From the Offices of Jeffrey A. Flaks and Jeffry Nestler, MD
October 2, 2011 Edition

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HH Facts
Jefferson House, a department of Hartford Hospital, was created in 1873 by a special act of the Connecticut Legislature. It was originally the Old People's Home, located on Jefferson Street in Hartford, and it offered the elderly an alternative to the County Poorhouse. Care was provided whether patients were active or sedentary, friend or stranger, with or without the ability to pay.

Top News

Join the Revolution in Patient Care

Hartford Hospital is reinventing the way physicians work through a multidisciplinary, patient-centered and disease-focused model called the Hartford Hospital Patient-Centered Institutes. We need your input as we work toward this momentous change. Please attend one of five focus group sessions that will feature a presentation on the broad outlines of the institute model, discussion of the work to date and, of course, an opportunity to provide direction and wisdom. Space is limited so please RSVP this week to Sandi Beggs at or 860-545-2390. The sessions are:

  • Friday, Oct. 7, 6:30 am to 8:00 am, Boardroom
  • Tuesday, Oct. 25, 6:00 pm to 7:30 pm, Boardroom
  • Tuesday, Nov. 1, 6:30 am to 8:00 am, Boardroom
  • Tuesday, Nov. 1, 5 pm to 6:30 pm, Special Dining Room
  • Wednesday, Nov. 9, 6:30 am to 8:00 am, Taylor Conference Room

Dr. Yeston to Lead Regional Surgery Group

Dr. Neil Yeston is President Elect of the New England Surgical Society. NESS is one of the oldest and most prestigious organizations in American Surgery. Previous members of the Hartford Hospital Medical staff who have served in this capacity are Drs. John Reed, James Foster, Peter Deckers, David Crombie and John Welch.

CME Desktop Live View is Now Active!

Hartford Hospital introduces a new level of convenience and communication for its physicians and other clinicians. Individuals who require CMEs can now view grand rounds, tumor boards and other conferences LIVE from a hospital-connected computer. Gilman Auditorium, Bliss 303 and JB-118 have been outfitted with the technology that will provide live viewing of these presentations. Look for the new "CME Live View" icon on your desktop or find a link on the Medical Education Intranet page. Click here for more info.

Patient Satisfaction at Record Level

The third quarter HCAHPS score for overall patient experience at Hartford Hospital was 67.4%, the highest patient satisfaction score the hospital has ever achieved. This places HH in the 46th percentile nationally. This is the second consecutive quarter that HH has hit an all-time high score. Both MidState and Hartford Hospital are actively working toward the 2011 Balanced Scorecard goal of 70% and 69%, respectively.

New Name, Same Great Care: CSG Joins Hartford Specialists

As of October 1, (CSG) will become a partner of the Hartford HealthCare (HHC) system as Hartford Specialists, strengthening CSG’s 15-year relationship with Hartford Hospital, and enhancing partnerships with many Hartford HealthCare entities. More at

New Center of Excellence: Department of Cardiac Surgery

The Hospital’s strategic vision is to have cardiac surgery recognized as a national destination Center of Excellence. Over the past year, the cardiac surgeons have been consolidated into a single group and additional plans are under way to develop the necessary infrastructure to support a center of excellence. Thus, it is appropriate to move the Division of Cardiac Surgery from the Department of Surgery to a separate department. The Hospital is in the midst of an active national search for the Chief of Cardiac Surgery with an expectation that the final candidate will be hired in 4th quarter 2011.

