undergo anesthesia twice. The hybrid OR is also ideally suited for treating patients in national clinical trials such as the CoreValve aortic valve replacement trial.

“Our new hybrid OR is a significant step forward for our cardiothoracic and vascular surgery program,” says the Chairman, Newell Robinson, M.D. “We now have the most accurate imaging of the heart that advanced technology can provide during surgery, as well as the most flexibility in performing procedures. And ultimately this means better outcomes for our patients.”

In a report covering the years 2007-2009, St. Francis Hospital’s cardiac surgery program was recognized again by the New York State Department of Health (NYSDOH) for having the largest cardiac surgical caseload in New York State and three of its surgeons were recognized for their outstanding success rates. St. Francis has consistently had the largest cardiac surgical volume in New York State since at least 1992, when the Department of Health began collecting, analyzing and reporting cardiac surgical outcomes.

St. Francis Hospital The Heart Center® 2011 Annual Report 10

Lisa Rosenberg, M.D., (lower right) is very choosy when it comes to picking physicians, because she is one herself and so is her son. When Dr. Rosenberg’s mother Lillian (upper left) and her father Seymour (upper right) needed minimally invasive gastrointestinal surgery, she turned to Gary Gecelter, M.D, (center) Chairman of the Department of Surgery at St. Francis. Both procedures were a success and as a result, her parents were able to welcome the latest addition into the family, their great-granddaughter Lyla, the pride and joy of her mother, Naomi Bernstein (lower left).

“I feel very fortunate to have met Dr. Gecelter. It’s not often that you are able to find a surgeon that has saved the lives of both of your parents,” says Dr. Rosenberg. “Just weeks before Passover, both of my parents became great grandparents for the first time thanks to him!”

“A hearty Mazel Tov!” said Dr. Gecelter after getting the good news.

Roberto Colangelo, M.D., and James Taylor, M.D., Vice Chairman of Cardiothoracic Surgery and Director of Thoracic Aortic Surgery, were recognized for having risk-adjusted mortality rates significantly lower than the statewide average for valve, bypass, and valve/bypass surgery combined, and Harold Fernandez, M.D., Director of Heart Failure Surgery, was similarly recognized for isolated coronary artery bypass surgery.

Finally, in 2011 staff at St. Francis worked intensively with their counterparts at Good Samaritan Hospital Medical Center to bring the Hospital’s award-winning open-heart surgery program to residents of Suffolk County. The program is scheduled to launch this year.

Interventional Cardiology St. Francis Hospital continues to operate one of the busiest cardiac catheterization laboratories in the region. In 2011, its top-ranked interventional cardiologists treated more than 11,000 patients, performing nearly 8,000 catheterizations. Led by their Director, Thomas Pappas, M.D., the medical staff was recognized both nationally and locally as leading experts in angioplasty and stenting. Their proven track record and volume of safely-performed procedures once again resulted in excellent success rates.

In a report covering the years 2007-2009, the New York State Department of Health (NYSDOH) recognized St. Francis Hospital as having one of the highest volumes in the state for PCI procedures (coronary angioplasty with stent) and one of the lowest mortality rates. St. Francis was one of six hospitals in the state with risk-adjusted mortality rates significantly below the statewide average, and its cardiologists performed the largest caseload on Long Island.

“In the St. Francis Cath Lab we pride ourselves in providing world-class and highly sophisticated cardiovascular technology while simultaneously approaching each patient with individualized care and compassion,” says Dr. Pappas. “Our unique strength is our ability to provide the best services while treating each patient like family.”

In addition to being a bustling hub for patient care, the Cath Lab was the site of several nationwide studies that could revolutionize the treatment of heart disease. The CoreVave Pivotal Trial entered its second year with promising results for a revolutionary device that could help patients with aortic valve stenosis bypass open-heart surgery.

“I think the technology is absolutely amazing. Several years ago it would not have been in the realm of possibility,” says George Petrossian, M.D., Director of Interventional Cardiovascular Procedures and C0-Principal InSt. Francis Hospital The Heart Center® 2011 Annual Report 12

New Additions to the SFH Family

vestigator. “Half of the patients we have treated were deemed inoperable, so they have been so enthusiastic to receive the device and their families have been so supportive of us.”

Dr. Petrossian is also a lead investigator with Richard Shlofmitz, M.D., Chairman of Cardiology, in another major study that could dramatically change the way patients are treated for severe hypertension. The Symplicity HTN3 Clinical Study is focused on using a catheter-based treatment for patients who are taking three medications but still have uncontrolled high blood pressure. The minimally invasive device quiets the renal nerves response to the central nervous system, which can consequently reduce blood pressure significantly.

“Preliminary trials have shown this device to be effective, so we are excited to be part of what could be a major breakthrough for patients with chronic high blood pressure,” says Dr. Shlofmitz, who – along with Dr. Petrossian – was once again recognized as one of the top doctors in his specialty by U.S. News & World Report.

In what could be major breakthrough for patients with severely calcified coronary arteries, the Department is also taking part in the Orbit II clinical trial that is evaluating a roto-blade device designed to open blocked coronary arteries. The minimally invasive device could provide physicians with a new tool to clear the way for optimal stent placement in such patients.

“In addition to being on the frontline of treating patients with tried and true procedures, St. Francis is now at the forefront of examining new ones that could change the face of cardiac care in the future,” says Dr. Shlofmitz.

Arrhythmia and Pacemaker Center St. Francis Hospital’s nationally renowned Arrhythmia and Pacemaker Center continued its leadership in the treatment of cardiac rhythm disorders. In 2011, the Center offered patients the latest modalities for treating arrhythmias, such as state-of-the art defibrillators and pacemakers, as well as minimally invasive options such as catheter ablation, while continuing to sustain nearly perfect safety and success rates.

Led by Joseph M. Levine, M.D., Director of Electrophysiology, a pioneer of catheter ablation for arrhythmias such as Wolff-Parkinson-White Syndrome, supraventricular tachycardia, and atrial fibrillation/flutter, St. Francis had one of the highest volumes in the nation for performing the procedure with the best possible outcomes. In fact, St. Francis has set some of the protocols for treating the condition because of its ongoing success in using the procedure, which relies on radiofrequency catheters to re-circuit a patient’s heart.

St. Francis Hospital The Heart Center® 2011 Annual Report 13

When Charles Santore, an apparel industry executive who lives in Manhattan, developed a serious heart arrhythmia, he wanted a second opinion.

It is no surprise that he consulted David Hoch, M.D., an electrophysiologist at the St. Francis Hospital Arrhythmia and Pacemaker Center.

Fifteen years ago, Dr. Hoch treated his sister, an ER nurse at a local hospital, who was experiencing tachycardia (rapid heart rate) and lightheadedness that nearly caused her to pass out. Dr. Hoch diagnosed her as having Wolff-Parkinson-White Syndrome, a condition caused by an extra electrical pathway in the heart, and he cured her with a catheter-based procedure called a cardiac ablation.

Not long after his sister was treated, Dr. Hoch also diagnosed Charles’s mother with a potentially lethal cardiac arrhythmia and implanted an ICD (implantable cardioverter defibrillator), a device that senses dangerous arrhythmias and automatically shocks the heart back into normal rhythm.

So for Charles, it just seemed like “the right thing to do” to put himself in Dr. Hoch’s care. He doesn’t regret it. Dr. Hoch eventually implanted an ICD in 2006 and performed an ablation in 2011. “He changed my life,” says Charles, who is now symptom-free. He says that he admires Dr. Hoch because “he looks at his work not as a job but as a calling.” As for Dr. Hoch, he says “it is a privilege working for families like the Santores.”

Setting the Pace for Treating Irregular Heartbeats

According to Dr. Levine, although at times it takes additional effort to treat patients with the condition, the procedure is very effective in eliminating the significant symptoms associated with it. “The success rates at St. Francis are higher than those published in medical literature,” says the prominent expert, who estimates that the procedure has been performed on over 10,000 patients.

The medical team at the Center may soon be looking at the use of new energy forms to perform the procedure, as well as other leading edge techniques for treating arrhythmias. In addition to Dr. Levine, the Center’s outstanding physicians include Steven Greenberg, M.D., David Hoch, M.D., Vinni Jayam, M.D., Stuart Schecter, M.D., and William Shin, M.D.

Quality Imaging, Better Outcomes At St. Francis Hospital, diagnostic imaging is central to the Hospital’s ability to provide the best quality of cardiac and noncardiac patient care. It is the department’s breakthrough technological advances in radiology and expertise of our topnotch radiologists that consistently delivers excellent service.

Led by Kenneth Goodman, M.D., Chairman of Radiology, the Radiology Department performed 195 oncology positron emission tomography (PET)/Computerized Tomography (CT) procedures in 2011, compared to 152 in 2010. Last year, the department continued to offer patients the ability to receive a copy of their radiology report seven days after it is interpreted, allowing sufficient time for the referring physician to receive the report prior to the patient.

In 2011, the department continued its focus on reducing radiation dose to patients receiving CT scan procedures. This was accomplished by the installation of Adaptive Statistical Intuitive Reconstruction (ASIR) software in 2010. The ASIR technology has the ability to reduce patient dose by 40 percent, and when joined with the snap shot pulse software on the CT scanner, the radiation dose to the patient can be reduced up to 83 percent for patients undergoing cardiac computed tomography angiography (CCTA) procedures.

