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

November 11, 2012 Edition

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HH Facts:

1984 - The first free standing data center in the country connected with a hospital was built at Hartford Hospital.

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

In This Issue...
Top News

Medical Staff Executive Committee Elections

There is currently an election underway for three members-at-large of the medical staff executive committee. Terms are for two years. All ballots must be received by 5 p.m. on Nov. 12. Any ballot received without a name/signature will be void.

You can download a ballot here.

There are 15 candidates for the three open seats. They are:

Dr. Thomas Banever, Surgery
Dr. Tracy Brennan, Ob/Gyn
Dr. Erika Cappelluti, Pulmonary
Dr. John D'Avella, Nephrology
Dr. Adam Debin, Anesthesiology
Dr. April Goller, Medicine
Dr. Marbelia Gonzalez, Anesthesiology
Dr. Frances Gurtman, Internal Medicine
Dr. Herbert Keating, Medicine
Dr. Joseph McIsaac, Anesthesiology
Dr. Stephen Ohki, Radiology
Dr. A. Jon Smally, Emergency Medicine
Dr. Manish Tandon, Surgery
Dr. Peru Venkatesh, Medicine
Dr. Michael Zanker, Emergency Medicine

Some of the candidates have submitted a brief summary of why they would like to be elected. Read those statements here.

You can email ballots to; fax them to 860-545-3755, or hand deliver them to JB-114 between 7:30 a.m. and 5 p.m.

We need a quorum of 10% of the active medical staff to validate this election. Last year, about a third of the active medical staff participated. Please vote.

The results of the election will be announced at the Nov. 15 Semi- Annual Meeting of the Medical Staff.

If you have questions or concerns, contact Martha Santilli at 860-545-6167.


Semi-Annual Medical Staff Meeting This Thursday

The semi-annual meeting of the medical staff will be Thursday, Nov. 15 at 7 a.m. in Gilman Auditorium. The theme of the meeting is Physician Alignment.

Free flu shots will be available at the meeting.

The results of the Medical Executive Committee election will be announced then.


Flu Shot Clinics Next Week

All HHC staff members are required to get a flu shot by Dec. 1.

You can get a free flu shot at several times and locations throughout the hospital.

Flu shots will be available at the Semi-annual Meeting of the Medical Staff on Thursday, Nov. 15 at 7 a.m. in Gilman Auditorium.

Flu shots will be available at Surgery Grand Rounds on Friday, Nov. 16 from 7-7:45 a.m. in CB 139-140.

Other dates and locations for flu shots are:

• Tuesday, Nov. 13 from 2-4 p.m. at CLP, CORE Building

• Wednesday, Nov. 14 from 6-8 a.m. at CLP, CORE Building

• Thursday, Nov. 15 from 2-4:30 p.m. at Jefferson House

There will be "roving" flu clinics on the inpatient nursing units on Nov. 13 and 15 at different times. There will also be off-site flu clinics at Hartford Specialists, Sleep Lab, and multiple ERN locations.

If You Get Your Flu Shot Outside of Hartford Hospital: You must provide The Medical Staff Office with proof of vaccination: a document with your name, date of birth, date of vaccination, the vaccine product used, location and clinician who provided the shot. This can be brought to the office weekdays between 8 a.m. and 4 p.m. When you drop it off, you will be given a vaccination badge tag.

All the times and locations for flu shots will be listed on the Flu Prevention internet site. For more information, please email


Flaks and Roche To Give Keynote at Press Ganey Executive Conference

Hospital President Jeffrey Flaks and Dr. Jamie Roche, vice president of patient safety and quality, will give the keynote address at the Press Ganey Executive Leadership Conference in Washington, DC this week. Their topic is H3W. We are proud to have the opportunity to discuss in a national forum our H3W culture and its success in improving the patient experience.


Hartford Hospital Doctors First in U.S. To Implant Right Ventricular Impella Device

On Oct. 31, doctors at Hartford Hospital were the first in the United States to place a right ventricular Impella device (a "mini heart") in a patient in shock because of a right ventricular infarction. This device is currently being evaluated by the FDA, and this surgery has been performed only eight times worldwide.

The right heart Impella is a catheter that is placed from the inferior vena cava through the right atrium, right ventricle and is positioned in the pulmonary artery. There is a pump within this catheter that withdraws blood from the inferior vena cava and pumps into the pulmonary artery (thus taking over the function of the right ventricle).

The director of Structural Heart Disease, Dr. Ronan Margey, took the lead in procuring the device, receiving approval for implantation by Hartford Hospital IRB, and implanting the device in this patient. Drs. Dan Fram, Jeff Hirst, Fran Kiernan, Ray McKay, Immad Sadiq, and David Silverman were all involved to support this achievement.


Medical Foundation – HHC PhysiciansCare Inc. - To Launch Jan. 1

Hartford HealthCare will launch a medical foundation on Jan. 1 under the legal name HHC PhysiciansCare Inc. (It may be marketed under a different name.) It is designed to strengthen our region’s pluralistic physician practice environment by providing a structure for physicians and advanced practitioners who are interested in being employed by Hartford HealthCare.

Initially, the foundation will become the employer of clinicians currently working for Hartford Clinical Associates, Hartford Medical Group, MidState Medical Group, Doctors of Central Connecticut, and Windham Family Medical Associates. Other employed HHC physicians will join the foundation in later phases. In some special cases, Hartford HealthCare member institutions will still directly employ some doctors.

