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

Sept. 16, 2012 Edition

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HH Facts:

1982 - First coronary balloon angioplasty in Hartford performed by Dr. Michael Rinaldi.

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

PCP Name Now in Header on SCM

As of last week, the PCP name is now displaying in the header on SCM. This is a long-awaited and significant improvement that will increase accuracy and communication with primary care providers. The PCP name displayed can be changed by using a change order in SCM. If you know the correct PCP, please add or change it in SCM.


Hartford Hospital Dialysis Unit Judged in Top 20% By CMS

The Hartford Hospital dialysis unit, under the direction of Dr. John D’Avella, recently received its facility report from CMS comparing it with all the units in the country. For the seventh year in a row, the unit has a statistically significant/better than expected mortality compared with the rest of the country. Only 20% of the units in the country attained this status. This is particularly significant because patients in our unit in its inner city location average 22% more comorbidities. Average longevity for each patient at the Hartford Hospital is 7.3 years versus 4.6 years for the rest of the United States. Hospitalizations were 22% less than expected; days in the hospital were 13% less than expected and ER visits were 11% less than expected. In support of our transplant program, our unit has statistically significantly more patients listed for transplant (33% vs. 24% nationally) than the rest of the country. For the past two years, CMS has been holding back 2% of gross revenue (approximately $100,000) that has to be earned back by obtaining certain quality indicators. The Hartford Hospital dialysis unit has met all quality indicators for the past two years and received 100% of the CMS hold back for both years.


Dr. Adam Steinberg To Be Featured in Upcoming Segment of CBS-TV "The Doctors"

Another one of Hartford Hospital's physicians and programs will be showcased to a national television audience: A producer for the CBS program “The Doctors” came to the hospital from Los Angeles to profile a patient who had a robotic-assisted hysterectomy with Dr. Adam Steinberg, a urogynecologic surgeon. We will keep you apprised of the broadcast date.


HH/HOCC Contract With United HealthCare Due to Expire on Oct. 28

Hartford Hospital and The Hospital of Central Connecticut have taken a number of steps to prepare for the continuation and transition of patient care should our contract with United HealthCare expire on Oct. 28. We remain far apart from United on several items and believe there is a real possibility that we will be out of network at the end of October. We’ve been trying to get United to agree to meet with us to determine the proper Transition of Care process so we can provide seamless care should our contract expire with no new agreement in place. United has been unwilling to cooperate. While we will continue to push United to provide us with the information we need, we already have taken a number of steps to ensure our patients receive the care they need when they need it. First, we’ve established operation leads at both hospitals to handle coordination and logistics with regard to patient care. Wendy Elberth, vice president of Administration, is the operation lead at Hartford Hospital. We’ve also put operational teams into place and have prepared frequently asked questions and responses for physicians, office staff, patients and hospital personnel. In addition, we are establishing patient and physician hotlines to respond to questions and will provide phone and face-to-face training for appropriate personnel regarding actions to take regarding patient transition of care. As always, our top priority is our patients and we will make every possible effort to ensure they receive the best possible and uninterrupted care.


Auxiliary Golf Tournament Nets $300,000; To Benefit Epilepsy Center

The 23rd Annual Hartford Hospital Auxiliary Golf Tournament was held Sept. 10 at the Tumble Brook Country Club in Bloomfield. The event raised almost $400,000, with a net profit of just over $300,000. There were 208 golfers, 260 guests for the dinner and awards, and 66 volunteers (more than any past tournament). Proceeds will go to the new Epilepsy Center at Hartford Hospital. The event was co-chaired by Lori Flaks and Shelli Sigel. "The tournament was a great success, and we are so pleased with the results!" said Lori.


Save the Date for the Retirement Reception for Dr. Hiroyoshi Takata

Oct. 3

ERC, Heublein Hall

A retirement reception will be held to honor Dr. Hiroyoshi Takata, cardiothorasic surgeon, for his nearly half a century of service to his patients on Wednesday, Oct. 3 from 5:30 to 7:30 p.m. in Heublein Hall in the Education Resource Center. Please make every effort to attend this event to honor this extraordinary and committed member of our medical staff.


