Support for Soldiers and Veterans You Gotta Have Heart The Joy of ...

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Support for Soldiers and Veterans You Gotta Have Heart The Joy of ...

New Standard

Summer 2012 An employee publication of the North Shore-LIJ Health System

Support for

Soldiers and

Veterans

You Gotta

Have Heart

The Joy of

[Healthy]

Cooking


what’s INSIDE

2 Summer 2012

9On the Job at 30,000 Feet

Two North Shore University Hospital nurses flying to

Florida for some R&R respond to a medical emergency.

22Zeroing In on Sepsis

The health system’s new, more stringent criteria for

diagnosis will save lives.

34New Discovery in Ovarian Cancer

MicroRNA, a genetic marker, can help in choosing

the best course of treatment.

72 A First in New York State

Percutaneous mitral valve replacement is performed

at Lenox Hill Hospital.

88 Ambulance Tracker Launched at LIJ

A new wireless system can collect patient data before

they arrive at the ED.

94 Remembering Spinney Hill

A health system employee honors a historic African-

American community in his documentary film.

On the Cover

Forest Hills Hospital chef Dale Lyons clearly loves his work – even

chopping onions. He and fellow Forest Hills chef Gary DeFreitas,

pictured in the background in the white chef’s toque, were winners

of the health system’s Ultimate Chef Healthy Entrée Challenge.

Summer 2012

Editor in Chief

Terry Lynam

Director of Editorial Services

Maria Conforti

Contributors

Alexandra Brovey

Allison Bunin

Lisa D’Ambruoso

Gerri Ganz

Marc Greene

Theresa Jacobellis

Dana Klosner

Susan Kreimer

Kristen Longo

Stacey Makely

Erica Manney

Barbara Mlawer

Brian Mulligan

Emily Ng

Margarita Oksenkrug

Betty Olt

Barbara Osborn

Terri Ann Parnell, RN, DNP

Michelle Pinto

Michelle Pipia-Stiles

Kathleen Rohan

Neil Rosen

Arleen Ryback

Ann Silverman

Peter Spanos

Jamie Talan

Timothy Vassilakos

Kathleen Waton

Thea Welch

Elaine Wohl

Photography

North Shore-LIJ Studios,

except as noted

Graphic Design

Gina Reduzzi/Reduzzi Design

Comments/Suggestions? Contact:

Public Relations Department

125 Community Drive

Great Neck, NY 11021

(516) 465-2600


a MESSAGE from the PRESIDENT

See more

Walk to Paris

photos on

page 47.

Building a Wellness Culture

Just a few weeks removed from the conclusion of the Walk to Paris, I can say without hesitation

that it was the most successful employee engagement we’ve ever done. You demonstrated your

enthusiasm right from the start, with about 15,000 employees (1,493 teams of 10) enrolling in this

first-ever fitness campaign and 914 teams (comprising 9,000+ employees) successfully completing

the challenge, each team collectively walking 7.2 million steps – the approximate distance from New

York to Paris.

All told, participants walked over five million miles and took more than 10 billion steps.

You lost an estimated 145,000 pounds – the equivalent of 764 adult males, 73 elephants or 66

Honda Civics.

We’re pleased to have recognized your efforts by raffling off free trips to Paris to four

teams (40 employees) and giving out some great consolation prizes to 10 additional teams (100

employees), including choices

of gym memberships, wellness

retreats and massages.

But as we all know, the

Walk to Paris was about more

than winning a trip to Paris –

the overriding goal is to change

our culture and help us make

wellness part of our lifestyle. It

has to be part of our DNA if we

are going to change the health

of our communities.

We have already made some

major progress. Several years

ago, we became a tobacco-free

organization, and through

our free smoking cessation

program, nearly 1,000

employees have quit smoking.

We started our “Weight

Watchers At Work” program,

enrolling thousands of

Rosemarie Ennis celebrates when the team she captained, Twinkle Toes, was

randomly selected to go to Paris. Other Paris-bound teams were: Walka-

Walka-Walka of Patient Financial Services in Westbury, Microbiologie Marche

A’Paris of North Shore-LIJ Laboratories in Lake Success, and Champs-Elysees

of LIJ Medical Center.

employees across the health system. We also opened our own fitness facility, Vivo Health Fitness,

and offer various discounted gym memberships across the New York metro area.

Perhaps most importantly, as part of our Know Your Numbers Program, more than 8,000

employees participated in free onsite health screenings and another 5,000 saw their personal

physicians to learn about their numbers and their risks for serious illness just this past winter.

Going forward, we’re planning another team-based competition and education program to

help you and your families incorporate more fruits and vegetables (five servings a day) into your diet.

Many of our cafeterias also are undergoing food and nutrition makeovers, and will be offering more

nutritious foods with more fruits and vegetables. We’re also looking to roll out fruit and vegetable

carts at our hospitals, particularly during night shifts, where healthy eating is most challenging.

So, welcome to the wellness revolution – and congratulations on an incredible achievement.

The New Standard

3


For Craig Washington,

serving overseas in the

military meant missing

family milestones, from the

birth of his first niece to his

cousin’s high school graduation.

It also meant not being around

for day-to-day chores, like

helping his then-wife with yard

work or fixing the television

when it went out.

You feel very helpless

because you’re over there

and she’s over here,” said Mr.

Washington, an Air Force

veteran who completed two

tours in Afghanistan. “Coming

back, you have to overcome that

and it’s not always easy.”

The transition process

eventually led to the demise

of his marriage, said Mr.

Washington, who now works as

the patient support manager at

The Zucker Hillside Hospital.

Hundreds of thousands of

veterans like Mr. Washington

have struggled with the

transition from war back into

civilian life. Almost 20 percent

4 Summer 2012

Partnership Supports

Veterans and Their Families

By Stacey Makely

of veterans who served in Iraq

and Afghanistan reported

symptoms of post-traumatic

stress disorder or major

depression in a 2008 study by

the RAND Corporation.

The Unified Behavioral

Health Center for Military

Veterans and Their Families,

scheduled to open later this

year as a partnership between

the US Department of Veterans

Affairs and Zucker Hillside,

will help ease the strain of these

and other issues that so often

face veterans and their families.

The 4,000-square-foot Bay

Shore building will include a

behavioral health center side

by side with a VA healthcare

facility. The pairing is the only

one of its kind in New York

State and will allow vets to

receive medical care on one side

of the building and behavioral

healthcare on the other.

“In a very unique way,

the center will be able to treat

veterans and their family

members,” said Andrew

Roberts, director of North

Shore-LIJ’s Office of Military

and Veterans Liaison Services.

Mr. Roberts knows firsthand

just how important this

kind of treatment can be: He

served in Iraq from 2003

to 2004 as an Army battery

commander and returned with

post-operational stress.

But so many other soldiers

never made it home from the

war, and Mr. Roberts believes

that veterans owe it to those

soldiers to become reintegrated

into society and live a full life —

something that can be difficult

without healing from the

emotional wounds of war.

The stress that can come

with a deployment to Iraq

or Afghanistan can have a

tremendous impact on not just

the service member but also

the family,” Mr. Roberts said.

“Speaking as someone who

suffered when I came back, it’s

not always easy to realize or be

aware that you’re struggling

with something. Talking to a

professional who is trained

in evidence-based therapies

can really help you feel like

yourself again.”

Soldier Ride

Join us on July 20 for a great ride for the

Wounded Warrior Project.

Soldier Ride is an inspiring opportunity

for the public to participate in a cycling

event that honors the men and women

of our military who sacrificed so much.

Soldier Ride raises awareness for

our nation’s wounded warriors who

courageously battle the physical and

psychological damages of war,

and offers the public a chance to ride

alongside as our nation’s wounded

warriors promote their positive

message of recovery!

For further information, call

Lisa Finnegan at (631) 647-3825.


MANHASSET — Since Operation

Iraqi Freedom began in

2003, much has been written

about the plight of returning

military personnel. One member

of the US Army Reserves,

Michael Kentner, Platoon Sergeant,

773rd Transportation

Company, Fort Totten, who is

also a New York City firefighter

and a maintenance worker at

the North Shore-LIJ Stern

Center for Rehabilitation,

knows how important it is for

reservists to have a supportive

work environment.

Last year, Sgt. Kentner

found a Web site maintained

by Employer Support of the

Guard and Reserve, a US

Department of Defense agency

that sought Patriot Award

nominations for employers

that support military-reservist

obligations. He wrote a letter

extolling his immediate

supervisor, Walter Oberman,

the Stern Center’s assistant

director of engineering, who

“continues to support what I’m

doing with a special sincerity

that gives you chills. This guy

embodies a certain intangible

patriotism that simply cannot

be articulated in words on

paper.”

At the recent ceremony to

accept the Patriot Award, Mr.

Oberman was surrounded by

colleagues, veterans and active

duty and reserve military

personnel. He said he was

The recipient of the Patriot Award, Walter Oberman (third from right), with: (from left) Andrew Roberts, Sergeant Major

Vincent Mannion, Maureen McClusky, First Sergeant Kilsi Ciprian and Michael Kentner, platoon sergeant and Stern

Center staff member.

What It Means to Be

a Patriotic Employer

By Michelle Pinto

both humbled and honored

to work with his good friend,

who, he added, “is clearly an

American hero. How can you

not want to help someone

whose only thought is to help

his country and his city?”

Andrew Roberts, director

of North Shore-LIJ’s Office of

Military and Veterans Liaison

Services, led the ceremony.

Mr. Roberts noted that the

North Shore-LIJ Health System

has recruited 100 veterans

for various staff positions

throughout health system

facilities in the past year. He

praised the health’s system

practice of paying employees

on military leave the difference

between military pay and their

regular salaries, ensuring that

their service to our country does

not create economic hardship.

Also on hand to present

the award was Sgt. Major

Vincent Mannion, 301st

Information Operations

Battalion, Fort Totten.

There are so many people

who talk the talk but wind

up complaining about

the reservists’ military

obligations,” he said,

congratulating Maureen

McClusky, executive director

of the Stern Center, and staff

members for providing true

support and concern.

The New Standard

5


LAKE SUCCESS —

Normally, when you hear

the word “PJs” you think

of pajamas. But on a

recent Friday afternoon,

“PJs” took on an entirely

different meaning. On this

particular afternoon, a group

of Pararescue Jumpers, aka

PJs, from the 103rd Rescue

Squadron of the New York Air

National Guard/US Air Force

from Westhampton Beach, came

to the North Shore-LIJ Biokills

Education Center in Lake

Success for a special workshop

on combat medical care.

The pararescuers, some of

whom deployed to the Mideast

within a week of their visit to

the Bioskills Center, are the

elite combat force specifically

organized, trained and equipped

to conduct both conventional

and unconventional combat and

noncombat rescue operations.

They are the most highly

trained and versatile personnel

recovery specialists in the world.

Because of their training, the

pararescuers are called on to

execute the most extreme rescue

missions across the globe.

In light of the

pararescuers’ critical mission,

the workshop — directed by

Lieutenant Colonel Stephen

Rush, MD, a pararescue flight

surgeon, and Jason D’Amore,

MD, director of the North

Shore-LIJ Advanced Airway

6 Summer 2012

Special Forces Medics

Trained at North Shore-LIJ

By Marc Greene

Training Center — focused on

the advanced life-saving skills

necessary when performing

in severe environments.

The operating room for

pararescuers is frequently in

the back of a helicopter.

While training at the

Bioskills Education Center,

part of North Shore-

LIJ’s Center for Learning

and Innovation (CLI),

pararescuers learned critical

techniques in such areas as

advanced airway intubation,

chest tube placement and

deep-wound packing, along

with multiple suturing for

skin closure.

“I can say without

equivocation that the care that

we are able to render to our

military personnel in critical

rescue situations is truly

enhanced by our experience

at the Bioskills Center,” said

Colonel Rush. “We have

been fortunate to have Dr.

D’Amore as an enthusiastic

and expert teacher.”

Colonel Rush also

thanked the North Shore-LIJ

Health System for opening

its doors to the military, and

Bioskills Education Center

director Joseph Colaccico for

his logistical help and support.

Colonel Rush said the

103rd Rescue Squadron

currently has three airmen

deployed in the theater of

operation. “Not only were

two lives saved because of

techniques that we practice and

honed in the Bioskills Labs,

but also the patients were kept

more comfortable,” he said.

North Shore-LIJ’s

Biokills Education Center

brings the latest operative

techniques to physicians,

medical students, nurses

and surgical technologists.

Coupled with the most

advanced technologies in

video and endoscopic surgical

equipment, the center

supports surgical training,

continuing medical education

and research.

Watch the pararescuers

in action at the Bioskills

Education Center at

http://bit.ly/zbMwNS.

Above: Jason D’Amore, MD, center,

trains pararescuers from the 103rd

Rescue Squadron of the New York

Air National Guard/US Air Force

during a recent visit to the North

Shore-LIJ Bioskills Education

Center.