Within the next year, the foundation will establish common billing and charge-capture platforms and evaluate electronic medical record systems across the practices as important first steps toward increased efficiency and improved care coordination.

The foundation positions us well for the dramatic changes occurring in health care. It will help Hartford HealthCare achieve its vision of providing seamless, high-quality care to our communities and allow us to harness HHC’s size and scale to provide excellent, coordinated care as efficiently as possible.

We have brought together a talented, experienced group of leaders:

• Rita Parisi, CEO and president of Eastern Rehabilitation Network, led the start-up phase of the foundation, and she and her team have had great success. Parisi will stay on as project manager for the immediate future.

• Dr. Kent Stahl will have a dual role, as interim president and CEO of the organization, and vice president for primary care. An internist, Dr. Stahl has been the medical director and CEO of Hartford Medical Group for the past 16 years.

• Dr. Jeffrey L. Cohen has been named vice president for specialty care. He is a colorectal surgeon who was on the board of Connecticut Surgical Group for the last decade. Beginning in 2006, he served as president of the multispecialty surgical group practice. He was instrumental in last year’s transition of CSG into Hartford HealthCare, which helped lay the groundwork for the foundation.

• Edward R. Kushmerek will serve as chief administrative officer, helping physician leaders with the transition, especially with regard to practice-management issues. He has worked as a consultant to hospitals, health systems and physician practices.

• John G. Macdonald, who most recently was director of finance for the Affiliated Physicians of St. Raphael in New Haven, will serve as chief financial officer.

• The leadership of the foundation will report to Dr. Rocco Orlando III, senior vice president and chief medical officer of Hartford HealthCare.


Flaks To Hold Town Hall Meetings

President/CEO Jeff Flaks will be holding Town Hall Meetings over the next month open to all staff members. This is a time to ask questions or discuss any ideas or concerns you have about Hartford Hospital. Please join President Flaks at one of these meetings:
• Friday, Nov. 16: 11 a.m.-12 p.m. Gilman Auditorium
• Tuesday, Nov. 20: 6-7 p.m. Special Dining Room
• Tuesday, Nov. 27: 1-2 p.m. Gilman Auditorium
• Thursday, Dec. 6: 3-4 p.m. IOL, Commons Building, Hartford Room


Capital Investments:
All New Beds, Tables and Cabinets By End of January

All of your patients will be using new beds, mattresses, bed side cabinets and over-bed tables by the end of January.

The Biomedical Engineering Department, with the help of Environmental Services, is replacing all these items with the new hospital standard that was established with the CB2 renovation. The beds, over-bed tables and bed side cabinets are from Stryker Medical.

The rollout started earlier this month and is scheduled to be complete by the end of January, 2013


Estonian Officials Visit Hartford Hospital; Will Use CESI as Model

Four officials from Estonia visited Hartford Hospital on November 5-6 to view our Center for Education, Simulation and Innovation (CESI). The visitors include the Undersecretary from the Estonian Ministry of Defense, the Surgeon General of the Estonian Defense Forces, the chief of a Medical Center, and a physician instructor. Their plan is to use CESI as a model to emulate in developing their own simulation center.

This educational relationship with the Estonians began in 2007, when Dr. Jay McIsaac, chief of Trauma Anesthesia, was invited to Estonia with several colleagues to train their military service based on his textbook Hospital Preparation for Bioterror. Dr. McIsaac, Dr. Thomas Mort, chief of critical care medicine, Dr. Thomas Nowick, emergency medicine physician and cognitive simulation director at CESI, and Steve Donahue, CESI program director, spent a week in Estonia using SimMan as the centerpiece of their training.


Staff Rallies During Hurricane Sandy; Business As Usual

As always, the Hartford Hospital staff performed admirably in preparation for and during Hurricane Sandy. Operations continued normally.

During the day Oct. 29, seven babies were born at our hospital, 86 surgical procedures were performed and 175 patients were treated in the Emergency Department – lower than the average 250 patients we see daily.

We opened our Incident Command Center at 8 a.m. Monday, Oct. 29 and closed it Tuesday at 11:30 a.m. We sent several updates to our staff and patients, keeping them informed of the hospital’s status, and our activities were covered by all local media.


Corporators Meeting Thursday

The annual meeting of corporators of Hartford Hospital will be held Thursday, Nov. 15 at noon in Heublein Hall. It will include reports of the Board Governance Committee, the Board of Directors and the President. There will be a presentation by Dr. Barry Stein, vice chair of the Department of Radiology on Beyond Advanced: Clinical Innovation at Hartford Hospital.

The role of corporators is an important one. Our corporators are part of the critical partnership among the hospital’s board of directors, medical staff, management and community that strengthens us as a academic medical center in our region. With Hartford Hospital’s expertise, technologic strength and our commitment to extending comfort, compassion and care to the people of Connecticut, the management and staff recognize the substantial support provided by the community, throughout the hospital’s history, in both leadership and the contribution of time, expertise and funds. Such profound support and direction are reflected in the distinguished roster of Hartford Hospital corporators.


OBITUARY: Joseph Sargent, Long-time Hospital Chairman of the Board

Joseph Denny Sargent, director and chairman of the board of Hartford Hospital for more than 30 years, passed away Nov. 7 at Hartford Hospital surrounded by his loving family.


