Published for the Medical Staff and Advanced Practice Clinicians of Lehigh Valley Health Network

Inside This Issue:

H ope you are enjoying the crisp autumn weather and

the Trick or Treaters that showed up in your neighborhood this past week. In the last two columns, we discussed motivators and incentives in the context of high quality, good teamwork and sustainability. Payers and health policy folks are also busy incenting quality and clinical work-flows that bring additional “value” from the patient’s perspective. Currently, payments for “value” represent less than five percent of our total revenues. It is estimated that this percentage will rise over the next five years beyond 30 per-cent to maybe 50 percent or more – certainly beyond the “tipping point.” Here’s a quick summary of two value-based initiatives that are currently “in play” or are on the horizon:

From the President 1-2

National Medical Staff Services Awareness Week

3

Epic Update 3

Physician Documentation 4

Congratulations 5

The Retail Pharmacy View 5

Advanced Practice Clinician Update

6-7

Upcoming Seminars, Conferences and Meetings

8-9

LVHN Digital Library 9

Papers, Publications and Presentations

10

Who’s New 11-15

FROM THE PRESIDENT

HCAHPS

We spoke briefly about HCAHPS back in January. Most patients are very interested in understanding their current symptoms in the context of the “bigger picture.” Day-to-day, they are anxious to know: “What’s happened to me? What’s happening now? What happens next?” To measure how we’re doing with this, the Consumer Assess-ment of Healthcare Providers and Systems (CAHPS) surveys ask consumers and patients to report on and evaluate their experiences (https://cahps.ahrq.gov/about-cahps/index.html). For us, it’s about quality of communi-cation and coordination. Financially, this is a one percent Medicare withhold (two percent next year), representing $2 million at risk. For clinicians (doctors and APCs) in the hospital setting, HCAHPS boils down to three simple questions: 1) Did my doctor treat me with respect? 2) Did he/she listen carefully to me? 3) Did my PA/NP explain things in a way that I could

understand? Only “always” answers count (not “sometimes” or “usually”). This is not just about patient satisfaction. There is a real correlation between higher HCAHP scores and better clinical outcomes.

Continued on next page

Stepping into the Value-Based Payments

NotesProgressVolume 26, Number 11

November 2014

Continued from Page 1 To help busy hospital-based teams, a short set of proven “tools and strategies” is being rolled out:

“Here’s who is caring for you” – The white board on the wall of each patient’s room provides care team members’ names and a helpful frame-work for communicating the patient’s care plan. Look for these and update them.

Roadmaps – These daily placemats summarize key information for patients on their journey toward discharge. They send two messages: “Your care is important to us, and here’s what we’re doing to help you get better.” Use roadmaps to help patients understand how “today’s plan” fits in with the “big picture” – what’s happening now, what’s coming next. It’s okay to modify the roadmap as necessary. This tool is very helpful to patients and their families who visit later in the day.

Team communication – For doctors and APCs, it’s about checking in with the nurse or setting up a time for collaborative rounding – getting most members of the care team to share their insights. For nurses and tech partners, it’s about hourly “check-in” rounds and bedside shift reports. Changes in the patient’s condition can be shared face-to-face and action taken more quickly. More direct communication, better care.

“Sit, answer, touch” – a phrase coined by David Caccese, MD – were his keys to providing empathetic care and better quality outcomes. “Sit” – being at eye level makes you appear more approachable; sitting shows that you are not in a hurry (and it doesn’t really add more than a minute of additional time). “Answer” – Asking “What questions do you have?” rather than “Do you have any questions?” invites the patient to bring their concerns out into the open. “Touch” – Gently touching the patient’s hand or forearm conveys compassion. I added another “T” – “Teach back” – “Okay, now that we’ve reviewed the plan for today, you tell me what’s on the docket.” Teach back verifies understanding (or the need for further clarification). Understanding breeds confidence and engages the patient’s cooperation. If I were a patient, I’d want these from my doctor.

Medicare Shared Savings Program (MSSP) and Accountable Care Organizations

Lehigh Valley Health Network has made application to participate in an MSSP starting later this year. The premise of an MSSP is consistent with the Triple Aim. Here’s the scoop directly from the CMS.gov website: “The Centers for Medicare & Medicaid Services (CMS) has established a Medicare Shared Savings Program (Shared Savings Program) to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs. Eligible providers, hospitals, and suppliers may participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO). The Shared Savings Program is designed to improve beneficiary outcomes and increase value of care by: Promoting accountability for the care of Medicare FFS

beneficiaries Requiring coordinated care for all services provided under

Medicare FFS Encouraging investment in infrastructure and redesigned care

processes The Shared Savings Program will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first. Participation in an ACO is purely voluntary.” While making the care of Medicare patients more efficient is challeng-ing, there is an opportunity for us to use the “investments” we’ve made in palliative care, patient-centered medical homes and post-acute care coordination to reduce length of stay, unnecessary readmissions and to engage patients in determining their goals of care after hospital-ization. Unlike the integrated care delivery systems from 15 years ago, we now have real-time data, more effective tools for communication and more coordinated “continuum of care” resources. Savings reaped from more efficient care are split 50/50 with Medicare. While not a panacea – and not likely to make us rich – MSSP is an opportunity for us to improve the care of our elderly and those with complex illness. It also gives us a chance to get a little financial recognition for our efforts to improve quality and the patient’s experience of care. Look for more details on MSSP from representatives of our PHO and fledgling Accountable Care Organization. Have a good month – and Happy Thanksgiving! Robert J. Motley, MD Medical Staff President

2 L E H I G H V A L L E Y H E A L T H N E T W O R K

Continued from Page 1 To help busy hospital-based teams, a short set of proven “tools and strategies” is being rolled out:

“Here’s who is caring for you” – The white board on the wall of each patient’s room provides care team members’ names and a helpful frame-work for communicating the patient’s care plan. Look for these and update them.