Hofstra North Shore-LIJ School of Medicine

Helps Vets With Unique Healthcare Needs

The Hofstra North Shore-LIJ School of Medicine has signed

on with First Lady Michelle Obama’s Joining Forces initiative,

which is committed to creating a new generation of doctors,

medical schools and research facilities that will make sure our

heroes receive the care worthy of their service. Recognizing

Necessity Spurs Innovation

When Jason D’Amore, MD, director of the North Shore-LIJ Advanced

Airway Training Center, began conducting workshops on combat medical care

with the Air National Guard pararescuers, he was surprised when he took a

close look at one of the surgical medical kits for cricothyrotomy, commonly

called a cric kit, used by the military in the field.

The kit was clearly designed by people who never went into the field to use

it. There were basic surgical tools that should’ve been included but weren’t, and

some of the tools that were needed were just too big to fit in the standard issue kit.”

Necessity being the mother of invention and innovation, Dr. D’Amore teamed

with medical device manufacturer Cook Medical to create a new cric kit that would

not only have the appropriate surgical tools, but would also fit in a pararescuer’s

fanny pack. “One of the pararescuemen showed me his own kit that he had literally

taped together with surgical tools from an assortment of scavenged kits. I knew

that we had a serious need that had to be addressed, but I also knew that we could

put something together that would fit the bill — and the fanny pack.”

This is the redesigned kit developed at North Shore-LIJ’s Bioskills Education

Center with Cook Medical.

veterans’ and their families’ sacrifice and commitment, Hofstra

North Shore-LIJ School of Medicine pledged to mobilize its

integrated missions in education, research, and clinical care

to train physicians to meet veterans’ and their families’ unique

healthcare needs, including post-traumatic stress disorder (PTSD)

and traumatic brain injury (TBI).

“We are honored to participate in the White House

Joining Forces initiative to address the healthcare needs of

military service members and veterans and their families,” said

Lawrence Smith, MD, founding dean of the medical school.

“Since 2006, North Shore-LIJ has served military personnel

and their families, including young children, through its

Rosen Family Wellness Center for Law Enforcement and

Military Personnel and Their Families, as well as other

veterans-related services. As a result, the health system has

extensive experience diagnosing and treating military service

members and their families with behavioral health issues. This

commitment to veterans carries over to our medical school

and our curriculum.”

The School of Medicine joins the Association of

American Medical Colleges (AAMC) and the American

Association of Colleges of Osteopathic Medicine (AACOM)

in the commitment to enrich medical education to ensure

that physicians are aware of the unique clinical challenges and

best practices associated with caring for this group; to develop

new research and clinical trials on PTSD and TBI to foster

better understanding and treatment of these conditions; to

share their information and best practices with each other

through a collaborative Web forum created by the AAMC;

and to grow the body of knowledge leading to improvements

in healthcare and wellness for our military service members,

veterans and their families.

First Lady Michelle Obama and Dr. Jill Biden created

Joining Forces to bring Americans together to recognize, honor

and take action to support veterans and military families as they

serve our country and throughout their lives. The initiative

aims to educate, challenge and spark action from all sectors

of society to ensure veterans and military families have the

support they have earned. The initiative focuses on key priority

areas — employment, education and wellness — while raising

awareness about the service, sacrifice and needs of America’s

veterans and military families. More information is available at:

JoiningForces.gov and NorthShoreLIJ.com/rosen.

The New Standard

7


in the SPOTLIGHT

Members of the HealthPort team,

pictured from left to rignt, are

Christina Birrer, Devon Kelly,

Jaclyn Kelly, Ron Sharpe,

Fabrizio DiFazio, Cathlyn Fagan,

Kai Chan and Jose Villamar.

The HealthPort Team

By Jamie Talan

Less than a decade ago, an employee wanting to know what was going

on in the ever-expanding North Shore-LIJ Health System could find a single

page on the intranet. And it required a person to log in. Today, the virtual

site for HealthPort is more like a city than a home. The renovation is nothing

short of, well, BIG. It’s a community that serves the health system’s 43,000

employees and allows them to navigate the entire landscape of the health

system’s infrastructure. There are neighborhoods for nurses, doctors and other

employees. Trustees even have their own key that provides them access to

information they can use to understand the everyday operations of the system.

It’s a city that has close to 40,000 unique visitors a month. Imagine a day

when you had to hunt down a binder filled with hospital policies and procedures.

If you needed to find a fellow employee, ha! It was virtually impossible. Now,

it is virtually possible with one keystroke. PeopleFinder tells you where people

work, how to find them and who they work for. People can sell cars and houses.

They can download any one of thousands of forms that once had been housed

across the health system. And every day, HealthPort staff is creating even more

customized features and is now designing an integrative social networking

portal. People can now add their events themselves. HealthPort posts over 30

new events a month.

Training on the site is also saving time and money for the health system.

Nurses can train at their desks with online nursing modules that have led to

8 Summer 2012

HealthPort has just won a 2012 LISA Award for Top Software Products

from the Long Island Software & Technology Network (LISTnet). This puts

North Shore-LIJ in the elite company of winners such as CA Technologies,

Motorola, Northrop Grumman, PC Richard and Oracle. Congrats to the

HealthPort team for the high-quality work you do!

cost savings of almost $1 million, according to HealthPort manager Devon Kelly.

Managers can now log on to the site and read and analyze financial score cards

from every hospital in the health system. They have access to daily census reports.

And now doctors and other health practitioners have the tools at hand to read

electronic medical records – and have x-rays and other scans uploaded to their

desktop or phone, a private cyber-medical office.

The HealthPort business team is powered by three full-time employees

who work closely with the Web Services team. Last year, they implemented and

completed over 700 major projects for the site. “We are growing and creating

a world where employees can find information that will make their jobs easier,”

said Devon Kelly, HealthPort manager. Employees also have remote access to

HealthPort. There are newsletters and events pages. Thousands of people click

in every day to the Employee Bulletin Board, where they can list items for sale

or purchase them. The team has won 10 awards in the last few years. And they

continue to talk to department heads about their specific needs so they can

develop department-specific content for employees.

“We see this as our home, our community,” said Ms. Kelly. And, “the virtual

door is always open.”

Users can contact the Help Desk at (516) 470-7272,

HealthPortWebmaster@nshs.edu or Devon Kelly at (516) 465-3144.


A DAY in the LIFE

Joanne Turnier

Program Manager, Diversity,

Inclusion and Health Literacy

Q: What are your responsibilities?

A: I promote health literacy, cultural diversity and inclusion throughout North

Shore-LIJ. I also assess and implement strategies to improve the health literacy

of our staff members, patients and their families. Along with Dr. Terri Parnell, I

create health literacy programs for healthcare professionals, cultural resources

for employees and educational content for patient-room TVs across the system.

I also teach and develop curricula for the Center for Learning and Innovation and

the Nursing Institute.

Q: How did your career path lead to this role?

A: I began my career in neonatal intensive care, and eventually transitioned to

working with those who’ve experienced the sudden traumatic death of a loved

one. Meanwhile, I worked as a nurse educator focusing on staff wellness and

end-of-life care. This experience in program development and exposure to

diverse populations prepared me for my current position. I believe effective

communication is essential in healthcare no matter the situation.

Q: What initiatives are you working on?

A: I am particularly focused on our Dignity and Respect = Inclusion campaign.

This program educates employees about various cultures and how to overcome

biases or lack of knowledge so misinformation does not hinder the healthcare we

provide. The Office of Diversity, Inclusion and Health Literacy is introducing the

program through videos and live presentations. I’m also developing a number of

educational initiatives and staff resources that we will launch soon.

Q: What is your #1 tip to those who want to promote diversity, inclusion and

health literacy?

A: Approach patients and families with a compassionate heart and cultural

humility. Be aware of your own biases; don’t be afraid to ask questions about

your patients’ beliefs, traditions and culture.

Take the pledge: NorthShoreLIJ.com/inclusionpledge.

— By Erica Manney

Duty Calls at 30,000 Feet

For Two NSUH Nurses

By Thea Welch

Debbie Smith, RN, and Connie Kwiatkowski, RN, were on a

JetBlue flight to West Palm Beach in April, getting away for some

R&R at Ms. Smith’s condo, when an announcement by the flight

attendant made them realize that they weren’t on vacation quite yet.

“She said, ‘Medical to the front, medical to the front,’” Ms.

Smith recalled, “and then she said, ‘Any nurse or doctor, to the

front.’ Connie and I looked at each other and she said to me, ‘I

guess that’s us.’”

So the nurses made their way to the front of the plane. There

they found an older woman on the floor, with a younger man

kneeling beside her and supporting her head. “The first thing I

said was, ‘Lay her down,’ Ms. Smith said. ‘Her blood needs to be

flowing to her head.’ He didn’t respond. ‘Lay her down!’ I said,

more forcefully. Finally he did. ‘I’m a nurse,’ he said. ‘We are,

too,’ I said. I didn’t tell him that we have more than 50 years of

nursing experience between us, but I guess he felt the woman was

in capable hands, because he went back to his seat.”

continued on page 69

Connie Kwiatkowski (left) and Debbie Smith, nurses at NSUH, were pressed

into service on a recent flight to Florida.

The New Standard

9


LIJ, North Shore University Hospital

Rank Tops for Heart Care in New York

By Betty Olt

NEW HYDE PARK — LIJ

Medical Center and North

Shore University Hospital provide

some of New York State’s

best outcomes for open-heart

surgery and percutaneous coronary

interventions, according

to reports recently released by

the state Department of Health.

In fact, LIJ was the only hospital

in the state with significantly

better outcomes for both cardiac

surgery and percutaneous

coronary interventions.

According to the Department

of Health’s latest report

on adult cardiac surgery (covering

2007 to 2009), LIJ was

one of only four hospitals in

New York State — and the only

one on Long Island — whose

risk-adjusted mortality rates

were significantly better than

the statewide average for 676

patients undergoing surgeries

to repair or replace heart

valves and for those in need

of surgeries for both valve

and coronary artery bypass

graft (CABG) surgery. In a

separate category analyzing

outcomes for CABG, valve or

valve/CABG, LIJ and North

Shore University Hospital were

among six hospitals in the state

and the only ones on Long

Island — distinguished by low

risk-adjusted mortality rates.

Over the three-year period

analyzed by the Department of

Health, the combined volume

of cardiac surgeries at North

Shore University Hospital and

LIJ Medical Center was 2,082

— the most in the state.

In addition to the

10 Summer 2012

hospitals’ top rankings, two

LIJ heart surgeons, Robert

Palazzo, MD, and S. Jacob

Scheinerman, MD, and two

North Shore University Hospital

surgeons, Alan Hartman,

MD, and Robert Kalimi,

MD, were among 13 surgeons

statewide to earn the Department

of Health’s prestigious

double asterisk for their

extraordinarily low mortality

rates — out of a total of about

190 surgeons at 40 hospitals

who performed open-heart

surgeries during that period.

In fact, Dr. Palazzo performed

225 CABG surgeries over the

three-year period covered in

the Department of Health report

without a single death.

In a separate New York

State Department of Health

report on percutaneous

coronary interventions, Lenox

Hill Hospital had the lowest

risk-adjusted mortality

rate in the state in 2009 for

2,940 patients undergoing

angioplasty (a procedure that

clears blocked heart arteries

to increase blood flow). Over

the three years covered in the

report (2007 to 2009), LIJ

was one of six hospitals statewide

with statistically superior

outcomes for angioplasty. In

addition, North Shore was one

of only three hospitals in New

York — and the only one on

Long Island — with significantly

better outcomes for 935

emergency angioplasty patients.

From an individual

standpoint, LIJ Medical

Center’s Barry Kaplan, MD,

and North Shore University

Hospital’s Loukas Boutis, MD,

and Donna Marchant, MD,

were among only a handful

of cardiologists in New York

State — out of more than 300

statewide — who were outliers

for superior outcomes.

Since 2000, the Department

of Health has released

eight reports for angioplasty.

LIJ has received double-asterisk

rankings for all cases in six of

those reports, which is more

than any other hospital in the

state, according to Dr. Kaplan,

vice chair of cardiology for the

North Shore-LIJ Health System.

In addition to LIJ being

the only hospital in New York

to receive a double asterisk

for both cardiac surgery and

angioplasty in the current

Department of Health reports,

North Shore was the only

other hospital in the state to

also have statistically superior

outcomes in at least one

category for both open-heart

surgery and angioplasty.

The New York Department

of Health’s analysis of

cardiac outcomes in hospitals

across the state has contributed

to continuous improvements

in the care delivered to New

Yorkers with heart disease,”

said Stanley Katz, MD, senior

vice president of cardiovascular

services for North Shore-

LIJ and chair of cardiology at

North Shore University Hospital

and LIJ Medical Center. He

added that heart disease is the

number one cause of death in

this state and in this country.

The availability of these

reports provides heart patients

and their families with valuable

information for making

informed decisions about their

cardiac care.”

“Teamwork is at the heart

of everything we do,” said Dr.

Hartman, chair of cardiothoracic

surgery at North Shore-LIJ.

“Fortunately, the same formula

for success that has enabled us to

consistently provide exceptional

open-heart surgery at North

Shore University Hospital and

LIJ Medical Center has been

replicated at Southside Hospital.”

Since the launch of Southside’s

cardiothoracic program in

February 2011, Dr. Hartman’s

team has performed 359 surgeries,

ensuring that residents of

Suffolk County’s South Shore

get the same access to state-ofthe-art

heart care as the tens of

thousands who have entrusted

their lives to LIJ and North

Shore University Hospital.