28th Annual Cardiovascular Symposium Coming Oct. 4

CT Convention Center

Register by Sept. 26

The Henry Low Heart Center is presenting this intensive, one-day educational symposium on Thursday, Oct. 4, from 7:30 a.m. to 3:30 p.m. at the Connecticut Convention Center in Hartford. An all-day shuttle service between Hartford Hospital and the Connecticut Convention Center will be provided at no charge. This year’s sessions will address drug-eluting stents, Vitamin D in heart disease, new treatment strategies for atrial fibrillation and venous disease, diastolic heart failure, pulmonary hypertension and transarterial aortic valve replacement. Dr. Paul Thompson, medical director of cardiology, will deliver welcoming remarks; Dr. Dariush Owlia, clinical cardiology, will deliver opening remarks and introductions; and Dr. James Dougherty, medical director of the cardiac transplant program, will deliver closing remarks. Dr. Robert C. Hagberg , chief of Cardiac Surgery, will speak on new techniques for valve replacement – key trials and beyond. Guest speakers are: Dr. Renu Virmani, president and medical director of CVPath Institute, Inc.; Dr. Carl J. Lavie, professor of Medicine and director of Cardiac Rehabilitation and Prevention at John Ochsner Heart and Vascular Institute, Ochsner Clinical School – The University of Queensland School of Medicine; Dr. Andrew E. Epstein, professor of Medicine at the University of Pennsylvania; Dr. Samuel Z. Goldhaber, professor of Medicine at Harvard Medical School and senior staff member at Brigham and Women’s Hospital; Dr. William C. Little, chief of Cardiology at Wake Forest Baptist Health and McMichael Professor and vice chair of Wake Forest School of Medicine; and Dr. Kimberly A. Fisher, assistant professor of Medicine at the University of Massachusetts and co-director of the Pulmonary Hypertension Clinic at UMass Medical Center. Cost is $75 for physicians and $30 for non-physicians. On-site breakfast, luncheon and hospitality breaks are included. Hartford Hospital designates this educational activity for a maximum of six hours AMA PRA Category 1 credit(s)TM. Registration is required by Sept. 26: go to For more information, contact Sharon Ballot at 860-545-1793 or



Dr. W. Jeffrey Baker Named Physician of the Year at Windham

Dr. W. Jeffrey Baker, a member of Oncology Associates, PC, has been named Windham Hospital "Physician of the Year" by the Windham Hospital Auxiliary and will be feted at a dinner in November. Dr. Baker joined the Hartford Hospital Medical Staff in 1998. He is an associate of Dr. Robert Siegel, medical director of Cancer Clinical Research, who taught him all he knows.


Dr. Steven Shichman Speaks in Argentina; Directs AUA Postgrad Course in Houston

Dr. Steven J. Shichman, chairman of the Department of Urology and CESI medical director, was a guest speaker at the Argentina Urology Society annual meeting in Buenos Aires, Argentina on Aug. 24. In addition, Dr. Shichman was course director for a postgraduate course called Hand-Assisted Laparoscopy and Fundamentals of Laparoscopy offered by the American Urologic Association (AUA). This course was held in Houston, Texas in July, and was attended by urologists from North and South America, Europe, Australia and New Zealand.


Media Relations Director Rebecca Stewart Named To Hartford’s 40 Under Forty

Rebecca Stewart, director of Media Relations at Hartford Hospital, has been named one of the "40 under Forty" by Hartford Business Journal. The 40 Under Forty Awards recognize outstanding young professionals in the Greater Hartford area that are excelling in their industries through their leadership roles. She will receive the award at a ceremony on Sept. 24.

