2012 Saint Francis Annual Report by St. Francis Hospital, The Heart Center

St. Francis Hospital The Heart Center速 2012 Annual Report A Member of Catholic Health Services of Long Island

Healing Power 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 2012 Annual Report 1

St. Francis Hospital strives to be a regional leader in the prevention, di-

St. Francis Hospital, The Heart Center® 2012 Annual Report is published

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

by St. Francis Hospital, The Heart Center®. Questions or comments can be di-

tomorrow better through research and education. The Hospital seeks to

rected to St. Francis Hospital, Office of Development and Public Affairs, 100

provide an environment in which excellence in its totality is emphasized,

incorporating the scientific, technical, psychosocial and spiritual compo-

nents of health care. It offers high quality cardiac care and noncardiac

Services of Long Island, the healthcare ministry of the Diocese of Rockville

services to the community regardless of race, creed, ethnic origin, or

Centre. Writers: Paul Barry, Rosemary Gomez, LaShieka Hunter, Suzanne

ability to pay. As a Catholic health facility, St. Francis Hospital embraces

Stallone • Editorial Assistant: Debra Tischler. • Photographers: Steve Moors,

the tradition, values and charism of its founders, the Franciscan Mission-

Steve Moors Photography. • Contributing Photographers: William Baker and

aries of Mary, emphasizing respect for the dignity of individuals and com-

Chris Thaler • Designer: Roger Gorman, Reiner Design.

Long Beach 2012

passionate treatment for all.

Last year, so many of our friends and neighbors were devastated by Superstorm Sandy. Instead of hosting our Annual Gala, St. Francis provided a special early Thanksgiving dinner on Saturday, November 17, 2012, to feed 2,500 residents of Long Beach.

Save the Date: Top Hats & Tiaras, Saturday, November 2, 2013, Carlyle on the Green

CONTENTS

Catholic Health Services of Long Island: A Message from the President and CEO

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

Healing Power

27 The St. Francis Research and Educational Corporation 33 The St. Francis Hospital Foundation 35 Volunteer Organizations: Paying it Forward 36 Officers and Boards of Directors/Trustees 37 Hospital Statistics 38 Medical Staff 41 Mid-Level Practitioners

Gifts to St. Francis Hospital St. Francis Hospital’s commitment to the highest quality cardiac care and medical services has been made possible by a tradition of generous private support. Your contribution, for either general or specific purposes, helps us fulfill our commitment to excellence. The Development staff at St. Francis Hospital is prepared to assist you in planning gifts that provide substantial benefits to both you and the Hospital. For further information on outright gifts, trusts, bequests, and other donations, please call: Sherry J. Friedman Vice President for Development and Public Affairs (516) 705-6653

Amazing Recovery After years of enduring chronic pain and taking a multitude of medications, Kevin Boris became the first patient at St. Francis to receive a spinal stimulator from Patrick Annello, M.D., Co-Director of Pain Management. The minimally invasive device is implanted below the skin and generates an electric impulse that produces a tingling sensation to alter the brain’s perception of pain. Kevin’s subsequent relief was so remarkable, his mother Eileen, who suffered from chronic back pain and was confined to a wheelchair, underwent the same procedure. Now, both mother and son can pose for a family portrait without being in constant pain.

Catholic Health Services of Long Island:

A Message from the President and CEO

Richard J.J. Sullivan, Jr. President and CEO, CHS

ooking back on 2011, we reflected upon the power of the CHS family as expressed at St. Francis Hospital in the face of a momentous hurricane. Today, as we assess 2012, who would have predicted that our prospect would include an even greater, destructive force – “Sandy.” A storm that

flooded our homes, destroyed our property, blew down thousands of trees, and paralyzed Long Island for weeks. Happily, even in the lee of such destructive forces, the healing power wielded by the people of

Catholic Health Services as manifested at St. Francis was able to mitigate, sooth, and help reassure many. Once again, our St. Francis family stood, empowered by its healing mission, to reach out to the displaced and shocked residents on the South Shore, and bring hot food and a semblance of Thanksgiving to those who had lost so much. In itself a small thing, in effect a powerful witness to help heal. Yet other challenges, different in scope, remained for St. Francis

We are also harnessing the power of the digital age – Electronic

and all CHS: discerning the appropriate adaptation for our Ministry to

Medical Records System (Epic) – to spread our healing mission.

survive and thrive in this changing world. That adaptation, which

Launched at St. Francis in December, earlier at St. Catherine’s, and now

would enable us to continue to spread the benefit of “Christ’s healing

available at Good Samaritan and soon at all the CHS hospitals and

mission” through St. Francis, was self-evident; like our Sandy re-

physician’s offices, CHS eHealth through Epic will connect all of us to

sponse, we must harness our community of feeling, our common

a common information platform which will leverage our intellec-

strengths, and apply then to the new reality.

tual/medical capital throughout our Ministry, enhancing our ability to

Consequently, we have focused at St. Francis and throughout this

assert our mission of “Excellence in Care” throughout Long Island.

Ministry to align our strengths across the system. Thus, we are pur-

Thus, we have continued, deepened, and broadened Christ’s heal-

suing clinical integration throughout CHS, with St. Francis taking the

ing mission by sharing his healing power in numerous ways to those

lead in the cardiac area, both coordinating the work at other cam-

who are hurt, sick, or broken. From solidarity shown in a flooded, in-

puses, and in some cases, transplanting its special medical charism

undated town after Sandy, to spreading our clinical expertise to wider

to other CHS venues. A prime example of the latter is the establish-

audiences, to enlivening communication among St. Francis, her sister

ment of St. Francis “Open Heart” at Good Samaritan. While some per-

facilities, and among all our physicians through CHS eHealth, with

sonnel issues may have delayed it, today we survey two brand new

each dissimilar but linked step we took in 2012, we continue to move

state-of-the-art operating suites at Good Sam with a skillful chief sur-

forward, extending the “Healing Power” of this great institution to a

geon in the wings so he can locally leverage the healing power of St.

wider and wider public. So as St. Francis prayed, the people of St.

Francis Hospital.

Francis Hospital continue to show: “For it is in giving that we receive.” St. Francis Hospital The Heart Center® 2012 Annual Report 5

St. Francis Hospital, The Heart Center®

A Message from the President and CEO

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

ast year, the men and women at St. Francis Hospital continued to do what they do best: practice the highest quality medical science to save and improve lives. At the same time, they also worked hard to excel at the art of medicine, those aspects of care such as thoroughness, com-

passion, and personal attention that are less tangible but no less important in a person’s health and wellbeing. This is why we chose “healing power” as the theme of this report, and I invite you to read in these pages the stories of patients and their families who have felt its lasting effect. In 2012 our work was also recognized more widely than perhaps any

we opened the doors of our new Cancer Institute, with plans for con-

time in our history. We were ranked one of the best hospitals in America

tinuing our expansion in oncology. In recent months we have also wel-

by U.S. News & World Report for the sixth year in a row, placing 11th in

comed new cardiologists, primary care physicians, and other specialists

the nation for cardiology and heart surgery. We received top ratings from

to our family.

Consumer Reports and the Leapfrog Group for patient safety, and we

As the capstone, in October we took the wraps off our new Emergency

earned the highest patient satisfaction scores on Long Island from the

Department, adding 6,000 square feet of space, state-of-the art en-

federal Centers for Medicare and Medicaid Services (CMS). Recently, our

hancements, and an environmentally-friendly setting for emergency

nurses were honored by the American Nurses Association with its pres-

care, and everything was completely paid for by our generous bene-

tigious NDNQI Award for Outstanding Nursing Quality, and we were one

factors. All of these developments will help us meet the growing and

of only six hospitals in the country to be honored with this distinction.

changing healthcare needs of our community, and we expect that they

At the same time as we were earning these honors and distinctions,

will have a positive impact on our bottom line.

however, St. Francis was also facing serious fiscal challenges. An historic

I want to thank our friends and benefactors for all their support in

restructuring of the business of healthcare was well under way, and we

2012, and for standing with us now and in the years ahead. I am also

experienced significant declines in reimbursement and patient volume.

deeply grateful to the Sisters of the Franciscan Missionaries of Mary

Through the Recovery Audit Contractor (RAC) Program we felt the bur-

who still live and work among us and are shining examples of dedica-

den of government clawbacks of funds reimbursed for services ren-

tion and purpose. I want to thank our physicians, nurses, staff, and vol-

dered as much as three years in the past. We also witnessed a rapid

unteers, for their hard work over the past year delivering St. Francis

shift of reimbursements from inpatient to outpatient services, which

Hospital’s special brand of healthcare. I am also grateful to our Board

had a substantial impact on the Hospital’s budget in 2012.

of Trustees and their Chair, Peter Quick, for their leadership, and ac-

Of course we did not stand still as these trends unfolded. We remain

knowledge Richard J.J. Sullivan, CHS President and CEO, for his stew-

committed to quality and growth, and as a result we continued to recruit

ardship of the CHS system. Finally, I would like to thank our Bishop, the

outstanding physicians to join St. Francis. Our orthopedic surgery pro-

Most Reverend William F. Murphy, for his tireless efforts to bring hope

gram made major strides and in an exciting development in December,

and healing to all the residents of Long Island.

St. Francis Hospital The Heart Center® 2012 Annual Report 6

Great Heights At first, avid runner Andrea Kantor found it hard to believe that her heart could be beating too slowly– about half of the average heart rate. But after being diagnosed with an arrhythmia called bradycardia and receiving a pacemaker from Vinni Jayam, M.D., one of St. Francis’ leading electrophysiologists, the 49-year-old school psychologist set a new personal record. She ran up the stairs of the Empire State Building (all 86 floors) after winning a lottery to participate in the annual contest. Andrea clocked in at 19 minutes and 14 seconds, finishing first in her age category and the third female overall.

Healing Power

y most measures, 2012 was an outstanding year in terms of clinical performance for the staff of St. Francis Hospital. Employing the most advanced treatments, state-ofthe-art technology, and its signature brand of compassionate care, the Hospital mar-

shaled its healing power in the service of thousands of patients from Long Island, the wider region, and from around the world. Even as the Hospital felt the forces of change in the business of healthcare, St. Francis earned unprecedented recognition for excellence in cardiac and noncardiac care, nursing, patient satisfaction, and patient safety:

• For the sixth consecutive year, U.S. News & World Report

• St. Francis has more top doctors for cardiac care on New

named St. Francis one of America’s best hospitals. It was the

York Magazine’s Best Doctors list than any other hospital on

only hospital on Long Island to be ranked in cardiology and

Long Island.

heart surgery, and the only one to be ranked in three adult

• Consumer Reports rated St. Francis the safest hospital in the

medical and surgical specialties. In addition to cardiology and

New York City metropolitan area.

heart surgery, the magazine honored St. Francis once again as

• The Cardiothoracic Intensive Care Unit (CTICU) at St. Francis

a leader in gastroenterology, geriatrics, and neurology and neu-

Hospital received a gold-level Beacon award for Excellence

rosurgery.

from the American Association of Critical-Care Nurses, the only

• U.S. News & World Report also rated St. Francis high per-

CTICU in New York State to win the award.

forming in six additional specialties: cancer, ear-nose-throat,

• The DeMatteis Center for Cardiac Research and Education at

nephrology, pulmonology, urology, and orthopedics in its

St. Francis Hospital received the Summit Award from Press

Metro Rankings.

Ganey for outstanding patient satisfaction. St. Francis Hospital The Heart Center® 2012 Annual Report 9

Healing Power • The American Nurses Association honored St. Francis with ®

its NDNQI Award for Outstanding Nursing Quality . St. Francis

valve replacement helped to boost the Hospital’s U.S. News ranking to #11 nationwide for cardiology and heart surgery .

Hospital was one of the only six hospitals in the U.S. to achieve

Led by Newell Robinson, M.D., Chairman of Cardiothoracic

the prestigious recognition for enhancing the quality of nursing

and Vascular Surgery, the department’s highly versatile hybrid

services that affect patient outcomes.