Adult Cardiac Surgery

http://www.health.ny.gov/statistics/diseases/cardiovascular/heart_disease/docs/2007-2009_adult_cardiac_surgery.pdf

Angioplasty

http://www.health.ny.gov/statistics/diseases/cardiovascular/docs/pci_2007-2009.pdf


Aesthetics, Smarts and Compassion Built into New LIJ Unit

By Betty Olt

NEW HYDE PARK — If not for the

cutting-edge bedside technology,

you might mistake a patient room

in LIJ Medical Center’s new 30-bed

Cardiovascular and Thoracic Unit for

a sleek hotel room. That’s because,

when planning the new space,

designers focused on delivering care

that is not only state-of-the-art, but

also compassionate. So each room is

private and provides ample space for

loved ones at the bedside and if they

choose to stay overnight.

The Cardiovascular and

Thoracic Unit is dedicated to

patients undergoing cardiothoracic

surgery, cardiac catheterization

and electrophysiology procedures.

Telemetry technology equips each

patient room, allowing remote

monitoring of vital signs; bedside

computers give clinicians access to

patients’ electronic health records.

Amenities of patient rooms

within the 29,000-square-foot

medical/surgical unit include a full

bathroom and shower, a 42-inch flatscreen

TV, mini-refrigerator, Internet

access, a desk and a visiting area

with a pullout loveseat. Rich wood

floors and nature-inspired motifs and

artwork provide a warm, welcoming

setting that accommodates patient

needs and privacy. Carpeted corridors

are not only visually appealing, but

also help reduce noise. Extra-large

windows in each patient room and

family lounges provide access to

natural daylight and views.

The cardiac suite opened to

rave reviews from patients and staff

alike, but the new facility is built

on the reputation of LIJ’s cardiac

services. “LIJ has consistently

excelled in performing angioplasty

and cardiac surgery, and has

achieved outstanding outcomes for

both procedures in New York State,”

said Barry Kaplan, MD, vice chair of

cardiology for LIJ and North Shore

University Hospital. (See related

story at left.) “Now, with the new

unit, we can practice in a world-class

facility and provide the best possible

care to patients in a beautiful and

healing environment.”

By decentralizing nursing

stations and locating supply closets

adjacent to every patient room

entrance, nurses’ spend less time

walking the floor — and more time

with patients. A pharmacy on the

floor ensures timely, accurate

delivery of medications. And the

needs of special patient populations

are addressed via two dedicated

The hospitality industry inspired the design of the Cardiovascular and Thoracic Unit. The inpatient space is on the eighth

floor in the Zuckerberg Pavilion, part of a $300 million, 10-story tower that also houses the Katz Women’s Hospital.

Barry Kaplan, MD, vice chair of

cardiology for LIJ and North Shore

University Hospital, and S. Jacob

Scheinerman, MD, vice chair of

cardiothoracic surgery at LIJ,

showcase LIJ’s new Cardiovascular

and Thoracic Unit.

isolation rooms with anterooms for

patient observation and a bariatric

room equipped with overhead lifts

for patient and staff safety.

In addition to beauty and

efficiency, LIJ’s new Cardiovascular and

Thoracic Unit is ecologically kind, too.

As part of the North Shore-LIJ Health

System’s commitment to sustainable

and environmentally responsible

healthcare, the unit is registered

with the Green Building Certification

Institute and has been designed to

achieve a Silver rating from LEED,

the accepted industry benchmark for

sustainable design, green building

materials and energy efficiency.

Take a tour of the new space at

http://www.northshorelij.com/NSLIJ/

media-portal/homepage-videochannel/lij-cardiac-units.

The New Standard 11


Ann Pszybylski, 84, is the first patient on Long Island to receive the only FDA-approved nonsurgical heart valve

replacement device. Members of LIJ’s cardiac team wished her well as she prepared to leave the hospital. Ms. Pszybylski

is shown above with, from the left, Dr. Scheinerman; Dorothy Veron, RN, nurse manager of the catheterization lab; Dr.

Jauhar; Annmarie Copertino, RN, nurse manager; and Robert Rodriguez, RN.

New Nonsurgical Heart Procedure

Gives Hope to Older Patients

Ask 84-year-old Ann

Pszybylski what it was like to

take just a short walk down

a hallway, fighting for each

breath. She was in desperate

need of a new heart valve,

but her age and other medical

problems made open heart

surgery too risky.

A new technical

advance recently approved

by the US Federal Drug

Administration (FDA) – the

Sapien transcatheter aortic

12 Summer 2012

valve replacement (TAVR) –

is helping older people like

Mrs. Pszybylski with severe

aortic stenosis to breathe and

move about more easily, and

providing them with a new

lease on life.

“No more huffing and

puffing,” said Mrs. Pszybylski.

The Hauppauge resident,

who was not a candidate for

the traditional heart valve

replacement procedure, was

the first patient at LIJ Medical

By Betty Olt

Center to receive the TAVR

device. She is now on the

move with her eight grand-

and great-grandchildren.

She said she wants to resume

traveling, but mostly, she

added, “I’m looking forward

to living longer.”

Cardiologists and

cardiothoracic surgeons at

LIJ are the first in Queens

and Long Island to implant

the new nonsurgical heart

valve replacement device

in patients with failing

heart valves. “TAVR is a

breakthrough because it offers

some patients who could not

withstand the conventional

surgery due to age or serious

medical conditions a viable

treatment option,” said S.

Jacob Scheinerman, MD,

vice chair of cardiothoracic

surgery at LIJ. The TAVR is

manufactured by Edwards

Lifesciences in Irvine, CA.

Similar to a technique

to implant cardiac stents

into clogged arteries, the

TAVR procedure involves the

physician guiding a catheter,

or thin tube, attached to the

Sapien valve through the

patient’s femoral artery, in

the thigh. The cardiac team

uses transesophageal echo

(TEE) and fluoroscopic

imaging guidance for proper

placement. The Sapien valve

is expanded by a balloon in

the delivery system (about

the diameter of a quarter),

pushing away the calcium to

enlarge the opening of the

valve. Once it is placed at

the opening of the valve it is

anchored inside the aorta and

blood flow is restored

Approximately 250,000

Americans suffer from

severe aortic stenosis, often

developing debilitating

symptoms that can affect

normal day-to-day activities

such as walking short distances

or climbing stairs. Generally,

the condition affects people

over 70. Aortic stenosis


occurs when the aortic valve

does not properly open and

close, usually due to a buildup

of calcium. The calcium

build-up restricts blood flow

from the heart to the rest

of the body. This increases

pressure within the heart,

causing heart muscles to

weaken. All of these events

increase the risk of heart

failure. Symptoms of the

disease can include extreme

fatigue, dizziness, chest pain

or pressure, shortness of

breath during activity, rapid

or irregular heartbeat and

fainting.

“Patients who do not

receive an aortic valve

replacement have no effective,

long-term treatment option

to prevent or delay the

progression of severe aortic

stenosis and eventual death,”

said Dr. Scheinerman, noting

that approximately 50 percent

of patients who are in their

80s and have symptoms of

congestive heart failure with

critical aortic stenosis will die

in six months to a year without

treatment. “For patients who

were previously inoperable,

the new TAVR gives hope for

extending and improving the

quality of their lives.”

Dr. Scheinerman, Barry

Kaplan, MD, vice chair of

cardiology at LIJ and North

Shore University Hospital

and an interventional

cardiologist, Rajiv Jauhar,

MD, chief of cardiology

and director of the cardiac

catheterization laboratory and

interventional cardiology at

LIJ, and Robert Palazzo, MD,

a cardiothoracic surgeon,

joined the multidisciplinary

team to perform the procedure

on Mrs. Pszybylski. The

procedure was performed in

the new state-of-the art hybrid

operating room built at LIJ.

The $5 million surgical suite

combines the latest surgical

and cardiac catheterization,

robotic technology and

three-dimensional radiologic

imaging capabilities with realtime

patient monitoring.

“Having all the

equipment and members of

the cardiac team in one OR

saves time and eliminates

the need for a patient to be

moved from one room to

another,” said Dr. Kaplan.

“Interventional cardiologists

and cardiac surgeons are able

to collaborate closely during

the procedure. Working

in our new hybrid surgical

suite allows us to be ready

for any situation or potential

emergency.”

To watch a video featuring the

cardiac team at LIJ who performed

the first TAVR procedures visit

NorthShoreLIJ.com/NSLIJ/vitalityvideos,

or use your smartphone

to scan the QR code.

Hybrid OR:

Making Many Things Possible

By Betty Marton

Two new hybrid operating rooms — the first in Queens and Nassau

County — are letting previously inoperable patients benefit from cutting-

edge combination surgical, cardiac and vascular interventions, including

a life-saving heart valve replacement procedure. Located at LIJ Medical

Center and North Shore University Hospital, these interdisciplinary,

multifunctional rooms allow cardiologists and cardiothoracic surgeons to

perform a range of open, minimally invasive, image-guided and catheter-

based procedures in one operating suite.

“It’s the ideal environment to bring interventional cardiologists and

cardiac surgeons together in a team approach that is relatively unusual and

unprecedented,” explained Barry Kaplan, MD, vice chair of cardiology at LIJ

and North Shore University Hospital.

The hybrid OR incorporates robotic technology and three-dimen-

sional radiologic imaging capabilities with real-time patient monitoring

that, when not needed, can easily be moved out of the way to support

general surgical procedures. Maximizing room use and efficiency makes it

possible to perform such procedures as the Sapien® transcatheter aortic

valve replacement (TAVR) on patients with severe aortic stenosis. TAVR is

performed via the femoral artery, which is similar to the approach used for

cardiac catheterization. The cardiac team then uses transesophageal echo

(TEE) and fluoroscopic imaging guidance for proper placement.

“TAVR only requires a two- or three-centimeter incision, which

allows us to treat patients who were previously deemed inoperable due to

age or serious medical conditions,” said S. Jacob Scheinerman, MD, vice

chair of cardiothoracic surgery at LIJ.

According to Robert Blenderman PA, director of cardiovascular and

thoracic surgery at North Shore University Hospital and LIJ, the $5 million

hybrid surgical suites, built at a time when healthcare dollars are stretched

thin, exemplify the North Shore-LIJ Health System’s commitment to

providing the highest-quality treatment and care for its patients.

“North Shore-LIJ has gone above and beyond in supporting this

hybrid OR technology to meet the needs of future procedures,” he said.

“It’s a beautiful thing to have the ability to offer a quality treatment

to those patients who previously had no other options. This is a

groundbreaking development in cardiovascular surgery and shows our

dedication to growing our discipline in a quality way.”

The New Standard 13


HealthGrades Rates LIJ, North Shore

Among Best for Cardiovascular Care in US

By Betty Olt

LIJ Medical Center

and North Shore University

Hospital (NSUH) have been

named among America’s 100

Best Hospitals for cardiac care,

cardiac surgery and coronary

intervention, according to

a recently released report by

HealthGrades, an independent

group that analyzes hospital

quality outcomes. LIJ was also

ranked number one in New

York State for cardiac surgery

for two consecutive years

(2011 and 2012); and NSUH

was ranked number two in

the state for overall cardiac

services, cardiology services and

coronary interventional (heart

stent) procedures in 2012.

HealthGrades analyzed

Medicare patient outcome

data from 5,000 hospitals

nationwide from 2008 through

2010, the most recent years

for which data was available.

It published performance

outcomes for cardiac services in

its 2011 Healthcare Consumerism and

Hospital Quality in America report. A

quality comparison of doctors

and hospitals in the New York

area can be found online at

HealthGrades.com.

Among the achievements

noted in the report, NSUH and

LIJ consistently received fivestar

ratings, the highest possible

hospital rating, in multiple

cardiac service areas, which

translates to a 73 percent lower

chance of death compared to

one-star hospitals, according to

HealthGrades.

The North Shore-LIJ

Health System is committed

14 Summer 2012

to providing the highestquality

care to our patients,”

said Stanley Katz, MD,

senior vice president of

cardiovascular services

and chair of cardiology at

North Shore-LIJ. “Our

cardiac physicians and

their teams at LIJ Medical

Center and North Shore

University Hospital are

making major treatment

breakthroughs in the field,

improving the lives of our

patients in our community.

The HealthGrades ratings

demonstrate our excellent

outcomes in cardiac care, which

are accessible to consumers

online and are extremely useful

for patients and loved ones

making the important decision

of choosing their cardiologists

and hospitals.”

