From the Offices of Jeffrey A. Flaks and Jeffry Nestler, MD

June 24, 2012 Edition


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HH Facts:

1971 – The first total hip replacement in Connecticut was performed at Hartford Hospital by Dr. Herbert Pasternak.

The Seymour Street Journal is published every two weeks to communicate key messages pertinent to our hospital's physicians, and to promote alignment between the medical staff and administration. It will keep you informed on hospital news in a concise, convenient format. SSJ will be sent to your preferred email address every other Sunday.

We'd like to hear from you. For any questions or suggestions, please contact Dr. Jeffry Nestler, medical staff president, at 860-836-7313, or jnestler@connecticutgi.org.

 
In This Issue...
Top News

First Two CoreValve Procedures Done June 15

The first two cases of TAVI (Transcatheter aortic valve implantation) at Hartford Hospital with the investigational Medtronic CoreValve device were performed on June 15 and went very well, according to Dr. Robert Hagberg, chief of cardiac surgery. The patients are part of a trial for FDA approval for the device. In 2010, the FDA approved the CoreValve’s Investigational Device Exemption (IDE) application and pivotal clinical trial protocol. The clinical trial involves more than 1,300 patients at 40 hospitals in the United States.

 

Congressman Larson Holds Roundtable at CESI to Discuss Health Jobs

Congressman John B. Larson hosted an informational roundtable discussion on June 22 at Hartford Hospital in one of the CESI labs to discuss bringing health jobs to the state as part of the "We Work for Health-Connecticut” initiative. Dr. Lenworth Jacobs, vice president of Academic Affairs and Chief Academic Officer, participated on the panel. He was joined by students and faculty from the Hartford Hospital Allied Health Program. The goal of the event was to highlight the bioscience/workforce training of individuals in Connecticut. Skill sets, research methods and workforce training were discussed along with the new job opportunities that will be coming to the state as the result of the expansion of the bioscience industry here. It showcased the positive role that the bioscience and bio-pharmaceutical industry plays in supporting Connecticut’s economy. Paul Pescatello, president of Connecticut United for Research Excellence (CURE) was moderator. Also participating were Mark Polzella, director of Employment and Training in the Connecticut State Department of Labor; Gail Coppage, director of Innovation and Outreach at Connecticut State Colleges and Universities Board of Regents for Higher Education; and Eric Utt, director of Science Policy and Public Affairs at Pfizer Global Research and Development. www.weworkforhealth.org/state/connecticut

Dr. David F. Tolin Elected President of Society for Clinical Psychology

Dr. David F. Tolin, director of the Anxiety Disorders Center and Center for Cognitive Behavioral Therapy at The Institute of Living, was elected president of the Society for Clinical Psychology, which is the Clinical Psychology Division of the American Psychological Association (other Divisions include Experimental Psychology, Developmental Psychology, Educational Psychology, etc.). This Division represents psychologists who are active in practice, research, teaching, administration, and/or study in the field of Clinical Psychology (the study and treatment of psychological disorders).  Active since 1917, the Division's mission is to "encourage and support the integration of psychological science and practice in education, research, application, advocacy and public policy." Past presidents include pioneers in the field such as Carl Rogers, David Wechsler, Hans Strupp, David Barlow, Martin Seligman, and Marsha Linehan.  Dr. Tolin is one of the youngest people to be elected to this office. His three-year term (president-elect, president, past-president) will begin January 1.

World Renowned Author, Expert in Bipolar Disorder, To Speak at IOL June 28

10:45 a.m. in the IOL Hartford Room, Commons Building

Dr. Kay Redfield Jamison will be visiting the IOL campus on Thursday, June 28 and giving a special psychiatric grand rounds at 10:45 a.m. in the Hartford Room, Commons Building. Dr. Jamison, a professor of psychiatry at Johns Hopkins University Medical School and an expert in bipolar disorder, is a world-renowned author and speaker. Her memoir, An Unquiet Mind, details her own experience with severe mania and depression and is a classic in the field. She is co-author with Frederick K. Goodwin of Manic-Depressive Illness, the classic text on bipolar disorder. Her other books include Touched With Fire:  Manic-Depressive Illness and the Artistic Temperament; Exuberance: the Passion for Life; Nothing Was the Same: A Memoir, and Night Falls Fast: Understanding Suicide. Be sure not to miss this opportunity to meet with and hear Dr. Jamison speak.