Along with this technology the department installed Dose Check software on the CT scanner in the Emergency Department. These features include a dose notification screen (which alerts the technologist in effect: “This seems like an unusual dose for this procedure”), and a dose alert screen (which alerts the technologist, in effect: “This seems like the wrong dose, do you want to proceed?”). In order for the technologist to proceed, they must indicate a reason and input a password which is tracked and reviewed for compliance.

Also last year, the department evaluated a ferrous detector that will be installed outside of the MRI suite. The state-ofSt. Francis Hospital The Heart Center® 2011 Annual Report 15

Top-Notch Facility

the-art detector enhances the current MRI safety program that has proved to be very successful at St. Francis. Going forward, the department plans to pursue a service line in molecular imaging, which will enable the visualization of cellular function. Earlier this year, St. Francis Hospital obtained a 32-channel MRI, the first of its kind on Long Island. Located at the DeMatteis Center, the new machine will provide radiologists and researchers with quicker and better quality images.

The Women’s Center of St. Francis Hospital continues to provide state-of- the-art imaging in a caring, comfortable and sensitive environment. Performing over 12,000 exams in 2011, the range of studies includes digital mammography with CAD (computer aided detection), ultrasound (breast and gynecologic), breast MRI, and bone density, as well as biopsies, including stereotactic, ultrasound guided and MRI guided procedures. The Center is designated as an ACR Center of Excellence, a designation bestowed on a limited number of facilities.

“What sets our center apart from other breast imaging facilities on Long Island is same-day results,” says Carolyn Birnbaum, M.D., the Director of Women’s Imaging Services. “This is huge. Patients leave knowing their results, with no lingering questions or uncertainty, affording great peace of mind and decreasing the level of anxiety.” Dr. Birnbaum says the Center’s commitment providing patients with compassionate, quality care includes community outreach with educational seminars, and investigation of new modalities for future incorporation into the practice, including tomosynthesis (3-D mammography).

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 expertise beyond the heart continued to receive national accolades in 2011, further enhancing the Hospital’s reputation as a leader in both cardiac and noncardiac care. Once again, its department of neurology and neurosurgery was ranked as one of the best in the nation by U.S. News & World Report.

Under the leadership of Gary Gecelter, M.D., Chairman of the Department of Surgery, St. Francis remained at the forefront of robotic and minimally invasive surgery. As one of the first hospitals on Long Island to introduce the daVinci robotic system for prostate, kidney and adrenal surgery, St. Francis made another major stride in robotic surgery–single incision access. The procedure is performed through a single small incision and is being evaluated for adrenal surgery and cholecystectomy, as well as radical prostatectomy.

St. Francis Hospital The Heart Center® 2011 Annual Report 16

The Congestive Heart Failure Program at St. Francis got a new director in 2011, Timothy J. Vittorio, M.D., (center) and a new name–The Center for Advanced Cardiac Therapeutics (CACT). Its medical team is dedicated to providing outpatient services for chronic heart failure patients in the hope of minimizing emergency hospital readmissions. They provide frequent monitoring, education, and support for patients, as well as conduct cardiopulmonary stress tests at the DeMatteis Center.

In some cases, the CACT program also teams up with CHSLI Home Care Services, utilizing Telemedicine, a system which allows patients to monitor and transmit their blood pressure and weights on a daily basis so signs of worsening heart failure can be identiďŹ ed and treated quickly.

The Experts in Orthopedic Surgery

“Robotics is a perfect platform to evaluate this technique, because it allows surgeons to switch mechanical hands from left to right with the press of a button, giving greater flexibility to operate from a single port,” says Felix Badillo, M.D., Director of Urology, who performs more radical robotic prostatectomies than any other surgeon on Long Island.

The Department of Surgery also continued to make inroads in treating heart patients who have been diagnosed with cancer after undergoing cardiac screening tests. “We offer comprehensive and compassionate cancer care in an environment focused on providing patients with easy access to all of the treatment options available to them,” says Dr. Gecelter, who has made it his mission to streamline the continuum of care for patients battling both conditions at the same time. He and his team of physicians hold biweekly conferences to discuss the best approaches for tumor treatment and multidisciplinary care to help patients navigate the complex process of cancer therapy in the 21st century.

With the appointment of George DeNoto III, M.D., as Director of General Surgery, noncardiac surgical volume increased significantly over the past year. Dr. DeNoto and his team of surgeons began offering new techniques to provide better results in hernia repair. The intra-operative approaches are aimed at minimizing complications while maximizing outcomes and reducing recurrence rates.

Led by Richard Johnson, M.D., the Department of Neurosurgery also experienced an increase in procedures on patients with neurological problems such as subdural hematomas who once would have been referred elsewhere.

With the addition of Nicholas Post, M.D., in 2011 and state-of- the-art navigational systems, Dr. Johnson anticipates more patients with brain tumors will receive their surgical care in house. In the world of spinal care, neurosurgeons at St. Francis continued to investigate minimally invasive procedures (such as percutaneous spinal screw placement) which tend to result in less pain, shorter hospital stays, and faster recovery rates.

There was also an increased focus on orthopedic surgery at St. Francis in 2011, as many of its leading specialists stepped into the spotlight. Under the guidance of Richard D’Agostino, M.D., Director of Orthopedic Surgery, the department was increasingly recognized for its expertise in joint replacement, especially for knee and hip replacement among baby boomers. It also appointed a new Chief of Joint Replacement, Bruce A. Seideman, M.D., a leading expert in complex hip and knee replacement surgery.

Under the leadership of Daniel Sajewski, M.D., Director of the Pain Management Center, St. Francis Hospital’s noncardiac physicians also continued to make inroads in pain management. Patrick Annello, M.D., a board certified anesSt. Francis Hospital The Heart Center® 2011 Annual Report 18

Extra Pain Relief

thesiologist, remained one of the region’s leading experts in a new way of treating spinal stenosis that gives patients with chronic pain an alternative to back surgery. The procedure known as MILD®, or minimally invasive lumbar decompression, uses a small image-guided probe to remove bits of bone and ligament to relieve pressure around the spinal cord. It takes about an hour and is done under local anesthetic, allowing patients to go home the very same day.

New Developments in Emergency Care St. Francis Hospital’s Emergency Department embarked on a major renovation in 2011, paving the way to becoming the first “green ER on Long Island.” At a time when the award-winning department faced increasing demand for its services, the Hospital developed a design that was both patient and environmentally friendly. The focus is to create a facility with an eye on comfort, care, and advanced lifesaving tools, while offering patients greater privacy. Upon completion in 2012, the Hospital hopes to obtain Silver LEED Certification – a step above the standard certification for green spaces.

LEED, which stands for the Leadership in Energy and Environmental Design, provides a Green Building Rating System™ that is a third-party certification program. It serves as a benchmark for facilities such as St. Francis that seek an opportunity to provide environmental stewardship by designing, constructing, and operating high performance green buildings.

The complete renovation will dramatically improve the interior of the Hospital’s emergency room, which saw a 2.43 percent increase in visitors in 2011. Providing an addition of more than 6,000 square feet, it will feature negative pressure private and semi-private rooms and electrically opaquing “privacy glass.” In addition, the new construction also will provide state-of-the-art treatment space. The LEED-certified plans also include using environmentally sustainable materials for walls and floors, expanding the Hospital’s recycling program, and implementing a series of energy conserving measures to reduce electrical demand.

“We look forward to when our new ED will be complete, so that the architecture and space are as good as our medical care,” says Mark Hoornstra, M.D., Chairman of Emergency Medicine.

Debris from all of the renovations will be recycled when possible and construction materials will be provided from local companies to reduce pollution associated with truck or rail transportation. Plans also include water-saving plumbing fixtures, an outdoor bike rack for employees who want to pedal instead of put their feet to the metal, and St. Francis Hospital The Heart Center® 2011 Annual Report 19

For Dorothy Radovich, R.N., a nurse in the Post Anesthesia Care Unit (PACU)-Phase Two at St. Francis, coming to work every day is a pleasure, especially when she is able to create lasting relationships like the one she has with the family of one of her former patients, Anthony DiMatteo.

Anthony passed away earlier this year after an extended stay in the Hospital, but Dorothy has managed to maintain a bond with his wife Phyllis (who still brings in cookies and treats for the staff), and his son Salvatore. “I really got to know the family while Anthony was here and they are so lovely,” says Dorothy. “I felt privileged to be involved in Anthony’s care and to build a rapport with his family.” Salvatore says Dorothy and the nurses in her unit gave his father nothing but quality, compassionate care. “They were like our immediate family—an extended family. My father didn’t like hospitals, but he said that by far, he didn’t mind coming to St. Francis because of the family atmosphere.”

an indoor shower to meet LEED requirements for staying green.

Leaders in Emergency Care

Nursing Excellence at St. Francis Last spring, St. Francis Hospital once again received one of the most prestigious honors a hospital and its nurses can achieve – the Magnet designation for excellence in nursing services. Following a rigorous review of nursing services that included clinical outcomes, patient and nurse satisfaction, and on-site interviews with a variety of stakeholders, the nursing department received the highly regarded, national recognition for the second consecutive time. In October 2010, U.S. News & World Report ranked St. Francis nurses in the top 10 percent of the 155 hospitals it rated the best in the nation that year.