LIJ Medical Center

was also recognized for the

following clinical achievements:

LIJ Ranked Nationally

Among the top 5 percent for

coronary interventional

procedures (2008-2012)

Among the top 5 percent for

cardiac surgery (2011-2012)

Among the top 5 percent

for overall cardiac services

(2011-2012)

LIJ Ranked in NY State

Among the top 10 for coronary

interventional procedures

(2008-2012)

Among the top 10 for cardiac

surgery (2010-2012)

Among the top 10 for overall

cardiac services (2011-2012)

NSUH received five-star ratings for the following clinical achievements:

Overall cardiac services for five years in a row (2008-2012)

Cardiac surgery for five years in a row (2008-2012)

Cardiology services for two years in a row (2011-2012)

Coronary bypass surgery in 2012

Valve surgery for six years in a row (2007-2012)

Coronary interventional procedures for 10 years in a row (2003-2012)

Treatment of heart attack for seven years in a row (2006-2012)

Treatment of heart failure in 2012

LIJ received five-star recognition for the following clinical achievements:

Overall cardiac services for two years in a row (2011-2012)

Coronary interventional procedures for 10 years in a row (2003-2012)

Cardiac surgery for three years in a row (2010-2012)

Coronary bypass surgery for four years in a row (2009-2012)

Valve surgery for two years in a row (2011-2012)

In addition, North

Shore University Hospital was

recognized for the following

clinical achievements:

NSUH Ranked Nationally

Among the top 5 percent for

coronary interventional

procedures (2003-2012)

Among the top 5 percent

for overall cardiac services

(2008-2012)

Among the top 5 percent for

cardiac surgery in 2012

Among the top 5 percent for

cardiology services in 2012

NSUH Ranked in NY State

Among the top 5 for coronary

interventional procedures

(2003-2012)

Among the top 5 for cardiology

services in 2012

Among the top 10 for overall

cardiac services (2005-2012)

Among the top 10 for cardiac

surgery (2007-2012)

Key findings of the

HealthGrades 2011 Healthcare

Consumerism and Hospital Quality in

America report include:

q On average, patients had

a 73 percent lower risk of

dying in a five-star-rated

hospital compared to a

one-star-rated hospital,

and a 54 percent lower

risk of dying in a five-starrated

hospital compared to

the national average.

q If all Medicare patients

from 2008 through 2010

had been treated at fivestar

hospitals, 240,040

lives could have potentially

been saved.

q If all Medicare patients

from 2008 through 2010

had gone to five-star

hospitals for their procedure,

164,472 in-hospital

complications could have

potentially been avoided.


Quick, Collaborative Cardiac Care Saves Patient

“It felt like there was a dagger in my back,” said 47-year-old Noel Riley.

The Valley Stream resident awakened with chest pain and intermittent searing

pain across his back, and when the pain would not go away, he headed to Franklin

Hospital, where Mollie Williams, MD, made a diagnosis that would save his life.

Mr. Riley was experiencing an ascending (Type A) aortic dissection which, without

treatment, kills 90 percent of patients within 48 hours.

Aortic dissection happens when a tear inside the layered wall of the aorta

(the largest artery of the body) causes

bleeding into and along the wall,

forcing the layers apart. Symptoms

are varying and similar to those of

other heart problems — such as a

severe ripping or tearing pain from the

shoulder blades or back and extending

to the chest, loss of consciousness,

shortness of breath, sweating or

overall weakness — which can make

proper diagnosis difficult. Mr. Riley

“did not have chronic hypertension,

his EKG [electrocardiography] and

blood work were normal and he looked

healthy,” said Dr. Williams, who

treated him in Franklin’s Emergency

Department. Considering his symptoms, she ordered a computed tomography

(CT) scan, a test commonly used to diagnose aortic dissection, and discovered

the severity of his condition.

Mr. Riley required emergency surgery to prevent rupture and death — and

was transferred to LIJ Medical Center’s Department of Cardiothoracic Surgery.

There, a team of clinicians rushed him into surgery where S. Jacob Scheinerman,

MD, associate chairman of the department, removed the damaged segments of the

MANHASSET — For the second

consecutive year, the American

Heart Association (AHA) has

awarded North Shore University

Hospital its Platinum-Level

Recognition for being a “Fit-

Friendly” organization. The AHA’s

Fit-Friendly Company Program

recognizes employers who

encourage the health of their

employees and work to create a

physically fit and healthy work

environment.

“We’re proud to achieve

the American Heart Association’s

‘Fit-Friendly’ designation for a

second straight year,” said Susan

Somerville, the hospital’s executive

director. “We believe strongly that

as members of a healthcare team,

our employees have a responsibility

to set a positive example for the

patients they serve by maintaining a

healthy lifestyle.”

The AHA program honors

companies in several ways. “Gold”

ascending aorta, replaced the tissue with a graft and, along with Robert Palazzo,

MD, repaired the damaged aortic valve. “Mr. Riley’s Type A dissection, which

involves the root of the aorta, is the most dangerous type,” said Dr. Scheinerman.

The key to his survival was how quickly Franklin’s team made a diagnosis and got

him to our operating room. Many people never even make it to the hospital.”

The risk factors for aortic dissection include a history of uncontrolled

hypertension, aortic aneurysm, a dilated aorta or congenital connective tissue

disorders such as Marfan syndrome or Ehlers-Danlos

syndrome, explained Dr. Scheinerman. Mr. Riley had

none of these risk factors.

As an orthotist (a specialist in the design of

orthopedic appliances), Mr. Riley was familiar with

the condition, but was shocked by the diagnosis.

“Dr. Williams’ ability to listen was pivotal to my

survival,” said Mr. Riley. Her quick actions to explore

all causes of his pain are the reason he made it

to surgery in time, and the collaboration of the

healthcare teams at Franklin Hospital and LIJ Medical

Center saved his life.

“Mr Riley’s case highlights the benefits

patients receive from the collaboration of North

Shore-LIJ hospitals,” said John Rohe, MD, director

of emergency medicine at Franklin. “Our facilities

truly work together to save lives.” Mr. Riley’s survival is also a testament to the

health system’s cardiac care and each hospital’s access to that care, wellevidenced

by Dr. Williams calling in the expertise of LIJ’s cardiac Emergency

Medical Services transfer team and Aortic Surgery Center physicians.

Mr. Riley has nothing but praise for the care he received at both Franklin

Hospital and LIJ Medical Center. “It was nothing short of excellent,” he said. “They

saved my life.”

American Heart Association Recognizes

North Shore University Hospital as “Fit-Friendly”

is the first tier of recognition and

“Platinum” is the advanced tier.

Recognition is valid for one year

and companies must renew annually

by completing a renewal form. The

AHA offers employers numerous

recommendations that enable them

to achieve Fit-Friendly recognition,

including: providing walking routes,

promoting walking programs and

allowing staff to wear athletic shoes

in the workplace on designated

“sneaker days.”

In addition to the Walk

to Paris (see p. 3, p. 47), NSUH

offers on-site wellness programs

such as Zumba and yoga fitness

classes, individualized nutrition

counseling and classes and wellattended

multidisciplinary health

and wellness fairs. The hospital

is also making strides in helping

employees select healthier food

options, by programming vending

machines to display selections’

nutritional content.

The New Standard 15


around the system

HUNTINGTON — Neither

Peter Morley nor Tom O’Reilly

works at Huntington Hospital

or even in the healthcare field.

But they serve side by side

with hospital staff and board

members on the hospital’s new

Patient/Family Centered Care

Partnership Council. Chaired by

Amy Loeb, RN, nurse manager

of 2SouthWest, the Council’s

mission is “to create dynamic

patient, family and caregiver

partnerships that enhance

the healthcare experience at

Huntington Hospital.”

The group aims to enhance

the patient experience by encouraging open, twoway

communication, articulating patients’ and family

members’ needs and ensuring those needs are met.

“We want community members to have a real

partnership with the hospital to help enhance the

patient experience,” Ms. Loeb said. “We want the

patient and family perspective so we don’t have to

assume we know what they want and need.”

Huntington board member Carmela Anglim brings

decades of experience to the partnership, including

service as a hospital trustee, a hospital volunteer and

administrator of volunteer services for another Long Island hospital.

The hospital is the great equalizer,” she said. “Sooner or later

we all get here. Patients can feel frightened and isolated and families

may be reluctant to be involved. Our goal is to empower patients and

families and bring them into the circle of care.”

The council will do more than enhance patient comfort.

“This is a safety initiative too,” said Ms. Loeb. “By facilitating

communication, when patients leave the hospital they will

understand why they were here and what they need to do to stay

well in the future.”

Ms. Loeb pointed to existing hospital programs that support the

goals of the council. Weekly patient safety rounds bring department

heads onto patient care units where direct care providers can discuss

emerging concerns and issues. The Palliative Medicine Program is

another avenue for patients and caregivers to set mutual goals.

This collaborative approach is beginning to take root at hospitals

16 Summer 2012

Patient/Family/Caregiver

Partnerships Include

Community Members

By Theresa Jacobellis

around the country. It began at Johns Hopkins in Baltimore following

the tragic death of a child whose mother’s concerns were not taken

seriously by her healthcare team. The Institute for Healthcare

Improvement, the World Health Organization and other national and

international groups focused on healthcare quality endorse healthcare

teams formally including patient and family input.

“Patients and their loved ones are our eyes and ears,” said Ms.

Loeb. “We want to invite them to be our partners in caring because

it benefits all of us.”

“For me, this is not just another clinical initiative but a pathway

to truly having a transparent organization,” said Deborah Feehan,

RN, clinical nursing supervisor. “Through community input we can

improve the care and experience our patients receive.”

Pictured above are members of the new Patient/Family Centered Care

Partnership Council.


Weight-Loss Surgery Study

Combines Two Approaches

By Kristen Longo

SYOSSET — For patients considering weight-loss surgery, Syosset

Hospital’s Center for Bariatric Surgical Specialties is participating

in a national research study designed to evaluate the weight-loss

results of banded gastric plication, an investigational procedure

combining two common bariatric surgical methods under the

hypothesis of earlier and more rapid weight loss with fewer

risks. The research study has been reviewed and approved by an

Institutional Review Board (IRB).

Banded gastric plication combines two minimally invasive

procedures — adjustable gastric banding, which entails placing

an adjustable silicone band around the upper stomach, and

plication, a technique that uses sutures to fold the external wall of

the stomach, creating a sleeve-like contour to the lower part of the

stomach below the band. Both methods promote weight loss and

control hunger by reducing stomach size, limiting food intake and

increasing gastric emptying.

Potential benefits of the procedure include reduced surgical

risk, fewer gastric band adjustments and significant short- and longterm

weight loss. The process does not cut the stomach or reroute the

intestines and, as a result, patients experience lower infection and

complication risks, faster recovery times and minimal post-operative

pain and scarring as compared to more invasive bariatric methods

like gastric bypass or sleeve gastrectomy. Potential risks are considered

infrequent and are similar to those for medical or laparoscopic

revision surgery. These risks generally include gastric outlet

obstruction (inability of food to pass from the stomach to the small

intestine), bleeding from the stitched line, dilation (enlargement)

of the plicated tissue over time and ischemic (restricted blood flow)

complication at the surgery site.

“Early studies have shown that banded gastric plication,

compared to the gastric band alone, may be a more durable

surgical weight loss solution,” said Alan Geiss, MD, director of

the Center for Bariatric Surgical Specialties. “The early results are

very encouraging.” As with any study, long-term data is still being

compiled to support the long-term effectiveness of the procedure.

Preliminary results showed evidence of a marked increase in the

percent of excess weight loss over seven months’ to one-year followup.

The procedure requires one and a half hours and patients stay in

the hospital for one day.

For more information call (516) 496-2752.

CCMC Diabetes Program Recognized for Superior-Quality Care

NEW HYDE PARK — The Diabetes

Program in the Division of Pediatric

Endocrinology at the Steven and

Alexandra Cohen Children’s Center

of New York (CCMC) was recently

certified by the National Commission

for Quality Assurance (NCQA), a

private, nonprofit organization

that is a widely recognized symbol

of healthcare quality. The CCMC

program had previously been

recognized by the American Diabetes

Association as a certified Pediatric

Diabetes Education Center.

NCQA’s Diabetes Recognition

Program (DRP) is designed to

recognize physicians and other

clinicians who provide excellent care

to their patients with diabetes using

10 evidence-based measures, such

as LDL (low-density lipoprotein) and

blood pressure control. Achieving

DRP recognition means that the

CCMC program is part of an elite

group that provides the very highest

level of diabetes care.

Phyllis Speiser, MD, chief of

pediatric endocrinology at CCMC,

along with Margaret Pellizzari, RN,

assistant nurse manager, and their

team of nurses, nutritionists, social

workers and physicians cares for

about 800 children with diabetes

every year. From the day they are

diagnosed until they “graduate” from

pediatric care, the staff is dedicated

to helping them maintain good

glycemic control aimed at prolonging

life and preventing complications,

and educating their parents so they

can be their children’s advocates. Dr.

Speiser’s group worked closely with

Pranav Mehta, MD, vice president

for ambulatory performance

improvement for the North Shore-LIJ

Health System, and his staff to

achieve this prestigious recognition.

“Future healthcare delivery and

reimbursement models rely heavily

on documenting efficiency, cost

savings and superior-quality care,”

said Dr. Speiser. “We are proud to

be in the forefront of these changes

sweeping the medical landscape,

Phyllis Speiser, MD

and honored to display this newest

evidence of our successful efforts to

deliver the best care to our children

affected with diabetes.”

The New Standard 17


around the system

Enhancing Safety in

Behavioral Health Settings

SYOSSET — A new protocol implemented on the Behavioral Health Unit at

Syosset Hospital has dramatically reduced episodes of patient aggression.