Mr. Sargent, 83, was a tremendous supporter of Hartford Hospital. He was elected as a corporator in 1964 and served until 1999.  In 1967, he was elected to the Hartford Hospital Board of Directors and served on the board for 32 years.  He was chairman of the board from 1981 to 1986 and served on the Executive Committee from 1968 to 1999.  He also served on the Audit Committee, Campaign Steering Committee, Development Committee, Development Steering Committee, Educational Policies Committee, Insurance Committee, Investment Committee, Jefferson House Advisory Committee, Joint Advisory Committee, Joint Conference Committee, Long-Range Planning Committee, Nominating Committee, Planning Committee, Property Committee and Public Information Committee. 

Mr. Sargent devoted himself for 35 years to Hartford Hospital to ensure that the hospital provided superb medical care in a fiscally prudent and cost-effective manner to the community. 

A resident of West Hartford, he was married for 57 years to Mary Tennant Sargent. He was an entrepreneur, philanthropist and outdoor enthusiast. He completed his bachelor's degree in economics and geology at Yale in 1952. At the time of his passing, he was serving as chairman of Bradley, Foster & Sargent, an investment advisory firm he founded in 1992. He was a pioneer in insurance private equity and was actively involved in starting and building many insurance companies.

In 1956, he, his wife and other investors founded Sherburne Corporation, which developed the Killington Ski Area.

He helped many non-profit organizations in the Hartford area and served as a trustee of the YMCA of Greater Hartford, McLean, the Wadsworth Atheneum, The Village for Families & Children and the Hartford Art School.

In addition to his wife, he is survived by his four children, their spouses, and 11 grandchildren.

A celebration of his life will be held Monday, Nov. 12 at 11 a.m. at Asylum Hill Congregational Church, 814 Asylum Ave., Hartford. For directions to the church, please visit

In lieu of flowers, gifts in his memory may be made to Hartford Hospital or the YMCA of Hartford. Donations to Hartford Hospital should be directed to Hartford Hospital, Fund Development, 80 Seymour Street, P.O. Box 5037 Hartford, CT 06102-5037 or online at Gifts in his memory will be directed to the hospital's Center for Education, Simulation and Innovation.

Gifts to YMCA may be made to 241 Trumbull Street, Hartford, CT 06103 or online at


Dr. Ethan Foxman Delivers Keynote at American College of Radiology Meeting

Ethan Foxman, M.D., Ph.D., interim chief of Radiology, gave the keynote address at the American College of Radiology Chapter Meeting in Washington DC. on October 25. His presentation was titled, "The New Radiology: Furthering Opportunities for Enhancing Radiology Services and Patient Care." It centered on information technology, patient-centric and coordinated care models, and analytic performance metrics for the enhanced delivery of diagnostic and interventional radiology services.


President Flaks Profiled in Becker's Hospital Review

Hartford Hospital President/CEO Jeffrey Flaks was profiled in Becker’s Hospital Review on Oct. 18.


CMG Named Quality Oncology Practice Initiative Practice By American Society of Clinical Oncology

The Connecticut Multispecialty Group Division of Hematology/Oncology has been named a Quality Oncology Practice Initiative (QOPI) certified practice by the American Society of Clinical Oncology. “This should favorably impact any relationships with other Oncologic centers of excellence and strengthen the Hartford Hospital Division of Oncology/ Cancer Institute,” said Dr. Jarrod Post, chief executive officer of Connecticut Multispecialty Group, PC.

The QOPI is an oncologist-led, practice-based quality improvement program sponsored by the ASCO, and there are currently 151 QOPI certified practices in the United States. The main goal is to promote excellence in cancer care by helping oncologists create a culture of self-examination and improvement.

Establishing QOPI certification demonstrates our commitment and acknowledges the quality of oncologic care that CMG provides. Obtaining QOPI certification has been a huge undertaking. Initiated nearly three years ago, it has taken countless hours of chart abstractions, achieving a passing score in core quality metrics, providing documents confirming compliance and detailing our safety standards, and completing an on-site audit by an ASCO QOPI representative.


Our Surgeons Carved Pumpkins for Charity

Dr. Brendan Killory, Dr. Daniel Fusco, Dr. Rafal Barczak and Dr. Mark Shekhman, showed off their carving skills at Hartford Hospital’s annual “Chefs vs. Surgeons’ pumpkin-carving competition Oct. 28 at the Connecticut Science Center. Dr. Barczak practices at MidState Medical Center; the others practice at Hartford Hospital. The carved pumpkins were auctioned for charity.


Dr. Lauri Bolton appointed to State Emergency Medical Services Advisory Board

Dr. Lauri Bolton, an ED attending and medical director of LifeStar was appointed to the Emergency Medical Services Advisory Board as a representative of the Connecticut College of Emergency Physicians by Governor Malloy.

Dr. Bolton was also elected as secretary treasurer for Air Medical Physician Association, the national organization of air transport physicians.


Dr. Joseph DiGiuseppe Presents Workshop at American Society for Clinical Pathology Annual Meeting

Dr. Joseph DiGiuseppe, director of the Special Hematology Laboratory and acting director of Hematopathology, recently presented a workshop entitled "Practical Flow Cytometry in Hematopathology – A Case-Based Approach" at the Annual Meeting of the American Society for Clinical Pathology, which was held in Boston. Dr. DiGiuseppe is currently president of the International Clinical Cytometry Society, and serves on the Editorial Board of its journal, Clinical Cytometry.