“St. Francis is consistently ranked among the best for nursing care because our registered nurses are not only skilled clinicians, they are award winners, innovators, researchers, mentors, transformational leaders, community volunteers, and consummate professionals,” says Ann Cella, R.N., Senior Vice President of Patient Care Services and Chief Nursing Officer.

The nursing department achieved a number of other operational milestones in 2011, orchestrating the opening of the newly renovated and refurbished K-2 and FP-2 wings, and the safe transportation of patients to the units. The Nursing Education department utilized blended learning methodologies with on-demand programs through HealthStream’s learning management system and instituted the use of the Catholic Health Services Patient Safety Simulation Center.

The nursing department’s commitment to providing excellent patient experiences was recognized by HealthStream Research last year with the “Excellence through Insight Award” for overall inpatient and outpatient satisfaction in the large hospital category. In addition, 20 St. Francis nurses presented at national, regional, and local conferences in 2011 on various initiatives and performance improvement projects, such as “Pain Management in the Orthopedic Population,” “Rounding With a Purpose: Impact on Patient Care Outcomes,” and “Trends in Neurosurgery.”

Along with the Critical Care Service, the nursing department contributed to the Sepsis Initiative Taskforce last year, which, in collaboration with the medical staff, focused on the early identification and treatment of patients with symptoms of sepsis in the Emergency Department. The team developed a sepsis screening tool, Zynx Sepsis order sets, and posters that were displayed during Patient Safety Week.

“Every registered nurse at St. Francis is committed to providing our patients with caring, compassionate, quality patient care,” says Cella. “They embrace their critical role as a member of the healthcare team. The clinical nurses are committed to sustaining optimal patient outcomes while maintaining a culture of safety.”

St. Francis Hospital The Heart Center® 2011 Annual Report 21

Education and Community Outreach St. Francis Hospital’s Cardiac Fitness & Rehabilitation Center received more than 60,000 visits in 2011, making it one of the busiest facilities of its kind in our region. The nationally certified center based at the DeMatteis Center for Cardiac Research & Education in Greenvale, is the only hospital-based program of its kind on Long Island. In addition to Cardiac and Pulmonary Rehabilitation, the Center offers workshops in yoga, tai chi, and exercise for employees. In 2011, it developed a balance training workshop for patients who are at high risk of falls, resulting in 40 percent fewer falls for participants than the previous year.

In addition, as a member of the Catholic Health Services initiative, the St. Francis Hospital Diabetes Care Center achieved re-designation as an American Diabetes Association recognized program. The comprehensive educational program offers non-insulin and insulin dependent diabetics and their family’s insights into treatment, self management, and prevention of complications from the disease.

At a time when many people found themselves under or uninsured due to a tough economic climate, the St. Francis Outreach bus continued to make inroads. The state-of-the-art mobile clinic traveled to community centers from Suffolk County to Queens, providing cardiovascular risk screening and health counseling to more than 5,000 patients. Patients with serious underlying heart conditions were referred to the Hospital’s Cardiac Outreach Department, directed by Louise Spadaro, M.D., one of Long Island’s leading cardiologists.

The mobile clinic was one of several community health initiatives that highlighted the year. Through our Student Athlete Screening Program, more than 300 high school athletes were screened to determine if they were at cardiac risk while engaging in sports and other physical activities. And as part of the CHS Healthy Sundays initiative, the St. Francis team provided more than 700 screenings and/or flu shots to people in local parishes who otherwise might not have easy access to healthcare.

St. Francis Hospital’s ongoing mission to serve the underserved extended regionally as well as globally. The Hospital provided corrective cardiac care to children from around the world, including countries such as Russia, Haiti, and the Philippines. “It makes us feel good whenever we help others who can’t help themselves,” says Sue Palo, R.N., Director of Rehabilitation and Community Services. “That’s what being on the frontline of community health care is all about.”

St. Francis Hospital The Heart Center® 2011 Annual Report 22

Experts of Research Nathaniel Reichek, M.D, Director of Research, (left), and Jie Jane Cao, M.D., Clinical Director of Cardiac CT and MRI, (right), pictured with St. Francis Hospital’s upgraded MRI scanner, a 32-channel system, and the first of its kind on Long Island.

The St. Francis Hospital

research and educational corporation

A

t St. Francis Hospital, The Heart Center® research has played a pivotal role in the development of new cardiovascular diagnostic and treatment modalities. 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 leading-edge cardiac imaging methods, including magnetic resonance imaging (MRI), computed tomography (CT) and 3-D echocardiography. With Nathaniel Reichek, M.D., a renowned cardiac imaging expert, as its leader, and its experienced, world-class staff, the Research Institute is a premier center for improving cardiac care through research, education, and prevention.

In 2011, the first phase of testing for the Medtronic CoreValve U.S. Pivotal Trial, for transcatheter aortic valve implantation (TAVI), a device that may offer new hope for patients with symptomatic, severe aortic stenosis, was successfully completed with 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., Director of Interventional Cardiology Research, and Roberto Colangelo, M.D., as the main collaborators. The physicians evaluated the less invasive catheter-based method of replacing a narrowed aortic valve and implanted the device in patients who are at high risk, or are ineligible for open-heart surgery. The device can be inserted in patients in the cardiac catheterization lab or in the Hospital’s new hybrid OR. St. Francis will continue to recruit patients for the trial of this revolutionary alternative to open heart surgery for relief of aortic stenosis.

Results from St. Francis and other leading clinical trial sites in the U.S. will be compiled and evaluated by the FDA, and could lead to FDA approval of the CoreValve System in 2014.

Evaluating the Heart Last year, Dennis Mihalatos, M.D., Director of Echocardiography, began looking at ways to improve the assessment of narrowed, or stenotic, aortic valves with echocardiography. He has been comparing echocardiographic measurements used to calculate the amount of blood flow through the narrowed valve and CAT scans to improve the use of the echo measurements. Dr. Mihalatos been able to develop equations based on the CAT scan results that make the echo measurements. This has the potential to really improve routine clinical evaluation of aortic stenosis. “That’s quite important because it really determines how patients are treated,” explains Dr. Reichek. “It’s a way of improving imaging to improve the identification of patients in which the right treatment is either replacement or insertion of the TAVI, as opposed to those in which the problem is really not entirely due to a narrowed valve. The valve might be somewhat narrowed, but not enough to consider replacement.”

Andrew Van Tosh, M.D., Clinical Director of Nuclear Cardiology, and Aasha Gopal, M.D., Director of Advanced Echo Technology, have done research on the contribution of reduced coronary blood flow to “asynchrony” (lack of coordination of the heart’s pumping function) in patients with heart failure. In recent years, treatment with pacemakers for people with heart failure due to weak pumping function of the heart muscle has grown, based on the observation that the contraction in different parts of the heart can be out of sync in timing. These patients are often evaluated with echocardiography to identify those at risk. Dr. Van Tosh and his collaborators have developed methods for measuring the blood flow in the heart muscle with positron emission tomography (PET) scans. He teamed up with Dr. Gopal to look at patients with weak pumping function and was able to show that in those with asynchrony there is impairment not of the blood supply during stress but not St. Francis Hospital The Heart Center® 2011 Annual Report 25

at rest. “That’s actually a new observation,” says Dr. Reichek. “The idea that there is a contribution of blood supply problems under stress to asynchrony is quite novel.” Dr. Van Tosh and his collaborators have also come up with a simpler approach for detection of asynchrony on nuclear scans. by timing the motion of the very tips of the right and left heart chambers. Existing tests for asynchrony are much more complicated and time consuming.

Eddy Barasch, M.D., Co-Director of Echocardiography, is continuing his research on the role of collagen deposits in heart muscle in the development of heart failure, publishing a study in Circulation: Heart Failure, a leading journal of the American Heart Association showing that detection of collagen fragments in the blood, due to collagen turnover in the heart, was a marker for risk of developing heart failure. In 2012, Dr. Barasch will begin to look at collagen deposits in the heart in patients with aortic stenosis, collaborating with Dr. Reichek, cardiac surgeons James Taylor, M.D., Vice Chair of CT Surgery and Director of Thoracic Aortic Surgery, and Harold Fernandez, M.D., Director of Heart Failure Surgery, and MRI physicist, James Goldfarb, Ph.D., to test new ways of detecting collagen deposition in heart muscle.

Dr. Barasch also continued to examine why some elderly people do not develop calcification of the aortic valve, which usually affects seniors and is regarded as part of the aging process. Typically, even without risk factors, some calcium is present in the elderly, and sometimes leads to the narrowing of the valves. He evaluated a group of 200 people between the ages of 90 and 103 years-old who had no calcium deposits in their aortic valves to look at their characteristics and to find out if their lack of calcification is due to genetics or their lifestyle. Dr. Barasch found that 20 percent of the subjects had no calcium deposits, and that patients with no calcium in the valve were less likely to develop heart failure and less likely to die as compared to patients who have some calcium deposits but no valve malfunction. The mortality rate over an average of 26 months in those with aortic valve calcium was 77 percent, but only 23 percent in those who had no aortic valve calcium. “In addition to the direct risk of potentially developing a narrowed valve, somehow these calcium deposits were also a marker for other kinds of cardiovascular risk,” says Dr. Reichek.