The plan includes:

• a violence assessment screening during patient admission, after which

patients at risk are identified and communicated about at daily briefs for

every shift;

• personal alarms provided to each staff member;

• crisis prevention training for all nurses and security staff;

• an additional nurse practitioner staff position during off-hours; and

• additional mental wellness programs for patients including activities

during evenings and weekends, increased snacks and dietician

evaluations, fresh air walks, family support groups, nicotine withdrawal

assessments and games and exercise materials

18 Summer 2012

Plainview Hospital

Serves Up Tastier,

Healthier Meals

Syosset Collaborative Care Council members Mercy Jaiswal, RN,

left,and Debra Dyckoff, RN, nurse manager of the hospital’s

Behavioral Health Unit, were invited to present their project,

Prevention of Violence in Inpatient Behavioral Health, at the Eighth

Annual Maryland Patient Safety Conference this spring.

PLAINVIEW — While showing a patient the newly revised

Plainview Hospital menu (below), nutrition coordinator Nina Eng

discusses the importance of nutritional information to recovering

and maintaining health. The latest Plainview menus feature

nutritional information, including amounts of calories, fat,

sodium and carbohydrates, next to every item offered. Patients can

call ahead and substitute alternative hot or cold items, including

treats like bacon, sausage and cheese pizza,

in serving sizes that provide nutritional

value without risky calory, fat and salt

counts. “We’re giving patients the tools

that they need to make informed decisions

about what they eat,” said Ms. Eng.

There are also modifications available

for each type of diet, including calculated,

diabetic, no concentrated sweets, cardiac,

low sodium, no added salt and renal.

“Being able to provide food that patients

crave and enjoy is key to promoting

recovery and health,” said Eric Sieden,

director of food and nutritional services at

Plainview. “To create the meals that people

want to eat, we use only fresh, highquality

ingredients from local vendors and

farmers in the community. We make sure

that the items ordered arrive the way they

are requested, so there’s always something

they want to eat.”


National Recognition

For Spine Program

GLEN COVE — The Center for Spine Services at Glen Cove

Hospital was recently recognized as an Aetna Institute of Quality

for Spine Surgery, a designation that highlights the center’s

expertise, excellent surgical outcomes and patient-focused care.

“This accreditation is another layer of credibility. It tells the

community that we not only perform a large number of spinal

procedures, but also, more importantly, we do them very well,”

said Vincent Leone, MD, director of orthopedic spine surgery at

Glen Cove Hospital.

To qualify for the designation, Glen Cove underwent a

rigorous review process, meeting strict criteria regarding the

center’s use of evidence-based protocols, follow-up support of

patients, program breadth, education and training of the medical

and nonmedical community and quality improvement.

History Exhibit Honors

Fallen Firefighter

STATEN ISLAND — To wrap up the anniversary of its 150-year history, Staten

Island University Hospital (SIUH) recently opened a history exhibit in honor

of Fire Department of New York (FDNY) Assistant Chief Gerard Barbara, who

gave his life on 9/11.

“Part of his timeline is the timeline of the hospital,” said Monsignor

John Delendick, FDNY chaplain. “He served his community and city well; he

therefore served this hospital with the same passion.”

The exhibit features a plaque honoring Mr. Barbara and a timeline of

the hospital’s history, augmented by antiques from the hospital’s past. Mr.

Barbara’s wife, Joanne, unveiled the exhibit as her family and about 200 firefighters,

hospital employees and others looked on at the Regina M. McGinn,

MD, Education Center.

“My inspiration for getting involved in a project at Staten Island

University Hospital is because Jerry was an advocate for continuing education

– especially in fire safety. This center is an education center, and that’s what

we wanted to promote,” Ms. Barbara said.

The wall unites the hospital’s detailed history while honoring one of our

community’s biggest role models,” said Anthony Ferreri, president and CEO of

SIUH. “Jerry was a leader, and he deserves to be remembered as a hero in our

area for eternity.”

See the exhibit in the Regina M. McGinn, MD, Education Center at SIUH’s

north campus, 475 Seaview Ave. in Staten Island.

The recently opened history exhibit at Staten Island University Hospital’s Regina M.McGinn, MD, Education Center, dedicated to the memory of firefighter

Gerard Barbara. who died on 9/11.

The New Standard 19


around the system

Lenox Hill Hospital volunteer Vincent Foster

and Auxilian Ellen Starr were honored at the

United Hospital Fund’s 19th Annual Hospital

Auxilian and Volunteer Achievement Awards

ceremony, held this spring at the Waldorf-Astoria. Mr.

Foster and Ms. Starr were part of an elite group of 89

volunteers who were honored for providing exceptional

service to hospitals throughout the five boroughs of New

York City. Janice Huff, chief meteorologist of NBC4 New

York, was the special guest at the event, which drew nearly

800 attendees to the hotel’s Grand Ballroom.

Mr. Foster has been a volunteer at Lenox Hill

Hospital for over eight years. He has volunteered

in the Pharmacy Department and most recently as a

receptionist in the Human Resources Department.

Glenn Courounis, vice president of human resources,

lauds Mr. Foster as a thorough and detail-oriented

worker who is always punctual and reliable, someone who

takes his responsibilities very seriously. Mr. Foster is a

retired social studies teacher in the NYC Public School

System and an accomplished trumpet player. He is also a

minister at the Christadelphian Ecclesia Church.

Ms. Starr has been a member of Lenox Hill

Hospital’s Auxiliary for over 15 years. She has chaired

several fundraising events, including the Auxiliary’s annual

theater benefit, which raises funds to support programs

and enhancements at the hospital, and has served on the

Auxiliary’s Executive Committee. Ms. Starr has done

a great deal for the morale of the Auxiliary by putting

together various outings, such as museum tours and

benefits. Auxilian Colleen Pizzitola says that with these

events that encourage a sense of camaraderie she is the

“glue that holds us together.” Ms. Starr is a principal in an

interior design firm and has brought her creative eye to

many hospital events including the annual Autumn Ball.

Mr. Foster and Ms. Starr were chosen from among

50,000 New York City healthcare volunteers who give of

their time willingly and selflessly to improve healthcare

in our city.

The United Hospital Fund’s Hospital Auxilian and

Volunteer Achievement Awards are part of the United

Hospital Fund’s efforts to mobilize the energies of

volunteers, recognize volunteer achievements and open

new avenues for volunteer involvement in healthcare.

20 Summer 2012

Two Lenox Hill Hospital

Volunteers Honored

By Barbara Osborn

Above: Honoree Vincent Foster, center, with, from left: Susan E. Brown, Carol Braverman,

volunteer coordinator at the hospital, Elaine Rosenblum, senior associate executive director,

and Evelyn Foster, his mother. Below: Honoree Ellen Starr, center, with her husband, Michael

Starr, MD, chief of corneal/external disease in the Department of Ophthalmology at Lenox

Hill, and her daughter, Olivia, who works at the hospital in HR.


Nassau County Attorney

Survives Sepsis

By Kristen Longo

VALLEY STREAM — Nassau

County Attorney John

Ciampoli showed up at

Franklin Hospital mainly to

ease the minds of family and

friends. He hadn’t been feeling

well for over a week, and the

antibiotics he was taking did

not seem to be knocking out

an infection. Yet he continued

to put in long hours. When he

arrived at the hospital, he was

in a hurry to get back to work

— but five hours later, he was

on a ventilator.

“Anywhere from two to

four hours longer getting to

the hospital, it would have

been a one-way trip,” said Mr.

Ciampoli. “When they asked,

‘Did they take your temperature?

What was it?’ I said,

`Sure, they took my temperature,

it was 250 degrees,’ and

my friend who was there with

me said, ‘Listen, I know this

guy, he has a sense of humor —

that wasn’t his sense of humor.

He’s losing it.’” That was

Mr. Ciampoli’s last memory

until he woke up a week later.

Thanks to the expertise of

Southside Establishes Surgical Program

for Complex Liver, Pancreas Diseases

BAY SHORE — Patients with complex problems of the liver, bile

ducts and pancreas can now find state-of-the-art surgical care at

Southside Hospital’s new Hepatobiliary and Pancreatic Surgery

Program. It is led by Juan Madariaga, MD, PhD, who was trained

and practiced as a liver surgeon at the prestigious University of

Pittsburgh’s Thomas E. Starzl Transplantation Institute and subsequently

at the University of Miami Transplant Center.

Dr. Madariaga said patients with complex liver or biliary

problems are often referred to the North Shore-LIJ Health System

because of its “expertise and good patient outcomes.”

No Need to Travel for Care

“It’s great news for patients and their families that they don’t

have to travel outside of their local community to find the highly

specialized care they need,” said Christopher Nelson, assistant vice

president of surgery. “The expansion of our hepatobiliary surgery

program allows patients to stay in the community where they

reside, closer to family and friends who play a crucial role in the

recovery process.”

clinicians at Franklin Hospital,

he is alive to share his story.

Mr. Ciampoli was suffering

from sepsis, an overblown

immune response that causes

blood pressure to drop and

major organs to fail. “In the

emergency departments across

North Shore-LIJ, we have a

very heightened awareness

of sepsis,” said John Rohe,

MD, director of emergency

medicine at Franklin.“We

have an evidence-based sepsis

protocol, which has helped us

reduce the number of deaths.”

The quicker we can

recognize sepsis, the better

patients respond clinically,” said

Scott Horowitz, MD, acting

chief of infectious disease at

Franklin. Mr. Ciampoli is

grateful that he went to Franklin

for treatment. “The people

there knew how to react, knew

what to do, and they pulled me

through,” he said.

To see a video of Mr.

Ciampoli’s story, visit http://

bit.ly/nslijsurvivingsepsis

Common conditions that hepatobiliary surgeons treat include

liver, gallbladder or bile duct cancer; noncancerous liver tumors;

narrowing or blockages of the bile ducts; and injury to the liver or

bile ducts.

The program employs a multidisciplinary team, including

a hepatobiliary surgeon and a variety of specialists, who meet to

review and discuss patients’ test results and develop individualized

treatment plans.

Minimally Invasive Procedures Available

The surgeons in the program are skilled in open, laparoscopic

and robotic methods of surgical treatment of disease. Because

minimally invasive, cutting-edge surgery of the liver can mean

faster patient recovery and less pain, surgeons opt for it whenever

possible, Dr. Madariaga said. Patients also receive high-quality

postoperative care from a highly skilled and experienced team to

ensure a safe and speedy recovery. “With such a comprehensive

and experienced team,” Dr. Madariaga said, “our patients can be

assured of receiving the highest level of care.”

The New Standard 21


Shown conducting a “Code Sepsis” drill in the ED of Glen Cove Hospital, applying new, more stringent criteria for sepsis diagnosis, from left, are Patricia Davis, RN,

John D’Angelo, MD, director of the ED, Lorraine Lehmann, PCA, Alfredo Benito, RN, and Evelyn Mulvaney, nurse manager.

An elderly man presents

at the Emergency

Department (ED) of

a North Shore-LIJ hospital.

He has a dry cough, a fever

of 101 degrees and his heart

rate is slightly elevated at 97.

He doesn’t feel well, but his

blood pressure is normal. He is

undergoing chemotherapy for

colon cancer and his last chemo

session was three weeks ago.

A few years ago, that

patient may have been triaged

and treated as nonemergent,

which means he may have

taken his place in line behind

cases that more clearly

required emergent attention.

All that has changed, however,

thanks to the health system’s

Surviving Sepsis Program that

began in 2008.

Sepsis is a lifethreatening

condition

that arises when a systemic

22 Summer 2012

Sepsis-Related Mortality

Reduced by 35 Percent

But the Work Is Just Beginning

By Thea Welch

inflammatory response to

infection or injury attacks

the body’s own tissues

and organs. Without

diagnosis and treatment,

it can proceed rapidly and

irrevocably to severe sepsis

(sepsis complicated by organ

dysfunction) and then septic

shock (acute circulatory

failure). In 2008, it was

the single greatest cause

of in-hospital mortality in

the health system; further,

North Shore-LIJ’s mortality

rates were statistically higher

than predicted, according to

HealthGrades.

As part of his no-tolerance

approach to preventable death,

North Shore-LIJ President

and Chief Executive Officer

Michael Dowling targeted sepsis

as a major problem to address.

That’s why, today, as soon

as the patient hits the door

to the ED, he is recognized

as a possible sepsis patient,

and everything speeds up. An

established sepsis treatment

algorithm is followed

immediately, including

drawing blood and ordering

tests, such as serum lactate

level (elevated serum lactate

is associated with increased

mortality in severe sepsis

patients). The staff begins

administering intravenous (IV)


fluids and antibiotics if there

is any evidence of infection,

and the patient’s vital signs

are monitored continuously.

Everyone in the ED is aware

that with sepsis, as with trauma,

a heart attack or a stroke,

there is a “golden hour” — a

critical period during which the

progression of the illness must

be halted.

Since 2008, the lives of

hundreds of patients like our

hypothetical patient have been

saved. The health system’s

mortality rate for severe sepsis

and septic shock has declined to

35 percent (as of August 2011)

— a significant accomplishment,

certainly. But the real work

is just beginning, according

to Martin Doerfler, MD, the

health system’s vice president of

evidence-based clinical practice

and co-chair of the North

Shore-LIJ Sepsis Task Force,

with John D’Angelo, MD,

director of emergency medicine

at Glen Cove Hospital, and

Darlene Parmentier, RN,

manager for critical care at Glen

Cove Hospital.

