From the Offices of Elliot Joseph and Jeffry Nestler, MD
July 11, 2010 Edition

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"It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change." - Charles Darwin

A Dramatic Quality Milestone

There were no bloodstream infections reported at Hartford Hospital in June. Since such records have been kept, this has occurred only once before. Since the establishment of post-BSI Huddles and Rounding Tools in late April, there have been only three BSIs in over two months in all ICUs combined. “We’re extremely proud of the great effort by everyone in the ICUs to achieve this,” said Rocco Orlando III MD, SVP and CMO at Hartford Healthcare and Hartford Hospital. Jamie Roche MD, VP, Patient Safety and Quality said that the focus must now shift to sustaining this effort. “By doing so, we could even exceed the Balanced Scorecard objective by 50% in the last quarter,” he said.

More on Quality: CT Hospitals Beat National Average on Quality

Hartford Courant staff writer Arielle Levin Becker reported July 6 on new national quality and safety data available to the public on CMS’ Hospital Compare website. She writes: “On average, Connecticut hospitals performed better than the national average in nearly all measures...” Jamie Roche MD, VP, Patient Safety and Quality at Hartford Hospital is quoted.

HH2020: Building Our Future

Building projects designed to increase patient and educational capacity are moving ahead rapidly. New ICU units on Bliss 9 and 11 will become operational in mid-July. Triage and front-end provider rooms in the Emergency Department are in the final stages of construction and will open later this summer. Work on the new Center for Education, Simulation and Innovation (CESI) continues in the ERC. As a result of the CESI project, the south hallway and South Lounge on ERC 1 are closed for two weeks. Please use the north hallway to access AV and Photography. A reminder: The bridges connecting the ERC to the Ingalls and Barney buildings are closed.

Financial Update

As of May 31, 2010, -- eight months into our fiscal year – we had $612.5 million in total revenues, putting us 2.8 percent ahead of budget. However, our expenses were $609.8 million – over budget by 3.4 percent. The operating budget ran below projections during this period. Staff members are being asked to be as efficient as possible with services and supplies and to monitor all costs carefully.

Department of Surgery “White Service”

On July 6, the Department of Surgery initiated a new surgery service called the “White Service” to supplement the three existing general surgery services: Red, Blue and Green. It will be staffed Monday through Friday from 6:30 a.m. to 7:30 p.m. by two advanced practitioners who can be reached at in-house pager number 1188. Patients on the White Service will be covered (rounding, care coordination and discharge planning) by the surgical attending physicians and the advanced practitioners. Please refer to the admission orders and the progress notes to determine if the patient you are caring for is being covered by the White Service. The general surgery on-call teams will handle calls concerning patients on the White Service on nights and weekends as they do for other general surgery services.


The Seymour Street Journal (SSJ) has been developed to communicate key messages pertinent to our hospital’s physicians. It will keep you informed and up-to-date on hospital, network, and health care news in a concise, convenient format. The SSJ will be sent to your preferred e-mail address every other Sunday. Back issues can be viewed here. For any questions or suggestions, please contact Dr. Jeffry Nestler, Medical Staff President, at (860) 836-7313.