Innovative Upgrade St. Francis Hospital recently upgraded the DeMatteis Center MRI scanner to a 32-channel system, the first of its kind on Long Island. The upgrade will provide researchers like Jie Jane Cao, M.D., Clinical Director of Cardiac CT and MRI, with much faster and sharper cardiac images. Dr. Cao, along with Sabrina Sawhney, M.D., a trainee in the research department, recently conducted a study of the ability of cardiac MRI to detect leaking valves, as compared to echocardiography.

Echocardiography is the mainstay of evaluating leaky valves and has been for many years, but they found that MRI is superior at measuring the severity of valve leaks. Use of MRI for this purpose can improve the overall evaluation of patients with leaky valves and support decisions about the need for surgery.

Last year, Dr. Cao also looked at the blood flow of the lungs with MRI and how the blood flow in the lungs is affected by heart disease. She has submitted a paper to Circulation Imaging, one of the top journals in the field. The paper shows how the distribution of blood flow in the lungs is altered in patients who have stiffer muscle in the walls of the heart. Because the heart is stiffer, a higher pressure is needed to fill it with blood. “It’s like blowing up a balloon,” says Dr. Reichek. “If you had a balloon that was stiffer you would have to blow harder into to get it to fill. The same thing can happen with the heart.

But when that pressure goes up that pressure is reflected back into the lungs through the veins that drain from the lungs to the heart and the result is that the distribution of the blood flow into the lungs is affected.” Dr. Cao has developed a noninvasive method for looking at the distribution of lung blood flow using MRI and plans to use it to determine the contribution of altered blood flow patterns to abnormalities in heart and lung function and the symptoms that may result.

St. Francis Hospital The Heart Center® 2011 Annual Report 26

Dr. Reichek has been working on better ways to look at the ability of the coronary arteries to adapt to the needs of the heart.

The blood flow in the heart muscle goes up and down according to the demand for oxygen and energy in heart muscle. This is regulated by events that stimulate the lining of the blood vessels of the heart to release the molecule nitric oxide, which dilates the large and microscopic arteries. “Nitric oxide stimulates the muscle in the walls of the arteries and microscopic arterioles to relax. When the muscle relaxes, the arteries and microscopic blood vessels dilate and the blood flow to the heart muscle goes up. This is what happens when you exercise, or under conditions of stress of various kinds,” explains Dr. Reichek. “But it turns out that people can have an impairment of this ability of the arteries to dilate due to some of the same risk factors that lead to deposits of plaque and development of narrowing in the arteries. This can occur before there is any detectable plaque or narrowing.” According to Dr. Reichek, having high cholesterol or high blood pressure can cause this even if the arteries look perfectly normal. So finding a better way to monitor the function of the coronary arteries in the very early stages of disease is something that researchers and physicians have been trying to do for a long time.

Dr. Reichek and his colleagues have developed several techniques using MRI to look at both changes in the size of the arteries and changes in blood flow through the arteries into the heart muscle using the “cold pressor” test instead of exercise or stress tests. “If you dunk someone’s hand in ice water their blood pressure and pulse rate go up. But the arteries in the heart dilate in response to this in normal people, stimulated by nitric oxide release by the artery linings and this increases the blood flow to the heart muscle. The increase in blood flow is beneficial because the heart does more mechanical work when the heart rate and blood pressure go up.” Dr. Reichek also plans to look at the effects of diabetes on blood flow in the heart with this approach and whether there are symptoms related to abnormal blood flow that can be detected more readily using the cold pressor test.

Richard Shlofmitz, M.D., Chairman of Cardiology, has recently completed two important studies on medications to prevent blood clots in patients receiving coronary stents. In the first, the Plavix, Prasugrel, and Drug Eluting Stents (PPD) Study, he compared effects of two drugs used to block blood platelets from starting the blood clotting process on stents. He also showed that a blood test done in the catheterization laboratory to measure effectiveness of each drug could provide protection against clotting in 100 percent of patients and reduce costs. He presented these results at several recent cardiology meetings and a manuscript is in preparation for submission to an interventional cardiology journal. In addition, Dr. Shlofmitz has recently completed studies comparing the effectiveness in over 12,000 patients of intravenous drugs used during the stenting procedure and shown that a newer, more expensive drug is no more effective than a much older, cheaper drug in protecting patients, contrary to beliefs in the field. These results will be submitted to a major cardiology meeting shortly.

Publications and Presentations In 2011, St. Francis researchers presented over 44 original research papers at meetings of organizations such as the International Society of Magnetic Resonance Imaging, Society for Cardiovascular and Magnetic Resonance, American College of Cardiology, American Heart Association, Society of Cardiovascular Computed Tomography, American Society of Echocardiography, Euro Echo, a number of which were published as full-length articles in major journals such as Circulation, Journal of Magnetic Resonance Imaging, Circulation: Cardiovascular Imaging, Cardiology, Journal of American College of Cardiology, andCirculation: Heart Failure.Last year there were a total of 30 clinical trials under way at St. Francis, including imaging research projects. In 2011, 11 clinical trials were initiated and actively enrolling patients. An additional eight clinical trials are slated to undergo Institutional Review Board (IRB) submission and begin enrollment within the second quarter of 2012. 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® 2011 Annual Report 29

The St. Francis

hospital foundation

W

e have a growing family of benefactors within the St. Francis Hospital community who are transforming their gratitude for the hospital into a better future for others.

In 2011, hundreds of these donors made history by helping St. Francis complete its largest capital campaign – raising a total of $70.3 million and exceeding the original goal by $30 million.

This outpouring of generosity generated significant funding for both phases of the hospital’s Master Facilities Plan. As a result, St. Francis Hospital has strengthened its position as a national leader in cardiac care while expanding several other surgical specialties, including orthopedics and neurology.

For grateful patients and their families, giving back in this way makes sense. In their time of need, they turned to St. Francis Hospital and found expert physicians and nurses who cared for them like family. And now, by making a gift to St. Francis Hospital, they are helping to ensure that the most advanced and compassionate care will always be available to those who need it.

“You were all motivated by something especially meaningful – an opportunity to transform healthcare on Long Island – and it will pay dividends well into the future,” said Chairman of the Board Peter Quick, as he and fellow Campaign Co-Chair and Trustee Christopher Pascucci announced the successful conclusion of the campaign at the hospital’s annual gala in November.

The celebratory event honored St. Francis benefactors Debra and Claudio Del Vecchio of Brooks Brothers and was chaired by Jerry Della Femina of Della Femina Advertising. A common bond of people helping people also brought together 450 members of the community at the St. Francis Hospital Golf Classic in June, which was chaired

by Bob Alexander of CB Richard Ellis.

An increasing number of donors have chosen to create legacy gifts, which allow them to provide for St. Francis Hospital through charitable bequests and trusts. In 2011, realized bequests totaled $1.3 million. Life income gifts such as charitable gift annuities have also brought an influx of new funds to the hospital while providing lifetime income to the donor.

With each generous gift, our donors are leaving a lasting imprint at St. Francis Hospital and, most importantly, on the lives of the patients we treat.

St. Francis Hospital The Heart Center® 2011 Annual Report 30

from vision to reality Since 2004 hundreds of generous donors have become involved with the Capital Campaign for St. Francis Hospital to create a world-class center for care. The tremendous response providing funding for: • The Nancy and Frederick DeMatteis Pavilion, site of two new medical-surgical units and an intensive care unit.

• Long Island’s first high-definition operating rooms, with 14 new suites in the DeMatteis Pavilion and six in the Heart Center. Minimally invasive technology and hybrid functionality support the hospital’s high surgical caseload and provide the latest options in care for patients.

• An expanded cardiac catheterization lab, with seven suites and a new staging and recovery unit.

• Major renovations to the Emergency Department, including patient rooms with solid walls and privacy glass, a dedicated imaging suite, an urgent care unit and an expanded reception area.

• The new non-invasive imaging center, featuring the area’s first Cardiac PET/CT scanner.

• Private and semi-private rooms as part of the renovation of patient units in the Heart Center.

• Expanded visitor and staff parking, with direct and covered access to patient registration.

• Gardens and areas for reflection across the hospital campus.

St. Francis Hospital The Heart Center® 2011 Annual Report 31

The couple that volunteers together, stays together. Just ask Bill and Ann Champouillon, who have been married for 60 years and have been donating their time at St. Francis for nearly a decade. Bill began volunteering first, after undergoing heart surgery at the Hospital, and Ann followed in his footsteps shortly after. Both work closely with the Brave Hearts (a volunteer organization at St. Francis that supports heart surgery patients), with Bill handing out certificates to patients and Ann doing clerical work for the group. “Volunteering here is my payback,” says Bill. “This is a fantastic hospital and they saved my life.” Ann couldn’t agree more. “If it wasn’t for St. Francis, I wouldn’t have a husband.”

