Nota Bene - KennedyHealth...ennedy Health and Jefferson entered into a binding Definitive Agreement...
Transcript of Nota Bene - KennedyHealth...ennedy Health and Jefferson entered into a binding Definitive Agreement...
ennedy Health and Jefferson entered into a binding Definitive Agreement (DA) on
August 9th that lays out the terms of how our two health care organizations will
integrate. Jefferson is the combined entity formed by the merger of Abington and
Jefferson in May 2015 and further expanded with the addition of Aria Health in July 2016.
With the DA now signed, Kennedy and Jefferson will take the next steps toward
finalizing the integration by filing for all necessary federal and state regulatory reviews
and approvals, a process expected to take up to one year. Following the review
process in New Jersey’s Community Health Care Assets Protection Act, the transaction
will be complete, bringing this new, innovative health care system to South Jersey.
The boards of Kennedy and Jefferson unanimously approved the signing of the DA,
which provides for Kennedy to have equal representation on a combined board with
Jefferson, Abington and Aria.
The proposed Kennedy-Jefferson partnership will create an innovative “hub-and-hub”
model, where Kennedy will be the southern New Jersey hub of a fully integrated and
expanded Jefferson health care organization. Together, Kennedy and Jefferson will
determine the strategic priorities in South Jersey as we move forward and serve the
region together.
Through the integration process, Kennedy’s workforce will remain the same across
all locations, and patients will continue to receive enhanced services by our trusted
physicians, nurses and hospital staff.
The DA also outlines the following important commitments to the South Jersey community:
• Completion of a multi-specialty medical office building, an enclosed parking facility
and a new hospital patient tower at Kennedy – Cherry Hill;
• Continued planning for a new hospital patient tower and enclosed parking facility
at Kennedy – Washington Township;
• Maintaining Kennedy’s academic and clinical affiliation with Rowan University
School of Osteopathic Medicine; and
• Joseph W. Devine remaining as President & CEO of Kennedy Health, while also having
a leadership role with Jefferson as an Executive Vice President, where he will focus
on the organization’s growth and service expansion strategies in New Jersey.
These are great times for Kennedy Health, and there is a lot of excitement about our
future. Thank you for your support and for believing in Kennedy!
Bene
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A P U B L I C A T I O N F O R T H E M E D I C A L S T A F F O F K E N N E D Y U N I V E R S I T Y H O S P I T A L
Kennedy& Jefferson
Update
NotaK
TAKE NOTE THISof
Timothy Dombrowski, DO, MPHChief Medical Officer
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Dr. Mark Condoluci (Infectious Diseases), Dr. Aaron Crookshank (Critical Care/Pulmonary),Dr. Mark Paiste (Hand Surgery), and Cherry HillICU nurse Carol Strosser were featured inSeptember’s South Jersey Magazine “Tales of
Triumph” section with
patient Michael Berger.Berger credits the group
with saving his life after
a paper cut was infected
by flesh-eating bacteria
and caused him to
become septic.
Dr. Todd Levin (Infectious Diseases) was elected a Fellow of the Infectious
Diseases Society of America
(IDSA). Fellowship in IDSA honors
those who have achieved
professional excellence and
provided significant service in
the field of infectious diseases.
Dr. Ricardo Perez (Internal Medicine), Dr. AnthonyWehbe (Internal Medicine) and Cheri Clancy,MSN, MS, RN, NE-BC, recently presented at theWorld Congress Patient Experience Summit in San
Diego, CA. Their presentation – titled “Identify and
Engage Physician Champions to Promote a
Person-Centered Care Culture” – focused on the
implementation of patient
experience programs and
how to increase physician
engagement and buy-in
to the process.
