From the Offices of Elliot Joseph and Jeffry Nestler, MD
March 6, 2011 Edition

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“Leadership should be more participative than directive, more enabling than performing.” - Mary D. Poole

Care Coordination

Hartford HealthCare Unveils New Logo This Weekend at Big East Tournament

Hartford HealthCareHartford HealthCare (HHC) this week unveiled its sweeping rebranding strategy. As part of the rebranding effort, all partner organizations associated with HHC will keep their names, but they will share the same logo for the first time. The new logo was unveiled this weekend at the XL Center, which hosted the women’s basketball Big East Tournament. HHC was a sponsor of the tournament, and the new logo was showcased on the court throughout the event. James Blazar, HHC's senior vice president and chief strategy officer, said the rebranding is part of HHC’s overall strategy to create a more integrated health care delivery system for Central Connecticut and beyond. By sharing a universal logo, all the organizations are "connecting with purpose," Blazar said, and taking on the same look and feel. Read more here:


Partnership Creates Heart Surgery Department at HH

Two prestigious cardiovascular and thoracic surgical practices -- CT Cardiothoracic Surgical Associates and Cardiothoracic & Vascular Surgeons – have joined Hartford Hospital. This exciting partnership will strengthen the Henry Low Heart Center and bolster the establishment of Cardiac Surgery as a full Hartford Hospital department.

“We’re committed to the development of a nationally-distinguished cardiac surgery program, building on our current expertise, on our pioneering work in heart transplantation, robotics and VADs and on our strong quality performance,” said Jeff Flaks, EVP of Hartford HealthCare and COO of Hartford Hospital. “We’re very excited to be strengthening our relationship with these highly-respected surgeons, who will come to play an even greater role in maintaining and improving the heart health of our communities.” The surgeons are Drs. Daniel Fusco, Jonathan Hammond, Paul Preissler, David Underhill, Robert Gallagher, Chester Humphrey and Hiroyoshi Takata.

Elliot Joseph Outlines Plans for HHC in Hartford Business Journal Article

Elliot Joseph, president and CEO of Hartford HealthCare and Hartford Hospital, was featured in an article in the Hartford Business Journal on Feb. 21 entitled “Hartford HealthCare CEO seeks bonds for major investments.” Joseph said future plans for Hartford HealthCare include hundreds of millions of dollars in investments in the coming years for new technology, infrastructure, and doctors. The end goal, Joseph said, is to create a system that links providers across the spectrum of care so that patients experience a more coordinated system. To pay for the changes, Hartford HealthCare intends, for the first time in its history, to issue bonds, signaling major future investment plans. Read the article here:

Innovative and Complex Care

Wound Center Physicians Certified in Undersea and Hyperbaric Medicine

All three full time physicians in the Hartford Hospital Wound Healing and Hyperbaric Center are now board certified in undersea and hyperbaric medicine. Drs. Kelly Johnson-Arbor, John Montminy, and Daniel Schwartz treat patients with problem wounds as well as those needing hyperbaric oxygen therapy. They collaborate with primary care physicians, home health agencies and long-term care facilities to develop wound and/or hyperbaric treatment plans tailored for each patient. The Center, located in the Conklin Building, features comprehensive outpatient wound care as well as a hyperbaric chamber with a 10-person capacity. For more information, call 860-545-4325 or go to

Information on Medicare’s Electronic Prescribing Incentive Program

To promote adoption of e-Prescribing system, the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) established a five-year program of incentive payments of eligible professionals when they e-Prescribe for Medicare patients seen in their offices. Physicians who are eligible for the incentive payments but fail to adopt e-Prescribing will face penalties beginning in 2012. For more information, including penalty and incentive schedules, requirements, and more, download this document:

Coming in May: Sunrise Clinical Manager 5.5 upgrade

The SCM upgrade will feature a new look and feel, with the same functions and some improvements. More details will be coming soon.

Bone Marrow Donor Drive Schedule April 13 at the Gray Cancer Center

There will be a bone marrow donor drive at the Helen & Harry Gray Cancer Center on April 13. Those screened will be entered in the Be The Match Registry. Hospital staff members are being urged to participate. For more information, call Cancer Connect at 860-545-6000.