Volunteer Organizations

it’s all in the family

W

hether they are in the surgical waiting area, answering phones at the information desk, or delivering a newspaper to a patient, the volunteers at St. Francis are definitely one of the main reasons for the family-like atmosphere within the corridors of the hospital. It is their sunny smiles, friendly waves, and upbeat attitudes that have become a comforting staple for our patients and their families.

In 2011, 430 men and women, from 14 to 95 years-old, donated 73,038 hours of their precious time to St. Francis. The monetary value of their collective service is nearly $1.9 million based on figures compiled by the U.S. Bureau of Labor Statistics.

Seven days a week, the volunteers contribute their services to the Emergency Department, Day-Op, Pastoral Care, Patient Relations, Emergency Department, Admitting, patient transport, dietary, and the Hospital’s Endoscopy Unit. They also staff the gift shop, the surgical waiting areas at St. Francis and DeMatteis Center, and the cardiac rehabilitation center at DeMatteis, as well.

Arlene Miller is the Hospital’s oldest volunteer at 95 years-old and has donated over 32,000 hours of her time, while Edna Pascal has been a volunteer at St. Francis Hospital for 50 years. Their unwavering loyalty to St. Francis speaks volumes and they continue to be irreplaceable assets to the Hospital.

Because of the warm, familial environment at St. Francis, it’s no wonder that many spouses of current and past volunteers are working at the Hospital together. “We have about 13 couples who are volunteering together now,” says Barry Baretela, Director of Volunteers. “Sometimes the husbands have had surgery here and they become volunteers and then their wives come aboard. Or it’s the wives who volunteer here and tell their husbands that they need to donate their time here.”

Baretela says that many grandchildren are following in their grandparents footsteps and volunteering at the Hospital as well. Last year he had 152 volunteers under the age of 20 helping out at the Hospital.

“I always hear the volunteers say how friendly and nice everyone is at St. Francis and how they feel safe and comfortable working here,” says Baretela. “Our volunteers absolutely love working here and their dedication is unsurpassed. Just the fact that they come in during bad weather shows how devoted they are to the volunteer department and to St. Francis.”

The department continues to grow 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 2011, the Guild hosted a number of notable fundraising events, including their popular Annual Spring Luncheon at Crest Hollow Country Club in May, as well as a Woman of the Year Luncheon, honoring Irene Denihan at Carltun on the Park in October. Their dedicated efforts, together with proceeds from The St. Francis Hospital Gift Shop resulted in $163,000 of donations, bringing them one step closer to fulfilling their $1 million pledge to the Hospital’s Master Facilities Plan.

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 lifesaving 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 2011, the Brave Hearts made a new commitment of $125,000 in support of the Hospital’s capital campaign.

St. Francis Hospital The Heart Center® 2011 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. Paul Walsh, D.D. Sister Ann Gray, D.W. Msgr. Robert Morrissey Most Rev. John C. Dunne, D.D. Sister Lois Ann Pereira, FMM Sr. Dolores Wisniewski, CIJ

Catholic Health Services Board of Directors Most Rev. William F. Murphy Presiding Member, CHS Corporate Members

Richard J.J. Sullivan, Jr., Chair Larry McManus, ex-officio i Barbara Ellen Black Sister Elaine Callahan, OP, Vice Chair Thomas E. Christman, Treasurer Thomas Dowling, Jr., M.D. Sister Audrey Harsen Sister Margaret John Kelly, DC Msgr. Robert Morrissey Eugene Murphy, Secretary Patricia Nazemetz Joseph Tantillo Rev. James Vlaun Jack Wagner

St. Francis Hospital Board of Trustees Richard J.J. Sullivan, Jr. Chair, Board of Directors, CHS

Peter Quick Chair

Peter Quick, Chair Daniel J. Denihan, Vice Chair Alan D. Guerci, M.D., President and CEO Rev. Msgr. Francis J. Caldwell Anthony Celifarco, M.D. *** Kevin J. Conway James D’Addario Peter D’Angelo Thomas J. Fanning Joseph A. Grimaldi Brian P. Hehir Sr. Betty Keegan, F.M.M. C. Justin McCarthy Herbert J. McCooey, Jr. Stephen F. McLoughlin Eugene F. Murphy Carole E. O’Sullivan* Kevin O’Sullivan** Christopher S. Pascucci Robert P. Quinn Susan Powers Schott Rabbi Barry Dov Schwartz, Ph.D. Matthew D. Serra Eugene P. Souther, Esq. Sr. Dolores Wisniewski, C.I.J.

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 Anthony Celifarco, M.D.*** Kevin J. Conway James D’Addario Peter D’Angelo Thomas J. Fanning Joseph A. Grimaldi Brian P. Hehir Sr. Betty Keegan, F.M.M. C. Justin McCarthy Herbert J. McCooey, Jr. Stephen F. McLoughlin Eugene F. Murphy John J. O’Brien Carole E. O’Sullivan* Kevin O’Sullivan** Christopher S. Pascucci Robert P. Quinn Susan Powers Schott Rabbi Barry Dov Schwartz, Ph.D. Matthew D. Serra Eugene P. Souther, Esq. Sr. Dolores Wisniewski, C.I.J. *Honorary Member **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 Patricia E. Daye Vice President, Ambulatory Services Sherry J. Friedman Vice President for Development and Public Affairs Patricia J. Hajnosz, Esq. Vice President, Legal Affairs George Huryn Vice President, Facilities Jack Soterakis, M.D. Senior Vice President, Medical Affairs and Medical Director

St. Francis Hospital The Heart Center® 2011 Annual Report 34

Hospital Statistics 2011

2010

2009

2008

2007

2006

1,477 4,616 11,005 4,696 3,263 3,046 14,008 60,523 3,391 908 801 2,222

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

306 18,003 108,916 6.1 92% 22,204

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

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

19,2422 4,384 8,765 2,222 2,496,715 48,516 88,767 2,253,854 302,291 23,196 2,089 499 430 73,038

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 1,863 455 450 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

Year Ended December 31 (In Thousands/Audited) Patient Service Revenue Less: Charity Care (**) Net Patient Service Revenue Other Operating Revenue Total Operating Revenue

484,063 10,850 473,213 17,696 $490,909

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

214,297 227,704 6,762 24,599 473,362 $17,547

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

HEART CENTER Open-Heart Surgery Other Cardiothoracic Surgery Cardiac Catheterization Patients Inpatient Catheterizations Outpatient Catheterizations Cornonary Angioplasty Non-Invasive 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 2011 Inpatient Services Outpatient Services Other Operating Revenue

74% 22% 4%

CONSUMPTION OF RESOURCES 2011 Purchase of Plant Assets: 6% Interest and Depreciation: 7% Supplies and Services: 29% Salaries and Employee Benefits: 58% St. Francis Hospital The Heart Center速 2011 Annual Report 35

Medical Staff Compiled May 2012 DEPARTMENT OF

THORACIC SURGERY

George A. Petrossian, M.D.

Robert Glaser, M.D.

Alfred B. Randall, M.D.

ANESTHESIOLOGY

Lawrence Durban, M.D.

Director, Interventional

HC Glick, M.D.

Scott J. Ratner, M.D.

Robert A. Kates, M.D.

Director, Thoracic Surgery

Cardiovascular Procedures

Douglas A. Goldberg, M.D.

Asif Rehman, M.D.

Chairman

Laurence Spier, M.D.

Joel Goldberg, M.D.

David Reich, M.D.

Cardiac Surgical Assistants

Andrew D. Berke, M.D.

Andrew M. Goldfarb, M.D.

Xiao Li Ren, M.D.

Michael I. Cohen, M.D.

Georges J. Abou-Eid, M.D.

Director of Interventional

George J. Goldman, M.D.

Gerald S. Roberts, M.D.

Vice Chair

Shafie Arif, M.D.

Cardiology Research

David Goldstein, D.O.

Edward Rutkovsky, M.D.

Henry E. Gomez, M.D.

Michael L. Sacher, D.O.

Leslie Lidonnici, M.D. Zaid Ahmad, M.D.

Soterios C. Philippou, M.D.

Nathaniel Reichek, M.D.

Aasha S. Gopal, M.D.

Gonzalo M. Saravi, M.D.

John R. Alfarone, M.D.

Kaiduan Pi, M.D.

Director of Research and Director,

Steven M. Greenberg, M.D.

Ibrahim Saraya, M.D.

Kavitha Bareddy, M.D.

Ramesh C. Raichoudhury, M.D.

Noninvasive Cardiology

Andrew M. Grunwald, M.D.

Leonard Saulle, M.D.

Alan D. Guerci, M.D.

Stuart O. Schecter, M.D.

Jeffrey E. Baumel, M.D. Ching H. Chan, M.D.

VASCULAR SURGERY

Timothy Vittono, M.D.

Ronald J. Gulotta, M.D.

Carl S. Schreiber, M.D.

Christopher Choi, M.D.

Richard Matano, M.D.

Director of Service, Center for

Stephen J. Gulotta, M.D.

Richard Schwartz, D.O.

Wayne T. Cohen, M.D.

Director of Service

Advanced Cardiac Theraputics

Martin H. Handler, M.D.

Evan H. Schwarzwald, M.D.

David Hersh, M.D.

Jorge E. Secchi, M.D.

David J. Elkin, M.D. Adam Graziani, M.D.

Renato B. Berroya, M.D.