PHYSICIAN newsNew Appointments
Department of Emergency MedicineJoseph Cruz, DO Leo L. Midure Jr., DO Russell E. Mordecai, DO Joseph J. Pagano, DO
Department of Family PracticeClaudine De Dan, MD Pallavi D. Jadhav, MD Wanda I. Nocella, APN Tracy L. Persily, DO
Department of MedicineCardiologyKristofer M. Hillegas, DOFaisal Siddiqi, MDBrett A. Waldman, MD
General Internal MedicineMaher Al-Safadi, MD Bradley F. Bender, MD Siddharth Bhimani, DO Joshua M. Filer, DO Purvaja Naik, DO
NephrologyArun Chawla, MD
Physical Medicine & RehabilitationDaniel J. Ragone Jr., MD
Pulmonary/Critical CareMedicineSrirekha Dayanidhi, PA Jennifer M. Lenzi, APN Nicholas E. Roy, DONicole Scivoletti-Polan, DO
TelemedicineDouglas M. Ikelheimer, MD
Department of NeurosciencesNeurosurgeryPatricia Hogan, APNHekmat Zarzour, MD
Department ofObstetrics/GynecologyLynsey M. Beams, DOCandice DiSanti, CNM
Department of PediatricsMario Cruz, MDXiomara A. Penn-Becoat, MD
Department of PsychiatryDillon C. Euler, MD (Telemedicine)
Department of SurgeryAnesthesiologySteven W. McGrath, MD
General SurgeryDennis Bonfiglio, CRNFATheodore N. Tsangaris, MD
Orthopedic SurgeryGerard J. Foti, DO Ian R. Gray, PA Ryan M. Hart, PA Michael S. Levy, DOFred McAlpin, DO Peter A. Sarkos, DO Rahul V. Shah, MD
Plastics & ReconstructionPatrick J. Greaney Jr, MD
PodiatryJoseph L. DiMenna III, DPM Josh L. Miller, DPM Julaine S. Miller, DPM
UrologyJeanne Llenado, DO Mark J. Mann, MD
Vascular SurgeryHolly L. Graves, MD
PHYSICIAN KUDOS
Save the Date: February 25, 2017The Kennedy Gala goes Back to the Borgata
with Huey Lewis and the news!POWERED BY
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Hundreds of Kennedy Health employees and supporters
were on hand Tuesday, Aug. 9, at Kennedy – Stratford
for a ceremony marking the signing of a Definitive
Agreement between Kennedy and Jefferson, which
announced plans to partner earlier this year.
The Definitive Agreement spells out the terms of
how Kennedy will integrate with Jefferson following
unanimous approval by the governing bodies of both
organizations. Kennedy and Jefferson will now take the
next steps toward finalizing the integration by seeking
all necessary federal and state regulatory approvals, a
process expected to take up to one year.
"Kennedy and Jefferson share a common culture
of commitment to our patients, physicians and
employees,” said Kennedy Health President & CEO
Joseph W. Devine, shown here addressing the audience of well-wishers. “ This transaction will benefit
the residents of southern New Jersey by bringing
together enhanced clinical services in the communities
we serve. As we transform health care across the
region, the focus will be on continuing to provide
highly personalized, high-quality services in convenient
settings, close to home.”
For the 2nd year in a row, Kennedy President & CEO Joseph W. Devine has beennamed to South Jersey Bizmagazine’s “Power 50” list of the most influential leaders
in the region.
Joe was praised in the magazine’s July issue for “advancing the South Jersey
medical landscape,” noting that “under his leadership, Kennedy has thrived in areas
of innovation, safety and overall patient care.”
Kennedy and Jefferson Sign Definitive Agreement
Devine Named to SJ BizMagazine’s ‘Power 50’ List
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Kennedy Docs Shine BrightKennedy’s Medical Staff was well-represented in the recent South Jersey Magazine “Best Doctors” list, with 108 of ourphysicians featured as leading medical professionals in South Jersey. The magazine published two lists, one voted onexclusively by South Jersey Magazine readers, and another compiled by global health solutions company Best Doctors Inc.The goal: simplify the search for skilled medical professionals who have made the region’s health their top priority by providing acomprehensive listing of area physicians who are committed to making a difference in the world. Congratulations to:
BEST DOCTORS® LISTAnesthesiologyDr. Alan F. Kwon
DermatologyDr. Jonathan Winter
Geriatric MedicineDr. Thomas Cavalieri
Internal MedicineDr. Thomas Cavalieri
NephrologyDr. Brenda R. C. Kurnik
OtolaryngologyDr. Daniel G. Becker
Pediatric CardiologyDr. Guillermo (Bill) Sanchez
Pediatric Specialist/Abused ChildrenDr. Martin A. Finkel
Pediatric Specialist/Adolescent & Young Adult MedicineDr. Lori Beth Feldman-Winter
Pediatrics/GeneralDr. Lori Beth Feldman-Winter
Plastic SurgeryDr. Daniel G. Becker
Vascular SurgeryDr. James B. AlexanderDr. Joseph V. Lombardi
READERS’ CHOICE LISTBariatric SurgeryDr. Louis BalsamaDr. Marc A. Neff
CardiologyDr. Ronald CohenDr. Joshua CrasnerDr. William GodinDr. Louis Papa
Dr. Daniel TarditiDr. Howard Weinberg
Colon & Rectal SurgeryDr. Robert Gardine
DermatologyDr. Ronald BernardinDr. Sandra ElderDr. Magaly P. Del Monaco
Ear, Nose, Throat/OtolaryngologyDr. Scott L. BuschDr. Harry CantrellDr. Stephen GadomskiDr. John McGrathDr. David N. SchwartzDr. Samir Shah
EndocrinologyDr. Gregory Barone
Family MedicineDr. Daniel AltmanDr. Joseph CavallaroDr. Joshua CorenDr. William FureyDr. Joseph GallagherDr. David T. Gigliotti
GastroenterologyDr. Neil CohenDr. Elizabeth EganDr. Warren Werbitt
General SurgeryDr. Larry CohenDr. Roy SandauDr. Michael J. Sasso
Hematology/OncologyDr. Trina A. Poretta
Hospice & Palliative CareDr. Stephen Goldfine
Infectious DiseaseDr. David V. Condoluci
InfertilityDr. Gary PackinDr. Stephen SawinDr. Robert SkafDr. Peter G. Van Deerlin
Internal MedicineDr. Colin CampbellDr. Joseph GambaleDr. Anthony Wehbe
Interventional RadiologyDr. David Goldstein
NephrologyDr. Virginia Irwin-ScottDr. Devang LodhaviaDr. Beckie MichaelDr. Joseph Pitone
NeurologyDr. Jack Jallo
NeurosurgeryDr. Joan O’SheaDr. Tariq SiddiqiDr. Mark Testaiuti
Obstetrics & GynecologyDr. Kenneth CovoneDr. Roberta FelsensteinDr. Eric B. GrossmanDr. Byron HapnerDr. Jennifer HummelDr. Mike MinoffDr. Anthony Salerno
OrthopedicDr. Lawrence BarrDr. Larry DeutschDr. Thomas DwyerDr. Robert GreenleafDr. Steven H. KahnDr. Christopher K. KeplerDr. Fred McAlpinDr. Jonas MatzonDr. Kam MomiDr. Alvin OngDr. Fabio Orozco
Dr. Rick RaimondoDr. Laura RossDr. John Salvo Jr.Dr. James A. Sanfilippo
Pain ManagementDr. Gary BuckDr. Scott Pello
PathologyDr. Darshan Roy
Pediatrics/GeneralDr. Wendy CookDr. Cyrus MohazzebiDr. Mahbod MohazzebiDr. Jared Pasternak
Plastic SurgeryDr. Lyle BackDr. Anthony CorradoDr. Steven DavisDr. William C. FranckleDr. Brett GarberDr. Frederick LavanDr. Evan SorokinDr. Thomas SteffeDr. Bhupesh Vasisht
PodiatryDr. Homyar KaranjiaDr. Faith Schick
Pulmonary MedicineDr. Peter CurreriDr. Bryan FerroniDr. Thomas Nugent
Radiation OncologyDr. Alexia HarveyDr. David Horvick
Thoracic SurgeryDr. Morris Eisen
UrologyDr. Elizabeth Babin
Vein/VascularDr. Charles Dietzek
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SJ Magazine’s 2016 Top Docs Each year, SJ Magazine asks South Jersey-based doctors, “If someone in your family was ill, who would you send them to formedical care?” The magazine tallies the votes and creates its annual “Top Docs” list. Then, SJ Magazine turns to its readers andasks them to vote online for their Top Doc choices, which is used to compile a patient poll list of the area’s best. This year, 66Kennedy doctors who are dedicated to keeping the South Jersey community happy and healthy graced the magazine’s lists.
