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Transcript of Hospital Newspaper
Hospital News & Sun Home Loans Team to Launch Mortgage Program
See page 4
Win aniPad!
HOSPITALH NEWSPAPER
The New England Edition
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www.hospitalnewspapeR.com home subscRiption - $18/yeaR NOV/DEC 2012
Miracles of Rehab
See p10
See p19
Looking for the right employee?
Join our Career Guide!
Online…
Miracles of Rehab stories pages 12-14, 16, 18
Orthopaedic Surgeons recognize the benefits of “Prehab”
Fairlawn Rehabilitation Hospitalnamed Hospital of the Year
PAGE 2 Nov/Dec 2012 Hospital Newspaper - NE
Enjoy gracious, independent living inour intimate retirement community.
73 Oenoke Ridge • New Canaan203.594.5450www.waveny.org
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Convenient access to Waveny Care Network’s continuum of eldercare
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Trusted therapeutic care for memory loss is right around the corner.
&LONG TERM CARESHORT RESPITE STAYS
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No other company reinvests substantial revenues for research, professional development, and education like EMA:
� Leaders in Emergency Medicine research,academics and organizations
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Hospital Newspaper - NE Nov/Dec 2012 Page 3
PAGE 4 Nov/Dec 2012 Hospital Newspaper - NE
Hospital News and Sun Home Loans have
joined forces to bring the emergency services com-
munity an unprecedented mortgage opportunity:
The Sun Home Loans Hospital Employee Loan
Program (H.E.L.P.).
Whether purchasing a new home or refinancing
an existing one, the Sun Home Loans H.E.L.P. in-
tiative will be offered to members of the hospital
community and their families. The unique pro-
gram provides discounted mortgage rates designed
for hospital employees and pre-qualifications to
shop for your next home. In addition, there are
many more benefits available to the emergency
services community through this program – in-
cluding a complimentary evaluation of your par-
ticular financial situation, and credit repair if
needed. You may take advantage of these other
products and services, though they are offered sep-
arately from the H.E.L.P.
“We are proud to work with Sun Home Loans
to create the Hospital Employee Loan Program,”
said Joe Belsito, Publisher of Hospital News.
“Members of the hospital community are part of
the core fabric of our country and putting together
such a unique and value-added program for them
to benefit from when buying a new home is a great
way for us to leverage our newspapers’ brand to
communicate it.”
Added Steve Testa, Vice President Regional
Sales Manager of Sun Home Loans: “We worked
extremely hard to put together incentives for the
hospital community. We are confident that those
who are currently in the market for a mortgage will
discover that the Sun Home Loans Hospital Em-
ployee Loan Program exceeds what they are able
to find elsewhere in the marketplace.”
Sun Home Loans, a division of Sun National
Bank, and Hospital Newspaper are both proud to
serve the hospital community, who dedicate their
lives serving the rest of us. Clients enjoy un-
matched customer service and attentiveness
throughout the process – from their initial inquiry
– to closing. However, after closing, the staff is
there to address other financial needs.
Working with its own resources and Federal
government programs, Sun National Bank devel-
ops solutions that open the path to home owner-
ship. Sun National Bank provides a full-range of
banking products and services, delivered by ex-
perienced bankers. Personal attention merges with
world-class service and competitive products that
meet the needs of today’s consumers and busi-
nesses. Sun National Bank believes that doing
business in the community means being a part of
it.
To receive more information about the program
and its benefits, Sun Home Loans has established
a direct telephone number exclusively for members
of the hospital community call 1-973-805-4156.
When you call you will speak to a live program
specialist who will discuss your needs and explain
how the Sun Home Loans Hospital Employee
Loan Program can H.E.L.P. You.
Sun Home Loans and Hospital Newspaper are
not affiliated. All loans are subject to approval.
Certain conditions and fees may apply. Mortgage
financing provided by Sun Home Loans, a division
of Sun National Bank, N.A. Equal Housing Lender.
Other Products and services are not banking prod-
ucts, not FDIC insured, may lose value, and are not
a condition of credit or any banking product or
service offerings. You may inquire about these
additional services when you apply.
www.sunnb.com
Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender. NMLS #429900
Sun Home Loans, a division of Sun National Bank,
is proud to serve the heroes in our community
who dedicate their lives to serving the rest of us:
doctors, nurses and other hospital employees.
That is why we teamed up with Hospital News to
create the Hospital Employee Loan Program (HELP).
With a competitive mortgage rate and discounted
fees, this program helps our community heroes
purchase new homes or refinance existing homes.
Plus, the program comes with our pledge to get
hospital employees in their new homes by their
contract dates.
Hospital Employee Loan Program
PROGRAM INFORMATION
We understand that the current economic environment has created
challenges to home ownership. Working with our own resources and
Federal government programs we will create a solution that opens
the path to home ownership.
The Hospital Employee Loan Program delivers these advantages:
» A competitive mortgage rate, available specifically for
hospital employees
» Discounted fees
» Personal service from program specialists
» Our pledge to have you in your home by the contract date
COMMUNITY FOCUS
Sun National Bank, a full-service provider of banking products and
services, is dedicated to playing an active part in the communities
we serve. We support a variety of organizations, events and programs
whose goals are to make our neighborhoods a better place to live and
work and improve the lives of those living around us. Hospital News is
the leading provider of local news and information for doctors, nurses
and other hospital staff.
Learn MoreTo find out more about our Hospital Employee Loan Program, email [email protected] or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.
Hospital News and Sun Home Loans Team to Launch Mortgage Program
Win an iPad!If you are a member of the hospital community, now is your chance to enter
Sun Home Loans and Hospital Newspaper's contest to win a free iPad.
Just to go our website at www.hospitalnewspaper.com and fill in the entry form.
Once you complete it, you will receive an email that requires you to confirm your
email address. Once you do that you are entered. Hospital Newspaper will also
be accepting applications at all conventions that it attends. A total of Five iPads will
be given away so your chances to win are excellent. Sign up today to win today!
Hospital Newspaper - NE Nov/Dec 2012 PAGE 5
PREHAB: Sometimes exceptional healthcare is FREE! Complimentary prehab program provided to patients who prebook their post-operative stay with Touchpoints.
Call today to learn more!
860.812.0788Touchpointsrehab.com
Locations
Bloomfield • E. Windsor • Farmington • Manchester
Ask about
our Free
PREHAB program!
During Prehab, we perform comprehensive muscular-skeletal and biomechanical assessments
to establish pre and post-surgery interventions and provide valid information for functional
outcome measures. Prehab offers your patients the opportunity to:
• Experience less post-operative pain
• Achieve desired range of motion goals earlier in the recovery process
• Gain confidence with their new joint
• Get home faster, better, and ready to return to what's important to them
PAGE 6 Nov/Dec 2012 Hospital Newspaper - NE
company Page
AdCare Hospital 26, 33
Brain Injury Association of MA 27
Braintree Rehabilitation Hospital 15
Candlewood Valley Health & Rehab 13
Charter Oak College 39
Constellation Home Care 27
Coverys 25
EMA 3
Fairlawn Rehabilitation Hospital 19
Gaylord Hospital 17
GNYHA Services 9
Hospital for Special Care 40
Jewish Geriatric Services 21
Keystone Financial Services 20
MedExcel 7
Metro West Medical Billing 29
NorthWest Seminars 31
Northeastern 35
Resource Directory 36
Salmon Family & Retirement 11
Seven Hills Pediatric Center 23
Shrewsbury Children’s Center 34
Shrewsbury Nursing & Rehab Center 21
Sun Home Loans 4
UMass Lowell 37
Touchpoints 5
Waveny Care Network 2
845-534-7500 • (fax) 845-534-0055
HOSPITALNEWSPAPERH
ADVERTISER INDEX
CORPORATE INFORMATION
Hospital Newspaper - New England edition - Vol. 9 No. 6 -is published 6 times a year for $18 per year by BelsitoCommunications, Inc., 1 Ardmore Street, New Windsor,NY 12553. Postage Paid at New Windsor, NY and addi-tional mailing offices. Postmaster: Send address changesto Hospital Newspaper, 1 Ardmore Street, New Windsor,NY, 12553. No financial responsibility is assumed by thisnewspaper to publish a display, classified, or legal ad or fortypographical errors except of reprinting that part of the adwhich was omitted or in error. Omissions or errors mustbe brought to the attention of the newspaper during thesame month of publication.
845-534-7500 • (fax) 845-534-0055
PAGE 6 January, 2009 Healthcare Newspaper - Westchester
CORPORATE INFORMATION
Healthcare Newspaper - Westchester, New York edition -Vol. 2 No. 1 - is published monthly, 12 times a year for$36 per year by Belsito Communications, Inc., 1 ArdmoreStreet, New Windsor, NY 12553. Postage Paid at NewWindsor, NY and additional mailing offices. Postmaster:Send address changes to Healthcare Newspaper, 1 Ardmore Street, New Windsor, NY, 12553. No financialresponsibility is assumed by this newspaper to publish a dis-play, classified, or legal ad or for typographical errors exceptof reprinting that part of the ad which was omitted or in error.Omissions or errors must be brought to the attention of thenewspaper during the same month of publication.
845-534-7500 • (fax) [email protected]
Company Page
Classifieds 28
A&T Healthcare 19
Barksdale Home Care 14
Executive Park Physical Therapy 32
Fast Forward Marketing 1
Hudson Valley Radiology Associates 31
Keystone Financial Services 5
Medco 30
MedExcel 3
North Broadway Chiropractic 7
Points Medical 4
Public Safety Ad 27
Resource Directory 29
Silverman Ctr for Gender Selection 8
Spine Care 9
Team Health 13
Upright Imaging 2
Westchester Spinal Decompression Ctr 11
845-534-7500 • (fax) [email protected]
PUBLISHERJoseph P. Belsito
([email protected])• • •
GENERAL MANAGERJames Stankiewicz
([email protected])• • •
MANAGING EDITORCathryn Burak
([email protected])• • •
SENIOR CORRESPONDENTGeraldine A. Collier
• • •SENIOR SALES CONSULTANTMaureen Rafferty Linell
([email protected])• • •
CIRCULATIONHeather Pillsworth
• • •CORRESPONDENTS
Lisa Winn
ADVERTISER INDEX
Amount enclosed: ________________
Name: _______________________________________________________ Telephone: ( ) ______________- __________________
Address: ________________________________________________________________________________________________________
City: ____________________________________________ State:________________________ Zip:_____________________________
___ $36 for one year of Healthcare Newspaper delivered to your HOME OR OFFICE!
___ $60 for a two year subscription. Save over 17% off regular price!
__ Check__ Money Order __ Charge my Visa
Card #: ________________________________________________________________________________________
Exp.: ____________________________________________________________________________________________
Signature: ______________________________________________________________________________________For Credit Card Orders:
fax this form to 845-534-0055
Send payment to: Healthcare Newspaper 1 Ardmore StreetNew Windsor, NY 12553
PAYMENT METHOD__ Charge my Discover Card __ Charge my Mastercard __ Charge my American Express
Don’t miss out on your personal copy of Healthcare Newspaper
THE DEFINITIVE SOURCE OF LOCAL HEALTHCARE NEWS AND INFORMATIONHEALTHCARE NEWSPAPERWESTCHESTER COUNTY
THE DEFINITIVE SOURCE OF LOCAL HEALTHCARE NEWS AND INFORMATIONHEALTHCARE NEWSPAPERWESTCHESTER COUNTY
OUR VIEW
Deck the Halls in this economy?
By Jim StankiewiczGeneral Manager
In a most challenging year most people are poised to cut back on traditionalholiday expenditures.I was recalling some memories growing up when things seemed very tightand our family seemed to almost become closer. One such year when I wasabout 11 years old I joined my three sisters and brother in the downstairs areaof our home in Newburgh. We made Christmas tree decorations out of con-struction paper and glitter and my Mom popped a bunch of popcorn and wespray painted string of popcorn gold for garland. When I look back it was oneof the most memorable Christmases we shared. There was spirit of beingtogether.This was when I realized it wasn't about what gifts we received or who hadthe best light show on the block. It really is about spending quality time withpeople you love. It's about helping others less fortunate then your self.With the events of this year you can't help think that there is a new opportu-nity to enjoy the basics. Are there seniors who need a little attention? What canwe do for those hospitalized around the holidays? What can we do for thetroops risking their lives at holidays for our freedom?I want to thank all of our loyal customers for their support in 2008. I wish allof our readers a very memorable and meaningful holiday season!
A division of:
PUBLISHERJoseph P. Belsito
• • •GENERAL MANAGER
James Stankiewicz([email protected])
• • •MANAGING EDITOR
Cathryn Burak([email protected])
• • •MARkETING ASSOcIATE
Katie Rider ([email protected])
• • •SENIOR cORRESPONDENT
Geraldine A. Collier• • •
SENIOR SALES cONSULTANT
Maureen Rafferty Linell([email protected])
• • •MARkETING EXEcUTIVE
Anthony Mairo([email protected])
• • •cIRcULATION
Michelle Belsito(845-534-7500 x220)
• • •SENIOR cORRESPONDENTS
Brendan Coyne
John Jordan
Lisa Winn
HOSPITALNEWSPAPERH
Amount enclosed: ________________
Name: __________________________________________________________________________________________________________________
Telephone: ( ) _________________ - ______________________ Fax: ( ) _________________ - ______________________
Address: ________________________________________________________________________________________________________________
City: ___________________________________________________ State:___________________________ Zip:_______________________
___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!
___ $60 for a two year subscription. Save over 17% off regular price!
___ NE ___ $18 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!
___ $25 for a two year subscription. Save over 17% off regular price!
For Credit Card Orders:
fax this form to 845-534-0055 or call
Michelle at 845-534-7500 ext 220
Send payment to:
Hospital Newspaper 1 Ardmore Street
New Windsor, NY 12553
Subscription Form
Card #: ________________________________________________________________________________________
Exp.: ____________________________________________________________________________________________
Signature: ______________________________________________________________________________________
PAyMEnt MEthOD
__ Check
__ Money Order
__ Charge my Visa
__ Charge my Discover Card
__ Charge my Mastercard
__ Charge my American Express
Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form
LETTER TO THE EDITOR
Please share your letters and stories with us: [email protected]
Jim can be reached at 845-534-7500 ext. 219 and via email at [email protected].
Waveny thanks staff throughout SandyOn behalf of our board of directors, management team, and the patients, residents and clients whom we
serve, we wish to extend our deepest thanks to Waveny Care Network’s entire staff for their dedication and
tireless work throughout the recent hurricane and following days.
Despite severe weather conditions, rampant household power outages and looming uncertainty surrounding
personal circumstances, our staff not only reported for duty, but went above and beyond – many staying over
at Waveny for multiple days to assist with ongoing shift work and patient/resident needs. Cross departmental
assistance was readily volunteered, greatly appreciated, and allowed us to continue to meet the needs and
exceed the expectations of all whom we serve.
