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

In This Issue...

August 11, 2013 Edition

Wash In - Wash Out


Physician compliance in July:

Target: 90%

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HH Facts:

1999-Dr. Kenneth Kern pioneered a process, known as Sentinel Lymph Node Mapping, that accurately identifies lymph nodes in breast cancer patients and potentially helps to diagnose the spread of cancer and spare healthy nodes.

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Top News

Seymour Street Journal Takes a Summer Vacation

Seymour Street Journal will not be published on August 25. We will skip that one issue, and resume publication on September 8.


Doctors Take Google Glass For Test Drive; HH, Yale Explore Possible Uses in the ER, Training

Hartford Courant, August 3

To get Google Glass - the much-discussed wearable computer that hasn't yet hit the market - Hartford Hospital had to explain in an application why it wanted the device.

Chris Madison, a simulation technician for the hospital, got to the point: "I said, 'We want to save lives.'"

That was good enough for Google.

Finding out whether Google Glass can actually do that is the mission of Madison and his co-workers at the hospital's Center for Education, Simulation & Innovation. What if, for instance, updates on a patient's lab results can be shot right into a doctor's fields of vision during an operation? What if it could bring a little more order to the frenetic communication of the emergency department?

Hartford Hospital's education and innovation department has had its Google Glass for the past few weeks and is brainstorming possibilities. Madison applied for the Glass after speaking to hospital officials about it, but he wasn't alone in thinking that a hands-free computer might be a help to doctors and nurses. He said he knows of about a dozen others in the health-care field who have one. Yale-New Haven Hospital also received a Google Glass, and its simulation team is now focusing on its potential in as a training tool.

Dr. Thomas Nowicki, an emergency medical doctor who doubles as Hartford Hospital's cognitive simulation director, said he thinks the hospital's high-tech simulation center convinced Google to provide them with a Glass.

"Having access to this environment is really advantageous because we can test it here without having to go through all of the steps to get it in place in a patient care environment where those things need to be figured out," he said.

One of the first things Hartford Hospital has considered is whether the device can improve communication in the emergency department. Right now, a medical alert for a patient needing special attention is issued over a speaker in the emergency room. The doctors take turns responding to the alerts, but with so much going on, they can sometimes lose their place in the cycle.

What often happens, Nowicki said, is that three or four doctors will respond to the same alert.

One possibility is that all the doctors in the emergency department would be outfitted with Google Glass, and the alerts will be sent visually to a specific doctor.

"When the medical alert comes in, the recipient taps the side of the device to accept the call," Madison said. "If he doesn't, the alert moves onto the next physician after a certain amount of time."

See also Los Angeles Times, August 5, "Doctors Take Google Glass For Test Drive," and HealthTech Zone, "Google Glass Provides Glance of Future Uses in New England Hospitals," August 5.


Hand Hygiene Update

  • In July, the overall rate of hand hygiene compliance by physicians was 73%.
  • This is up over the previous month, when it was 66%.
  • The institutional target is 90%.
  • Residents were at 75%, nurses at 77% and PAs at 78%.
  • APRNs, dialysis techs, medical students, rad techs and student nurses were at 100%.
  • Hartford Hospital's total overall compliance was 75%, up from 65% in June and 62% in May.

Hartford Hospital has intensified our focus on hand hygiene, which is a critical element in reducing hospital-acquired infections. We have issued a new policy requiring all members of the Hartford Hospital medical staff and others to wash their hands before and after seeing a patient on hospital premises. The new policy illustrates our commitment to this simple procedure that truly can save lives.

Our policy outlines a process for non-compliance, ranging from verbal warnings and email notifications to supervisors, to suspension after several episodes of noncompliance. Termination also is a possibility after numerous non-compliance episodes.

Read the new policy here.


Consumer Reports Rates HH Surgery Results as Average; HHC Hospitals Now Part of Surgical QI Program

Consumer Reports published "Your Safer Surgery Survival Guide" last week suggesting ways for consumers to get better results from surgery. The guide included ratings of Connecticut hospitals. All but two hospitals in Connecticut were rated average, including Hartford Hospital.

The methodology used by CR for this study is controversial – it is based on claims data for mortality and length of stay using a fairly weak risk-adjustment approach.

However, at Hartford HealthCare, we are committed to improving safety for our patients who undergo surgery. Despite the methodological concerns, it is worth noting that Connecticut's two best performing hospitals in this study – Danbury and St. Francis, have been participants in the National Surgical Quality Improvement Program for more than five years. NSQIP is a proven approach which has resulted on better surgical outcomes – fewer complications and lower costs.

The Hartford HealthCare hospitals have begun participation in NSQIP. Each hospital now has a surgical champion and a nurse data reviewer to manage information, which will improve performance and enhance outcomes for our patients.


Contract Negotiations With CIGNA Stalled

For the past six months, we've been working to negotiate a new contract with Cigna. Contract negotiations between health systems and insurance companies happen all the time and are usually resolved without any issue. Unfortunately, talks with Cigna have been stalled for many months. As a result, we made the difficult decision on May 31 to terminate our contract with Cigna.

If we are unable to reach agreement by September 30, when the contract expires, Hartford Hospital and all other hospitals in the Hartford HealthCare network, including Windham Hospital, MidState Medical Center, and The Hospital of Central Connecticut, will be out-of-network for patients with Cigna health insurance. Fortunately, we still have plenty of time to come to an agreement, and we're dedicated to continuing good-faith negotiations with Cigna. Please know that we will do everything we can to ensure our hospitals and physicians stay in-network.

A recent third-party study showed that Hartford Hospital's costs came in among the lowest when compared to peer hospitals in the area. This same study also noted that Hartford Hospital is paid less than peer hospitals in the Northeast. Yet for the past several years, Cigna payment rates have been below what other insurance plans pay for the same care, and Cigna has enjoyed discounts not consistent with the company's market presence. This remains true today. We are simply asking Cigna for rates that bring them closer to market levels and are more in line with our other insurance partners. We are asking for fair and equitable compensation for excellent and high-value community care.

Cigna has suggested new payment methods such as pay-for-performance, and we are more than willing to explore these options, especially since our quality exceeds national standards. But before we can explore new payment models, we must address Cigna's below-market payment rates. We believe that these negotiations are important for our community and our patients, and we will go above and beyond to make sure this contract is resolved quickly so your patients receive no interruption in care.

We will continue to negotiate in good faith and in accordance with our values. As always, we will keep you updated as negotiations progress and will let you know as soon as anything changes. In the meantime, if you have any questions, please do not hesitate to contact our physician information line at (855) 373-6522.