“Over the last three years,

we’ve laid the foundation

for fighting sepsis,” said Dr.

Doerfler. “There is no question

that we have made progress.

But now, in collaboration with

the Institute for Healthcare

Improvement [IHI], we are

rolling it out on a grand

scale.” In addition to the sepsis

initiative, the partnership

with IHI has three other

phases: improving the quality

and accessibility of palliative

care, preparing students and

professionals to be outstanding

“improvers,” and improving

the health system’s capacity to

improve. The kick-off event

for the work phase of the

sepsis initiative was a two-day

workshop held the last week

of February at the Swan Club

in Roslyn, and attended by

clinicians and administrators

from the health system and

every hospital.

“In the past we focused on

the intensive care units. More

recently we have focused on

the EDs, where patients are

often at the sicker end of the

sepsis spectrum — low-hanging

fruit,” said Dr. Doerfler.

“Next, we want to move the

focus upstream — to catch

them on the floors and treat

them before they progress

to severe sepsis.” Over the

next four years of the IHI

partnership, Mr. Dowling has

challenged the task force to cut

the health system’s 35 percent

mortality rate in half, which

will put North Shore-LIJ in

the company of the top 10

percent of its peers for severe

sepsis/septic shock mortality.

“I commend emergency

services personnel and

nursing leadership at the

health system and hospital

level for stepping up to the

plate in an exemplary way,”

said Dr. Doerfler. “So far, the

work has fallen on them and

they have embraced it. They

have helped us take many steps

forward. In this next phase,

many additional people in the

health system will be involved,

working with IHI teams on

a weekly basis, at a much

deeper level of engagement

and understanding. We

have some distance yet to

cover, but I believe we have a

reachable goal.”

Jumping for

Good Health

Over the past year, Cohen Children’s

Medical Center (CCMC) and Kohl’s Cares

for Kids have conducted an educational

program with students at Jackson Main

Elementary School in Hempstead. The

program was a health and wellness

initiative aimed at educating students

on proper nutrition, the importance of

exercise and how to stay fit at home.

Teachers worked with a program called

“Activity Works,” which urges youngsters

to perform 12 minutes a day of exercise

in the classroom, and to report what

they’ve learned to their parents and

siblings. Students worked so hard to

meet their exercise goals that CCMC and

Kohl’s decided to surprise them with a

visit and performance from the nationally

recognized jump rope team, Lucie B.

Jump N Fun Rocket Ropers. Afterwards,

students joined in the fun.

The New Standard 23


nursing mission

A Legacy of Nursing Excellence:

Three Who Left Their Mark

HUNTINGTON — Phyllis

Barlow, RN, began working at

Huntington Hospital in 1958.

Lola Goldman, RN, joined in

1968. Myrna Myers-Laque,

RN, who recently retired as

vice president of nursing and

chief nursing officer, came

in 1974. These three nursing

professionals have witnessed

tremendous progress in the

field of medicine and the

practice of nursing over the

decades, and they have made

enormous contributions to

the high standard of nursing

excellence that Huntington

Hospital is known for today.

“In 1958, the typical

nurse was young. She wore a

starched white uniform, white

shoes, white hose and a cap

that indicated the school she

graduated from,” recalled Ms.

Barlow. Beyond the uniform,

1950s-era nurses adopted an

attitude of subservience to

physicians. “We stood when a

doctor entered the room, and

we moved to the rear of the

elevators when one got on.”

In those days, licensed

practical nurses (LPNs)

worked alongside registered

nurses. Eventually, LPNs were

phased out, and registered

nurses were encouraged to

pursue advanced degrees as

an increasing emphasis was

placed on education.

As director of nursing

24 Summer 2012

Phyllis Barlow

and eventually vice president

before retiring from the

hospital in 1991, Ms. Barlow

encouraged nurses to

continue their education, as

did Ms. Myers-Laque.

One result was a shift

in the relationship between

nurses and physicians.

“Relationships became more

collaborative as a result of the

increased professionalism

that came with additional

education,” said Ms. Goldman.

Today’s patients tend

to be sicker than those 30

years ago, Ms. Goldman

noted. Thanks to advances in

minimally invasive surgical

techniques, patients require

less time in the hospital and

spend more time recovering

at home. Changing

demographics have caused

another shift in the patient

profile. Today’s hospital

patients are often older and

frailer than their counterparts

a generation or two ago.

By Theresa Jacobellis

Myrna Myers-Laque, left, and

Lola Goldman

“In this country, those

over 85 are the fastest growing

segment of the population,”

said Ms. Myers-Laque.

“Taking care of an 85-yearold

is very different from

taking care of a 45-year-old.”

To help ensure that

the needs of this expanding

geriatric population are met,

Ms. Myers-Laque challenged

Huntington Hospital’s

nursing staff to become

certified in gerontological

nursing, and more than 100

nurses accepted.

As with every aspect of

life, computerization has

radically altered the practice

of nursing. Before, “we did

everything by hand,” Ms.

Goldman said. Today, one

glance at a central monitor in

the Nursing Administration

Department reveals the

number and location of

available beds, and clinical

information can be accessed

from any computer.

As she steps away from her

role as VP of nursing and takes

on a new challenge as a nursing

consultant, Ms. Myers-Laque

looks toward the future.

The real issue in

nursing is the need to

transform the environment

so nurses can spend more

time at the bedside,” she said,

citing a recent Robert Wood

Johnson Foundation study

that found that up to 60

percent of a nurse’s time is

spent on handling paperwork,

hunting for supplies or

transporting patients.

Improved technology and

a redesign of patient care

units will help with that

transformation.

One of the highlights

of Ms. Myers-Laque’s 38year

career at Huntington

was the receipt of Magnet

designation, conferred

by the American Nurses

Credentialing Center

(ANCC). The program

recognizes hospitals for

high standards of patient

care, nursing excellence

and innovations in nursing

practice.

According to the

ANCC, Magnet hospitals

report increased retention

of nursing staff, a decreased

nursing turnover rate and

higher job satisfaction among

nurses. Additionally, Magnet

facilities are associated with

increased patient satisfaction,

decreased mortality rates

and improved patient

safety. Ms. Myers-Laque

is currently charged with

helping Huntington prepare

for its Magnet recertification

scheduled for later this year.


WOODBURY — Amy Resnick,

RN, pictured here, primary

nurse in the Hospice Care

Network, makes a difference in

her patients’ and families’ lives

— in large and small ways.

In addition to her clinical

duties, she’s gone the extra

mile to babysit a terminally ill

baby and her sibling so their

exhausted mother could nap.

She’s encouraged a teenage

mother, distracted by her ill

son’s care, to remember to

eat. Ms. Resnick has gained

the trust and affection of a

man with pancreatic cancer

who said that his greatest wish

before dying was to find her

a husband (preferably his

“handsome son”).

The connections and

impressions Ms. Resnick makes

are lasting. She was the first to

learn that the teenage mother

(now 20) is having another

baby and among the first to be

invited to her wedding this year.

“This is what I was put

on this earth to do,” Ms.

Resnick said. “It’s a very

vulnerable time for [patients

and families] and they trust

me to help.” In addition to

clinical assessments, symptom

management and patient/

Being Present as

Time Winds Down

By Kathleen Waton

family education related to

end-of-life care, it’s “being

kind and present,” she said.

The role of caring for

patients at the end of life comes

naturally to Ms. Resnick.

“[Death] is going to happen to

everyone and I just want to do

for others what I would want

NPs Facilitate Care at Forest Hills

By Kathleen Waton

FOREST HILLS — Forest Hills Hospital, like other facilities across the North Shore-

LIJ Health System, is employing more nurse practitioners (NPs) in various areas

to make a difference in patient care. Advanced practice nurses facilitate care by

“functioning to the limit of their licensure” as “we face a shortage of practitioners

in the future,” said Rita Mercieca, RN, executive director.

Last fall, NPs entered two areas in particular that demand more effort:

heart failure and pain management. “One of our major causes of readmission to

the hospital within 30 days after discharge is heart failure,” Ms. Mercieca said.

Hallie Bleau, NP, coordinates the care of heart failure patients in the

community to prevent readmission. “We’re not going to be able to keep all

of them out of the hospital,” she said, “because heart failure is a progressive

disease and patients continue to get sicker.” But following up with patients

after discharge and teaching simple steps like daily weighings to manage water

retention and encouraging patients to visit their physicians within three to

seven days after discharge help reduce readmission. Ms. Bleau’s role as NP also

done for me,” she said.

The work undoubtedly

is very sad at times, she

admitted, yet there are many

happy moments. “Unless

you do this work, it’s hard to

understand how much fun it

can be. Patients’ guards are

down and they welcome you

into their family. It’s such an

easy relationship.”

When Ms. Resnick first

meets patients and families,

however, “they think it’s going

to be gloom and doom, but it’s

really talking about living until

you are no longer living.”

Ms. Resnick’s dedication

to her patients makes an

impression. “She is the ultimate

in dedicated, bright and

compassionate staff,” said Nan

Toelstedt, RN, executive vice

president of the Hospice Care

Network. “We are lucky to have

her — and so are her patients.”

involves nursing education, including making sure bedside nurses are attentive to

weight gain and check low-sodium diets for heart failure patients.

Jamina John, NP, manages patients’ pain and ensures patients with

patient-controlled analgesia know how to use the PCA effectively. “It’s great

that ordering medication is within my scope of practice,” Ms. John said, “so

I can make changes to the order, transition from IV medication to pills or order

changes to the device so patients get proper relief.” For major surgery like knee

or hip replacements, new morphine epidurals provide continuous medication

management for 48 hours after surgery, and allow Ms. John to tweak the dosage to

manage pain.

“Just having the time to sit in the room and talk makes the patient feel so

much more comfortable,” she said. “I’m so happy Forest Hills Hospital started

this role and excited for the future. We’ve had so much positive feedback — from

patients and staff.”

The New Standard 25

Jeanne Morrison, LMSW


nursing mission

NEW HYDE PARK — The

unique pro-education

environment at the North

Shore-LIJ Health System and

its nurses’ commitment to

further their education were

the focus of an article in the

March issue of The Journal of

Continuing Education in Nursing. The

article, entitled “Continuing

Nursing Education: A

Partnership Between Learner

and Teacher,” by Lena

Garafalo, RN, North Shore-

LIJ’s nursing education

coordinator, highlights how

health system nurses are

26 Summer 2012

Partnering for

Education

By Kathleen Waton

encouraged to continue their

professional development

and provide input to improve

programs.

To be effective, Ms.

Garafalo wrote, education

should be interactive. Taking

needs assessment/evaluation

seriously guides the educator

in ensuring timely, relevant

educational activity and meets

the “participants’ learning needs

and career goals,” she said.

Nursing feedback has led

to more interactive breakout

sessions and hands-on

experience with insulin pumps

&

and pens at a popular diabetes

conference, and top certified

wound and ostomy continence

nurses leading a workshop

on practical foot care for

nurses to apply in everyday

practice. And a pediatric

conference expanded into two

separate learning tracks — one

for critical care nurses and

another for med/surg nurses —

based on input from nurses.

To “share a common

vision” for education, North

Shore-LIJ executive nursing

leadership and nursing educators

meet monthly to roll up

nursing input and share strategies

for improvement, said

Elaine Smith, RN, EdD, vice

president for nursing education

for the health system. “This is a

wonderful benefit in an organization

of this size,” she said.

This ongoing

communication has led to

an all-day diabetes program

Nursing Conferences

Continuing Education Programs

Enhance skills or build new ones with help from the North Shore-LIJ Institute for Nursing.

July

26

Pediatric Conference

Swan Club, Glenwood Landing

September

12

Critical Care/Emergency Conference

Swan Club, Glenwood Landing

18

Nursing Education Conference

Swan Club, Glenwood Landing

27-28

Oncology Nursing Society Chemo/

Biotherapy Course

Southside Hospital, Bay Shore

The North Shore-LIJ Health System is an approved provider of continuing nursing education by the New York State Nurses

Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Conferences

and programs are added regularly. For more information, please call the Institute for Nursing at (718) 470-3890 or register at

NorthShoreLIJ.com/NSLIJ/nurses.

becoming an annual event; the

addition of a full-day program

for emergency department

nurses and technicians;

and the rebirth of a critical

care conference for nurses.

In 2012, new conferences

are coming in nursing

informatics, urology and one

just for nurse practitioners.

Dr. Smith said Ms.

Garafalo demonstrates

“developing the professional

dimensions of her own role”

by writing peer-reviewed

articles and developing the

“large number of programs

to enhance professional

competence.”

About 100 continuing

education programs benefit

more than 6,000 system

nurses a year. “That’s above and

beyond the general education

taking place at other local

hospitals,” Dr. Smith said.

Bedside or not, nurses

must be accountable for

learning, Ms. Garafalo

added: “That’s what makes

our health system and our

nursing profession so strong

and why we can provide

such a high level of care to our

patients and their families.”


SYOSSET — Jeanine Norton,

RN, had just finished her daily

early-morning workout when

she saved the life of a 44-yearold

man.