Thanks to their unfailing spirit of teamwork and determination to help assist our the community, our
staff at Waveny Care Center, The Village and New Canaan Inn all helped to accommodate numerous
visitors and overnight guests in emergency situations, while our Adult Day Program, Care Managers
and Home Healthcare professionals continued to provide invaluable support for caregivers throughout
the community.
In the wake of Sandy, we thank our staff profusely and sincerely. Thank you for all you have done and all
that you continue to do. We are so very fortunate to be able to count on each and every one of you.
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See p10
See p19
Looking for the right employee?����������������������
Online…
Miracles of Rehab stories pages 12-14, 16, 18
Orthopaedic Surgeons recognize the benefits of “Prehab”Fairlawn Rehabilitation Hospitalnamed Hospital of the Year
Hospital Newspaper - NE Nov/Dec 2012 Page 7
PAGE 8 Nov/Dec 2012 Hospital Newspaper - NE
Keeping up with the latest technological advances is standard operating procedure when trying to provide the bestquality care. With its increasingly critical role in patient diagnosis and treatment, imaging serves as the nucleus of many21st century hospitals. However, maintaining such cutting-edge technology as CTs, MRIs, and PET scans—and staff whoknow how to use it—presents financial, logistical, and administrative challenges in a time of limited healthcare resources.
Given decreasing capital budgets and reimbursement prospects, imaging equipment, with its million-dollar-plus pricetag, can easily get singled out for cost-saving initiatives. The high use of this evolving technology (95 million times ayear), the increased use by non-radiologists—orthopedists, cardiologists, and others—coupled with the uptick inprospective imaging patients prompted by aging baby boomers—makes imaging a logical target for hospitals that needto cut costs.
Additionally, reimbursement changes have prompted shifts in the imaging market. After the Deficit Reduction Act of 2005,many freestanding imaging centers closed or consolidated with hospitals, thereby boosting the demand on hospitals.Therefore, investments in imaging need to be performance-driven. Will these investments augment patient volume?Improve workflow? Increase hospital productivity?
More and more, hospitals are relying on group purchasing organization (GPO) resources to help navigate the complex$100 billion imaging industry and to assess their institution’s technology needs. GPOs have industry and technologyexpertise. Their ability to research the market, evaluate potential and present equipment performance with evidence-based data, and negotiate the best contracts for purchases—which may include creative elements such as paymentdeferment and group buys—can offer fiscally conscious hospital imaging departments essential support in theirpurchasing decision making.
Your GPO’s imaging expert can also help hospitals stay current on the industry’s latest use guidelines, which arefrequently shifting given the lack of national standards for issues such as radiation dose management and patient safety.The healthcare community is under a great deal of scrutiny from the FDA, Congress, and the public about the safety ofradiation delivery. GPOs can also be an essential source of valuable information. GNYHA Services’ imaging expert,Michelle Pollack, regularly educates our membership about important patient safety campaigns, like the American Collegeof Radiology’s National Radiology Data Registry and the cross-organizational Image Wisely initiative to raise awarenessabout dosing. Our partners at Premier have drafted two reports in the past 14 months on the appropriate use of imaging,including examinations of cost-benefit analysis and radiation risk versus reward.
By providing access to portfolio contracts, including training and maintenance programs, actively engaging your institution’simaging professionals and other hospital staff in the equipment selection and implementation process, and providingopportunities for discussions on education, regulation, and other initiatives, your GPO can be a great partner in assessingand developing your organization’s imaging needs while simultaneously enhancing the image of your organization.
Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New
York Hospital Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care
group purchasing organization, and Nexera, Inc., a healthcare consulting firm. He is also Chair-Elect of AHRMM, the
AHA’s premier membership group for healthcare supply chain professionals.
Hospitals seeking more information about maximizing their investment in imaging technology should contact GNYHA
Services’ Michelle Pollack, RN, at [email protected].
Ask An ExpertAsk An Expert
Christopher J. O’ConnorExecutive Vice President, GNYHA Ventures, Inc.,
President, GNYHA Services, Inc. and President, Nexera, Inc.
Maintaining the Right Image—Hospitals and Medical Imaging Technology
Hospital Newspaper - NE Nov/Dec 2012 Page 9
555 West 57th St. I New York, NY 10019
�e GNYHA Services best-in-class contract portfolio o�ers health systems high-quality, low cost options to meet their every purchasing need.
Hospitals interested in securing even more savings can take advantage of our many strategic supply chain solutions, which can be modi�ed to meet each
organization’s unique needs and produce long-lasting and meaningful results.
‘Tis the season of savings. Call GNYHA Services today at (212) 246-7100.
gnyhaservices.com
WHAT WILL BE YOUR NEW YEAR’S RESOLUTION?RESOLVE TO SAVE WITH GNYHA SERVICES.
PAGE 10 Nov/Dec 2012 Hospital Newspaper - NE
Total joint replacement is one of the most successful surgical procedures in modern medicine and the majority of the hundreds of thousands
of patients annually undergoing joint replacement surgery can expect dramatic improvements in their function and quality of life. Rehabilitation
and therapy after surgery is an integral part of the recovery, not only to recover from the surgery but also to regain muscle strength and range of
motion lost in the months and years of arthritis preceding surgery.
One of the biggest limitations that remains at this point of regaining actual strength and motion that has been lost due to atrophy. The replaced
joint usually allows full weight bearing immediately, but it is the lack of muscle strength that constitutes the principle need for prolonged and
diligent exercise to regain function.
Given that regaining strength and motion lost prior to surgery remains the largest hurdle in expediting recovery after surgery, many surgeons
have begun to recognize the benefits of “PREHAB” before surgery. The concept of “prehab” is not new, over time it has been embraced by more
and more surgeons and patients. The earlier a patient can start the better.
Other benefits of “prehab” include a better understanding on the patient’s part of what is expected of them post-operatively, particularly for the knee replacement patients who
typically require more diligent physical therapy than hip replacement patients. Additionally, patients can establish a relationship with their physical therapist- who will be spending
significant more time with them in the weeks after surgery than the surgeon – which facilitates the post-operative rehabilitation. They are more likely to be compliant with the
regime if they have worked with their therapist preoperatively.
In my practice, I have definitely found the patients benefit from preoperative therapy - “prehab” when they have the financial means to go and/or an insurance company that
recognizes the value of prehab. Given that outcomes appear improved, accountable care organizations and healthcare systems that provide bundled care will probably begin to
utilize prehab as well. In the future it is likely that this will continue to grow in recognized importance to the point that it may become the norm for patients to participate in prehab
before joint replacement surgery.
Kim Wanegar-Nation, PT, Subacute Care Coordinator
As a Physical therapist with over 34 years experience providing care at Touchpoints,
a sub acute/post hospital setting, I have had the pleasure to working with many total
joint replacement patients and their surgeons. What stands out most for me with
these patients are the factors that affect their recovery time and regaining of function.
I have found a common factor has been our “Prehab.” Touchpoints “Prehab” program
is unique. In collaboration with surgeon, the patient receives a complimentary/free total
body assessment with a Physical therapist. We identify patient specific issues that impact
post op recovery such as compensatory habits in joint/ muscle /soft tissue and inefficient
movement patterns and pain. These issues do not automatically resolve with the
new joint.
In average, our Prehab total knee replacement patients gain range of motion of
0-100 + flexion. 90% are discharged to home within 5 – 7 days able to ambulate safely
and efficiently with a cane. The benefits to our total hip patients are they have fewer
postural and biomechanical issues which allow muscle strength recovery to be
much faster. We also find their compliance and integration of the post op precautions
is improved.
Dr.Vipul Dua, Board Certified OrthopedicSurgeon, specializing in hip and knee replacement. S. Windsor, CT.
A good indicator of the anticipated post total joint
replacement result is what they are able to do before
surgery. In any age patient, mobility, flexibility and
strength before surgery will be reliable indicator to
result. A course of patient specific pre-habiliation
such as the prehab program at Touchpoints, can sig-
nificantly improve flexibility, strength and general
mobility thus having a better general post –operative
result and shorter overall post –operative rehab time.
Feedback about Touchpoints Prehab and sub acute rehab program:
Terry Curtis, “I was in so much pain before my surgery that I was not able to go to my grandson’s ball games or do my basic day to day
activities. I went to Touchpoints to check out their rehab unit but also to take advantage of the free total body assessment with one of their
Physical Therapists. It was the best thing I ever did!! In just a couple of sessions I was pain free. It made my time before surgery more
productive and enjoyable. I did my post op rehab with Touchpoints. I was amazed how quickly my knee gained motion and strength.
In only 6 days I was walking with a cane and stairs were no problem! I had total knee replacement on my other knee a few years ago…
but my previous recovery was nothing like this one. Everything took so much longer. This time, even after I went home, my therapist
continued to check in with me to make sure I stayed on track. Prebook and Prehab at Touchpoints, you will not regret it”
Orthopaedic Surgeons recognize the benefits of “Prehab”
Robert Edward Kennon, MDBoard Certified Orthopaedic Surgeon, specializing in hip and knee replacement surgery.In demand speaker and educator.Orthopaedics of New England, PC Waterbury, CT
CJRI, the Connecticut Joint Replacement Institute, St. Francis Hospital, Hartford, CT
Hospital Newspaper - NE Nov/Dec 2012 Page 11
IT’S A PROMISE THE SALMON FAMILY HAS BEENFULFILLING AT BEAUMONT FOR THREE GENERATIONS.
800-446-8060
WE SPECIALIZE IN
COMPLEX MEDICAL AND
POST-SURGICAL CARE IN A
WARM, PATIENT-CENTERED
ENVIRONMENT:
• Orthopedic Recovery
• NeurologicalRehabilitation
• Amputation & Prosthetic Care
• Skin/Wound Management
• Cardiac & PulmonaryRecovery
• Palliative Care
• Oncology Management
• Pain Management
• Diabetic Management
• Enterostomal Care
Unparalleled Care.Unparalleled Caring.
Five decades, one philosophy...
NATICK � NORTHBOROUGH � NORTHBRIDGE � WESTBOROUGH � WORCESTER
If you’d like to reach the health and hospital communities of New England each month,
there is no more cost-effective way than the Hospital Newspaper.
Call Maureen Linell to place your advertisement: 508-869-6201
Gary Davis, Licensed Social
Worker and Director of SALMON
Health and Retirement’s Tapestry
Program, recently became a Certi-
fied Dementia Care Manger
(CDCM). The certification quali-
fies Davis to teach the National
Council of Certified Dementia
Practitioner’s Alzheimer’s disease
and dementia curriculum.
SALMON’s Tapestry Program
is described as an innovative pro-
gram for seniors with memory im-
pairment and was established in
1997. The program has been im-
plemented at the company’s three
Whitney Place Assisted Living
Residences and five Beaumont
Rehabilitation and Skilled Nursing
Centers in Central Massachusetts.
SALMON has been offering de-
mentia training to their staff for well
over 30 years. “All of our employees
are given dementia education when
first hired which explains core con-
cepts and gives them a well-rounded
feel for the disease and its effect on
our clients,” says Davis. “In addition,
we require staff working directly
with dementia residents to attend an-
other eight hours of training. Now,
we can offer even more education,
with this additional certification al-
lowing me to train staff to be Certi-
fied Dementia Practitioners.”
According to NCCDP, a staff
member who becomes a Certified
Dementia Practitioner (CDP)
“shows a level of dedication and
commitment to not only furthering
their education, but the value their
company places on education,
their commitment to the healthcare
industry and dementia patients.”
Davis will offer public training
for dementia care professionals in
March on SALMON’s Northbor-
ough campus.
“It’s an exciting time.
SALMON is all about growing,
teaching and learning, and my new
certification means we can work
more closely with the community
to focus attention on a disease we
care deeply about that affects those
we care for.”
SALMON’s Chief Operating
Officer Matt Salmon says, “Our
Tapestry programs are one of
our distinguishing factors At
SALMON and we’re excited
about the opportunities Gary’s
CDCM provides. Adding the
CDCM is another example of
our continued commitment to
training and education, which
we believe is the key to high
quality, consistent care.”
There are eight on-site staff ed-
ucators at SALMON; that num-
ber doesn’t include staff
members that conduct the regu-
larly scheduled general orienta-
tions. In addition to Alzheimer’s
training, the organization offers
nursing, management and profes-
sional training on a monthly
basis, and assists with the contin-
uing education of staff pursing
their nursing degrees.
For more information on the
Tapestry Program and to register for
the March class, contact Gary Davis
Family owned and operated
SALMON Health and Retirement is
celebrating its 60th anniversary.
Visit www.SalmonHealth.com.
Salmon expands education on Dementia Care
Gary Davis, Licensed Social Worker and Director of
SALMON Health and Retirement’s Tapestry Program,
recently became a Certified Dementia Care Manger
(CDCM). The certification qualifies Davis to teach the
National Council of Certified Dementia Practitioner’s
Alzheimer’s disease and dementia curriculum.
pro
vid
ed
PAGE 12 Nov/Dec 2012 Hospital Newspaper - NE
MiraclesofRehab
One morning, while vacationing in Maine, Tom Gilbert felt
there was something wrong. “I really didn’t feel well,” said
Tom. “I was not myself.”
Tom’s wife and daughter left to go sailing, leaving Tom at
home to rest. In hindsight this should have been a red flag;
Tom was always well enough to sail – a favorite activity and
passion he shared with his family.
Once he was alone, Tom could no longer raise his right arm
or right leg. He struggled into bed.
“It was clear to me I was having a stroke,” said Tom.
When his family returned, they were surprised Tom was
not waiting for them on the dock. His wife Peggy found him
in bed, a heavy slur in his voice. She called 911 and Tom was
med-flighted to Boston. By this time, Tom has lost conscious-
ness and had slipped into a coma.
A doctor, Tom had led a very full and active life with his
wife and family. They traveled extensively, living all over the
country. They raised two children and were beginning to
enjoy their empty nest together. Tom had endured a minor
stroke six years prior, but had recovered.
A Long Way to GoThis time, a cavernous malformation had burst in Tom’s
brain, causing a major stroke. Tom spent one week in a coma.
After two weeks of receiving acute care he was transferred to
Spaulding Rehabilitation Hospital in Boston. When he ar-
rived, he could not walk or talk.
Tom, who was 52 years old, began the long, uphill battle
to recovery. He began to show improvement, but it was a slow
process. “I received amazing care at Spaulding,” said Tom.
“The therapists were very upbeat and gave me goals that were
achievable. I had to wear my regular clothes for therapy,
which made me feel like a person. Everyone treated me with
dignity, everyone was respectful”
When Tom was discharged, Peggy wondered how they
would survive without the help of Tom’s nurse and therapists.
They were grateful for the additional therapy Tom received
at Spaulding’s Outpatient Center in Wellesley.