CTMAP Prescribers Must Have National Provider Identifier NPI

This is a reminder to all attending physicians, residents, interns, fellows, PAs, and nurse practitioners of the requirement that every prescriber issuing a prescription for a client enrolled in the CT Medical Assistance Program must have their own National Provider Identifier (NPI). It is imperative that all prescriptions leaving your facility contain the prescriber's National Provider Identifier (NPI) on the prescription. Without the prescriber's NPI, the prescription cannot be processed by HP and the pharmacy cannot dispense the prescription. In accordance with mandates set forth in the Affordable Care Act (ACA), the Department of Social Services (DSS) will, at an as yet unidentified date, require that all prescribing providers be enrolled with the Connecticut Medical Assistance Program (CTMAP). Prescriptions written by residents and interns can be processed using the NPI of their attending physician provided that the attending physician is actively enrolled with CTMAP. 

There are two ways a prescriber can apply for an NPI:
• Go to the NPI registry on the web at: https://nppes.cms.hhs.gov; click on the link: "If you are a Health Care Provider, you must click on National Provider Identifier (NPI) to login or apply for an NPI.”
• Submit a paper application to the NPI Enumerator. To obtain the paper application, call the NPI Enumerator at 1-800-465-3203 or TTY 1-800-692-2326.

Providers that wish to enroll with CTMAP should access the Provider Enrollment/Re-enrollment Wizard on the www.ctdssmap.com website. From the Home page navigate to Provider > Provider Enrollment for details.

Deadline Looms For CESI training in Ultrasound Guided Central Line Placement

Time is running out to register for CESI training in Ultrasound Guided Central Line Placement. Classes can still be arranged at CESI or onsite at other locations by contacting John Mah. Please complete this required training to assure your ability to continue perform this procedure. The deadline of September 30 is rapidly approaching.

Finances Stronger in May

The month of May saw inpatient discharges exceed budget by .9% for the month and by 1.4% compared to May of the prior year. Outpatient revenues were significantly over budget by 8.6%. The outpatient areas that contributed to the favorable outpatient revenues were Radiology, Perioperative Services, Emergency Department and Radiation Oncology. Year to date through May, inpatient discharges are slightly below budget, but slightly greater than last year. Outpatient revenues are approximately 3.4% greater than budgeted.

Excellence

 

Dr. John McArdle Given Teaching Award by Graduating Residents

Dr. John McArdle, Medicine/Pulmonology, was recognized by the graduating class of Internal Medicine residents with the Aldo Belucci Teaching Award, which is the 'Hall of Fame' for the great educators in the Department of Medicine at Hartford Hospital. The award was made at the graduation ceremony on June 22 at the Farmington Marriott.

Dr. John Goethe Gives Keynote To Local Chapter of NAMI

Dr. John Goethe, director of the Burlingame Center for Psychiatric Research and Education at the Institute of Living, was the keynote speaker at the annual meeting of the Farmington Valley Chapter of the National Alliance on Mental Health (NAMI) June 19 at the Farmington Library. He spoke on “Transcranial Magnetic Stimulation (TMS), a non-invasive treatment for depression.”

LIFE STAR, Dr. Ken Robinson Star in ‘Flight Night’ Performance

Dr. Kenneth Robinson, medical director and program director for LIFE STAR, was front and center on June 7 when Hartford Hospital’s Young Leaders Advisory Council (YLAC) sponsored “Flight Night” at City Steam Brewery Café in Hartford. More than 100 guests attended the event to support LIFE STAR and meet some of the program’s staff. Dr. Robinson was joined by Erin Raymond, a member of YLAC, and Carol Garlick, vice president of Philanthropy, in speaking to the gathering and thanking them for their interest in our vital helicopter service. The event raised nearly $3,000 to support the program. These young professionals are representatives from throughout Greater Hartford and serve as ambassadors to the hospital by offering educational, networking, philanthropic and volunteer opportunities to their peers and colleagues. For more information about the event or the group, visit http://giving.harthosp.org/youngleaders.