Michael Aaron, M.D.

Ronnie Hershman, M.D.

Steven W. Seiden, M.D.

Barry Ginsberg, M.D.

Saqib Chaudhry, M.D.

Meyer Abittan, M.D.

David A. Hess, M.D.

Justin Shaber, M.D.

Jan Henriksson, M.D.

Patrick DePippo, M.D.

Olakunle O. Akinboboye, M.D.

Thinn Hlaing, M.D.

William Shin, M.D.

Bryan Kahan, M.D.

William Doscher, M.D.

James R. Albanese, M.D.

David H. Hoch, M.D.

Edward Skwiersky, M.D.

John P. Kelly, D.O.

Larry Frankini, M.D.

Larry Altschul, M.D.

Richard Horowitz, M.D.

Louise A. Spadaro, M.D.

Uday M. Kumbar, M.D.

Peter Patetsios, M.D.

Hemanth Badhey, M.D.

Jiong Ming Hu, M.D.

Jeffrey Spivak, M.D.

Audrey Leverich, M.D.

William A. Purtill, M.D.

Eddy Barasch, M.D.

Hitender Jain, M.D.

Neil H. Stein, M.D.

Valerie Makarick, M.D.

Omid Rahmani, M.D.

Jeffrey M. Bernstein, M.D.

Vinod K. Jayam, M.D.

Eric Steinberg, D.O.

Fritzline Montalmant, M.D.

Toufic Safa, M.D.

Greg Blair, M.D.

Sanjiv Jhaveri, M.D.

Mark J. Stern, M.D.

Gene A. Musto, M.D.

Robert B. Swersky, M.D.

William L. Blau, M.D.

Thomas Joseph, D.O.

William Shin, M.D.

Michele Novak, M.D.

John G. Yuan, M.D.

Lauren Boglioli, M.D.

Madhavi Kadiyala, M.D.

William Tenet, M.D.

Elias Bonaros, M.D.

Alan Katz, M.D.

Emmanuel F. Troulakis, M.D.

Lisa Phillips, M.D. Alan Resnick, M.D.

DEPARTMENT OF

Kaupin J. Brahmbhatt, M.D.

Roger Kersten, D.O.

Theofanis Tsiamtsiouris, M.D.

Steven B. Schulman, M.D.

EMERGENCY MEDICINE

Jie Jane Cao, M.D.

Mark Kessler, M.D.

Manish B. Undavia, M.D.

Eugene W. Segall, M.D.

Mark P. Hoornstra, M.D.

Goolam Carim, M.D.

Back Kim, M.D.

Eric Uyguanco, M.D.

Andrew Suh, M.D.

Chairman

Timothy Chen, M.D.

Marc Kirschner, M.D.

Andrew Van Tosh, M.D.

Alan B. Cohen, M.D.

Morey Klein, M.D.

John A. Venditto, M.D.

Barton E. Cohen, M.D.

Steven M. Kobren, M.D.

Vasundhara Vidyarthi, M.D.

Kenneth H. Cohen, M.D.

Jerome H. Koss, M.D.

Qamar M. Zaman, M.D.

Adam Church, M.D.

Stephan Cokinos, M.D.

Stuart Landau, M.D.

Jerome B. Zisfein, M.D

Jason Idelson, D.O.

Arnold Conrad, M.D.

Paul Lee, M.D.

Christopher Maurischat, M.D.

Maureen Corry, M.D.

Daniel E. Levy, M.D.

DEPARTMENT OF MEDICINE

James Milano, M.D.

Stephen H. Covey, M.D.

Jay Lisker, M.D.

Marvin J. Tenenbaum, M.D.

Robert Miller, D.O.

Marvin Cramer, M.D.

Andrew E. Lituchy, M.D.

Chairman

Trusha Shah, M.D.

Russell W. Raskin, M.D.

Ronald D. D'Agostino, D.O.

Antonio P. Madrid, M.D.

Steven Yap, M.D.

Michael Tang, M.D.

Edward T. Davison, M.D.

Scott W. Mandel, M.D.

ALLERGY/IMMUNOLOGY

Bruce M. Decter, M.D.

Michael M. Mannino, M.D.

David Weinstein, M.D.

DEPARTMENT OF

Emilio Del Priore, M.D.

Michael Masciello, M.D.

Director of Service

CARDIOLOGY

Donna P. Denier, M.D.

Janice McCormack, M.D.

Richard A. Shlofmitz, M.D.

Ezra Deutsch, M.D.

Stephen A. Mezzafonte, M.D.

Chairman

Nimish S. Dharia, M.D.

Dennis G. Mihalatos, M.D.

Robert J. Dresdale, M.D.

Joseph Minadeo, M.D.

BISHOP MCHUGH HEALTH CENTER

Jay J. Dubowsky, M.D.

Bernard B. Monteleone, M.D.

Patricia Tassinari, M.D.

Fred Fefer, M.D.

Anthony J. Moschetto, D.O.

Director of Service

Mohammed Muneeruddin, M.D.

Barry Tabakin, M.D. Philip H. Weinberg, M.D. Jason B. Wells, M.D PAIN MANAGEMENT Daniel Sajewski, M.D. Patrick Annello, M.D. Co-Directors of Service

DEPARTMENT OF CARDIOTHORACIC AND VASCULAR SURGERY Newell Robinson, M.D. Chairman

Scott R. Strumpfler, M.D. Vice Chair

Alan Goldman, M.D. Vice Chair

James Taylor, M.D.

Lisa Buglino, D.O.

Vice Chair, CT Surgery

Ari M. Ezratty, M.D.

Randy J. Feld, M.D.

and Director of Thoracic

Director, Clinical Research

Perry A. Frankel, M.D.

Joseph Musso, M.D.

Israel Freeman, M.D.

Sriram Naidu, M.D.

Evan S. Sorett, M.D. Director of Service

Aortic Surgery Harold Fernandez, M.D. Director, Heart Failure Surgery Neil R. Bercow, M.D.

Joseph H. Levine, M.D.

Aaron Freilich, M.D.

Thomas A. Nicosia, M.D.

Director, Electrophysiology

Gary H. Friedman, M.D.

Stuart Okin, M.D.

Gary R. Friedman, M.D.

Nicole Orr, M.D.

Patrick J. Monteleone, M.D.

Anthony Gambino, M.D.

Edward H. Oruci, M.D.

Director, Medical Education

Anthony Garafalo, M.D.

Felix I. Oviasu, M.D.

Philip M. Gelber, M.D.

Adina Pascaru, M.D.

Aaron J. Gindea, M.D.

Raj R. Patcha, M.D.

Roberto G. Colangelo, M.D.

Thomas W. Pappas, M.D.

Christopher LaMendola, M.D.

Director, Cardiac Cath Lab

St. Francis Hospital The Heart Center速 2011 Annual Report 36

CRITICAL CARE MEDICINE

John DePetrillo, M.D. Melissa Devlin, M.D. Darshan Patel, M.D. Irina Shpak, M.D.

DERMATOLOGY

HEMATOLOGY/ONCOLOGY

Girish Bulsara, M.D.

NEUROLOGY

Anna Imperato, M.D.

John Garofalo, M.D.

Rita Weiss, M.D., Ph.D.

Patrick J. Cavanaugh, M.D.

Anthony S. Cohen, M.D.

Gary Meredith, M.D.

Director of Service

Director of Service

Emia Chan, M.D.

Director of Service

Andrew J. Porges, M.D.

Lori Cohen, M.D.

Lance A. Barazani, M.D. Joshua Fox, M.D.

Walter B. Schulman, M.D.

Anu Chandok, M.D.

Michael DeAngelis, D.O.

Richard H. Blanck, M.D.

Marjorie Van de Stouwe, M.D.

Gerard B. Donnelly, M.D.

Michael Demaria, M.D.

Teresa DeAngelis, M.D.

Howard S. Weiss, M.D.

ENDOCRINOLOGY

Julius P. Duic, M.D.

Kenneth A. Ewing, M.D.

Alan Ettinger, M.D.

Rory S. Breidbart, M.D.

Debra Ferman, M.D.

Charles Gambino, D.O.

Laurence D. Haber, M.D.

DEPARTMENT OF PATHOLOGY

Director of Service

Triantafillos Fillos, M.D.

Craig R. Grobman, D.O.

Michael Han, M.D.

Ana Anagnostopoulos, M.D.

Richard S. Forte, M.D.

Louis R. Heisler, M.D

Jeffrey T. Kessler, M.D.

Chairperson

Rachel Fetner, M.D.

Francisco Garcia-Moreno, M.D.

James Ho, M.D.

Joseph Moreira, M.D.

Peter Hoffmann, M.D.

Jeffrey Gordon, M.D.

Ari L. Ginsberg, M.D.

Tom Hopkins, M.D.

Denis Ostrovskiy, M.D.

Alla Joutovsky, M.D.

Onoufrios Goussis, M.D.

Jai Grewal, M.D.

Michael Hundert, M.D.

David Podwall, M.D.

James Hess, D.O.

Ummekalsoom Malik, M.D.

William S. Knight, M.D.

Philip Ragone, M.D.

DEPARTMENT OF PEDIATRICS/

Tharakaram Ravishankar, M.D.

John S. Marino, M.D.