Helping OthersSpaulding helped Tom learn to walk again. Over time, his
speech improved and he has re-learned how to read, write and use
a computer. He drives with an adapted foot pedal. When a Spauld-
ing social worker invited Tom to participate in a new Peer Visitor
Program, Tom jumped at the chance. Over the past nine years, he
has visited other stroke patients and their families twice a week.
Tom and Peggy now spend their summers in Maine, where
he is able to sail, bike, and kayak using adaptive equipment.
“For me, my stroke didn’t define me,” said Tom. “It was
just one circumstance to overcome as part of the bigger pic-
ture of my life.”
Back at the HelmTom Gilbert and his wife Peggy.
By Sarah Curtin and Timothy Sullivan
HappyHolidays! from the staff of Hospital Newspaper
Hospital Newspaper - NE Nov/Dec 2012 PAgE 13
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Short Term Rehabilitation ���� Long Term Care ���� Respite Care ���� Alzheimer’s & Dementia Care ���� Outpatient Rehabilitation
MiraclesofRehabTested But Not Defeated
Back on Her FeetThe two women met through Regina’s
family; they found they had much in common.
Beginning in 2001, Regina has been diag-
nosed with and rebounded from four different
cancers and a brain cyst. In August 2011 she
suffered a stroke which left her paralyzed on
her left side with speech impaired.
“But I’m like a punching bag,” said
Regina. “I keep coming back.”
Regina received occupational, physical,
and speech therapies while at NERH,
amusing caregivers by naming every piece
of equipment used in her recovery. She also
began the painstaking process of writing a
book about overcoming seemingly insur-
mountable challenges, typing out each word
using one finger.
By mid-October she able to stand and take
a few steps with a walker, and continued
care elsewhere. She returned home on her
December 5th birthday.
“I received exceptional care,” Regina said.
She continued to make progress in 2012 as
an outpatient at NERH, working on mobility
skills and strengthening the use of her left
hand. And when she didn’t have a ride, her
friend Dianne drove her there.
Dianne Preston and Regina Pontes are
survivors. Both have battled breast cancer
and faced the prospect of never being able
to walk again – in Dianne’s case following
a horrific car accident and in Regina’s after
a significant stroke.
This is the story of two remarkable women
whose lives became intertwined during the
course of their amazing recoveries, aided
by New England Rehabilitation Hospital
(NERH), located in Woburn, Massachusetts.
Although they share the same Arlington
hometown, neither knew the other until a
series of events rewrote their lives.
A Life Forever ChangedIn June 2010 Dianne’s life took a dra-
matic turn when a highway crash left her
with multiple injuries, worst among them a
crushed pelvis and broken hip. Instead of
competing in a dragon boat race for cancer
survivors the next day, she faced weeks of
hospital stays.
A Massachusetts General Hospital
trauma team repaired the damage. Among
the measures they took was to place
Dianne in an external fixator, a restrictive
orthopedic device used to help bones mend
properly.
She would go on to spend the summer at
NERH and receive intensive therapy to help
rebuild upper body strength and coordination.
As her condition improved she was allowed
to go home, but continued to receive therapy
and medical assistance. The fixator was
removed at the end of September. By January
2011 she could take a few steps with a walker
and began outpatient care at NERH.
In April Dianne was dealt a double blow:
the news that she needed a new hip and the
unexpected death of her son, Eric.
Dianne received the hip and focused on
strengthening her lower extremities. She also
was determined to get back on a dragon boat
and honor her son.
“I know how hard it was for Eric in Marine
boot camp,” said Dianne. “I used his example
as a way to motivate myself to go on.”
NERH Physical Therapist Jane Tahmoush
tried to simulate the conditions Dianne would
encounter when boarding and disembarking.
“We knew she didn’t have the flexibility she
needed, so we worked with her to develop
skills and coping strategies,” said Jane.
Her gait much improved, Dianne was back
on the water by June. She continues to race,
but also finds time for her newfound friend,
Regina, whose niece was Eric’s girlfriend.
Best friends and survivors, Dianne Preston and Regina Pontes.
provided
By Teresa Hayes, Director of Development, Braintree and New England Rehabilitation Hospitals
PAGE 14 Nov/Dec 2012 Hospital Newspaper - NE
By Mary Herman-Cappoli
Dan Kilcoyne was not the most likely
person to have a stroke.
Healthy, trim, and with none of the com-
mon risk factors, the 36-year-old mechanical
engineer divided his time between work
and having fun with family — his wife Tara
and their two young children, Madison and
Owen.
Yet, on the morning of March 27th, Dan
awoke with pervasive right-sided weakness
and garbled speech. Fortunately, Tara, an RN
who works at UMass Memorial Medical
Center in Worcester, did what everyone
should do when presented with stroke-like
symptoms — she called 9-1-1.
Treated at UMass Memorial, Dan was
transferred to Fairlawn less than 48 hours
after his stroke. According to Tara, the UMass
therapists who evaluated Dan said the best
thing for him would be to start therapy
right away, and “they highly recommended
Fairlawn.”
Upon admission to Fairlawn, unable to
walk on his own and barely able to lift his
right arm, Dan immediately began occupa-
tional and physical therapy. He also received
speech therapy to address issues involving ar-
ticulation.
Tools of Recovery
“In PT, we concentrated on neuro re-edu-
cation, gait training and strengthening,” said
Lauren Roberts, physical therapist. “Our
treatments focused mainly on high level bal-
ance and gait activities.” Dan also used the
Bioness L300TM, an electrical stimulation
system for the leg, to assist with return of dor-
siflexion during gait and functional mobility.
“During inpatient, I went from not walking
on my own to walking independently,” said
Dan, noting that his steps remained some-
what robotic and labored. He could also ne-
gotiate stairs without any assistance (just
holding on to the railing). “The range of mo-
tion in my arm increased, and by discharge I
was starting to be able to pick things up with
my right hand.”
Not missing a beat, Dan began outpatient
treatment at Fairlawn just days after his
discharge. Tara credits his inpatient team,
with special kudos to his case manager, for
ensuring the transition to outpatient was
smooth and all necessary paperwork related
to health and disability benefits were in
place.
Although he no longer needed speech ther-
apy by the time he began outpatient treat-
ment, Dan worked hard in occupational
therapy to further improve the use of his arm
and hand; physical therapy was devoted to
fine-tuning his walking.
Better Balance
In June, Dan was back to driving and
working part-time; by July he had returned to
his job on a full-time basis. However, his re-
turn to work came with a changed view about
its role in his life. With the cause of his stroke
undetermined, he is committed to doing
everything he can to remain healthy, includ-
ing going to a gym and eating better.
“I am also seeing a life counselor to help
with “the life-work balance,” said Dan, who
often worked 50 to 60 hours a week before
his stroke. “It only took them a day or two at
work to replace me with someone who could
do my duties. It would take a lot longer than
that to replace me at home with my family.”
Above: Horsy rides provided the perfect
chance to involve 19-month-old Owen and
four-year-old Madison in their dad’s weight
bearing and core strengthening work while he
was an inpatient at Fairlawn.
Left: In OT, Dan worked on his upper body
strength and range of motion. Toward the end
of his inpatient stay and throughout outpatient
treatment, his occupational therapy focused
on improving the fine motor skills in his
right hand.
Right: By mid-June, Dan was back working
part-time and enjoying his family full-time.
MiraclesofRehab
Family Takes Center Stage: A Young Stroke Survivor’s Story
photos provided
Hospital Newspaper - NE Nov/Dec 2012 PAge 15
Joint Commission Disease-Speci�c certi�cation is rare. And, in two specialized areas of expertise? Even rarer. Both Braintree Rehabilitation Hospital and
New England Rehabilitation Hospital are the recipient of both the Joint Commission accreditation in Stroke Rehab and in Acquired Brain Injury Rehab.
Braintree & New England Rehabilitation Hospitals. �e only rehab hospital system in Greater Boston where you’ll �nd both these seals of approval.
www.braintreerehabhospital.com | www.newenglandrehab.com
Rare seals spotted
in Boston.
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New England RehabilitationHospital Awarded Disease-Specific Certification InBrain Injury Rehabilitationfrom The Joint Commission
New England Rehabilitation
Hospital (NERH), a world-class
rehabilitative care provider lo-
cated in Woburn, Massachusetts,
has been awarded Disease-Spe-
cific Certification in Brain Injury
Rehabilitation from the Joint
Commission. With this certifica-
tion, NERH gains the distinction
of joining its sister rehabilitation
facility, Braintree Rehabilitation
Hospital (BRH) in Braintree, Mas-
sachusetts, as being the only two
hospitals in New England and
New York to have been awarded
Disease-Specific Care Certifica-
tion in both its Stroke Rehabilita-
tion and Acquired Brain Injury
Programs.
“In recent years, New England
Rehabilitation Hospital has signif-
icantly expanded its service capa-
bilities into specialized areas to
treat more complicated cases of ac-
quired brain injuries, including
minimally conscious patients,”
said Dr. Deniz Ozel, Medical Di-
rector at NERH. “Joint Commis-
sion certification underscores our
ongoing commitment to superior
patient care and constant quest for
improvement.”
To better serve acquired brain
injury patients, the hospital com-
pleted a renovation program in
2010 to create a unit of 15 pri-
vate rooms tailored to the spe-
cific needs of this patient
population.
NERH underwent a rigorous on-
site survey in July 2012. A team of
Joint Commission expert survey-
ors evaluated NERH for compli-
ance with standards of care
specific to the needs of acquired
brain injury patients and families,
including infection prevention and
control, leadership and medication
management.
Founded in 1951, The Joint
Commission seeks to continu-
ously improve health care for the
public, in collaboration with other
stakeholders, by evaluating health
careorganizations and inspiring
them to excel in providing safe
and effective care of the highest
quality and value. An independ-
ent, not-for-profit organization,
The Joint Commission is the na-
tion’s oldest and largest standards-
setting and accrediting body in
health care.
NERH is located at 2 Rehabili-
tation Way, Woburn, Massachu-
setts. For more information about
the Acquired Brain Injury Pro-
gram, call 781.935.5050 or visit
www.newenglandrehab.com.
Braintree Rehabilitation Hospital (BRH), a world-class rehabilitative
care provider, announced that it has completed extensive renovations
to its 35-bed Brain Injury Program unit. The only dedicated brain injury
in-patient unit in the metropolitan area south of Boston, it offers a unique
environment –now further enhanced – that is tailored to meet the
specific needs of this specific patient population.
“This renovation underscores our commitment to serving patients with
the most complex cases, including those in unconscious or minimally
conscious states,” said Dr. Douglas Katz, Medical Director of the
Acquired Brain Injury Program at BRH. “In contrast to many facilities
where brain injury patients are mixed among the general patient population,
our hospital provides these patients the optimal setting to support recovery.”
Throughout the unit, special features were incorporated to create
an integrated low stimulation environment, improve safety and se-
curity for patients, and allow for better therapeutic treatment.
BRH, nationally recognized for its Brain Injury Program, has the
distinction of Disease-Specific Certification in Brain Injury Rehabilitation
from The Joint Commission.
Among the many improvements are:
• Dedicated low-stimulation therapy gym for physical, occupational, and speech language pathology sessions in-unit
• Recreational therapy room with two full-time therapists
• Added sound proofing to mitigate noise
• Soothing décor featuring a palette of earth tone colors
• An advanced security system and clutter-free hallways that allow for safe patient ambulation (walking) within the unit
• Family room within sight of the nurses’ station for additional supervision
• Some rooms with ceiling mounted lifts to help move patients
BRH is located at 250 Pond Street in Braintree, Massachusetts.
For more information visit www.braintreerehabhospital.com, or call
(781) 348-2500.
Only dedicated Brain Injury Unit in the metro area south of Boston offers state-of-the-art care
Braintree Rehabilitation Hospital renovates Brain Injury Program Unit
PAGE 16 Nov/Dec 2012 Hospital Newspaper - NE
MiraclesofRehab
It was an ordinary August afternoon when Sharon Sadosky
of Forestdale, MA set out on a bike ride. The 52-year-old was
an avid bicyclist and always took every safety precaution,
including wearing a helmet and fluorescent tee-shirt.
In spite of her precautions, a dump truck suddenly turned
into a driveway, colliding with her and dragging her under-
neath its carriage. She was just a mile from home when the
accident occurred.
Sharon survived being dragged, but her injuries were ex-
tensive: a broken back, crushed pelvis, collapsed lung, and
wounds that stretched from her lower back to her thighs -
thirty five open wounds in all. Sharon was sent via med-flight
to Brigham and Women’s Hospital in Boston where, over the
next five weeks, she underwent twelve surgeries, including
multiple skin grafts.
As Sharon faced the prospect of an extended recovery, she
was determined to return to Cape Cod to be near her family.
On September 12, she was transferred to Spaulding Rehabil-
itation Hospital Cape Cod for intensive rehabilitation. “When
the ambulance arrived, I knew I was one step closer to going
home,” she said.
At first, Sharon couldn’t walk, had a feeding tube and a
catheter, and could barely get out of bed. Because of her crushed
pelvis, she was unable to put any weight on her right foot.
Her many painful wounds required daily care and made ther-
apy even more difficult. Initially, even the smallest activity
proved exhausting. Sharon’s rehabilitation physician, Andrew
Judelson, M.D., and her team of skilled therapists and nurses,
tailored her rehab plan around her unique circumstances.
Super Motivation
“Everything was tightly coordinated – the logistics of
pre-meds for dressing changes, wound care, therapy,” says
Dr. Judelson. “Sharon was scared, but she was also super
motivated. She wanted to get home.”
For her part, Sharon put all her energy into her therapy. She
needed to re-learn daily activities - how to walk, bathe, dress.
Soon she was walking 75 steps. By the end of September,
Sharon had regained enough function to go home.
“My team was excellent. They knew what I was working
towards, even before I knew it. If I needed help they were
right there. I made a 100 percent turnaround in 2 ½ weeks,”
she recalled.
Over the next months, Sharon continued to improve with the
help of Spaulding’s outpatient therapy services and her own de-
termination. Six months after the accident, Sharon was working
30 hours a week in her job as an administrator. Gradually, she
began riding a bike again – this time on protected bike paths.
Though physically she could do it, cycling wasn’t fun any-
more, and she set a new goal: running a 5K race. She started
using a treadmill and began building up her stamina. Today,
she’s running three miles on the treadmill.
Though Sharon still has some limitations caused by her
injury and surgeries, her plan is to keep working on the
challenges. “I could get mad, but that doesn’t get you
anywhere. I’m a work in progress ... and so lucky to be alive.”
Helping Others
Sharon has turned her experience to an unexpected
purpose. As a member of Spaulding Cape Cod’s Patient
Family Advisory Council, she shares her insights at a
monthly forum with hospital leaders dedicated to continuous
improvement of the patient’s and family’s experience of
rehabilitation. “It’s so very hard to do rehab, to be a patient.
I want to use what I learned to help others through the
process.”
From Dr. Judelson’s perspective, Sharon’s progress is a
tremendous success story. “It was such a horrific accident, but
her recovery shows that we can heal and regenerate with the
right treatments and time. I’ve been fortunate to be part of
her recovery and now to see what she brings to the Council.
