From the Offices of Stuart Markowitz, MD and Stacy Nerenstone, MD

 

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In This Issue...

April 13, 2014 Edition

HAND HYGIENE
Wash In - Wash Out

Wash

Hartford Hospital has held relatively steady with hand-hygiene compliance, achieving an 82 percent compliance rate last month. This is almost at the level of best practice.

This is strong progress, but it is not, and should not, be good enough for Hartford Hospital.

We have plateaued and are increasing our efforts to improve. Although our goal for this year is 90 percent, we will not be satisfied until we reach 100 percent compliance, so we still have work to do.

Click Headlines Above to Read Full Story

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HH Facts and Firsts:

2003 -

Dr. Gary Spiegel performed a revolutionary catheterization procedure, called a coil embolization, for brain aneurysms.


Follow Hartford Hospital on facebook, youtube and twitter

 

Chief's Corner

GreeneWelcome 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. Should you have any comments or suggestions along the way, please share them with us.

- Dr. Jack Greene, Hartford HealthCare regional vice president of Medical Affairs for the Hartford Region and Hartford Hospital

 

It's Housestaff Appreciation Week

April 13-19

Please join us this week in thanking our Hartford Hospital and University of Connecticut residents and fellows for all their efforts, knowledge, expertise and compassion that they bring to the care of our patients at Hartford Hospital. Their participation in our clinical activities is essential to the quality of our outcomes.

Top News

Medical Staff Award Winners Announced

Winners of the Annual Medical Staff Awards, which will be presented at the Medical Staff Spring Event (May 22), are:

  • DAVID HULL MD YOUNG PRACTITIONER AWARD:
    Dr. Anoop Meraney

    For recognition of leadership, excellence in clinical care and research, innovation, teaching, advocacy and activism on behalf of the art and science of medicine and the Hartford Hospital community.

  • JOHN K. SPRINGER HUMANITARIAN AWARD:
    Dr. Cunegundo Vergara

    For extraordinary qualities of compassion, civility, vision and integrity that set an example for all future generations of caregivers at Hartford Hospital.

  • DISTINGUISHED SERVICE AWARD:
    Dr. A.J. Smally

    For extraordinary and sustained contribution to the health and welfare of the citizens of our community by advancing the science of medicine in his/her field, and for the exemplary initiative, creativity and long term commitment to the vision of Hartford Hospital.

  • QUALITY & SAFETY AWARD:
    Dr. Robert Spillane and Roger Klene

    For outstanding commitment to quality improvement, safety and learning directed toward enhancing the patient experience, improving clinical outcomes and making our workplace a safer environment.

 

Physician Engagement Charter Approved

The Medical Staff Executive Committee has approved a project charter for the Physician Engagement Task Force on April 7. The Task Force was created to support collaborative decision making at the system and local hospital level in areas that affect physicians and patient care.

The charter states that the expected benefits of the Task Force are:

  1. Increased recognition of the value of physician input into decision making
  2. Improved physician satisfaction/engagement
  3. Improved quality
  4. Generation and completion of process improvement ideas affecting patient satisfaction and throughput
  5. Increased revenue

Watch For A Physician Engagement Survey

Be on the lookout for a 30-second RED Cap survey about physician engagement that will be sent out soon. (RED Cap is a secure web app that is designed exclusively to support data capture for research studies.)

Please take half a minute to complete the survey to help us better respond to your needs.

 

Dr. Peter Pasciucco Named Director of Dentistry

Dr. Peter Pasciucco has been selected to be the new chief of the Department of Dentistry, effective April 14. He replaces Dr. Vernon Kwok, who has decided to transition the chair position as he reduces his practice to four days per week.

Dr. Pasciucco came to Hartford Hospital in 1979 as a volunteer in our dental clinic. At the time, he had a private practice in Wethersfield. From 1979 to 2007, he served as a senior attending clinician at the dental clinic and in 2007 became the full-time director of our general practice residency program. He is on the University of Connecticut School of Dentistry faculty in the Department of Community Dentistry. Dr. Pasciucco earned his undergraduate degree at Tufts University and his D.D.S. at Case Western Reserve University School of Dentistry. He completed his internship in restorative dentistry at Tufts-New England Medical Center and his residency in prosthodontics at Memorial Sloan Kettering Cancer Center. He is a member of the Hartford Dental Society and the American and Connecticut Dental Associations.

Dr. Kwok came to Hartford Hospital in 1977 as the director of the dental clinic and has served as chief of the Dentristry Department since 2008.

 

IOL Selected by DCF and ValueOptions as a Regional Hub in Access Mental Health CT

The Institute of Living, with its partners in the Hartford HealthCare Behavioral Health Network, has been selected by ValueOptions and the Connecticut Department of Children and Families (DCF) as a regional hub that will make available consultative psychiatric services to primary care physicians treating children and adolescents in Connecticut.

The state-funded Access Mental Health Connecticut (ACCESS-MH CT) program will provide phone-consultation services to physicians. Each hub will be staffed by a child psychiatrist, a social work clinician, a case manager and a peer-support individual. The phone consultations, which are to occur within 30 minutes of a request, may result in an immediate behavioral health visit; however, the goal is to support primary care doctors in providing patients with behavioral health care and referrals at the point of service.

Physicians can register with the program free of charge. This program is based on a similar service developed in Massachusetts called MC-PAP, which caught the interest of child psychiatrists at the IOL more than a decade ago.

The child and adolescent group at the IOL has since promoted a model of collaboration with community pediatricians, positioning the IOL to take a lead role in ACCESS-MH CT. The IOL was selected as one of the three hubs in the state after a rigorous, competitive process. Yale and the Wheeler Clinic are the other two providers selected.

This is a major step in integrating behavioral health and primary care, an initiative currently under way within Hartford HealthCare. The program puts the psychiatrist literally a phone call away from the pediatrician or primary care doctor.

ValueOptions, the nation’s largest independent behavioral health company, is contracted by the DCF and other state agencies to provide behavioral health services.

 

Dr. Linda Durst Named Medical Director of IOL

The Institute of Living recently named Dr. Linda Durst as its new medical director. She will join the IOL June 2, replacing Dr. Theodore Mucha, who retired after 48 years of distinguished service.

Dr. Durst is the chief medical officer at Pennsylvania Psychiatric Institute and associate professor of psychiatry at PennState Hershey College of Medicine.

She has had a distinguished clinical, administrative and teaching career. She has been recognized by her peers as one of the Best Doctors in America and in 2013 was the recipient of the Dean’s Award for Excellence in Teaching at PennState Hershey College of Medicine.

 

Hartford HealthCare Plans Bone, Joint Institute

Officials for Hartford HealthCare said they expect a new $110 million bone and joint institute will be up and running within two years.

Elliot Joseph, president and CEO of Hartford HealthCare, said the regulatory approval for the project should come within 45 days.

The facility is planned for Seymour Street and would be attached to Hartford Hospital's main complex. The 130,000-square-foot building will have five stories, 50 in-patient beds and 10 operating rooms.