OR experienced increasing demand in 2012. The state-of-the-

• The Leapfrog Group, a nonprofit organization that promotes

art operating room allows cardiac surgeons and interventional

patient safety, gave St. Francis a top score of “A” on a new

cardiologists to perform procedures along side each other on

safety score that assesses hospitals nationwide on the quality

the same patient giving patients the “best of both worlds.” Procedures such as coronary artery stenting, normally per-

of their care.

Revolutionizing the Treatment of Heart Disease: Newell Robinson, M.D., Chairman of Cardiothoracic and Vascular Surgery, was instrumental in bringing the multi-versatile hybrid OR to St. Francis Hospital. He is also one of the lead investigators for the CoreValve clinical trial, a national study that could change the face of aortic valve replacement.

formed in the cardiac catheterization laboratory, can be performed in the hybrid OR along with surgeries such a valve replacements. This all-in-one approach helps save time and eliminates the need to transport patients from room to room. It also keeps patients from having to undergo anesthesia twice.

One of the Nation’s Best Cardiac Surgical Teams

The hybrid OR is also ideally suited for treating patients in national clinical trials such as the CoreValve aortic valve replacement trial. In addition, the room’s configuration and advanced

St. Francis Hospital’s highly skilled team of cardiothoracic sur-

imaging technology makes it ideal for surgeons such as

geons performed 1,337 open heart surgeries in 2012 – one of the

Richard Matano, M.D., Director of Vascular Surgery, to perform

busiest caseloads in the region. Their recognized expertise in a

a wide range of procedures.

wide array of procedures including cardiac bypass surgery and

“We are constantly looking for new advances in technology

St. Francis Hospital The Heart Center® 2012 Annual Report 10

HeadOverHeels The day before she turned three, Kristen Murphy was diagnosed with a hole in her heart. But after receiving a minimally invasive procedure from Sean Levchuck, M.D., Chairman of Pediatric Cardiology, Kristin – now 14 – bounced back in a big way. The dancer-singer-gymnast or so-called “triple threat” has performed at the Westbury Music Fair and the Alvin Ailey American Dance Theater in New York City. One day she hopes to see her name up in lights on the “Great White Way,” Broadway.

Healing Power

Setting the Pace for Cardiac Care: Richard Shlofmitz, M.D., (far left) Chairman of Cardiology, released ﬁndings of a study that could set new protocols for Cath Labs across the country. Joseph Levine, M.D., (far right) Director of Electrophysiology, has helped make St. Francis a worldwide leader in diagnosing and treating irregular heart rhythms.

the region. More than 10,000 cardiac catheterizations were performed in 2012 including over 2,700 percutaneous coronary interventions (PCIs or angioplasties with stents), and other cardiac and peripheral vascular interventions. In 2012, the Hospital’s Cath Lab, led by Thomas Pappas M.D., was recognized once again by the New York State Department

and treatments to provide our patients with the best heart sur-

of Health (NYSDOH) for excellence in cardiac care. The com-

gery in the country. Our hybrid OR is a reflection of our ongo-

prehensive cardiac report identified St. Francis as having one of

ing dedication and commitment to provide topnotch cardiac

the highest volumes and lowest mortality rates in the state for

care in a state-of-the-art setting,” says Dr. Robinson.

PCI procedures.

Superior clinical outcomes are the result not only of the ex-

St. Francis was one of just four hospitals in the state and the

perience and expertise of surgeons, but the overall excellence

only hospital on Long Island with risk-adjusted mortality rates

of the surgical team, including nurses, anesthesiologists, perfu-

significantly below the statewide average, and its cardiologists

sionists, and others. In 2012, St. Francis Hospital’s Cardiotho-

performed the highest volume on Long Island and the second

racic Intensive Care Unit (CTICU) received a gold-level Beacon

largest caseload in the state. One St. Francis cardiologist, An-

Award for Excellence from the American Association of Critical-

drew Lituchy, M.D., was recognized for having a risk-adjusted

Nurses (AACN). St. Francis was the only hospital in New York

mortality rate significantly below the statewide average for

State to receive this prestigious recognition, which signifies ex-

non-emergency stent procedures.

cellent and sustained unit performance and patient outcomes.

“The statewide findings reflect our highly regarded reputation as one of the most experienced and safest medical cen-

Interventional Cardiology

ters in the nation for performing PCIs,” says Dr. Pappas.

The Cardiac Catheterization Lab of St. Francis Hospital contin-

The Cath Lab was also the center of several major nationwide

ued to be one of the busiest and safest facilities of its kind in

studies that could change the face of treating heart disease. They

St. Francis Hospital The Heart Center® 2012 Annual Report 12

Healing Power

include the Symplicity HTN-3, which relies on a catheter-based

tients who have a genetic resistance to the popular blood thin-

device to treat patients with stubbornly high blood pressure.

ner Plavix.

“These are exciting times for our interventional cardiolo-

By using a simple blood test called VerifyNow, Dr. Shlofmitz

gists,” says George Petrossian, M.D., Director of Interventional

is able to immediately determine if a patient’s platelets are re-

Cardiovascular Procedures and a lead investigator in both tri-

sponding to the drug. If they are not, he prescribes an alterna-

als. “We are at the forefront of testing new procedures that can

tive blood thinner called Effient. After studying the alternative

offer patients an alternative to traditional cardiac surgery.”

drug’s effects through his research, the top-ranked interven-

Recently, Dr. Petrossian collaborated with Andrew Berke, M.D., Director of Interventional Cardiology Research, and Joseph

tional cardiologist says he now uses it for most patients, “because it works all the time.”

Levine, M.D., Director of the Arrhythmia Center, on a new nonsurgical procedure aimed at reducing the risk of stroke for pa-

Arrhythmia and Pacemaker Center

tients with atrial fibrillation. The minimally invasive approach,

In 2012, physicians at the Arrhythmia and Pacemaker Center of

called left atrial ligation, involves tying a suture around a small

St. Francis Hospital performed more than 3,600 cardiac arrhyth-

“out pouching” outside the of the heart’s left atrium, where

mia procedures including ablations and implantations of pace-

blood can stagnate and form clots in patients with this form of ar-

makers and AICDs (implantable defibrillators). Led by Joseph

rhythmia. The procedure offers new hope for patients who are

Levine, M.D., Director of the Arrhythmia Center, this nationally

not able to take blood thinners to prevent clots or who are con-

and internationally renowned center remained a recognized

cerned about bleeding risks associated with these medications.

leader in treating abnormal heart rhythms with nearly perfect

Under the leadership of Richard Shlofmitz, M.D., Chairman

safety and success rates.

of Cardiology, the department remained at the forefront of new

Dr. Levine and his team are pioneers in shaping develop-

investigative approaches that could change PCI protocols and

ments in electrophysiology. They were among the first to offer

the standard of care for stent patients. In 2012, Dr. Shlofmitz

implantable defibrillators as a tool to prevent sudden cardiac

released the findings of a research study he conducted on pa-

death and are the leaders in the use of radiofrequency cardiac

St. Francis Hospital The Heart Center® 2012 Annual Report 13

Breathing Easier Ninety-year-old Oswaldo Tonarelli suﬀered from aortic valve stenosis and frequently found himself out of breath. But after taking part in a major nationwide research study and receiving a minimally invasive device called CoreValve from George Petrossian, M.D., Director of Interventional Cardiovascular Procedures, Mr. Tonarelli’s valve was repaired. Now the retired restaurant owner is breathing a lot easier thanks to his favorite doctor and nurses, Lyn Santiago, R.N., (l) and Dawn Zioba, R.N., (r). St. Francis Hospital The Heart Center® 2012 Annual Report 14

Healing Power ablation to permanently cure atrial fibrillation (AF), the most

proved in Europe, but has not yet received FDA approval.

common form of arrhythmia which affects 2.2 million people in

According to Dr. Levine, blood-thinning medications such as

the U.S. AF is associated with a stroke rate that is five to eight

warfarin are used to reduce the risk of stroke, but they can be

times higher than average.

difficult for some people to tolerate, and may carry a risk of se-

Today, the center performs one of the largest volumes of ar-

rious complications, such as bleeding. “We are always looking

rhythmia procedures in the U.S., and this extensive experience

for new ways to best treat our patients, and patients need to

allows the medical team to diagnose with accuracy, recommend

know they are at a center that is able to offer all of the options.”

and perform the appropriate treatment with the best results, and

The Arrhythmia Center’s highly skilled team of electrophys-

provide substantial follow-up in every case. At the same time,

iologists are noted experts in diagnosing and treating a wide

the center’s physicians continue to be among the nation’s lead-

in a national clinical trial to assess the effectiveness of a new

The Best of Both Worlds: The state-of-the-art hybrid OR allows cardiac surgeons and interventional cardiologists to work side by side on the same patient – saving time, transport, and anesthesia should complications arise. This is just one of the latest innovations that makes St. Francis a leader in cardiac care.

nonsurgical procedure aimed at reducing the risk of stroke for

range of arrhythmias including fibrillation (fast, unsynchro-

patients with atrial fibrillation. The procedure uses a promising

nized beats), tachycardia (fast heart rate), and bradycardia

new device, the Amplatzer Cardiac Plug, that isolates the left

(slow heart rate). The team includes David Hoch, M.D., Vinni

atrial appendage (LAA) using a vascular plug. The device is de-

Jayam, M.D., Stuart Schecter, M.D., and William Shin, M.D.

ers in developing new technologies and applications. Dr. Levine and his colleagues are about to begin participation

signed to completely seal the LAA (a tubular-shaped, muscular appendage connected to the left atrium of the heart) at its open-

Quality Imaging, Better Outcomes

ing, thus minimizing blood clots from forming, migrating into the

At St. Francis Hospital, diagnostic imaging is central to the Hos-

bloodstream, and potentially causing strokes. The device is ap-

pital’s ability to provide the highest quality patient care. It is

St. Francis Hospital The Heart Center® 2012 Annual Report 15

Healing Power the department’s breakthrough technological advances in ra-

nology has the ability to reduce patient dose by 40 percent and

diology and the expertise of our radiologists that consistently

when joined with the snap shot pulse software on the CT scan-

deliver excellent service.

ner, the radiation dose to the patient can be reduced up to 83

Led by Kenneth Goodman, M.D., Chairman, the radiology department performed 190 oncology positron emission to-

percent for patients undergoing cardiac computed tomography angiography (CTA) procedures.

mography (PET)/Computerized Tomography (CT) procedures

Along with this technology, the department installed Dose

in 2012. The department anticipates PET/CT procedural growth

Check software on the Emergency Department CT and PET/CT

in 2013 as a result of the development of the Oncology De-

scanner in 2011. These features include a dose notification

partment. The department continues to offer patients the abil-

screen, which alerts the technologist to unusual variations in

Bhoomi Mehrotra, M.D., Director of Oncology and Director of the new Cancer Institute at St. Francis (above, left), and his top-notch medical team provide an integrated approach to treating cancer with their signature commitment to excellence and compassionate care. Sister Pauline Gilmore, Director of Pastoral Care, (above, right) stands in the St. Francis Hospital chapel.

radiation dose. In order for the technologist to proceed, he or

tracked and reviewed for compliance.

ity to receive a copy of their radiology report seven days after

the benchmark for advanced cardiovascular imaging while si-

it is interpreted, allowing sufficient time for the referring physi-

multaneously improving diagnostic accuracy and lowering

cian to receive the report before the patient.

dose in all exams.

she must indicate a reason and input a password that is

In 2013, the radiology department is expecting to install an additional CAT scanner that will enhance workflow by setting

In 2012, the department continued its focus on reducing radiation dose to patients receiving CT scan procedures. This was

Clinical Update

accomplished by the installation of Adaptive Statistical Intu-

In 2012, three of St. Francis’ noncardiac specialties were once

itive Reconstruction (ASIR) software in 2010. The ASIR tech-

again ranked among the best in the nation by U.S. News &

St. Francis Hospital The Heart Center® 2012 Annual Report 16

Medicine for the Soul St. Francis chaplains play a vitally important role in the healing process, ministering to patients of every faith. Whether it is holding a hand, having a laugh, listening, or praying in an hour of need, they are the best company and oďŹ&#x20AC;er strong medicine for the soul. Here, St. Francis Chaplain, Sister Stella Slonski, CSJ, visits with Infusion Center patient, Virginia Burlin.