She’s awesome.”
Sharon Sadosky’s recovery from
a terrible collision included riding
her bike on the Cape Cod Canal
bike path.
After Horrific Accident, Woman Uses Experience to Help OthersBy Carole Stasiowski and Sara Bartelson-Curtin
Hospital Newspaper - NE Nov/Dec 2012 PAgE 17
Ekso is designed for people with lower-extremity paralysis and is available in Connecticut only at Gaylord Specialty Healthcare.
Gaylord Specialty HealthcareOne of 14 Model Spinal Cord Injury Centers in the United States. Specializing in:
Brain InjuryStroke Recovery
Complex Pulmonary and Vent Weaning Neurological Rehabilitation
Orthopedics and Sports Medicine Sleep Medicine
care hospital located in Wallingford, CT.
Ekso Bionic Makes Walking Possible.
www.gaylord.org
For more information email [email protected] or call 203-284-2835 to reach “The Ekso Line” and someone will get back to you.
Twenty-three “celebrity waiters”
from throughout the region re-
cently tended to 275 guests at the
13th Annual Manes & Motions
Celebrity Waiter Dinner & Auction
held at the Aqua Turf Club in
Plantsville to support Manes &
Motions Therapeutic Riding Cen-
ter, Inc. located at Daniels Farm in
Middletown.
“This was a record-breaking
year as the total amount raised was
more than ever before,” said
William J. Higgins, Chairman of
the Board of Manes & Motions
Therapeutic Riding Center, Inc.
“We’d like to thank the attendees,
the sponsors and the waiters for
their support in making this year
such a huge success!”
Presenting sponsors of the event
were Pratt & Whitney and Webster
Bank. Additional sponsors included
Northwestern Mutual; Murtha Cul-
lina LLP; Aetna; CenConn Services,
Inc.; Farmington Bank, James
Massi, M.D.; Advanced Computer
Technologies; Halloran & Sage
LLP; Kaestle Boos Associates; and
New England Home Care.
Manes & Motions provides cog-
nitive and physical benefits to chil-
dren and adults with a wide range
of conditions including Autism,
Down Syndrome, spinal cord in-
jury, Spina Bifida, brain injury,
Cerebral Palsy, and Post-Traumatic
Stress Disorder (PTSD). Manes &
Motions, A Member of the Hospital
for Special Care Community, is a
wholly-owned subsidiary of Hospi-
tal for Special Care.
For more information on Manes &
Motions, including volunteer oppor-
tunities, please call 860.685.0008, or
visit http://hfsc.org/manes-motions/
volunteer-opportunities.
About Hospital for Special Care
Hospital for Special Care
(HSC) is one of the 10 largest,
free-standing long-term acute
care hospitals in the United
States and the nation’s only long-
term acute-care hospital serving
adults and children. HSC is rec-
ognized for advanced care and
rehabilitation in pulmonary care,
acquired brain injury, medically-
complex pediatrics, neuromuscu-
lar disorders (including ALS
research), spinal cord injury,
comprehensive heart failure as
Pictured above, from left, are members of the Manes & Motions Celebrity Waiter & Dinner Auctioncommittee: Laura Napoletano; Sylvia Rulkowski; Carolyn McElravy; Anthony Labato; ElizabethSchreiner; Joanne Humen; Elizabeth Kalinowski; Cathie Cannon; Beverly Jones; Cynthia Ruta; SandyHoward; Roseann Sgroi; Elizabeth Avery and Marion Sgroi-Varano.
Manes & Motions Therapeutic Riding Center raises $85,000 at Annual “Celebrity Waiter” Dinner
well as diagnostic, assessment
and consulting services for chil-
dren and adolescents with Autism
Spectrum Disorders.
Located in New Britain and
Hartford, CT, HSC operates inpa-
tient and outpatient facilities serv-
ing Southern New England on a
not-for-profit basis. For the latest
news and information, please visit
www.hfsc.org, and follow us on
Twitter @HospSpecialCare.
provided
PAGE 18 Nov/Dec 2012 Hospital Newspaper - NE
MiraclesofRehab
Sally O’Donnell was only in her 40s when a bad fall from years earlier, which had injured
her hip joint and tore a ligament in her knee, left her with chronic hip problems and lingering pain.
The complications from these injuries together with the challenges of managing diabetes
meant Sally had not felt her best for years.
Then last year, at 45, Sally suffered a debilitating cardiac aneurism that took away most of
her abilities. "It was a true wakeup call for me; but, I was alive," Sally acknowledged.
After surgery, she received at-home care from Partners HealthCare at Home. "The attention
I received was amazing. I was released from the hospital at 5 p.m. on a Sunday, and someone
came to my house that night."
New challenges made everyday activities extremely difficult, but Sally was determined to
get her life back. She quit smoking and started following a diabetic diet. She began to explore
options for relieving the hip pain she still suffered.
Renewed Determination
Sally's doctor was very encouraging and recommended surgery as an alternative to a lifetime
of pain. "He just said, 'Why suffer? You are young and you should live life while you have it.'"
Sally's elective surgery in the summer of 2012 was an eventful turning point on her road to
recovery.
Sally was determined to regain full use of her body, and working with her physical therapists
at Partners HealthCare at Home and its affiliate, Spaulding Hospital North Shore, she made
great strides. "I recovered quicker than doctors predicted."
Even more remarkable is that Sally has been able to live at home during her recovery — in
the same house she grew up in, on a quiet street in Salem where all the neighbors know each
other.
"The care I had in the hospital was terrific, but at home I have my dad, my neighbors, and
my 12-year-old cat, Kelsey," she said. To Sally, recovering at home was a great comfort.
"When you don’t feel well, you want to be around those you love."
Home Care
Like many people post-surgery, Sally was anxious about her recovery process. But Partners
HealthCare at Home was there to help her through. Sally is very grateful to her full team of
home healthcare professionals — her nurse, physical therapist, occupational therapist and
home health aide.
"I wouldn’t be where I am without them."
Sally continued, "They are so good at their jobs and are really in tune with me and my
needs. There is an intimacy with my caregivers that really puts me at ease. They really have
helped me find my strength."
Today, Sally anticipates once again being able to live life to the fullest. Soon she will be
strong enough to return to her outpatient therapies at Spaulding, and she can’t wait to take
long walks and ride a bike again.
"It means so much to be at home — I got my freedom back. Getting treated helped me win
the battle, but being home helped me win the war."
Lingering Injuries No More
Kelly Peverada, PTA from
Paartner’s HealthCare at
Home helps Sally O’Donnell
maneuver down steps.
Sally O’Donnell works with
David Arel, OT from Partner’s
HealthCare at Home.
By Timothy Sullivan and Sarah Curtinphoto
s p
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Hospital Newspaper - NE Nov/Dec 2012 Page 19
ttoo tthhee eennttiirree ssttaaffff ooff FFaaiirrllaawwnn RReehhaabbiilliittaattiioonn HHoossppiittaallffoorr mmaakkiinngg iitt HHeeaalltthhSSoouutthh CCoorrppoorraattiioonn’’ss
HHoossppiittaall ooff tthhee YYeeaarrChosen #1 from HealthSouth’s nationwide network of 99 hospitals.Chosen #1 from HealthSouth’s nationwide network of 99 hospitals.
Fairlawn is a joint venture of UMass Memorial Health Care and HealthSouth189 May Street, Worcester, MA
YouYouThankThank
Fairlawn Rehabilitation Hospital received the Hospital of the Year Award during HealthSouth Corporation’s Annual Meeting and Awards Banquet held September 28 in
Phoenix, Arizona.
Fairlawn, a joint venture of UMass Memorial Health Care and HealthSouth, is the only hospital among HealthSouth’s nationwide network of 99 hospitals to receive this
award recognizing outstanding performance in development of clinical programs, quality of patient care services and overall operational excellence.
“This award recognizes our commitment to provide a differentiated level of care that gets patients back on their feet and functioning in their communities,” said Dave Richer,
Fairlawn’s CEO. “Our success depends on the quality of care provided to each and every patient, and we hope to be the rehabilitative provider of choice for the people of
Central Massachusetts by providing an exceptional patient experience. I am very proud of all that our hospital has accomplished.”
Fairlawn is a 110-bed inpatient rehabilitation hospital that offers comprehensive inpatient and outpatient rehabilitation. Serving patients throughout Massachusetts, the hospital
is located at 189 May Street Worcester.
Fairlawn Rehabilitation Hospital named Hospital of the Year
pro
vid
ed
PAGE 20 Nov/Dec 2012 Hospital Newspaper - NE
Today many people are involved in “Medicaid Planning” with a certified elder law attorney. What does this kind of
planning mean and why do they do it? In order to become eligible for Extended Medicaid coverage, an individual
must not exceed their state’s minimum income & asset requirements1. This usually requires that a person transfer assets out of their estate
in order to protect those assets from expensive long-term care bills. Moreover, any gifts or transfers have a 60 month look back period
regarding eligibilty2.
Most people are familiar with the “Medicaid Spend-Down” scenario and how devastating this can be to most families financially. Paying for the
cost of long-term care of a loved one dollar-for-dollar is never a good option. Many families are financially ruined because of the cost of extended
care. It is essential that every person carry out their advanced planning regarding long-term care services. Otherwise, these expenses can
easily run into the hundreds of thousands of dollars.
So what medical bills can be counted toward a spend-down?
• Your own medical bills.
• Your spouse’s medical bills.
• Parent’s bills for their children’s spend down.
• Bills of a child living with you.
• Bills of a child who does not live with you, but whose medical bills you help pay for.
• Past unpaid medical bills (sometimes up to 6 years old) for yourself or any of the people named above.
• The part of any medical bill not covered by Medicare or private insurance.
• Medical expenses (including insurance premiums) paid for you by certain public programs, for example, the
Elderly Pharmaceutical Insurance Program (EPIC) and the Child Health Insurance Program (CHIP).
Despite knowing about this potentially enormous liability, many folks still do not purchase long-term care insurance because they see it as
too expensive. They just do not want to pay the premiums every year nor do they want to have to worry about if they can afford the policy if
those premiums increase sometime in the future. So instead, they decide to transfer the majority of their assets out of their estate to facilitate
eligibility for Medicaid benefits in five years.
Having said that, there still remains the danger of a claim during the transfer period. Often, attorneys recommend that the Medicaid Planning
involve the purchase of a temporary long-term care policy with a five year benefit period in order to “bridge” the liability of the 60 month look
back period as per the Deficit Reduction Omnibus Reconciliation Act 2005. Once the look back period has expired, the client can cancel their
coverage and avoid paying any future premiums. This strategy however still costs money, typically $30,000 to $50,0003.
The following planning takes this concept to the next level…
What if the client has the means to purchase a Single Premium Universal Life Insurance policy with a Long-Term Care Rider instead of the
traditional LTCI policy in order to “bridge” the gap? These contracts are often referred to as “Linked” policies because during the 60 month
look back period the client not only has adequate long-term care insurance, but also a guaranteed life insurance death benefit that is higher
than the original deposit.
And what if the policy can be cancelled for a 100% return of premium after the 60 month look back period with no surrender charges? Sounds
too good to be true? Well, two carriers currently offer linked products with guaranteed return or premium riders4. Thus, the client can buy the
insurance and keep it in force until such time as they no longer need it and their assets are fully protected. This strategy completes the entire
leveraged transaction at no cost to the insured.
EXAMPLE: John is a 68 year old male who purchases a single premium $100,000 Linked Universal Life Insurance policy with a
Long-Term Care Rider to insure his liability while he waits for his assets to become Medicaid ineligible in 60 months. The $100,000
single premium buys him $190,000 of life insurance and $398,000 of long-term care coverage from day one. Assuming there are
no claims, at the end of five years, he can surrender the contract and receive 100% of his premium back with no surrender charges.
The transaction is essentially a 60 month FREE loan with some very significant tax-free insurance benefits5.
Call us today if you would like additional information about this cutting edge estate planning concept.
For more information about Single Premium Universal Life Insurance policies with a Long-Term Care Riders, please call Andrew J. Cavaliere,
CLTC at 914-682-2190 or toll free at 877-676-9900. Andrew is certified in Long-Term Care (CLTC) from the Corporation for Long-Term Care
Certification, Inc. Andrew is a member in good standing of the Million Dollar Round Table (MDRT), which is the premier Association of financial
professionals nationally. Andrew’s offices are located at 50 Main Street, White Plains, NY 10606 and at 500 West Putnam Ave, Greenwich CT 06831.
1 Medicaid Eligibility vary from state to state2 Deficit Reduction Omnibus Reconciliation Act of 2005 3 LTCI premiums based upon age & policy benefits4 Genworth Financial Life & Lincoln Financial; see prospectus5 Genworth Total Living Coverage Quote 2012
A Valuable Medicaid Planning Solution Ask
An
Expert
Ask
An
Expert
Hospital Newspaper - NE Nov/Dec 2012 PAge 21
Celebrating our partnership with Jewish Healthcare
Center providing a full comple-ment of rehabilitation service
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Hospice Southeastern Connecticutand American Ambulance team upto grant patients’ wishes
Hospice Southeastern Connecti-
cut and American Ambulance
have joined together to grant
wishes for hospice patients. The
program called Sentimental Jour-
neys, started 13 years ago in Col-
orado and now operates in 33
states. Originally a spur of the mo-
ment idea to grant a dying patient
his last wish, Sentimental Jour-
neys has grown into a formal pro-
gram with specific protocols.
Through this program, patients are
able to visit people, places and
memories one last time.
Greg Allard, Vice President of
American Ambulance, serving
New London and Windham Coun-
ties, approached Hospice South-
eastern Connecticut this past
spring about the Sentimental Jour-
neys program. They shared the
protocols and after working out the
details, the program is now up and
running.“When I was first ap-
proached about this program I im-
mediately knew that I needed
tocontact Hospice Southeastern
Connecticut to see if they were in-
terested in partnering with us” said
Greg. “We were very pleased when
they accepted our offer.” “The
American Ambulance team is hon-
ored to be partnered with Hospice
SE CT. We’re confident this serv-
ice we’re providing to people in
our community is second to none
because of the committed, profes-
sional staff of both organizations.”
Patients of Hospice Southeastern
Connecticut and their family mem-
bers can now take a “Sentimental
Journey” to any location in eastern
Connecticut in one of the American
Ambulance carriers with EMT and
Paramedic staff attending and pro-
viding medical assistance if needed.
It all starts when a Hospice South-
eastern Connecticut staff member
brings a patient’s wish to the agency
where they coordinate with Ameri-
can Ambulance to organize the jour-
ney. Patients are screened to ensure
they are medically appropriate to
make the journey and equipment
and medication needs are assessed
for the trip.