Thank you for your continued support and patience.
Jeffrey A. Flaks
Hartford Hospital President and CEO

READ FAQs about CIgna negotiations here.


Connecticut Multispecialty Group Welcomes Cardiac Care Associates

Cardiac Care Associates, P.C., a highly respected group of six cardiologists with a long history of care excellence, has joined Connecticut Multispecialty Group, P.C. bringing a new level of integration to the care of cardiology patients in Hartford County. 

Cardiac Care Associates doctors David Casey, Steven Horowitz, Anthony LaSala, M. Reza Mansoor, Lawrence Pareles, and Russell Stein will join the existing CMG cardiology physicians: Drs. Carol Gemayel, Komsu Mamuya, and Kenneth Merkatz with practice locations in Wethersfield, Bloomfield, Enfield, Hartford, West Hartford, Glastonbury, Farmington and Avon.

The merger will allow the physicians of Cardiac Care Associates the ability to share health care information using a single electronic health record with over 120 physicians and care providers in 14 different primary care and specialty areas of practice within CMG. This will afford both organizations the opportunity to provide a seamless, more efficient and cost effective level of care to all patients.


HHC Selects Conifer Health Solutions to Improve Patient Access to Physicians and Medical Experts

The Wall Street Journal, Market Watch, July 30

Conifer Health Solutions, a healthcare services company, has been selected to be the single healthcare communications center for Hartford HealthCare, with an important goal of streamlining access for patients across the greater Hartford area region - creating far greater efficiencies and delivering the best patient experience possible.

Conifer Health will provide customized communications solutions that deliver seamless patient access to information across their facilities, services and physicians. Hartford HealthCare is a Connecticut-based healthcare network that includes four hospitals and one medical group.

With the goal of enhancing the patient experience and increasing access to care, Conifer Health streamlines communications by providing customized support across all service lines, enhancing physician referral systems and improving access to community education initiatives. These services will increase access to healthcare for all patients, improve continuity of patient communications and care, and maintain Hartford HealthCare's strong brand throughout the communities of Connecticut.

"Hartford HealthCare has been diligently working toward our vision - to provide patients with an exceptional, coordinated health care experience with a single, high standard of service at the lowest cost. So it is fitting that we now have a single point of contact - one that will give callers access to more than 3,000 exceptional physicians, medical experts and valuable patient classes," said James Blazar, senior vice president and chief strategy officer, for Hartford HealthCare. "Together, we know that we can provide the best coordinated care throughout our hospitals, medical offices, rehabilitation services, behavioral services, clinical laboratories and home health services. We are constantly working toward improving the patient experience, and at the same time, streamlining access to care."

Conifer Health's Patient Communications & Engagement services range from supporting direct-to-consumer service line marketing, to improving efficiency in other patient interactions such as access, eligibility, admissions and patient outreach, including patient satisfaction surveys.


2014 Black & Red to Benefit Psychiatry; Barenaked Ladies To Perform

Hartford Hospital's annual Black & Red will be held on Saturday, January 25, 2014. With a heightened national focus on behavioral health, Hartford Hospital's renowned Institute of Living (IOL) is taking a lead role in developing the policies and programs to ensure those who need mental health assistance get it – and the earlier in life, the better.

With funds raised at the hospital's Black & Red, the IOL will be better able to respond to this national call to action with improved access to mental health care for adolescents and young adults – a critical need not only in Connecticut, but throughout the nation. Gifts will help to carry out critically needed research, offer increased services and treatments, and provide much needed education to those impacted by mental illness.

Entertainment will be provided by the Barenaked Ladies. Formed in 1988, their albums went multi-platinum in the United States, and the group became a top-selling, award-winning concert draw across North America and the United Kingdom with their frenetic blend of high-energy melodic-pop, crack musicianship and spontaneous repartee. Barenaked Ladies are best known for their hit singles, "One Week," "Pinch Me," "If I Had Million Dollars," "The Old Apartment," and "Brian Wilson," as well as the theme for the sitcom The Big Bang Theory.

To purchase tickets or sponsor the event please contact Carla Burgess at 860-545-1932,, or visit the website.


Hartford Hospital Announces First Employees To Purchase Homes As Part of Housing Program

Hartford Courant, August 5

Hartford Hospital is proud to announce the first four employees to purchase homes as part of the Hartford Home Ownership Incentive Program (HIP).

In May 2012, the MetroHartford Alliance unveiled the new program along with the City of Hartford, the Southside Institutions Neighborhood Alliance and area employers. The program provides financial incentives to employees to purchase homes in the Frog Hollow, Asylum Hill or other Hartford neighborhoods.

Hartford Hospital employees who applied on a first-come first-serve basis and who met certain eligibility criteria were awarded $10,000 in interest-free, forgivable loans to buy homes in Hartford.

"Home ownership is the American dream. We are privileged to be able to make this dream a reality for our employees," said Jeffrey Flaks, president and CEO, Hartford Hospital. "For 159 years, Hartford Hospital has been committed to improving the quality of life and economic vitality of our community and our staff. We work here, we shop here, and now more of us live here."

The Hospital is using this program in a targeted way that contributes to the revitalization of the communities that serve as its home.

Home ownership in Hartford also saves commuting time and gas while giving staff easy access to the many benefits Hartford has to offer such as museums, entertainment, parks, libraries and restaurants.


Dr. Paul Thompson Featured in Boston Globe Article on Endurance Training

Dr. Paul Thompson has run 29 Boston Marathons over the past four decades - he finished 16th in 1976 - but has also spent a good part of his career as a cardiologist researching the detrimental effects that high-endurance training has on the heart.

Some of his recently published papers reviewing the latest research suggest that regular marathon running increases the risks of an abnormal heartbeat, damage to heart tissue, and hardening of the arteries. Other research suggests that those who train hard every day don't live as long as those who run at a more moderate pace a few days a week.

In a February study, Danish researchers followed nearly 1,900 runners for three decades and found that those who jogged slowly for up to 2½ hours a week lived about six years longer on average than those who ran longer and faster. Swedish researchers reported in June that elite cross-country skiers who had the fastest times in a 56-mile ski marathon or those who competed in the greatest number of those marathons were also 30 percent more likely than their fellow competitors to be hospitalized for an irregular heartbeat.

"When there's enough smoke, there's usually some fire," Thompson said. "This may be a small fire, but I think most of us believe there's cause for some concern."

Thompson, 65, said he never ran marathons for health reasons. "I did them because I enjoyed racing and competing - to see how good I could get." A recent hip injury has forced him to quit running; he now regularly bikes 32 miles round-trip from his Connecticut home to Hartford Hospital, where he's chief of cardiology.