St. Francis Hospital The Heart CenterÂŽ 2012 Annual Report 17

Healing Power

Leaders in Surgery: (from l. to r.) Gary Gecelter, M.D., Chairman of the Department of Surgery, has enhanced the Hospital’s reputation for excellence in noncardiac care through leading edge procedures and innovative medical programs. Richard Johnson, M.D., Director of Neurosurgery, has helped make St. Francis a national leader in this growing noncardiac specialty.

man of Cardiology, and Dr. Mehrotra to develop a comprehensive cancer program that is as compassionate and excellent as the Hospital’s reputation for heart care. “Our goal is to give the best cancer care in our own community and do whatever we can to facilitate interactions and cooperation between different caregivers so that the care our

World Report, further enhancing the Hospital’s reputation as a

patients need can be delivered in a high-quality, personalized

leader in both cardiac and noncardiac care. St. Francis was not

way right here in their backyard,” says Dr. Mehrotra.

only rated one of the best hospitals in the country for geriatrics,

Led by Richard D’Agostino, M.D., the Hospital also contin-

neurology and neurosurgery, and gastroenterology, it was also

ued to expand its Department of Orthopedic Surgery and in-

ranked regionally by U.S. News as high performing in six spe-

crease the volume of elective procedures performed at

cialties including cancer, ear-nose-throat, nephrology, ortho-

St. Francis. It also introduced a procedure that is new to the

pedics, pulmonology, and urology.

Hospital. In 2012, Bruce A. Seideman, M.D., Chief of Joint Re-

Having established a robust cancer surgery program over the

placement Surgery, began performing anterior hip replace-

past four years under the leadership of Gary Gecelter, M.D.,

ments, an alternative to the traditional posterior hip

Chairman of the Department of Surgery, St. Francis was able to

replacements more commonly performed in the United States.

recruit Bhoomi Mehrotra, M.D., as Director of Oncology and

The procedure, performed on a HANA table, offers patients

The Cancer Institute. The appointment, along with redesigning

quicker recovery times and less pain, and helps them avoid

existing space at the Hospital for a 12-chair outpatient infusion

certain precautions they would have to take after traditional

center, marked the first step in developing a world-class, state-

hip replacement.

of-the-art medical oncology center at St. Francis.

In addition, four members of the ISK Orthopedic Group

“We are putting our ‘heart’ into cancer care,” says Dr. Gecel-

brought a unique addition to St. Francis when they joined the

ter, who has been working with Richard Shlofmitz, M.D., Chair-

Hospital – a fellowship program. The program specializes in

St. Francis Hospital The Heart Center® 2012 Annual Report 18

Healing Power

sports medicine and hip and knee replacement with a main focus on knee surgery, says orthopedic surgeon William Long, M.D. Besides bringing a research focus to St. Francis, Dr. Long feels the ISK fellowship elevates the already stellar patient care at St. Francis. “Patients often have two orthopedic surgeons now looking after them, rather than one,” he adds.

Leaders in Orthopedic Care: (Above, far left) Richard D’Agostino, M.D., Director of Orthopedics (l.), pictured with Bruce A. Seideman, M.D., Director of Joint Replacement Surgery, who performed the ﬁrst anterior hip replacement at St. Francis in 2012. The Hospital is also proud to have four Insall Scott Kelly physicians as members of its staﬀ: (above, clockwise) Timothy Reich, M.D.; Craig Radnay, M.D.; William Long, M.D., (middle), pictured with Steven Reyes, P.A. (right), and fellow Ajit Deshmukh, M.D. (left); and Michael Kang, M.D.

The First Green ER on Long Island After years of careful planning, St. Francis Hospital took the

seeking to design, construct, and operate high-performance

wraps off the first “green emergency room” on Long Island.

green facilities.

Like many hospitals across the region, increasing demand for

“We place a great deal of emphasis on the environment of

emergency medical care prompted the Hospital to expand and

care, and going green is just a natural reflection of our com-

upgrade its emergency department. However, when the time

mitment to the community, our patients, and the heritage of

came for St. Francis to renovate its ER, in addition to creating a

St. Francis,” says Alan D. Guerci, M.D., President and CEO.

facility with an eye on comfort, care, and state-of-the-art life-

This new facility represents another milestone – the Hospi-

saving tools, the Hospital also saw an opportunity for environ-

tal’s first construction project fully funded by philanthropy.

mental stewardship.

Donors contributed more than $8 million in support of the ex-

St. Francis expects to obtain Silver LEED Certification – a step

pansion. Many were inspired by the opportunity to give back to

above the standard certification for green spaces–now that the

the community as well as to honor the caregivers who made a

renovation is complete. LEED, which stands for the Leadership

difference in their lives.

in Energy and Environmental Design, provides a Green Build-

The new renovation dramatically improves the interior of

ing Rating System™ that is a third-party certification program.

the Hospital’s emergency department, which saw a nearly 21

It serves as a benchmark for organizations, such as St. Francis,

percent increase in visitors in the last five years. Featuring an

St. Francis Hospital The Heart Center® 2012 Annual Report 19

Wall of Fame Roberto Colangelo, M.D., one of St. Francis Hospitalâ&#x20AC;&#x2122;s most distinguished cardiothoracic surgeons, stands in front of one of four walls in his oďŹ&#x192;ce covered with multitudes of thank you cards and letters of appreciation from his grateful patients. Dr. Colangelo has been recognized many times for his outstanding risk-adjusted mortality rates for valve, bypass, and valve/bypass surgery. He also continues to be active in the CoreValve research taking place at St. Francis. St. Francis Hospital The Heart CenterÂŽ 2012 Annual Report 20

Healing Power increase of over 6,000-square-feet, negative pressure private

tient outcomes, and patient satisfaction. St. Francis was one

and semi-private rooms, and electrically opaquing “privacy

of only six hospitals in the U.S. to achieve the award because

glass,” the new construction provides state-of-the-art treat-

of its notable reduction in hospital-acquired pressure ulcers

ment space. The eco-conscious design also includes using

and patient fall rates – consistently beating the national mean

environmentally sustainable materials for walls and floors,

on both measures.

expanding the Hospital’s recycling program, and implement-

On February 6, 2013, Ann Cella, R.N., Senior Vice President

ing a series of energy conserving measures to reduce demand

of Patient Care Services and Chief Nursing Officer, accepted

for water and electricity.

the award at the NDNQI conference in Atlanta. “It was a huge

“This leading edge, eco-friendly facility enables us to provide

honor for me to be there. It was a humbling experience,” says

our patients with architecture and space that are as good as

The Environment of Care: Mark Hoornstra, M.D., Chairman of Emergency Medicine (far right), helped unveil the ﬁrst Green ER on Long Island in 2012. The newly redesigned, state-of-the-art facility is not only patient friendly, but eco-friendly as well.

our medical care,” says Mark Hoornstra, M.D., Chairman of Emergency Medicine.

Nursing Excellence at St. Francis

Cella. “I accepted the award on behalf of every nurse at St.

Nursing is at the heart of the patient care that is provided at

Francis Hospital.”

St. Francis, and the Hospital has a longstanding tradition of

Also last year, the Cardiothoracic Intensive Care Unit

nationally recognized nursing excellence. In 2012, St. Francis

(CTICU) at St. Francis Hospital, received a gold-level Beacon

Hospital received the American Nurses Association (ANA)

Award for Excellence from the American Association of Criti-

NDNQI Award for Outstanding Nursing Quality. The award

cal-Care Nurses (AACN). The award recognizes hospital unit

recognizes hospitals for achieving overall excellence in nurs-

caregivers who successfully improve patient outcomes and

ing-sensitive quality measures, such as R.N. satisfaction, pa-

align practices with AACN’s six standards for a healthy work

St. Francis Hospital The Heart Center® 2012 Annual Report 21

Healing Power environment. Units that achieve this three-year, three-level

Stroke Association’s Get With The Guidelines® Stroke Gold Plus

award with gold, silver, and bronze designations meet na-

Quality Achievement Award, which recognizes the Hospital’s

tional criteria consistent with Magnet Recognition, the Mal-

commitment and success in implementing excellent care for

colm Baldrige National Quality Award, and the National

stroke patients, according to evidence-based guidelines.

Quality Healthcare Award. St. Francis is the only hospital in New York State to receive this recognition.

In 2010, St. Francis Hospital earned Magnet designation for nursing excellence for the second consecutive time, an honor

Last summer, the Hospital received an “A” on a new safety

awarded to only 7 percent of American hospitals. In the spring

score that rates hospitals on the quality of their care. The

of 2013, the nursing department will be submitting an interim

letter-based rating system was devised by The Leapfrog

report for Magnet designation and is working toward achieving

Group, a nonprofit organization that ranks hospitals nation-

redesignation in 2015. This fall, Cella will attend the annual

wide. St. Francis was one of only two hospitals in Nassau

Magnet conference in Orlando, Florida, and give a presenta-

County to receive the highest score. The nursing department

tion with Donna Rebelo, Assistant Vice President of Nursing.

played an instrumental role in the Hospital achieving this

“This is an exciting time for the nurses here at St. Francis and I

excellent result.

appreciate their dedication, commitment, and hard work to

“Our clinical outcomes far exceed those in the nation,

earn all of the accolades we received,” says Cella.

hence the reason for the Leapfrog recognition,” says Cella. “And this is because of the interdisciplinary collaboration

Education and Outreach

and cooperation from everyone at St. Francis, from the med-

St. Francis Hospital’s mission of offering education and out-

ical staff to security.”

reach to a wide range of communities and patients continued

In May of 2012, St. Francis and its nursing department once

in 2012. Its mobile clinic provided cardiovascular health screen-

again received the American Heart Association/American

ing and counseling to nearly 5,000 people throughout Long Is-

St. Francis Hospital The Heart Center® 2012 Annual Report 22

Heart of Gold The Cardiothoracic Intensive Care Unit (CTICU) at St. Francis Hospital received a gold-level Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN) in 2012. St. Francis was the only hospital in New York State to receive this prestigious national nursing recognition, which signiﬁes excellent and sustained unit performance and patient outcomes. While our nurses continually achieve the highest honors including Magnet designation, our patients are the real winners when it comes to getting the very best in patient care. Members of the outstanding team are (l. to r.) Joan Wallace, R.N., Nurse Manager; Margaret Raylman, R.N.; Bernadette Semenick, R.N.; Emily Sorvillo, R.N.; and Patricia O’Connor, R.N. St. Francis Hospital The Heart Center® 2012 Annual Report 23

Healing Power land and Queens, including victims of Superstorm Sandy. It

Our cardiac prevention programs reached generations of pa-

also screened almost 800 more patients and provided flu shots

tients in our ongoing fight against heart disease. In an effort to

through the Hospital’s affiliation with Catholic Health Services’

prevent sudden cardiac death, our Student Athlete Screening

Healthy Sundays initiative.

Program screened nearly 350 high school students for poten-

Uninsured mobile clinic patients with serious underlying

tially dangerous heart conditions. We also trained almost 7,000

heart conditions were referred to the Hospital’s Cardiac Out-

people from all walks of life in CPR, as well as Advanced Cardiac

reach Department, directed by Louise Spadaro, M.D., one of

and Pediatric Life Support.

Long Island’s leading cardiologists. Dr. Spadaro and her med-

St. Francis Hospital’s efforts extended not only regionally

ical team also treated patients without health insurance who

but globally. The Hospital provided lifesaving cardiac proce-

were referred to them by the Bishop McHugh Health Center

dures to children from around the world, including countries

and South Bay Cardiovascular – two St. Francis satellite facili-

such as Russia, Kosovo, and Haiti. Through our longstanding

ties – and by RotaCare, a charitable organization that provides

partnership with Gift of Life International, children who could

free health care to people in need.

not receive these procedures at home were successfully

During that same year, our Cardiac Fitness & Rehabilitation

treated here.