Hartford Hospital Helps Sponsor Kidney Foundation Walk

Hartford Hospital was a major sponsor of the National Kidney Foundation Walk on April 29 at Wickham Park in Manchester. The walk raised $150,599. More than 26 million Americans--1 in 9 adults--have chronic kidney disease, and most are not aware of it. The National Kidney Foundation offers free early detection kidney health screenings to those at risk, and provides funding for educational programs and scientific research support. The Kidney Walk takes place all over the country, with over 100 events each year. More than 75,000 walkers have joined NKF to raise more than $7 million a year to help kidney patients and their families.

Drs. Tishler, Papasavas Present at National Bariatric Surgery Meeting

Drs. Darren Tishler, director of bariatric surgery, and Pavlos Papasavas, director of surgical research, had four poster presentations at the 29th annual meeting of the American Society of Metabolic and Bariatric Surgery June 17-22 in San Diego. More than 2,400 surgeons, physicians and integrated health professionals attended the meeting. The presentations were:

  • Preoperative Cardiac Evaluation of Bariatric Surgery Patients: A Descriptive Retrospective Analysis” (with Dr. Jeffrey Walden, cardiology, and Jamie-Marie DeFelice, 2011 summer student research fellow.)
  • Racial Variation in Outcomes of Bariatric Surgery” (with A. Thompson and R. Perlot from the Surgical Weight Loss Center; Dr. Ilene Staff from Research Services; and Dr. Gualberto Ruano and Dr. Richard Seip from the Genetics Research Center).
  • Characteristics of Patients Who Fail To Lose Weight With Laparoscopic Adjustable Gastric Band Surgery” (with Dr. Daniel Lavy and Dr. Sean Orenstein.)
  • Factors Influencing Choice of Bariatric Surgery Procedure” (with Dr. Gualberto Ruano and Dr. Richard Seip from the Genetics Research Center; and Dr. Ilene Staff from Research Services.)
Innovative and Complex Care

MICU Institutes New Mobility Plan of Care

The Medical Intensive Care Unit (B11-I) has instituted a new "MICU Mobility Plan of Care." Vanessa Doyle, RN, said the goals were improving the physical and psychological well being of MICU patients, decreasing sedation requirements, improving patient strength, mobility and preventing deconditioning, decreasing MICU length of stay and improving overall quality of life. This project envisions a multidisciplinary approach towards the enhancement of improved patient outcomes by the institution of best practices and encouragement of positive culture change in the MICU current mobility processes and practices. The plan of care will be specific to MICU patients. A staged and tiered algorithm and reference guide is in development to standardize the patient care approach. Outcomes measures specific to the MICU patients will be tracked and reported.

Research and Academics

 

Dr. Theresa Voytek Speaks at Planned Parenthood Meeting

Dr. Theresa Voytek, director of Cytopathology within the Department of Pathology, made a presentation on the "Current Issues In Pap Testing" at the biannual meeting of Planned Parenthood of Southern New England June 7.

Dr. Sandeep Johar Named PI for Traumatic Brain Injury Study

Dr. Sandeep Johar, Emergency Medicine, has been named as the local primary investigator for a study involving traumatic brain injury. "Evaluation of Biomarkers of Mild, Moderate and Severe Traumatic Brain Injury (ALERT)" will soon be enrolling patients in our ED. The primary objective of this clinical trial is to evaluate the utility of a serum test in traumatic brain injury detection.

Dr. Kelly Johnson-Arbor Contributes Poster Presentations and Journal Articles

Dr. Kelly Johnson-Arbor, director of our Wound Center and Hyperbaric Center, presented two posters at the annual national meeting of the Undersea and Hyperbaric Medical Society in June: “Type 2 decompression sickness in a multiplace chamber inside observer,” and “Hyperbaric oxygen therapy for the delayed treatment of frostbite.” In April she presented a poster at the Symposium on Advanced Wound Care Spring meeting, called “Efficacy of a 0.01% silver nitrate solution used for wound irrigation.”