Innovative and Complex Care

Epilepsy Center Moves to Permanent Home to Meet Needs of the Community

The inpatient Epilepsy monitoring unit on Center 11 will open to admitting the first patients tomorrow, Nov. 12. There will be a ribbon cutting ceremony on Friday, Nov. 16 from 3-5 p.m.

We expect the six-bed Epilepsy Center to achieve Level-IV designation by September 2013, the highest designation given by the National Association of Epilepsy Centers (NAEC). This distinction will recognize Hartford Hospital as one of the few hospitals in the nation that has the resources and capability to provide the most advanced and complex care for epilepsy patients. There are approximately 100 Level-IV epilepsy centers in the nation and only one in Connecticut.

Our Epilepsy Center will truly become a destination center for patients seeking advanced treatment for epilepsy. The center got a boost from a $100,000 donation from the proceeds of the Hartford Hospital Auxiliary golf tournament in September. This gift will be used to purchase additional neurodiagnostics equipment used for long-term monitoring.

In addition, we have partnered with the Connecticut Epilepsy Foundation to establish an epilepsy support group at the hospital, the only support group specifically for epilepsy patients in the region.

Research and Academics

Burlingame Award Honors Dr. Judith Rapaport From NIMH

Dr. Judith L. Rapaport, chief of the Child Psychiatry Branch of the National Institute of Mental Health in Bethesda, Md., was honored  Nov. 7 as the recipient of the Institute of Living’s prestigious and internationally recognized annual C. Charles Burlingame Award during a dinner program at the Hartford Golf Club.  The IOL's Burlingame Dinner is one of the most prestigious events in psychiatry that continually enhances the reputation of Hartford Hospital.

The award honors leading psychiatrists who embody the highest values of clinical care, research, education and administration which were characteristic of C. Charles Burlingame, M.D.

Dr. Rapaport has been a transformational figure for child and adolescent psychiatry whose work has covered multiple areas and who is widely recognized and highly regarded by her colleagues. Her career exemplifies the values of excellence in clinical care, research, teaching, and administration which the Burlingame Award represents.

Dr. Rapaport gave a presentation titled “Time and Place and a Career in Child Psychiatry.” She spoke of the many paradoxical developments she has witnessed in her long career in child and adolescent psychiatry research.

The morning after the award ceremony, she gave Grand Rounds at the Institute of Living on “Early Childhood Schizophrenia:  Rare But Worth Studying.” 

Dr. C. Charles Burlingame came to The Hartford Retreat (now the Institute of Living) in 1931 as superintendent. Within six years, he had created a model community where patients could receive the best in psychiatric treatment. Dr. Burlingame intended it to become an institution which fostered the exploration of mental illness and the mind through research, and the development of mental health professionals through education. His mark is clearly visible on the institution to which he devoted the last 19 years of his life. Today the IOL is part of Hartford Hospital, serving as its behavioral health division.


HH Collaborates With Mayo and Cleveland Clinics to Host Blood Management Conference

Building on successful collaboration on previous national conferences, Hartford Hospital and Mayo Clinic have developed a unique conference called "TransFuse 2013: Transformative-Fusion of Innovative Patient Blood Management," to be held March 13-16, 2013 in Phoenix, Arizona.

This three-day multidisciplinary conference explores current state-of-the–art techniques and program development to implement a blood management program in hospitals. This is a one-of-a-kind summit organized by leaders in blood management from Mayo Clinic, Hartford Hospital, Loyola University, and Cleveland Clinic, with faculty participation from all four organizations. This conference is a CME accredited activity.

Following the successful 2012 course, the program has been slightly expanded for 2013. The Conference Website is: .

Registration discounts are available to staff affiliated with any Hartford HealthCare facility. To inquire about a discount, please email Dr. Ajay Kumar, chief of the Division of Hospital Medicine, at Dr. Kumar is conference co-director.


UConn Acute Care Surgery Fellowship Approved at Hartford Hospital

The American Association for Surgery of Trauma (AAST) has approved the University of Connecticut Acute Care Surgery (ACS) Fellowship Training Program at Hartford Hospital. 

The reviewers specifically commented on the collegiality and spirit of cooperation they encountered at Hartford Hospital during their site visit.  They also noted the strong cross-disciplinary and interdepartmental support of this critical educational program. 

Hartford Hospital is the only accredited ACS  fellowship program in the state of Connecticut, and the 14th ACS program accredited by the AAST in the country.


New Fringe Rate for Research Budgeting Notice

Effective immediately, the new Hartford Hospital fringe rate for research budgeting is 34%. If you are in the process of submitting a Trintech application and it requires a budget worksheet, please refer to the Grants and Contract page on the Research Program website for the updated version.

Updated HH Budget Sheets: Grants Administration Budget Guidelines: )

HH Budget Sheet - Master Industry, Medical Staff (Small grant and Safety/Quality), Open Competition, Foundation, and State: )


Medicare Learning Network Added to Library Intranet

The Library has added the "Medicare Learning Network" for professionals to the Library Intranet site. The Medicare Learning Network (MLN) is the home for education, information, and resources for the Medicare Fee-For-Service provider community. The MLN gives health care professionals access to the Medicare Program information they need, when they need it, so they can focus more on providing care to patients.