He and other cardiologists involved in this area of research agree that those who enjoy competing shouldn't curtail their workouts solely because of the recent findings. For those trying to maintain weight loss or improve their fitness for a competition, a harder or longer workout may be beneficial. But for moderate exercisers thinking about extending their typical 3-mile jogs to 6 or 8 miles solely to improve their heart health or live longer, the doctors' advice is: don't.


Donation Made To Support Work of Dr. Inam Kureshi

Inspired by a desire to help stroke patients, Gene and Anja Rosenberg made a generous donation to support the work of Inam Kureshi, MD, chair, Neurosurgery.

Through their gift we purchased a Balance Trainer, an interactive functional training device used to help motivate stroke patients to achieve greater balance control faster. It can also be tailored to meet individual patient needs and be progressed as a patient's capabilities improve. Hundreds of patients will benefit from quicker recovery as a result of their generosity.

Innovative and Complex Care

Hartford Hospital Receives Approval To Expand Simulation Center

Hartford Courant, July 30

Hartford Hospital announced today that it has received the 'go ahead' from the city of Hartford to construct a 30,000 square-foot expansion of the Hospital's Center for Education, Simulation, and Innovation (CESI).

The City of Hartford Planning and Zoning Commission recently approved a $15 million grant to expand CESI. The first phase of expansion will begin with 6,000 square-feet of space on the second floor, of the Education Resource Center (ERC). It is expected to be completed by December 2013.

Phase two of the expansion will be a new 25,000 square-foot, two-story building next to the ERC with a projected opening date of January 2015. A third phase is also planned for future development.

The expansion will provide space for simulation areas, electronic training facilities, and research laboratories, and is expected to bolster the center's role as an economic engine for the city, region and state.


Satisfies New DPH Behavioral Health CME Requirement: Best Practices in the Evaluation and Treatment of Agitation

Dr. David Pepper, director of Emergency Psychiatric Services, will present a continuing medical education program called "Best Practices in the Evaluation and Treatment of Agitation" on Wednesday, September 4 at 12 noon in Gilman Auditorium.

Max 1 AMA PRA Category 1 credit . The program will satisfy the new DPH behavioral health physician licensure requirement. It is sponsored by Academic Affairs. It will be recorded for Jubilant.

Research and Academics

World Suicide Prevention Day Conference: A Focus on Adolescents and Young Adults

The Institute Of Living will offer a conference recognizing World Suicide Prevention Day on Tuesday, September 10 from 8:30 a.m.-12 p.m. in the Hartford and Middlesex Rooms at the IOL. The conference will focus on adolescents and young adults.

Faculty includes Dr. Harold Schwartz, psychiatrist-in-chief at the IOL; DMHAS Commissioner Pat Rehmer; Rosemary Baggish, IOL Administration; and Dr. M. David Rudd, chair of the Department of Psychology at Texas Tech University.

Preregistration is required.


8th Annual Interdisciplinary Transplant Symposium

The 8th Annual Interdisciplinary Transplant Symposium will be held on Thursday, Nov. 7from 7:45 a.m.-4 p.m. at the Sheraton Hartford South Hotel in Rocky Hill.

Transplant Symposium provides an opportunity for experts in the fields of kidney, liver and heart transplantation to present cutting-edge information to individuals working with transplant recipients and living donors. It also provides an opportunity for individuals interested in transplantation to learn more about this dynamic field.

Faculty will be:

Robert Montgomery, MD, Chief, Division of Transplantation, Director, Johns Hopkins Comprehensive Transplant Center
Chrysalyne D. Schmults, MD, Department of Dermatology, Brigham and Women's Hospital

From Hartford Hospital:

Patricia Sheiner, MD, director and transplant surgeon, Transplant Program
Jonathan Hammond, MD, surgical director, Heart Transplant
Anne Lally, MD, surgical director, Kidney Transplant
Colin Swales, MD, medical director, Transplant Hepatology
Jason Gluck, DO, Cardiology
Paul Thompson, MD, medical director, Cardiology and Athletes' Heart Program
Jack Ross, MD, director, Infectious Diseases, HIV, Epidemiology
Lynn O'Bara, APRN, heart transplant
Debera Palmeri, RN, CCTC, liver transplant coordinator
Charles Zenzick, RN, BSN, kidney transplant coordinator

For more information, go to

Chief's Corner

Welcome To "Chief's Corner"

We recognize the need for sharing information about activities throughout the hospital more widely with our Medical Staff.

Chief's Corner will bring you highlights of activities of interest, which will be authored by our Department Chiefs under my direction. Should you have any comments or suggestions along the way, please share them with us.

- Dr. Stuart Markowitz, Vice President, Chief Medical Officer


Level of Care Determination - A Physician's Responsibility

UphamMarkowitz Dr. Steve Upham, Physician Advisor
Dr. Stuart Markowitz, Vice President, Chief Medical Officer

Medicare and Medicaid are continuing to aggressively focus their audits on short length of stay cases. They are looking to see if the level of care ordered, delivered and billed for match. When they do not, institutions are at risk for financial penalties that can be quite significant. In addition, once on their radar screen for these types of issues, they often dive deeper into coding and billing practices.

Our goal is to appropriately designate the level of care for the services we provide, assuring that we are accurate and at the same time bill for all services we actually provide.

There has been great confusion distinguishing between inpatient status and observation level of care.

Observation Status may be appropriate for consideration in the following situations:

  • When the physician feels that additional time is required to determine the need for admission
  • The patient is expected to improve within 24 hours
  • The patient presenting to the Emergency Department who requires treatment or monitoring before a decision may be made concerning their admission or discharge

Observation status is intended not to exceed 24 hours. There are some circumstances where this may be extended up to 48 hours. The case coordinators are your resource for making these decisions and fully understand the criteria used.

Observation status should NOT be used for:

  • Services which are not reasonable or necessary for the diagnosis or treatment of the patient but are provided for the convenience of the patient, family or physician
  • Same day surgery patients requiring postoperative monitoring during a standard recovery period (4-6 hours)
  • Standing orders for observation status are not allowed by CMS regulations
  • Routine pre-op or post-op recovery prior to or following diagnostic services
  • Patients undergoing a medical workup but do not require skilled support or medical observation
  • Patients waiting for nursing home placement
  • Patients receiving chemotherapy or blood transfusions
  • Patients who have social issues such as transportation, inadequate home care, patient/family convenience or homelessness
  • As a substitute for a medically appropriate inpatient admission

Patients can start as Observation Status and then be upgraded to Inpatient Status later if criteria are met. Likewise patients may need to be downgraded from Inpatient Status to Observation because of the type of care provided. Physician orders are required to change the level of care status. Case coordinators are an invaluable resource and should be engaged if you are considering downgrading the patient's status.