Jeffrey A. Flaks, executive vice president and chief operating officer, said they expect that the institute will perform 2,500 joint replacements and 2,000 spine sutures.

Joseph said that the large number of procedures means that the quality of health care will be both more consistent and more affordable.

"It takes the best practices of orthopedic joint care and reduces the wide variation that people receive in their care," he said.

 

HHC's 5-year Plan - Aggressive Capital Investments Include $110 Million Bone and Joint Institute

Hartford Business Journal, April 7

Hartford HealthCare is preparing a major five-year capital spending plan headlined by a new $110 million bone and joint institute that will reshape Hartford Hospital's Seymour Street campus.

The capital investments, which could reach $1.2 billion, also will fund a health information technology makeover and significant expansion of Hartford Healthcare's ambulatory care network, hospital executives say.

The project pipeline represents Hartford HealthCare's most ambitious capital plan ever, as the state's second largest health system restructures and expands to meet a new era in health care. The investments, however, also come at a time when hospitals are facing significant financial headwinds, leaving little room for bad bets.

"We must invest to reinvent ourselves," said Jeffrey Flaks, Hartford HealthCare's chief operating officer. "This is a strategic plan to transform our system."

Flaks said the investments aim to better position Hartford HealthCare as the industry moves away from a fee-for-service model to a system requiring providers to manage patient populations. To do that effectively, Flaks said, hospital systems must care for people where they live, offer better coordinated services, and do it all more cost effectively.

The end goal is to improve access to and quality of care, while reducing costs and keeping patients healthy, rather than simply providing sick care. Government and commercial payers also are demanding the changes.

Over the next five years, Flaks said, Hartford HealthCare plans to invest several hundred million dollars to grow its network of ambulatory care centers, which are freestanding medical offices typically found in the suburbs offering primary care and other outpatient services. Such facilities have gained popularity because of their convenience and cost-effectiveness compared to hospitals, which carry much higher overhead.

Read more here.

 

HHC's Integrated Care Partners and Cigna Start Collaborative Care Program to Improve Health and Lower Costs

The Wall Street Journal, April 7

Cigna and Integrated Care Partners, Hartford HealthCare's physician-led clinical integration organization that will play a critical role in improving how patient care is delivered, have launched a collaborative care initiative to improve patient access to health care; enhance care coordination; and better achieve the goal of improved health, affordability and patient experience.

The program became effective April 1, and is Cigna's seventh collaborative care initiative in Connecticut.

Cigna Collaborative Care is Cigna's approach to accomplishing the same population health goals as accountable care organizations, or ACOs. The program will benefit nearly 16,000 individuals covered by a Cigna health plan who receive care from more than 1,200 Integrated Care Partners primary care doctors and specialists.

"A clinically integrated organization is designed to remove barriers to the coordination of patient care," said Jim Cardon, Hartford HealthCare's executive vice president and chief clinical integration officer. "Across Connecticut, Hartford HealthCare and our providers are well known for the quality care we deliver to our communities. By working collaboratively with payers such as Cigna and focusing on improved care coordination and preventive care, we will lead the movement toward higher-quality care, better health and an enhanced patient experience."

Read more here.

 

Stop the Stigma of Mental Illness

We are asking all HHC medical staff to take a pledge and sign their name to the following:

  • I pledge: To teach by sharing my own experiences with mental illness and encouraging others to share their stories with me; I will learn in order to change.
  • I pledge: To show compassion by reaching out to those in need of help; I will not let anyone suffer in silence.
  • I pledge: To have the courage to speak up and challenge stereotypes and attitudes; I will not tolerate or perpetuate stigma.
  • I pledge: To demand a change in how we view and address mental illness; I will help lead the way.

The goal is to obtain 10,000 individual pledges, spreading the message that changing attitudes can begin to change minds. So far, more than 8,000 have taken the pledge.

Ask everyone — fellow employees, volunteers, patients, the community — to “take a pledge.” It is online now at www.StopTheStigmaCT.org.

Excellence

Tallwood’s Progress Rewarded with Additional Gift

The Tallwood Urology and Kidney Institute has received an additional gift from the anonymous donor who established the Institute and who is truly committed to its development.

The Institute has made tremendous progress in delivering exceptional, well-coordinated care since its inception in 2012. Under the leadership of Dr. Steven J. Shichman, urologic surgeon and chair of the Institute, and with the assistance of Jan Ruderman, director of the Institute, along with all of the Tallwood physicians and nurses, the Institute has established standards of care across its disease management teams and has implemented an ambitious educational initiative that has produced more than a dozen informational sessions for patients, the community, clinicians, and physicians.

The generous gift will further strengthen these programs.

The Institute’s outstanding progress would not have been possible without philanthropic support.

 

Emergency Medicine Faculty Presents Nine Abstracts at Regional Meeting

The following nine abstracts were presented by Hartford Hospital Department of Emergency Medicine faculty at the 18th Annual Society of Academic Emergency Medicine New England Regional meeting in March in New Haven.

A Study Of The Workforce In Emergency Medicine In Israel: 2012
Michael J. Drescher, Zev Wimpfheimer, Aziz Darawshe, Ryan Sullivan, Aviva Goral, Limor Aharonson-Daniel

Measuring Asynchronous Learning: The Impact of One Website on a Local Emergency Medicine Community
Oli Francis, Gabrielle Jacknin, Lalaynya Dobrowolsky

Focused Echocardiograms by Emergency Physicians for the Risk Stratification of Patients with Chest Pain
Sarah deLoizaga, Tia Little, Alon Dagan, Felix Pacheco, David Thomas, Eric Oligino, Meghan Herbst

The ED Utilization of Treatment Guidelines for Chronic Pain Patients
Melissa A. Saad, Fred Tilden, Kenneth J. Robinson

Does Bedside Ultrasound Improve Diagnostic Accuracy For Patients Presenting To The Emergency Department With Acute Dyspnea?
Peter Keenan, David Thomas, Joao Delgado, Michael Drescher, Meghan Herbst

Analysis of Medication Administration Discrepancies Between Prehospital and Emergency Department Records
Mark Andreae, Peter Canning, Richard Kamin, Joao Delgado

Point-of-Care Ultrasound Used for the Detection of Fascial Air: A Cadaver Study
Veronica Tucker, Meghan Herbst

Enhanced Emergency Department Discharge Process
Chris Schultz, Leah Smith, Danette Alexander, Lincoln Abbott, Kenneth Robinson

EM Resident Front End Operations Education
Cynthia Price, Shawn London, Fred Tilden, Kenneth Robinson

 

IOL Faculty To Make 11 Presentations at American Psychiatric Association Annual Meeting

IOL faculty/staff will have seven presentations and four poster presentations at this year’s annual meeting of the American Psychiatric Association which starts on May 3 in New York. The presentations are:

Presentation:

  • The Sandy Hook Disaster: Crisis Management, Recovery and Policy Response Type. Dr. Hank Schwartz, chair
    Policy Response at the State and Federal Level: Statutes, Commissions and the National Dialogue on Mental Health

Scientific and Clinical Reports:

  • Metabolic Syndrome Associated with Severity of Illness and Outcomes among Inpatients with Mood Disorders
    Goethe JW, Wisniowski J, Szarek BL, Woolley SB

  • Suicide Attempts in Private School Adolescents
    Baggish R, Wells PH, Goethe JW, Woolley SB

  • Transcranial Magnetic Stimulation for Depression also Improves Anxiety Symptoms: A Meta-Analysis of Randomized-Controlled Trials
    Wootton B, Bragdon LB, Diefenbach GJ, Goethe JW, Tolin TF

  • A Randomized, Double-Blind, Sham-Controlled Clinical Trial of rTMS for Generalized Anxiety Disorder
    Diefenbach G, Assaf M, Bragdon LB, Goethe JW, Hyatt C, Tolin D

  • Rate of Patient Readmission Following Psychiatric Hospitalization for Major Depressive Disorder Correlated with Innate CYP2D6 Funtion
    Ruaño G, Seip RL, Szarek BL, Schwartz HI, Goethe JW

  • Psychiatric Patients’ Self-Assessment of Body Weight is Associated with Risk of Metabolic Syndrome
    Woolley SB, Terrell K, Goethe JW

Poster Presentations:

  • Evidence of the Success of Interventions to Prevent Violence and Reduce Use of Seclusion and Restraint in an Inpatient Psychiatric Setting
    Blair EB, Woolley SB, Szarek BL, Mucha TF, Dutka O, Schwartz HS, Goethe JW

  • Action Research: Testing Interventions to Prevent Violence in Inpatient Psychiatric Settings.
    Blair EB, Woolley SB, Szarek BL, Mucha TF, Dutka O, Schwartz HS, Goethe JW, Wisniowski J

  • The Relationship Between Social Competence Deficits and Empathy for Emotional Pain in Schizophrenia
    Corbera S, Cook B, Brocke S, Dunn S, Wexler B, Assaf M

  • Characteristics of Adult Psychiatric Patients Readmitted Within 30 Days After Psychiatric Hospitalization
    Wisniowski J, Woolley SB, Goethe JW, Klein L, Szarek BL, Pizzuto B

 

 

Dr. Andrew Salner Speaks at Governor's Press Conference

Dr. Andrew Salner, director of the Helen & Harry Gray Cancer Center, spoke April 1 at the Governor's press conference at the state Capitol launching Connecticut Cancer Plan 2014-2017, the state's blueprint for eliminating the burden of cancer.

 

Dr. Rich Ratzan Publishes Manuscript in Journal of Emergency Medicine

Dr. Rich Ratzan, Emergency Medicine, had a manuscript entitled "He Lay in Pain" published in the Journal of Emergency Medicine.

 

Dr. Khuram Ghumman Achieves AAFP Degree of Fellow

Dr. Khuram R Ghumman, a family physician in Enfield, has achieved the Degree of Fellow of the American Academy of Family Physicians (AAFP), the national medical association representing nearly 110,600 family physicians, residents and medical students. The degree was conferred on more than 180 family physicians during a convocation last September, in conjunction with the AAFP's annual meeting in San Diego, Calf.

Established in 1971, the AAFP Degree of Fellow recognizes family physicians who have distinguished themselves through service to family medicine and ongoing professional development. This year's fellowship class brings the total number of AAFP Fellows to more than 29,000 nationwide. AAFP Fellowship entitles the physician to use the honorary designation, "Fellow of the American Academy of Family Physicians," or "F.A.A.F.P."

 

Drs. Steven Shichman and Tom Nowicki Represent CESi as Visiting Lecturers at Harvard and MSK

Dr. Steven Shichman, chairman of Urology and medical director of the Center for Education, Simulation and Innovation at Hartford Hospital, and James Blazar, HHC senior vice president and chief strategy transformation officer, were visiting lecturers at the Harvard Business School MBA program in February. They spoke on business development of CESI.

In March, Dr. Shichman and Dr. Tom Nowicki from Emergency Medicine were visiting lecturers at Memorial Sloan Kettering Surgical Grand Rounds. They spoke on Simulation Training in Surgical Education.

 

Dr. Kelly Johnson-Arbor Publishes Article in American Journal of Preventive Medicine

Dr. Kelly Johnson-Arbor has had an article published in the May issue of American Journal of Preventive Medicine. The article is entitled “A Comparison of Carbon Monoxide Exposures after Snowstorms and Power Outages.”

The coauthors were Angela Quental, 2013 college summer student fellow, and Dadong Li from HH Research Administration. (Johnson-Arbor KK, Quental AS, Li D. A Comparison of Carbon Monoxide Exposures after Snowstorms and Power Outages. Am J Prevent Med. 2014; 46: 481.)

 

Drs. Fernandez and Thompson Author Invited Editorial in AHA's Circulation

Drs. Antonio Fernandez and Paul Thompson from the Athletes' Heart Program were the authors of an invited editorial presently available on line and to be published in the April 22 edition of Circulation, the official journal of the American Heart Association.

They discussed the use of electrocardiograms to screen athletes for competition, a highly controversial topic. They recommended that a formal study of electrocardiographic screening be done before this becomes a wide-spread practice, because of the high rate of abnormal electrocardiograms among athletes.

 

Extending Our Reach

Hartford Hospital Rehabilitation Network Medical director Dr. Mani Seetharama led a team of volunteers to Lima, Peru in March to provide free prosthetic and other rehabilitation services to people who can’t afford or can’t normally get access to the care they need.

Dr. Seetharama travels to Peru annually to donate services. He is one of many physicians from the Hartford Hospital medical staff who voluntarily travel across the country and around the world to provide much-needed services in communities in desperate need.

This is all part of Hartford Hospital's evolving Global Health Program.

 

Conference of Churches Cancer Program

As part of our continuing focus on the health and well-being of our community members, Hartford Hospital helped to plan and participated in a joint event with the Conference of Churches April 5 called “Rising Above & Living Well: Cancer Beyond Diagnosis.”

The program’s focus was to educate the community about cancer and provide hope.

Dr. Andy Salner, director of the Helen & Harry Gray Cancer Center, spoke on “Cancer Beyond Diagnosis” and served on a panel to answer questions and concerns about the disease and survivorship.

The Rev. Dr. Annette Wright, who serves in pastoral care at Hartford Hospital, also was part of the panel. Hartford Hospital participated as a member of the Hartford HealthCare Cancer Institute.

 

Our Physicians Are Great Sources For Local Media

Dr. J. Craig Allen was interviewed by Channel 8 on April 2 about opiate abuse and the suboxone facility.

Dr. Peter Beller was interviewed by NBC CT on April 9 about DVT and the rise in deaths among young women.

Dr. Michael Einstein was interviewed on News 8 on April 9 about Fibroscan ultrasound for the liver.

Dr. Jeff Factor was interviewed by WFSB on April 10 about allergies and mold.

Dr. Jason Gluck was interviewed on NBC CT on April 1 about about ECMO, and on April 3about a patient story. Watch it here.

Dr. Maria Johnson was interviewed on Fox CT on March 28 about colon cancer awareness month. Watch it here.