Peter J. Kurzweil, M.D.

Dwight J. Rosenstein, M.D.

PEDIATRIC CARDIOLOGY

Jonathan Marsh, M.D.

Lewis M. Lebetkin, M.D.

Izabella Rozenfeld, M.D.

Sean G. Levchuck, M.D.

FAMILY PRACTICE

Brian T. McNelis, M.D.

Robert Linden, M.D.

Laura G. Schoenberg, D.O.

Chairman

Farzad Tabibzadeh, M.D.

Anju Ohri, M.D.

Mitchell R. Locke, M.D.

Perry Stevens, M.D.

Director of Service

Joseph Pipala, M.D.

Anthony L. Luciano, M.D.

Paul Wright, M.D.

Frank A. Tomao, M.D.

David P. Magier, M.D.

Baruch Wieder, M.D.

Ralph Mastrangelo, M.D.

Michol Negron, M.D. Scott Rex, M.D.

George A. Zervos, M.D.

Anna Siasoco, M.D. Vincent Siasoco, M.D. GASTROENTEROLOGY

PSYCHIATRY

Edgar Lerias, M.D.

Carole Moodhe-Lysaght, M.D.

Kenneth Kahaner, M.D.

Douglas Luxenberg, D.O.

Javier Morales, M.D.

Director of Service

Steven Purrier, M.D. Barbara L. Seifert, M.D.

HOSPITAL MEDICINE

Reza Naghavi, M.D.

Marianne Hamra, M.D.

Alice S. O'Shaughnessy, M.D.

Adam R. Chester, D.O.

Ambrose Vallone, M.D.

Kathleen M. Restivo, M.D.

Allison Hinds, M.D.

Masood Yeroushalmi, M.D.

Howard Sacher, D.O.

Glenn R. Kalash, D.O.

Director of Service

Anthony J. Celifarco, M.D Ilanit Aminow, M.D.

Leon E. Schwechter, D.O.

Mohammed Bari, M.D.

Jane Serio, M.D.

Chaim Abittan, M.D.

Tommy Chau, M.D.

Susan Sharma, D.O.

Gregory M. Ackert, M.D.

Marjorie Daoud, M.D.

Sixto A. Siasoco, M.D.

Rajiv Bansal, M.D.

Michael DiBari, M.D.

Jack Soterakis, M.D.

Eugene S. Bonapace, M.D.

Doina Glodan, M.D.

Joseph W. Szczesniak, M.D.

Michael J. Bradford, M.D.

M.D. Mamoon, M.D.

Paul G. Tolins, M.D.

John Costable, M.D.

Aisha Masood, M.D.

Stephen A. Tranchina, M.D.

Director of Service

Samuel Bangug, M.D. Sol Gourji, M.D.

Raymond A. Diaz, M.D.

Mhroos Peters, M.D.

Roman Urbanczyk, M.D.

Mordecai Dicker, M.D.

Maryam Sheikh, D.O.

Frank R. Vezza, M.D.

David S. Eskreis, M.D.

Eleanor Yusupov, D.O.

Marco E. Vezza, M.D. Gilbert Weinstein, M.D.

Blanche Fung Liu, M.D. Lev Ginzburg, M.D.

INFECTIOUS DISEASES

Edward Wolff, M.D.

Ira S. Goldman, M.D.

Alan M. Bulbin, M.D.

Janette Yap-Marcelo, M.D.

Michael J. Goldstein, M.D.

Director of Service

Carylann Hadjiyane, M.D.

NEPHROLOGY

Robert D. Herman, M.D.

David B. Brieff, M.D.

Steve W. Rucker, M.D.

Seymour Katz, M.D.

Joel Greenspan, M.D.

Director of Service

Neeraj Kaushik, M.D.

Dava Klirsfeld, M.D.

Gina S. Kwak, M.D.

Vitaliy Krol, M.D.

Sayed Ali, M.D.

Omer Masood, M.D.

Hermes Lopez, M.D.

Jeffrey Cohen, M.D.

David E. Milkes, M.D.

Nathalie Schulhof, M.D.

Adam N. Criss, D.O.

Alex Novogrudsky, M.D.

Salvatore Scoma, M.D.

Sunil George, M.D.

Dean Pappas, M.D.

Farah Shams, M.D.

Jeffrey E. Haller, M.D.

Howard M. Rattner, M.D.

Marvin J. Tenenbaum, M.D.

Jim N. Hilepo, M.D.

John Rizzo, M.D.

Susana Hong, M.D.

DEPARTMENT OF SURGERY PULMONARY MEDICINE

Gary Gecelter, M.D.

Philip Marcus, M.D.

Chairman

Director of Service George DeNoto, III, M.D. William R. Basta, M.D.

Director of General Surgery

Jay Berland, M.D. David M. Breidbart, M.D.

Javier Andrade, M.D.

Mylene Colucci, M.D.

Louis J. Auguste, M.D.

Michael V. Como, M.D.

Mansoor H. Beg, M.D.

Gary W. Freeberg, M.D.

Rashmae Chardavoyne, M.D.

Joseph Genovese, D.O.

Charles C. Conte, M.D.

Jodilyn Gingold, M.D.

Dwight C. DeRisi, M.D.

Jason B. Karp, M.D.

Mark W. Dobriner, M.D.

David Katz, M.D.

Robert Dring, M.D.

Jill Karpel, M.D.

Dominic A. Filardi, M.D.

Paul Kuperschmid, M.D.

Dominick Gadaleta, M.D.

Leonard J. Landesberg, M.D.

Michael Gallo, M.D.

Stuart Lowenkron, M.D.

Victor A. Gallo, M.D.

Barbara Mann, M.D.

Shawn M. Garber, M.D.

Sanford M. Ratner, M.D. Denise Janus Ruttgeizer, M.D. Alan J. Schecter, M.D. Robert T. Schreiber, M.D. Evan S. Sorett, M.D. Deborah M. Ushkow, M.D. Jonathan Waxner, M.D.

Larry Gellman, M.D. Michael Giuffrida, M.D. Marc L. Greenwald, M.D. Michael Grieco, M.D. Douglas K. Held, M.D. Spencer Holover, M.D. Sanjay Jobanputra, M.D.

Ira Schmelkin, M.D.

INTERNAL MEDICINE

Abrar Husain, D.O.

Stephen R. Siegel, M.D.

Florence Barricelli, M.D.

Jasmeet Kaur, M.D.

Alan F. Sloyer, M.D.

Director of Service

Lionel Mailloux, M.D.

RHEUMATOLOGY

Lewis M. Kurtz, M.D.

Alicia Notkin, M.D.

William P. Given, M.D.

Michael Moseson, M.D.

Director of Service

Ian Storch, D.O.

Jeffrey M. Wolf, M.D.

Alan S. Kadison, M.D. Paul Katz, M.D.

Kevin L. Tack, M.D.

Marvin Base, M.D.

Simon Prince, D.O.

Arthur L. Talansky, M.D.

Doris Berland, M.D.

Lance D. Rubel, M.D.

Robert E. Tepper, M.D.

Richard S. Blum, M.D.

Gerard Tepedino, M.D.

Lenore Brancato, M.D.

Susan M. Palleschi, M.D.

Joseph Tripodi, D.O.

Maria Brountzas, M.D.

Marc J. Yunis, M.D.

Michael Hoffman, M.D.

Patricia Pezzello, M.D.

Howard Nadjari, M.D. Lynn O'Connor, M.D.

St. Francis Hospital The Heart Center速 2011 Annual Report 37

Medical Staff Angelo J. Procaccino, M.D.

Lee Tessler, M.D.

Joshua Steinvurzel, M.D.

Tommaso Addona, M.D.

Scott J. Sherman, M.D.

John L. Ricci, M.D.

Elizabeth Trinidad, M.D.

David V. Tuckman, M.D.

David J. Antell, D.O.

Lee D. Stein, M.D.

Eugene Rubach, M.D.

Artem Vaynman, M.D.

Glenn A. Becker, M.D.

Arlene Sussman, M.D.

OTOLARYNGOLOGY

Craig Baldenhofer, M.D.

Anne F. Vinokur, M.D.

Tereza Sardinha, M.D. Marc Sher, M.D.

OPHTHALMOLOGY

Philip W. Perlman, M.D.

Ian Bourhill, M.D.

Sydney S. Yoon, M.D.

Richard J. Strauss, M.D.

Leslie P. Goldberg, M.D.

Director of Service

Arnold Breitbart, M.D.

Alan Zakheim, M.D.

Owen T. Su, M.D.

Director of Service

Bruce W. Brewer, M.D.

James D. Sullivan, M.D. Laura A. Sznyter, M.D.

Ronald A. Balkin, M.D.

Dimitra Theodoropoulos, M.D.

Herman B. Berg, M.D.

John Wang, M.D.

Joseph A. Blanco, M.D.

Raza Zaidi, M.D.

Robert D. Broderick, M.D. Peter D'Arienzo, M.D.

DENTISTRY/ORAL SURGERY

Aimee L. Eichen, M.D.

John A. Sheehan, D.M.D.

Martin Fletcher, M.D.

Director of Service

Perry F. Garber, M.D. Demetrios Halikopoulos, D.O.