Center remained one of the busiest facilities of its kind in our

The Hospital’s work in the community carries on a tradition

region, receiving more than 60,000 annual patient visits. Based

of caring established by our founders, The Sisters of the Fran-

at the award-winning DeMatteis Center for Cardiac Research

ciscan Missionaries of Mary, and the Hospital remains com-

& Education in Greenvale, it continues to be the largest hospi-

mitted to their original vision of providing care for those in

tal-based program of its kind on Long Island. In addition to Car-

need, whether they are in the local community, the wider re-

diac and Pulmonary Rehabilitation, the Center offers

gion, or from around the world.

workshops in yoga, tai chi, and exercise for employees. St. Francis Hospital The Heart Center® 2012 Annual Report 24

Imaging Experts (From left to right) Elizabeth Haag, R.N.; Research Nurse Manager; Nathaniel Reichek, M.D., Director of Research; Kathleen Rapelje, Chief Technologist CT; and Jie Jane Cao, M.D., Clinical Director of Cardiac CT and MRI, have been actively involved in conducting coronary artery angiograms (CTAs) for researching protocols on transcatheter aortic valve insertion (TAVI), which will oďŹ&#x20AC;er new hope for patients with severe aortic stenosis who cannot safely have surgery. St. Francis Hospital The Heart CenterÂŽ 2012 Annual Report 26

The St. Francis Hospital

Research and Educational Corporation

esearch has played a crucial role in the development of new cardiovascular diagnostic and treatment modalities at St. Francis Hospital. The 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. The opening of St. Francis Hospital’s Cancer Institute in De-

medication that may protect the heart if given at the outset of

cember 2012, has allowed the Research Institute to develop a

chemotherapy. “It’s been used to reduce heart muscle damage

focused research program in detecting adverse effects on the

that’s already present but whether it can be given earlier is the

heart, such as cancer, chemotherapy, and radiation, more profi-

question,” says Dr. Reichek. “Does treating very early do a bet-

ciently. The group will work closely with Bhoomi Mehrotra, M.D.,

ter job? It’s a very active area of concern and I’m really pleased

Director of the Cancer Institute and the Hospital’s Director of On-

that we have an opportunity to contribute, especially since there

cology, to assist him in recruitment of staff and organization of

are some new imaging methods for early detection that I think

clinical studies.

are going to be very useful.”

The research group is also planning a new imaging initiative

In 2012, St. Francis participated in further expansion of re-

to develop better ways to detect any adverse effects of

search protocols on transcatheter aortic valve insertion (TAVI), a

chemotherapy on the heart, a long-standing challenge. “But now

form of treatment that can offer new hope for patients with

we have much better techniques available and getting a program

symptomatic, severe aortic stenosis who cannot safely have sur-

started in that area is very exciting,” says Dr. Reichek. Haoyi

gery. Elizabeth Haag, R.N., Research Nurse Manager, and her

Zheng, M.D., a recently recruited member of the imaging group

team are now screening patients daily for eligibility for TAVI.

and formerly a cardiologist at New York University, has research

Given their experience in working with these types of patients

expertise in cardiac effects of cancer chemotherapy and has de-

on research protocols, Haag’s group is also helping to evaluate

veloped a research protocol to evaluate potentially preventive

patients who are candidates for a form of TAVI that is already FDA

St. Francis Hospital The Heart Center® 2012 Annual Report 27

Research and Educational Corporation

approved and in clinical use, called the Sapien prosthesis.

says Dr. Reichek. “You can actually restore synchronous con-

Since the Hospital’s upgrade of the DeMatteis Center MRI

traction using a multi-lead pacemaker, and Dr. Van Tosh and Dr.

scanner to a 32-channel system (the first of its kind on Long Is-

Nichols have shown that computerized nuclear imaging tech-

land), researchers like Jie Jane Cao, M.D., Clinical Director of Car-

niques can create very reproducible and reliable results that may

diac CT and MRI, can now obtain much faster and sharper cardiac

benefit patients in the future.”

images. Last year, Dr. Cao published several important papers in major journals such as the American Heart Association’s Circu-

Evolving Echocardiography

lation Cardiovascular Imaging, on new ways to assess the ef-

Dennis Mihalatos, M.D., Director of Clinical Echocardiography,

fectiveness of the heart in circulating blood around the body, as

has been working on better ways to use echocardiography to

well as on evaluation of blood flow in the lungs and the effects

evaluate narrowing of the aortic valve in aortic stenosis. Using

of heart disease on lung blood flow.

state-of-the-art three-dimensional imaging technology, he is

James Goldfarb, Ph.D., a physicist and biomedical engineer in

evaluating the shape of the left ventricular outflow tract

the St. Francis Cardiac MRI program, has been doing innovative

(LVOT), which plays a critical role in determination of aortic

work developing new methods for detection of hemorrhage into

valve area (AVA) and the degree of aortic stenosis. After ana-

heart muscle during heart attacks. “This is one of the potential

lyzing over 300 CT angiograms with Michael Passick, R.D.C.S.

problems that can occur when you relieve coronary artery block-

(registered diagnostic cardiac sonographer), preliminary re-

age because the blood vessels in the heart muscle have been

sults revealed that the LVOT is actually an elliptical structure.

damaged and can leak when you restore blood flow with a

Currently, Dr. Mihalatos has expanded his research to include

stent,” explains Dr. Reichek. “Patients who experience such

patients who have had TAVI, and is using CTA data along with

bleeding have bigger heart attacks and do worse over time than

two and three-dimensional echocardiographic data to com-

those who don’t. Dr. Goldfarb’s new methods for this and many

pare findings between the different leading-edge methods

other problems in cardiac imaging have been very widely

and to assess how they relate to the determination of aortic

adopted by other centers.”

stenosis severity.

Andrew Van Tosh, M.D., Clinical Director of Nuclear Cardiology,

Eddy Barasch, M.D., Co-Director of Echocardiography is pur-

is working with Kenneth Nichols, Ph.D., a leading investigator in

suing still another line of research on aortic stenosis. He has

nuclear cardiology, to develop new methods for evaluating the

shed new light on the risk of the disease to patients in which the

coordination, or synchrony, of heart contraction using radionu-

disease appears to be mild because there is not a big pressure

clide techniques. In the past, this problem has been evaluated

drop across the valve, even though the size of the opening in the

largely with echocardiography, but the methods used have some

valve appears to be small. Dr. Barasch has been able to show

limitations and nuclear imaging may improve such evaluation.

that such patients are at substantial risk of adverse outcomes

“This is important because many of the hearts that go into heart

and benefit from valve replacement just like patients with big

failure because they don’t pump strongly enough not only have

pressure drops across the valve.

weaker pumping function, but they lose coordination of the dif-

Aasha Gopal, M.D., Director of Advanced Echo Technology, has

ferent parts of the heart walls. That’s what asynchrony really is,”

been working with new three-dimensional echocardiography

St. Francis Hospital The Heart Center® 2012 Annual Report 28

Research and Educational Corporation

techniques that look at heart muscle contraction abnormalities.

main chamber of the left atrium. Such clots can be pumped

She has shown that the 3-D approach is more powerful than the

out of the heart and cause strokes or damage to other body or-

ordinary two dimensional imaging approaches for looking at the

gans besides the brain. To prevent this, the standard treat-

heart wall. “One of the things that this may lead to is doing stress

ment has been to give medications that block coagulation of

testing with less stress,” says Dr. Reichek. “It looks as if you can

blood, but these medications bring some risk of bleeding as

detect abnormal contraction within the wall of the heart due to

well as the risk of more clotting if patients forget to take them

a narrowed artery with less stress, whether it’s with exercise or

or stop taking them. “There are now several different kinds of

giving medication than it takes if you’re just looking at how well

devices that can be introduced either by catheter or using a

that portion of the heart wall is pumping blood. It looks like it’s

needle puncture directly through the chest wall that can block

going to be a more sensitive technique that will simplify stress

off this ‘appendage’ so that blood doesn’t flow in or out of it,”

testing in the future.”

says Dr. Reichek. “This approach can be as effective as anti-co-

Richard Shlofmitz, M.D., Chairman of Cardiology, presented studies at several cardiology meetings comparing the effective-

agulant medication in preventing blood clots and preventing strokes.”

ness of drugs used during stenting procedures. He also pub-

In 2012, St. Francis researchers presented over 40 original

lished an abstract titled “Optimal Same-Day Platelet Inhibition in

research papers at scientific meetings of organizations such

Patients Receiving Drug-Eluting Stents With or Without Prior

as the American Heart Association Scientific Sessions, Soci-

Maintenance Thienopyridine Therapy,” which described a new

ety of Cardiovascular Magnetic Resonance, International So-

way to assure that patients had optimal blockade of blood clot

ciety of Magnetic Resonance in Medicine, American College of

formation on the day of stenting.

Cardiology, American Society of Nuclear Medicine, and American Society of Echocardiography, 14 of which were published

Looking Forward

as full-length articles in major journals such as Journal of Car-

George Petrossian, M.D., Director of Interventional Cardio-

diovascular Magnetic Resonance, Journal of American Col-

vascular Procedures, and Joseph Levine, M.D., Director of Elec-

lege of Cardiology, Circulation Heart Failure, Journal of the

trophysiology, are beginning studies on new ways of

American College of Cardiology, and Texas Heart Institute

preventing blood clots in patients with atrial fibrillation that

Journal.

do not require lifelong treatment with anticoagulants. In atrial

Out of the 75 clinical protocols monitored by the Institutional

fibrillation, the upper chambers of the heart stop beating in a

Review Board (IRB) in 2012, 23 were sponsored by the Re-

coordinated way. Normally, the upper chambers work as a

search Institute. They included seven clinical trials that were

pump primer for the more powerful lower chambers, con-

initiated and are actively enrolling patients. An additional 10

tracting before the lower chambers and filling them with ad-

clinical trials are slated to undergo IRB submission and begin

ditional blood.

enrollment in the second quarter of 2013. This level of activity

However, in atrial fibrillation, the coordination of atrial con-

promised to reinforce and expand the Hospital’s reputation na-

traction is lost. This permits blood clots to form in the upper

tionally and internationally as an important contributor to car-

chambers, usually in the left atrial “appendage,” and not the

diac research.

St. Francis Hospital The Heart Center® 2012 Annual Report 30

The St. Francis

Hospital Foundation

Built with Gratitude

s the St. Francis Hospital community celebrated the opening of its new Emergency Department in October 2012, its unique construction proved to be notable in more ways than one. Lauded as Long Island’s first “green” ER, its use of eco-friendly features and sustainable ma-

terials qualify the space for LEED (Leadership in Energy and Environmental Design) certification. The spacious new Emergency Department is also unique because it

early Thanksgiving dinner in Long Beach for 2,500 displaced resi-

was built with gratitude – $8 million worth to be exact. This was the

dents. Nurses from the St. Francis Hospital Community Health Pro-

first time in St. Francis Hospital’s history that a construction project

gram were also on-site to offer free health screenings and flu shots.

had been funded entirely by philanthropic support.

Event honorees Tanja and James Dixon, as well as hundreds of other

For many donors, it was an opportunity to give back and honor the caregivers who made a difference in their lives.

donors who had previously planned to attend the Gala, readily shifted their support to assist with these efforts.

Just two weeks later, as Hurricane Sandy hit, this community sup-

The St. Francis Hospital Foundation also hosted a successful Golf

port became a lifeline. St. Francis Hospital quickly jumped into action

Classic in June, honoring Peter Striano and chaired by John C. Doscas.

to accept patients from hospitals and nursing homes evacuating on

In 2012, funds raised for the St. Francis Hospital Foundation totaled

the South Shore of Long Island.

$3.9 million in new cash and pledges, including major gifts, planned

As the extent of storm damage across the area became apparent,

gifts and support for the annual fund, and special events.

the Hospital mobilized to transform its annual black-tie gala into an

St. Francis Hospital The Heart Center® 2012 Annual Report 32

Going Green St. Francis Hospital’s Green ER — the ﬁrst of its kind on Long Island — was fully funded by donations. The recently renovated, eco-friendly facility features state-of-the-art lifesaving tools. Bishop William F. Murphy (r.) of the Diocese of Rockville Centre, took a tour after giving the newly redesigned department his blessing.

St. Francis Hospital The Heart Center® 2012 Annual Report 33

Generations of Giving Twenty-one-year-old Tiﬀany Rose Miller is one St. Francis Hospital’s youngest and most vibrant volunteers. The college junior, seen here with veteran volunteers Paul Rabbiner (l.) and Andy Wainer (r.), gets up at the crack of dawn four days a week to volunteer at the Hospital before going to class. The spirit of giving has been so inspiring that Tiﬀany says she hopes to one day become the CEO of a hospital.