Dr. Kelly Johnson-Arbor was interviewed on Channel 3 on April 3 about the dangers of young children mistaking laundry detergent balls for candy.

Dr. Jeff Morganstern was interviewed on Channel 3 on March 28 about kidney stones.

Dr. Jack Ross was interviewed by the Hartford Courant on April 10 about the flu.

Dr. Laura Saunders was interviewed on WTIC AM on April 3 about Autism Awareness Day.

Dr. A.J. Smally was interviewed by News 8 on April 4 about the rise in flu and Norovirus.

Dr. Heather Swales was interviewed on the Ray Dunaway show on April 11 about ACE inhibitors, heart disease and diabetes.

Academics and Research

25th Annual Mary Mulready Sullivan Oncology Symposium: Advances in Breast Cancer May 14

The 25th Annual Mary Mulready Sullivan Oncology Symposium, Advances in Breast Cancer: Treatment and Survivorship, will be held Wednesday, May 14 from 7:15 a.m. to 1:45 p.m. in the ERC.

Faculty members from Hartford Hospital are Dr. Jennifer Logan; Dr. Andrew Ricci, and Sara Carroll, MS.

Faculty members from other locations are Larry Norton, Memorial Sloan-Kettering Cancer Center; Dr. Maura Dickler, Memorial Hospital for Cancer & Allied Diseases; Dr. Lisa Sclafani, Memorial Sloan-Kettering Cancer Center; Dr. Beryl McCormick, Memorial Hospital; Mary Schwarz McCabe, RN, Memorial Sloan-Kettering Cancer Center.

Fee is $50 for physicians and $20 for non-physicians, which includes lunch. Registration deadline is May 5. For more information, contact Sandi Beggs at 860-545-2390 or email sandi.beggs@hhchealth.org.

 

7th Annual Neil J. Grey, M.D. Memorial Lecture in Diabetes May 22

The 7th Annual Neil J. Grey, M.D. Memorial Lecture in Diabetes will be held on Thursday, May 22 from 12-1 p.m. in Gilman Auditorium.

A joint grand rounds with Neurology and Medicine, the lecture will be delivered by internationally renowned researcher in diabetes, Aaron I. Vinik, MD, PhD. The topic will be “Current State of Diabetic Neuropathies.”

One of the leading diabetes researchers in the world, Dr. Vinik is key in the Strelitz Diabetes Center’s quest to cure diabetes. His focus of attention is the prevention and reversal of diabetic neuropathy.

 

Stroke Center Presents Symposium on Spontaneous Intracerebral Hemorrhage May 30

Hartford Hospital's Stroke Center presents a one-day symposium called Spontaneous Intracerebral Hemorrhage: Are We Making An Impact on Outcome? on Friday, May 30 from 7 a.m. to 4:30 p.m. in Heublein Hall.

It is designed to update generalists and specialists alike on state-of-the-art treatments that are now a part of mainstream care.

The visiting professor lecture on New Clinical Trials for ICH will be delivered by Dr. Daniel Hanley from Johns Hopkins University.

Speakers will be Drs. Lauren Sansing, Sanjay Mittal, Catherine Hosley, Isaac Silverman, Robert Brown and Martin Ollenschleger.

For more information or registration, please visit www.harthosp.org/event/607

 

CESI Starts Mobile Training at Jefferson House

The Center for Education, Simulation and Innovation’s mobile training team conducted its first offsite training April 3 at Jefferson House.

The mobile training team is funded by a $450,000 grant from the Jefferson House Board. The grant funded a van, the hiring of a simulation instructor and mobile technician, equipment and a manikin, which Jefferson House personnel named Charlie Jefferson.

The grant will enable the mobile training team to provide training to Jefferson House and its partner facilities, Southington Care and Jerome Home. The mobile team will be training at these facilities three to four times per week over the next two years.

Enhancing The Patient Experience

Voices of Our Patients: Kudos To Dr. Jeff Baker

On behalf of my family, I want to extend our deepest appreciation for the care my mother received while a patient at Hartford Hospital.

In July, she was rushed to a hospital in Waterbury with difficulty breathing. After 15 days in the hospital, and no real diagnosis, mom was discharged, but her situation was worsening.

Mom finally agreed to be evaluated at Hartford Hospital. When we arrived, we were met by Donna Handley and Barbara Gaughan, the nurse navigator. They put our family at ease, assuring us that mom would get the best possible care. Barbara took us to Dr. Jeff Baker, who talked to us and scheduled tests and a blood transfusion. Within two days, Dr. Baker had a diagnosis: Stage 3 lymphoma in her neck and chest.

Mom was admitted to CB2, and we were met by Lynn Thompson. Two days later, mom was rushed to Bliss 9 ICU with an elevated heart rate and shallow breathing. She was intubated and was in ICU for 12 days. Mike Davis and the team kept her as comfortable as possible, and provided me with updates. There was some question as to her ability to survive.

Nine days into her stay on Bliss 9, she became more responsive and her vital signs stabilized. She was sent to the Step Down unit, but she developed shingles and was moved to an isolation room. She developed Bell’s palsy, and had to start speech therapy to help her with swallowing. She also had a pacemaker inserted, and spent three weeks on the floor where she received excellent care and compassion. We appreciate Mary Thomas for the attention she paid to our family.

She went back to CB2 under the care of Donna, Lynne, Mike Davis and the team, and remained there until early December.

David Fichandler and his team assisted in securing a room for her at Cheshire House.

To say that mom received nothing short of a miracle is an understatement. I have had the greatest honor and privilege of being part of the HHC family for over 25 years with my wife Sharon, and have seen first hand the amazing and miraculous actions Hartford Hospital performs.

As of today, mom is home after spending 64 days in HH and another 54 days in a rehab facility. Again, our deepest gratitude to all.

James Fried

Operational Update

Watch CT Forum on CPTV

Those who didn’t have the opportunity to attend the March 7 Connecticut Forum “An Honest Look at Mental Illness, with Dr. Hank Schwartz, psychiatrist-in-chief, Institute of Living, and vice president, Behavioral Health, Hartford Hospital, can watch it on Connecticut Public Television (CPTV) Monday, April 14, at 10 p.m. and Sunday, April 20, at 10 a.m.

The panel discussion, moderated by John Dankosky, host of WNPR’s Where We Live, also includes author and psychologist Andrew Solomon, and bipolar disorder expert Kay Redfield Jamison.

The Connecticut Forum event was part of Hartford HealthCare’s efforts to further the national dialogue on mental health and eliminate the stigma people suffering from mental illness may feel and that may discourage them from getting the help they need.

 

High Reliability Training Sessions for Physicians

Sessions for physician training in high reliability training are being scheduled. All doctors who go into the hospital should plan on taking the 90-minute course.

Pick a time today! Email Marybeth Scanlon (Marybeth.Scanlon@hhchealth.org) to register.

Sessions will be held in Jefferson Building 118. The initial schedule is as follows:

  • Tuesday, May 6 – 6:45-8:15 a.m.
  • Wednesday, May 7 – 5:30-7 p.m.