In addition, she has contributed to the following publications: “A survey of residential carbon monoxide detector utilization among Connecticut Emergency Department patients,” Clinical Toxicology 2012; and “Type 2 decompression sickness in a hyperbaric inside attendant” in Undersea and Hyperbaric Medicine Journal 2012 (in press, scheduled for publication in the Sept/Oct 2012 issue).

Along with Dr. R. James Graydon and Dr. K. Chiles (GU resident), Dr. Johnson-Arbor has had an abstract accepted as joint undertaking from GU and Traumatology and Emergency Medicine. They will present " A Randomized, Double-Blinded, Placebo-Controlled Study Comparing the Effects of Hyperbaric Oxygen Therapy to Room Air in Post-Prostatectomy Men Undergoing Penile Rehabilitation" at the World Meeting on Sexual Medicine in Chicago, August 26-30.

Publications From Emergency Medicine, Surgery and Trauma

Dr. Lenworth Jacobs, Dr. K. Burns (PhD researcher), Dr. James Cox-Chapman and K. Kelly published “Creating a Culture of Patient Safety in an Outpatient Physician Group: Results of a Risk Management Program” in Connecticut Medicine.

Dr. Robert Brautigam, surgical critical care, E. Schott (PA), J. Smola (summer student research fellow) and Dr. K. Burns (Ph.D. researcher) published “Evaluation of Leadership Skills During the Simulation Course for the Initial Management of Blunt Trauma” in Connecticut Medicine.

 

Care Coordination

HH/ERN Earn Maximum Accreditation

The Commission on Accreditation of Rehabilitation Facilities( CARF) visited outpatient sites at Hartford Hospital and Eastern Rehabilitation Network (ERN), a department of Hartford Hospital, on April 26-27. CARF awarded our facilities the maximum accreditation of three years, commenting on the many strengths of the clinical care, engaged staff, operational and executive leadership.

 

Operational Update

Don't Miss The Semi-annual Medical Staff Meeting

Thursday

7 a.m., Gilman

The semi-annual medical staff meeting will be held this week, Thursday, June 28 at 7 a.m. in Gilman Auditorium.

Please Take This Survey Regarding Patient Confidentiality

The Department of Academic Affairs is conducting a survey to determine the perceptions and experiences of the Hartford Hospital community regarding patient confidentiality. We would greatly appreciate your participation in this survey by July 1. It should take about 10 minutes or less. Your responses will be confidential. Please contact Dr. Lenworth Jacobs at ljacobs@harthosp.org if you have questions. Please follow this link to complete the survey: http://redcap.harthosp.org/surveys/?s=2jKw9U.

CITI Training Reminder for Researchers

Hartford HealthCare’s Human Research Protections Program began using the CITI program (Collaborative Institutional Training Initiative) for training in Human Subjects Protection in June of 2009. The CITI Program is a subscription service providing research ethics education to all members of the research community. This training is valid for three years, and we are now coming upon that three-year mark whereby many investigators are due to complete a refresher course. Up-to-date CITI training is required in order to obtain IRB approval for new studies and continuing approval for existing studies. The CITI system is designed to send investigators/staff an e-mail 90 days prior to the expiration date letting them know that the refresher course is available for completion. You may check your status by logging into your account at http://www.citiprogram.org/. Please call the HRPP office at 860-545-2893 with any questions.

SCM Strategy: “Stabilize, Optimize, Innovate”

The Information Systems team has been working to improve the stability and functionality of Sunrise Clinical Manager (SCM), our inpatient Electronic Health Record (EHR). We are working with our vendor (Allscripts) to stabilize the infrastructure, optimize the software and implement new functionality. We enrolled in Allscripts’ Premier Support Program in the fall of 2011. This gives us an experienced resource dedicated to helping us address the technical challenges that have led to excessive downtime and lower-than-expected system availability. This partnership has resulted in early identification of problems, quicker resolutions and improved stability.