Recently, Mrs. Elizabeth Heeb-
ner made the inaugural Sentimen-
tal Journey. She took a tour of her
favorite places and memories in
the Norwich area, ending with a
stop for ice cream with her daugh-
ter and son-in-law Cindy and Gary
Ambukewicz. “This has been so
nice, I saw places I haven’t seen in
years” said Mrs. Heebner.
Sentimental Journeys is an im-
portant addition to the quality end
of life care offered by Hospice
Southeastern Connecticut. The pa-
tient’s emotional wellbeing is as
important to the agency as is their
physical state. Patients may not be
able to choose when they will die
but they can choose how well they
will live and the quality of the life
they have left.
If you’d like to reach the health and hospital communities of New England each month,
there is no more cost-effective way than the Hospital Newspaper.
Call Maureen Linell to place your advertisement: 508-869-6201
Coverys receives RPLU SupporterAward from PLUS
Coverys, a leading provider of
medical professional liability insur-
ance, is pleased to announce that it
has received the 2012 Registered
Professional Liability Underwriter
(RPLU) Supporter Award from the
Professional Liability Underwrit-
ing Society (PLUS). The RPLU
Supporter Award is given annually
to an organization that participates
in PLUS activities and supports the
RPLU program by encouraging its
professional liability staff to pursue
the designation.
Coverys places a strong empha-
sis on education for its staff and is
a dedicated supporter of PLUS in
particular. As a co-sponsor of
RPLU classes, Coverys continu-
ally promotes RPLU study inter-
nally with resources such as tuition
reimbursement and in-house
classes and instructors. Coverys
employee Jennifer Burke, RPLU,
senior manager product develop-
ment, is also the current chair of
the PLUS New England Chapter
Steering Committee.
“As active supporters of PLUS,
we are proud to receive this
award,” said Gregg L. Hanson,
chief executive officer and presi-
dent of Coverys. “PLUS provides
a strong curriculum and is an ex-
cellent resource that so many of
our employees have utilized for
both continuing education and
sharing best practices. We thank
PLUS for this recognition, and
also our employees who give their
personal time and energy for the
development of themselves and
their colleagues.”
For more information about
Coverys please contact Katharine
Gould at [email protected]
or (617) 946-8665, or visit the
website at www.coverys.com.
PAGE 22 Nov/Dec 2012 Hospital Newspaper - NE
Hospital Newspaper highlights
one hospital per month as
the centerfold feature.
Great way to get
information about
your facility
to interested readers.
Hospital of the Month!
For more details:please contact Maureen
Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com
News in Emergency Medicine
Emergency Medical Associates has been named to
the 2012 Top Emergency Department Contractors list
reported by Modern Healthcare magazine.
The 10 emergency department outsourcing compa-
nies on the list were ranked by total number of na-
tional healthcare clients as reported via the
magazine’s 2012 Outsourcing Survey.
Emergency Medical Associates manages 28 emer-
gency departments and urgent care centers in five states:
New Jersey, New York, North Carolina, Pennsylvania
and Rhode Island. Additionally, the company’s Inpatient
Medical Associates division operates adult and pediatric
hospitalist practices in New Jersey and New York.
Of the emergency department management compa-
nies that made the list, Emergency Medical Associates
enjoyed the greatest percentage of growth year over
year – a 33.3 percent increase in the number of clients.
“We’ve enjoyed a year of tremendous growth
and have greatly expanded the company’s geo-
graphic footprint,” explains Raymond Iannaccone,
MD, FACEP, president and chief executive officer
of Emergency Medical Associates. “Along with
that growth we’ve been able to augment our serv-
ices. We now not only manage the ED, but provide
a continuum of care from the hospital’s urgent care
settings, through the ED, to dedicated observa-
tion/rapid decision units and also hospitalist serv-
ices.”
“We’ve been able to continue to improve the qual-
ity of the services we provide and uphold our repu-
tation for clinical excellence by truly partnering with
the clients we serve. It’s been the hallmark of Emer-
gency Medical Associates for more than 35 years,”
says Dr. Iannaccone.
To request a proposal or receive additional informa-
tion about Emergency Medical Associates’ manage-
ment services, contact David Calabrese, senior vice
president of new business development and marketing,
at (973) 251-1046 or email [email protected].
About Emergency Medical Associates
Emergency Medical Associates (EMA) is a
physician-led, physician-owned medical practice
that specializes in emergency, hospitalist and ur-
gent care medicine. Dedicated to providing excep-
tional solutions for the measurable success of our
hospital partners, EMA is recognized for clinical
excellence, quality service and sustained improved
patient satisfaction. For more information, visit
www.ema.net, www.facebook.com/EMANews or
www.twitter.com/EMANews.
Emergency Medical Associates named to Modern Healthcare’sTop 10 Emergency Department Contractors List
Hospital Newspaper - NE Nov/Dec 2012 PAge 23
22 Hillside Avenue, Groton, MA 01450
At Seven Hills Pediatric Center (SHPC), we’re taking the quality of long-term care to new heights with a ranking in the top 1% of U.S. nursing facilities by U.S. News & World Report for the second consecutive year based on a perfect �ve-star rating by the Federal Government.
Seven Hills Pediatric Center o�ers medically advanced, long-term residential and short-term respite care to children and young adults with profound cognitive
disabilities and complex medical needs. In this home-like setting, the highly skilled nursing sta� provides individualized treatment to each child in the privacy of
his or her beautifully appointed room. An on-site, DESE-approved, special education school enables the children to experience a wide range of learning
opportunities.
To learn more or to schedule a tour, call Jennifer Amadon at 978.732.5311 or visit www.sevenhills.org.
Five-Star, Long-Term Care in a Place They Call “Home.”
Seven Hills
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At a recent luncheon hosted by
First Lady Cathy Malloy on behalf
of the Autism Center at Hospital for
Special Care (HSC), hospital offi-
cials convened supporters, autism
advocacy leaders and healthcare
providers to underscore the need,
raise awareness and outline plans
for Connecticut’s first health neigh-
borhood for Autism.
Joined by his wife Amy and
father, former UConn Men’s
Basketball Coach Jim Calhoun,
Jeff Calhoun shared his family’s
experience with Autism underscor-
ing the need for coordination of
services.
Since the Autism Center at HSC
opened last February, the hospital
has assisted Connecticut families
with a triage of comprehensive
services in collaboration with The
Center for Autism and Behavioral
Studies at The University of Saint
Joseph. The center now has a grow-
ing waiting list of patients waiting
to be seen further underscoring the
need for expanded and coordinated
services.
Pictured from left to right are Amy Calhoun, Jim Calhoun, JeffCalhoun and Lynn Ricci, Senior Vice President & COO at Hospitalfor Special Care.
provided
Hospital for Special Care announces plans for Autism ‘Health Neighborhood’Medical home model first step towards integrated care for Autism in Connecticut
“HSC and its partners are work-
ing towards developing a medical
home and ultimately a health
neighborhood for individuals and
families affected by Autism,” said
Lynn Ricci, senior vice president,
chief operating officer, Hospital for
Special Care. “The goal of a med-
ical home/health neighborhood is to
coordinate care and improve com-
munication between families and
providers. As a first step, HSC has
formed an Autism Advisors group
that will map needed services and
align regional resources on behalf
of our patients and their families,”
she said.
The American Academy of Pedi-
atrics describes a ‘medical home’ as
a model of delivery of care that is
accessible, continuous, comprehen-
sive, family-centered and culturally
effective. This model not only con-
siders medical issues but addresses
social, educational, transitional and
housing concerns.
“Because of our history in suc-
cessfully treating patients with
complex needs, we are uniquely
positioned to begin this effort.
However, we need help in taking
the next steps to ensure a contin-
uum of care for people with
Autism,” Ricci added. “Unfortu-
nately, there is a lack of resources
in Connecticut including disparities
in access to services, and our state
needs a hub of coordination. I
know this professionally and per-
sonally because my son has
Autism.”
Children with Autism use health-
care at a higher rate with higher
costs but have very limited access
to the coordinated care provided by
a medical home. What’s more, as a
child with Autism gets older, fewer
services are available for the tran-
sition from school-based services to
adulthood. However, the proposed
Health Neighborhood can be the
next step towards integrated and ac-
countable care in Connecticut.
The Autism Center at HSC offers
an array of psychological and aca-
demic evaluations as well as a wide
range of assessment and therapy
options in the areas of occupational
therapy, physical therapy and
speech and language therapy. Be-
havioral and educational planning
also will be provided with the ob-
jective of including all caregivers,
teachers and others involved in the
life of the child to present a consis-
tent and structured environment
where the child can thrive.
For more information about the
Autism Center, call 860.827.4797,
or visit www.hfsc.org.
PAGE 24 Nov/Dec 2012 Hospital Newspaper - NE
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BBoooommeerrss && BBeeyyoonnddSenior Residences
Fairlawn Rehabilitation Hospital recently earned a full three-year
accreditation from The Joint Commission, as well disease specific
care accreditations in brain injury, Parkinson’s disease, and stroke
rehabilitation. Fairlawn is one of only five hospitals in the nation
to have TJC accreditation for Parkinson’s disease rehabilitation.
Waveny Care Network announces campus-wide wireless accessibilityDelivering upon a continuing
commitment to offer the “latest and
greatest” in technology to those it
serves, Waveny Care Network re-
cently installed a series of wireless
access points (WAPs) to establish a
Wi-Fi network throughout the 3
Farm Road campus. This compre-
hensive installation was made pos-
sible by generous funding from the
Jeniam Foundation.
Available to all staff, patients,
residents, family members and vis-
itors, Waveny’s campus-wide Wi-Fi
capabilities enable the use of wire-
less devices and convenient access
to popular social media platforms
like Facebook, Twitter and Skype to
better stay in touch with friends and
family.
Waveny is delighted to offer a
wireless network to all whom it
serves. “We now have the ability
Village resident, Lorraine McGettigan enjoys a game of Scrabbleon a wireless tablet with her daughter, Sue Carroll.
to access the internet instantly,”
said Patty Scavo, director of ther-
apeutic recreation. “Not only can
we more easily engage our resi-
dents and participants in online
leisure activities, but we can
download additional ‘apps,’ in-
formation or software instantly
when residents make special re-
quests.”
Waveny’s residents and family
members are especially excited
about the recent technology instal-
lation. “Mom enjoys shopping on-
line,” said Sue Carroll, whose
mother Lorraine resides at The Vil-
lage at Waveny Care Center. “She
now plans to do all her Christmas
shopping at online stores for every-
one on her list.”
“We also use Skype so that she
can stay in touch with all her chil-
dren and family who live in other
states,” added Carroll. “In fact,
during her birthday parties at
Waveny, we use Skype so that
every one of my siblings can join
in the celebration and wish her a
Happy Birthday.”
Waveny Care Network provides
a comprehensive continuum of care
– now including skilled Home
Healthcare – to serve the growing
needs of older adults from all areas.
Waveny is a not-for-profit organi-
zation that offers independent liv-
ing at New Canaan Inn, assisted
living for people with Alzheimer’s
and memory loss at The Village,
and skilled nursing at Waveny Care
Center. It also includes the Brown
Geriatric Evaluation Clinic, a Geri-
atric Care Management team that
provides 24-hour coverage, an
Adult Day Program that offers flex-
ible hours and transportation six
days a week, inpatient and outpa-
tient Rehabilitation Services, and
respite programs at both The Vil-
lage and Care Center. For informa-
tion call (203) 594-5200 or visit
www.waveny.org.
provided
provided
Hebrew Health Care’s Dr. Harry Pruceturns 101
Hebrew Health Care’s Adult Day
Center will help Dr. Harry Pruce
blow out 101 birthday candles this
year. In attendance will be mem-
bers from the VFW and the Jewish
WWII Breakfast Club, as well as
members of the Hebrew Health
Care and HHC Adult Day Center.
Dr. Pruce will be presented with an
Air Force pin and a star; the star is
part of a new program where stars
from American flags that are no
longer able to fly are removed and
given to veteran. Not only will we
be celebrating another year, we will
be celebrating a life of the American
dream come true.
Harry signed up for the Air Force
in 1942; he reported to the Air
Force base in New Orleans. In
1945 he was deployed to the Pacific
where he served on several island
bases and then Tokyo, Japan where
he remained for about 1½ years.
While stationed in Japan, he
worked on the Floating Hospital.
Harry started his military service
as a First Lieutenant and then was
promoted to Captain and Major.
He was discharged in 1946.
Fairlawn Rehabilitation Hospital recentlyearned a full three-year accreditation
Hospital Newspaper - NE Nov/Dec 2012 Page 25
TOTAL LIABILITY PROTECTIONMEANS ANTICIPATING WHAT’S
AROUND EVERY CORNER
Surprises can be fun. But not when it comes toprofessional liability. That’s why over 20,000 physicians,dentists, allied healthcare professionals and hundreds
of hospitals, health centers and clinics don’t leave thingsto chance. They choose Coverys. Financial strength,
innovative products and services, and commitment toyour protection make us the company you can depend on.
Get more than you expect. Get Coverys.
EXPECT THE UNEXPECTED.
www.coverys.comMedical Professional Mutual Insurance Company • ProSelect Insurance Company
Hebrew Health Care grants a wish for residentRoslyn Cohen, patient of Hebrew Health Hospice at the Hospital at Hebrew Health Care had
just one wish for her 91st birthday: to receive a visit from a fireman.
Upon hearing this request, the Hospital staff set out to find a fireman to visit Roslyn on her
special birthday. Rhoni Yearwood, unit secretary on the Hospital unit, began making calls to local
fire departments. When she called the West Hartford Fire Department, she was informed that
Roslyn was a former 30 year employee at the department.
On November 9, 2012 Roslyn’s wish was granted when six fully uniformed firemen from the
West Hartford Fire Department arrived at her room at the Hospital at Hebrew Health Care to
celebrate her birthday. Overjoyed, Roslyn was overhead saying, “This was all I wanted. Thank you.”
Hebrew Health Care is a non-profit, non-sectarian health care
provider featuring a full spectrum of integrated and seamless
in-patient; out-patient and community based geriatric services to
meet the needs of older adults in the Greater Hartford community.
Hebrew Health Care is committed to providing comprehensive care
of the elderly. Not simply saying it, not simply building it, HHC
does it – every day, every week, every year, for over 100 years.
Hebrew Health Care’s commitment to the elderly in the Greater
Hartford area is unparalleled and is the foundation on which our
reputation for excellence is based.
Hebrew Health Care is comprised of the following service affiliates:
The Hospital at Hebrew Health Care Hoffman SummerWood Community Hebrew Health Visiting Nurses Hebrew Health Hospice Hebrew Health Assisted Living Services Hebrew Health Adult Day Services Hebrew Rehabilitation Group Connecticut Geriatric Specialty Group The Gene and Anja Rosenberg Hebrew Home and Rehabilitation Center
Roslyn and the West Hartford Firefighters.provided
PAGE 26 Nov/Dec 2012 Hospital Newspaper - NE
Bulimia: The Secret DiseaseBy Stuart Koman, Ph.D.