Roadmaps – These daily placemats summarize key information for patients on their journey toward discharge. They send two messages: “Your care is important to us, and here’s what we’re doing to help you get better.” Use roadmaps to help patients understand how “today’s plan” fits in with the “big picture” – what’s happening now, what’s coming next. It’s okay to modify the roadmap as necessary. This tool is very helpful to patients and their families who visit later in the day.

Team communication – For doctors and APCs, it’s about checking in with the nurse or setting up a time for collaborative rounding – getting most members of the care team to share their insights. For nurses and tech partners, it’s about hourly “check-in” rounds and bedside shift reports. Changes in the patient’s condition can be shared face-to-face and action taken more quickly. More direct communication, better care.

“Sit, answer, touch” – a phrase coined by David Caccese, MD – were his keys to providing empathetic care and better quality outcomes. “Sit” – being at eye level makes you appear more approachable; sitting shows that you are not in a hurry (and it doesn’t really add more than a minute of additional time). “Answer” – Asking “What questions do you have?” rather than “Do you have any questions?” invites the patient to bring their concerns out into the open. “Touch” – Gently touching the patient’s hand or forearm conveys compassion. I added another “T” – “Teach back” – “Okay, now that we’ve reviewed the plan for today, you tell me what’s on the docket.” Teach back verifies understanding (or the need for further clarification). Understanding breeds confidence and engages the patient’s cooperation. If I were a patient, I’d want these from my doctor.

Medicare Shared Savings Program (MSSP) and Accountable Care Organizations

Lehigh Valley Health Network has made application to participate in an MSSP starting later this year. The premise of an MSSP is consistent with the Triple Aim. Here’s the scoop directly from the CMS.gov website: “The Centers for Medicare & Medicaid Services (CMS) has established a Medicare Shared Savings Program (Shared Savings Program) to facilitate coordination and cooperation among providers to improve the quality of care for Medicare Fee-For-Service (FFS) beneficiaries and reduce unnecessary costs. Eligible providers, hospitals, and suppliers may participate in the Shared Savings Program by creating or participating in an Accountable Care Organization (ACO). The Shared Savings Program is designed to improve beneficiary outcomes and increase value of care by: Promoting accountability for the care of Medicare FFS

beneficiaries Requiring coordinated care for all services provided under

Medicare FFS Encouraging investment in infrastructure and redesigned care

processes The Shared Savings Program will reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first. Participation in an ACO is purely voluntary.” While making the care of Medicare patients more efficient is challeng-ing, there is an opportunity for us to use the “investments” we’ve made in palliative care, patient-centered medical homes and post-acute care coordination to reduce length of stay, unnecessary readmissions and to engage patients in determining their goals of care after hospital-ization. Unlike the integrated care delivery systems from 15 years ago, we now have real-time data, more effective tools for communication and more coordinated “continuum of care” resources. Savings reaped from more efficient care are split 50/50 with Medicare. While not a panacea – and not likely to make us rich – MSSP is an opportunity for us to improve the care of our elderly and those with complex illness. It also gives us a chance to get a little financial recognition for our efforts to improve quality and the patient’s experience of care. Look for more details on MSSP from representatives of our PHO and fledgling Accountable Care Organization. Have a good month – and Happy Thanksgiving! Robert J. Motley, MD Medical Staff President

NATIONAL MEDICAL STAFF SERVICES AWARENESS WEEK – NOVEMBER 2-8 In 1992, President George Bush issued a proclamation designating the first week of November as “National Medical Staff Services Awareness Week” to acknowledge and thank medical services professionals for playing “an important role in our nation’s healthcare system.” What role do these professionals play? They are the people behind the scenes who make certain the credentials of all practitioners who are caring for patients are correct and have been verified. Medical services professionals are experts in provider credentialing and privileging, medical staff organization, accreditation and regulatory compliance, and provider relations in the diverse healthcare industry. They credential and monitor ongoing competence of the physicians and other practitioners who provide patient care services in hospitals, managed care organizations, and other healthcare settings.

Medical services professionals are a vital part of the community’s healthcare team. They are dedicated to making certain that all patients receive care from practitioners who are properly educated, licensed, and trained in their specialty. During the week of November 2-8, don’t forget to stop by and say hello to your medical services professionals.

“Workflow walkthrough” might be a little tricky to say 10 times fast, but colleagues invited to attend an upcoming workflow walkthrough session won’t have any trouble taking a

first look at Lehigh Valley Health Network’s Epic electronic medical record (EMR) system and seeing the ways the EMR will transform patient interaction and care when it goes-live. Wave 2 Epic workflow walkthroughs (WFWT) will take place on November 5, 2014. For this WFWT, individuals who are involved in Wave 1 are invited. They will view wave 2-focused demonstrations from when a patient is in the ED to the OR as well as a follow-up with a primary care provider.

What’s a Workflow Walkthrough? A workflow walkthrough showcases the Epic workflows that have been tailored to suit Lehigh Valley Health Network’s (LVHN) specific needs. This customization has been done with the input and validation of subject matter experts (SMEs) and champions. There are two types of workflow walkthroughs that will be conducted on November 5: A large demonstration session will present the integrated EMR and several

applications, such as ASAP, Resolute Hospital Billing and OpTime. Observers will see how the applications work and, importantly, how they work together.

Smaller breakout sessions will focus on specific applications and tasks.

As part of LVHN’s ownership of the EMR, LVHN Epic colleagues will run the walkthrough sessions. Team members from LVHN have worked very hard to build the Epic EMR to reflect the needs of our network.

Workflow Walkthrough Video Since the initial workflow walkthrough sessions will be limited to invitees, you will still have an opportunity to see how the system works. The sessions will be video recorded and posted on Mission Central on November 13, 2014. While it is hard to believe an entire year has already passed since the first steps of the Epic journey began at LVHN, we are now at the stage of showing a significant portion of our integrated and responsive EMR system. Epic will transform the way our patients’ medical information is accessed and utilized, from first touch to last. Thanks to you and your engagement in this process, we are well on our way to achieve this massive, transformative goal here at LVHN. If you have any questions regarding Epic, please email Epic@lvhn.org.