More importantly, we continue to make steady progress towards our goal of continuous availability. During the past two months we have installed critical software updates, installed additional monitoring and diagnostic tools, and added redundancy to a vital system process. As a result, we achieved a >99.75% system uptime.

The team recently conducted a thorough optimization assessment of SCM and has already begun implementing some of the recommended enhancements. We are in the final testing phase on Sunrise Mobility, which will allow you to use the application on an iPad, and put information in your hands wherever you are. Plans are also underway to roll out a comprehensive Orders Reconciliation module that will significantly improve patient care, and make the medication reconciliation process intuitive and seamless.

In the next few weeks, we will be implementing Allscripts’ Remote Monitoring, which will help us identify potential problems while continuously checking the overall health of the system. Longer term, we are partnering with Allscripts and other major partners to define a roadmap that will help us integrate all of our clinical applications. Thank you for your patience and support during the past few months. We will provide you with periodic updates on our progress and further improvements.

27 New Residents and Fellows To Begin Work July 1

Pathology Residency
Ronald Araneta, MD
Manoj Gadara, MBBS
Thomas Joyal, MD

Cytopathology Fellowship
Steve Xie, MD

Selective Pathology Fellowship
Hani Hojjati, MD

Psychiatry Residency
Gavrosh Faylayev, MD
Mohammadreza Mokhtari, MD
Raymond Morris, MD
David Schmidt, DO
Esteban Toledo, MD
Justin John Uzl, MD

Radiology Residency
Anh Dao, MD
Alexander Burn, MD
Mohammed Kaleel, MD
Roshan Modi, MD
Jonathan Mogen, MD

Emergency Medicine - Ultrasound Fellowship
Laurel Parker, MD
Shirley Wu, MD

Urology Fellowship
Ryan Dorin, MD

Cerebral - Neuro Fellowship
Ratul Raychaudhuri, MD

Non-invasive Cardiology Fellowship
Purvi Parwani, MBBS
Mohammadtokir Mujataba, MBBSNeuro

Congestive Heart Fellowship
Nikolas Krishna, MD

Dentistry Residency
Galina Filipova, DMD
Aniello Picone, DMD
Alex Rabkin, DMD
Tori Saferin, DMD

6% Malpractice Discount Available for Completing Risk Management Education

CHS Insurance LTD is continuing participation in the Annual Risk Management Educational Program (RMEP) available to all CHS voluntary attending physicians. By successfully completing the program, eligible participants (CHS Insurance policyholders effective January 1 of this policy year) qualify for a credit of 6% on their malpractice insurance premium. Please feel free to call 860-920-5475 with any questions. There are two more sessions scheduled:
• TOMORROW - Surgery: Monday, June 25, 5-6 p.m., Gilman Auditorium
• Medicine: Wednesday, July 18, 4:30-6 p.m., JB-118

HH In the News

High-tech truck provides mammogram screenings

NEWS 8, wtnh.com, June 15

The latest state-of-the-art mobile mammography unit is offering the most advanced breast screening for women throughout the Hartford region. Thanks to Hartford Hospital and donors, a 40-foot 'Take the Time' digital mammography coach, will continue a mission that began in 2005: making it easier for women to get a mammogram, especially those without insurance. "We are able to real time transmit imaging back to the hospital's imaging department and we're able to provide twice as many mammograms as we could before with this new equipment," explains Dr. Andy Salner from the Gray Cancer Center at Hartford Hospital. "This is a game changer, when we think about the future of healthcare," says Jeff Flaks, CEO of Hartford Hospital, "when we think of the way we are going to deliver care as we move forward." "We've done over 7,000 mammograms for women in underserved areas," says Dr. Jinnah Phillips of Hartford Hospital, "now we can bring this wonderful technology to them."