Level of care decisions must be timely. For Medicare this cannot be done after the patient has been discharged. If you are contacted about a necessary change in the level of care, you must cooperate fully and timely to assure compliance.

Level of Care for Elective Procedures:

The booking must match the order. When booking is made for an outpatient procedure and then the MD order is for inpatient service there must be an explanation as to the reason for the upgrade. This cannot be done to avoid the pre-certification process. In this setting you can work with the Appeals and Denial Team of Care Continuum.

Again, use the case coordinators to obtain clarity where needed as to the appropriate Level of Care, enter orders in a timely fashion, and accurately reflect the level of services provided.

Enhancing The Patient Experience

Voices of Our Patients: Kudos To Dr. James Gallagher, Chief of Vascular Surgery

I just wanted to send a note of thanks for the successful laser procedure on my varicose veins that was performed by Dr. James Gallagher, Theresa and Janet.

My entire procedure was painless and I appreciate everything they did to make the process as straightforward as possible.

They are all so gifted, professional, concerned, remarkable, and outstanding. I wish I could clone Dr. Gallagher and his staff and send them all across the globe, because the attention I received was unparalleled.

I have worked in hospitals and homecare for over 35 years and I know the rewards and stresses of care giving. I recognize excellent service.

I was a patient at 330 Western Blvd. in Glastonbury. I would like to express my sincere thanks and appreciation for the wonderful attention I received before, during and after my procedure.

Your staff was truly incredible and I could not have asked for better care. They represent the best in today's health care system.

Thank You,
Meredith Brown, RN

Operational Update

New Media Relations Manager Invites Medical Staff To Submit Story Ideas

Tina Varona has joined the Planning and Marketing team as the media relations manager for Hartford Hospital. She started here on July 1, after spending 7 years at Saint Francis Hospital and Medical Center in the Marketing Department as media manager.

Her main goal is to generate news coverage with robust, innovative, human-interest and leading-edge technological stories that will keep Hartford Hospital in the spotlight, and further promote our presence as an established market leader.

She offers these tips as to what makes a great health news story:

  • Timeliness - Stories with "news value". This includes breaking news on medical innovations, research results or events of the day that capture the public's interest.
  • Personality - Stories that feature compelling patients and clinic employees with unique or inspiring stories to share.
  • Uniqueness - Stories that may be a bit less timely, but explain a treatment unique to Hartford Hospital.
  • Universal Interest - Stories that feature conditions or diseases which affect large numbers of individuals and families all across the country. Always ask, 'why would a person in Fargo, North Dakota care?
  • The "Wow" Factor - Stories that are compelling and will make the audience want to repeat the story to family and friends.
  • Visual Appeal - Stories with interesting, easy-to-interpret graphics or visuals to explain a complicated process.
  • Celebrity - Stories that feature care provided to VIPs.

Varona invites physicians to email her at or call her at 860-972-4475 with story ideas that might be publicized.


Clinicians Appearing on WFSB Medical Rounds Every Wednesday

Hartford Hospital doctors and clinical staff apear on Medical Rounds on Eyewitness News every Wednesday evening. Viewers are invited to call in and chat online with the clinicians after the segment.

Upcoming episodes:

Aug. 14: Dr. Christopher Lena, orthopedic surgery - USA gymnastics

Aug. 21: Dr. Paul Thompson, medical director of Cardiology and The Athletes' Heart Program - clinical trial

Aug. 28: Dr. Pavlos Papasavas, director of surgical research - the Linx System

Watch past episodes here:

Dr. Joseph Wagner, director of the Robotic Surgery Program - Prostate cancer testing

Dr. Eric Silverstein, chief of Podiatric Surgery - Nail Infection laser therapy

Dr. Heather King, surgeon, HHC Medical Group - Breast cancer treatment

Dr. Maria Johnson, gastroenterology - GI distress


Make Your Pledge to The Medical Staff Annual Fund

Join your colleagues and make your Annual Campaign gift or pledge by September 30 and continue keeping Hartford Hospital the very best in the region. One hundred percent of your donation goes to programs and services that make a difference for our patients and the community we serve.

Dr. Sharon Diamen is the chair of the Medical Staff Annual Campaign. To date, 155 physicians have contributed nearly $100,000 to the Annual Campaign.

Your gift can be directed to an established department fund or to the Medical Staff Annual Fund, which this year has provided support so far to the Institute of Living (through Behavioral Health Case Management), the Health Assistance Intervention Education Network (HAVEN), the CT Medical Society Medical Malpractice Campaign, Hartford Hospital's Outpatient Transplant Center, and to medical education through a summer pre-med research program.

For more information, please contact Mary Parola in Fund Development at 860-545-2322 or You can also make your gift online at


New Director of Principal Gifts in Fund Development

Sally J. Weisman, J.D., has joined Hartford Hospital as director of principal gifts. A seasoned and highly respected development professional, Attorney Weisman will be part of our major gifts team, working closely with Carol Garlick and Sue Dana.

Philanthropic support is more important today than ever in the hospital's history in advancing our vision and mission, and the major gifts team welcomes the opportunity to work with individuals interested in making significant investments in our services and innovations.

Most recently, Weisman served as senior philanthropic services officer at the Hartford Foundation for Public Giving. Before then, she worked for the University of Connecticut Foundation in positions of growing responsibility, with her most recent role being the executive director of Development for the UConn Health Center. She is a graduate of Northern Illinois University College of Law and Illinois College, and was in private practice as an attorney before entering development.


Welcome New Docs

Dr. Sanjeev Bagga, Radiology, Jefferson Radiology

Dr. Jessica Bland, Anesthesiology, Hartford Anesthesiology Assoc.

Dr. David Blonder, Radiology, Jefferson Radiology

Dr. Melanie Braganza, Internal Medicine, CT Multispecialty Group

Dr Brian Broncheau, Psychiatry, IOL

Dr. Ray Victor Cabuslay, Hospital Medicine, CT Multispecialty Group

Dr. Deepti Chopra, Psychiatry, Hartford Hospital

Dr. Edmond Cronin, Cardiac Electyrophysiology, Hartford Hospital

Dr. Surya Davuluri, Medicine, CT Multispecialty Group

Dr. Jennifer Decker, Podiatry, CT Multispecialty Group

Dr. Michael Dewberry, Psychiatry, IOL

Dr. Khuram Ghumman, Internal Medicine, HHC Medical Group

Dr. Akhilesh Jain, Vascular Surgery, HHC PhysiciansCare, Inc.