Innovative and Complex Care

Hartford Hospital Becomes First in the World to Implant New Lead

On Aug. 27, Hartford Hospital became the first hospital in the world to implant the new Medtronic Sprint Quattro® Secure S® Model 6935M lead. Dr. Christopher Clyne, director of Interventional Electrophysiology, performed the surgery. Model 6935M represents the single coil high voltage DF4 lead with active fixation. It is the latest addition to the DF4 defibrillation leads portfolio. DF4 is the newest type of high voltage lead that contains a stream-lined pin plug that goes into the actual defibrillator. This creates smaller “header” sizes on the devices, as well as a more efficient way to hook the lead into the device. The single coil is a preferred lead to a lot of implanters because it is easier for future extractions if the need were to arise.


Advancing Medicine: The Colby Salerno Story - A Tale of Heart and Hope

Sept. 27

WFSB Channel 3

Don't miss the next episode of Advancing Medicine on Thursday, Sept. 27, at 7:30 p.m. on WFSB Channel 3. Join us as we follow the young man who waited on the 10th floor of Hartford Hospital for a heart. His story captured the nation's attention as he blogged about his journey, capturing every moment - the highs and lows until the day he received what doctors called "the perfect heart."


World of Surgery at Hartford Hospital Gets Smaller and Smaller: First Single Incision Hysterectomy

Dr. Kristin Shaneyfelt, CMG/Ob-Gyn, recently performed the region’s first single incision hysterectomy through a 3-centimeter belly button incision.

Research and Academics

Urology Institute Makes Multiple Presentations at New England AUA Meeting in Boston

The Urology Institute was very busy at the recent New England American Urologic Association meeting in Boston. Hartford Hospital medical students, residents, and fellows, under the tutelage of Drs. Steven Shichman, chair of the Department of Urology; Anoop Meraney, director of Urologic Oncology; Stuart Kesler, site director of the Urology Residency Program; and Joseph Wagner, director of Robotic Surgery, presented numerous abstracts on various urologic issues. Dr. Arthur Tarantino paneled a discussion on the political and financial issues facing urologists in New England while Dr. Wagner and P.A. Jennifer Cardillo provided an update on robotics to their allied health professional colleagues.


Revisions Made in Financial Conflicts of Interest in Research Policy

In August 2011, the U.S. Department of Health and Human Services (HHS) issued a final rule in the Federal Register that amends the Public Health Service (PHS) regulations regarding Financial Conflicts of Interest (FCOI). (42 C.F.R. Part 50, Subpart F - Responsibility of Applicants for Promoting Objectivity in Research and 45 C.F.R. Part 94 - Responsible Prospective Contractors). An Institution applying for or receiving PHS funding from a grant or cooperative agreement must be in compliance with all of the revised regulatory requirements no later than August 24, 2012. Major changes to the previous regulations from 1995 include:
• Lower significant financial disclosure thresholds ($5,000 minimum threshold)

• New FCOI training (every 4 years for investigators receiving PHS funds)

• New FCOI public accessibility requirements

• Increased transparency for reimbursed or sponsored travel

Hartford HealthCare and Hartford Hospital Research Institute’s FCOI in Research policy has been revised to meet PHS requirements and can be found on Hartford Hospital’s website. In addition, Institutional FCOI procedural changes applicable to all researchers are underway, including revised FCOI Disclosure forms, frequency of reporting, and reporting requirements. Additional information and training sessions will be provided in the near future. For questions please contact: Cherie Bilbie, director, Human Research Protection Program, ext. 5-0088 or Angelo Quaresima, Senior Auditor/Research, ext. 2-7065.

Care Coordination

HealthCare Matters Dealt With Future of Nursing

This morning on HealthCare Matters, HHC’s live monthly radio series, hosts Elliot Joseph and Rebecca Stewart discussed the future of nursing with featured guests Mary Ann Christopher, national nursing expert and president and CEO of Visiting Nurse Service of New York, and Jean Lange, founding dean of Quinnipiac University's School of Nursing. You can listen to the shows online here.