Avon Family Health Center Grand Opening, Oct. 15

Join us for the grand opening celebration of our newest location in Avon expanding our presence in the Farmington Valley. The Center will house a second Hartford Medical Group office and Hartford Specialists. They will provide urgent and primary care as well as surgical specialty services with the intent of growing Hartford Hospital’s recognition as the place for comprehensive care. The grand opening will be fun for the whole family and will include jump houses, pony rides, pumpkin carving contests between chefs & surgeons, fire truck, etc. 10 a.m. to 3 p.m., Saturday, Oct. 15, Avon Family Health Center, 339 West Main St., Avon. For more information, please contact Eveline Schaffer at (860) 545-7704,

HMG and MMG Designated as Patient-Centered Medical Homes

Both Hartford Medical Group (HMG) and MidState Medical Group (MMG) have been designated as Patient-Centered Medical Homes (PCMH). NCQA’s Patient-Centered Medical Home is an innovative program for improving primary care. The Patient Centered Medical Home is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and, when appropriate, the patient’s family. Care is facilitated by registries, information technology, teamwork, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner. There are three levels within the designation, and both organizations have achieved the highest level that can be obtained, a Level 3. The PCMH offices include all MMG primary care offices, as well as the following HMG offices: Avon, Bishops Corner, East Hartford, Enfield, Glastonbury, Manchester, South Main, Wethersfield and Windsor.

Celebrating Leadership in Transplant: Dr. David Hull

David Hull, MD, FACS, will be honored for his 24 years of service and leadership with the Hartford Hospital Transplant Program and for his new position as emeritus director Wednesday, Oct. 12 from 4 to 6 p.m. at the Education Resource Center (Informal Lounge), 560 Hudson Street, Hartford. Please RSVP by October 7 to Susan Podolski at (860)545-4339 or at

New Appointments

VP of Human Resources for Hartford Hospital

Peter Q. Fraser joined Hartford Hospital on Sept. 26 as Vice President of Human Resources. Peter’s arrival allows Tracy Church, SVP for Human Resource for Hartford HealthCare, to devote herself to the increasing demands of system-level HR. Unlike its partner organizations, Hartford Hospital has not had a leader dedicated entirely to HH staff. “I am excited to add this role to our leadership team,” said Jeff Flaks. “Peter will help ensure that we embed the HR practices needed to ensure we are a best place to work with engaged people.”
Read the announcement:


Team of the Year Nominations Sought

Please consider nominating any team that you believe has achieved significant improvement at Hartford Hospital and shown a commitment to our values. The nominations should include teams that have introduced measurable improvements of any type and from any sector (efficiencies, new programs, enhancements to safety, growth in volume, customer satisfaction, etc.) We will recognize the achievements of every nominated team during the next year. For more information, including a nomination form, visit the 2011 Team of the Year page on the HH Intranet.

Pink Flamingos Fly for Digital Mobile Mammography

Under the direction of Dr. Andrew Ricci, the Partnership for Breast Care raised more than $40,000 through the Pink Flamingos event Sept. 22 at The Bushnell. Some 250 people attended the festive event where survivors, physicians, patients, family and friends gather annually to celebrate and recognize those who have battled breast cancer. Proceeds will support the "Take the Time" Mobile Mammography program’s upgrade to digital mammography.

Research & Academics

15th Annual Evidence Based Practice Conference, Oct.14

The CT Nursing Research Alliance will sponsor its 15th Annual Evidence Based Practice Conference entitled Health Reform: Connecting Practice to Policy, from 7:15 a.m. to 2:30 p.m., Friday, Oct. 14, at the Education & Resource Center (ERC). This daylong symposium is intended for nurses, faculty and students and includes a keynote and plenary address, as well as skill building sessions, oral abstract presentations and poster presentations. Continental breakfast and luncheon are provided. Students $25, HHC & Alliance organizations $45, Others $65. To download a conference brochure, and to register online, go to

Biomedical Engineering Society Annual Meeting, Oct. 12-15

The 2011 annual meeting of the Biomedical Engineering Society will be conducted at the CT Convention Center Oct. 12-15. The Hartford HealthCare Research Institute will be hosting a booth featuring research and the Center for Education, Simulation and Innovation (CESI). Dr. Gualberto Ruano, director of the Genetics Research Center, will be conducting a panel on Personalized Medicine in the Translational Biomedical Engineering track. The event will feature 1,500 poster presentations, hundreds of oral presentations, a Career Day, and a host of professional and social activities. More than 27 CME credits will be available covering cardiovascular, orthopedic, tissue engineering, imaging and optics and several other subject areas. Physicians may claim a maximum of 18.5 AMA PRA Category 1 Credits from the meeting. Special registration rate for physicians. For more information and to register, click here.