The MLN is located under the category "Featured Resources." You can go to the Library site and access it there: Or, you can go directly to and save it to your Desktop.

If you have any questions about this service call/email Sheila Hayes 860-972-2416, or email

Care Coordination

Hartford Hospital's New Family Health Center Opens in South Windsor

Hartford Hospital opened its newest Family Health Center Oct. 30 in South Windsor. The center is one of three Hartford Hospital community health care facilities that include centers in Avon and Enfield.

South Windsor’s tenants include Hartford Medical Group (HMG) and Hartford Hospital Rehabilitation Network. Hartford Specialists and other affiliated specialists also will have offices in the center.

The new state-of-the-art building, with more than 13,000 square feet, is the new location for HMG and HHRN’s offices previously located in East Hartford.

The South Windsor facility features extensive improvements for more advanced patient care with larger patient rooms, access to on-site labs and X-rays, and an on-site community education room.

Hartford Hospital Rehabilitation Network’s space in the South Windsor facility includes advanced technology – such as the Bioness Neuromuscular Re-Education System for upper and lower extremity function – to treat neurological disorders. In addition, the new HHRN office features a more open treatment environment for rehabilitation programs.

HMG also has stepped up patient care services in the new facility by providing more endocrinology services with the addition of Paula Rocha, APRN, who specializes in treating patients with diabetes. In addition, HMG will continue to provide primary and urgent-care services from the same outstanding providers from the former East Hartford office, including Dr. Cynthia Heller; Dr. William Shieh; Dr. Jeffrey Stein; Alison Hall, PA-C; and Tracie LaRue, APRN. The office will welcome a new family medicine physician, Dr. Anne-Katrin Weischedel, whose areas of interest include women and children's health.


Hospital Hosts Seminar Devoted to Black Men's Health Project

More than 100 people attended a half-day seminar at Hartford Hospital on October 27th devoted to building awareness and inspiring action among black men to lead healthier lives. The hospital developed the Black Men's Health Project in collaboration with the Omega Foundation.

Jones Greg Jones, a member of the hospital's Board of Directors, serves as president of the Omega Foundation of Hartford and was a driving force behind the collaboration.

The initiative is endorsed by Kevin Ollie, newly-named coach of the UConn men's basketball team and former professional basketball player, and Scott Burrell, a Quinnipiac University coach and former professional basketball and baseball player.

Operational Update

Finances for October: Outpatient Revenues Strong

October is the first month of fiscal year 2013.

Discharges were slightly below budget for the month (.9%) as they were impacted by Storm Sandy. They were essentially even with last year, which also included a storm at the end of the month.

Outpatient revenues were strong, and despite limited activity in some outpatient areas the last few days of the month, were above budget for the month by approximately 4%.


IT Update: Single Sign-on, Secured Texting and Outlook Coming in 2013

A major focus of the fiscal year 2013 plan for IT is facilitating improvements in the productivity of the medical staff. Major initiatives being planned include:
- Single-Sign-On: Will allow you to sign on to SCM and other applications once instead of multiple times during the day.
- Microsoft Outlook Email: All email applications will be consolidated to Microsoft Outlook to facilitate better communication and coordination.
- Secured Texting: Texting is increasingly becoming a very convenient and efficient vehicle for communication and care coordination. A secured texting solution will allow you to continue using text messages while protecting the confidentiality of our patients and complying with HIPAA regulations.
Stay tuned for further updates and more details on these projects during the next few weeks.


Assuring Best Practices in Transfusion

As of last week, practitioners who order blood and related components will find a drop-down menu in SCM from which an indication must be selected to complete the blood order. The options presented reflect consensus guidelines as adopted by our M.E.C., and will serve to reinforce best practices.

The HH Information Technology team will assist in compiling these data in order to facilitate optimal blood management. To meet the needs of practitioners who may not find a consensus indication for their order, the option to free text an “other” indication is readily available.

Feedback is a gift and always welcome. Please direct any questions or ideas to Dr. Bradford Sherburne, director of Transfusion Medicine, or Dr. Ajay Kumar, director of Hospitalist Medicine.


Elevator Etiquette: If A Patient Gets In, Please Get Out

One of our problem areas continues to be inappropriate use of patient elevators by staff. In order to assure the privacy of our patients and to provide them with timely services, it is important for everyone to follow the expected staff behaviors regarding patient transport on elevators. Please follow these elevators rules, and hold your peers accountable for following them too.

All staff members are expected to:
• Never get on elevators occupied by patients
• Vacate elevators when a patient on a stretcher or wheelchair is waiting to be put on the elevator
• Don’t use Patient Transport elevators. (They are marked with signs for Patient Transport Only.)


With Thanks For All You Do In Support Of Philanthropy

With the approach of National Philanthropy Day, November 15, we pause to thank all the members of the Medical Staff for their many donations of time, talent and treasure in support of the hospital over the past year. From financial support of the Annual Campaign and the Black & Red, to serving on committees that promote charitable gifts and making presentations to donors and friends of Hartford Hospital – you have sent a strong message to the community that underscores the importance of philanthropy in advancing the hospital’s mission and vision.

In addition, many gifts made to the hospital this past year testify to the critical role members of the Medical Staff play in nurturing patient and family relationships – and ultimately charitable gifts.

The occasion also allows us to once again recognize Dr. Robert Siegel, who was honored at the Medical Staff Spring Event with the Physician in Philanthropy Award.