Dr. Michael Koval, Ophthalmology, Consulting Ophthalmologists

Dr. Christina Mbewe, Geriatrics Medicine, CT Multispecialty Group

Dr. Eric Oligino, Cardiology, Cardiology PC

Dr. Robyn Pemberton, General Pediatrics, Robyn Pembertown, MD

Dr. Rachel Raphael, Surgery, Lori L. Fritts, MD, LLC

Dr. Francoise Roux, Pulmonology, CT Multispecialty Group

Dr. Laurinda Santos, Internal Medicine, HHC Medical Group

Dr. Kristy Thurston, Colon and rectal surgery, HHC Medical Group


New Issue of Clinical Integration Newsletter, Connected Care, Available Here First

In the new Aug. 12 issue of Connected Care, the Clinical Integration newsletter for Hartford HealthCare, Dr. James Cardon, CEO of Integrated Care Partners and HHC chief integration officer, writes about health insurance exchanges.

"Under health care reform, all states must have a Health Insurance Exchange in place by Jan. 1, 2014. The exchanges are insurance marketplaces where individuals, families and small employers can compare insurance policies and buy the one that best suits their needs and wallets," wrote Dr. Cardon. "Employers are looking for less-costly ways to provide this employee benefit. That translates into health care consumers who are increasingly conscious of the kind of health care they get for their money. Integrated Care Partners will help us deal with that aspect of our new health care world."


State Mandated CME Renewal Available Free To HH Doctors on Jubilant Learning Portal

State mandated CME for physician license renewal is available free on the Hartford Hospital Jubilant Learning Platform. You will need your Novell sign on information to access the portal. If you have forgotten your sign on, please call the HELP desk 55699 (outside: 860-545-5699).

To access Jubilant from the web, go to the Hartford Hospital page and click on the gold tab "Medical Professionals." Click on "Learning Portal" from the drop down menu, and then click on the green tab "Learning Portal Login."

From the home page of the intranet (inside HH), click on the Learning Portal for Medical Education and Training link. Once you've clicked on the link, use your Novell sign in, and the CME is under Physician License renewal CME.

Once you have passed the post-test, you will be awarded a printable CME certificate. Your CME will also be maintained and easily self-service accessed on the Learning Portal site, should you need a copy in the future.

Please note that your Risk Management required activities through MRM will provide your Risk Management CME.

Questions? Contact Maryanne Pappas at

HH In the News

Hartford coalition to target racial, ethnic health disparities

The CT Mirror, July 31

Hartford City Council President Shawn Wooden is part of a Hartford coalition of more than two dozen organizations that has received a national grant to target health disparities that affect black and Latino residents.

The grant program, known as REACH -- Racial and Ethnic Approaches to Community Health grant -- is administered by the federal Centers for Disease Control and Prevention, and will provide the Hartford group with $150,000 for two years. It's intended to fund work that will spur policy and environmental changes.

The coalition will examine barriers to healthy living, with an aim of targeting things that make it harder for people to maintain a healthy weight, eat nutritious foods, be physically active, avoid tobacco products and second-hand smoke, and live in places that encourage emotional well-being.

The Hartford REACH Coalition includes community organizations, church groups, the city and state health departments, philanthropic organizations, and private companies including Hartford Hospital, Aetna, and St. Francis Hospital and Medical Center.


Robinson Resigns As Chair of Regents Board; Yvette Melendez will Assume Role of Acting Chair

CT Now, Aug. 1

After two years as chairman of the state's Board of Regents for Higher Education, Lewis J. Robinson resigned unexpectedly Thursday.

In a hand-delivered letter to Gov. Dannel P. Malloy, dated August 1, Robinson said he tendered his resignation "effectively immediately."

Robinson, who was appointed two years ago by Malloy to lead the newly-created board, did so through a tumultuous period when the regents president and executive vice president resigned because of missteps.

Yvette Meléndez, vice chair of the regents board, will assume the role of acting chairwoman until a new chairperson is appointed by Malloy. Meléndez is vice president of government and community alliances for Hartford Healthcare and Hartford Hospital.


Do You Need A Heart-Rate Monitor?

Boston Globe, August 5

Exercising in your "target heart-rate zone" has become increasingly popular as monitors have become more accessible as inexpensive gadgets or fixtures on treadmills and cross trainers.

But is this sort of monitoring really necessary to protect your heart from excess strain? All of the exercise researchers who spoke to the Globe said no.

Dr. Paul Thompson, cardiology chief at Hartford Hospital, said such monitors overcomplicate exercise and get people nervous when they see they're beyond their maximum heart rate. "They're told it should be 220 beats per minute minus their age," he said, but it's normal for some people to exceed that maximum temporarily.

Instead, he recommends exercising to the point where you're sweating and slightly short of breath. If you can talk comfortably during exercise, you're likely exercising at the appropriate intensity.


Medicare To Punish 24 State Hospitals for High Readmissions; HH at 0.1 Percent

The Hartford Courant, Aug. 6

Twenty-four of Connecticut's 31 hospitals will face Medicare penalties in the fiscal year that starts in October, in the second round of the federal government's push to reduce the number of patients readmitted within a month of discharge, new data shows.

None of the state's hospitals will lose the maximum amount possible - 2 percent of every Medicare payment for a patient stay, which is double this year's penalty. But three will lose more than 1 percent. The Hospital of St. Raphael, which is now merged with Yale-New Haven Hospital, will lose 1.77 percent; the Masonic Home and Hospital in Wallingford will lose 1.14 percent; and St. Vincent's Medical Center in Bridgeport will lose 1.06 percent.

Statewide, Connecticut's hospitals face an average penalty of .43 percent of Medicare funds for the number of readmissions within a month, which is higher than the national average. Hospitals in 12 states, including Massachusetts and Rhode Island, face higher average penalties.

In Connecticut, seven hospitals will face no penalties. They are: Stamford Hospital, Rockville General, New Milford, Middlesex, Manchester Memorial, Day Kimball in Putnam, and the Hebrew Home and Hospital in West Hartford.

Facing fines higher than the national average are: Bristol Hospital (.85 percent); Greenwich Hospital (.41 percent); Griffin Hospital in Derby (.97 percent); MidState Medical Center in Meriden (.78 percent); Milford Hospital (.76 percent); and St. Francis Hospital & Medical Center in Hartford (.39 percent).

The other state hospitals will face lower penalties, including Lawrence & Memorial in New London, which will lose .13 percent of every Medicare payment for a patient stay; Bridgeport Hospital (.2 percent); Hartford Hospital (.1 percent); and Charlotte Hungerford in Torrington (.04 percent).




