From the Offices of Elliot Joseph and Jeffry Nestler, MD
January 23, 2011 Edition

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“A leader is one who knows the way, goes the way, and shows the way.” - John C. Maxwell

FTC Approves Affiliation; Hospital Of Central Connecticut Joins HHC System

The Federal Trade Commission has approved the affiliation of Hartford HealthCare and the Central Connecticut Health Alliance (CCHA), parent organization of The Hospital of Central Connecticut. The HOCC, with nearly 3,000 employees and 500 physicians on campuses in New Britain and Southington, has a long history of clinical excellence and community service. “This affiliation is a profound win-win situation for everyone and is an important step as we continue to build a high-performance health care system that provides the right care, at the right time, in the right place and at a reasonable cost,” said Elliot Joseph. (read more)

URGENT: All Controlled Substance Registrations Expire Feb. 28

All Connecticut Controlled Substance Registrations (CSRs) expire biennially on Feb. 28, and there is no longer a 30-day grace period for renewal. In order to avoid having your prescriptive privileges suspended, you must renew your registration by the deadline.

Renew online by going to Click “login” in the upper right corner of the screen and enter the User ID and Password provided on your renewal notice.

Half-million Dollar Gift in Honor of Dr. Siegel Will Benefit the Underserved

Hartford Hospital received a $500,000 gift from an anonymous donor last month in honor of Dr. Robert Siegel, a hematologist at The Helen & Harry Gray Cancer Center. The donor indicated the desire to see the Cancer Center become a “destination center for cancer patients,” and asked that the gift benefit individuals without insurance or who are unable to afford large co-pays associated with their care. The generous gift will allow the hospital to provide ongoing access to care for these patients, while maintaining the high quality service that we strive to provide. Dr. Siegel said he was gratified and humbled by the honor, and credits “a generation of physician educators before me whose mentorship guided my approach to patients.”

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 Rounds requirement. It is recommended that you attend a session related to your specialty, but you will still receive credit by attending any session regardless of the specialty. These sessions are for Hartford Hospital-employed providers only. Click here to view the schedule.

Graduate Medical Education Programs Accredited With Commendation

The Graduate Medical Education program has received a five-year accreditation - the maximum given - from the Accreditation Council for Graduate Medical Education, with commendation for its demonstrated substantial compliance with the council’s institutional requirements. This is the first time Hartford Hospital has received ACGME accreditation with commendation.

Financial Update

Although inpatient and outpatient volumes were below budget in December, operating revenue was ahead of budget for the month by $1.4 million – due primarily to a increased case mix index severity and related higher reimbursement for the care of extremely critical patients. The hospital's continued attention to qualifying patients for Medicaid has resulted in lower-than-budgeted charity care for the month. Year to date, the hospital is $700,000 ahead in terms of gain from operations, and on target to achieve a $19.6 million gain for the entire fiscal year.

Changes and Revisions to Clinical Practice Guidelines

Each quarter, updates to documents that support patient care practices are communicated to clinical staff. These changes have been approved and documents have been posted. Please note, Pharmacy and Therapeutics documents as well as non-clinical documents are not included in this update. New or revised guidelines can be found in the Hospital-wide Policies (Alfresco®/Mosby®). Click here for more information.

Information Sessions on Oral Immunotherapy for Peanut Allergies Offered

The New England Food Allergy Treatment Center is hosting informational sessions for the medical community on the use of oral immunotherapy treatment of peanut allergies. Sessions, which start at 7 p.m., will be held on February 15 and 21 and March 2 at the West Hartford office at 836 Farmington Avenue, Suite 138; and on February 17 and March 8 at the Norwalk office at 148 East Avenue, Suite 3G. To register for a free session, please call 860-986-6099. The NEFATC is the only clinical facility outside major medical centers devoted exclusively to providing oral immunotherapy to peanuts, and the only non-institutional, practice-based research center of its kind for treatment of food allergies. Dr. Jeffrey M. Factor is medical director.

Research Focus: Post-Discharge Home Visit Medication Reconciliation

The Hartford Hospital clinical research center is participating in a research project with the UConn School of Pharmacy and the Connecticut Pharmacists Association Pharmacist Network on the impact of home visit medication reconciliation and management process on medication use at home and hospital readmissions/ED visits. The study is meant to describe and measure the impact of pharmacist-patient home visits within 72 hours of hospital discharge on medication use, safety, and related hospital readmissions. Project evaluation will include outcomes analysis of medication discrepancies, drug therapy problems, and 30-day readmission rates, MD visits, and ED visits. For more information, contact Laurine Bow, vice president of the research program, at 860-545-2197.

Applications Due for Summer Approval of Medical Staff Membership

Physicians, chiefs of service and practice managers who are planning to bring new associates into their practices this summer are reminded that applications for medical staff membership should be filed now. The process takes approximately 90 days from receipt of application to final approval (60 days for adjunct staff). The application and other documentation can by found at For more information, contact Linda Calli, manager of the medical staff office, at 860-545-6167.