The Post-Anesthesia Care

Unit nurse at Syosset Hospital

was preparing to leave the gym

at 6 a.m. when staff asked if

she could help a man having

“seizures.” With 13 years of

critical care experience, Ms.

Norton ran to help. She

recognized the man who had

recently started exercising

regularly at the gym and saw

he had no pulse and wasn’t

breathing.

Ms. Norton made sure

that 911 had been called

and then performed chest

compressions on the man

for almost half an hour,

while two physicians at the

gym helped “get breath into

him.” She continued applying

chest compressions after the

ambulance arrived so the

emergency medical technicians

(EMTs) could intubate the

man. After attempting an

intravenous line and resorting

to an interoscular device in the

leg, the EMTs administered

epinephrine and atropine for

cardiac arrest.

The ambulance rushed

him to nearby Syosset

Hospital, where he was

stabilized and later transferred

to North Shore University

Hospital. In their cardiac cath

lab, North Shore University

Hospital staff discovered the

main vessel in his heart was

blocked. “It’s also known as the

‘widow maker,’” Ms. Norton

said, “because most people

don’t survive that.”

Recovery

Nurse

Saves

Life at

Gym

By Kathleen Waton

The man lived and after

2.5 weeks in the hospital, was

discharged with a pacemaker

defibrillator.

After responding

immediately to the emergency,

Ms. Norton continues to be

affected by the event. “I wasn’t

sure if he was going to be brain

dead and would be on life

support for the rest of his life

because he had been without

oxygen for so long. His doctor

says he doesn’t know how he

survived, without a heartbeat

for 30 minutes. When I see

him at the gym now, tears

come to my eyes, the rescue

was so amazing.”

Ms. Norton encourages

others to overcome their fears

and act in an emergency.

“Reach out and try to help,” she

said. “Even if you can’t do CPR,

get help, do something. Don’t

just walk by. Give someone a

second chance at life.”

Above: Jeanine Norton, RN

Zuckerberg Awards

Nurses from throughout the North Shore-LIJ System recently received

the 2012 Zuckerberg Family Awards for Nursing Service Excellence. The

honorees were recognized for meeting or exceeding expectations in all criteria

on performance evaluations, and exceeding expectations in quality of work,

attitude, interpersonal relationships and attendance. Winners each received

a certificate and $1,000. The awards program is supported by Roy Zuckerberg,

former chairman of the health system’s Board of Trustees.

Award recipients were:

Mavis Barriteau, RN, BSN

Franklin Hospital

Pat Loccisano, RN

Forest Hills Hospital

Megan Burt, RN

Glen Cove Hospital

Camille Hertzel, RN

Huntington Hospital

Jennifer Thys-Rose, RN

Lenox Hill Hospital

Marybeth Grieser, RN

Long Island Jewish Hospital

Lisa Flick, RN

Manhattan Eye, Ear & Throat

Hospital

Cindy Gomez, RN

North Shore University Hospital

Carol Carlson, RN

Plainview Hospital

Frances McCarthy, RN

Staten Island University

Hospital North

Frederick Cappetta, RN

Staten Island University

Hospital South

Charla Doherty, RN

Steven and Alexandra Cohen

Children’s Medical Center of

New York

Charlotte Maloney, RN

Southside Hospital

Stella Bacus, RN

Syosset Hospital

Elise Bailey, RN

The Zucker Hillside Hospital

The New Standard 27


nursing mission

Psychiatric Nursing

Research Fills In the Gaps

GLEN OAKS — Nurses at

The Zucker Hillside Hospital

(ZHH) are breaking new

ground in psychiatric care

research.

At the beginning of the

year, the nursing leadership

team launched a pilot study to

determine patient outcomes

after a rapid response team

(RRT) call in a psychiatric

setting. An RRT is called when

a patient’s clinical condition

meets criteria requiring a team

of providers to respond, assess

and treat immediately.

“We are conducting a

collaborative Institutional

Review Board [IRB]-

28 Summer 2012

approved research study

between nursing and internal

medicine to look at nurseinitiated

RRT calls in a

behavioral health setting,”

said Marybeth McManus, RN,

associate executive director of

patient care services. “There

is currently a lack of literature

on medical rapid response

teams in freestanding

psychiatric hospitals.”

The nurses will review

100 cases in the pilot study

phase to collect data on such

variables as the reason for

activating the call, shift/day

of week distribution, staffing,

location, psychiatric diagnoses

By Kathleen Waton

and follow-up care.

“We’ll review patient

outcomes,” Ms. McManus

said, “such as whether patients

require evaluation in an

emergency department or are

admitted to a medical unit.

The goal is to ensure the

provision of the appropriate

level of medical care in an acute

behavioral health hospital.”

Once the pilot is completed,

the data will be

submitted to the IRB for acceptance

as a formal research

study with Ms. McManus and

Peter Manu, MD, director of

medical services, as principal

coinvestigators.

Another study in the planning

stages involves helping

patients stop smoking on a

long-term basis.

Since ZHH is a smokefree

environment, patients do

not smoke for the two or three

weeks they usually remain

there. Nurses hope to capitalize

on that smoke-free time

to help patients stop smoking

long term after discharge.

The nurses will study the

effectiveness of a technique

called motivational interviewing,

which involves at least

three one-to-one nurse-andpatient

sessions that educate

and encourage patients to

remain smoke-free. Patients

will be interviewed by phone at

set intervals after discharge to

assess their smoke-free status.

“Nursing research is one

of the best ways to study and

document organizational

processes that improve patient

outcomes and quality,” Ms.

McManus said.

Maureen White to Be Inducted into

the American Academy of Nursing

The American Academy of Nursing recently announced its 2012 Class of

Fellows, and in this group of 176 esteemed nurse leaders from all over the

country is North Shore-LIJ Health System Chief Nurse Executive Maureen

White, RN, MBA, NEA-BC. At the health system’s nursing retreat in May at

the Swan Club in Roslyn, Ms. White was recognized for this honor, one of

the most prestigious in the field of nursing, by Michael Dowling, the health

system’s president and chief executive officer, right, and Mark Solazzo,

executive vice president and chief operating officer. Selection criteria include

evidence of significant contributions to nursing and healthcare and the

shaping of health policies. When she is inducted in October at the Academy’s

39th Annual Meeting and Conference in Washington, DC, she will be in the

elite company of about 1,800 nurse leaders in education, management,

practice, policy and research, and she will be able to add FAAN (Fellowship of

the American Academy of Nursing) to her credentials.


Collaborative Care Councils

Get Results

By Kathleen Waton

Theodore J. (“T.J.”)

Vlavianos, LMHC, and his

fellow collaborative care council

members streamlined the

admissions process last year at

The Zucker Hillside Hospital,

improving orienting patients

to the 33-bed adult acute care

psychiatric unit, introducing

treatment team members and

discharging patients. They

introduced addressing patient

concerns twice a day. Their

success was reflected in higher

continued on page 75

Zucker Hillside Enhances Calming Environment

By Kathleen Waton

GLEN OAKS — A comprehensive

program to reduce impulsive behavior

in patients at The Zucker Hillside

Hospital is moving the hospital closer

to becoming restraint-free.

The workhorse of the program

is DASA (Dynamic Appraisal

of Situational Aggression), a

computerized assessment tool that

predicts patients who are most likely

to exhibit seven high-risk symptoms:

negative attitudes, impulsivity,

irritability, verbal threats, sensitivity

to perceived provocation, being

easily angered when requests are

made and unwillingness to follow

directions.

Nurses and other clinicians

score each patient on the criteria

over a 24-hour period. “Anyone on

the multidisciplinary team can check

off the seven points,” said Marybeth

McManus, RN, associate executive

director of patient care services.

The night nurse enters the

scores into the electronic health

record. Each patient scoring three

or more on the DASA is listed on a

computerized report automatically

sent each morning to nursing

leaders and others who use it to

guide staffing, admissions, care

plans and other decisions.

To ward off high-risk episodes

before they occur, patient engagement

specialists (PES) — team members

specially trained in deescalation

and communication skills — are

dispatched to the appropriate units.

The PES team is the latest addition to

the initiative. Under RN supervision,

they engage patients in diversionary

activities, such as talking and

walking with them, playing chess or

listening to music to calm patients

and redirect behavior.

The user-friendly DASA has

been in use approximately a year.

It was piloted on a 20-bed adult

inpatient unit for two months in

the autumn of 2010, and then

implemented on five other adult units

and the hospital’s adolescent pavilion.

The program has been very

successful in keeping patients and

staff safe and creating a calmer

atmosphere at Zucker Hillside. In

2011, the hospital “decreased the use

of restraints by almost 90 percent

without increasing our seclusion

rate,” Ms. McManus said. “That

puts us well on our way to meeting

our overarching goal of providing a

therapeutic healing environment that

is serene and calming.”

Making a Vision

Reality

A decade ago, Maureen

White, RN, senior vice president

and chief nurse executive,

pondered how to involve frontline

staff more in decisionmaking,

to meet patient needs

and to help make the North

Shore-LIJ Health System more

agile in responding to change. “An

empowering environment” was

essential, Ms. White said, “one

in which people feel comfortable

saying, ‘This doesn’t work,’ and

proposing solutions.”

To support Ms. White’s

vision, in 2007, Plainview

Hospital piloted collaborative

care councils, the same

year Lily Thomas, PhD, RN,

vice president, system

nursing research, introduced

TeamSTEPPS, an evidence-based

communication tool.

Devised by the Agency

for Healthcare Research and

Quality (AHRQ), the tool fosters

teamwork, “because teamwork is

correlated with patient safety,” Dr.

Thomas said. “It allows everyone

to speak up in a way that puts the

patient first.”

Today, more than 30,000

staff members are trained in

TeamSTEPPS, and more than 300

councils are active throughout

the health system. They are

“still in early development,”

according to Ms. White. “People

are still getting used to the

power of the councils and the

differences they can make. But I

feel the networking has improved

communication and is bringing

us closer to a workforce that can

turn on a dime. Healthcare is not

known for rapid cycle change

[but] in our fifth year we’re

seeing dramatic changes.”

The New Standard 29


Evaluation of and

treatment for a rare

birth defect that affects

the brain are available right

in your own backyard at the

Hypothalamic Hamartoma

Center (HHC), part of

North Shore-LIJ’s Cushing

Neuroscience Institute (CNI).

A hypothalamic

hamartoma is a benign

brain lesion found in the

hypothalamus, a small

but critical area located

deep within the brain that

is responsible for many

automatic functions,

including hunger, thirst, body

temperature and hormone

regulation. A hypothalamic

hamartoma can cause seizures,

premature puberty and

progressive deterioration

of behavioral and cognitive

function.

30 Summer 2012

New Center Takes On

Rare Birth Defect

By Michelle Pipia-Stiles

“Hypothalamic

hamartomas are debilitating,

but the good news is that

surgical removal of this birth

defect can result in a normal

or much improved life for the

patient,” said neurosurgeon

Harold Rekate, MD, director

of CNI’s Hypothalamic

Hamartoma Center. “Although

several treatment options are

available, the plan of clinical

care must be strategically

individualized because what

may be appropriate for

one patient may not be for

another, depending on the

anatomy of the lesion.”

In addition to Dr. Rekate,

the HHC is staffed with a

multidisciplinary team of

experts. “Since our physicians

and specialists are involved in all

treatment plans and therapies,

the Hypothalamic Hamartoma

Center is a prime destination

for those suffering from this

rare condition,” said Dr. Rekate.

Surgical removal of

hypothalamic hamartoma

involves working within the

center of the brain, while

protecting the many vital

structures that surround

the mass, including all the

arteries that supply the brain.

In most cases, the hamartoma

can be removed using an

endoscope, through a very

small hole in the skull, but

some patients require more

than one approach to remove

the mass completely.

Above: Two-year-old Mathewas

Ephrem, who was successfully

treated by Dr. Harold Rekate at the

Cushing Neuroscience Institute’s

Hypothalamic Hamartoma Center, is

pictured with his grateful parents.


Staying

Quit

By Betty Marton

Anthony DeGeorge and Geraldine

Cruz-DeGeorge, both pack-a-day

smokers, tried several times to quit.

But it never stuck, so when they

decided to marry, they realized they

needed a different approach.

“My main concern was that I’d be

craving a cigarette during the wedding

and the reception,” said Ms. Cruz-

DeGeorge, a nurse on 6Monti at North

Shore University Hospital. “I didn’t

want that.”

More than a year before their 2007

wedding, the couple reached out to the

North Shore-LIJ Center for Tobacco

Control (CTC) for help withdrawing

from cigarettes — the leading

preventable cause of death and disease

in the world. Based on guidelines from

the Centers for Disease Control, the

center’s quit-smoking program offers

employees and community members

quitting and maintenance strategies

plus individual and group support.

Open 24/7, the CTC also educates

healthcare providers throughout the

metro New York region about how to help

their patients.

Approximately 4,000 people —

including 630 employees — have taken

advantage of the program’s counseling,

nicotine replacement products and

medications between 1999 and 2010. And

since the health system implemented a

smoking ban on all properties in 2010,

an additional 185 people have taken the

challenge. According to Pat Folan, RN,

director of the center, the numbers include

repeat clients, because many people try many

times before they’re successful.