L E H I G H V A L L E Y H E A L T H N E T W O R K 3

Although the start of ICD-10 was delayed until October, 2015, Lehigh Valley Health Network has been preparing for several years to make a smooth transition to the new ICD-10 code sets. Transitioning to over 156,000 new ICD-10 codes from the 18,000 ICD-9 codes in use since 1979 represents one of the largest changes in healthcare in over 30 years. This will impact nearly every part of the healthcare system and its operations. For your information, listed below are several questions and answers that may assist you in preparing for the upcoming ICD-10 transition.

What is ICD-10? ICD-10 is the tenth version of the International Classification of Diseases coding system for all diagnoses and hospital procedures. In the U.S., there will be two parts: ICD-10-CM – the diagnosis code set affecting everyone in every setting (outpatient and inpatient) and ICD-10-PCS - the procedure code set for all inpatient procedures. The current ICD-9 coding system consists of about 18,000 codes while the new ICD-10 system will contain over 156,000 codes. Greater specificity of documentation will be required to distinguish between the larger numbers of codes.

Why are we changing to ICD-10? ICD-9 is 35 years old and obsolete. It lacks specificity and has no room left for adding new diagnoses or procedures. The U.S. is the last industrialized country to switch to ICD-10, which has been in effect around the world since the early 1990s. The new, more detailed codes of ICD-10 will allow for better analysis of disease patterns and treatment outcomes that can ultimately advance medical care. These same details will streamline claims submissions since these details will make the initial claim much easier for payers to understand.

When does ICD-10 start? October 1, 2015.

Is there a grace period? No. Therefore, any claim with a service date of October 1, 2015 or beyond must include proper ICD-10 codes or it will be rejected or denied.

Will it affect me? Yes, everyone in healthcare; all provider operations (front desk to quality metrics to billing and reimbursement) and every aspect of the healthcare system (hospitals, offices, health plans and patients) will be affected.

What about CPT and HCPCS? These will continue to be used for both provider charges and outpatient procedures only.

How can I prepare? Start learning about ICD-10 now if you haven’t already!

Some helpful websites include: http://www.ahima.org/icd10/ http://www.aapc.com/icd-10/index.aspx http://www.cms.gov/Medicare/Coding/ICD10/ index.html Research your most commonly used diagnoses and

procedures in ICD-9 and then find out the new documentation requirements in ICD-10 for those same diagnoses and procedures. Please note, for inpatient practitioners, this specialty-specific information is posted for you on LVHN’s Intranet. Select “Resources” – “Clinical” – “ICD-10 Resource Site.”

Beginning soon, LVHN and LVPG will assist you by providing specialty-specific education and training over the next several months as indicated below.

All LVPG providers must complete all assigned video modules in TLC as they relate to their specialty (including the “Intro to ICD10” module), as well as the 10-minute “Using ICD10 in Epic” video (which includes how the Diagnosis Calculator works). Deadline for completion is January 1, 2015.

All LVHN providers must complete all assigned video modules in TLC as they relate to their specialty (including the “Intro to ICD10” module) and the 10-minute “Using ICD10 in Epic” video. Inpatient providers must also complete the specialty inpatient ICD10 PPT TLC module. Deadline to complete these modules is July 31, 2015.

Additionally, to facilitate the flow of information, physician/provider ICD-10 Champions for each Department have been identified by their respective Department Chairs.

It is recommended that you check with all of your vendors to be sure their systems will be ICD-10 ready in time.

Check with your practice manager to be sure all phases of your department, office, and business are prepared.

If you have any questions, please contact John P. Pettine, MD, FACP, CCDS, Director, LVHN Clinical Documenta-tion Improvement Program, at john.pettine@lvhn.org.

PHYSICIAN DOCUMENTATION

4 L E H I G H V A L L E Y H E A L T H N E T W O R K

CONGRATULATIONS Sarah Friedman, MD, Division of Urogynecology/Gynecology, was recently certified in Female Pelvic Medicine and Recon-structive Surgery by the American Board of Obstetrics and Gynecology. She is also certified by the same board in Obstetrics and Gynecology. Dr. Friedman has been a member of the Medical Staff since August, 2012. She is in practice with Lehigh Valley Urogynecology and Reconstructive Pelvic Surgery. Michael W. Johnson, MD, PhD, Section of Medical and Forensic Pathology/Neuropathology, was recently appointed to the Curriculum Committee of the USF Morsani College of Medicine for a three-year term. Dr. Johnson is a Clinical Assistant Professor, Department of Pathology and Cell Biology, USF Morsani College of Medicine. He has been a member of the Medical Staff since November, 2012. He is in practice with Forensic Pathology Associates Inc.

Indru T. Khubchandani, MD, former member of the Division of Colon and Rectal Surgery with Honorary Status, was elected President of the International Society of University Colon and Rectal

Surgeons (ISUCRS) at the XXVI Biennial Meeting of the Society in Cape Town, South Africa, held from September 4-7, 2014. The meeting was attended by 1,200 delegates from 53 countries. Dr. Khubchandani was previously the Director General of ISUCRS.

THE RETAIL PHARMACY VIEW Meds in the Mail

What’s in the package? The National Association of Boards of Pharmacy (NABP) reviewed internet websites and found only three percent comply with pharmacy laws and practice standards. Of the over 10,000 sites that are non-compliant, 88 percent do not require a prescription and 60 percent issue prescription medications per online consults or questionnaires. The Drug Enforcement Administration (DEA) is getting involved in this, and has fined FedEx $1.6 billion for violation of Corporate Social Responsibility (CSR). FedEx is accused of knowingly shipping prescription medication “based solely on the completion of an online questionnaire, without a physical examina-tion, diagnosis or face to face meeting with a physician.” Consumers need to be alerted to the following characteristics of rogue pharmacies: Will dispense medication without a prescription Will dispense medication on the basis of a questionnaire Has no street address or phone number Does not offer a pharmacist consultation Requires waivers to be signed Has limited medications Located in a foreign country Solicits business through unsolicited e-mails (spam)

New Meds:

Jublia Solution: Efinaconazole 10%: Topical treatment of onychomycosis, toenail fungus.