Lawrence E. Becker, D.M.D.

Oscar J. Kranz, M.D.

Jay William Bridbord, D.D.S

Willy Ky, M.D.

Ralph Cangiano, D.D.S

Eunice Lee, M.D.

Richard Faber, D.D.S Scott Fauvell, D.D.S Edwin Ginsberg, D.M.D. Laurie Gish, D.D.S Leonard Hoffman, D.D.S Robert B. Light, D.M.D.

Alan B. Marks, M.D. Kenneth J. Rosenthal, M.D. Marc Sirota, M.D. Burton S. Sultan, M.D. Kathleen R. VanValkenburg, M.D.

Jennifer Mendocha, D.D.S.

Michael K. Ditkoff, M.D.

Kambiz Jacob Cohen-Kashi, M.D.

COMMUNITY PHYSICIAN

Karen A. Haunss-Sapinski, M.D.

Robert A. Cooper, M.D.

Vlassi Batidy, M.D.

Andrew A. Jacono, M.D.

Thomas A. Davenport, M.D.

Deborah Blenner, M.D.

William Kennedy, M.D.

Leland M. Deane, M.D.

Joseph Blanco, M.D.

Kenneth F. Mattucci, M.D.

Gregory A. Devita, M.D.

Douglas Byrnes, M.D.

Saul Modlin, M.D.

Barry K. Douglas, M.D.

William Kutcher, M.D.

Michael Setzen, M.D.

Sanford Dubner, M.D.

Lewis Levin, M.D.

Raymond L. Soletic, M.D.

Mariel Eliza, M.D.

Guy Mintz, M.D.

Alexander Sorin, M.D.

Marc Elkowitz, M.D.

Brian Schwartz, M.D.

Josh Werber, M.D.

Randall S. Feingold, M.D.

Barbara Seifert, M.D.

Candido Fuentes-Felix, M.D.

Steven Shayani, M.D.

PHYSICAL MEDICINE AND

Laurence T. Glickman, M.D.

William Sherman, M.D.

REHABILITATION

Burt Greenberg, M.D.

Jeffrey Stahl, M.D.

Amir Annabi, M.D.

Khawaja A. Hassan, M.D.

Peter Weil, M.D.

Rebecca Fishman, D.O.

Ron Israeli, M.D.

Pericles Hadjiyane, M.D.

Alex Keller, M.D.

HONORARY MEDICAL STAFF

Barry C. Root, M.D.

Martin E. Kessler, M.D.

Henry Abrams, M.D.

Joseph Rothenberg, M.D.

Matthew Kilgo, M.D.

Filippo Balboni, M.D.

Perry Stein, M.D.

Peter Korn, M.D.

Harry Barbaris, M.D.*

Lawrence Lin, M.D.

Lionel P. Barrau, M.D.

Alex Meneshian, D.D.S.

ORTHOPEDICS

Victor L. Nannini, D.D.S

Richard D'Agostino, M.D.

PODIATRY

Frederick N. Lukash, M.D.

H. Sinan Berkay, M.D.

Petros Panagos, D.D.S.

Director of Service

Mitchell Greenbaum, D.P.M.

Eric Mager, M.D.

Seymour Block, D.O.

Director of Service

Tansar Mir, M.D.

Paul Damus, MD

Noel Natoli, M.D.

Klaus Dittmar, M.D.

Raymond Ferguson, D.P.M.

Louis Riina, M.D.

Michael R. Dubin, M.D.

Jeffrey A. Fishman, D.P.M.

Rachel Ruotolo, M.D.

Sidney Fenig, M.D.

Eugene P. Pezzollo, D.M.D. Lawrence A. Popkin, D.D.S

Bruce A. Seideman, M.D.

Scott A. Siegel, D.D.S., M.D.

Chief of Joint Replacement

GYNECOLOGY

Michael Angel, M.D.

AnnaMaria Giordano, D.P.M.

Homayoun Sasson, M.D.

Stephen Fortunoff, M.D.

Nisha Bansal, M.D.

Stanley Asnis, M.D.

Brian P. Lynn, D.P.M.

Mark I. Silberman, M.D.

Marvin Frogel, M.D.

Monique DeFour Jones, M.D.

Walter Besser, M.D.

Michael Pliskin, D.P.M.

Lawrence Sirota, D.O.

Burton H. Goldberg, M.D.

Alan Garely, M.D.

Hargovind DeWal, M.D.

Roger L. Simpson, M.D.

Gasper Gulotta, M.D.*

Herbert Gretz, M.D.

Thomas J. Dowling, M.D.

UROLOGY

Antonio L. Uria, M.D.

Robert I. Hamby, M.D.

Olga Liberman, M.D.

Steven M. Erlanger, M.D.

Felix L. Badillo, M.D.

Humayun Waheed, M.D.

Edward Honig, M.D.

Benjamin Schwartz, M.D.

Michael J. Errico, M.D.

Director of Service

Diana Yoon-Schwartz, M.D.

Ali A. Kawi, M.D.

Hilma M. Yu, M.D..

William A. Facibene, M.D.

Arthur Wise, M.D.

Jules Levine, M.D.

Joshua Zuckerman, M.D.

Frank Losito, M.D.

A Philip Fontanetta, M.D.

Keith Bloom, M.D.

NEUROSURGERY

Michael Kang, M.D.

Mitchell I. Buchbinder, M.D.

Richard Johnson, M.D

Barry Katzman, M.D.

Johanna Figueroa, M.D.

Director of Service

Samuel Kenan, M.D.

Sarah K. Girardi, M.D.

Lewis B. Lane, M.D.

Gary D. Goldberg, M.D.

JJonathan Brisman, M.D.

William Long, M.D.

Eric M. Hochberg, M.D.

Kenneth Crystal, M.D.

Riccardo Ricciardi, M.D..

Michael H. Brisman, M.D.

Thomas M. Mauri, M.D.

Michael A. Levine, M.D.

Vice Chair

Charles E. Rogers, M.D.*

Jeffrey A Brown, M.D.

Laurence Mermelstein, M.D.

Charles E. Libby, M.D.

Stephen D. Burstein, M.D.

Edward Mills, M.D.

Randy Makovsky, M.D.

Isamettin Aral, M.D.S

Irvin Spira, M.D.

David J. Chalif, M.D.

John E. Morrison, M.D.

Sanford A. Meyersfield, M.D.

Patricia Barry, M.D.

Nathaniel Spier, M.D.

Benjamin Cohen, M.D.

Hamid R. Mostafavi, M.D.

Leonard J. Mondschein, M.D.

Carolyn Birnbaum, M.D.

Alex Stone, M.D.

Donald Krieff, D.O.

Michael Nett, M.D.

Elliot M. Paul, M.D.

Jay L. Bosworth, M.D.

Norman Thomson, M.D.

Michael Lefkowitz, M.D.

Richard Obedian, M.D.

Steven Robbins, M.D.

Bruce Campbell, M.D.

William P. Wagner, M.D.*

Alan Mechanic, M.D.

Steven J. Ravich, M.D.

Omid Rofeim, M.D.

Angela Capo-Granata, M.D.

Robert Waldbaum, M.D.

Mark Mittler, M.D.

Craig Radnay, M.D.

David Schnapp, M.D.

David W. Ebling, M.D.

Joseph R. Whelan, M.D.

Harrison Mu, M.D.

Timothy Reish, M.D.

Michael M. Ziegelbaum, M.D

Elisa Kadish, M.D.

B. George Wisoff, M.D.

Nicholas Post, M.D.

Daniel S. Rich, M.D.

Menachem Mandell, M.D.

David Wolk, M.D.*

Ramin Rak, M.D.

Jeffrey Richmond, M.D.

PLASTIC SURGERY

John Pile-Spellman, M.D.

Tibor Zahajsky, M.D.

Brian Jeffrey Snyder, M.D.

Neofitos Stefanides, M.D.

Joseph Feinberg, M.D.

Jed Pollack, M.D.

*deceased

William J. Sonstein, M.D.

Peter D. Stein, M.D.

Director of Service

Craig Sherman, M.D.

RADIOLOGY Kenneth J. Goodman, M.D. Chairman

Frank Marici, M.D. Joseph Mollura, M.D. William J. Noble, M.D Milton J. Reitman, M.D.

Joseph Sferrazza, M.D.

St. Francis Hospital The Heart Center速 2011 Annual Report 38

The Roaring 20’s Gala 2011

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: Moroccan Nights, Saturday, November 17, 2012

Gifts to St. Francis Hospital St. Francis Hospital’s commitmentt to the highestt qualityy cardiacc care and medicall services has been made possible byy a tradition off generous private support. Yourr contribution, forr eitherr generall orr specific purposes, helps us fulfilll ourr commitmentt to excellence. The Developmentt stafff att St. Francis Hospitall is prepared to assistt you in planning g gifts thatt provide substantiall benefits to both you and the Hospital. Forr furtherr information on outrightt gifts, trusts, bequests, and otherr donations, please call: Sherry J. Friedman Vice President for Development and Public Affairs (516) 705-6653

Photo: Tony Lopez

St. Francis Hospital The Heart Center 速 100 Port Washington Boulevard Roslyn, New York 11576 Tel: (516) 562-6000 www.stfrancisheartcenter.com