"I know this rigidity, this feeling that if you eat one thing that's wrong, you're full of
self-loathing and then you punish yourself, whether it's one cookie or a stick of gum
that isn't sugarless, that I would sometimes beat myself up for that."
Katie Couric, ABC News
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In some ways, bulimia nervosa is
the most insidious of the three major
eating disorders.
Bulimia is a secret disease. Be-
cause bulimics feel shame about their
disorder, they typically try to hide it.
It is not unusual for those who have
it to hide the condition even from
their immediate family for years.
They can hide it, because individ-
uals with bulimia look very much
like everyone else. A person with bu-
limia may have a normal body
weight and may look as healthy as
Katie Couric, who recently talked
about her struggles with bulimia dur-
ing her talk show.
Conversely, a patient with
anorexia nervosa is typically thin to
the point of looking starved and
those with binge-eating disorder are
often, although not always, obese.
While it’s been many years since
Ms. Couric had bulimia, the disorder
had a lasting impact on her, as it does
on millions of others.
The definition of bulimia is evolv-
ing, but symptoms include regularly
binging by eating an excessive
amount of food, feeling a lack of
control over the binging and com-
pensating to prevent weight gain by
“self-induced vomiting; misuse of
laxatives, diuretics or other medica-
tions; fasting, or excessive exercise,”
according to the American Psychi-
atric Association.
Possibly DeadlyPerhaps because those with bu-
limia look like everyone else, there
is a tendency for some not to take bu-
limia seriously. Yet, like other eating
disorders, it can be deadly.
Purging can result in the loss of
minerals the body needs to function
properly, resulting in an electrolyte
imbalance. This imbalance can re-
sult in irregular heartbeats, increas-
ing the potential for heart failure.
Those who use drugs to stimulate
vomiting, bowel movements or uri-
nation also increase the risk of heart
failure.
Frequent vomiting can cause other
health problems, such as inflamma-
tion or tearing of the esophagus, and
swollen glands. Acid from vomit can
wear down the protective enamel on
a person’s teeth. Those with bulimia
often have irregular menstrual peri-
ods and lowered interest in sex.
In addition, a majority of bulimia
patients have other psychiatric disor-
ders, such as depression, anxiety or
obsessive-compulsive disorder. The
incidence of drug or alcohol abuse
among bulimics is also high.
Further complications arise be-
cause not everyone who binges and
purges is considered bulimic. A ma-
jority of people with bulimia symp-
toms do not meet the precise clinical
definition and are considered to have
an eating disorder not otherwise spec-
ified (EDNOS).
The American Psychiatric Associ-
ation is modifying the definition of
bulimia as part of its DSM-5, the fifth
edition of its Diagnostic and Statisti-
cal Manual of Mental Disorders,
which is scheduled to be published
next spring.
RecognitionDSM-5 will recognize binge eat-
ing as an eating disorder for the first
time and patients who do not purge
may be defined as having binge-eat-
ing disorder instead of anorexia. In
addition, the incidence of binging
and purging necessary to be classi-
fied as bulimia is expected to de-
crease from at least twice a week for
at least three months to just once a
week.
The National Institute of Mental
Health (NIMH) estimates that 1.1
percent to 4.2 percent of females
have bulimia at some point in their
lives. Bulimia is still rare among
males, but the numbers have been in-
creasing. It is most common in
women who are teens, but it is in-
creasingly common in pre-teens and
can affect seniors, too.
Bulimia statistics are imprecise,
not only because the definition of bu-
limia is imprecise, but because of the
secrecy around the condition. Be-
cause bulimics hide the disease, the
numbers may be even higher than the
NIMH estimate.
While bulimia is not as apparent
as other eating disorders, medical
professionals can learn to diagnose
the disease fairly quickly. Typically,
the first medical professional to
know when a person has bulimia is
the patient’s dentist, because of the
impact of purging on a person’s
teeth.
Severely bruised or calloused
knuckles are another sign, since a
person who consistently sticks her
hand down her throat to induce vom-
iting will suffer some damage.
Medical professionals who sus-
pect that a patient has bulimia
should try to discuss weight issues
with the patient. Do not, for exam-
ple, outright ask the patient, “Are
you bulimic?” or “Do you binge and
purge?” Because individuals with
bulimia are typically ashamed of
their actions, they will be evasive if
confronted.
Diagnosing BulimiaInstead, begin by asking the pa-
tient, “Do you worry about your
weight?” and follow up with, “Do
you do a lot of dieting?” Those who
diet frequently are much more likely
to develop bulimia than those who
eat acceptable amounts for three
meals a day.
During the discussion, assuming
the patient responds that she is wor-
ried about her weight, ask her
whether she purges or takes laxa-
tives. Once you’ve engaged the pa-
tient, you’ll usually get an honest
answer.
Research into the chemistry of the
brain has shown that bulimics have a
similar neurochemical response to
foods that addicts have to drugs and
alcohol. Given that the patient’s de-
pendence on binging and purging re-
sembles an addiction, it is difficult to
stop he cycle.
However, bulimia is more treat-
able than anorexia. Patients often re-
cover, but frequently revert to past
behavior when they are under stress.
While in-patient treatment is nec-
essary in the most severe cases, bu-
limia can often be overcome with
aggressive outpatient treatment that
combines medication, behavioral
therapy and nutritional therapy.
There is no medication approved
specifically for treating bulimia,
but high doses of the antidepres-
sant Prozac can moderately de-
crease binging and purging
episodes. It’s important to know
that a dosage of 40 milligrams –
twice as high as the dosage typi-
cally prescribed for depression – is
needed.
Treating BulimiaTopamax, which is typically used
to treat seizures and prevent mi-
graine headaches, can also help con-
trol binging and purging, and
promote weight loss.
Pharmacotherapy is more effec-
tive when used in conjunction with
cognitive behavioral therapy, which
seeks to change the way a person
thinks.
Professional nutritionists are also
important to the treatment process.
Typically, those with bulimia restrict
their eating during the day in an at-
tempt to lose weight. This increases
their compulsion to binge at night,
which then results in purging. Di-
etary modifications can help prevent
the uncontrollable urge to binge that
typically takes place at night.
Constant monitoring of elec-
trolytes is also important, given that
heart failure can result from an elec-
trolyte imbalance.
When co-occurring disorders
exist, it is essential that they be
treated concurrently. In a person
with multiple disorders, if treatment
concentrates on just bulimia or any
one disorder, the patient may show
improvement with whatever is being
treated, but other disorders typically
will worsen.
Treatment of bulimia can be com-
plex and recovery takes time, so be
certain to involve professionals who
had experience treating the disorder.
Bulimia is a secret disease, but it’s
a secret that needs to be told. Bu-
limia, and the shame and medical is-
sues that it causes, can be overcome,
but the first step is recognizing that
the disorder exists.
Stuart Koman, Ph.D. is president
and chief executive officer of
Walden Behavioral Care in Waltham,
Mass. He can be reached at
Consultants Corner
Have you or someone you know suffered any of the following?
Did you have problems after a face or head injury such as:
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Hospital Newspaper - NE Nov/Dec 2012 Page 27
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State of-the-art imaging systemprovides safer, more precise spinalsurgery at Bridgeport Hospital
The O-arm/Stealth Station navi-
gation system being used for spinal
surgery at Bridgeport Hospital.
Patients with spinal injuries are
receiving safer, more precise sur-
gical treatment, thanks to the new
O-arm/Stealth Station Navigation
system at Bridgeport Hospital, one
of the first hospitals in Connecticut
to use the state-of-the-art imaging
system.
The system is a major advance-
ment over previous technology in
that it provides real-time 3D im-
ages of the surgical site—includ-
ing surgical instruments—as
procedures are taking place. As the
name suggests, the donut-shaped
O-arm can rotate around the pa-
tient, providing images from many
angles. Computer-assisted surgery
ensures safety and accuracy by:
• guiding surgeons through thesafest route to the surgical site• giving surgeons a broader,multi-angle view of the site and• confirming the placement of in-struments and hardware (suchas pedicle screws in the spine)during surgery in real time
The system can also take images
from traditional sources such as X-
rays, CT scans, MRIs and ultra-
sounds and transform them into 3D
images to use with the real-time
guidance images taken in the oper-
ating room during the procedure.
After falling and injuring him-
self, Joseph Camillo of Milford
had four fractures in his neck re-
paired by Bridgeport Hospital
Chief of Neurosurgery Kenneth
Lipow, MD, in July, using the O-
arm system. The injury left
Camillo without the ability to
move his head, right arm, right leg
and both hands.
“This was a potentially fatal in-
jury,” Dr. Lipow explains. “The lo-
cation of the uppermost fractures
was very close to the arteries that
feed the brain stem. Repairing the
fractures without the precision
guidance of the O-arm/Stealth Sta-
tion would’ve been nearly impos-
sible and extremely risky.”
Fortunately for Camillo, the sur-
gical procedure was successful. It
saved his life and he began physi-
cal therapy with improved ability
to move his head, right arm, right
leg and both hands.
Chantel DiJulio of Trumbull
picked up a bag of wood chips in
her yard and woke up the next day
in “excruciating” pain. An MRI re-
vealed multiple herniations
(bulges) in her spinal discs and se-
vere narrowing of the spinal canal.
“I couldn’t even bend down to
use the sink,” DiJulio says.
Guided by the O-arm/Stealth
Station system, orthopedic spinal
surgeon John Awad, MD, per-
formed a new type of less invasive
spinal procedure to address her
symptoms.
“The sophisticated guidance ca-
pabilities of the O-arm/Stealth Sta-
tion system help us perform spinal
surgeries with greater precision than
ever before,” says Dr. Awad. “Not
only are the procedures safer for the
patient, we now have the ability to
do less invasive procedures, which
minimizes post-operative pain and
increases the rate of recovery.
“I feel wonderful now,” says Di-
Julio, whose treatment is continu-
ing with physical therapy. “The
surgery has made a tremendous
difference.”
For more information about, or a
referral to, a Bridgeport Hospital-
affiliated neurosurgeon or orthope-
dic surgeon, call 1-888-357-2396.
PAGE 28 Nov/Dec 2012 Hospital Newspaper - NE
Leading provider of medical
professional liability insurance,
Coverys, is pleased to announce
Jack Donehue has been named
the new chief operating officer
(COO). Additionally, Donna
Miele-Cesario has taken on the
role of chief claims officer, in
addition to her role as CIO;
Michael Kubik has been pro-
moted to senior vice president of
marketing; Barbara Staples has
been promoted to vice president
of claims; Eric Crockett has been
promoted to vice president of in-
formation technology (IT); and
Mark Lynch has been promoted
to vice president and controller of
corporate finance.
Jack Donehue, former chief
financial officer for Coverys
(then ProMutual Group) from
1989 to 2010, has returned to the
organization as chief operating
officer. In his role as COO, Done-
hue will assist in developing and
executing the annual business
plan and long-term strategic plan.
He will also oversee the Health-
care Provider Education, Market-
ing, Risk Management and
Underwriting Departments and
Coverys Insurance Services, the
company’s insurance agency
based in Lansing, Mich. Prior to
joining the organization in 1989,
Donehue served as deputy
controller and assistant treasurer
for Commercial Union Insurance
Company and was a former
manager of corporate accounting
for Liberty Mutual Insurance
Company. Donehue has served
on the Board of Managers and
or (617) 946-8665, or visit the
company’s website at www.cov-
erys.com.
About CoverysCoverys is one of the top 10
medical professional liability in-
surance providers in the country
based on direct written premium.
Coverys member companies in-
sure more than 20,000 physicians,
surgeons, dentists, certified nurse
midwives and allied healthcare
providers, as well as nearly 500
hospitals, health centers and clin-
ics in 23 states from coast to coast.
Coverys is committed to financial
strength and stability with net ad-
mitted assets in excess of $3.2 bil-
lion, direct written premium of
$375 million and policyholder
surplus of $1.1 billion, as of De-
cember 31, 2011. In addition, all
Coverys insurance member com-
panies have a Best’s Rating of A-
(Excellent). Coverys emphasizes
physician education and patient
safety, and the company is ac-
knowledged as a leader in provid-
ing supportive risk management
services and resolute claim de-
fense to the healthcare commu-
nity. Coverys also offers a variety
of interactive and relevant contin-
uing medical education (CME)
activities to healthcare providers
across the country. For more infor-
mation visit the Coverys website
at www.coverys.com. Timely in-
dustry and company news can
also be found on the Coverys blog
at coverys.wordpress.com, on
Twitter (@Coverys) and on the
company’s Facebook page.
the Investment Committee of the
Property Casualty Initiative and
is a past member of the Associa-
tion of Mutual Insurance Account-
ants and the Society of Insurance
Accountants. He graduated from
Northeastern University with a
Bachelor of Science degree.
As the chief claims officer,
Miele-Cesario will mentor and
develop staff and oversee vision
and strategy, in addition to her re-
sponsibilities as chief information
officer. As chief information offi-
cer, she leads strategy for the IT
Department, which supports all
Coverys member companies.
Prior to these roles, Miele-Ce-
sario was senior vice president of
IT. From 1979 to 1988 she
worked in the Claims Department
as both a claim representative and
a claim supervisor before taking
over the implementation of com-
pany-wide IT services. Miele-Ce-
sario received a Bachelor of
Science degree in Management
from Lesley College. In addition,
she holds an Information Systems
Management graduate certificate
from Boston University and a
Strategic Internet Management
graduate certificate from North-
eastern University.
Michael Kubik has been pro-
moted to senior vice president of
marketing. Since taking on the
role of vice president of market-
ing in 1998, Kubik has imple-
mented the company’s expansion
into 12 new states. He was also
integral in the development of the
newly formed Coverys RRG.
Kubik has more than 25 years of
experience in the sale and mar-
keting of professional liability in-
surance. He is a graduate of
Central Connecticut State Uni-
versity where he received a Bach-
elor of Science degree in
Marketing. He is a licensed prop-
erty-casualty agent.
Barbara Staples has been
named the new vice president of
claims for Coverys. Previously a
director of claims, Staples will be
responsible for overseeing the
day-to-day activities of the
Claims Department and for assist-
ing Miele-Cesario with overall
claims strategy. Staples has been
with Coverys and its predecessors
for 35 years. Prior to that, she was
a claim representative for St. Paul
Companies. She received a Bach-
elor of Science degree in Nursing
from Salem State University.
As the new vice president of
IT, Eric Crockett will be respon-
sible for all IT staff and for the
daily IT operations for the entire
organization. Crockett joined
Coverys in 2002 as manager of
information systems. He has
since served as a senior manager
of information systems and direc-
tor of infrastructure and opera-
tions. Prior to joining Coverys,
Crockett held various informa-
tion technology positions at Ar-
bella Insurance. Crockett
received a Bachelor of Science
Degree in Business Administra-
tion from St. Michael's College in
Vermont. He has Local Area Net-
works and Data Communications
certifications from Northeastern
University.