  • Tuesday, June 3 – 6:45-8:15 a.m.
  • Wednesday, June 4 – 5:30-7 p.m.

  • Tuesday, July 8 – 6:45-8:15 a.m.
  • Wednesday, July 9 – 5:30-7 p.m.

  • Wednesday, August 13 – 6:45-8:15 a.m.
  • Thursday, August 14 – 5:30-7 p.m.

 

Please Take This Brief Survey: Center For Global Health

We are developing a Center for Global Health at Hartford Hospital in order to identify our footprint, create value, establish lasting partnerships, and strengthen our opportunity to provide world-wide impact.

Integration and coordination of current HH activities will promote collaboration; improving cost-effectiveness and sustainability, both domestically and abroad.

Please take this brief survey to help us identify the global health activities of our physicians, clinicians, and staff, as well as your interest in participating in future opportunities. Survey results will be used in the development of Hartford Hospital's first global health database.

To participate in this 5 minute survey please click here. (https://redcap.harthosp.org/surveys/?s=Dbb8n9HJv3)

(You may have already taken the Hartford Hospital Humanitarian Mission Survey last February. This is not the same survey. This survey is designed to more accurately capture data that can be collected in the Center for Global Health's database.)

 

New Issue of Clinical Integration Newsletter, ICP News, Available Here

Attached is the new April issue of ICP News, the Clinical Integration newsletter for Hartford HealthCare.

This issue’s feature story is “ICP, Cigna Begin Collaborative Care Program.”

Also read about ICP’s primary care physician recruitment program and the upcoming ICP conference.

 

Learn More About Retirement Saving With Prudential

General information meetings with representatives from Prudential are being offered throughout HHC through May, to cover how to manage your account on the web or by phone. Tools to help plan your retirement savings and investment strategy also will be introduced.

These one-hour meetings will provide a broad overview of Prudential’s products and services. In the future, there will be opportunities to get more personalized information specific to your plan and your situation.

You are invited to attend any session at any convenient location, regardless of where you work. Or, for your convenience, log into one of the webinars right from our desk.

Visit the HHC & Me Employee Service Center website for the most up-to-date schedule and information.

Read our Employee Guide FAQs about Retirement Savings with Prudential here.

 

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.

 

Remind a Colleague: Wash In, Wash Out

All health care workers and patients should feel comfortable reminding any other health care worker to sanitize regardless of their role. This should always be done in a courteous and constructive manner. All health care workers should respond courteously and gratefully when reminded.

If you remind another health care worker to sanitize, and he or she responds with irritation or hostility, please notify their department chief, Dr. Jamie Roche or Dr. Jack Ross, who will communicate with them to prevent recurrences.

 

Auxiliary Sponsors Rx For Fun - Farm to Table In the City

The Hartford Hospital Auxiliary is sponsoring "Rx For Fun - Farm to Table In the City" on Friday, June 6 from 6:30-8:30 p.m. at the Hartford Public Library.

Join your friends for fresh local food, farm to table stations, wine, beer, art exhibit and entertainment. There will be sumptuous fresh local food prepared by The Kitchen at Billings Forge.

Tickets are $65. Your contribution will help advance Hartford Hospital's community health outreach. Please RSVP by May 23 to Ginger Gillespie at 860-216-5426 or gcgillespie@comcast.net.

 

 

Save These Dates:

 

Medical Staff Spring Event - May 22

The Board of Directors and Medical Staff Spring Event will be held Thursday, May 22, starting at 6 p.m. with a cocktail hour in Heublein Hall at the ERC.

The awards ceremony will begin at 7 p.m. We will be presenting awards to .

 

Valedictory Grand Rounds With Dr. AJ Smally - June 19

Dr. AJ Smally, medical director of the Emergency Department, will be giving his Valedictory Grand Rounds on Thursday, June 19 at 12 noon in Gilman Auditorium. The occasion is his Imminent retirement after 27 years of service at Hartford Hospital. The topic will be: “A Quarter Century plus of Emergency Medicine at Hartford Hospital.”

 

3rd Annual Medical Staff Chef to Farm Dinner - June 20

You and your guest are invited to join the Officers and other members of the Hartford Hospital Medical Staff for this special evening – celebrating the beauty and abundant bounty of our local farms – as a unique opportunity for members of the Medical Staff to socialize and enjoy each other’s company.

Friday, June 20; Rosedale Farms, 25 East Weatogue Street, Simsbury. $100 per person.

Did You Know?

Supply Cost Stats

Hartford Hospital is the first acute care center in the country to have created a risk sharing agreement with Siemens for scanning equipment, saving an average of $20,000 per machine per year in service costs.

Countdown To The Upgrade: Delayed By At Least A Year

ICD-10 Implementation Delayed At Least a Year

It's not an April Fool's Day joke: on April 1, President Obama signed a 12-month "doc fix" deal that will delay the implementation of ICD-10 until at least Oct. 1, 2015. But it's unclear exactly how that change will affect the rollout of the new diagnostic code set.

The ICD-10 delay—which was included, without much debate, in a broader bill to delay massive Medicare payment cuts for doctors—prohibits CMS from enforcing a mandate to switch from ICD-9 to ICD-10 until at least Oct. 1, 2015. The switch to ICD-10 means that health care providers and insurers will have to change out about 13,000 codes for more than 68,000 codes.

The decision surprised many in the health care industry who have spent hefty sums to meet the Oct. 1, 2014 deadline.

Since the law only prevents CMS from enforcing a mandate, many questions remain about how the delay will proceed, including:

  • Is Oct. 1, 2015, the new deadline to switch over?
  • Will CMS allow providers to make the switch to ICD-10 voluntarily?
  • Might the agency skip over ICD-10 altogether and skip straight to ICD-11, which is slated for release in 2017?

The implementation committee at Hartford HealthCare is meeting to discuss impacts and strategies for the delay. More information will be forthcoming.

Check out the ICD-10 resources for physicians we have placed on our SharePoint site: https://myhhc.hhchealth.org/hhcProjects/icd10/info
E-mail questions to
ICD10.info@hhchealth.org

HH In the News

Hartford HealthCare Looks To Rebound From FY'13 Deficit

Hartford Business Journal, April 7

As Hartford HealthCare plans major capital investments over the next half decade, the focus this year is getting the health system's finances in order, executives say.

After seeing significant declines in Medicare and Medicaid payments in fiscal 2013, Hartford HealthCare finished last year in the red, losing $34.7 million as a fifth hospital joined its network.

"Last year we faced some unanticipated challenges," said Thomas Marchozzi, Hartford HealthCare's chief financial officer.

The loss, Marchozzi said, was driven by three main factors. Hartford HealthCare took a $30 million hit from state budget cuts and a new state hospital tax; lost $24 million from seeing fewer commercially insured patients; and lost $10 million from the federal government sequestration.

Those losses were either unexpected or steeper than anticipated, Marchozzi said, and were part of the reason Hartford HealthCare unveiled late last year a new regional executive structure that eliminated 179 middle and senior management positions, saving $23.9 million per year.