St. Francis Hospital The Heart Center® 2012 Annual Report 34

Volunteer Organizations:

Paying it Forward

ou can find them at the information desk, behind the counter in the gift shop, or delivering a warm blanket to a patient. These are the St. Francis Hospital volunteers and since the hospital first opened its doors, they have been an integral part of the patient’s lives, as well as the

lives of the doctors, nurses, and staff. In 2012, 613 men and women, ages 14 to 96 years-old donated over 69,000 hours of their time to St. Francis Hospital, totaling $1.5 million for their collective service, based on figures compiled by the U.S. Bureau of Labor Statistics. The volunteers, in their signature jackets, contribute their services to

lot of the bigger hospitals have. “Sometimes volunteers get lost in the

the Emergency Department, Information Desk, Pastoral Care, PACU, Pa-

shuffle at those places. They want to be able to walk through the lobby,

tient Relations, Admitting, Patient Transport, Dietary, Clerical, gift shop

through the halls. They like the feeling of home here,” says Baretela.

and the Hospital’s Endoscopy Unit, seven days a week, 365 days a year.

Looking forward, Baretela hopes to implement a new program called

They also staff the surgical waiting areas in the Heart Center Waiting

“Friendly Visitors” where volunteers will visit patients who don’t get

Room and the DeMatteis Center Waiting room at St. Francis and the

visitors, sit and chat with them, or even play cards. He also plans to

cardiac rehabilitation center at the DeMatteis Center.

have the teenage volunteers sit near the front desk to escort some of

Before Arlene Miller passed away in May 2013, she was the Hospi-

the older patients and their families to different parts of the Hospital.

tal’s oldest volunteer at 96 years-old and has donated over 37,000

With these new programs on the horizon and the long list of volunteers

hours of her time, while Edna Pascal, who retired in early 2012, had

waiting to donate their precious time to St. Francis, the department con-

been a volunteer at St. Francis for 51 years. Last year, Bill Johnson do-

tinues to grow considerably since 1941 when several women volunteers

nated the most hours out of any volunteer, giving 1,325 of his valuable

established the The Guild of St. Francis. Nearly seven decades later, the

time to St. Francis.

Guild continues to thrive. In 2012, the Guild hosted a number of notable

Also in 2012, the Hospital had 163 volunteers under the age of 20.

fundraising events, including their Spring Luncheon in May, as well as “A

These junior volunteers often transport patients, run errands, and deliver

Day at the Races” luncheon in October. Their dedicated efforts, together

newspapers. Barry Baretela, Director of Volunteers, says that in addition

with proceeds from The St. Francis Hospital Gift Shop, resulted in

to the Hospital being listed in some of the volunteer directories at local

$125,000 of donations, bringing them one step closer to fulfilling their

schools, the teenagers hear about the friendly, warm atmosphere and

second $1 million pledge to the Hospital’s Master Facilities Plan.

how great it is to volunteer at St. Francis through their peers. “They tell each other, ‘You should volunteer at St. Francis,’” says Baretela.

The Brave Hearts of St. Francis also continued to provide support and information for recovering heart patients. This volunteer group was

Many of the older volunteers, at one time or another, have been pa-

founded in 1975 by a group of patients who had received lifesaving car-

tients at St. Francis Hospital, and for most of them it’s because of the ex-

diac care at St. Francis. Their mission is to serve as ambassadors for all

cellent care they received that they choose to give back their time.

open-heart surgery patients, and today the group continues to promote

“People have been treated so well by the doctors and nursing staff at

friendship between open-heart patients, their families and the Hospi-

St. Francis that they want to give something back to the hospital,” says

tal. In 2012, the Brave Hearts donated $40,000 in support of the Hos-

Baretela. “I have a waiting list for volunteers because there are so many

pital’s renovation of The Heart Center. This gift represents the Brave

people who love this hospital. I’ve heard many say, ‘I was treated with

Hearts’ first payment on their new pledge of $125,000. The group pre-

such care by the staff and that’s why I want to volunteer here.’”

viously donated $100,000 in support of the first phase of the Hospital’s

According to Baretela, volunteering at St. Francis is also appealing because the Hospital doesn’t have the “business-like” atmosphere that a

Master Facilities Plan which included the creation of the Nancy and Frederick DeMatteis Pavilion.

St. Francis Hospital The Heart Center® 2012 Annual Report 35

Officers and Boards of Directors/Trustees Catholic Health Services of Long Island – Corporate Members Most Rev. William F. Murphy Msgr. Robert Brennan Sr. Ann Gray, D.W. Rev. Msgr. Robert Morrissey Most Rev. Nelson Perez Most Rev. John C. Dunne, D.D. Sr. Lois Ann Pereira, F.M.M. Sr. Dolores Wisniewski, C.I.J.

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

Richard J.J. Sullivan, Jr.

Richard J.J. Sullivan, Jr., Chairman Sr. Elaine Callahan, O.P., Vice Chair Eugene F. Murphy, Secretary Thomas E. Christman, Treasurer Barbara Ellen Black, D.P.S. Thomas J. Dowling, Jr., M.D. Virginia Ewen Sr. Audrey Harsen, O.P. Sr. Margaret John Kelly, D.C. Frank L. Kurre Brian R. McGuire Rev. Msgr. Robert Morrissey Patricia Nazemetz Christopher S. Pascucci Daniel T. Rowe Joseph Tantillo Rev. Msgr. James Vlaun John Wagner

St. Francis Hospital Foundation and St. Francis Hospital Research and Educational Corporation – Board of Directors Peter Quick, Chairman Alan D. Guerci, M.D., President and CEO Rev. Msgr. Francis J. Caldwell, Secretary Anthony Celifarco, M.D. *** Thomas E. Christman Kevin J. Conway Peter P. D’Angelo, Treasurer Rev. Peter Dugandzic Thomas J. Fanning, Sr. Joseph A. Grimaldi Brian P. Hehir Sr. Betty Keegan, F.M.M. Herbert J. McCooey, Jr. Stephen F. McLoughlin Eugene F. Murphy John J. O’Brien Carole E. O’Sullivan* Kevin O’Sullivan** Brian Poissant, Esq. Susan Powers Schott Rabbi Barry Dov Schwartz, Ph.D. Michael N. Vittorio Sr. Dolores Wisniewski, C.I.J. *Honorary Member **Honorary Member, Deceased ***President of the Medical Staff of St. Francis Hospital

Chair, Board of Directors, CHS

St. Francis Hospital Board of Trustees

Peter Quick Chair

Peter Quick, Chairman Alan D. Guerci, M.D., President and CEO Rev. Msgr. Francis J. Caldwell, Secretary Anthony Celifarco, M.D. *** Thomas E. Christman Kevin J. Conway Peter P. D’Angelo, Treasurer Rev. Peter Dugandzic Thomas J. Fanning, Sr. Joseph A. Grimaldi Brian P. Hehir Sr. Betty Keegan, F.M.M. Herbert J. McCooey, Jr. Stephen F. McLoughlin Eugene F. Murphy Carole E. O’Sullivan* Kevin O’Sullivan** Brian Poissant, Esq. Susan Powers Schott Rabbi Barry Dov Schwartz, Ph.D. Michael N. Vittorio Sr. Dolores Wisniewski, C.I.J.

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 Jack Soterakis, M.D. Senior Vice President, Medical Affairs and Medical Director Patricia E. Daye Vice President, Ambulatory Services Barbara Fierro Vice President, Human Resources Sherry J. Friedman Vice President for Development and Public Affairs George Huryn Vice President, Facilities

St. Francis Hospital The Heart Center® 2012 Annual Report 36

Hospital Statistics

2012

2011

2010

2009

2008

2007

1,337 4,003 10,025

1,477 4,616 11,005

1,630 4,751 12,018

1,597 4,674 12,331

1,568 4,524 12,303

1,549 4,448 11,405

3,427 3,879 2,719

4,696 3,263 3,046

5,227 3,366 3,425

5,413 3,326 3,592

5,802 2,957 3,544

5,407 2,877 3,121

Non-Invasive Cardiac Lab Procedures Cardiac Rehabilitation Visits Cardiac Arrhythmia Procedures AICDS Pacemakers EP Studies

13,356 57,972 3,620 841 693 2,086

14,008 60,523 3,391 908 801 2,222

14,076 62,271 4,107 1,010 757 2,340

13,251 61,388 4,499 1,087 850 2,562

11,896 60,983 4,516 1,078 844 2,594

11,886 61,094 4,626

PATIENT CARE Number of Beds (in service) Patient Admissions Days of Patient Care Average Patient Stay (Days) Bed Occupancy Rate Emergency Room Visits (Gross)

306 15,664 96,733 6.2 86% 22,756

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

19,051 3,766 9,945 2,086 2,339,248 45,809 88,143 2,182,597 278,924 24,602 2,027 504 454 69,248

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

Year Ended December 31 (In Thousands/Audited) 483,671 Patient Service Revenue 15,579 Less: Charity Care (**) 2,630 Less Provision for Bad Debt (***) 465,462 Net Patient Service Revenue 21,016 Other Operating Revenue $486,478 Total Operating Revenue

484,274 11,061 2,600 470,613 17,696 $488,309

474,449 9,394 2,913 462,142 16,225 $478,367

442,593 6,830 1,809 433,954 13,755 $447,709

405,127 14,497 1,535 389,095 11,671 $400,766

362,265 17,232 1,923 343,110 11,765 $354.875

214,297 225,104 6,762 24,599 470,762 $17,547

203,728 211,018 6,960 22,989 444,698 $33,672

186,511 198,778 7,446 24,871 417,606 $30,103

158,339 176,494 5,263 18,391 358,487 $42,279

140,858 165,927 3,989 15,016 325,790 $29,085

CARDIOVASCULAR VOLUME Open-Heart Surgery Other Cardiothoracic Surgery Cardiac Catheterizations including all Diagnostic, Interventional, and Peripheral Vascular Procedures

Inpatient Catheterizations Outpatient Catheterizations Coronary Angioplasty and other Cardiac and Peripheral Vascular Interventions

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

OPERATING ExPENSES: Salaries and Wages Supplies, Insurance and Utilities Interest Expense Depreciation Total Operating Expenses Income from Operations SOURCES OF REVENUE 2012 Inpatient Services Outpatient Services Other Operating Revenue

216,274 233,712 6,141 26,657 482,784 $3,694

65% 31% 4%

CONSUMPTION OF RESOURCES 2012 Purchase of Plant Assets: 4% Interest and Depreciation: 7% Supplies and Services: 31% Salaries and Employee Benefits: 58% St. Francis Hospital The Heart Center速 2012 Annual Report 37

Medical Staff Compiled May 2013 DEPARTMENT OF

Neil R. Bercow, M.D.

DEPARTMENT OF

Jie Jane Cao, M.D.

Shahram Hormozi, M.D.

ANESTHESIOLOGY

Roberto G. Colangelo, M.D.

CARDIOLOGY

Goolam Carim, M.D.

Richard Horowitz, M.D.

Robert A. Kates, M.D.

Christopher LaMendola, M.D. Richard A. Shlofmitz, M.D.

Chairman

Chairman THORACIC SURGERY

Ralph Caselnova, M.D.

Jiong Ming Hu, M.D.

Timothy Chen, M.D.

Hitender Jain, M.D.

William Chung, M.D.

Vinod K. Jayam, M.D.

Michael I. Cohen, M.D.

Lawrence Durban, M.D.

Alan Goldman, M.D.

Alan B. Cohen, M.D.

Sanjiv Jhaveri, M.D.

Vice Chair

Director, Thoracic Surgery

Vice Chair

Barton E. Cohen, M.D.

Thomas Joseph, D.O.

Kenneth H. Cohen, M.D.

Madhavi Kadiyala, M.D.

Zaid Ahmad, M.D.

Cardiac Surgical Assistants

Ari M. Ezratty, M.D.

Stephan Cokinos, M.D.

Ganesh Kamath, M.D.

John R. Alfarone, M.D.

Georges J. Abou-Eid, M.D.

