From the Offices of Elliot Joseph and Jeffry Nestler, MD
June 27, 2010 Edition

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"The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of mind." - William James, 1842-1910

Balanced Scorecard Retreat: Building On Success

Hartford Hospital is working to create a culture of discipline, rigor and focus and one that emphasizes strong collaboration between physicians and non-physicians across the organization. An important example of this shift is the development and use of the Balanced Scorecard, which was launched in 2008 and has been a key to many of Hartford Hospital’s successes. On June 10 and 11, a mixed group of administrators and physician leaders gathered in Old Saybrook for a day-and-a-half retreat dedicated to the 2011 scorecard. The hospital’s most important focus areas are described as “pillars” on the scorecard. They are: service excellence, quality, people, growth, financial strength and academic excellence. At the retreat, leaders discussed data related to each of the pillars and reached consensus on potential initiatives for the coming year. Some foundational themes from the two previous scorecards -- such as patient throughput, the patient experience and H3W -- will be built upon and carried forward. The proposed initiatives will be fine tuned in coming weeks and the Hartford Hospital Board of Directors is expected to review the Balanced Scorecard in August.

High-Tech Teaching

Friday’s National Renal and Prostate Symposium at Hartford Hospital showcased the surgical talent of Hartford Hospital physicians and cutting-edge teleconferencing / telemedicine capabilities now available at Hartford Hospital – and soon to roll out to other Hartford Healthcare hospitals. The day-long program featured a high-definition broadcast to Gilman Auditorium of a procedure performed by Drs. Joseph Wagner and Stuart Kesler and a surgery performed by Drs. Steven Shichman and Anoop Meraney – both in the specially-wired Core OR 10. In addition to in-depth lectures related to robotic renal-sparing surgery and prostatectomy, the 65 participants – including MDs, surgical assistants and summer research fellows – watched live broadcasts of surgeries from Celebration, Fla. and from the University of Southern California in Los Angeles.

The New Recommendations on Duty Hours from the ACGME Task Force

The Accreditation Council for Graduate Medical Education (ACGME) task force charged with reassessing resident training program standards has presented a comprehensive set of draft standards that revise requirements for supervision and duty hours to better match residents' levels of experience and emerging competencies, advancing both graduate medical education and quality patient care in the nation's teaching hospitals. Hartford Hospital is one of the region’s major medical teaching centers with 270 residents and fellows participating in a wide range of programs. (Supplementary appendix)

June Jubilee Recognizes Staff Excellence

Since the advent of the H3W program, Hartford Hospital has sought to make the recognition and reward of staff achievement one of the cornerstones of its new culture. As part of the effort, the hospital conducted the first annual June Jubilee employee appreciation celebration to mark the many achievements of its staff. The Jubilee kicked off on Hartford Hospital’s main campus on June 17, moved to the Newington campus on June 18 and was conducted at the Institute of Living on June 22. These outdoor events -- with free food and games -- were accompanied by leadership team visits to 30 other Hartford Hospital locations around the region. The June Jubilee events on the three campuses attracted an estimated 3,500 staff members across three campuses.

HH2020: Building Our Future

As of Monday, the Bliss 11 connector will be closed. This closure will last one week. An alternate route between Bliss 11 and North 11 or Center 11 has been established via the 1st floor. This is part of the project to create additional ICU and step-down capacity in Bliss. Three step-down patient rooms have been built on Bliss 9 and six step-down rooms have been created on Bliss 11. Four ICU patient rooms will be constructed within both the Bliss 9 and 11 connectors for a total of eight new ICU rooms. The new ICUs will open mid-July.

Look for New Lounge

The Doctors Lounge adjacent to the administrative offices has reopened after being refurbished and upgraded with new wall covering, woodwork, lighting and ceiling. The lounge is now open, although some additional work – including a computer workstation and new window treatments – is expected to be completed next week.

Pathology Test Update

  • Effective July 6, Hartford Hospital and Midstate Medical Center will discontinue Troponin T testing. This assay will be replaced with Troponin I. The new Troponin I assay offers superior sensitivity and specificity for detection of myocardial infarction and reduces falsely increased levels in patients with compromised renal function. The new normal reference interval for Troponin I is < 0.3 ng/mL. Troponin I results will be flagged with the comment: “Troponin I new test as of 7/6/2010. Please note new reference interval.” Please contact Greg Makowski, Ph.D. at (860) 696-8024 with any questions or concerns regarding this change.
  • Fibrinogen Degradation Product (FDP) testing has been discontinued at CLP's Hartford Hospital Coagulation Laboratory. Testing will now be performed at Quest Diagnostics Laboratory, Mon. through Sat. with a 24-hour turnaround time. Please contact Tina Dibble, Hematology Laboratory Manager at 545-2624 with any questions.

Welcome Our New Physicians

Brian L. Beaulieu, MD, Internal Medicine
Robert J. Bundy, MD, Pulmonology
Charles A. Cavo, DO, Ob-Gyn
Richard H. Harding, MD, Internal Medicine
Marlene Schwartz, MD, Pulmonology
Marie P. Vitale, MD, Internal Medicine
David W. Wolpaw, MD, Internal Medicine


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.