DOCTORS’ CHOICE LIST
AnesthesiologyDr. Eileen Manabat
Cardiac ElectrophysiologyDr. Steven Levi
CardiologyDr. John HamatyDr. Harvey Snyder
Cardiovascular DiseaseDr. Daniel Tarditi
Colon & Rectal SurgeryDr. Edwin Empaynado
Critical CareDr. Antonio Velasco Dr. Joan Wiley
DermatologyDr. Sandra ElderDr. Robin LevinDr. Jonathan Winter
Family PracticeDr. Elyse Kernis
GastroenterologyDr. Jane FriehlingDr. Warren Werbitt
Geriatric MedicineDr. Anita Chopra
Geriatric PsychiatryDr. Stephen Scheinthal
Gynecologic OncologyDr. Howard Saul
Hand SurgeryDr. Pedro BeredjiklianDr. Jonas Matzon
HematologyDr. Noah LindenbergDr. Stephen Zrada
Hospice & Palliative CareDr. Stephen Goldfine
Infectious DiseaseDr. Todd Levin
InfertilityDr. Gerald BurkeDr. Stephen Sawin
Interventional CardiologyDr. Adam LevineDr. Vijay Verma
NephrologyDr. Christopher McFaddenDr. Beckie MichaelDr. Brian Michel
Neurological SurgeryDr. James HarropDr. Joan O’Shea
NeurologyDr. Russell Abrams
Nuclear MedicineDr. Steven Silver
Obstetrics & GynecologyDr. Eric Grossman
OphthalmologyDr. Jesse Richman
OrthopedicsDr. Luke AustinDr. Steven KirshnerDr. Evan O’BrienDr. Laura Ross
OtolaryngologyDr. Stephen Gadomski
Pain ManagementDr. Rakesh Gupta
Physical Medicine & RehabilitationDr. Richard Jermyn
Plastic SurgeryDr. Lyle Back Dr. Steven Davis Dr. Brett Garber Dr. Adam SaadDr. Bhupesh Vasisht
PodiatryDr. Paul Sullivan
PsychiatryDr. Rachel Shmuts
PulmonologyDr. Ira Horowitz
Radiation OncologyDr. Alexis HarveyDr. Tamara LaCouture
RheumatologyDr. Joshua Sundhar
Sleep MedicineDr. Thomas NugentDr. P. Todd Rowan
Sports MedicineDr. R. Robert Franks
SurgeryDr. Roy Sandau
UrologyDr. Evan Krisch
Vascular SurgeryDr. Joseph Lombardi
PATIENT POLL LIST
Bariatric Surgery/Weight LossDr. Adam Goldstein
Cardiac ElectrophysiologyDr. Nicholas DePace
Medical OncologyDr. Priya Gor
OrthopedicsDr. Larry Deutsch
Pain ManagementDr. Scott Jarmain
Plastic SurgeryDr. Lyle Back
PulmonologyDr. Peter Curreri
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Kennedy Introduces New Patient Fall Protection TechnologyKennedy – Cherry Hill piloted a new patient safety system in September that allows nurses to be “in” a patient’s roomwithout actually being at their bedside.
The innovative AvaSys® TeleSitter® system enables cliniciansto see and hear patients around-the-clock from a central monitoring station, used primarily for those at a high risk offalling. Placed at the head of a patient bed, the system isequipped with a video camera and two-way audio, allowingcare team members to monitor and communicate with patients.
Kennedy will introduce the bedside safety system at its Stratford and Washington Township hospital campusesthis October. Since the AvaSys® TeleSitter® is a “live-feed” device and does not permanently record or savefootage, patient privacy is never compromised.
“The AvaSys® TeleSitter® creates another layer of patient safety at Kennedy,” said Chief Nurse Executive HeleneBurns, MSN, RN. “Our staff is excited to use this cutting-edge technology to help keep patients safe.”
Robert Davis, MBA, has been named Kennedy Health’s VicePresident of Product Lines.
In his new role, Davis is responsible for
overseeing the daily operations and
development of several key ambulatory
services, including: the Kennedy Cancer
Program, the Kennedy Surgical Center,
and Kennedy’s Sleep Centers, Balance
Centers, and Wound Care Centers.
Davis joins Kennedy from the MD Anderson Cancer Center
at Cooper University Health in Camden, NJ, where he served
as Associate Vice President of Finance & Operations since
August 2015.
Davis holds a BA in Business Administration from Central State
University in Wilberforce, OH, and two graduate degrees from
Penn State University: a master’s degree in Information Science
and an MBA.
Robert Davis Named VP ofProduct Lines
In January 2016, Kennedy’s associate
medical provider changed to Aetna.