Capital Investments

Capital Investments:
All New Beds, Tables and Cabinets By End of January

All of your patients will be using new beds, mattresses, bed side cabinets and over-bed tables by the end of January.

The Biomedical Engineering Department, with the help of Environmental Services, is replacing all these items with the new hospital standard that was established with the CB2 renovation. The beds, over-bed tables and bed side cabinets are from Stryker Medical.

The rollout started earlier this month and is scheduled to be complete by the end of January, 2013.


HH In The News

Marathon Runners Stop Aging Out of the Race

The Wall Street Journal, Oct. 29

Runners 50 years and older represent one of the fastest-growing age groups participating in the increasingly popular events. As the total number of runners finishing marathons in the U.S. doubled to 518,000 in the 20 years ended in 2011, the number of finishers age 50 and older nearly tripled to 92,200, or about 18% of the total.

"There are dangers [for older runners]—you shouldn't experience severe chest pain during a marathon—but the research is clear that running is good for you," says Paul Thompson, a veteran former marathoner and sports cardiologist at Hartford Hospital in Connecticut.


Dozens of Carbon Monoxide Poisoning Cases Since Sandy

Hartford Courant, Oct. 31

Since storm Sandy hit Connecticut, state hospitals have seen 35 cases of carbon monoxide poisoning, as of Wednesday, and expect to see more in the next few days. "On one street, I saw four houses where people were operating their generators inside their garages," said Dr. Kelly Johnson-Arbor, director of the Hartford Hospital Wound and Hyperbaric Medicine Center. During extended power outages, she said, that's the most common cause for carbon monoxide poisoning. Most of the cases so far this week have been moderate, in which patients are treated with an oxygen mask. "Once we get patients oxygen they recover in a matter of hours," she said.

Hartford Hospital and Norwalk Hospital have the only hyperbaric chambers in the state used for treating CO poisoning. Patients inside the chambers wear plastic hoods over their heads and the chamber pumps 100 percent oxygen at a pressure of 2.5 atmospheres to them. Under normal conditions, people breathe in 21 percent oxygen at 1 atmosphere of pressure.

A few cases this week have been serious enough that the patients had to go into the chamber at Norwalk Hospital. None have gone to Hartford Hospital so far. Dr. A.J. Smally, medical director of the hospital's emergency department, said he was surprised by that. In the 24 hours after the snowstorm last October, the hospital had had "well over a dozen" patients suffering from CO poisoning. "So, people are getting smarter," he said.


After the Storm, Carbon Monoxide Becomes Big Killer

USA Today, Nov. 2

Carbon monoxide poisoning has sickened dozens and killed at least 10 people as powerless residents have cranked up generators throughout the storm-struck East Coast.

Kelly Johnson-Arbor, medical director of Hartford Hospital's Wound Healing and Hyperbaric Medicine Center, says most poisonings she has treated so far were from generators and charcoal grills, and many involved "families or groups of people in the southern part of the state," she says.

Carbon monoxide poisonings are common whenever the community loses power because people put generators in partially opened or closed garages, and bring charcoal grills indoors, Johnson-Arbor says.


Beyond Our Borders:
Historic Medical Training Partnership Launched Between Hartford and Israel

Jewish Ledger, Nov. 7

Last month, Hartford Hospital and Magen David Adom (MDA) in Israel announced a five-year partnership to advance emergency medical training and preparedness in both communities. Dr. Michael Drescher is the bridge between the two organizations. A Pittsburgh native who made aliyah after high school, Drescher served in the Israeli Defense Forces and studied medicine in Israel. He completed further studies at Hartford Hospital and a residency in emergency medicine at UConn. He and wife Yosefa Drescher, an Israeli documentary photographer and fine-art photography dealer, moved their family back to Israel in 2011 after several years in the West Hartford community.

Associate chief of Hartford Hospital’s division of emergency medicine, Drescher serves on the advisory committee for the Israeli National Emergency Medical Services and the medical advisory committee of Magen David Adom in Israel. While in Israel from 2000 to 2005, Drescher experienced the height of the Intifada, and was able to see how Magen David Adom operates in mass-casualty situations. “They first take care of the wounded and injured, and then they get life back to normal,” he says. “The idea is that terrorists may take lives, but they don’t disrupt daily life.”


Hartford HealthCare Presents Top 10 Reasons to Connect With Your Primary Care Physician

WRCH, Nov. 1

Hartford HealthCare is presenting the Top 10 reasons to connect with your primary care physician. If you don’t have a primary care physician, you can find one by downloading the DocFinder app for iOS (iPhone, iPads, iPod Touch) or Android devices… or call 1-800-DOCTORS.

Here is this week’s reason– provided to us by the great physicians at Hartford HealthCare– to contact your primary care doctor: 1. You Need a Physical or Annual Wellness Exam.

In The HHC System

Confusion Keeps Some From Meriden Hospital Hearing

Meriden Record Journal, Nov. 8

Paul Horton, a Meriden psychiatrist, was going to attend a public hearing Wednesday on MidState Medical Center’s plan to close its six-bed psychiatric unit. Horton, who planned to speak against the plan, said he got a call Wednesday afternoon from the state Office of Health Care Access telling him the hearing had been canceled. The hearing, however, went on as scheduled, despite a nor’easter that was slamming the area with snow and high winds. Roads closed and there were several automobile accidents in the city. Others said they’d also been told the hearing had been canceled, though some said they later learned it was on again. Horton said he packed up and went home, and never received a call that the hearing was back on. William Gerrish, the state Department of Health spokesman, said Thursday the hearing had never been canceled. There are plans to continue it at another date, yet to be determined.