'The Reluctant Brotherhood': Group's Members Face Prostate Cancer Together

Hartford Courant, June 6

When Thomas Blank was diagnosed with prostate cancer 16 years ago, he was 49. The median age of diagnosis, according to the National Cancer Institute, is 67. The joke, Blank said this week, was that prostate cancer is an old man's disease. Blank turned to the Hartford Hospital Prostate Cancer Support Group, whose members call themselves "the Reluctant Brotherhood." Started 21 years ago this month, the group was the first of its kind in the Northeast, an offshoot of the international nonprofit organization "Us Too," created to educate and unite men with prostate cancer.

Camp Courant Welcomes Nearly 500 Summer Campers

Hartford Courant, June 21

Nearly 500 campers, ages 5 to 12, showed up for the first day of Hartford's Camp Courant on June 21. This summer, Camp Courant will feature visits from workers from the Hartford Hospital Radiology Department, UConn's Husky healthcare program for children and the American Liver Foundation.

Group Files Complaint About Hartford Hospital's Use Of Live Pigs For Training

Hartford Courant, June 14

A national animal advocacy group filed a request with the state's attorney in Hartford Thursday for an investigation into Hartford Hospital's use of live pigs in a medical training course. The Physicians Committee for Responsible Medicine sent a letter to Gail P. Hardy, state's attorney for the Hartford Judicial District, asking her to "investigate Hartford Hospital for violations of the Connecticut animal cruelty statute." The letter was signed by four doctors, three of them from Connecticut. It focuses on the hospital's use of pigs in its Advanced Trauma Life Support course, which trains doctors in the management of acute trauma patients and involves practicing various medical procedures. Hartford Hospital officials said Thursday that all pigs used are anesthetized and that treatment of the animals adheres completely with the guidelines of the National Association of Biomedical Research.

Art Wolf: A Physician For All Times

Hartford Courant, June 10

Art Wolf was a physician whose life embodied many contradictions and contrasts. While he carried on the medical tradition of making house calls, he was also at the forefront of medicine in organizing an early health maintenance organization. He was a Quaker who stopped short of opposing all killings, a philosopher who was also an attentive copyeditor, quick to spot a missing comma. Although childhood polio affected his walking, he loved hiking and exploring new places. Wolf, 87, of West Hartford died of pneumonia Feb. 11. After an internship in La Jolla, California, Wolf came to Hartford Hospital to continue his training in internal medicine. During the Korean Conflict, Wolf was drafted, and spent a year with the U.S. Army Medical Corps in Japan. He returned to Hartford Hospital, where he served as chief of the division of internal medicine for 28 years, and secretary of the department for five. For many years, Wolf shared a practice with Dr. Morris Seide and Dr. Michael Lazor. "They were kings of internal medicine, the doctors of choice for a long time at Hartford Hospital," said Keating. "They had a tiny office at 85 Seymour St, and seemed to have fun practicing."

In the HHC System

Backus May Cede Control to Hartford HealthCare in Affiliation

Norwich Bulletin, June 21

In May, when The William W. Backus Hospital and Hartford HealthCare announced a memorandum of understanding about their formal partnership, both parties called the relationship an affiliation. However, the agreement, expected to be completed this summer, will give Hartford HealthCare control over the Norwich hospital and its properties — including power to veto capital projects and hire or remove administrators. One major industry magazine, Modern Healthcare, called the relationship an acquisition in a recent issue. James Blazar, senior vice president and chief strategy officer for Hartford HealthCare, confirmed that:


• Hartford HealthCare’s governing board will have reserve powers — the ability to hire/fire Backus’ chief executive officer and the ability to veto or approve capital projects. Blazar said if that were to happen, there would be consultation with Backus’ board of directors, which has that power now.
 
• Backus Corp. — the parent company of the hospital and affiliated entities — will have its assets and liabilities appear on Hartford HealthCare’s financial statement “once Backus becomes part of the financially obligated group,” Blazar wrote.
 
• Hartford HealthCare will assume liability for Backus Corp.’s debt — including long-term debt of $62 million as of September 2011. “Again, yes, once it becomes part of the financially obligated group,” Blazar wrote.