Dr. Peter Beller Talks About Alternative Childbirth

WNPR, July 23

Home birthing? Doulas? Midwives? Hypnobirthing? Prenatal massage? Today, Mark Oppenheimer talks with a doctor, a massage therapist, and a midwife about alternative birthing.

In the HHC System

HOCC To Open Family Center In Bristol

New Britain Herald, July 29

The Hospital of Central Connecticut plans to open a Family Health Center in Bristol on Oct. 1.

Located at 22 Pine St., the 15,000 square feet center will include a primary care and walk-in medical office open seven days a week, an outpatient lab, a radiology center and the HOCC Wound Care Center. In addition, the center will be leasing three offices to private physicians.

"We're looking to improve access to our services in the greater Bristol area," says Claudio Capone, HOCC director of strategic business planning and physician relations.

Hartford HealthCare Medical Group's primary-care physicians now at the Plainville office will relocate to the Family Health Center.

"We're excited to bring Hartford HealthCare Medical Group into Bristol and we look forward to becoming a partner in meeting the health and wellness needs of the community," says Kent Stahl, M.D., interim president and CEO, vice president for Primary Care, Hartford HealthCare Medical Group and vice president, Hartford HealthCare. "By moving our Plainville office to Bristol, we can expand the range of services we provide to our current and new patients living in Bristol and in the surrounding communities."

See also Hartford Business Journal, July 30: Hospital of Central CT eyes Bristol Outpatient Center


Mansfield VNA Joins Network with Backus

The Connecticut Day, August 3

VNA East in Mansfield has become a member of the Hartford HealthCare System, the same network that The William W. Backus Hospital in Norwich has joined.

VNA East is a nonprofit, Medicare-certified, state-licensed home and community healthcare agency that has served Eastern Connecticut for more than 90 years.

With the affiliation, VNA East Chief Executive Officer Claudia Marcinczyk becomes senior vice president of Hartford HealthCare at Home, the system's home care arm, of which VNA HealthCare is also a part. This partnership will allow VNA East to grow its three primary service lines: traditional visiting nurse and therapy services, hospice and palliative care, and private duty services.

The affiliation took effect July 1.


Backus: Our Top Priority Is To 'Keep Them Healthy'

Norwich Bulletin, August 4

Among the throngs of patrons to Norwich's weekly farmers market are people like Nely Pagan and her two young children. The fresh produce Pagan brings home to her family comes courtesy of Rx for Health, a unique prescription-based program sponsored by The William W. Backus Hospital that allows users to obtain $20 worth of vouchers five times over the course of the farmers market's season.

With the number of visits to the Backus emergency room climbing by 10,000 between 2008 and 2012, the hospital is turning aggressively toward measures aimed at cutting into that statistic, even planning the creation of a preventive medicine institute over the next few years.

"To keep people out of the ER, goal No. 1 is to keep them healthy," said Jim O'Dea, vice president of clinical service line development. "It's really a partnership with the patient in terms of their care and providing them resources to stay healthy."

Rx for Health, which the hospital created three years ago, has proven to be one of Backus' most successful ventures into the world of preventive health, with 16 families enrolled this year.


MidState Opens CT Center for Healthy Aging

Southington Patch, August 6

MidState Medical Center, in conjunction with its Hartford HealthCare partner Central Connecticut Senior Health Services, is pleased to announce the opening of the Connecticut Center for Healthy Aging on July 22. This is the third Connecticut Center for Healthy Aging location; two other locations operate out of The Hospital of Central Connecticut in New Britain and Bradley Memorial in Southington.

Since its inception in 2004, more than 2,500 seniors and their families have benefited from the educational resources, consultation and referral services available through the center.

The Connecticut Center for Healthy Aging is located in the reception area of the Emergency Department at MidState Medical Center. Professionally trained staff members can be reached by calling 203-694-5721.


Health Care Consolidation Hits Eastern Connecticut Network

The Hartford Courant, August 8

Eastern Connecticut Health Network (ECHN), a nonprofit health system, is taking the first public step toward being acquired by Nashville-based Vanguard Health System, a for-profit system hospitals and acute care systems in Arizona, Illinois, Massachusetts, Michigan and Texas.

In signing a letter of intent to be acquired, the hospital system - which includes Manchester Memorial and Rockville General hospitals - joins Bristol Hospital Health Group and Waterbury Hospital, which both have started similar processes with Vanguard in the past year.

Nationwide, the consolidation of hospitals has been a move by health care systems to achieve geographic dominance and economies of scale, as well as to put pressure on the insurance companies that have an increased interest in lowering health costs under Obamacare.

Health Care News In the Region

Operation Leaves St. Francis Patient With Screw in Knee

Journal Inquirer, July 30

St. Francis Hospital and Medical Center violated operating room policies in incidents involving six patients who underwent knee surgery there last winter, according to a federal inspection report.

The knee "revisions" described in the report recently made public by the Centers for Medicare and Medicaid include the case of a patient returned to surgery after an X-ray revealed that a "small screw" had been left in the knee joint during an initial operation in January.

The report says the hospital, which touts its rating as "No. 1 in Connecticut for joint replacement outcomes," failed to ensure that certain surgical counts were completed.


St. Francis, UConn Expand Residency Program

Hartford Business Journal, July 30

St. Francis Hospital and Medical Center is partnering with the University of Connecticut School of Medicine to expand UConn's integrated residency program in emergency medicine.

The three-year program will expand from 12 to 18 residents per year, starting this month.

The goal, officials say, is to train more emergency physicians capable of working in emergency departments, trauma centers, and a variety of other clinical settings.

The residency program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME), and also involves training at Connecticut Children's Medical Center, Hartford Hospital, and John Dempsey Hospital.


St. Francis Uses Everbridge as Single System for All Critical Communications

Fort Mill Times, August 7

Saint Francis Hospital and Medical Center, the largest Catholic hospital in New England, located in Hartford, Connecticut, has implemented Everbridge, the leading provider of critical communication solutions, to strengthen its internal and external communication strategy. With Everbridge, Saint Francis now has a single system for both emergency and non-emergency communications, such as severe weather, power disruptions, and polling/staffing quota notifications.


Lawrence & Memorial Unions Accuse Corporation of "Shell Game"

New London Patch, August 6

The National Labor Relations Board will hear a complaint by the Lawrence + Memorial Hospital unions, which have accused the L+M Corporation of establishing "shell corporations" to undermine collective bargaining.

The NLRB issued a formal indictment against L+M. The complaint sets a trial to hear evidence before an NLRB administrative judge, beginning at 10 a.m. on Oct. 21 at the A.A. Ribicoff Federal Building in Hartford.