Striverdi Respimat Inhalation Spray: Olodaterol:

Long acting beta-agonist for long term once daily treatment of COPD

If you have any questions or need additional information regarding these topics, contact Jay Needle, RPh, Manager, Health Spectrum Pharmacy, LVH-Muhlenberg, via email at jay.needle@lvhn.org or by phone at 484-884-7004.

L E H I G H V A L L E Y H E A L T H N E T W O R K 5

At the quarterly meeting of the Advanced Practice Clinicians (APC) held on Thursday, October 2, members of the APC Staff elected Michele C.G. Hartzell, PA-C, as the new President-elect , and two at-large members of the APC Executive Council including Jessica L. Bowell, PA-C, and Christine L. Felten, CNM. In addition, Wendy J. Prutsman, CRNP, who has served as President-elect since March, was installed as the new President. Current members in addition to Department Chair appointed and newly elected members of the APC Executive Council include:

President Wendy J. Prutsman, CRNP Certified Registered Nurse Practitioner LVPG-Maternal Fetal Medicine (Term ending September 30, 2016)

President-elect Michele C.G. Hartzell, PA-C Physician Assistant-Certified LVPG-Emergency Medicine (Newly elected - term ending September 30, 2016) Past President Paul J. Evans, CRNA Certified Registered Nurse Anesthetist Lehigh Valley Anesthesia Services, PC (Term ending September 30, 2016) Secretary/Treasurer Rachel M. Morcrette, PA-C Physician Assistant-Certified Gynecologic Oncology Specialists (Appointed by Executive Council on March 27, 2014)

ADVANCED PRACTICE CLINICIAN UPDATE At-Large Members

Jessica L. Bowell, PA-C Physician Assistant-Certified LVPG-Hospital Medicine at Cedar Crest (Newly elected – term ending September 30, 2017) Brett J. Feldman, PA-C Physician Assistant-Certified Community Health and Wellness Center (Term ending September 30, 2015) Christina A. Felten, CNM Certified Nurse Midwife OBGYN Associates of the Lehigh Valley & Carbon County (Newly elected - term ending September 30, 2017) Jessica A. Rush, PA-C Physician Assistant-Certified LVHN Hospital Medicine at Muhlenberg (Term ending September 30, 2015) Maria D. Thomas, CRNA Certified Registered Nurse Anesthetist Lehigh Valley Anesthesia Services, PC (Term ending September 30, 2016) Pamela A. Thomas, CRNP Certified Registered Nurse Practitioner MacArthur Family Medicine (Term ending September 30, 2016)

Continued on next page

6 L E H I G H V A L L E Y H E A L T H N E T W O R K

Continued from Page 6 Department Chair Appointments

Department of Anesthesiology (2 seats) Lindsay H. Hayde, CRNA Certified Registered Nurse Anesthetist Lehigh Valley Anesthesia Services, PC (Term ending September 30, 2015) James C. Miller, CRNA Certified Registered Nurse Anesthetist Lehigh Valley Anesthesia Services, PC (Term ending September 30, 2015)

Department of Medicine (2 seats) Kathy S. Attieh, PA-C Physician Assistant-Certified Lehigh Valley Heart Specialists (Term ending September 30, 2015)

Ryann E. Morrison, PA-C Physician Assistant-Certified Hematology-Oncology Associates (Term ending September 30, 2015)

Department of Surgery (2 seats) Matthew J. Ottinger, PA-C Physician Assistant-Certified VSAS Orthopaedics (Term ending September 30, 2015)

Nicholas M. Rini, PA-C Physician Assistant-Certified Lehigh Valley Heart and Lung Surgeons (Term ending September 30, 2015)

Department of Emergency Medicine (1 seat) Justin M. Stauffer, PA-C Physician Assistant-Certified LVPG-Emergency Medicine (Term ending September 30, 2015)

Department of Family Medicine (1 seat)

Debra P. Goodwin, PA-C Physician Assistant-Certified MacArthur Family Medicine (Term ending September 30, 2015)

Department of Obstetrics and Gynecology (1 seat)

Rachel M. Morcrette, PA-C Physician Assistant-Certified Gynecologic Oncology Specialists (Term ending September 30, 2015)

Department of Pediatrics (1 seat) Pamela K. Prisaznik, CRNP Certified Registered Nurse Practitioner Pediatric Specialists of the Lehigh Valley (Term ending September 30, 2015)

Department of Psychiatry (1 seat) Krista T. Carson, PA-C Physician Assistant-Certified LVPG-The Guidance Program (Newly elected – term ending September 30, 2016)

The mission of the APC Executive Council is to support, advocate, promote, facilitate and integrate the professional interests of Advanced Practice Clinicians who maintain active clinical privileges within Lehigh Valley Health Network. The Executive Council meets on a monthly basis and general APC membership meetings are held quarterly. The next APC Quarterly membership meeting will be held in conjunction with the General Medical Staff meeting on Monday, December 8, beginning at 6 p.m., in Kasych ECC Rooms 6, 7 and 8. Please note: the meeting will not be teleconferenced to LVH-Muhlenberg. For more information or if you have any questions regarding the APC Executive Council, please contact Wendy Prutsman, President, at wendy.prutsman@lvhn.org or via pager at 610-402-5100 9769.

L E H I G H V A L L E Y H E A L T H N E T W O R K 7

UPCOMING SEMINARS, CONFERENCES AND MEETINGS Pediatric Grand Rounds The Department of Pediatrics will hold Grand Rounds on Tuesdays at 8 a.m., in Kasych ECC Room 8, unless otherwise noted. Topics for November include:

November 4 – “Give me an M, Give me an I . . . Motivational Interviewing in Pediatrics” – Hillary Roth, MD, Pediatric resident

November 11 – “PANDAS/PANS: Fact or Fiction?” – Nidhi Shah, DO, Pediatric Resident

November 18 – “Abnormal Bleeding in the Child and Adolescent” – J. Nathan Hagstrom, MD, Chair, Department of Pediatrics

November 25 – NICU topic – Marijo Zelinka, MD, Division of Neonatology

For more information, contact Cari Coelho in the Department of Pediatrics at 484-862-3131.