Even More PCPs Accepting New Patients

These primary care physicians have announced that they are accepting new patients. If you want to let your colleagues know you are accepting new patients or are offering a new procedure or service, just let us know and we will get the word out.

Dr. Rozann Venti, Hebron Medical Associates, 860-228-9463

Dr. Matthew Carley, CMG, 860-241-0700
Dr. Deanna Cherrone, Natural Health and Healing, 860-677-4600
Dr. Judy Chiu, HMG - Avon - W Main, 860-696-2150,
Dr. Joyce Justin, CMG, 860-676-4820
Dr. Arnold Koff, Avon Health, 860-675-6595
Dr. Linda Preysner, Nutmeg Medical Group, 860-678-7897
Dr. Pooja Tolaney, HMG - Avon - W Main, 860-284-5111

Dr. Rashma Jhunja, CMG, 860-241-0700
Dr. Amy Lunding, CMG, 860-241-0700

Dr. Vasanth S. Kainkaryam, HMG – Enfield, 860-696-2380
Dr. William Spector, HMG - Enfield, 860-696-2380
Dr. Noah Starkey, CMG, 860-253-5330

Dr. Greg Czarnecki, HMG – Glastonbury, 860-696-2250
Dr. Michael Deshaies, CMG, 860-659-1379
Dr. Stephen Firshein, CMG, 860-246-6647
Dr. Stuart Herlands, ProHealth, 860-633-2487
Dr. Cara Riddle, HMG – Glastonbury, 860-696-2250
Dr. Evelyn Smith, CMG, 860-659-1379
Dr. Kathryn Stuart, HMG – Glastonbury, 860-696-2250

Dr. Donna Christie, CMG, 860-653-7261
Dr. Betty Kupracz, CMG, 860-653-7261
Dr. Joseph Maglio, CMG, 860-653-7261

Dr. Matthew Carley, CMG, 860-241-0700
Dr. Paul Dekker, CMG, 860-246-6647
Dr. Stephen Firshein, CMG, 860-246-6647
Dr. Amy Lunding, CMG, 860-241-0700

Dr. Richard Harding, HMG – Manchester, 860-696-2300
Dr. David Wolpaw, HMG – Manchester, 860-696-2300

Dr. John Cappadona, Robbin & Cappadona, 860-651-3519
Dr. Mark Robbin, Robbin & Cappadnna, 860-651-3519

West Hartford
Dr. Olusegun Apoeso, Hebrew HealthCare, 860-523-3801
Dr. Alina Dobrita, HMG - North Main, 860-232-4891
Dr. Sharon Farber, Hebrew HealthCare, 860-523-3801
Dr. Herbert Hoffman, Herbert Hoffman, 860-233-2639
Dr. Ava Pannullo, Hebrew HealthCare, 860-523-3801
Dr. Eric Rosenberg, ProHealth, 860-233-5133

Dr. Paul Dekker, CMG, 860-246-6647
Dr. Stephen Firshein, CMG, 860-246-6647
Dr. Rashma Jhunja, CMG, 860-241-0700
Dr. Mohammed Memon, Manchester Family Care, 860-436-9880
Dr. Anne Pinou, CMG, 860-258-3464
Dr. Thomas Savinelli, CMG, 860-258-3464
Dr. Michael Spada, HMG – Wethersfield, 860-696-2400
Dr. Scott Walker, CMG, 860-258-3464

Dr. Ian Kleinhen, Windsor Med Assoc., 860-298-8830
Dr. Shahena Master, Windsor Med Assoc., 860-298-8830
Dr. Mohammed Saiyed, Windsor Med Assoc., 860-298-8830
Dr. Elizabeth Schuck, HMG – Windsor, 860-683-2690


Operational Update

Security Drill For Armed Intruder Scheduled Oct. 18; Remember Grey and Silver Alerts

There will be a security drill full scale exercise with an active shooter on Thursday, Oct. 18 from 10:30 a.m.-2:15 p.m. In preparation for this event, we’d like to remind all physicians about the alerts that signal emergency situations in the hospital, and what to do if you hear them. Two announcements that let you know of violent or potentially violent emergencies are Grey Alert and Silver Alert. If you hear an announcement of “GREY ALERT,” it means there is an emergency situation with the potential for violence. The announcement of “SILVER ALERT” means there is an emergency situation with an armed intruder or an active shooter. If you hear either announcement, “Grey Alert” or “Silver Alert” in a certain location, stay way from that area until you hear that the alert has been cleared.