Read more here.

 

HHC Launches Health App, Pandora Station

Hartford Business Journal, April 4

Hartford HealthCare said it has launched its free health-and-wellness mobile app and radio station on streaming music provider Pandora.

HealtheMinder tracks a user's weight, body mass index, calorie intake, medications, blood pressure and other health metrics, the five-hospital network said.

The health system said it worked with Pandora to develop a Hartford HealthCare-branded radio station that plays workout music. The station can be found by searching "Hartford HealthCare Wellness Radio" on Pandora and the app can be found in Apple's App Store or on Google Play.

Read more here.

 

Snowstorms and Power Outages 'Increase Risk of Carbon Monoxide Poisoning'

Medical News Today, April 8

According to the Centers for Disease Control and Prevention, at least 430 people in the U.S. die each year from unintentional, non-fire-related carbon monoxide poisoning. Now, a new study finds that snowstorms and power outages may significantly increase the risk of such poisoning.

The research team, led by Dr. Kelly Johnson-Arbor of the Department of Emergency Medicine at Hartford Hospital, recently published their findings online in The American Journal of Preventive Medicine.

Read more here.

Also reported in the Medical X-Press, April 8: Read more here.

 

Running for her Life at Walt Disney World Marathon Weekend

Hartford Courant, April 10

Kimberly Markey of Kensington, was profiled by Disney for their irunDisney campaign. She was undergoing treatment for breast cancer and ran through this treatment completing the three full marathons, including two World Marathon Marathons and 5 Half Marathons all during chemotherapy treatment.

I've attached a photo of her with Dr. Stacy Nerenstone, medical oncologist at Hartford Hospital, showing off all her medals earned while undergoing breast cancer treatment up until her final chemo "therapy" (Aug. 2013 through Jan. 2014). That's 3 full marathons (including two world majors), 5 half marathons, 1 10-miler, 3 10-k's, 5 5-k's, plus a Dumbo, Goofy, Dopey and a Coast to Coast! (total medal count - 21).

 

In the HHC System

Hi-tech manikin provides training for medical emergencies

Pharmacy Practice News, March issue

A demonstration of a computerized simulation manikin recently gave staff at Jefferson House in Newington, a skilled nursing facility, a first look at the innovative technology that will give them hands-on training in potentially life-saving procedures.

The intensive education on the highly advanced model will provide staff with the experience to evaluate lifelike vital signs, including dilated pupils, pulse, breath rate, body temperature, oxygen saturation and other symptoms that could signal a medical emergency.

This type of manikin is specifically tailored for skilled nursing facility care and will provide essential training for responding to actual medical problems such as cardiac arrest, strokes, severe allergic reactions and airway obstructions.

The computerized simulation manikin — nicknamed “Charlie Jefferson” — and the training program as well as the transport cargo van was funded by a grant from the Jefferson House Institute.

A nurse educator and simulation technician from the Center for Education, Simulation and Innovation at Hartford Hospital will also train skilled nursing care staff at Jerome Home in New Britain and Southington Care Center, two Central Connecticut Senior Health Services skilled nursing facilities.

“The goal is to provide a safe learning environment where staff can learn new techniques for patient care and practice them on the manikin,” said mobile simulation instructor Amanda Watkins.

Read more here.

 

$1m donation boosts new cancer center's fundraising efforts

New Britain Herald, April 1

The Hospital of Central Connecticut Cancer Center, which is under construction and will offer full-service, advanced cancer care to the entire region when it opens in 2015, has received a donation of $1 million from the American Savings Foundation.

The gift will assist the hospital’s $10 million cancer center fundraising drive. The gift will support the construction of the cancer center, which is about halfway complete. The hospital will recognize the donation by naming the second floor of the new building the American Savings Foundation Medical Oncology Pavilion.

Read more here.

 

CT Hospitals Follow Aviation, Nuclear Power in Targeting Errors

CT Mirror, April 8

It was a big deal at John Dempsey Hospital when a housekeeper stopped a doctor from entering a room where a procedure was taking place.

“We presented the housekeeper with a ‘good catch’ award, and balloons, and went up to her and put it in our newsletter,” said Ann Marie Capo, the hospital’s chief quality and patient safety officer.

Because having a person enter a room during a procedure increases the risk of contamination, the hospital had adopted an imperative: If you’re not already in the room during surgery, stay out.

The effort to reduce infections was part of a broader campaign at hospitals across Connecticut to improve patient safety and eliminate medical errors.

Doing so requires developing standardized procedures, examining how patients can fall through the cracks, and acknowledging and learning from mistakes, experts say.

It also requires changing the hierarchical culture that’s long dominated health care, making it acceptable for anyone to speak up on behalf of a patient -- even if it’s a housekeeper who sees a doctor about to do the wrong thing.

To Dr. Setu Vora, medical director of critical care and performance improvement at Backus Hospital in Norwich, focusing on patient safety is an antidote to the many stressors people in health care face as the industry changes. It is a way to give back to providers a sense of purpose.

“This is a whole new safety science,” he said. “Instead of going from the idea that health care is a complex system and stuff happens, [it recognizes] that yes, it’s a complex system, but by adapting certain safer behavior habits, we can minimize the serious safety events.”

The Hartford HealthCare system, which includes Backus, began tracking hand-washing rates through “secret shopper” observations. Then officials showed staff the data. Vora said that alone was enough to make people more likely to wash their hands.

“You show them the data and that changes behavior,” he said.

Read more here.

 

Bradley Memorial Hospital Campus to Close Inpatient Unit

My Record Journal, April 8

The Hospital of Central Connecticut's Bradley Memorial Campus has plans to close its inpatient unit because of a decrease in patients.

In a company-wide message to hospital employees Tuesday, Lucille Janatka, Hartford HealthCare senior vice president, said the hospital is pursuing a Certificate of Need from the state Department of Public Health to close the inpatient unit. The move is “due to a consistent decrease in our inpatient census,” and the certificate will go “toward the inpatient unit's closure at Bradley Campus” Janatka said in the memo.

Town Council Vice Chairwoman Cheryl Lounsbury said she and Town Manager Garry Brumback were in touch with hospital officials last week about the future of the Bradley Memorial Campus.

According to Lounsbury, she said the hospital will not close the emergency room.

“They'll close the inpatient unit so they don't have three or four people in beds, you can't afford to keep that open,” Lounsbury said. “But they will use Bradley and specialize in another kind of medical facility. They've talked about ear, nose and throat, orthopedics, a geriatrics center, but I don't think they've decided what it will be yet.”

It could take up to a year to receive the Certificate of Need approval, Janatka said in the company memo, and until then the campus will “continue to provide staffing and support for up to 15 patients.”

Lounsbury also mentioned that the facility will be upgraded once a decision is made.

“It's not that Bradley is going to close, it's just going to change,” Lounsbury said. “One of the processes of changing is they have to update the structure because it's very old. When they decide what they will specialize in, there will be a lot of updating.”