Operational Update

New Event Reporting System to Launch in October

A new event reporting system will replace the current Peminic Event Reporting web-based system on Oct. 10. Managers and those people assigned to events will be participating in training classes the last week of September and the first week of October. The new system, Quantros, will include reporting Patient Safety Events (PSE), Employee Safety Events (ESE) and Visitor Safety Events (VSE). The system will also include a Feedback Manager section for Complaints and Compliments, as well as a new offering for reporting disruptive events. The Event Reporter Icon will remain on all workstation desktops to access the Quantros system. Please contact Marybeth Scanlon at or 545-2625, for any questions.

PET/CT Services at Hartford Hospital

The Department of Radiology, Division of Nuclear Medicine, will begin to concentrate PET/CT services into the outpatient sector effective Oct. 1. We will continue to perform inpatient PET/CT studies only for select clinical situations and these cases must be discussed with and approved by an Attending radiologist before they can be scheduled. Should you have any questions or concerns please contact Drs. Ronald Rosenberg or Stuart Markowitz at (860) 545-2839.

Medical Emergency Response Clinical (MERC) Summary Report

Personnel responding to a medical emergency (i.e. RRT, anesthesia stat, cardiac alert) come from other areas of the hospital. The MERC summary report is a critical part of patient information during an emergent event. It has crucial clinical patient information, including: General patient information, allergies, code status, difficult airway information, medical history, MD comments, latest lab values, and more. The MERC report can be found in SCM by selecting a patient, clicking the Print icon, selecting Patient Care Communication from the report category, and selecting Medical Emergency Response Clinical Summary. For more information, read

Pledge Now to the United Way Campaign

The 2011 United Way Campaign is underway and runs through Oct. 14. Our goal this year is $220,000 - if every employee gives just one dollar a week, we will far surpass the goal! There will be a weekly prize drawing for a gift certificate to an area restaurant for employees who have pledged, as well as a grand prize drawing for all pledges (including roll-overs) for a Choice Time Day Off. To pledge, go to the United Way Intranet page (, log on to the eWay pledge site, and follow the simple on-screen instructions. Or, if you prefer, paper pledge forms are available from your department or unit coordinator. And don't forget about the United Way Online Auction ( where you can bid on several items including Reserved Parking Spaces, South African Photo Safaris, and more! For questions regarding the United Way Campaign, contact Susan Klein Campaign Coordinator, at or at 545-1126.

Hartford Hospital Welcomes New Doctors

HH In The News

Hartford Hospital Cutting Some Jobs, Adding Others

Hartford Courant – 9/23/11
Hartford Hospital is planning to cut some jobs and add others, bolstering the staff that takes care of patients while other positions are eliminated. The Hospital did not say how many jobs are being eliminated, or in which areas. "A hospital must constantly re-evaluate, and find new and different ways to be efficient," hospital spokeswoman Rebecca Stewart said.

UConn Attracts Major Genetics Lab

Hartford Courant – 9/30/11
Bar Harbor, Maine-based genetics research institute plans to build a $1.1 billion laboratory at the UConn Health Center campus in Farmington, Gov. Dannel P. Malloy announced Friday morning. A source close to the administration said that The Jackson Laboratory, founded in 1929 and one of the oldest genetic research labs in the world focusing on mammals, will build a lab that will create 661 research-related jobs, as well as 842 construction jobs and an estimated 6,200 spinoff and indirect jobs.

Prime Healthcare Opening Blue Back Office

Hartford Business Journal – 9/27/11
Prime Healthcare PC will open later Tuesday a 7,000-square-foot primary care practice at West Hartford's Blue Back Square.