Spine Conference Conferences relating to interesting spine cases are held the first Wednesday of each month beginning at 7 a.m. Clinicians are invited to bring interesting cases to the meeting. The next Spine Interesting Case Conference will be held on Wednesday, November 5, in Kasych ECC Room 6 at LVH-Cedar Crest. For more information, please contact James C. Weis, MD, Co-Chief, Division of Spine Surgery, or Wanda J. McCardle, Clinical Coordinator, at 610-973-6343.

Continued on next page

Choosing Wisely Grand Rounds The topic for this month’s Choosing Wisely Grand Rounds will be “Antibiotics: When to start them specifically for Upper Respiratory and Mild Sinusitis,” which will be presented by Luther V. Rhodes III, MD, Division of Infectious Diseases, on Tuesday, November 4, at Noon in Kasych ECC Room 8. For more information, please contact Nancy Schmidt in the Department of Medicine at 484-862-3180.

Combined Medical/Family Medicine Grand Rounds “Successfully Engaging Physicians in Change” will be the topic of this month’s combined Medical/Family Medicine Grand Rounds, which will be held on Tuesday, November 18, at Noon in the Auditorium at LVH-Cedar Crest. The topic will be presented by Howard B. Beckman, MD, Chief Medical Officer, University of Rochester School of Medicine and Dentistry. For more information, please contact Nancy Schmidt in the Department of Medicine at 484-862-3180.

Neurology Conferences The Division of Neurology conferences are held on Thursdays, from Noon to 1 p.m., in Lehigh Neurology’s Conference Room at 1250 S. Cedar Crest Blvd., Fourth Floor, and videoconferenced to Lehigh Neurology’s Bathgate Office as well as Kasych ECC Room 4. Topics to be presented in November include:

November 6 – “Updates on Muscular Dystrophy” – Matthew P. Wicklund, MD, Professor of Neurology and Pediatrics, Penn State Hershey Medical Center

November 13 – “Amyloid PET Imaging in Dementia” – Robert J. Rienzo, MD, Chief, Division of Nuclear Medicine

For more information, contact Angeline Regis, Coordinator, Neurosciences, at 610-402-9008.

8 L E H I G H V A L L E Y H E A L T H N E T W O R K

LVHN DIGITAL LIBRARY

Are you looking for a search engine that provides a list of medical acronyms and abbreviations? Do you want to try one that returns results from multiple search engines? The Digital Library has a direct link to a list of 69 search engines that work with IE8 and cover a variety of topics, such as quotations, symbols, and even one to help you determine the shelf life of that romaine lettuce you bought last week.

To get to the search engines from the LVHN Employee Intranet, select “FIND FAST” and “Library Services.” This will take you to the Digital Library homepage, where you can click on the link on the left side of the page titled Subject Guides/Reading Lists. Under Subject Guides, select Search Engines for the complete list. For more information or if you have any questions, contact Library Services at 610-402-8410 or email LibraryServices@lvhn.org.

Continued from Page 8 Emergency Medicine Institute – Life Support Classes Upcoming life support classes sponsored by the Emergency Medicine Institute (EMI) are listed below:

Advanced Cardiac Life Support (ACLS) ACLS renewal classes will be held from 8 a.m. to Noon, at the Emergency Medicine Institute located at 2166 S. 12th Street, Allentown, on the following dates: December 3, 4, 8, 9 January 12, 13, 30 In addition, a two-day provider course will be held on January 5 and 6, from 8 a.m. to 4 p.m., at the Emergency Medicine Institute.

Pediatric Advanced Life Support (PALS) PALS renewal classes will be held from 8 a.m. to 4 p.m., at the Emergency Medicine Institute on the following dates: November 14, 18 December 1, 2 January 9, 21, 22 In addition, two-day provider courses will be held on November 19 and 20, and January 7 and 8, from 8 a.m. to 4 p.m., at the Emergency Medicine Institute. Registration information and a list of additional classes are available on the EMI website - EMERGENCY MEDICINE INSTITUTE For more information regarding these classes, contact Christine Ash at the Emergency Medicine Institute at 610-969-0299.

Search Engines Available through the Digital Library

L E H I G H V A L L E Y H E A L T H N E T W O R K 9

PAPERS, PUBLICATIONS AND PRESENTATIONS Ronald S. Freudenberger, MD, Chief, Division of Cardiology, co-authored the article, “Recurrent Stroke in the Warfarin versus Aspirin in Reduced Cardiac Ejection Fraction (WARCEF) Trial,”

which was Epublished ahead of print on October 9, 2014 in Cerebrovascular Diseases.

Mark A. Gittleman, MD, Division of General Surgery, Section of Surgical Oncology, was an invited speaker at the First Symposium of the Chinese Society of Breast Surgeons held in

Guangzhou, China on September 21. His presentations included “The Early Diagnosis of Breast Cancer – Trends in the USA” and “Cancer Genetics for the Breast Surgeon.” Dr. Gittleman also was a visiting professor at the Second People’s Hospital in Shenzhen, China on September 19.

Arnold R. Goldberg, MD, Department of Family Medicine, was one of the presenters of “Being a Stranger in a Strange Land: Ethical Boundary Issues for Behavioral Scientists” at the 35th Forum

for Behavioral Science in Family Medicine held September 18-21 in Chicago, Ill.

Marna R. Greenberg, DO, MPH, Department of Emergency Medicine Director of Research; Michael C. Nguyen, MD, Department of Emergency Medicine; Brian Stello, MD,

Department of Family Medicine Vice Chair, Quality and Research; Arnold R. Goldberg, MD, Department of Family Medicine; Robert D. Barraco, MD, MPH, Chief, Section of Geriatric Trauma; Bernadette G. Porter, BS, Emergency Medicine Research Coordinator; Anita Kurt, PhD, RN, Emergency Medicine Research Manager; and Bryan G. Kane, MD, Department of Emergency Medicine, were co-authors of the article – “Mechanical Falls: Are Patients Willing to Discuss their Risks with A Health Care Provider?” – which was Epublished ahead of print on October 2, 2014 in the Journal of Emergency Medicine.