All associates covered under Kennedy’s
medical plan must use either Quest orKennedy labs to have their services covered at 100 percent. Lab services
provided by any other vendor will result
in an out-of-pocket expense.
Please use the following guidelineswhen treating Kennedy associates tominimize their out-of-pocket expenses:• Always use Quest or Kennedy for laboratory services;
• If a diagnostic test/procedure is
required, schedule the service at one of
Kennedy’s facilities or hospitals; and• Prescribe generic prescriptions, whenpossible.
LaboratoryServices Update
Kennedy University Hospital was
recognized by U.S. News & World
Report in its recent “Best Hospitals
2016-2017” rankings.
Kennedy Health was included in
the report as a “High-Performing”
hospital in three clinical areas: in
the Adult Specialty category for
Diabetes & Endocrinology, and in the Adult Procedures/
Conditions category for the care
and treatment of COPD (ChronicObstructive Pulmonary Disease)
and Heart Failure.
Nearly 5,000 hospitals nation-
wide were evaluated for the
2016-17 report. Of those, 1,628 –
including Kennedy – received a
high-performing rating in one or
more specialties, procedures or
conditions. The high-performing
ratings were based on objective
data that included: patient
survival rates, safety outcomes
and hospital reputation.
“We are honored and thrilled
that the hard work of our
associates and the excellent
clinical outcomes at
our hospitals have
been recognized in this
prestigious national
report,” said Kennedy
Health President & CEO
Joseph W. Devine.
Kennedy University Hospital Rated as ‘High Performing’ in Three Clinical Areas by U.S. News & World Report
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Susan Krum, Au.D., has beennamed Executive Director of
Kennedy Health Alliance (KHA)
and Assistant Vice President for
Population Health.
In her new role at KHA, Dr. Krum
provides executive leadership for all
components of the multi-practice
health network, which provides
both primary and specialty care
services at office locations in
Burlington,
Camden and
Gloucester
counties. Krum
will also oversee
Kennedy Health’s
population
health initiatives aimed at improving
quality of care and outcomes, while
managing costs, for defined groups
of patients.
Krum joins Kennedy from Robert
Wood Johnson University Hospital
in New Brunswick, NJ, where
she served as Vice President of
Ambulatory Operations since 2014.
A graduate of Salus University in
Elkins Park, PA, where she earned a
Doctor of Audiology degree, Krum
also holds a Master’s of Audiology
degree from Temple University in
Philadelphia.
Susan Krum Named Executive Director of KHA and AVP for Population Health
Ensuring Quality and Safety in Kennedy’s Cardiac Catheterization Laboratory
In November 2014, Kennedy Health expanded its
cardiac services in South Jersey by partnering with
Cooper University Health Care, creating a new Cardiac
Catheterization Laboratory at the Kennedy Heart
Center in Washington Township.
The Kennedy Cardiac Catheterization Laboratory, also
known as the “Cath Lab,” is home to a team of highly
skilled physicians, nurses and technologists dedicated
to providing high-quality cardiac services.
Kennedy’s Cath Lab offers a wide array of diagnosticcardiovascular services and is a valuable resource fordetecting narrowing and occlusions of the coronaryarteries. However, our Cath Lab offers much more than just the diagnosis of coronary artery disease.
Kennedy’s state-of-the-art lab performs right heartcatheterizations for heart failure diagnosis, catheterizations to detect valvular disease and measures heart pressures – all of which help physicianscreate individualized patient treatment plans.
Kennedy’s Cath Lab is minimally invasive, as most
procedures are performed through the wrist,
lowering recovery time to approximately one hour.
Once patients are referred to Kennedy’s team, they
are thoroughly examined to determine if they meet
diagnostic criteria.
Exclusion criteria is as follows:• Ejection Fraction of the Left Ventricle (LVEF) must not be < 35 percent
• Patients must not have Left Main (LM) Disease• Patients must not have Acute Coronary Syndrome• Patients must not have Severe Aortic Stenosis (AS) Mean Gradient by Echocardiogram > 40 mmHg
To date, Kennedy’s Catheterization Lab has performed
more than 180 heart catheterizations, while maintaining a zero percent complication rate! But, for Kennedy to continue to build on its success,
the Cath Lab must reach the 200 case mark in2016 alone.