As it turned out, more than 50 people attended the hearing, which started at 3 p.m., with the storm fully under way, at the Four Points by Sheraton hotel. They included both those who support the hospital’s plan and those who wanted to speak against it. MidState intends to shut the inpatient psychiatric unit and relocate services to the New Britain General campus of the Hospital of Central Connecticut, which plans to expand psychiatric services there by 10 beds. The hospital also includes Bradley Memorial, in Southington. Both MidState and the Hospital of Central Connecticut are part of the Hartford HealthCare network.

Hartford HealthCare anticipates saving $1.5 million a year by closing the MidState unit.



Patients offered exercise, medical advice at upcoming Walk with a Doc events

New Britain Herald, Nov. 1

Hartford HealthCare’s next Walk with a Doc will be Nov. 10 in Sperry Park, Avon. The 30-minute walk and health tips from Andrew Salner, M.D., radiation oncologist, will focus on reducing the risk for cancer. Event host is Hartford Hospital.

Doctors of Central Connecticut will host the December Walk with a Doc Dec. 15 in Walnut Hill Park, New Britain. Internist, Lorraine Binns-Grear, M.D., will discuss smart eating during the holidays and beyond.

In 2010, The Hospital of Central Connecticut was the first hospital in New England to join Just Walk. A program that hosts free community walks at area parks, these walks are led by doctors who stress benefits of exercise while providing health tips.

Health Care News In The Region

Hurricane Sandy Knocks Out Power At East Coast Hospitals, Prompting Evacuations

Modern Healthcare, Oct. 31

One New York City hospital evacuated patients after a power failure and another lost generator power as a massive and destructive storm made landfall Monday evening with gusting winds, flooding and widespread power outages. The storm Sandy was responsible for at least 16 deaths in seven states and left hundreds of thousands without power.

A failed backup generator forced New York University Langone Medical Center to begin evacuation of 215 patients hours after the storm reached the New Jersey shore. Patients were transferred to Memorial Sloan-Kettering Cancer Center's Memorial Hospital, New York-Presbyterian Hospital, Mount Sinai Medical Center and three North Shore-LIJ hospitals: Lenox Hill, Forest Hills and North Shore University.

Coney Island Hospital, which restored one generator Tuesday morning after losing power during the storm, began preparations to evacuate around 10 a.m. The hospital previously evacuated 40 patients who were dependent on ventilators and other devices. Backup batteries supported ventilators for seven remaining patients who were evacuated earlier Tuesday morning.

In New Jersey, Palisades Medical Center began evacuating 83 patients Tuesday morning. Flood damage knocked out power to the North Bergen, N.J., hospital, Hackensack University Medical Center, where patients were transferred by the National Guard after 9 a.m. Tuesday. Hackensack University Medical Center was expected to accept 51 patients from Palisades Medical Center. Approximately 30 New Jersey acute-care hospitals were operating on backup generators after the storm.


Sandy’s Blackout Threatens to Destroy Trove of Medical Research

abcnews, Oct. 31

Hundreds of researchers at the shuttered NYU Langone Medical Center scrambled today to salvage years of research into heart disease, cancer and other diseases as well as priceless lab specimens that have been put in jeopardy by the devastating storm Sandy.

NYU lost power shortly after superstorm Sandy struck Monday night. When backup generators failed, the Manhattan hospital evacuated 300 patients. But cells, tissues and animals used for medical research were left to die in failing refrigerators, freezers and incubators.

The power failure blocked access to the darkened 13-floor research center, which houses labs dedicated to heart disease, neurodegeneration and cancer research behind electronic key card readers.

"It's so horrible, you don't even want to think about it," said Michelle Krogsgaard, a cancer biologist at NYU's Smilow Research Center. "All the work we did, all the time and money, we're going to have to start all over."


Connecticut Institute For Primary Care Innovation Opens

UConn Today, Nov. 9

The Connecticut Institute for Primary Care Innovation (CIPCI), an integral part of Bioscience Connecticut, officially opened today in Hartford. The Institute is a collaboration between the University of Connecticut School of Medicine and St. Francis Hospital and Medical Center.

The Institute is based in a newly dedicated and completely redesigned facility, The Innovation + Learning Center at St. Francis, which also includes state-of-the-art conference and training rooms, research space, and the Health Sciences Library.


Waterbury Hospital Plans Merger With Tenn. Company

Hartford Courant, Nov. 2

Waterbury Hospital officials have announced that they plan to merge with a Tennessee-based company, just a few weeks after ending year-long discussions of merging with St. Mary's Hospital. The hospital has entered an agreement to merge with Vanguard Health Systems Inc., a Nashville company that owns 28 hospitals in five states, including three in Massachusetts. The proposal calls for the creation of a Limited Liability Company, with 80 percent owned by Vanguard and 20 percent by GWHN. Stromstad said the plan is to file a certificate of need to state regulatory agencies and the regulatory process – if everything goes as planned – would take about four months.