Two HH Physicians Named to Connecticut Magazine’s List of Leaders Under 40

Dr. David Eisenberg and Dr. Amy Brown have been included in Connecticut Magazine’s “40 Under 40” story, which showcases young leaders. Eisenberg, 37, is a surgical oncologist at Hartford Hospital and the first HH doctor to have performed a successful partial pancreatectomy robotically. He is now training others and developing a curriculum for a robotic cancer program. Eisenberg trained at NYU, Mount Sinai, Memorial Sloan-Kettering and the University of Pittsburgh. Brown, 37, is director of gynecologic oncology at Hartford Hospital, and a pioneer in robotic surgery for gynecological problems. She earned both an MD and an MPH from Tufts. She has gotten patients accepted into important clinical trials and developed a robotic gynecologic surgery curriculum. Brown was recognized by HH last year with the Young Practitioner Award, given to a physician in practice less than five years.

Exceptional Care Inspires Meaningful Yearly Gifts

Compassionate care provided over the years by Drs. James Gallagher, Fred Rubin, and Robert Gallagher has inspired meaningful yearly gifts to Hartford Hospital’s Annual Campaign from Joe and Betty O’Brien from Newington. Through their passionate support, this retired couple hopes their annual gifts will help make the experience of today’s patients the best it has ever been here. Joe has undergone six surgeries at Hartford Hospital over the past 10 years, ranging from procedures to relieve blockages in both carotid arteries to bypass following a heart attack in 2005. “If it weren’t for these wonderful doctors, Joe might not be here today,” said Betty, who undergoes treatment for atrial fibrillation.

Academics and Research

Medical Staff’s Small Grant Leads to More Than $341,500 in Funding from NIH

A newly funded study at the Institute of Living’s Olin Neuropsychiatry Research Center will use functional magnetic resonance imaging (fMRI) to examine the effects of marijuana on brain activity during simulated driving tasks. The study will be led by Dr. Beth Anderson and her colleagues Drs. Godfrey Pearlson and Karen Anderson. The new NIH grant was made possible due to pilot data collected in a study that was supported by the Hartford Hospital medical staff’s Small Grant Program in 2009. So far, the initial $10,000 small grant investment in the pilot has led to two NIH grants representing $341,584 in new funding.

Cancer Center Receives Grant from Avon Breast Health Outreach Program

Hartford Hospital has been awarded a $25,000 one-year grant to increase awareness of the life-saving benefits of early detection of breast cancer from the Avon Breast Health Outreach Program. Damaris L. Perez, outreach educator from the Connecticut Breast and Cervical Cancer Early Detection Program at Hartford Hospital, will educate women in Greater Hartford and refer them to low-cost or free mammograms and clinical breast exams. “Our outreach program helps to provide lifesaving prevention and early detection education to the medically underserved communities we serve, as well as to provide free screenings for breast, cervical, prostate, and colorectal cancer,” said Andrew L. Salner, MD, director of the Helen & Harry Gray Cancer Center. “We are most grateful to the Avon Foundation for Women for their continued support.”

Operational Update

Governor’s Budget Hits Hospital Finances

Proposals in Gov. Dannel P. Malloy’s proposed state budget could reduce Hartford Hospital revenue by more than $12 million in FY2010 and could cut Hartford HealthCare revenue by more than $25 million in the same period. Program and payment changes include the re-imposition of a hospital provider tax, a sharp reduction in state support for uncompensated care, elimination of DSH payments and the end of state support for LIFE STAR. Elliot Joseph, president and CEO of HHC and Hartford Hospital, asked members of the legislature’s Appropriations Committee to reconsider cuts that could affect our ability to provide care. He testified on March 4.

As of March 1, Co-pays Waived at Hartford Medical Group for HH Staff

As a benefit enhancement for Hartford Hospital staff members who are covered under the HH Aetna insurance plan, office visit co-pays are being waived as of March 1 for services provided by Hartford Medical Group. This is a pilot program. Before the end of 2011, all remaining Hartford HealthCare affiliates will also be eligible to receive this benefit enhancement.

Required Risk Management Grand Rounds for HH-Employed Providers

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.
  • 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)

Risk Management Programs for Private Staff; 6% Premium Credit Available

Members of the private medical staff who are CHS insurance Ltd. policyholders can take advantage of a risk management educational program CHS is offering through May. By completing all aspects of the program, you will be eligible for a credit of 6% on your malpractice premium. To be eligible for the credit, you must complete two one-hour web-based modules a year and complete post tests, and attend one live session of risk management rounds. These sessions coincide with the risk management sessions offered to providers employed by Hartford HealthCare. If you have questions, contact Medical Risk Management at 860-493-5790; questions about your premium should be directed to Mary Ann Nelligan at the CHS office, 860-696-6265.