Once 200 cases are treated over a four-quarter period,
the Cath Lab can increase its cardiovascular services to
include treatment of Acute ST Elevation MyocardialInfarctions. Given the high volume of Kennedy’sEDs, this would be an invaluable service to our
patients, helping them receive needed care
as quickly as possible.
We looked forward to your continued support of
the Kennedy Heart Center. For more information,
please call 856/582-2555.
Please remain vigilant about all antibiotic prescribingrequirements and the need for infectious diseasesconsultations.
Remember: You must document in a patient’s medicalrecord or during order entry the reason or diagnosisfor all prescribed antibiotics.
An infectious diseases consultation is mandatory forany patient who:
• has sepsis (including severe sepsis or septic shock);
• is currently prescribed more than two antibiotics; or
• has been diagnosed with Clostridium difficile colitis.
Antibiotic Stewardship Reminders
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By Brian J. Corbett, DO, Kennedy Health Cardiologist
he Delivery System Reform Incentive Payment
(DSRIP) is a demonstration project with the N.J.
Department of Health and Centers for Medicare &
Medicaid Services (CMS) designed to result in better
care for individuals, better health for the population,
and lowered costs by transitioning hospital funding to
a model where payment is contingent on achieving
health improvement goals.
Historically, Kennedy’s DSRIP program addressed the
needs of underserved Medicaid, dual-eligible and
charity care patients, specifically those with diabetes.
As of August 2016, Kennedy expanded beyond
diabetes to include patients with hypertension.
DSRIP, now branded at Kennedy as the HealthInnovation Program, aims to:• increase patient access to primary and specialty care;
• improve care coordination between hospital and
outpatient settings;
• address the gap between clinical care and community
services in the health care delivery system;
• improve patient self-care management;
• reduce admissions related to complications of
diabetes and hypertension;
• reduce unnecessary ED visits; and
• implement technology to facilitate patient tracking
and communication of clinical data.
Chronic care management programs, such as Kennedy’s
Health Innovation Program, are becoming essential for
hospital systems, as financial incentives are offered for
better quality outcomes. Kennedy’s DSRIP project
alone has resulted in approximately $3.3 million lesshealth care spending through reduced hospital costs
and reduced governmental payments.
For more information, call Amanda Kimmel, CorporateDirector of Clinical Integration, at (856) 770-8350.
DSRIP/Health Innovation Program Update
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Hospitalist & Intensivist ProgramAddress Change
The primary office address, phone and fax numbers
for Kennedy’s Hospitalist & Intensivist Programhave changed.
The new contact information is:151 Fries Mill Road, Suite 301
Turnersville, NJ 08012
Phone: (856) 513-4124
Fax: (856) 302-5932
KHA’s Hospitalist Coordinators, Andrea Coronaand Peggy Ulmer, have also relocated to the above address, but their email address remains
Please call (856) 513-4124 should youhave questions.
Providers affected by this change are:
Joseph Badolato, DO Jason Becker, DO
Wei Chen, DO Daena Flaxman, MD
Joseph G. Gambale, DO Bradley E. Johnson, DO
David Kovalsky, DO Gloria Lam, DO
Neveen Malik, DO Stephanie Marucci, NP
Corinne Miklas, DO Jennifer Mojica-Itidiare, DO
Ricardo Perez, DO Adrian Popescu, MD
Kia Pratt-McCoy, MD Michael Riesa, DO
Marcela Roger, MD Jennifer Roszkowski, DO
Mary Beth Salmonsen, DO Kelly Schiers, DO
Thomas Sexton, DO Erin Sullivan, APN
Nicole Thompson, DO Tudor Vlad, MD
Anthony Wehbe, DO Joan Wiley, DO
Edmund Wilkinson, DO Philip Willsie, DO
Jenifer Wright, APN-C
T
Joseph W. DevinePresident & Chief Executive Officer
Carman A. Ciervo, DOChief Physician Executive
Timothy Dombrowski, DO, MPHChief Medical Officer
Nota Bene is published for the Medical Staff
of Kennedy University Hospital
Medical Staff Officers:Todd Levin, DO
Chief of Staff
Henry Schuitema, DOVice Chief of Staff
Mark Schuster, DOTreasurer
Michael BarattaManaging Editor(856) 566-2033
Dana EarleyConsulting Editor
Nicole PensieroConsulting Editor
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