From the Offices of Elliot Joseph and Jeffry Nestler, MD
February 20, 2011 Edition

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“The first responsibility of a leader is to define reality. The last is to say thank you.” - Max DePree


Hartford Hospital Expands Ophthalmology Center Of Excellence

On February 4, Hartford Hospital joined forces with Constitution Eye Surgery Center in Newington. Now called the Hartford Hospital Eye Surgery Center, it will operate as a surgical department of HH. With 11,000 cases a year, it is one of the largest such centers in the country. The staff will remain the same, and physicians who schedule surgeries there will continue to do so. Click here to visit their Web page.

Academics and Research

HHC Research Institute Becoming Reality

Steps have been taken towards a new HHC research institute: an executive board has been appointed; funding priorities have been determined; and vision, mission, responsibilities, policies and procedures have been agreed upon. A request for proposals has been sent to clinical chiefs to solicit ideas for research investment and growth. Meetings with Midstate and Hospital of Central Connecticut are underway to explore coordination of research activities under the institute umbrella.

New Phone Line for Referring Patients to Cancer Research Studies

The Cancer Clinical Research Office has a new direct patient referral line for physicians: 860-545-4700. For a list of open studies, go to the Cancer Clinical Research Office web page at

Intellectual Property Expert Onsite One Day Per Week

The Research Institute has arranged for an expert in technology transfer to be onsite one day per week to work with our investigators and staff on intellectual property identification and patent protection. A system-wide intellectual property policy is being finalized, and will be presented for approval within the next few months.

Innovative and Complex Care

Dr. Gualberto Ruano Will Speak in Washington on Biomedical Engineering

Dr. Gualberto Ruano, Hartford Hospital’s director of genetics research, will be the plenary speaker at the 20th annual event of the American Institute for Medical and Biological Engineering on February 22 in Washington D.C. He will discuss “Engineering Personalized Health,” presenting Hartford Hospital's programs in genomic medicine as a real-time example of how biomedical engineers are ushering the era of personalized medicine, including designing treatments to match an individual’s DNA profile.

Dr. David Tolin Spoke on Hoarding at NIMH Director’s Innovation Series

Dr. David Tolin, director of the Anxiety Disorders Center at the Institute of Living, gave an invited lecture entitled “Buried in Treasures: Hoarding and the Meaning of Things” as part of the Director’s Innovation Series at the Neuroscience Center of the National Institute of Mental Health in Bethesda, MD on November 9, 2010. Dr. Tolin is co-author of a book on the subject called Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding. His research suggests that there may be a neurological aspect to the condition that impairs
cognitive processing, but said more study is needed. A review of the presentation is in the NIH Record at

Care Coordination

New Central Scheduling System Will Simplify Doing Business with Hartford Hospital

Scheduling appointments and ordering services at Hartford Hospital will be easier with the launch of a new central scheduling system. This system will help us improve care by allowing practice managers to schedule and pre-register patients with one phone call or fax. A roll out of the system will begin with radiology and cardiology services on Feb. 28, with all outpatient areas having access to central scheduling by October. For more information and a quick reference guide, go to:

Exceptional Care Encourages Generous Donation

When Ann Rosow-Lucchesi wanted to honor the memory of her mother-a cardiology and cancer patient who died in 2009-and the many years of exceptional care provided to her at Hartford Hospital, she decided to donate bronze bas-relief sculptures, pastels and brush drawings to brighten a number of public spaces here. Ann’s generous gift of art honors the compassionate care provided by Drs. James Cardon, Sharon Diamen, Melissa FerraroBorgida, Stuart Genser, Jeffrey Hirst and Robert J. Piorkowski. The artwork will be placed in several family lounges, including CB2, the Cath Lab, Bliss 10 ICU and Center 10. Ann hopes the artwork will provide a soothing distraction for families dealing with difficult situations.

Operational Update

Avoid Having Your Privileges Suspended: Act By Next Monday

In order to avoid having prescriptive privileges suspended, you must renew your Connecticut Controlled Substance Registration (CSR) by next Monday, Feb 28. There is no grace period. Renew online by going to

Inpatient Volume Below Budget for January

In the month of January, inpatient volumes continued to be below budget. Inpatient discharges for the month were 4.5% below budget and 4% below the prior year discharges. Surgical discharges are below budget 2.7% and mental diseases and disorders below budget by 1.3% for the month. Outpatient activity was slightly below budget for January. One quarter of the way through the fiscal year, inpatient discharge volume is 3.4% below budget and outpatient activity is approximately even with the budgeted level.