Health Care News In the Region

Children's Hospital And Insurer Settle Lengthy Contract Dispute

Hartford Courant, June 12

The state's largest health insurer and Connecticut's only specialized children's hospital ended a bitter contract dispute late Monday night that had left many patients scrambling since mid-April to make sure their children would continue to receive care. North Haven-based Anthem Blue Cross and Blue Shield in Connecticut and Connecticut Children's Medical Center in Hartford announced their new contract Tuesday after operating without an agreement since April 15.Both parties said the agreement will retroactively cover services at CCMC and at its related specialty group as in-network — allaying concerns for Anthem customers who faced having to pay out-of-network rates.

CT Children's eyes $10M Farmington surgery center

Hartford Business Journal, June 18

Faced with an increasing demand for outpatient surgeries and shrinking space on its Hartford campus, the Connecticut Children's Medical Center is looking to build a new $10 million surgical center in Farmington. The proposed 18,321-square-foot facility would add up to four operating rooms for outpatient surgery and give the medical center one of its largest locations outside its main campus in Hartford. The project, which requires approval from the Office of Health Care Access, could start construction by February and open for business by September 2013. Connecticut Children's Medical Center (CCMC) officials say the new surgery center is needed because of the increased demand to have pediatric care delivered by pediatric specialists, rather than general physicians. At the same time, the retirement of surgeons at other Connecticut hospitals who previously performed pediatric surgeries, and the inability of nursing staffs at community hospitals to maintain pediatric competencies due to relative low volumes, has opened the door for CCMC to expand its patient base, officials say.

St. Francis' New Clinic At City Hall Treats City And State Employees

Hartford Courant, June 6

More than 50 patients have been seen at Saint Francis Care Connect@City Hall, a new service at City Hall offering city and state employees medical care. Open Monday to Friday from 8 a.m. to 4:30 p.m., the clinic provides treatment for minor illnesses and ailments, such as colds, splinter removals and poison ivy. It provides such services as asthma monitoring, vaccinations, screenings and blood sugar tests.

Groundbreaking Planned at UConn Health Center

CBS-3, June 11

State officials are expected to break ground for Bioscience Connecticut, the massive renovation and expansion project at the University of Connecticut Health Center in Farmington. The ceremony, planned for Monday afternoon, will officially kick-off plans to construct a new hospital tower, parking structures and ambulatory care center at the UConn complex. The improvements at the health center are tied to plans by The Jackson Laboratory of Maine to build a new lab for genomic medicine at the UConn Health Center campus. The Jackson Laboratory is expected to partner with scientists and doctors from UConn and other Connecticut medical centers and hospitals to focus on personalized medicine.

Rankings Give 12 Connecticut Hospitals 'C' in Safety

Stamford Advocate, June 6

A dozen hospitals in the state -- including Manchester Memorial Hospital, John Dempsey Hospital and Yale-New Haven Hospital -- received a "C" on safety issues in a ranking system released by a patient advocacy group. In Connecticut, only four hospitals received an "A" -- St. Vincent's Medical Center in Bridgeport, the Hospital of Saint Raphael in New Haven, Greenwich Hospital and St. Francis Hospital and Medical Center in Hartford. Hartford Hospital received a B rating (see the full Hospital Safety Score report here: http://hospitalsafetyscore.org/hospital-details.html?location_id=458)

Stamford Hospital Announces New $450M Facility

Stamford Patch, June 20

Stamford Hospital unveiled plans Wednesday for a $450 million facility that would include an Emergency Room and larger areas for conducting surgery while providing more privacy for patients, according to the Hartford Business Journal. Stamford Health System board of directors voted to constructed the hospital in a single phase of building, which is anticipated to be completed sometime in 2016.

Coming Events

June 28 (Thursday):

Semi-annual Medical Staff Meeting

7 a.m., Gilman Auditorium

 

July 14 (Saturday):

ERRACE: Everyone Ride/Run Against Cancer Everyday

7 a.m. to 3 p.m., Helen & Harry Gray Cancer Center in Avon

This 100, 50, 25 mile bike ride and a 5km/10km Run/Walk raises funds for cancer research. The ERRACE organization was created by a group of professionals with common goals: to raise the awareness of cancer, raise funds for cancer research and to inspire the community to be active and health conscious. $40 for adult cyclists and runners/walkers; $10 for student cyclists and runners/walkers. Registration is recommended. Visit www.errace.org for more info and to register.