The complaint says L+M created an "alter ego" corporation by establishing L+M Physician Associates and later changing its name to L+M Medical Group to incorporate doctors employed by the Atlantic Medical Group at Westerly Hospital in Westerly, R.I. The L+M Corporation is in the process of buying the Westerly Hospital.

The unions charge that L+M is attempting to move employees to the alter ego corporations to undermine the union. Representatives of the unions say about 150 employees at L+M Medical Group receive pay and benefits well below those of workers who were replaced, and that this is undermining the quality of care in the region as well as labor relations.

Hot Topics in Health Care

Would you trust a doctor in a T-shirt?

BBC News Magazine, July 20

A senior British doctor has complained that junior members of her profession are getting too scruffy. But since doctors are valued for their skill and knowledge does it really matter what they wear?

The father of Western medicine, Hippocrates, had a clear idea of what a doctor should look like - "clean in person, well dressed, and anointed with sweet-smelling unguents". Hippocrates would probably approve of modern hospitals, which offer "unguents" at every turn in the form of hand sanitizer - but he might take issue with the standard of doctors' dress.

Hospital consultant Stephanie Dancer certainly believes it is in decline. Writing in the British Medical Journal last month, she complained that many junior doctors were abandoning formal shirts and jackets for T-shirts.

"I hear that patients complain that they do not know who the doctor is: no tie, no white coat, no jacket, and no presence," she writes. "Doctors are members of a distinguished profession and should dress accordingly."


For Surgery, Big and Famous Hospitals Aren't Always the Best

Reuters, July 31

Patients going to a hospital for surgery care about many things, from how kind the nurses are to how good the food is, but Consumers Union (CU) figures what they care about most is whether they stay in the hospital longer than they should and whether they come out alive.

In the first effort of its kind, the nonprofit publisher of Consumer Reports magazine released ratings of 2,463 U.S. hospitals in all 50 states on Wednesday, based on the quality of surgical care. The group used two measures: the percentage of Medicare patients who died in the hospital during or after their surgery, and the percentage who stayed in the hospital longer than expected based on standards of care for their condition. Both are indicators of complications and overall quality of care, said Dr John Santa, medical director of Consumer Reports Health.

The ratings will surely ignite debate, especially since many nationally renowned hospitals earned only mediocre ratings. The Cleveland Clinic, some Mayo Clinic hospitals in Minnesota, and Johns Hopkins Hospital in Baltimore, for instance, rated no better than midway between "better" and "worse" on the CU scale, worse than many small hospitals. Because CU had only limited access to data, the ratings also underline the difficulty patients have finding objective information on the quality of care at a given facility.

The Cleveland Clinic's chief quality officer, Dr Michael Henderson, said CU's methodology, which gave his hospital a middle-of-the-scale rating below that of such Ohio hospitals as the Fulton County Health Center in Wauseon and the Institute for Orthopaedic Surgery in Lima, "doesn't give you a true picture" of the quality of surgical care. Much better, he said, is actual outcome data - how well patients undergoing any given procedure fare - which Cleveland is a pioneer in making public via its website.

Experts at other big-name hospitals whose CU ratings fell short of their reputations also questioned the methodology. "The accuracy of claims data," like that CU used, "is very low or unknown," said Dr Peter Provonost of Hopkins.


The Healthcare IT Applications of Google Glass

U.S. News & World Report, July 29

Google Glass is basically an Android smartphone (without the cellular transmitter) capable of running Android apps, built into a pair of glasses. The small prism "screen" displays video at half HD resolution. The sound features use bone conduction, so only the wearer can hear audio output. It has a motion sensitive accelerometer for gestural commands. It has a microphone to support voice commands. The right temple is a touch pad. It has WiFi and Bluetooth. Battery power lasts about a day per charge.

I believe that clinicians can successfully use Google Glass to improve quality, safety, and efficiency in a manner that is less bothersome to the patients than a clinician staring at a keyboard.

Just as the iPad has become the chosen form factor for clinicians today, I can definitely see a day when computing devices are more integrated into the clothing or body of the clinician.


Berwick Names 11 Monsters Facing Hospital Industry

HealthLeaders Media, July 29

America's hospitals face some terrible monsters, 11 of them to be exact, said Don Berwick, MD, former acting administrator of the Centers for Medicare & Medicaid Services.

"We're scared of the truth, the next wave of what we have to do to transform healthcare. And it crosses some scary landscape. It's stuff we don't want to think about and don't want to talk about," he told some 1,400 executives assembled for the American Hospital Association's Leadership Summit in San Diego last week.

That "stuff" involves grasping the extent of the industry's greed, ignorance, excess, overutilization, and waste, Berwick admonished.

"Thirty years ago, we didn't know patient safety was a problem. We thought healthcare infections came with the territory. Patient-centered care was the name of a focus group and most doctors would laugh at a 'checklist' and say it's cookbook medicine.

Coming Events

August 15 (Thursday)

Medicine Grand Rounds

Gilman Auditorium, 8 a.m.

Inpatient Dermatology: Cutaneous Manifestations of Systematic Disease

Dr. Frank Santoro


August 15 (Thursday)

Emergency Medicine Grand Rounds

Gilman Auditorium, 12 p.m.

Bringing Emergency Care To Where It Is Needed Most

Dr. Mark Bisanzo, president of Global Emergency Care Collaborative


August 22 (Thursday)

Medicine Grand Rounds

Gilman Auditorium, 8 a.m.

Med-Path CPC (2)

Dr. Farheen Dojki


August 24 (Saturday)

Wayne Levesque Memorial Golf Tournament

Pequabuck Golf Club, Terryville, 12:30 p.m.

The 3rd Annual Wayne Levesque Memorial Golf Tournament will be held on Saturday, August 24, at the Pequabuck Golf Club in Terryville. Registration is at 12:30 p.m., and tee time is 1:30. Dinner starts at 5:30 p.m.

All proceeds will benefit the Helen & Harry Gray Cancer Center. $150 per player or $50 per person for dinner only.

Deadline for registration is Aug. 17. For more information, call All at 203-947-2765.


August 29 (Thursday)

Medicine Grand Rounds

Gilman Auditorium, 8 a.m.

Gastroenterology Case Presentation

Dr. Krzysztof Kopec


September 4 (Friday)

"Best Practices in the Evaluation and Treatment of Agitation"

Gilman Auditorium, 12 p.m.

Dr. David Pepper, director of Emergency Psychiatric Services, will present a continuing medical education program called "Best Practices in the Evaluation and Treatment of Agitation" on Wednesday, September 4 at 12 noon in Gilman Auditorium.