In the event of a Silver Alert (emergency situation with an armed intruder or active shooter):
• If the active shooter is in your work area or on the same floor, call security at ext. 5-2147 or 911. (If you are in a satellite location, follow the procedures for that location or call 911.)
• If you are confronted by the intruder, obey any reasonable request.
• If police are on the scene, move with your hands in the air and fingers apart (show police your hands are empty) and follow their directives. Don’t ask questions.
• In Patient Care Areas: Hide-Lock-Barricade: If possible, move patients to rooms that can be locked. If that is not possible, barricade the door and move with the patient to the bathroom (if possible). Close and lock windows and close blinds; turn off lights and silence cell phones/pagers, and cover internal glass with paper or sheets. Do NOT move from your location until you have received notification that the Silver Alert has been cancelled.
• In Non Patient Care Areas: Evacuate or Hide-Lock-Barricade: If you are near an exit and can do so safely, evacuate and move away from the building with your hands in the air and fingers apart. If it is not safe to evacuate, move to rooms that lock or barricade the door. Close and lock windows and close blinds; turn off lights and silence cell phones/pagers; and cover internal glass with paper or sheets. Do NOT move from your location until you have received notification that the Silver Alert has been cancelled.


Ribbon Cutting at New Sleep Disorder Center in Wethersfield

Wednesday, Sept. 19

1260 Silas Deane Highway in Wethersfield

Please join us for a ribbon cutting ceremony to celebrate the opening of our new Sleep Disorder Center at 1260 Silas Deane Highway in Wethersfield on Wednesday, Sept. 19 from 4:30-6 p.m. There will be remarks, refreshments, and tours.


New IT Service Request System Starts Tuesday

Called BMC Remedy Request Management

ITS will initiate a new Service Request System on Tuesday, Sept. 18 at Hartford Hospital and MidState Medical Center. The new system, BMC Remedy Service Request Management, provides you with a Service Request portal on the HH intranet that allows you to initiate a request for services to Information Technology Service. This will provide staff with quick and effective access to standard IT services such as ordering/requesting PCs, laptops, application access, or requesting the relocation of your IT equipment. Please go to the HH intranet for additional information such as:

• BMC Service Request Manager and User "How To" guides

• Service Request User and Manager Expectations (What is my role in the ITS Service Request Management system?)

• The ICON\Link to the BMC Service Request System
Please note, if you are a manager or director, you will need to enter the BMC Service Request System to APPROVE your staff's ITS service request. For more information, contact Travis Keiderling at 860-972-3277 or


Major Gifts Committee Hears Presentation from Dr. Patricia Sheiner

Dr. Patricia Sheiner, director of Transplantation, and Betsy Boatman, vice president of Cardiology, teamed up for a presentation to the hospital’s Major Gifts Committee at their first meeting of the year last Thursday. Their presentation focused on the opportunity for philanthropy to support the 2013 Black & Red on January 5, 2013, which will benefit the Transplant Program. Philanthropy will help expand our current Outpatient Transplant Center so that patients with advanced kidney or liver disease will have all their health care needs met in one location. The expansion includes increasing the number and types of exam rooms; a larger and more comfortable waiting room; redesigned workspace to maximize efficiency and collaboration; and an upgraded conference room including advanced communication technology to meet the needs of patients, referring physicians and the transplant team. The Major Gifts Committee is comprised of community and corporate leaders who partner with Fund Development staff to seek gifts and bequests to advance the hospital’s mission.