Required Risk Management Grand Rounds Scheduled

There are several Risk Management Grand Rounds sessions scheduled for Hartford Hospital-employed providers (MDs, DOs, APRNs and PAs), who must attend one session to fulfill the Risk Management requirement. It is recommended that you attend a session related to your specialty, but you will still receive credit by attending any session. These sessions are for Hartford Hospital-employed providers only.
  • Clinical Leadership: Feb. 23 from 8–9:30 a.m. in JB 118
  • Medicine: March 2 from 5:30–7 p.m. in Gilman Auditorium
  • Surgery: March 9 from 7–8:30 a.m. in Gilman Auditorium
  • Surgery: March 10 from 5:30–7 p.m. in Gilman Auditorium
  • Women’s Health: March 31 from 7–8:30 a.m. in Special Dining Room
  • ED: April 6 from 12–1:30 p.m. (Location TBD)
  • ED: April 21 from 8:30–9:30 a.m. (Location TBD)

Coming Events

February 22:
Cardiology Program:
Internal Cardioverter Defibrillator: The Next Frontier

Jeffrey Kluger, MD, director of arrhythmia services. 11 a.m., JB-118. Attendings, fellows, hospitalists, APRNs, nurses are encouraged to attend. For more information contact Sharon Ballot at 860-545-1793.

February 23:
Cancer Program Grand Rounds:
Social Determinants of Health, Implications for Oncology

Karen D’Angelo, MSW; Grace Damio, MS, CD/N; and Denise Rivera Coladonato. 7:30-8:30 a.m., Gilman Auditorium. Designated for a maximum of 1 AMA PR Category 1 credit(s)™. Contact Ginelle McPherson, 860-545-4594.

February 24:
IOL Grand Rounds:
Emotional Schemas in Cognitive Behavioral Therapy

Robert L. Leahy, PhD, director of the American Institute for Cognitive Therapy in New York City and psychiatry professor at Weill-Cornell Medical School. 12-1:15 p.m., Hartford Room, Commons Building.

March 8:
Cardiology Program: Exercise in the Management of Patients with Heart Failure: Implications from HFACTION

Steven J. Keteyian, PhD, program director of preventive cardiology at Henry Ford Hospital. 11 a.m., JB-118. Attendings, fellows, hospitalists, APRNs, nurses are encouraged to attend. For more information contact Sharon Ballot at 860-545-1793.

March 15:
Cognitive Behavioral Therapy for Panic Disorder

David Tolin, PhD, ABPP, Director of the Anxiety Disorders Center at the Institute of Living. This event is part of Hartford Hospital Social Work Services celebration of National Professional Social Work Month. JB-118, 9-10:30 a.m. Click here for more information.

March 20:
Dr. Henry Lee, Renowned Forensic Scientist, to Speak at St. Joseph College

Dr. Henry Lee will speak at the Connecticut Nurses Foundation’s fundraising event. The legendary crime scene investigator will talk about his most famous cases such as Martha Moxley, OJ Simpson, and Jon Benet Ramsey. March 20 at Saint Joseph College in West Hartford; 2 p.m. Tickets are $50: call 860-231-5555 or online at Prior to the event, Dr. Lee will host a private reception for 15 guests for an additional $50.

March 22:
Including Diverse Perspectives in End-of-Life Care Decision Making: Steps Toward Cultural Competence

Karen Bullock, PhD, LCSW, geriatric psychiatry, social work education and staff development, Institute of Living. This event is part of Hartford Hospital Social Work Services celebration of National Professional Social Work Month. JB-118, 1-2 p.m. Click here for more information.

April 6:
8th Annual Heart Rhythm Symposium – Bridging Electrophysiology & Heart Failure

A series of lectures, case presentations and workshops will focus on an understanding of rhythm abnormalities in heart failure patients and how advanced treatments with drugs, resynchronization therapy (CRT), ventricular assist devices and cardiac transplant can be applied. Wednesday, April 6, 7 AM - 4:15 PM, Farmington Marriott. Please register by March 31 - you can register online at For more information, download the flier or contact Janet Linden, 5-3602.

April 12:
Non-Hodgkin Lymphoma: The Changing Landscape

This free presentation will present basic information on terminology, risk factors, diagnosis, staging, and classification. New insights, treatments, and future directions for NHL will be discussed. In addition, issues regarding coping with an NHL diagnosis will be addressed. Patients, caregivers, family members, and healthcare professionals are invited. 6-7:30 p.m. (5:30 p.m. registration and complimentary dinner), Hartford Hospital Special Dining Room. For more information contact Jennifer McGarry, 203-427-2046.

May 4:
Board of Directors and Medical Staff Spring Event

6-9 p.m., Heublein Hall, Education Resource Center

Hot Topics in Healthcare

Accountable Care Organizations at Academic Medical Centers

NEJM | February 2, 2011
By John A. Kastor, M.D.
Is the accountable care organization a suitable model for academic medical centers to follow in their efforts to control the cost of caring for patients while delivering superior, coordinated care? To explore this question, the author talked with 37 senior faculty members and administrators at academic medical centers, governmental agencies, and research institutes. These conversations revealed major organizational and cultural challenges confronting academic medical centers that attempt to adopt the ACO model.

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.