In recognition of his responsi-
bilities in the Corporate Finance
Department, Mark Lynch has
been promoted to vice president
of corporate finance, and will also
maintain his role as controller. He
will continue to oversee the daily
operations in the department and
contribute to overall strategy in
his role as corporate controller.
Prior to joining the organization
in 2010, Lynch held a variety of
finance roles at MiddleOak, a
property casualty insurer, where
he began his career in 1984 as an
accountant. Lynch is a past presi-
dent of the CPCU Boston Chapter
and a member of the Property and
Casualty Initiative Investment
Committee. He received a Bach-
elor’s Degree in Business and
Economics from Gordon College,
as well as a Master’s in Business
Administration from Salem State
University.
For more information about
Donehue, Miele-Cesario, Kubik,
Staples, Crockett, Lynch or Cov-
erys please contact Katharine
Gould at [email protected]
Donna Miele-Cesario Michael Kubik Barbara Staples
Eric Crockett
Mark Lynch Jack Donehue
Coverys appoints Jack Donehue as COO; announces promotions of Miele-Cesario,Kubik, Staples, Crockett, Lynch
peopleonthemove
Hospital Newspaper - NE Nov/Dec 2012 PAge 29
MetroWest Medical BillingP.O. Box 312
Hudson, MA 01749
Tel: (978) 562-4503(888) 568-MWMB
Fax: (978) 562-MWMBFax: (978) 567-MWMB
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major health insurance plans
peopleonthemove
Debra A. Twehous, M.D., of Lancaster, MA, has been named
Director of Physical Medicine and Rehabilitation at Fairlawn
Rehabilitation Hospital.
A Diplomate of the American Board of Physical Medicine and
Rehabilitation, Dr. Twehous most recently served as an assistant
physiatrist and Medical Director of the General Rehabilitation
Program at Spaulding Rehabilitation Hospital in Boston, MA.
She also previously held the position of Medical Director of the
Burbank Rehabilitation Center in Fitchburg, MA and Associate
Medical Director for the Farnum Rehabilitation Center at Cheshire
Medical Center in Keene, NH.
Dr. Twehous earned her medical degree and completed an intern-
ship in Internal Medicine at the University of Texas Health Science
Center at San Antonio. She completed her residency in Physical
Medicine and Rehabilitation at the University of California, Irvine.
An assistant professor in the Department of Orthopedics and
Physical Medicine at the University of Massachusetts Medical
School in Worcester, Dr. Twehous has also held academic positions
at Harvard Medical School in Boston and The University of
California at Irvine in Orange, CA.
Fairlawn names new Director of Physical Medicineand Rehabilitation
Debra Twehous, M.D.
Dr. Matthew Lopresti to oversee expansion of services
Braintree Rehabilitation Hospital
(BRH), a world-class rehabilitative
care provider, has named Dr.
Matthew Lopresti Medical Director
of its Spinal Cord Injury Program.
The appointment underscores
BRH’s plan to expand its service
capabilities to this unique patient
population, including increased
clinic offerings for outpatients.
“We are excited to welcome
Dr. Lopresti at a time when we are
building on more than 40 years of
experience in treating spinal cord in-
jury to extend services to meet the
needs of more acute patients,” said
Dr. Arthur Williams, Medical Direc-
tor of BRH. “This is a very special-
ized field, with few service providers.
We are proud to be among them.”
“The spinal cord injury patients
we serve have experienced a life
changing event and are working
hard to persevere and get back to
every day life,” said Dr. Lopresti.
“My goal is to help them maximize
their abilities and independence by
leveraging the many resources at our
command, from the expertise of our
staff, to our on-site orthotic assess-
ment and fabrication, to our exten-
sive technology,” said Dr. Lopresti.
A resident of Malden, Dr.
Lopresti has published and pre-
sented in the proceedings of the
Endocrine Society, San Fran-
cisco. He is a member of the
American Medical Association,
American Academy of Family
Physicians, and the American
Osteopathic Association.
BRH is located at 250 Pond
Street in Braintree, Massachusetts.
For more information visit
www.braintreerehabhospital.com,
or call (781) 348-2500.
About Braintree
Rehabilitation Hospital
Since 1975, Braintree Reha-
bilitation Hospital has gained
recognition as a world-class reha-
bilitative care provider dedicated
to helping patients maximize
functionality, mobility, and inde-
pendence following illness or in-
jury. Braintree Rehabilitation
Hospital is a licensed 168-bed
acute facility, which includes a
21-bed satellite hospital at
MetroWest Medical Center in
Natick, Massachusetts, and mul-
tiple outpatient clinics. The hos-
pital is accredited by The Joint
Commission and also has been
awarded Disease-Specific Care
Certification in its Stroke Reha-
bilitation and Acquired Brain In-
jury Programs. Five Star Quality
Care, located in Newton, Massa-
chusetts, is the parent company of
Braintree Rehabilitation Hospitals
and its Massachusetts-based sister
rehabilitation hospital network,
including New England Rehabil-
itation Hospital in Woburn, satel-
lite units in Danvers and Lowell,
and an array of outpatient rehabil-
itation centers.
Dr. Lopresti is a graduate of
the University of Massachusetts,
Boston, and received his medical
degree from the University of
New England College of Osteo-
pathic Medicine in Biddeford,
Maine. He completed his intern-
ship at St. Joseph’s Medical Center
in Reading, Pennsylvania, and his
residency at Boston Medical
Center. He recently completed the
ACGME accredited Harvard
Medical School / VA Boston Spinal
Cord Injury Fellowship.
Braintree Rehabilitation Hospital appoints Medical Director of Spinal Cord Injury Program
PAGE 30 Nov/Dec 2012 Hospital Newspaper - NE
Waveny Care Network recently celebrated our nation’sservicemen and women with a special Veteran’s Day Waveny Care Network recently celebrated our nation’s servicemen and women with a special
Veteran’s Day event held on “Main Street” at The Village at Waveny Care Center. Waveny
welcomed local veterans Richard Iannucci, Michael Bennedetto and Don Gels, in leading the
Pledge of Allegiance, singing the national anthem and sharing stories of their individual military
experiences.
The numerous veterans among Waveny’s patients, residents, and Adult Day participants
were recognized and thanked for their dedicated service as trumpeter, Don Gels, performed
the anthem for each military branch.
From left to right: Adult Day participant, Joseph Minkiewicz; Village resident, Nate Lindabury;Master Chief Richard Iannucci, United States Navy; Adult Day participants Tony Cipri, AngeloBurno, Joseph Mossa, Emillio Lupinacci, and Sergeant Michael Bennedetto, United StatesMarine Corps.
pro
vid
ed
Bridgeport Hospital recently
held a grand opening ceremony
for its new Trumbull Radiation
Oncology Center at 5520 Park Av-
enue. The single-story, 10,000
square foot facility provides all of
the radiation therapy services pre-
viously available at the hospital in
a centrally located suburban set-
ting just off Exit 47 of the Merritt
Parkway.
More spacious than the former
radiation therapy quarters at the
hospital, the Trumbull Radiation
Oncology Center will allow new
services to be added in the coming
months, including stereotactic ra-
diosurgery and stereotactic body
radiation therapy.
“We are committed to providing
high quality care in comfortable,
state-of-the-art surroundings for
our patients and their families,
closer to where they live,” said
Bridgeport Hospital Chief of Ra-
diation Oncology Sheida Mani,
MD. “The Trumbull Radiation
Oncology Center affords us the
perfect place to do this, and take
further steps to meet our patients’
needs.”
The Trumbull Radiation Oncol-
ogy Center is one component of a
planned comprehensive outpatient
cancer center at the Park Avenue
site. Affiliated doctors’ offices are
already located in an adjacent
building and a third building for
additional cancer services is al-
ready on the drawing board. A
new parking garage is also
planned for the site to complement
the existing surface parking lot. In
addition, the project also calls for
improvements to pre-existing
drainage problems on the property
to reduce the risk of flooding in
the adjacent residential neighbor-
hood.
“The closer the support, the bet-
ter for patients and their families,”
Trumbull First Selectman Timothy
Herbst said of the Center’s con-
venient location. “This new facil-
ity will help put Connecticut on
the map as a leader in cancer
care.”
Herbst participated in the grand
opening with Fourth District Con-
gressman Jim Himes, State Rep.
Tony Hwang, hospital staff and
other community members.
“We thank the Town of Trum-
bull, and in particular, First Select-
man Herbst, for supporting our
efforts,” said Bridgeport Hospital
President and CEO Bill Jennings.
“We could not have selected a
more ideal site for our new Cen-
ter—a serene suburban setting, al-
most exactly on the spot where
Trumbull, Bridgeport, Easton and
Fairfield converge, just off the
Merritt Parkway.”
The Center is staffed by Dr.
Mani and fellow radiation oncolo-
gist Bruce McGibbon, MD, both
from the Yale School of Medicine
and Yale Cancer Center. The doc-
tors work with an experienced
support team, most of whom were
previously based at Bridgeport
Hospital.
Bridgeport Hospital is a mem-
ber of Yale New Haven Health
System and the Yale-New Haven
Cancer Network, an alliance of
hospitals across Connecticut that
provides access to the latest break-
throughs and delivers an unparal-
leled level of expertise in cancer,
prevention, diagnosis and treat-
New Trumbull Radiation Oncology Center will expand services,improve access to care for cancer patients
The new Trumbull Radiation Oncology Center is equipped with state-of-the-art technology,such as this linear accelerator used in radiation therapy.
Taking part in the ribbon cutting for the new Trumbull Radiation OncologyCenter (left-right): Dr. Bruce McGibbon, Bridgeport Hospital PresidentBill Jennings, First Selectman Timothy Herbst, Congressman Jim Himes,Dr. Sheida Mani, Bridgeport Hospital Chief Operating Officer Norm Roth andState Rep. Tony Hwang.
ph
oto
s p
rovid
ed
Hospital Newspaper - NE Nov/Dec 2012 PAge 31
February 18-22Jackson Hole, Wyoming
April 21-26Providenciales, Turks and Caicos
March 6-9Las Vegas, Nevada
May 6-9Monterey, California
March 24-317-Day Western Caribbean Cruise
September 23-26Las Vegas, Nevada
March 31-April 77-Day Eastern Caribbean Cruise
November 4-8Maui, Hawaii
northwestS E M I N A R S
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Approved by the American College of Emergency Physicians for a maximum of 20 hour(s) of ACEP Category I credit.
“Waveny Walkers” raise funds for Alzheimer’s Disease researchWaveny Care Network employ-
ees, volunteers and family members
helped fight Alzheimer’s disease by
participating in this year’s annual
Memory Walk at Calf Pasture
Beach in Norwalk on Sunday, Sep-
tember 30.
Waveny’s team, which has par-
ticipated in the three-mile walk
since its inception 16 years ago,
raised close to $3,000 for the
Alzheimer’s Association Connecti-
cut Chapter through donations and
sponsorships. The funds collected
will stay in the community to fund
essential care and support services
for people with the disease.
Dressed in Waveny tee shirts, the
team joined scores of walkers from
throughout Fairfield County at Calf
Pasture Beach in support of med-
ical research to improve treatments
and find a cure for Alzheimer’s dis-
ease. Waveny’s team is especially
passionate about this mission given
the dedicated care Waveny provides
to patients and residents with
Alzheimer’s disease at both the
Care Center and The Village at
Waveny Care Center, Waveny’s as-
sisted living residence for people
with memory loss.
“Every year, the Memory Walk
brings hundreds of people together
to raise funds to research and com-
bat a disease that presents enor-
mous challenges to the people it
affects directly, their families and
friends,” said Ilene Sumberg, direc-
tor of Waveny’s Adult Day Program
and Waveny team captain. “We
were proud to have such strong rep-
resentation and to raise a significant
amount of money for the cause.”
The Alzheimer’s Association
Connecticut Chapter is dedicated to
enhancing the quality of life of all
people affected by Alzheimer’s dis-
ease and related disorders through
advocacy, education and support
systems, while promoting research
efforts. According to the Associa-
tion, Alzheimer's disease is the
most common cause of dementia
and affects as many as 5.4 million
Americans. It is a degenerative dis-
ease that attacks the brain and pro-
gresses at a variable rate. It results
in impaired memory, thinking, and
behavior and can last from eight to
20 years from the time of onset of
symptoms.
Waveny Care Network provides
a comprehensive continuum of care
Members of Waveny Care Network’s 2012 Memory Walk team, the “Waveny Walkers,” raised close to$3,000 in contributions for the Alzheimer’s Association that will be used to fund essential care andsupport services for people with Alzheimer’s disease.
– now including skilled Home
Healthcare – to serve the growing
needs of older adults from all areas.
Waveny is a not-for-profit organi-
zation that offers independent living
at New Canaan Inn, assisted living
for people with Alzheimer’s and
memory loss at The Village, and
skilled nursing at Waveny Care
Center. It also includes the Brown
Geriatric Evaluation Clinic, a Geri-
atric Care Management team that
provides 24-hour coverage, an
Adult Day Program that offers
flexible hours and transportation
six days a week, inpatient and
outpatient Rehabilitation Services,
and respite programs at both
The Village and Care Center. For
information call (203) 594-5200 or
visit www.waveny.org.
provided
PAGE 32 Nov/Dec 2012 Hospital Newspaper - NE
Latestinfo fo
r
nurses and
students
By Alison Lazzaro
When discussing genomics, what comes to mind? You might be surprised by how much knowledge
you actually have about genomics and genetics. Nurses utilize these concepts in assessments
and might be overlooking their significance. Genomics looks at the study of genes and their
functions in order be get a better understanding of mapping and sequences of genes and
DNA. Chromosomes can be thought of as a filing cabinet, with genes as the “files”.
Genetics refers to the study of heredity. Both genomics and genetics are becoming an
important aspect of health care that nurses need to address.
Nurses can advance the use of genomics and genetics in their practice with each patient
they see. Eliciting a three-generation family health history can identify disease susceptibility
or genetic conditions. Information that should be collected includes disease and age of
onset, ethnicity, and maternal and paternal lineages. These few pieces of information can
indicate disease susceptibility through diseases found primarily in males, early age of onset for
chronic adult onset diseases, and multiple cases of rare diseases. The health history should also uncover
environmental and lifestyle factors as well as social and emotional status. Approaching the patient with these questions will
open up the door to more personalized medicine that goes beyond BMI and cholesterol levels, but rather looks at specific
treatment options and could help avoid potential drug reactions due to the patient’s genetics.
According to the National Center for Health Statistics, the top ten leading
causes of death in the United States all have genetic or genomic components.
Things like heart disease, cancer and diabetes are prominent in patients who
nurses treat daily. Therefore, nurses should be at the front lines of uncovering
the importance of genetics in practice. Nurses can use the health history they
obtain to pick up risk factors that others might overlook and help a patient
receive prevention care before it is too late. For instance, Kathleen Calzone,
MSN, RN, APNG recalls a time in which a nurse identified paternal family
history of early onset breast cancer and ethnicity of Ashenazi Jewish. Knowing
that these factors have a greater risk of a mutation in breast cancer susceptibility,
she referred the patient to a cancer genetic specialist. The woman went on for
testing and was found to have pre-cancerous cells in her ovary. The nurse saved this woman from developing ovarian cancer.