United Way Campaign Underway

The United Way campaign runs from Sept. 10 to Oct. 5. Dr. John Greene is the physician liaison. Our campaign pledge goal is $230,000 and our participation goal is 35%. Pledging is easy using our eWay pledge site, or using a paper form available through your campaign champion or department head. There are many incentive prizes. Information can be found at:
Make sure to check out the United Way Online Auction, which will run from Sept. 14-28. We have many items available for bid including an African photo safari, an iPad, personal fitness training, a "Night on the Town Limo Package," assigned parking spots, and more. A complete list of auction items is available on the United Way Auction site at


HealthStream Tests Must Be Completed By Sept. 30

All employed physicians must compete all of the required HealthStream e-learning each year by September 30. Non-completion carries consequences. Access HealthStream via the intranet.


Flu Shots Required By Dec. 1

Request Exemption by Oct. 1

One of our core values is safety, which is why Hartford Hospital and all Hartford HealthCare organizations have instituted universal influenza prevention for the coming flu season. It means that all staff members (employees, students, licensed independent practitioners, volunteers and vendors) are required to get a flu shot unless they are approved for a medical or religious exemption. Licensed independent practitioners who come on the premises (with any type of staff privilege) must receive the influenza vaccine. Practitioners without approved exemptions who fail to get a flu shot by Dec. 1 will have their privileges suspended. This program has the full support of the Medical Staff Leadership. Free flu shots will be available after Oct. 23 in Occupational Health, which is open from 7 a.m. to 5 p.m., Monday through Friday. There will be further information in October listing other times and locations for flu shots. After getting the shot, those receiving the vaccine at Hartford Hospital will receive the I.D. badge tags that describe the wearer’s vaccination status. (Exempted staff members will have to wear a mask during flu season in any area where they might encounter patients.) Those who receive the vaccine at a location other than Hartford Hospital should bring documentation to the Medical Staff Office. Documentation should include your name, the date of vaccination, the vaccine product used, location and clinician who provided the vaccine. The Medical Staff Office will provide the I.D. badge tags. Those seeking medical or religious exemptions must submit forms by Oct. 1. Those forms are available on the Hartford Hospital Intranet homepage under “Employee Flu Prevention Program.” For questions and further information, please email:

HH In the News

Hartford Hospital launches 'MomMe' app

Hartford Business Journal, Sept. 11

Hartford Hospital is launching a new app for moms-to-be and current parents that can be used to keep track of anything from fertility calendars to feeding schedules and doctor appointments. Hospital officials say the new app, called MomMe, aims to help parents who face a dizzying array of information planning for or caring for a child. The app is available today for free download on iTunes and Google play.


Deleting delirium: Hospital uses IT to help identify at-risk patients

Modern Healthcare, Sept. 8

In early 2011, a team of clinicians and information technology specialists at Hartford Hospital convened a work group to address one of the most dangerous, costly and often-overlooked complications affecting hospitalized older adults. Their target: delirium, a sudden, acute change in mental status often characterized by confusion, disorientation, inattentiveness and changes in consciousness. It's shockingly common, experts say, affecting roughly a quarter of general-medicine geriatric patients and as many as 75% to 80% of patients over age 65 in intensive-care units. But identifying and assessing those high-risk patients often proves challenging, particularly with frequent patient handoffs, said Christine Waszynski, a geriatric nurse practitioner who was part of 601-bed Hartford Hospital's delirium team. So the team at Hartford Hospital—known as Action for Delirium Assessment, Prevention and Treatment, or ADAPT—came up with a systems-based approach that leverages the hospital's existing information technology capabilities. In its analysis, the ADAPT group concluded that Hartford Hospital's nurses struggled to perform adequate initial assessments of patients' mental status, which are critical for gauging changes from the baseline. That's where Julie Michaelson, clinical consulting analyst in Hartford Hospital's information services department, came in.

