From the Offices of Elliot Joseph and Jeffry Nestler, MD
October 17, 2010 Edition

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"The function of leadership is to produce more leaders, not more followers." - Ralph Nader

Anthem Update

Hartford Hospital continues to negotiate with Anthem Blue Cross of Connecticut to reach a fair and reasonable contract with rates similar to those paid to other hospitals in the Northeast and in Connecticut. Unless an agreement is reached before Oct. 31, Hartford and Windham hospitals’ current contracts with Anthem will expire. Contingency planning is underway in case no agreement is reached by Oct. 31. Physicians with questions and concerns can call the Physician Hotline at (877) 545-3913.
• View Jeff Flaks’ letters to patients and providers.

Dr. Robert Siegel Leads Medical Staff Annual Campaign

Dr. Robert Siegel will head up the Medical Staff Annual Campaign for the fourth year in a row. Siegel said that support for the campaign underscores the hospital’s commitment to providing the best resources for its talented medical staff and the most accommodating facilities for patients -- both of which increase the need for financial support. Under Siegel’s leadership last year, the medical staff increased its contributions to Hartford Hospital’s Annual Campaign by 21 percent to nearly $185,000. Be on the lookout later this month for information about the 2011 Medical Staff Annual Campaign.

Information Services Becomes a Network-Wide Function

Information Services teams at Hartford Healthcare member organizations have been combined into a single, Hartford Healthcare IS group that will help pave the way for seamless, well-coordinated care across Hartford Healthcare. It also will reduce expenses through integration and will provide expanded career opportunities to IS staff members throughout HHC. The change took effect Oct. 1. Stephan O'Neill, Vice President, Information Services and CIO, will have overall responsibility for the new IS organization and report to Thomas Marchozzi, Executive Vice President & CFO, Hartford Healthcare and Hartford Hospital.

Winning the BSI Battle

Intensive efforts across all of the ICUs to prevent bloodstream infections (BSIs) are beginning to pay off. Techniques including daily rounding checklists, electronic documentation of line insertion, post-BSI huddles and leadership rounds have changed the culture in our units and affected practice. During the last five months there have been only five BSIs. This represents a rate well below our goal for 2010 of 1.2 BSIs per 1,000 catheter days, which is considered a "best practice" level. Executive sponsors of the effort are Drs. Jamie Roche, VP for Patient Safety & Quality, and Rocco Orlando, SVP and CMO. Co-leaders are Dr. Karyn Butler and Pam Veccharino, RN, MSN, NEA-BC.

Emergency Department Moves from SCM to ED Allscripts

Starting Oct. 19, the Emergency Department will transition from Sunrise Clinical Manager (SCM) to ED Allscripts as the patient electronic health record. This includes all orders and results, provider notes, nursing assessments and interventions, medication administration record (MAR) and discharge plans and instructions. Access to documents in ED Allscripts will be limited to ED personnel and disciplines working with ED patients only. However, the entire ED record can be viewed in SCM on the new “ED Chartlink” tab. (Click here for detailed information and instructions.)

Serve on the Medical Executive Committee

There will be an election at the Medical Staff Annual Meeting on Nov. 18 for three at-large positions on the Medical Executive Committee. Physicians with an interest in serving on the MEC should alert the Medical Staff Office by Oct. 19. Contact Linda Calli, (860) 545-6167 or

HH2020: Building Our Future 

Year 1 Summary:

  • The first year of HH2020 has come to an end. In just 12 months, we’ve expanded our clinical capacity by repurposing underused space within our hospital. The results are outstanding:
    • We’ve added 8 beds to our ICUs on Bliss 9 and Bliss 11
    • We’ve added 9 step-down rooms on Bliss 9 and Bliss 11
    • We’ve increased ED capacity by 10 percent, adding 5 front-end provider rooms, an additional exam room, 4 new triage desks and a new discharge area
    • We’ve made significant updates to the infrastructure of the Conklin Building
    • We’ll be opening a new, 26-bed inpatient oncology unit on CB2 in just a few weeks
    • The Center for Education, Simulation and Innovation is opening later this fall, where we will teach tomorrow’s doctors, today
  • Lobby work is complete and detours are no longer in place. View photos of our completed lobbies.
  • The new Au Bon Pain café in the main lobby will open later this fall.

Year 2:

  • In year two, our Balanced Scorecard goals focus on expanding our ED even further and solving our parking challenges.

Welcome our New Physicians

Natalie C. Cushman, MD (Obstetrics & Gynecology)
Cynthia J. D'Alessandri-Silva, MD (Pediatric Nephrology)
Peter M. Ghobrial, MD (Hospitalist - Medicine)
Jigisha P. Morosky, MD (Allergy)
Martin D. Ollenschleger, MD (Interventional Radiology)
Dahlia Saad-Pendergrass, MD (Psychiatry)
Lauren H. Sansing, MD (Neurology)


5th Annual Interdisciplinary Transplant Symposium, October 19

The HH Transplant Program presents an all-day, interdisciplinary educational conference on transplantation for referring physicians, MLPs, HH staff, dialysis units, transplant centers and students. It will be conducted from 7 a.m. to 4 p.m., Tuesday, Oct. 19 in the Education & Resource Center (ERC)/Heublein Hall. Fees are: $25 - HH Employees; $50 - Non-HH Employee; $15 - students. To register, go to or call Hartford Hospital’s Health Referral Service at (860) 545-1888 or toll free at (800) 545-7664.

Summit on Medical Futility: Medicine, Ethics, & Law

Hartford Hospital’s Ethics Committee presents a Summit on Medical Futility from 7:30 a.m. to 12:45 p.m., Oct. 21, in Heublein Hall of the Education & Resource Center (ERC). The purpose of this meeting is to gather experts from the disciplines of medicine, law and ethics from around the state of Connecticut to begin the discussion needed to reconcile the problem of hospital-based medical futility and to shape a program of action. There is no charge for the summit (which includes breakfast), but registration is required. Register online at

13th Annual Nite of Lite Laughter, October 22

Lite 100.5 and Hartford Hospital are proud to present Lily Tomlin for the 13th Annual Nite of Lite Laughter fundraising event at 8 p.m., Friday, Oct. 22, at the Bushnell Theatre in Hartford. Proceeds will support Breast Cancer Programs at the Helen & Harry Gray Cancer Center. Tickets are on sale at the Bushnell Box Office. Tickets are available by phone at (860) 987-5900 or online at

Pathology Lecture

Dr. Richard Zaino, professor of Pathology at the Milton S. Hershey Medical Center of Penn State University in Hershey, PA, will speak on “Diagnostic Dilemmas in the Endocervix,” at 8 a.m., Friday, Oct. 29 in the K & T Conference Room (Bliss 303). Breakfast will be served. RSVP by Oct. 22 to Dr. Srinivas R. Mandavilli (860) 545-6113.


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.