Specialty Date Time Location
Surgery March 9 7-8:30 a.m. HH, Gilman Auditorium
Pathology March 9 12-1:30 p.m. HH, Bliss 303
Surgery March 10 5:30-7 p.m. HH, Gilman Auditorium
Radiology March 15 5-6 p.m. 101 N. Plains Industrial Rd., Building 1A, Wallingford
Medicine March 16 6-8 p.m. MidState Medical Center, Conf Rm 2/3
Women’s Health March 31 7-8:30 a.m. HH, Special Dining Room
Radiology April 4 6-7:30 p.m. 399 Farmington Ave., Farmington
Anesthesiology April 14 6-7:30 p.m. HH, Dining Room A/B/C
Medicine April 20 6-7:30 p.m. HH, Gilman Auditorium
Anesthesiology April 27 6-7:30 p.m. HH, Dining Room A/B/C
Surgery April 27 6-7:30 p.m. HH, Gilman Auditorium
ENT/Ophthalmology May 4 6-7:30 p.m. HH, Gilman Auditorium
Surgery May 6 7:30-9 a.m. MidState Medical Center, Conf Rm 2/3
Surgery May 10 6-7:30 p.m. HH, Gilman Auditorium
Radiology May 12 6-7:30 p.m. 399 Farmington Ave., Farmington
Medicine May 19 6-7:30 p.m. HH, Gilman Auditorium
Coming Events

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

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

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 6:
Class of 2011 Presentation Series: Bullying: Is It Worse Now? What Can We Do?

Kathleen R. Rivera, MD, child and adolescent psychiatry fellow PGY-5, Institute of Living/Hartford Hospital. 12 noon to 1 p.m., Hartford Room, Commons Building, IOL.

April 7:
IOL Psychiatric Grand Rounds, Ben Wiesel/Francis J. Braceland Lectureship: The Evolution of Psychotherapy Education for Psychiatrists

David A. Goldberg, MD, chair and training director, California Pacific Medical Center in San Francisco. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.
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.

April 14:
IOL Psychiatric Grand Rounds: Interactions Between Neurotransmitters: The Key to Remission in Major Depression

Pierre Blier, MD, PhD, professor, Departments of Psychiatry and Cellular and Molecular Medicine, University of Ottawa Canada Research Chair (Tier I) – Psychopharmacology, Ottawa, Canada. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

April 20:
Psychopharmacology and Neuroscience Rounds: Psychgotropic Medication Adherence

Megan Ehret, PharmD, BCPP, assistant professor, University of Connecticut; clinical psychopharmacologist consultant, The Institute of Living/Hartford Hospital. 12 noon to 1 p.m., Hartford Room, Commons Building, IOL.

April 21:
IOL Psychiatric Grand Rounds: Integrating Behavioral Health into Medical Settings: Empirical Findings Using Inflammatory Bowel Disease as a Model Illness

Eva M. Szigethy, MD, PhD, associate professor of psychiatry and pediatrics, University of Pittsburgh School of Medicine; director of the medical coping program at Children’s Hospital of Pittsburgh of UPMC. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

April 28:
IOL Psychiatric Grand Rounds: Eighth Annual Brain Dance Awards: Preventing Onset of Psychosis by Early Intervention

William R. McFarlane, MD, director, Center for Psychiatric Research, Maine Medical Center; professor, Department of Psychiatry, Tufts University School of Medicine, Portland, Maine. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

May 4:
Board of Directors and Medical Staff Spring Event

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


Hot Topics in Healthcare

The Future is Accountable

The accountable care movement and the infrastructure requirements of the modern physician office are making it difficult for private practices to maintain their operations as independent small businesses. But, according to William Santulli, executive vice president and chief operating officer of Oak Brook, Ill.-based Advocate Health Care, a lack of interest among young physicians is what might signal the end of private independent practices.
Read more:

“” Offering ACO Webcast on March 30 is sponsoring a webcast on Wednesday, March 30 at 11 a.m. entitled The Next Steps for Accountable Care Organizations: Promises and pitfalls for providers, payers in operating an ACO. Panelists are:
• Steven Lieberman, visiting scholar at Brookings Institution’s Engelberg Center for Health Care Reform
• Dr. Steve Hester, chief medical officer at Norton Healthcare in Louisville, Kentucky
• Dr. Mark Shields, senior medical director at Advocate Physician Partners, part of Advocate Health Care in Oak Brook, Illinois. Modern Healthcare reporter Rebecca Vesely will moderate. Cost is $79.
To register, go to: 

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.