Dr. Neil Yeston Joins MiMedx Board of Directors

PR Newswire, Sept. 10

Dr. Neil S. Yeston, who is on the honorary medical staff in the Department of Surgery at Hartford Hospital, has been appointed to the Board of Directors of MiMedx Group, Inc., an integrated developer, manufacturer and marketer of patent protected regenerative biomaterials and bioimplants processed from human amniotic membrane. Dr. Yeston brings a comprehensive understanding of health care issues from the perspective of the practitioner, academician, administrator and executive. He is recognized for driving significant transformational change in world-class health care institutions, and is responsible for the development of multiple centers of excellence.

In the HHC System

HCC receives $50,000 grant that funds free mammograms

New Britain Herald, Aug. 16

The Hospital of Central Connecticut was recently awarded a one-year $50,000 grant from Connecticut Affiliate of Susan G. Komen for the Cure to support its breast health awareness efforts and provide free mammograms for underserved women in area towns. The grant, which funds the hospital’s Comprehensive Breast Center’s Early Detection Program, targets residents of New Britain, Newington, Wethersfield, Farmington and West Hartford. It will cover mammograms for 150 underserved, uninsured and underinsured women over age 40, and, when necessary, up to 40 breast ultrasounds.


Backus Hospital pairs with ex-NFL player to increase concussion awareness

Norwich Bulletin, Aug. 14

Approximately 3.8 million athletes in the United States will suffer a concussion this year. Many of these may be the result of high velocity collision sports such as football and hockey. Since last season, four NFL players have committed suicide and autopsies revealed chronic brain damage associated with multiple brain injuries. The William W. Backus Hospital has now partnered with the NFL Players’ Association and former tight end Ernie Conwell, who won a Super Bowl with the St. Louis Rams, to produce an 8-minute video educating coaches, parents and athletes on the signs and symptoms of concussion


Health Care News In the Region

Connecticut Joint Replacement Institute Struggles to Implement Bundled Payments

Becker’s Hospital Review, Sept. 11

The Connecticut Joint Replacement Institute has struggled to get its bundled payment model accepted by commercial payors, according to the Hartford Business Journal. Two years after developing a model call the Step Ahead Plan to bundle payments for total hip and knee replacements, Steven Schutzer, MD, co-director of CJRI finally found an insurance company to buy into the model. The Step Ahead Plan, which is a collaborative effort with St. Francis Hospital and Woodland Anesthesiology Associates, was recently accepted by Farmington-based ConnectiCare to reimburse one value-based price. For now, any cost overruns get reimbursed based on a fee schedule. Dr. Schutzer called the plan "baby steps" establishing a continuum of care. So far, 20 surgeries have been performed since the contract went to ConnectiCare, and there have been no cost overruns.


Pregnancy Prevention Disagreement Threatens Waterbury Hospital Merger

Hartford Courant, Sept. 5

A disagreement over tubal ligation procedures, which are a form of birth control, continues to jeopardize the proposed merger between Waterbury Hospital and St. Mary's Hospital. Initially, the Catholic Church rejected details of the plan to merge the two hospitals. Now, a state commission is objecting to the latest proposal. And officials from the hospitals and the state know they are running out of time to find a solution acceptable to all.


Yale-New Haven acquiring Hospital of St. Raphael

Norwich Bulletin, Sept. 10

Yale-New Haven Hospital is acquiring the Hospital of Saint Raphael, making it one of the largest hospitals in the country. Yale-New Haven will add 511 beds for a total of 1,519 beds and more than 12,000 employees. The hospitals tried to minimize job losses by keeping vacant positions open, but about 200 positions will be eliminated, officials said. The $160 million deal, which has received regulatory approval, will provide Yale-New Haven with the additional capacity it needs to meet current patient demand while providing financial stability at the Hospital of Saint Raphael campus, officials said. Christopher O’Connor, president and CEO of the St. Raphael HealthCare System, said the acquisition would be transparent to patients and the community and that over time, the two hospitals would look at ways to consolidate services. St. Raphael has struggled financially over the past few years with a $35.6 million deficit in 2008 and a $17.4 million deficit in 2009. Although the hospital finished in the black in 2010 and 2011, hospital officials said it needed help to remain sustainable. Because Yale’s more than 900 hospital beds often are full, Yale can use the capacity available at St. Raphael rather than building a new $400 million tower.