Marna R. Greenberg, DO, MPH, was also a co-author of a manuscript – “Absolute and Relative Changes (Delta) in Troponin I for Early Diagnosis of Myocardial Infarction: Results of

a Prospective Multicenter Trial” – which was published September 24, 2014 in Clinical Biochemistry.

Drew M. Keister, MD, Department of Family Medicine, presented “Involving Learners in Their Own Assessment” at the Pennsylvania Academy of Family Physicians Milestones Workshop held

September 19, in Harrisburg, Pa.

William L. Miller, MD, Chair, Department of Family Medicine, co-authored the article – “Coaching Strategies for Enhancing Practice Transformation” – which was Epublished ahead

of print on October 4, 2014 in Family Practice.

Jeffrey L. Sternlieb, PhD, Department of Family Medicine, was one of the presenters of “The Balint Group Experience: Promoting Relationship Awareness” at the 35th Forum for Behavioral

Science in Family Medicine held September 18-21 in Chicago, Ill. In addition, Dr. Sternlieb presented “Anxiety Management in the Doctor’s Office: Preparing Future Healers” and gave a plenary talk titled “Teaching Behavioral Sciences: Working at the Intersection of our Personal and Professional Lives.”

Kevin R. Weaver, DO, Emergency Medicine Residency Program Director, co-authored the article – “Factors Associates with Burnout During Emergency Medicine Residency” – which was

published in Academic Emergency Medicine, Volume 21, Issue 9, September 2014.

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Leonel Diaz, Jr., DO LVH-M Emergency Medicine Lehigh Valley Physician Group Lehigh Valley Hospital-Muhlenberg 2545 Schoenersville Road Fifth Floor Bethlehem, PA 18017-7384 Phone: 484-884-2888 Fax: 484-884-2885 Department of Emergency Medicine Division of Emergency Medicine Provisional Limited Duty

Kalif A. Kendig, DO LVH-M Emergency Medicine Lehigh Valley Physician Group Lehigh Valley Hospital-Muhlenberg 2545 Schoenersville Road Fifth Floor Bethlehem, PA 18017-7384 Phone: 484-884-2888 Fax: 484-884-2885 Department of Emergency Medicine Division of Emergency Medicine Provisional Limited Duty

Nasrideen M. Noor, MD LVPG-Pediatrics Lehigh Valley Physician Group Lehigh Valley Hospital 17th & Chew, P.O. Box 7017 Children’s Clinic Allentown, PA 18105-7017 Phone: 610-969-4300 Fax: 610-969-4332 Department of Pediatrics Division of General Pediatrics Provisional Active

Leadership Appointments Department of Pediatrics Scott M. Brenner, MD Vice Chair, Inpatient Services Debra L. Carter, MD Vice Chair, Ambulatory Affairs

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WHO’S NEW

This section contains an update of new appointments, address changes, status changes, resignations, etc. Please remember to update your directory with this information.

Medical Staff New Appointments

Sarfraz Alam, MD LVH-M Emergency Medicine Lehigh Valley Physician Group Lehigh Valley Hospital-Muhlenberg 2545 Schoenersville Road Fifth Floor Bethlehem, PA 18017-7384 Phone: 484-884-2888 Fax: 484-884-2885 Department of Emergency Medicine Division of Emergency Medicine Provisional Limited Duty

Michael J. Baba, DO Sullivan Trail Primary Care Lehigh Valley Physician Group 2020 Sullivan Trail Easton, PA 18040-8354 Phone: 484-373-3031 Fax: 484-373-3032 Department of Family Medicine Provisional Active Cara L. Corpora, DO Bethlehem Family Medicine Lehigh Valley Physician Group 3024 Easton Avenue Bethlehem, PA 18017-4208 Phone: 610-694-1000 Fax: 610-867-7180 Department of Family Medicine Provisional Active Timothy B. Coyle, DO Pulmonary Associates of LVPG Lehigh Valley Physician Group 1250 S. Cedar Crest Blvd. Suite 205 Allentown, PA 18103-6271 Phone: 610-402-9116 Fax: 610-402-9160 Department of Medicine Division of Pulmonary/Critical Care Medicine Provisional Active

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Continued from Page 11 Change of Practice Peter W. Kozicky, MD From: Coordinated Health To: Alliance Medical Group-Orthopedic Surgery Alliance Medical Group 50 Moisey Drive Suite 202 Hazle Township, PA 18202-9297 Phone: 570-501-6730 Fax: 570-501-3837 Andrea Waxman, MD From: Allentown Gynecology Associates To: Center for Women’s Medicine Lehigh Valley Physician Group 3710 Broadway Suite 201 Allentown, PA 18104-5265 Phone: 484-788-0677 Fax: 610-398-2220 Change of Primary Address Travis C. Dayon, MD College Heights OBGYN Associates Lehigh Valley Physician Group 325 W. Broad Street Third Floor Bethlehem, PA 18018-5526 Phone: 484-626-9250 Fax: 484-626-9255 Address Changes Scott A. Gradwell, DMD Scott A. Gradwell, DMD, PC 1251 S. Cedar Crest Blvd. Suite 305 Allentown, PA 18103-6205 Phone: 610-770-1050 Fax: 610-770-6592 Hai-Yen T. Nguyen, MD OBGYN Associates of the Lehigh Valley and Carbon County Lehigh Valley Physician Group 3710 Broadway Suite 201 Allentown, PA 18104-5265 Phone: 610-398-7700 Fax: 610-398-6197