 

Hartford HealthCare Opens New Family Health Center in Storrs

Hartford Courant, April 10

Hartford HealthCare (HHC) has opened a new Family Health Center in Storrs offering residents primary care, endocrinology, extended hours for urgent care and rehabilitation right in downtown Storrs within the same complex as Starbucks.

The new facility located at 1244 Storrs Road in the Storrs Common Plaza introduces the Hartford HealthCare Medical Group practice for primary and urgent care and endocrinology providers Christina Ortega, MD; Rosemary Maduka, MD; Jill Fuller, APRN; and Megan Lynn, MPH, PA-C.

Rehabilitation offers physical therapy, occupational therapy as well as many specialized therapy services, including: hand therapy, vestibular and sports medicine. Providers for endocrinology are Fadi Al-Khayer, MD, and Stephanie Lennon, APRN.

The new center also includes on-site imaging capabilities and a Clinical Laboratories Partners phlebotomist.

"As part of our strategy to integrate our healthcare services into the communities we serve, we're proud to elevate our presence in the Storrs-Mansfield market. With our new family health center, we're happy to be able to expand access for urgent and primary care needs," says Kent Stahl, MD, medical director and CEO, Hartford HealthCare Medical Group.

Health Care News In the Region

North Adams Regional Hospital To Close

The Boston Globe, March 25

Financially struggling North Adams Regional Hospital, which has treated patients in the rural northwestern corner of Massachusetts for 129 years, will shut its doors March 28.

The move would be the first permanent closing of an acute-care hospital in the state since Waltham Hospital shut down in 2003, though both the Massachusetts Nurses Association and the Service Employees International Union said they will fight the move.

North Adams Regional Hospital, the largest employer in the small city, will idle about 530 full-time and part-time employees at the hospital and its affiliates. The closing would leave the northern Berkshire County communities of Adams, Cheshire, Clarksburg, Drury, Florida, Lanesborough, North Adams, Savoy, and Williamstown without a community hospital for the first time in more than a century, forcing residents to seek health care elsewhere.

Read more here.

 

Bristol Hospital Team Focuses on Joint Replacements

UConn Daily Campus, March 25

For the first time in its 92-year-history, Bristol Hospital will have a team of doctors devoted solely to performing knee replacements, hip replacements and total joint replacement surgeries.

On Sept. 3, the hospital brought in Dr. David A. Rubins and a team of eight to lead the hospital’s efforts in joint replacements and orthopedics.

Rubins, an Essex resident who most recently had his own practice in Middletown, has more than 20 years of experience in the field. Rubins said it’s important for Bristol-area residents to have a hospital nearby where they can go for the specialized treatment.

Read more here.

 

OP ED: For-Profit Hospitals Offer Advantages

Hartford Courant, March 28

The resistance to for-profit hospitals in Connecticut reveals a degree of naivete about legal and financial realities that our political leadership ignores at the peril of the state's health care system. Our leaders should promote nonprofit/for-profit hospital conversions and affiliations because they are a prudent strategic lifeline for many of our hospitals and hospital systems.

Read more here.

 

OP-ED: Why Telemonitoring Makes Sense For CT's Chronically Ill

CT Mirror, April 2

Under the Affordable Care Act, Connecticut’s hospitals must reduce re-admissions that happen within 30 days of patient discharge. The focus is on those with heart, pulmonary and other chronic conditions. How can we accomplish this for chronically ill patients who receive home-based health care? By supporting advanced in-home telemonitoring services under our state’s private insurance plans, Medicare and Medicaid programs.

Read more here.

 

Hospital Day: Contingent From City Meets With Legislature to Support Hospital Merger

The Bristol Press, April 3

Community leaders went to Hartford Wednesday to voice their support for Tenet Healthcare’s proposed purchase of Bristol Hospital.

In a letter Wednesday to Gov. Dannel Malloy and members of the Connecticut General Assembly, James Albert, president and CEO of the Central Connecticut Chambers of Commerce, said the acquisition is the best way to ensure Bristol Hospital remains viable.

Albert among a group of 13 from Bristol who traveled to Hartford on Wednesday for “Hospital Day,” an annual event that draws hospital officials and workers from across the state to the Capitol to meet with lawmakers and air their concerns.

Read more here.

 

St. Francis Cutting Pediatric Staff

Hartford Courant, April 8

St. Francis Hospital and Medical Center is reducing the staff at its pediatric and adolescent clinic, citing a decline in patient visits.

Advocates for children said it's important that the reduction not limit children's access to quality health care in north Hartford and beyond.

The center, at 1000 Asylum Ave., has been a provider of primary care for children age birth to 17 for more than 30 years.

Five thousand patients visited the clinic 12,500 times last year. The hospital said this represents a decline, but did not provide figures for previous years. An August 2012 story by the Connecticut Health Investigative Team said the St. Francis clinic had averaged about 17,000 patient visits annually.

 

Health System Names Dr. Robert Siegel Oncology Program Director

Greenville (SC) Business, April 11

Bon Secours St. Francis Health System (Greenvielle, SC) appointed Dr. Robert Siegel as medical director of its oncology program.

Siegel served as a physician in Oncology Associates P.C. in Hartford, Conn., for the past 23 years and provided leadership as the medical director of Hartford Hospital's Cancer Clinical Research Office.

“It took a lot to pry me away from my current position, but what I saw at St. Francis was a committed group of physicians, administrators and support staff that have developed an exceptional cancer care program,” said Siegel. “I am energized by the enthusiasm and passion that this team has for delivering high-quality cancer care, and I look forward to working with them to expand the program.”

Hot Topics in Health Care

Congress Approves Bill To Avert Medicare Pay Cut For Doctors

Reuters, March 31

The U.S. Senate gave final congressional approval on Monday to legislation to avert a pay cut for doctors who participate in the Medicare insurance program for the elderly and disabled.

By a vote of 64-35, the Democratic-led Senate sent the measure, approved last week by the Republican-led House of Representatives, to President Barack Obama to sign into law.

The bill would give doctors a one-year reprieve from a 24 percent cut set to kick in this week under the Medicare payment formula, known as the Sustainable Growth Rate, or SGR.

It marked the 17th time Congress had agreed to a temporary "doc fix" rather than agreeing to a permanent bipartisan replacement of the 1997 funding formula.

The payments affect doctors treating patients under Medicare, which pays for healthcare for nearly 51 million people in the United States who are 65 and older or disabled.

Republican and Democratic lawmakers approved the "doc fix," knowing that failure to do so would risk prompting doctors to drop out of the program, leaving patients without care.

Read more here.

 

Mental Health Groups Split on Bill to Overhaul Care

The New York Times, April 2

Lawmakers, patient advocates and the millions of Americans living with a psychiatric diagnosis agree that the nation’s mental health care system is broken, and on Thursday, Congress will hear testimony on the most ambitious overhaul plan in decades, a bill that has already stirred longstanding divisions in mental health circles.

The prospects for the bill, proposed by Representative Tim Murphy, Republican of Pennsylvania, are uncertain, experts say, given partisanship in both the House and the Senate and the sheer complexity of the mental health system. And its backing of the expanded use of involuntary outpatient treatment has drawn opposition from some advocacy groups.