Coming Events

Sept. 19 (Wednesday)

Ribbon Cutting for New Sleep Disorder Center

1260 Silas Deane Highway in Wethersfield

Please join us for a ribbon cutting ceremony to celebrate the opening of our new sleep disorder center at 1260 Silas Deane Highway in Wethersfield on Wednesday, Sept. 19 from 4:30-6 p.m. There will be remarks, refreshments, and tours.


Sept. 27 (Friday)

Advancing Medicine: The Colby Salerno Story - A Tale of Heart and Hope

WFSB Channel 3

Don't miss the next episode of Advancing Medicine on Thursday, Sept. 27, at 7:30 p.m. on WFSB Channel 3. Join us as we follow the young man who waited on the 10th floor of Hartford Hospital for a heart. His story captured the nation's attention as he blogged about his journey, capturing every moment - the highs and lows until the day he received what doctors called "the perfect heart."


Oct. 3 (Wednesday)

Retirement Reception for Dr. Hiroyoshi Takata

Heublein Hall, 5:30 p.m.

A retirement reception will be held to honor Dr. Hiroyoshi Takatafor his nearly half a century of service to his patients on Wednesday, Oct. 3 from 5:30 to 7:30 p.m. in Heublein Hall in the Education Resource Center.


For more coming events, click here.

Hot Topics in Healthcare

Evolution of the Hospitalist

American Medical News, Sept. 3

Numerous specialties are starting to see the appeal of having some physicians focus on office-based care while others stay in the hospital. Although the specialties might be different, hospitalists say physicians throughout the community need to be involved closely in determining how hospitalist programs are structured to improve care and hospital-physician alignment while not damaging the finances of office-based doctors. Physicians should decide how patient information will be communicated between settings, who will do what, how reimbursement will be handled and what the protocols for certain procedures will be. Hospitalist programs are expanding to include neurologists, orthopedic surgeons, pediatricians, general surgeons and numerous other specialties. They provide emergency department coverage, assist in the operating room and round on patients but don’t have office-based practices. They are employed by hospitals or large groups, although some work independently.


What Business Are We In? The Emergence of Health as the Business of Health Care

NEJM, Sept. 6

Whereas doctors and hospitals focus on producing health care, what people really want is health. Health care is just a means to that end — and an increasingly expensive one. If we could get better health some other way, then maybe we wouldn't have to rely so much on health care. To some of us, the point may seem both obvious and irrelevant. We might concede that even if people don't intrinsically desire doctors' visits, medications, surgery, and imaging, those services are still the way to get people the health they want. What signals might we be missing?


Study of U.S. Health Care System Finds Both Waste and Opportunity to Improve

New York Times, Sept. 11

The American medical system squanders 30 cents of every dollar spent on health care, according to new calculations by the respected Institute of Medicine. But in all that waste and misuse, policy experts and economists see a significant opportunity — a way to curb runaway health spending, to improve medical outcomes and even to put the economy on sounder footing.

Voices Of Our Patients

Kudos to Drs. Shafer and Boyd

I am a dependable supporter of Hartford Hospital because due to God, doctors and nurses, my health has miraculously improved.

After deciding through thought on what was best treatment, Dr. Aaron Shafer, Dr. Timothy Boyd and other doctors and nurses carefully followed their instructions of radiation treatments, I am a new person. I think better, more energetic, more appetite and I thank God for them. You wouldn't’t find better treatment or monitoring considering the number of patients being treated. Staff make sure that the best and safe decisions are made for the patients. They gave me hope to have the operation and nerve to face the procedure.

A million thanks to Dr. Shafer and Dr. Boyd and their many miraculous staff and to all the miraculous doctors and nurses of Hartford Hospital.

Andrea Jones


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.