 

July 22 (Sunday):

Swing for the Cure Golf Tournament

Suffield Country Club; shotgun start is 12:30 p.m.

The 8th Annual Swing for the Cure Golf Tournament to benefit the Helen & Harry Gray Cancer Center. The tournament includes 18 holes of golf with cart, dinner, and prizes. For more info, contact Stan McLennan, 860-668-7260, ext. 3.

 

For more coming events, click here.

 

Hot Topics in Healthcare

AMA, AHA at Odds Over 'Surprise' Medicare Final Rule

Health Leaders Media, June 18

The American Hospital Association and the American Medical Association are at odds over two provisions in a final Medicare rule that give physicians more influence over hospital decisions. And each organization stated its case with heated language in letters to the Centers for Medicare & Medicaid Services. The AHA likened the new rule to a "surprise switcheroo," while the AMA says that if the AHA, using "very troubling" logic, got its way, "patients would be astonished and appalled to learn" of rules excluding medical staff members from service on the governing body.

The final rule, which specifies how hospitals must meet "Conditions of Participation" in the Medicare program, requires:
• That a hospital or healthcare system cannot have a single integrated medical staff serving more than one hospital, but that each hospital must have its own medical staff.
• That every hospital's governing board includes a member of that hospital's medical staff.

The AHA's June 5 letter says these two new provisions weren't in the Oct. 24 proposed rule. When they were incorporated in the final May 16 rule, it "surprised and greatly concerned hospitals and other interested stakeholders." The final rule thus violates the Administrative Practice Act because stakeholders didn't have a chance to object when the proposed rule was open for comments, the AHA says.

Survey Finds Employed Doctors Mostly Satisfied With Their Jobs

NEJM, May 23

Physicians with jobs at hospitals or large health systems appear to be pretty happy with their employers. On a scale of one to five, employed physicians’ engagement — their level of satisfaction with their employers and co-workers — was 4.12 in 2011, according to a research brief released May 14 by Morehead Associates, a health care consulting firm in Charlotte, N.C., that advises institutions on physician relations. A five indicates strong agreement, and a one means strong disagreement. “Physicians are getting smarter and savvier about where they want to be,” said Barbara Reilly, PhD, senior vice president of science and research for Morehead. “Hospitals, in turn, have to be a little more nimble and quicker to respond to physician needs to keep the physician engaged and attracted to their organization.” The Morehead survey found that health care institutions were doing better in some areas than others. The majority of physicians strongly agreed that their hospital provided high-quality care and service. The question scored 4.23 in 2010 and 2011. They also would recommend their institution to family and friends. This question hit 4.25 in 2010 and 4.24 in 2011.

Doctors’ EHR note-taking method affects quality of care

American Medical News, June 12

Physicians who have electronic health record systems but dictate patient notes give a lower quality of care than do doctors who use structured documentation, says a study published online May 19 in the Journal of the American Medical Informatics Association. “Dictating may be easier for the doctor...[but he or she might] not be paying as close attention to information and alerts in the electronic health record that are important for patient health,” said lead study author Jeffrey A. Linder, MD, MPH, associate professor of medicine at Harvard Medical School in Boston.

Voices Of Our Patients

Kudos to Drs. Peter Schauer and Andrew Salner

I am a patient at Helen & Harry Gray Cancer Center. My doctors, Dr. Schauer and Dr. Salner, they are the very best.


I’ve been treated by such good and compassionate doctors and staff. Cancer is a different disease but the journey could be more comfortable, knowing that our life is not only in God’s hands, but that we have the best care, that these doctors with their knowledge and dedication give us.


After 10 years with cancer, life is a treasure and whatever happens tomorrow we must keep our hopes. I am thankful for my experience as a Hartford Hospital patient. To my dear doctors for doing all they do to keep me well, thank you.


Lucy Guzman

 

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.