Director, Clinical Research

Arnold Conrad, M.D.

Alan Katz, M.D.

Kavitha Bareddy, M.D.

Shafie Arif, M.D.

Maureen Corry, M.D.

Roger Kersten, D.O.

Jeffrey E. Baumel, M.D.

Leslie Lidonnici, M.D.

Joseph H. Levine, M.D.

Stephen H. Covey, M.D.

Mark Kessler, M.D.

Ching H. Chan, M.D.

Soterios C. Philippou, M.D.

Director, Electrophysiology

Marvin Cramer, M.D.

Back Kim, M.D.

Christopher Choi, M.D.

Kaiduan Pi, M.D.

Ronald D. D'Agostino, D.O.

Marc Kirschner, M.D.

Wayne T. Cohen, M.D.

Ramesh C. Raichoudhury, M.D. Patrick J. Monteleone, M.D.

Bruce M. Decter, M.D.

Morey Klein, M.D.

David J. Elkin, M.D.

Laurence Spier, M.D.

Director, Medical Education

Emilio Del Priore, M.D.

Steven M. Kobren, M.D.

Ezra Deutsch, M.D.

Elana Koss, M.D.

Nehal Gatha, M.D. VASCULAR SURGERY

Thomas W. Pappas, M.D.

Nimish S. Dharia, M.D.

Jerome H. Koss, M.D.

Adam Graziani, M.D.

Richard Matano, M.D.

Director, Cardiac Cath Lab

Robert J. Dresdale, M.D.

Stuart Landau, M.D.

Jan Henriksson, M.D.

Director of Service

Jay J. Dubowsky, M.D.

Paul Lee, M.D.

George A. Petrossian, M.D.

Fred Fefer, M.D.

Michael Levine, M.D.

Renato B. Berroya, M.D.

Director, Interventional

Randy J. Feld, M.D.

Daniel E. Levy, M.D.

Uday M. Kumbar, M.D.

Saqib Chaudhry, M.D.

Cardiovascular Procedures

Perry A. Frankel, M.D.

Jay Lisker, M.D.

Fritzline Montalmant, M.D.

Patrick DePippo, M.D.

Israel Freeman, M.D.

Andrew E. Lituchy, M.D.

Gene A. Musto, M.D.

William Doscher, M.D.

Andrew D. Berke, M.D.

Aaron Freilich, M.D.

Antonio P. Madrid, M.D.

Michele Novak, M.D.

Larry Frankini, M.D.

Director of Interventional

Gary H. Friedman, M.D.

Michael M. Mannino, M.D.

Cardiology Research

Barry Ginsberg, M.D.

Bryan Kahan, M.D. John P. Kelly, D.O.

Lisa Phillips, M.D.

Peter Patetsios, M.D.

Alan Resnick, M.D.

William A. Purtill, M.D.

Steven B. Schulman, M.D.

Omid Rahmani, M.D.

Eugene W. Segall, M.D.

Toufic Safa, M.D.

Gary R. Friedman, M.D.

Michael Masciello, M.D.

Anthony Gambino, M.D.

Janice McCormack, M.D.

Nathaniel Reichek, M.D.

Anthony Garafalo, M.D.

Stephen A. Mezzafonte, M.D.

Director of Research and

Philip M. Gelber, M.D.

Dennis G. Mihalatos, M.D.

Andrew Suh, M.D.

Robert B. Swersky, M.D.

Director,

Aaron J. Gindea, M.D.

Joseph Minadeo, M.D.

Barry Tabakin, M.D.

John G. Yuan, M.D.

Noninvasive Cardiology

Robert Glaser, M.D.

Evan Mintz, M.D.

HC Glick, M.D.

Guy Mintz, M.D.

Timothy Vittorio, M.D.

Douglas A. Goldberg, M.D.

Bernard B. Monteleone, M.D.

Philip H. Weinberg, M.D. Jason B. Wells, M.D

DEPARTMENT OF

Brian Woods, M.D.

EMERGENCY MEDICINE

Director, Center for Advanced

Joel Goldberg, M.D.

Anthony J. Moschetto, D.O.

Steven Yap, M.D.

Mark P. Hoornstra, M.D.

Cardiac Therapeutics

Andrew M. Goldfarb, M.D.

Mohammed Muneeruddin, M.D.

George J. Goldman, M.D.

Joseph Musso, M.D.

Michael Aaron, M.D.

David Goldstein, D.O.

Sriram Naidu, M.D.

Henry E. Gomez, M.D.

Thomas A. Nicosia, M.D.

Chairman PAIN MANAGEMENT Daniel Sajewski, M.D.

Scott R. Strumpfler, M.D.

Meyer Abittan, M.D.

Co-Director of Service

Vice Chair

Olakunle O. Akinboboye, M.D. Aasha S. Gopal, M.D.

Stuart Okin, M.D.

James R. Albanese, M.D.

Andrew M. Grunwald, M.D.

Nicole Orr, M.D.

Patrick Annello, M.D.

Jonathan Berkowitz, M.D.

Larry Altschul, M.D.

Alan D. Guerci, M.D.

Edward H. Oruci, M.D.

Co-Director of Service

Adam Church, M.D.

Hemanth Badhey, M.D.

Ronald J. Gulotta, M.D.

Felix I. Oviasu, M.D.

Jason Idelson, D.O.

Eddy Barasch, M.D.

Stephen J. Gulotta, M.D.

Adina Pascaru, M.D.

Michael Kennedy, M.D.

Jeffrey M. Bernstein, M.D.

Martin H. Handler, M.D.

Raj R. Patcha, M.D.

David Hersh, M.D.

Scott J. Ratner, M.D.

Trusha Shah, M.D.

Christopher Maurischat, M.D. Greg Blair, M.D. DEPARTMENT OF

James Milano, M.D.

William L. Blau, M.D.

Ronnie Hershman, M.D.

Asif Rehman, M.D.

CARDIOTHORACIC AND

Robert Miller, D.O.

Lauren Boglioli, M.D.

David A. Hess, M.D.

David Reich, M.D.

VASCULAR SURGERY

Russell W. Raskin, M.D.

Elias Bonaros, M.D.

Thinn Hlaing, M.D.

Xiao Li Ren, M.D.

Newell Robinson, M.D.

Babak Saadatmand, M.D.

Kaupin J. Brahmbhatt, M.D.

David H. Hoch, M.D.

Gerald S. Roberts, M.D.

Chairman

Michael Tang, M.D.

Douglas Byrnes, M.D.

Natalia Hochbaum, M.D.

Edward Rutkovsky, M.D.

St. Francis Hospital The Heart Center速 2012 Annual Report 38

Michael L. Sacher, D.O.

Irina Shpak, M.D.

Carylann Hadjiyane, M.D.

HOSPITAL MEDICINE

Craig R. Grobman, D.O.

Gonzalo M. Saravi, M.D.

Rattan Patel, M.D.

Robert D. Herman, M.D.

Marianne Hamra, M.D.

Judah Guy, M.D.

Seymour Katz, M.D.

Director of Service

Louis R. Heisler, M.D

Stuart O. Schecter, M.D.

DERMATOLOGY

Neeraj Kaushik, M.D.

Carl S. Schreiber, M.D.

John Garofalo, M.D.

Gina S. Kwak, M.D.

Ilanit Aminow, M.D.

Michael Hundert, M.D.

Richard Schwartz, D.O.

Director of Service

Omer Masood, M.D.

Mohammed Bari, M.D.

William S. Knight, M.D. Peter J. Kurzweil, M.D.

Leonard Saulle, M.D.

Evan H. Schwarzwald, M.D.

Tom Hopkins, M.D.

David E. Milkes, M.D.

Mohammad Chaudhry, M.D.

Jorge E. Secchi, M.D.

Lance A. Barazani, M.D.

Alex Novogrudsky, M.D.

Michael DiBari, M.D.

William Kutcher, M.D.

Steven W. Seiden, M.D.

Joshua Fox, M.D.

Dean Pappas, M.D.

Doina Glodan, M.D.

Lewis M. Lebetkin, M.D.

Justin Shaber, M.D.

Giuseppe Militello, M.D.

Howard M. Rattner, M.D.

Zaher Hamadeh, M.D.

Robert Linden, M.D. Mitchell R. Locke, M.D.

John Rizzo, M.D.

Paul Kim, M.D.

William Shin, M.D.

Steven Shayani, M.D. ENDOCRINOLOGY

Stephen R. Siegel, M.D.

Lawrence Magras, M.D.

Anthony L. Luciano, M.D.

Edward Skwiersky, M.D.

Rory S. Breidbart, M.D.

Alan F. Sloyer, M.D.

Aisha Masood, M.D.

David P. Magier, M.D.

Nir Somekh, M.D.

Director of Service

Ian Storch, D.O.

Syed Naqvi, M.D.

Ralph Mastrangelo, M.D.

Kevin L. Tack, M.D.

Mhroos Peters, M.D.

Carole Moodhe-Lysaght, M.D.

Arthur L. Talansky, M.D.

Shu Yang, M.D.

Javier Morales, M.D.

INFECTIOUS DISEASES

Alice S. O'Shaughnessy, M.D. Pushpaben Parikh, M.D.

Louise A. Spadaro, M.D. Jeffrey Spivak, M.D.

Rachel Fetner, M.D.

Jeffrey Stahl, M.D.

Jeffrey Gordon, M.D.

Robert E. Tepper, M.D.

Neil H. Stein, M.D.

Onoufrios Goussis, M.D.

Joseph Tripodi, D.O.

Reza Naghavi, M.D.

Eric Steinberg, D.O.

James Hess, D.O.

Alan M. Bulbin, M.D.

Mark J. Stern, M.D.

Tharakaram Ravishankar, M.D. HEMATOLOGY/ONCOLOGY

Director of Service

William Shin, M.D. William Tenet, M.D.

Bhoomi Mehrotra, M.D. FAMILY PRACTICE

Director of Oncology

Theofanis Tsiamtsiouris, M.D. Farzad Tabibzadeh, M.D. Manish B. Undavia, M.D.

Director of Service

Eric Uyguanco, M.D. Andrew Van Tosh, M.D.

Stephen Burke, M.D.

Kathleen M. Restivo, M.D. Paul Ricca, M.D.

David B. Brieff, M.D.

Howard Sacher, D.O.

Joel Greenspan, M.D.

Leon E. Schwechter, D.O.

Dilip Patel, M.D.

Dava Klirsfeld, M.D.

Salvatore Scoma, M.D.

Director of Malignant

Vitaliy Krol, M.D.

Jane Serio, M.D.

Hematology

Hermes Lopez, M.D.

Susan Sharma, D.O.

John A. Venditto, M.D.

Raymond Ebarb, M.D.

Nathalie Schulhof, M.D.

Sixto A. Siasoco, M.D.

Vasundhara Vidyarthi, M.D.

Andrea Kaplan, M.D.

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

Farah Shams, M.D.

Jack Soterakis, M.D.

Michael Weber, M.D.

Kenneth Levites, M.D.

Director of Hematology

Marvin J. Tenenbaum, M.D.

Joseph W. Szczesniak, M.D.

Sidharth Yadav, M.D.

Scott Rex, M.D.

Paul G. Tolins, M.D.

Qamar M. Zaman, M.D.

Anna Siasoco, M.D.

Anu Chandok, M.D.

INTERNAL MEDICINE

Stephen A. Tranchina, M.D.

Qian Zhao, M.D.

Vincent Siasoco, M.D.

Gerard B. Donnelly, M.D.

Florence Barricelli, M.D.

Roman Urbanczyk, M.D.

Jerome B. Zisfein, M.D.

Nicholas Zotto, M.D.

Julius Duic, M.D.

Director of Service

Frank R. Vezza, M.D.

Debra Ferman, M.D.

Marco E. Vezza, M.D.

DEPARTMENT OF MEDICINE

GASTROENTEROLOGY

Triantafillos Fillos, M.D.

Marvin Base, M.D.

Gilbert Weinstein, M.D.

Marvin J. Tenenbaum, M.D.

Anthony J. Celifarco, M.D

Richard S. Forte, M.D.

Jon Zvi Batash, M. D.

Edward Wolff, M.D.

Chairman

Director of Service

Francisco Garcia-Moreno, M.D. Doris Berland, M.D.