Max 1 AMA PRA Category 1 credit . The program will satisfy the new DPH behavioral health physician licensure requirement. It is sponsored by Academic Affairs. It will be recorded for Jubilant.


September 10 (Tuesday)

14th Annual Wheeling and Able Golf Classic

Lyman Orchards Golf Club, Middlefield, 8 a.m.

This 14th Annual Wheeling and Able Golf Classic will be held on Tuesday, Sept. 10 from 8 a.m.-3 the Lyman Orchards Golf Club in Middlefield.

The Hartford Hospital Rehabilitation Network-sponsored golf tournament benefits the National Spinal Cord Injury Association, CT Chapter. The tournament features a scramble format, has several contests and is followed by a BBQ and raffle. Fee is $175/person; $600/foursome.

Brad Field, chief meteorologist at NBC-TV Channel 30, is honorary chair and emcee.

Registration is required by Aug. 23. Contact Ellen Franks at 860-972-2532 or


September 12 (Thursday)

Schwartz Rounds: Suicide

Hartford Room, IOL, 12-1:30 p.m.

For all IOL medical and clinical staff.


September 13 (Friday)

Clinical Student Preceptor Training

111 Founders Plaza, East Hartford, 8:30-11:30 a.m.

This class is designed to develop precepting skills for staff that are assigned the unique challenge of coaching and training clinical students. Clinical education is best learned through direct patient interaction, and the student clinician's critical thinking skills evolve when these interactions are coupled with proper coaching.

If you have questions about the class, please call Michelle Colburn at 860.284.0329.


September 18 (Wednesday)

Department of Surgery Awards To Be Presented Sept. 18

HH Special Dining Room, 2 p.m.

The Department of Surgery and Surgical Collaborative Management Team will be hosting their annual awards ceremony on Wednesday, September 18, 2-4 p.m., in Hartford Hospital's Special Dining Room.

The event was rescheduled from May 30, following the death of Dr. Mark Sebastian, director of the Trauma Service, on May 28.

The event recognizes faculty and staff for outstanding professional achievements and activities that improve the quality and safety of patient care. For more information, contact Erika Perricone, ext. 5-4670.


September 23 (Monday)

Technical Writing for Better Documentation and Communication

ERC third floor Library Classroom, 2 p.m.

The Health Science Libraries are offering a class called "Technical Writing for Better Documentation and Communication" on Monday, Sept. 23 from 2-4 p.m. in the ERC 3rd floor Library Classroom. Instructor will be Sheila Hayes. 2 Category-1 PRA credits awarded for this class.

The class will be offered again on Monday, November 11.

To register, call/email Sheila Hayes at 860-972-2416 or


October 2 (Wednesday)

29th Annual Cardiovascular Symposium

Connecticut Convention Center, 7:30 a.m. - 3:30 p.m.


Jan Basile, MD, Professor of Medicine, Seinsheimer Cardiovascular Health Program, Medical University of South Carolina

Larry B. Goldstein, MD, Professor of Medicine (Neurology); Director, Duke Stroke Center, Duke University Medical Center

Martin S. Maron, MD, Assistant Professor of Medicine; Director, Hypertrophic Cardiomyopathy Center; Tufts Medical Center

Patrick T. O'Gara, MD, Professor, Harvard Medical School; Executive Medical Director, Shapiro Cardiovascular Center; Director, Clinical Cardiology, Brigham & Women's

Gosta Pettersson, MD, Vice Chairman, Thoracic and Cardiovascular Surgery, Surgical Director of Lung Transplantation; Cleveland Clinic

Daniel J. Rader, MD, Edward S. Cooper, MD/Norman Roosevelt and Elizabeth Meriwether McLure Professor; Chief, Division of Translational Medicine and Human Genetics; Associate Director, Institute for Translational Medicine and Therapeutics; Director, Preventive Cardiovascular Program, Penn Heart and Vascular Center

William S. Weintraub, MD, Christiana Care; John H. Ammon Chair of Cardiology, Center for Heart and Vascular Health; Director of the Christiana Care Center for Outcomes

To register visit


October 3 (Thursday) and Nov. 5 (Tuesday)

Updates in Urology for the PCP

5-8 p.m.

A two-session education event for primary care physicians on updates in the care of the patient with urologic conditions or kidney disease. Attend one or both sessions- dinner and CME provided. No charge to attend. Location to be determined. Speakers will be urologists and nephrologists from the Tallwood Urology and Kidney Institute.


October 17 (Thursday)

Hepatitis C Summit

ERC Heublein Hall, 8 a.m.-3:15 p.m.

The Hepatitis C Summit is a one day conference focusing on the screening, diagnosis, pharmacological treatment and surgical management of people with Hepatitis C.

The event is sponsored by the Hartford Hospital Comprehensive Liver Center, Hartford Hospital Transplant Program and Connecticut Department of Public Health. Physicians-$75; Nurses, PAs, residents-$50; Others-$35. Physicians may register online at All other participants should call Health Referral Service at 860-545-1888.


SAVE THE DATE: Nov. 7 (Thursday)

8th Annual Interdisciplinary Transplant Symposium

Sheraton Hartford South Hotel in Rocky Hill, 7:45 a.m.-4 p.m.

The Transplant Symposium provides an opportunity for experts in the fields of kidney, liver and heart transplantation to present cutting-edge information to individuals working with transplant recipients and living donors. It also provides an opportunity for individuals interested in transplantation to learn more about this dynamic field.

Registration fees: (Early bird discount through September 30):

  • Hartford HealthCare Employees: $50 ($75 after Oct. 1)
  • Non-Hartford HealthCare Employees: $75 ($100 after Oct. 1)
  • Students: $25 ($50 after Oct. 1)

Participants paying the $100 registration fee may register online at All others should call the Health Referral Service at 860-545-1888 or toll-free 800-545-7664.

For more information, contact Eliz Valentin, Transplant Program, at or 860-972-4339.


November 21 (Thursday)

Annual Meeting of the Hartford Hospital Corporators

Heublein Hall, 11:45 a.m.-2 p.m.



January 25, 2014 (Saturday)

Black & Red

Bushnell Center for the Performing Arts, 6 p.m.

Featuring the music of Barenaked Ladies.




For more coming events, click here.

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. If you would like to be added to the Seymour Street Journal email list, or to receive it at a different email address, please opt-in at This ensures that you will receive the newsletter at your preferred email address. Back issues can be viewed here. For any questions or suggestions, please contact Dr. Jeffry Nestler, Medical Staff President, at (860) 836-7313.