Phone/Fax Number Changes Muhlenberg Primary Care Lehigh Valley Physician Group 2649 Schoenersville Road Suite 201 Bethlehem, PA 18017-7316 Phone: 484-884-8110 Fax: 484-884-8174 Linda P. Augelli-Hodor, DO Gavin C. Barr, MD Michael J. Ehrig, MD Jyoti G. Gopal, MD Clinton C. Holumzer, MD Larry L. Levin, MD Wayne F. McWilliams, MD John P. Pettine, MD Hugo N. Twaddle, MD James T. Wertz, DO Stacey Fornarotto, PA-C Kellysue E. Misiura, CRNP Lindsay C. Neville, CRNP Muhlenberg Primary Care Lehigh Valley Physician Group 2649 Schoenersville Road Suite 100 Bethlehem, PA 18017-7326 Phone: 484-884-8110 Fax: 484-884-8175 April M. Navarra, PA-C Christy M. Tuske, PA-C Carissa L. Werkheiser, PA-C Resignations Paul J. Myers, Jr., DO Department of Emergency Medicine Division of Emergency Medicine (LVH-M Emergency Medicine) Provisional Limited Duty Jesus R. Sanchez Ocasio, DMD Department of Dental Medicine Division of General Dentistry (Oral Dynamics, Inc.) Provisional Active

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Continued from Page 12 Allied Health Staff New Appointments

Justina A. Anusionwu, CRNP Certified Registered Nurse Practitioner Bethlehem Family Medicine Lehigh Valley Physician Group 3024 Easton Avenue Bethlehem, PA 18017-4208 Phone: 610-694-1000 Fax: 610-867-7180 Supervising Physician – Holly L. Binnig, MD Melissa Bauman, CRNP Certified Registered Nurse Practitioner Moorestown Family Medicine Lehigh Valley Physician Group 586 Moorestown Drive Bath, PA 18014-9713 Phone: 610-746-2010 Fax: 610-746-2060 Supervising Physician – Beth A. Careyva, MD Julie M. Brugger, PA-C Physician Assistant-Certified The Heart Care Group, PC Jaindl Pavilion, Suite 500 1202 S. Cedar Crest Blvd. P.O. Box 3880 Allentown, PA 18106-0880 Phone: 610-770-2200 Fax: 610-776-6645 Supervising Physician – Prasant Pandey, MD Joseph K. Hall Emergency Department Scribe eScribe Management Services Lehigh Valley Hospital Cedar Crest & I-78, P.O. Box 689 Emergency Department Allentown, PA 18105-1556 Phone: 610-402-8130 Fax: 610-402-7160 Supervising Physician – Richard S. MacKenzie, MD

Kristen P. Kametz, CRNP Certified Registered Nurse Practitioner Pediatric Specialists of the Lehigh Valley Lehigh Valley Physician Group Pediatric Gastroenterology, Hepatology & Nutrition 1210 S. Cedar Crest Blvd. Suite 2400 Allentown, PA 18103-6229 Phone: 610-402-3888 Fax: 610-402-3892 Supervising Physician – Adam R. Paul, DO

Farrah A. Kanczes, CCP Perfusionist LVHN Perfusion Services Lehigh Valley Health Network Lehigh Valley Hospital Cedar Crest & I-78, P.O. Box 689 Perfusion Department Allentown, PA 18105-1556 Phone: 610-402-1278 Fax: 610-402-0013 Supervising Physician – Timothy S. Misselbeck, MD Briana L. Kish, PA-C Physician Assistant-Certified Eastern Pennsylvania Gastroenterology and Liver Specialists, PC 1501 N. Cedar Crest Blvd. Suite 110 Allentown, PA 18104-2309 Phone: 610-821-2828 Fax: 610-821-7915 Supervising Physician – Ronald J. Bross, MD Andrea J. Majczan, PA-C Physician Assistant-Certified Lehigh Valley Urology Specialty Care Lehigh Valley Physician Group 1250 S. Cedar Crest Blvd. Suite 215 Allentown, PA 18103-6271 Phone: 610-402-6986 Fax: 610-402-4460 Supervising Physician – Angelo A. Baccala, Jr., MD

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Continued from Page 13

Nancy T. Maulick, PA-C Physician Assistant-Certified Village Lane Primary Care Lehigh Valley Physician Group 6451 Village Lane Macungie, PA 18062-8484 Phone: 610-967-2772 Fax: 610-967-2599 Supervising Physician – Christine K. Block, MD Stephen T. McCarthy, PA-C Physician Assistant-Certified LVPG-Psychiatry Lehigh Valley Physician Group Lehigh Valley Hospital-Muhlenberg 2545 Schoenersville Road, Fifth Floor Bethlehem, PA 18017-7384 Phone: 484-884-6501 Fax: 484-884-6504 Supervising Physician – David L. Schwendeman, MD Julie M. McLaughlin, OD Optometrist Lehigh Eye Specialists 1251 S. Cedar Crest Blvd., Suite 307 Allentown, PA 18103-6205 Phone: 610-820-6320 Fax: 610-820-8376 Supervising Physician – Masayuki Kazahaya, MD Adam P. Polkowski, PA-C Physician Assistant-Certified LVHN Hospital Medicine at Muhlenberg Lehigh Valley Physician Group Lehigh Valley Hospital-Muhlenberg 2545 Schoenersville Road Second Floor, Tower Bethlehem, PA 18017-7384 Phone: 484-884-9677 Fax: 484-884-9297 Supervising Physician – Adedotun A. Adewusi, MD Matthew E. Strunk Orthopaedic Technologist Certified Coordinated Health CHS Professional Practice, PC 2775 Schoenersville Road Bethlehem, PA 18017-7307 Phone: 610-861-8080 Fax: 610-861-2989 Supervising Physician – Carl B. Weiss, Jr., MD