Janette Yap-Marcelo, M.D.

Ari L. Ginsberg, M.D.

Deborah Blenner, M.D.

Chaim Abittan, M.D.

Jai Grewal, M.D.

Richard S. Blum, M.D.

NEPHROLOGY

Gregory M. Ackert, M.D.

Ummekalsoom Malik, M.D.

Maria Brountzas, M.D.

Steve W. Rucker, M.D.

Rajiv Bansal, M.D.

John S. Marino, M.D.

Girish Bulsara, M.D.

Director of Service

Eugene S. Bonapace, M.D.

Jonathan Marsh, M.D.

Patrick J. Cavanaugh, M.D.

ALLERGY/IMMUNOLOGY David Wertheim, M.D. Director of Service Lisa Buglino, D.O.

Michael J. Bradford, M.D.

Brian T. McNelis, M.D.

Emia Chan, M.D.

Sayed Ali, M.D.

BISHOP MCHUGH

Raymond A. Diaz, M.D.

Anju Ohri, M.D.

Lori Cohen, M.D.

Jeffrey Cohen, M.D.

HEALTH CENTER

Mordecai Dicker, M.D.

Joseph Pipala, M.D.

Joseph Colucci, M.D.

Adam N. Criss, D.O.

Patricia Tassinari, M.D.

David S. Eskreis, M.D.

Frank A. Tomao, M.D.

Michael DeAngelis, D.O.

Sunil George, M.D.

Director of Service

Blanche Fung Liu, M.D.

Baruch Wieder, M.D.

Michael Demaria, M.D.

Jeffrey E. Haller, M.D.

Frederick Gandolfo, M.D.

Robert Weiner, M.D.

Hilary Diamond, M.D.

Jim N. Hilepo, M.D.

CRITICAL CARE MEDICINE

Lev Ginzburg, M.D.

George A. Zervos, M.D.

Seth Eisen, M.D.

Susana Hong, M.D.

Evan S. Sorett, M.D.

Ira S. Goldman, M.D.

Kenneth A. Ewing, M.D.

Abrar Husain, D.O.

Director of Service

Michael J. Goldstein, M.D.

Charles Gambino, D.O.

Jasmeet Kaur, M.D.

St. Francis Hospital The Heart Center速 2012 Annual Report 39

Medical Staff Lionel Mailloux, M.D.

Jill Karpel, M.D.

Javier Andrade, M.D.

Robert B. Light, D.M.D.

Oscar J. Kranz, M.D.

Alicia Notkin, M.D.

David Katz, M.D.

Louis J. Auguste, M.D.

Jennifer Mendocha, D.D.S.

Willy Ky, M.D.

Simon Prince, D.O.

Paul Kuperschmid, M.D.

Mansoor H. Beg, M.D.

Alex Meneshian, D.D.S.

Eunice Lee, M.D.

Lance D. Rubel, M.D.

Leonard J. Landesberg, M.D.

Rashmae Chardavoyne, M.D.

Petros Panagos, D.D.S.

Alan B. Marks, M.D.

Roopal Sampat, M.D.

Stuart Lowenkron, M.D.

Charles C. Conte, M.D.

Eugene P. Pezzollo, D.M.D.

Kenneth J. Rosenthal, M.D.

Gerard Tepedino, M.D.

Sanford M. Ratner, M.D.

Dwight C. DeRisi, M.D.

Lawrence A. Popkin, D.D.S.

Marc Sirota, M.D.

Marc J. Yunis, M.D.

Denise Janus Ruttgeizer, M.D.

Mark W. Dobriner, M.D.

Robert T. Schreiber, M.D.

Robert Dring, M.D.

GYNECOLOGY

Valerie Trubnick, M.D.

NEUROLOGY

Evan S. Sorett, M.D.

Dominic A. Filardi, M.D.

Alan Garely, M.D.

Kathleen R. VanValkenburg, M.D.

Anthony S. Cohen, M.D.

Deborah M. Ushkow, M.D.

Dominick Gadaleta, M.D.

Olga Liberman, M.D.

Jonathan Waxner, M.D.

Victor A. Gallo, M.D.

Benjamin Schwartz, M.D.

Jeffrey M. Wolf, M.D.

Shawn M. Garber, M.D.

Director of Service

Richard H. Blanck, M.D. Teresa DeAngelis, M.D.

RHEUMATOLOGY

NEUROSURGERY

Michael Giuffrida, M.D.

Richard Johnson, M.D. Director of Service

Vincent DeOrchis, M.D.

William P. Given, M.D.

Marc L. Greenwald, M.D.

Director of Service

Michael Grieco, M.D.

Michael Han, M.D.

ORTHOPEDIC SURGERY Richard D'Agostino, M.D.

Larry Gellman, M.D.

Alan Ettinger, M.D. Laurence D. Haber, M.D.

Burton S. Sultan, M.D.

Director of Service

Bruce A. Seideman, M.D. Chief of Joint Replacement

Spencer Holover, M.D.

Jonathan Brisman, M.D.

Lenore Brancato, M.D.

Sanjay Jobanputra, M.D.

Michael H. Brisman, M.D.

Michael Angel, M.D.

Jeffrey T. Kessler, M.D.

Anna Imperato, M.D.

Alan S. Kadison, M.D.

Jeffrey A Brown, M.D.

Stanley Asnis, M.D.

Joseph Moreira, M.D.

Gary Meredith, M.D.

Paul Katz, M.D.

Stephen D. Burstein, M.D.

Sushil Basra, M.D.

Denis Ostrovskiy, M.D.

Andrew J. Porges, M.D.

Lewis M. Kurtz, M.D.

David J. Chalif, M.D.

Frank DiMaio, M.D.

David Podwall, M.D.

Walter B. Schulman, M.D.

Marlene Mancuso, M.D.

Benjamin Cohen, M.D.

Hargovind DeWal, M.D.

Philip Ragone, M.D.

Howard S. Weiss, M.D.

Michael Moseson, M.D.

Vladimir Dadashev, M.D.

Thomas J. Dowling, M.D.

Howard Nadjari, M.D.

Robert Holtzman, M.D.

William A. Facibene, M.D.

Dwight J. Rosenstein, M.D. Izabella Rozenfeld, M.D.

DEPARTMENT OF PATHOLOGY

Lynn O'Connor, M.D.

Donald Krieff, D.O.

A Philip Fontanetta, M.D.

Laura G. Schoenberg, D.O.

Ana Anagnostopoulos, M.D.

Susan M. Palleschi, M.D.

Michael Lefkowitz, M.D.

Andrew Greenberg, M.D.

Puneet Singh, D.O.

Chairperson

Patricia Pezzello, M.D.

Alan Mechanic, M.D.

Michael Kang, M.D.

Angelo J. Procaccino, M.D.

Harrison Mu, M.D.

Samuel Kenan, M.D.

Peter Hoffmann, M.D.

John L. Ricci, M.D.

Stephen Onesti, M.D.

James Kipnis, M.D.

Gilian Levy, M.D.

Eugene Rubach, M.D.

Nicholas Post, M.D.

Lewis B. Lane, M.D.

Tereza Sardinha, M.D.

Perry Stevens, M.D. Paul Wright, M.D.

PSYCHIATRY

Ramin Rak, M.D.

William Long, M.D.

Kenneth Kahaner, M.D.

DEPARTMENT OF PEDIATRICS/ Marc Sher, M.D.

Sachin Shah, M.D.

Thomas M. Mauri, M.D.

Director of Service

PEDIATRIC CARDIOLOGY

Owen T. Su, M.D.

Brian Jeffrey Snyder, M.D.

Laurence Mermelstein, M.D.

Sean G. Levchuck, M.D.

James D. Sullivan, M.D.

William J. Sonstein, M.D.

Edward Mills, M.D.

Chairman

Laura A. Sznyter, M.D.

Lee Tessler, M.D.

Adam R. Chester, D.O.

Dimitra Theodoropoulos, M.D. Elizabeth Trinidad, M.D.

Allison Hinds, M.D. Glenn R. Kalash, D.O.

Samuel Bangug, M.D.

John Wang, M.D.

Sol Gourji, M.D.

Raza Zaidi, M.D.

Artem Vaynman, M.D.

John E. Morrison, M.D. Hamid R. Mostafavi, M.D. Richard Obedian, M.D. Craig Radnay, M.D.

PULMONARY MEDICINE

Edgar Lerias, M.D.

OPHTHALMOLOGY

Steven J. Ravich, M.D.

Alan Schecter, M.D.

Douglas Luxenberg, D.O.

DENTISTRY/ORAL SURGERY

Leslie P. Goldberg, M.D.

Timothy Reish, M.D.

Director of Service

Steven Purrier, M.D.

John A. Sheehan, D.M.D.

Director of Service

Daniel S. Rich, M.D.

Ambrose Vallone, M.D.

Director of Service

William R. Basta, M.D.

Ronald A. Balkin, M.D.

Neofitos Stefanides, M.D.

Lawrence E. Becker, D.M.D.

Herman B. Berg, M.D.

Peter D. Stein, M.D. David V. Tuckman, M.D.

Masood Yeroushalmi, M.D.

Jay Berland, M.D.

Jeffrey Richmond, M.D.

David M. Breidbart, M.D.

DEPARTMENT OF SURGERY

Jay William Bridbord, D.D.S

Joseph A. Blanco, M.D.

Mylene Colucci, M.D.

Gary Gecelter, M.D.

Ralph Cangiano, D.D.S

Robert D. Broderick, M.D.

Michael V. Como, M.D.

Chairman

Richard Faber, D.D.S

Peter D'Arienzo, M.D.

OTOLARYNGOLOGY

Scott Fauvell, D.D.S

Aimee L. Eichen, M.D.

Philip W. Perlman, M.D. Director of Service

Gary W. Freeberg, M.D. Joseph Genovese, D.O.

George DeNoto, III, M.D.

Edwin Ginsberg, D.M.D.

Martin Fletcher, M.D.

Jodilyn Gingold, M.D.

Director of General Surgery

Matthew Hanna, D.M.D.

Perry F. Garber, M.D.

Leonard Hoffman, D.D.S

Demetrios Halikopoulos, D.O.

Jason B. Karp, M.D.

St. Francis Hospital The Heart Center速 2012 Annual Report 40

Mid-Level Practitioners Michael K. Ditkoff, M.D.

PLASTIC SURGERY

Kenneth Crystal, M.D.

Edward Honig, M.D.

Patrick Reynolds, PA-C, MBA

Karen A. Haunss-Sapinski, M.D.

Joseph Feinberg, M.D.

Vice Chair

Ali A. Kawi, M.D.

Director, MLP Services

Andrew A. Jacono, M.D.

Director of Service Patricia Barry, M.D.

Frank Losito, M.D.

Roy Constantine, PA-C, MPH,

Jules Levine, M.D.

William Kennedy, M.D. Saul Modlin, M.D.

Tommaso Addona, M.D.

Carolyn Birnbaum, M.D.

Frank Marici, M.D.

Ph.D., DFAAPA

Joseph Rousso, M.D.

David J. Antell, D.O.

Jay L. Bosworth, M.D.

Joseph Mollura, M.D.

Assistant Director, MLP Services

Michael Setzen, M.D.

Craig Baldenhofer, M.D.

Angela Capo-Granata, M.D.

William J. Noble, M.D.

Raymond L. Soletic, M.D.

Glenn A. Becker, M.D.

David W. Ebling, M.D.

Alfred B. Randall, M.D.

Alexander Sorin, M.D.

Ian Bourhill, M.D.

Elisa Kadish, M.D.

Milton J. Reitman, M.D.

MLP MEDICINE

Josh Werber, M.D.

Arnold Breitbart, M.D.

Menachem Mandell, M.D.

Riccardo Ricciardi, M.D.

Cristina T. Wanek, PA-C

Bruce W. Brewer, M.D.

John Pile-Spellman, M.D.

Charles E. Rogers, M.D.*

Coordinator

PHYSICAL MEDICINE AND

Kambiz Jacob Cohen-Kashi, M.D. Jed Pollack, M.D.

Joseph Sferrazza, M.D.

REHABILITATION

Robert A. Cooper, M.D.