Saint Mary’s CEO Clings to Hope of Merging City’s Hospital

Republican American, Nov. 2

Waterbury Hospital may have announced plans Thursday to form a joint venture with Vanguard Health Systems of Nashville, Tenn., but Chad Wable, CEO of Saint Mary's, remained determined to continue working toward merging the city's two hospitals and building a new facility.

Hot Topics in Healthcare

One Big Winner in Tuesday's Vote: Health Reform

NBC News, Nov. 7

One of the biggest winners Tuesday night was health reform. Now that President Barack Obama has won a second term and kept a Democratic majority in the Senate to back him up, Republicans have lost any chance at repealing his biggest domestic initiative. “Health reform goes ahead,” Timothy Jost, an expert on health law at Washington and Lee University, told NBC news. “It has survived two near-death experiences, with the Supreme Court decision (in June) and now with the election. Now it is time to move forward.”

Republican analysts agree. “What it means is implementation of the law,” said Christopher Condeluci, a former Tax and Benefits Counsel to the Senate Finance Committee who is now at Washington law firm Venable LLP. It doesn’t mean smooth sailing, however. Many rules have yet to be rolled out – and there is little time to do that before the law begins to take full effect in 2014.


The Future of Health Care in Obama's Second Term

The Health Care Blog, Nov. 7

Although members of the Obama team are now celebrating their election victory, the next four years will not be smooth sailing. Ignoring the campaign rhetoric, there is still much more work to be done in order to reshape our health care system; the effect on academic medical centers and teaching hospitals will be significant.

The political conscience is still being driven by the fear of the fiscal cliff, which dominates most Washington conversations. Both political parties agree that health care is a significant contributor to our present and future deficit and that we have to figure out how to deliver more care at a lower cost. But, they argue about what to call it, who gets credit, and whether the solution is bigger government involvement or a dominant private market?

The potential cuts to NIH funding and graduate medical education support do not go away with another four Obama years. We anticipate that the president will reform the tax code and transform how we deliver health care. The latter will be his lasting legacy. However, in all this chaos, there are opportunities. While we no longer hope for a bipartisan middle ground on health care — and rancor will certainly escalate if President Obama is reelected — to many people, the Affordable Care Act is starting to look like a tangible business opportunity. Every insurer is looking at the 30 million uninsured people who will receive coverage through a mix of subsidized private insurance for middle-class households and expanded Medicaid for low-income people. These new markets could be worth $50 billion to $60 billion in premiums in 2014, and as much as $230 billion annually within seven years. The structure and implementation of these programs present specific challenges for AMCs.


6 Scariest Issues in Healthcare Right Now

Becker’s Hospital Review, Oct. 30

Becker's Hospital Review thought Halloween seemed as good a time as any to recap some of the most frightening and concerning issues in healthcare. Here are six of the scariest issues in healthcare right now.

These events and trends have made their fair share of headlines in recent weeks and continue to alarm hospital and health system executive:. Hurricane Sandy’s effect on hospitals; contaminated injections; poor health of hospital employees; data breaches; physician shortage; and Medicare cuts.


SMS: $7.7 billion in HER payments through September

Modern, Nov. 6

More than 300,000 physicians and other eligible professionals have signed up to participate in the federal electronic health-record system incentive payment programs, while more than 4,000 hospitals have enrolled in the Medicare EHR incentive program, the Medicaid incentive program or both, according to the latest CMS data. In total, $7.7 billion has been paid out in what has been estimated will be $27 billion in incentive payments through the lives of the two programs.

Coming Events

Monday, Nov. 12

Medical Staff Executive Committee Elections

Deadline for ballots - 5 p.m.

There is currently an election underway for three members-at-large of the medical executive committee. All ballots must be received by 5 p.m. on Nov. 12. Any ballot received without a name/signature will be void.


Tuesday, Nov. 13

State of the Hospital Meeting

9:30 a.m., Heublein Hall


Thursday, Nov. 15

Semi-Annual Meeting of the Medical Staff

7 a.m., Gilman Auditorium

Results of Executive Committee elections will be announced. Flu shots will be available.


Thursday, Nov. 15

Corporators Meeting

12 p.m., Heublein Hall


Friday, Nov. 16

Flu shots at Surgery Grand Rounds

7-7:45 a.m. in CB 139-140.

All HHC staff members are required to get a flu shot by Dec. 1.


Friday, Nov. 16

Ribbon Cutting at Epilepsy Center

3-5 p.m., Center 11




For more coming events, click here.

Voices Of Our Patients

Kudos to Dr. William Gray

Dr. Gray,

I wanted to make sure that I took the time to let you know how much you impacted my life. First of all, you listened. You picked up on something no one else did because you looked past the negative that I'm sure came in all of my records, took me at face value, started with the basics and managed to pick up on something several others missed because of it.

Since receiving the blood, I can at least warm up and I don't need six blankets to do it. I actually tonight, now that my head pain is a little more managed, have noticed that I actually have a little more energy and I attribute that to the transfusion. As for the chest pain, well I'm thinking refluxing and stress didn't help me any, but again you listened and at least I know there are no new clots.

My only regrets are I am not able to thank you in person and that you weren't my assigned doctor. I think if you were, I might have more pieces to the complex puzzle of why I don't and haven't felt well in some time. If you ever decide to go into private practice and are willing to tolerate someone who doesn't always have the greatest personality, please let me know.

Thank you for the kindness.

Llewellyn Berry

Danielson, CT.

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.