Michael Iozzo, PA

Michael Iozzo, 53, emergency medicine physician assistant, passed away unexpectedly on January 9 while removing snow at his elderly mother's home. Iozzo was a PA in the ED from 1996 to 2008, and remained an active per diem PA in our ED since leaving his full time position. He had been a full time employee in the ED at CCMC since August 2010. Iozzo leaves his wife, Gail, a respiratory therapist at CCMC, who had worked for many years at Hartford Hospital in respiratory care and as a flight therapist on Life Star.

Coming Events

January 25:
Cardiology Grand Rounds: “ECMO: Past, Present and Future”

Speaker: Dr. Jason A. Gluck, director of the emergency cardiac care program and heart failure/transplant specialist at Hartford Hospital. 11 a.m. in JB 118. For more information, contact Sharon Ballot, 5-1793.

January 25:
Videoconference: The Lowell P. Weicker General Clinical Research Center Seminar Series on Methods in Clinical Research

“The Effect of 24/7 Attending Coverage on Clinical and Quality Outcomes in the Pediatric ICU,” presented by Dr. Christopher L. Carroll, Connecticut Children’s Medical Center. 12 noon in Gilman Auditorium. Sponsored by the University of Connecticut School of Medicine Office of Continuing and Community Education. Designated for a maximum of 1 AMA PRA Category 1 Credit™.

January 27:
IOL Grand Rounds: What's in a Name? The Controversial Evolution of our Nosology in DSM I Through V

Speaker: Dr. Harold I. Schwartz, psychiatrist-in-chief and vice president of behavioral health at The Institute of Living/Hartford Hospital. 12 noon in the Hartford Room of the Commons Building. Click here for more information.

January 29:
Black & Red Gala

The 20th annual Black & Red, benefiting the Helen & Harry Gray Cancer Center, will be held at the Bushnell. There are still tickets available through the Bushnell Box Office for an afternoon matinee concert featuring Michael Cavanaugh. Tickets are $45 each, with a $5 discount available using the HARTHOSP code, and $20 per ticket for groups of 8 or more. The sold-out gala starts at 6 p.m. For information, call 860-545-2161, email black&, or go to

February 1:
Cardiology Grand Rounds: “Stroke Prevention in Atrial Fibrillation: Advances in Antithrombotic Therapy”

Speaker: Dr. Jonathan L. Halperin, Director, Cardiology Clinical Services, The Cardiovascular Institute, Mount Sinai Medical Center, New York. 11 a.m. in JB 118. For more information, contact Sharon Ballot, 5-1793.

February 4:
Surgery Grand Rounds: Post Operative Pain Management

Richard Gannon, assistant director of pharmacy at Hartford Hospital, will speak about the role of different analgesics in the management of post-operative pain; the Connecticut Prescription Monitoring Program; and avoidance and treatment of common analgesic side effects. 6:45 a.m. in Gilman Auditorium. Available for 1 AMA PRA Category 1 credit. For more information, contact Herma Johnson, 860-545-2840. Click here for more information.

February 9:
BEACON Seminar: The Artificial Pancreas

“Accelerating the Availability of the Artificial Pancreas” is the topic of the first BEACON (Biomedical Engineering Alliance & Consortium) Seminar of 2011, featuring Marc Anderson, manager of new technology development for the Juvenile Diabetes Foundation Artificial Pancreas Project in New York City. The seminar will be 6:30-7:30 p.m. on Feb. 9, in Room 118 in the Jefferson Building. A networking reception will precede the presentation, starting at 5:30 p.m. The seminar is free, but reservations are required. Please contact Terri Wilson at (860) 547-1995, or toll free at (877) 723-2266, or by email at Free parking is available in the 80 Jefferson Street lot off Hudson Street. Directions will be sent when reservations are received. The event is sponsored by CCMC.

Save the Date: Heart Rhythm Symposium, April 6

The Eighth Annual Heart Rhythm Symposium, entitled Bridging Electrophysiology and Heart Failure, will be held on April 6 from 7 a.m. to 4:30 p.m. at the Farmington Marriott. Sponsored by the Henry Low Heart Center at Hartford Hospital, the free symposium will feature speakers, case presentations, and device workshops. Speakers and topics are:
  • Dr. Detlef Wencker: Advanced Cardiac Care with Heart Failure
  • Dr. Jeffrey Kluger: Arrhythmogenesis of Heart Failure
  • Dr. Eric Crespo: Atrial Fibrillation in Heart Failure
  • Dr. Steven Zweibel: ICD/Beyond Sudden Death
  • Dr. Christopher Clyne: Resynchronization Therapy, New Indications
  • Dr. Joseph Radojevic: When Resynchronization Therapy Fails
  • Dr. Jonathan Hammond: Surgical Approaches to Heart Failure Including VADs

For Your Information: Hot Topics in Healthcare

ACOs and the Enforcement of Fraud, Abuse, and Antitrust Laws

New England Journal of Medicine Health Policy and Reform, Dec. 22, 2010
Starting in 2012, health care providers in accountable care organizations that furnish efficient, high-quality care to Medicare patients will share in Medicare’s savings. Providers are concerned, however, that in creating ACOs they risk violating fraud, abuse, and antitrust laws. To address these fears, the Department of Health and Human Services, the Federal Trade Commission, and the Department of Justice are collaborating to provide waivers, safety zones, and guidance to providers.

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.