Kristen A. Sykora, CRNP Certified Registered Nurse Practitioner Neurosurgical Associates of LVPG Lehigh Valley Physician Group 1250 S. Cedar Crest Blvd., Suite 400 Allentown, PA 18103-6224 Phone: 610-402-6555 Fax: 610-402-6550 Supervising Physician – P. Mark Li, MD Jonna P. Trexler, PA-C Physician Assistant-Certified OAA Orthopaedic Specialists 250 Cetronia Road, Second Floor Allentown, PA 18104-9168 Phone: 610-973-6200 Fax: 610-973-6546 Supervising Physician – Paul F. Pollice, MD Christine M. Unger, PA-C Physician Assistant-Certified OAA Orthopaedic Specialists 250 Cetronia Road, Second Floor Allentown, PA 18104-9168 Phone: 610-973-6200 Fax: 610-973-6546 Supervising Physician – Jeffrey R. McConnell, MD John W. Zerfass, PA-C Physician Assistant-Certified Neurosurgical Associates of LVPG Lehigh Valley Physician Group 1250 S. Cedar Crest Blvd., Suite 400 Allentown, PA 18103-6224 Phone: 610-402-6555 Fax: 610-402-6550 Supervising Physician – Mei Y. Wong, MD Lauren R. Zimpfer, CRNP Certified Registered Nurse Practitioner LVPG-Pediatrics Lehigh Valley Physician Group Lehigh Valley Hospital 17th & Chew, P.O. Box 7017 Children’s Clinic Allentown, PA 18105-7017 Phone: 610-969-4300 Fax: 610-969-4332 Supervising Physician – Jarret R. Patton, MD

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Continued from Page 14 Name Change From: Heather L. Thomas, CRNP To: Heather L. Azzalina, CRNP Certified Registered Nurse Practitioner Hematology-Oncology Associates Address Changes Jennifer L. Schumaker, CRNP OBGYN Associates of the Lehigh Valley and Carbon County Lehigh Valley Physician Group 3710 Broadway Suite 201 Allentown, PA 18104-5265 Phone: 610-398-7700 Fax: 610-398-6197 Daniele A. Shollenberger, CRNP Neurosurgical Associates of LVPG Lehigh Valley Physician Group LVHN-One City Center P.O. Box 1806 Head Trauma and Concussion Center – Suite 301 Allentown, PA 18105-1806 Phone: 484-862-3001 Fax: 484-862-3047 Practice Name Change Elizabeth A. Parr, CNM From: Allentown Gynecology Associates To: OBGYN Associates of the Lehigh Valley and Carbon County Lehigh Valley Physician Group 3710 Broadway Suite 201 Allentown, PA 18104-5265 Phone: 610-398-7700 Fax: 610-398-6197 Change of Practice Brett J. Feldman, PA-C From: LVPG Hospital Medicine at Cedar Crest To: Community Health and Wellness Center Lehigh Valley Physician Group Lehigh Valley Hospital 17th & Chew, P.O. Box 7017 First Floor/Blue Elevator Allentown, PA 18105-7017 Phone: 610-969-2800 Fax: 610-969-2802

Change of Supervising Physician Elinor A. Barsony, RN Registered Nurse (The Heart Care Group, PC) From: William G. Combs, MD To: Prasant Pandey, MD Catherine M. Ehrig, CRNP Certified Registered Nurse Practitioner (Lehigh Valley Family Health Center) From: Jeffrey S. Mathieu, MD To: Katerina C. Valavanis, MD Tracey E. Evans Medical Assistant (The Heart Care Group, PC) From: Joseph L. Neri, DO To: Prasant Pandey, MD Dorothea Radokovitch Medical Assistant (The Heart Care Group, PC) From: William G. Combs, MD To: Shehzad M. Malik, MD Rebecca Shepherd Medical Assistant (The Heart Care Group, PC) From: William G. Combs, MD To: Shehzad M. Malik, MD Resignations Bonita L. Heydt, CRNP Certified Registered Nurse Practitioner (Bethlehem Family Medicine) Evan M. Leibelsperger, PA-C Physician Assistant-Certified (OAA Orthopaedic Specialists) Jaclyn C. Lustig, PA-C Physician Assistant-Certified (Eastern Pennsylvania Gastroenterology and Liver Specialists, PC) Melissa M. Schimpf, CRNP Certified Registered Nurse Practitioner (Neurosurgical Associates of LVPG)

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Medical Staff Services Office

Robert J. Motley, MD President, Medical Staff

Jarret R. Patton, MD President-elect, Medical Staff

Matthew M. McCambridge, MD Past President, Medical Staff

John W. Hart Senior Vice President, Medical Services

Janet M. Seifert Coordinator, Communications & Special Events Managing Editor Medical Executive Committee

Charles F. Andrews, MD Anthony J. Ardire, MD, MPH Anthony G. Auteri, MD Holly L. Binnig, MD Ravindra Bollu, MD Daniel F. Brown, MD, MBA David B. Burmeister, DO J. John Collins, MD Ronald S. Freudenberger, MD J. Nathan Hagstrom, MD Thomas A. Hutchinson, MD Michael W. Kaufmann, MD Robert Kricun, MD Samuel D. Land, MD Valerie J. Lewis, MD, MPH Patricia Martin, MD Matthew M. McCambridge, MD Thomas M. McLoughlin, Jr., MD Kevin A. McNeill, MD Andrew C. Miller, DO William L. Miller, MD Timothy S. Misselbeck, MD Robert J. Motley, MD Brian A. Nester, DO, MBA Michael D. Pasquale, MD Jarret R. Patton, MD Carmine J. Pellosie, DO, MPH, MBA Debbie Salas-Lopez, MD, MPH Thomas V. Whalen, MD S. Clarke Woodruff, DMD James K. Wu, MD Joseph L. Yozviak, DO

Progress Notes is published monthly to inform the Medical Staff, Advanced Practice Clinicians, and employees of Lehigh Valley Health Network of important issues concerning the Medical Staff and Advanced Practice Clinicians. Articles should be submitted by e-mail to janet.seifert@lvhn.org or sent to Janet M. Seifert, Medical Staff Services, Lehigh Valley Health Network, Cedar Crest & I-78, P.O. Box 689, Allentown, PA 18105-1556 by the 15th of each month. If you have any questions about the newsletter, please contact Mrs. Seifert by e-mail or phone at (610) 402-8590.

Access the Medical Staff Services website via the link below:

Medical Staff Services

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