Yale-New Haven Will Buy St. Raphael's Assets; Single Hospital to Operate On Two Campuses

Hartford Courant – 9/30/11
Yale-New Haven Hospital will buy the assets of the Hospital of St. Raphael in New Haven and create a single hospital with two campuses, according to a "definitive agreement" announced Wednesday.

Coming Events

27th Annual Cardiovascular Symposium, October 5

This intensive one-day educational symposium will provide attendees (physicians, fellows, hospitalists, APRN’s, nurses, other healthcare professionals who care for cardiac patients) with a comprehensive update of the most recent advances in the contemporary management of patients with cardiovascular disease. This year's symposium will be held October 5, 7:30 am - 3:30 pm, at the Connecticut Convention Center. $75/physician; $30/non-physician. Register online at For more info contact Sharon Ballot, 5-1793.

Family Day Celebration, A Symposium. October 10

Please join us for this symposium, presented by the Olin Neuropsychiatry Research Center in collaboration with Young Adult Services and Anxiety Disorder Center/Center for Cognitive Behavioral Therapy. Learn about the latest research into causes and treatment of Mental and Developmental illnesses by the Olin Neuropsychiatry Research Center, as well as programs available from the Anxiety Disorders Center/Center for Cognitive Behavioral Therapy and Young Adults Services. Monday, October 10, 8:30AM-12:PM, IOL Commons Building/Hartford Room. For more info and to register, download the brochure or contact Nelly Abkowicz at 545-7840.

General Internal Medicine Division Meeting, October 13

Join us at the Hartford Club, October 13, 6:30-8:30 PM, for our quarterly physician meeting. Welcome & Introductions by David Mintell, MD, Director, Division of Internal Medicine. Keynote address will be “Hartford Hospital's Hospitalist Program - What's Next?” by Ajay Kumar, MD, FACP, SFHM. CMEs awarded. For more information or to register go to

Electronic Health Records: Malpractice Liability Concerns and Consequences, October 20

Join us as a moderated panel of experts discusses the “Pitfalls and Perils of the Electronic Health Record” and how to effectively overcome them. This program qualifies for 2 CMEs. Thursday, October 20, 6-8 PM, at Heublein Hall. For more information or to register go to

Upcoming Psychiatric Grand Rounds

The following Grand Rounds presentations will be held at the IOL Commons Building/Hartford Room (for more information on these and other Psychiatric Grand Rounds presentations, visit
Oct. 6, 12 Noon: Bipolar Disorder and Schizophrenia: Two Disorders With Two Distinct Biologies, or a Continuum with a Complicated Biology? Updates from the Bipolar Schizophrenia Network on Intermediate Phenotypes
Speaker: Godfrey D. Pearlson, MD, professor of psychiatry, Yale University School of Medicine; Olin Neuropsychiatry Research Center, IOL
Oct. 13, 12 Noon: Stahl Lecture in Anxiety: Disseminating Evidence Based Treatment for Anxiety - The CALM Study
Speaker: Peter Roy-Byrne, M.D., Professor of Psychiatry, University of Washington School of Medicine, Seattle, WA

Click here for more events

Hot Topics in Healthcare

Fewer Insured Patients Put Hospitals in a Bind

Hartford Business Journal – 9/26/11
Many Connecticut hospitals are seeing another spike in patients insured by government assistance programs like Medicaid that don’t cover the full cost of service, putting pressure on their bottom lines and raising concerns about their long-term financial stability.

Docs: Patients Get Too Much Medical Care

Hartford Business Journal – 9/27/11
More than a quarter of primary care physicians say they may be guilty of over treating their own patients because of fears over medical malpractice suits, a new survey shows.

Medicare Is More Efficient Than Private Insurance - September 20th, 2011
Contrary to claims made by John Goodman and Thomas Saving in an earlier Health Affairs Blog post, non-partisan data from the Congressional Budget Office (CBO) and the Center for Medicare and Medicaid Services (CMS) demonstrate definitively that private insurance is increasingly less efficient than Medicare.

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.