Craig Sherman, M.D.

Irvin Spira, M.D.

Payal B. Amin, PA-C

Joseph Rothenberg, M.D.

Thomas A. Davenport, M.D.

Scott J. Sherman, M.D.

Nathaniel Spier, M.D.

Roslynn R. Aquino, ANP

Leland M. Deane, M.D.

Lee D. Stein, M.D.

Richard J. Strauss, M.D.

Robin Lynn Arias, PA-C

Gregory A. Devita, M.D.

Arlene Sussman, M.D.

Alex Stone, M.D.

Rya Bankova, PA-C

Luis Ajejo, M.D.

Barry K. Douglas, M.D.

Anne F. Vinokur, M.D.

Norman Thomson, M.D.

Michelle A. Beirouti, PA-C

Amir Annabi, M.D.

Sanford Dubner, M.D.

Sydney S. Yoon, M.D.

William P. Wagner, M.D.*

Rebecca Bikram, PA-C*

Alan Zakheim, M.D.

Robert Waldbaum, M.D.

Toni-Ann E. Bligh, PA-C

Joseph R. Whelan, M.D.

Penny E. Blount, PA-C

Director of Service

Barry C. Root, M.D.

Mariel Eliza, M.D.

Christopher Sellars, D.O.

Marc Elkowitz, M.D.

Perry Stein, M.D.

Randall S. Feingold, M.D.

COMMUNITY PHYSICIAN

B. George Wisoff, M.D.

Alexandra J. Broccolo, PA-C

Candido Fuentes-Felix, M.D.

Vlassi Batidy, M.D.

David Wolk, M.D.*

Christopher M. Byrne, PA-C*

PODIATRY

Laurence T. Glickman, M.D.

Lewis Levin, M.D.

Tibor Zahajsky, M.D.*

Natalia Constantino, ANP-C

Mitchell Greenbaum, D.P.M.

Burt Greenberg, M.D.

Kenneth F. Mattucci, M.D.

*deceased

Janelle Daidone, PA-C

Khawaja A. Hassan, M.D.

Brian Schwartz, M.D.

Denise DiMarco, ANP-C*

Ron Israeli, M.D.

Barbara Seifert, M.D.

Carrie A. Enright, PA-C

Raymond Ferguson, D.P.M.

Alex Keller, M.D.

William Sherman, M.D.

Joanna Esterow, PA-C

Jeffrey A. Fishman, D.P.M.

Martin E. Kessler, M.D.

Peter Weil, M.D.

Edwige Figaro, PA-C

AnnaMaria Giordano, D.P.M.

Matthew Kilgo, M.D.

Hilma M. Yu, M.D.

Reanell Gasaway, PA-C

Brian P. Lynn, D.P.M.

Peter Korn, M.D.

Rebecca Fishman, D.O.

Adrienne Grande, PA

Lawrence Lin, M.D.

Pericles Hadjiyane, M.D.

Rosann Gregory, PA-C

Director of Service

Michael Pliskin, D.P.M.

Daryl K. Hartley, PA-C

Frederick N. Lukash, M.D. UROLOGY

Eric Mager, M.D.

HONORARY MEDICAL STAFF

Sayeda H. Hussaini, PA-C

Felix L. Badillo, M.D.

Tansar Mir, M.D.

Henry Abrams, M.D.

Shaheen A. Khalfan, PA-C* Jean Kittelberger-Joyce, PA-C

Noel Natoli, M.D.

Filippo Balboni, M.D.

Dino Ravnic, D.O.

Harry Barbaris, M.D.*

Maureen Larkin, FNP-C*

Mitchell I. Buchbinder, M.D.

Rachel Ruotolo, M.D.

Lionel P. Barrau, M.D.

Aline Lennon, ANP-C*

Johanna Figueroa, M.D.

Homayoun Sasson, M.D.

H. Sinan Berkay, M.D.

Bridget O. McGarry, PA-C

Sarah K. Girardi, M.D.

Mark I. Silberman, M.D.

Seymour Block, D.O.

Rachel McNally, PA-C

Gary D. Goldberg, M.D.

Lawrence Sirota, D.O.

Paul Damus, M.D.

Mario Nova, PA-C

Eric M. Hochberg, M.D.

Roger L. Simpson, M.D.

Edward T. Davison, M.D.

Cristina Nunez, PA-C

Michael A. Levine, M.D.

Mahira Tanovic, M.D.

Klaus Dittmar, M.D.

Tara Paternoster, PA-C

Director of Service

Charles E. Libby, M.D.

Antonio L. Uria, M.D.

Michael R. Dubin, M.D.

Harrynauth Persaud, PA-C

Randy Makovsky, M.D.

Humayun Waheed, M.D.

Michael Errico, M.D.

Tabatha Poole, PA-C

Leonard J. Mondschein, M.D.

Diana Yoon-Schwartz, M.D.

Sidney Fenig, M.D.

Jennifer L. Regan, PA-C

Elliot M. Paul, M.D.

Arthur Wise, M.D.

Stephen Fortunoff, M.D.

Fay A. Reinhalter, PA-C

Genri Pinkhasov, M.D.

Joshua Zuckerman, M.D.

Marvin Frogel, M.D.

Adam T. Roberts, PA-C

Burton H. Goldberg, M.D.

Jodi Ronquillo, PA-C

Steven Robbins, M.D. Raymond Sultan, M.D.

RADIOLOGY

Steven Greenberg, M.D.*

Ellen Salone, ANP*

Michael M. Ziegelbaum, M.D.

Kenneth J. Goodman, M.D.

Gasper Gulotta, M.D.*

Marsha Sattler, ANP-C*

Chairman

Robert I. Hamby, M.D.

Cathleen R. Schmidt, PA-C

St. Francis Hospital The Heart Center速 2012 Annual Report 41

Mid-Level Practitioners Edward G. Seiter, PA-C

Jessica Merlo, PA-C*

Shorn Edwards, PA-C

Svetlana Iskhakova, ANP

Karen Stellato, ANP-C*

Andromachi Picoula, PA-C

John M. Graffeo, PA-C

Lisa Kayser, PA-C

Jaclyn Thoresz, ANP-C*

Benedetta Prunella-Lerch, PA-C Jessica Hare, PA-C

Jean B. Thorpe, ANP-C*

Steve B. Reyes, PA-C

Patricia A. Keller, ANP

William Holecek, PA-C

Eileen Kenney, ANP-C

Michael Malavet, PA-C

Maura A. Kenney-Kieran, ANP-C

MLP VASCULAR SURGERY

Tina Minicozzi, PA-C

Sherri Lee, ANP-C

Christopher Yagliyan, PA-C

Patrick J. Brennan, PA-C

Marcus Niemi, PA-C

Monica Losquadro, PA-C

Avital Yagudaev, PA-C

Coordinator

Andrew Nugent, PA-C

Susan Magro, FNP-C

Lisa Nyffler, PA-C

Maranda Manieram-Arjune, ANP-C

Maria Ametrano, PA-C

William M. Riordan, PA-C

Erin Markey, ANP-C

Robert J. Siefring, PA-C

Tim Anderson, PA-C

Alla Rus, PA-C

Doris Nolan, ANP-C

Coordinator

George Ekonomou, PA-C

Robert E. Smith, PA-C

Jillian M. Oswald, ANP-C

Yvonne Hardoon, PA-C

Katherine Stevko, ANP-C

Barbara A. Pettenon, ANP-C

Melanie Howard, PA-C

Nicholas Strippoli, PA-C

Lorraine Quirk, FNP-C

Cheryl Ann Ubarra, PA-C Craig Weschke, PA-C

MLP SURGERY

Michael Dawson, PA-C* Gerlando De Castro, PA-C

John J. Murray, PA-C

Irene Sullivan, ANP-C

Donna Ramharrack, ANP-C

Donna M. Duisin, PA

Eileen M. Stanton, PA-C

Kevin Whitley, PA-C

Elizabeth Ring, ANP-C

Kathleen, Dunne, PA-C

Michael Stauder, PA-C

Margaret Wrzosek, PA-C

Luisa Santos, ANP

Thomas A. Eschmann, PA-C

Roberta Scheida, ANP-C

Donna Franco, PA-C*

MLP CARDIOTHORACIC

MLP EMPLOYEE HEALTH

Lynette George, PA-C

SURGERY

Wendy Bezko-Colligan, PA-C

Patricia Toolan, FNP-C

John R. Gilbert, PA-C

Cary S. Stanton, PA-C

Manager

Maureen Torpey, ANP-C

Katie Brooke Guarino, PA-C*

Coordinator

Maria R. Vega, ANP-C

Jenny L. Jackson, PA-C* Norm Keller, PA-C*

Katie Staphos, PA-C

Jeannine Eslinger, PA-C

Carole Zarcone, ANP-C

Reginald R. Arcilla, PA-C

Courtney Klingbeil, PA-C

Christine Kelly, PA-C*

Linda A. Bastian, PA-C

Ellen Rubenstein, PA-C

MLP ONCOLOGY

Steven Lam, PA-C

Michael Bresnahan, PA

Laurie A. Scheuermann, PA-C

Angela Caramalis, PA-C

Sloan Vahldieck, ANP-C

Melanie M. Diaz, ANP-C

Abraham Lenderman, PA-C

Charles M. Cespedes, PA

Dennis G. Lynch, PA*

Novlet Davis, ANP-C

Robert Mascarelli, PA-C*

Michelle DeMarco, PA-C

MLP PALLIATIVE CARE

Minakshi Khanna, PA-C

Bobby Matthews, PA-C*

Thomas J. Dussel, PA

Maria Vitsentzos, ANP-C

Sandy Nissel-Horowitz, PA-C

Robert J. Mazaroski, PA-C*

Stephen T. Friedman, PA-C

Coordinator

Tara L. Zickerman, PA-C

Emily McCann, PA-C

Karen L. Grauer, PA-C Kelly A. Bitran, FNP-C

MLP EMERGENCY DEPARTMENT

Joanne McDevitt, PA-C

Rebecca Griffett, PA-C

Nikolas McEnerney, PA-C*

Vadim Kaziyev, PA-C

Peter Kelly, ANP-C

Paula Drivas, PA-C*

Mark G. Mokotoff, PA-C

Christopher Koch, PA-C

MLP ANESTHESIA

Laura Lynn Patruno, PA-C*

Christopher S. Kunz, PA-C

Penelope A. McNicholas, PA-C*

Maria Zanetis, PA-C*

Mary Riker, PA-C

Beth M. Taylor, PA-C

Cheryl Rothman, PA-C

Justin T. Thach, PA-C

MLP CARDIOLOGY

Robbin Friedberg, ANP-C

Thomas Savarese, PA-C

John W. Thoresz, PA-C

Christina Avdoulos, PA-C*

Coordinator

George J. Staphos, PA-C

Karl Weaver, PA-C

Lawrence J. Bentley, ANP-C

Steven A. Stavrides, PA-C*

Debra Chalmers, ANP-C

Rosario Carlin, ANP-C

Danielle Cincinelli, ANP-C

Catherine D. Maynard, FNP-C

Ashish Seth, PA-C

Camille Colletti, FNP-C

Valika Parsan, FNP

Coordinator

Rocco John Cortese, FNP-C

Kenneth E. Strobel, PA-C*

MLP CRITICAL CARE

Kelly Tortorella, PA-C* Mabel Wong, PA-C Erin Yodice, PA-C* MLP ORTHOPEDIC SURGERY

MLP PRE-ADMISSION TESTING

Maryann DeFalco, ANP-C David Berg, PA-C

*denotes private practice

Anne L. Fioresi, ANP-C

Dvorah Drew, PA-C

Josefino C. Bugay, PA-C

Debra Fisher, PA-C

Lisa Horvath, ANP-C*

Denise N. Chernoff, PA-C

Maria Jose Fuschetto, ANP-C

Barbara A. Lowell, PA-C

Vernon A. Chin, PA-C

Kevin Gilbert, PA-C

Susan Martinez, PA-C

Robert S. Dankner, PA-C

Kimberly Go, ANP-C

John M. DePietro, ANP-C

Kathleen A. Henry-Muratore, ANP-C

St. Francis Hospital The Heart Center速 2012 Annual Report 42