Read more here.

 

Cigna Expands Collaborative Care To Small Groups, Hospitals, Specialists

Hartford Courant, April 4

Cigna Corp. is changing the way it funds medical care for small physician groups, hospitals and specialists, building on a model it brought to large physician groups in 2008.

The traditional fee-for-service model is still widely used, though health insurers have worked for years to change the way they pay for their customers’ medical services. Health insurers are increasingly moving to a collaborative care model, in which clinicians are paid to lower overall medical costs and improve patient care.

The goal is to “work with health care professionals to move away from a reimbursement that rewarded volume to one that rewarded outcomes. … And those outcomes are measured on the basis of quality, affordability and patient experience,” said Raegan Armata, a Cigna product director who has been leading the company’s collaborative care efforts.

Read more here.

 

Sebelius Resigns After Troubles Over Health Site

The New York Times, April 10

Kathleen Sebelius, the health and human services secretary, is resigning, ending a stormy five-year tenure marred by the disastrous rollout of President Obama’s signature legislative achievement, the Affordable Care Act.

Mr. Obama accepted Ms. Sebelius’s resignation this week, and on Friday morning, he will nominate Sylvia Mathews Burwell, the director of the Office of Management and Budget, to replace her, officials said.

The departure comes as the Obama administration tries to move beyond its early stumbles in carrying out the law, convince a still-skeptical public of its lasting benefits, and help Democratic incumbents, who face blistering attack ads after supporting the legislation, survive the midterm elections this fall.

Read more here.

Coming Events

April 23 (Wednesday)

Schwartz Center Rounds

We’ve all had them:  Patients and families who need things that are out of the ordinary, from babysitting to weddings to a visit from a favorite pet raccoon, we all have stories.  Whether we could meet those requests or not, we would love to hear about them at our next Schwartz Rounds, called "To Meet or Not to Meet:  When a Patient’s Expectation Appears Beyond Advanced."

Schwartz Rounds will be held on Wednesday, April 23 from 11:30 a.m. to 12:45 p.m. in Gilman Auditorium.

If you have a story about an over the top patient or family request, email Evan Fox or Kathy Burns.  We would love to hear from as many of you as possible.   We hope this will start off some discussion on meeting patient’s expectations.  This is a great Rounds to bring your staff/volunteers. 

All nurses, staff, physicians, volunteers and students are welcome.  No need to RSVP and please join us for lunch. Call Kathy Burns, RN at ext. 5-5712 with any questions. 

Schwartz Center Rounds is a forum where staff get together to discuss a common theme in healthcare. They have always been a safe place to share the joys and challenges in patient care. All staff/volunteers/physicians are encouraged to share their experience.  

 

May 6 (Tuesday)

High Reliability Training Session for Physicians

JB-118, 6:45-8:15 a.m.

 

May 7 (Wednesday)

High Reliability Training Session for Physicians

JB-118, 5:30-7 p.m.

 

May 13 (Tuesday)

Kidney Stones Seminar

Glastonbury Pond House Grill, 5:30 p.m.

Hartford Hospital’s Tallwood Urology & Kidney Cancer Institute is providing free educational seminars for primary care providers. Each session will provide 2 CMEs and dinner. They will be held from 5:30-8:30 p.m., at the Glastonbury Pond House Grill. Advance registration is required; contact the Health Referral Service at 860-545-1888. For more information, contact Jan Ruderman at 860-817-5300.

Speakers: Drs. Jeffrey Morgenstern and  Jarrod Post.The session will focus on the identification and management of stone disease as well as the role of the PCP, urologist and nephrologist in caring for patients with kidney stones.

 

May 22 (Thursday)

The Board of Directors and Medical Staff Spring Event

Heublein Hall at the ERC, 6 p.m.

A cocktail hour begins at 6 p.m. The awards ceremony will begin at 7 p.m.This year we will present five awards: the Physician in Philanthropy Award; the Distinguished Service Award; the David Hull, MD, Young Practitioner Award; the John K. Springer Humanitarian Award; and the Quality and Safety Award.

 

May 30 (Friday)

Stroke Center Presents Spontaneous Intracerebral Hemorrhage Symposium

Heublein Hall at the ERC, 7 a.m.-4:30 p.m.

Hartford Hospital's Stroke Center presents a one-day symposium called Spontaneous Intracerebral Hemorrhage: Are We Making An Impact on Outcome? on Friday, May 30 from 7 a.m. to 4:30 p.m. in Heublein Hall.

It is designed to update generalists and specialists alike on state-of-the-art treatments that are now a part of mainstream care.

The visiting professor lecture on New Clinical Trials for ICH will be delivered by Dr. Daniel Hanley from Johns Hopkins University.

Speakers will be Hartford Hospital Drs. Lauren Sansing, Catherine Hosley, Isaac Silverman, Robert Brown and Martin Ollenschleger, and Dr. Sanjay Mittal from UConn Health Center.

For more information or registration, please visit www.harthosp.org/event/607

 

June 3 (Tuesday)

High Reliability Training Session for Physicians

JB-118, 6:45-8:15 a.m.

 

June 4 (Wednesday)

High Reliability Training Session for Physicians

JB-118, 5:30-7 p.m.

 

June 4 (Wednesday)

Pelvic Health Seminar

Glastonbury Pond House Grill, 5:30 p.m.

Hartford Hospital’s Tallwood Urology & Kidney Cancer Institute is providing free educational seminars for primary care providers. Each session will provide 2 CMEs and dinner. They will be held from 5:30-8:30 p.m., at the Glastonbury Pond House Grill. Advance registration is required; contact the Health Referral Service at 860-545-1888. For more information, contact Jan Ruderman at 860-817-5300.

Speakers: Drs. Richard Kershen, Adam Steinberg, Jill Peters-Gee and physical therapist Stacey Head. The session will focus on the role of the Primary Care Provider in identifying and managing: overactive bladder, urinary tract infections, and hematuria. A physical therapist will also provide an overview of the role of physical therapy in patients with pelvic health dysfunction.

 

June 20 (Friday)

3rd Annual Medical Staff Chef to Farm Dinner

Rosedale Farms, Simsbury

You and your guest are invited to join the Officers and other members of the Hartford Hospital Medical Staff for this special evening – celebrating the beauty and abundant bounty of our local farms – as a unique opportunity for members of the Medical Staff to socialize and enjoy each other’s company. Rosedale Farms, 25 East Weatogue Street, Simsbury. $100 per person.

 

July 8 (Tuesday)

High Reliability Training Session for Physicians

JB-118, 6:45-8:15 a.m.

 

July 9 (Wednesday)

High Reliability Training Session for Physicians

JB-118, 5:30-7 p.m.

 

August 13 (Wednesday)

High Reliability Training Session for Physicians

JB-118, 6:45-8:15 a.m.

 

August 14 (Thursday)

High Reliability Training Session for Physicians

JB-118, 5:30-7 p.m.

 

 

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 www.harthosp.org/SSJ. 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. Stacy Nerenstone, Medical Staff president, at (860) 545-3043.