Nurses have the power to change and save lives through the use of their knowledge about genomics.
Ethically, genetics continues to spark controversy. However, nurses are known for their caring attitude and therefore are in
the best position to integrate science and genetic information into healthcare. Nurses can use their knowledge of health histories
to elicit risk factors for their patients that have genetic links.
Nursing Implications of Genomics
Nurse’s Viewpoint
Hospital Newspaper Correspondent
Hospital Newspaper - NE Nov/Dec 2012 Page 33
career guide
Visit our website to view current employment opportunities
Hospitalist. Full Time to offer medical care in inpatient and outpatient settingsin addiction medicine. The qualified candidate must be a Massachusetts licensedphysician or eligible for a license in Massachusetts, and ABAM or ASAM certifiedor eligible.
Director of Nursing. FT will be responsible for providing leadership and direction to the development, implementation and evaluation of processeswhich ensure compliance with DPH, Joint Commission and other regulatorystandards, improves quality and safety of patient care, facilitates and enhances professional nursing practice and ensures the highest of quality customer service in accordance with AdCare's Standards of Excellence. BSN required; Master's preferred; current RN license by the MA Board of Nursing. A minimum of 3 years in a nursing administrative/supervisory role;3/more yrs. behavioral health experience. Experience using electronic medicalrecord systems.
Case Manager/Discharge Planning Full Time: To ensure, through directcoordination, individualized quality treatment to patients at the most appropriate level of care that safely addresses the acuity of the patientthrough the expedient, cost effective application of services and insurancebenefits. Rounds with the treatment team daily. Qualified candidate must be familiar with managed care reviews for continued stays; knowledge ofdischarge planning; psych and substance abuse knowledge preferred. Education: Licensed RN preferred, LICSW acceptable. Two years utilizationexperience preferred. Skills: Ability to organize, manage and review appropriate treatment from both Managed Care and Utilization Review perspective. Ability to problem solve and coordinate treatment from a benefits perspective. Strong interpersonal skills. Familiarity with insurance benefits and national levels of criteria of care.Ability to document using electronic systems (EMR) and Microsoft Applications.
For further job information and to apply please see www.adcare.com.AA/EEOC
AdCare Hospital of Worcester Inc. is a 114 bed hospital equipped to meet thetreatment needs of alcohol and drug abuse patients at all stages of addiction.AdCare’s staff is comprised of the region’s most highly qualified. At the heartof our acute care philosophy is recognition of the need to stabilize acutesymptoms and to motivate the patient to continue receiving substance abusetreatment post inpatient discharge. AdCare is accredited by the Joint Commission and has been recognized as one of the 100 Best Treatment Centers for substances in the United States.
Career Opportunities at AdCare® Hospital, Worcester, MA
When Patients Turn to You, You Can Rely on AdCare®
UNIQUE RECRUITMENT OPPORTUNITYHospital Newspaper believes that high school students should be informed about potential healthcare careers.
Special career sections will be placed in your local high schools,medical schools, colleges and nursing schools.
Please contact Jim Stankiewicz for more information.
[email protected]: 845-534-7500 x219
This is your opportunity to displayopportunities for:
Faculty/PhysicianNursingAdministrativeSupport PositionsClinical CareMedical AssistantsCounselorsMedical ImagingDieticians
www.adcare.com(800) ALCOHOL
Career OppOrtunity!
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NYC. Master Degree required
Send resume to:212-371-2250
Back & Body Medical Care PC.
PAGE 34 Nov/Dec 2012 Hospital Newspaper - NE
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The Griffin Hospital School of Allied Health Careers, at 300 Seymour Avenue, Suite 206 in Derby, willoffer its Certified Nursing Assistant program beginning in January 2013.The CNA program begins on Jan. 14. The 13-week course will be held on Monday and Wednesday
evenings from 5 - 9 p.m. Course content includes infection control, legal and ethical responsibilities,communications, body mechanics, moving and positioning residents, personal care skills, nutrition,measuring vital signs, and restorative care. Once a student successfully completes the course andclinical experience, they will be qualified to take the State exam for certification as a Nursing Assistantin Connecticut.The $1,200 CNA course tuition fee includes the course book, workbook, and malpractice insurance
coverage for the clinical rotation, which will be held on Monday and Wednesday evenings as well asSaturday mornings.Anyone 18 years of age or older with a High School Diploma or GED may apply for admission.
For more information or to apply, call 203.732.1276 or visit griffinheath.org/allied-health. Early applicationis encouraged, as space is limited.Griffin Hospital's School of Allied Health Careers was one of the first hospital-based schools of its kind
to be authorized by the Connecticut Department of Higher Education and offers professional educationalprograms to provide training, education, and certification in selected health careers. Classes are taughtby certified instructors in the Griffin Hospital Medical Building, located at 300 Seymour Avenue in Derby.
Charter Oak State College awarded Military FriendlySchools title by Victory MediaVictory Media, the premier media entity for
military personnel transitioning into civilian life,
has named Charter Oak State College to the cov-
eted Military Friendly Schools list. The 2013
Military Friendly Schools list honors the top 15
percent of colleges, universities and trade
schools that are doing the most to embrace Amer-
ica's military service members, veterans, and
spouses as students and ensure their success on
campus.
Charter Oak State College is proud to partner
with the U.S. Navy (as a member of the Navy
College Program Distance Learning Partnership),
the U.S. Coast Guard and the Army National Guard
Education Support Center to facilitate degree
completion for servicemembers and their
spouses. Charter Oak is also a member of the Ser-
vicemembers Opportunities Colleges.
"Addressing the special needs of active duty serv-
ice members, their spouses and the veteran popula-
tions is important to Charter Oak," said Bob
Frederick, Military Transfer Advisor & Enrollment
Counselor for Charter Oak. "We are excited to gain
recognition as 'Military Friendly' by G.I. Jobs Mag-
azine as it validates our dedication to these students."
"Inclusion on the 2013 list of Military Friendly
Schools shows Charter Oak's commitment to pro-
viding a supportive environment for military stu-
dents," said Sean Collins, Director for G.I. Jobs and
Vice President at Victory Media. "As interest in ed-
ucation grows, we're thrilled to provide the military
community with transparent, world-class resources
to assist in their search for schools."
Now in its fourth year, the 2013 list of Military
Friendly Schools was compiled through extensive
research and a data-driven survey of more than
12,000 VA-approved schools nationwide. The sur-
vey tabulation process, methodology and weight-
ings that comprise the 2013 list were independently
verified by Ernst and Young LLP. Each year
schools taking the survey are held to a higher stan-
dard than the previous year via improved method-
ology, criteria and weightings developed with the
assistance of an Academic Advisory Board (AAB)
consisting of educators from schools across the
country. A full list of board members can be found
at www.militaryfriendlyschools.com/board.
The Military Friendly Schools media and website,
found at www.militaryfriendlyschools.com, feature
the list, interactive tools and search functionality to
help military students find the best school to suit
their unique needs and preferences. The 1,739 col-
leges, universities and trade schools on this year's
list exhibit leading practices in the recruitment and
retention of students with military experience.
VNA Care Network & Hospice,
a nonprofit agency providing
home- and community-based
health care, was recently awarded
a $75,000 grant from The Health
Foundation of Central Massachu-
setts to address the significant
shortage of home health care
nurses in Central Massachusetts.
“The increasing demand for
home-based health care is being
driven by a number of factors. Ad-
vances in medicine and technology
allow patients with complex needs
to be cared for at home. The grow-
ing elderly population, shorter hos-
pital stays, efforts to reduce
re-hospitalizations, elements of
health care reform related to quality
and cost, and new models of care,
such as home medical models and
accountable care organizations,
have hospitals, physicians and oth-
ers in the medical community turn-
ing to home health care,” said Mary
Ann O’Connor, RN, president and
CEO of VNA Care Network &
Hospice.
The Home Health Care Preceptor
and Nurse Training Program is
expected to cut the orientation
time of registered nurses without
a home health background in half
— from an average of 12 to six
months.
Registered nurses currently on
staff with VNA Care Network &
Hospice will have the opportunity to
complete a nurse preceptor training
program to learn how to mentor new
home health care nurses. These nurse
preceptors will then be matched to
new home health RNs for six weeks
of one-to-one education and support
in providing quality care in the pa-
tients’ homes. Preceptors will cover
a wide range of skills including phys-
ical assessment, documentation,
communication and organization.
The new staff will have addi-
tional time with clinical experts
within VNA Care Network & Hos-
pice, such as cardio-pulmonary,
wound and IV specialists. They will
also participate in classroom and
on-line learning, home visits with
other field nurses, and other orien-
tation activities that will allow them
to carry a full patient caseload.
Jane Woodbury, RN, vice presi-
dent of fund development, said,
“This grant will make an enormous
difference in our ability to care for
local residents. We’re so grateful to
The Health Foundation of Central
Massachusetts for their generous
support.”
For more information, please
call 800-728-1862 or visit
vnacarenetwork.org.
VNA Care Network & Hospice awarded$75,000 grant to address shortage ofhome health care nurses in Central MA
Griffin Hospital School of Allied Health Careers offers CNA Course in January
Hospital Newspaper - NE Nov/Dec 2012 PAge 35
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education & careers
Braintree Rehabilitation Hospital
(BRH), a world-class rehabilitative
care provider, is proud to announce
that seven of its therapists have re-
cently received Neurologic Specialist
Certification through the American
Physical Therapy Association
(APTA). The therapists are: Kelly
Allen, Valerie Allen, Kelly Landis,
Christina Miranda, Kristen Piscatelli,
Aleksandra Pourer, and Alexis Roche.
“The criteria for certification are
stringent and this represents a
tremendous achievement,” said
Daniel Parkinson, PT, MBA, and Di-
rector of Clinical Services at BRH.
“Nationwide, there are only about
1,000 physical therapists that have
earned this honor and now, with this
latest certification, we have a total of
eight of them at Braintree Rehabili-
tation Hospital,” he continues, not-
ing that Dan Coughlan of Wrentham
previously passed the exam. “This
underscores the commitment our
staff shares in providing the highest
level of patient care to realize the
best possible outcomes.”
The APTA established the spe-
cialist certification program in 1978
to provide formal recognition for
physical therapists with advanced
clinical knowledge, experience and
skills in special areas of practice,
and to assist consumers and the
health care community when seek-
ing physical therapy specialists.
Candidates for Neurologic Spe-
cialist Certification must be licensed
to practice physical therapy in the
United States, provide evidence of
2,000 hours of direct patient care in
the specialty area or have completed
an APTA credentialed neurologic
residency program, and pass a com-
prehensive examination. Medical
conditions covered on the exam in-
clude cerebral palsy, muscular dys-
trophy, stroke, acquired brain injury,
multiple sclerosis, Parkinson dis-
ease, Guillain-Barre syndrome, and
spinal cord injury.
BRH is located at 250 Pond
Street, Braintree, Massachusetts.
For more information about the
hospital, call 781.348.2500 or visit
www.braintreerehabhospital.com.
Certification recognizes advanced knowledge and skills
About Braintree Rehabilitation Hospital
Since 1975, Braintree Rehabilita-
tion Hospital has gained recogni-
tion as a world-class rehabilitative
care provider dedicated to helping
patients maximize functionality,
mobility, and independence follow-
ing illness or injury. Braintree Re-
habilitation Hospital is a licensed
168-bed acute facility, which in-
cludes a 21-bed satellite hospital at
MetroWest Medical Center in Nat-
ick, Massachusetts, and multiple
outpatient clinics. The hospital is
accredited by The Joint Commis-
sion and also has been awarded
Disease-Specific Care Certification
in its Stroke Rehabilitation and Ac-
quired Brain Injury Programs. Five
Star Quality Care, located in New-
ton, Massachusetts, is the parent
company of Braintree Rehabilita-
tion Hospitals and its Massachu-
setts-based sister rehabilitation
hospital network, including New
England Rehabilitation Hospital in
Woburn, satellite units in Danvers
and Lowell, and an array of outpa-
tient rehabilitation centers.
From Right to Left (Not Photographed Kelly Allen) First Row: Kristen Piscatelli, Alexis Roche, Kelly LandisBack Row: Christina Miranda, Aleksandra Purer, Dan Coughlan, Valerie Allen
Braintree Rehabilitation Hospital Physical Therapists receiveNeurologic Specialist Certification
pro
vid
ed
PagE 36 Nov/Dec 2012 Hospital Newspaper - NE
arCHitECturE
Bernstein & associates, architectsFounded in 1990, Bernstein & Associates, Architects,
specializes in the design and construction of hospital and
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The firm also offers sustainable or “green” healthcare design.
The firm has a number of LEED-accredited professionals, has
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PAGE 38 Nov/Dec 2012 Hospital Newspaper - NE
2013(average 3 readers per edition)Monthly Digital edition!
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HOSPITALPROFILESSee pages 16-23
Hospital of the Month
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It’s Time to Further Your CareerSee our Education SectionSee pages 12-15
Calvary Hospital p16
AlliedBartonsimplifies your security decision See p11
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Hospital Newspaper - NE Nov/Dec 2012 Page 39
When your child is diagnosed with an Autism Spectrum Disorder (ASD), seeking help is not as simple as finding a specialist. Your child needs evaluation and support in so many ways. It can be a daunting challenge. The Autism Center at Hospital for Special Care was established to be an integrated resource to meet the needs of children and adolescents with ASD. We offer a variety of diagnostic assessment and consulting services. Just as important, we are here to offer comprehensive guidance to the caregivers, educators and family members whose love and support are the true key to your child’s future.
To learn more, visit hfsc.org, or call 860.827.4797. The Autism Center at Hospital for Special Care is a joint effort with University of Saint Joseph’s Institute for Autism and Behavioral Studies.
ONE IN 88 CHILDREN ARE AFFECTED BY AUTISM.Research now suggests that children as young as one-year-old can show signs of Autism. The most important thing you can do as a parent or caregiver, is to learn the early signs of Autism and understand the typical developmental milestones your child should be reaching at different ages. Signs and symptoms to look for:
expressions by six months, or thereafter
smiles, or other facial expressions by nine months, or thereafter
pointing, showing, reaching, or waving by
imitating or repeating), by 24 months
skills at any age
Reprinted with permission. For more information about recognizing the early signs of developmental and behavioral disorders, please visit First Signs at www.firstsigns.org or the Centers for Disease Control at www.cdc.gov/actearly.
THERE IS NO ROAD MAP FOR THE TREATMENT OF AUTISM. BUT, THERE IS ONE PLACE TO TURN.
PAGE 40 Nov/Dec 2012 Hospital Newspaper - NE