“We can get almost everyone to quit,”

she explained. “It’s staying quit that’s

difficult, so if one approach doesn’t work,

we try different strategies.”

The six-week program focuses on

keeping people comfortable while they break

the habit. The DeGeorges first contacted

the CTC in January 2006 and set a stopsmoking

date of February 1. Whenever they

felt their commitment waver, they met with

or emailed Ms. Folan and other CTC staff

members for support.

They made sure they were always

available for whatever we needed,”

said Mr. DeGeorge, communications

supervisor at Center for Emergency

Medical Services.

As an added incentive, as part of its

health benefits program, North Shore-LIJ

awards employees a $10 per paycheck credit

to lower their health insurance premiums

for those who pledge to be tobacco-free.

And the DeGeorges have an additional

incentive: plans to begin a family.

“It’s good to look forward to having

children and not to have to worry about

smoking,” Ms. Cruz-DeGeorge said.

Get help kicking the habit at

NorthShoreLIJ.com/stopsmoking or

(516) 466-1980.

Above: With their wedding on the horizon, the

couple decided to get healthier beginning in 2006.

The New Standard 31


under the microscope

MANHASSET — Adaptive radiotherapy (ART) can be beneficial

with only one or two applications within a six-week treatment period,

according to findings by researchers led by a senior investigator

at the Hofstra North Shore-LIJ School of Medicine and The Feinstein

Institute for Medical Research. The National Cancer Institute

sponsored the first-of-its-kind clinical trial, which focused on ART

for head and neck cancer.

Trial Examines Role

of Radiotherapy in

Head/Neck Cancer

Physicians often use radiotherapy to treat head and neck cancer.

A type of radiotherapy that is commonly used is intensity-modulated

radiotherapy, or IMRT. IMRT allows physicians to “sculpt” radiation

and have it bend around healthy tissue and target the tumor so the

radiation adapts to the anatomy of each patient. Although IMRT

is a preferred mode of cancer treatment, its Achilles heel is that

it is based entirely on computed tomography (CT) or magnetic

resonance imaging (MRI) performed before a treatment period

begins. Since typical radiation treatment periods for head and neck

cancer take six to seven weeks, standard IMRT cannot compensate

for common changes that occur in a patient’s body during treatment.

Such changes could include weight loss, tumor shrinkage or gradual

movement of normal tissues. By not compensating for these

changes, there is increased risk of

toxicity or even missing the tumor.

For the new trial, investigators

started patients on standard IMRT.

Then, they took CT scans while

patients were lying in the radiation

treatment room each day so they could

monitor changes in tumor and normal

tissues during the course of treatment

(six weeks). Through computerized

techniques, the investigators “adapted” David Schwartz, MD

32 Summer 2012

By Emily Ng

(thus the name “adaptive radiotherapy”) according to significant

tumor or body changes.

“ART keeps radiation treatment tightly fitted to a patient’s body,

almost as if it were being shrink-wrapped,” noted David Schwartz,

MD, vice chair of radiation medicine at the North Shore-LIJ

Health System and a senior investigator at the Feinstein. “It is as

individualized as our current treatment can realistically be.”

“What was most encouraging about the trial findings was that

ART appears effective with only one or two additional replans. This

means that ART does not have to be overly burdensome or expensive

to make a difference. This is something that is feasible, and could

eventually make a real-world difference in many clinics.”

The findings of this trial were recently released online in

advance of publication in the International Journal of Radiation Oncology

*Biology* Physics.

Above: Intensity-modulated radiotherapy, or IMRT, allows physicians to

“sculpt” radiation and have it bend around healthy tissues and target a tumor.


MANHASSET — Two

researchers at The Feinstein

Institute for Medical Research

have received novel research

grants from the Lupus

Research Institute (LRI) to

study potential diagnostic and

therapeutic options for lupus

and why the disease turns the

body’s immune system against

itself. A total of $3.6 million

was committed to the novel

research program by LRI.

Meggan Mackay, MD, and

Thomas Rothstein, MD, PhD,

received the grants.

Dr. Mackay and her

Feinstein colleagues will use

brain imaging to investigate

the relationship between

certain autoantibodies

(proteins made by the immune

system that are directed against

one or more of the individual’s

own proteins) and brain

dysfunction in lupus patients.

Previous research in mice has

shown that antibodies directed

against the NMDA receptor in

the brain alter the function of

brain cells, causing memory

and behavioral problems.

They will use a new

radiochemical tracer that

binds to NMDA receptors in

the brain so they can visualize

receptor activity of lupus

patients with and without the

autoantibodies. If successful,

the technology will be

developed as a new method to

evaluate brain involvement in

lupus. The technology might

also help monitor a patient’s

response to treatment for

brain disease.

Dr. Rothstein will study

B1 cells. B1 cells are a small

subpopulation of B cells,

which are responsible for

producing natural antibodies

that protect against infection

and help dispose of cellular

debris. Dr. Rothstein and his

team were the first to identify

B1 cells in humans, and they

will continue to study whether

B1 cells produce harmful

autoantibodies in lupus. If

B1 cells do produce harmful

autoantibodies, Dr. Rothstein

will explore if therapies could

be developed that target B1

cells without damaging healthy

B cells, which are needed to

respond to vaccination and

defend against many microbial

pathogens (various species of

bacteria, viruses and protozoa).

Meggan Mackay, MD, and Thomas Rothstein, MD, PhD

Lupus Grant for

Feinstein Researchers

By Emily Ng

An Invitation to Participate in Discovery

The Feinstein Institute for Medical Research’s new Recruitment Registry matches people who want to

participate in clinical research with North Shore-LIJ researchers. Volunteers of any age, race, ethnicity or health

status (including North Shore-LIJ staff) are invited. Participation ranges from

a survey that you can do at home to a clinical trial that may

involve a treatment on-site.

One example of a current clinical trial is

the Genotype and Phenotype (GaP) Research

Registry Program. The GaP Registry allows

scientists to study healthy individuals and

learn about the role of genes (or DNA) in

many different illnesses. More than 4,000

volunteers have enrolled; the long-term goal

is to enroll 20,000 volunteers.

Learn about promoting a healthier future by

calling 1-877-GO-NSLIJ (1-877-466-7545) or visiting

FeinsteinInstitute.org/Feinstein/Recruitment+Registry.

The New Standard 33


under the microscope

Ovarian cancer patients’ blood samples can help

determine their best treatment plan, according to a

new discovery by researchers and physicians from the

North Shore-LIJ Health System and The Feinstein

Institute for Medical Research. More specifically, a genetic marker

embedded in deoxyribonucleic acid (DNA), called microRNA,

indicates whether an ovarian tumor is benign or malignant, and

whether the patient will benefit from chemotherapy after surgical

removal of the tumor.

There will be approximately 22,280 new cases and 15,500

deaths from ovarian cancer in the United States this year. Due to

lack of adequate screening, the majority of patients with ovarian

cancer are diagnosed at Stage III (the second-to-last and most

devastating stage of cancer), when 70 percent of these patients will

die within 5 years.

The discovery that microRNAs can help assess the best

treatment plan for women with ovarian cancer — who are most

likely at Stage III of the disease — offers them enormous hope,” said

Iuliana Shapira, MD, director of the Cancer Genetics Program at

the Monter Cancer Center. “We can now inform Stage III patients

whether they will have success with chemotherapy following

surgery, similar to patients who are at Stage I. This information

gives them hope that the disease is curable, despite being diagnosed

at an ‘advanced stage.’ It also gives them the strength necessary to

undergo chemotherapy.”

Several microRNAs have been found to have links with various

types of cancer. Researchers at the North Shore-LIJ Health System

and The Feinstein Institute for Medical

Research found that microRNA-195

increased 40-fold during chemotherapy

and microRNA-16 increased 80-fold

during chemotherapy. These changes may

explain why some women experience side

effects from ovarian cancer chemotherapy,

others are cured by chemotherapy and

others need ongoing chemotherapy to

continue living with the cancer.

34 Summer 2012

Discovery

Helps Assess

Best Treatment

for Ovarian Cancer

Patients

By Emily Ng

Iuliana Shapira, MD Annette Lee, PhD

“Understanding the changes in microRNA throughout

chemotherapy helps us better understand ovarian cancer and

how best to treat patients with this disease,” said Annette Lee,

PhD, associate investigator at the Feinstein. “The genetic markers

we identified allow patients to individualize their own therapy

in order to get maximum benefit and minimal side effects. In

addition, this knowledge will help

researchers develop new ovarian

cancer treatments.”

Dr. Shapira added, “We

applied for a government grant and

hope to receive the funds needed to

validate these markers that result in

women receiving therapies that are

more personalized and match their

genetic makeup.”

Thinkstock


Morbid Obesity Deters Potential Kidney Donors

Morbidly obese patients

are generally excluded as organ

donors given their increased

risk for complications during

surgery and the development

of chronic conditions linked

to obesity (e.g., type 2

diabetes, heart disease, etc.).

Researchers at the Hofstra

North Shore-LIJ School of

Medicine and The Feinstein

Institute for Medical Research

conducted a retrospective

analysis that found that of 104

potential living kidney donors,

Cushing

Neuroscience

Institute

Microsite News

The Cushing Neuroscience

Institute (CNI) recently launched

their new microsite, neurocni.

com. The comprehensive site

showcases the breadth of services

offered at CNI and features expert

physicians and state-of-the-art

technology. The new Web site

has been designed to be more

user friendly and interactive,

and will grow and thrive with

fresh, updated content, rotating

banners and active links. Users

have access to information they

need to make finding the right

service, physician and location

easier. They will also be able to

check out the latest news and

patient success stories, which will

continually be updated.

Visit neurocni.com today!

23 (22 percent) were classified

as morbidly obese, only three

(13 percent) of whom were

able to successfully lose weight

and donate their kidney.

According to Mala Sachdeva,

MD, assistant professor of

medicine at the Hofstra North

Shore-LIJ School of Medicine

and the lead investigator, “As

a next step, we must conduct

larger studies that assess how

vast a problem this is on a

national level and how best to

expand our living donor pool

for kidney transplantation.

Perhaps potential donors who

are excluded from donation

due to their high BMI should

participate in more stringent

weight loss programs, check

in much more regularly at

their transplant center for

follow-ups and even join social

support groups as a means of

motivation.” Dr. Sachdeva

presented this data at the

National Kidney Foundation

(NKF) 2012 Spring Clinical

Meetings.

Mala Sachdeva, MD

Science Camp Discounted 20 Percent

LAKE SUCCESS — Children of North Shore-LIJ employees can get a 20 percent discount on summer science camp at the

DNA Learning Center (DNALC) West. Kids entering sixth through 12th grades are eligible for the week-long camps at 5

Delaware Drive, Suite 5, in the Lake Success Quadrangle.

Camps include Fun with DNA (entering grade 6 or 7); World of Enzymes (entering grade 8 or Fun with DNA alumni

entering grade 7); Forensic Detectives (entering grade 9 or World of Enzymes alumni entering grade 8); Green Genes

(entering grade 9 or World of Enzymes alumni entering grade 8); Barcoding Biodiversity (Green Genes alumni); DNA

Science (entering grades 10–12); Silencing Genomes (DNA Science alumni entering grades 10-12); Human Genomics

(DNA Science alumni entering grade 11 or 12); and Plant Genomics (DNA Science alumni entering grade 11 or 12).

Over the last decade, more than 28,000 students have attended DNALC West, with participants taking lab field

trips including a tour of North Shore-LIJ’s Core Laboratory. The Core Lab/DNA Learning Center West partnership

is designed to spark an early interest in

medicine, expose students to healthcare

careers, offer career guidance, allow students

to experience a laboratory environment and

learn from healthcare professionals, according

to Bob Stallone, vice president of laboratories

for North Shore-LIJ.

Hands-on experiences at DNALC West are

supplemented by online resources at dnalc.

org and the Gene Screen app, while a DNALC

West internship gives students experience in

molecular biology techniques by assisting in lab

routines. Learn more at summercamps.dnalc.

org; details about the staff discount at DNALC

West appear under FAQ.

The New Standard 35


physician’s rounds

Dolan Center Trains Residents

from Glen Cove Family Practice

By Theresa Jacobellis

HUNTINGTON — Pediatricians at

Huntington Hospital’s Dolan Family

Health Center are passing the flame

of knowledge on to future physicians

through a unique collaboration with Glen

Cove Hospital’s Family Practice Program.

Under the arrangement, second- and

third-year family practice residents,

physicians who are undergoing

post-graduate training, will spend

two years rotating through the

Dolan Center to gain experience

in pediatric medicine.

Family practitioners take care

of patients of all ages, from infancy

through geriatrics. While residents

in Glen Cove’s Family Practice

Program get first-hand experience

in caring for adults, the number of

children treated there has declined

over the years.

“At Dolan, we take care of a

large and diverse group of pediatric

patients,” said William Gehrhardt,

MD, pediatrician and medical

director of the Dolan Center.

“We are partnering with the

Dolan Family Health Center because

it is an exceptional outpatient

facility with very capable staff and

physicians and a wonderfully diverse

demographic mix of patients,” said

William Bennett, MD, director

of Glen Cove Hospital’s Family

Practice Program. “This partnership

is a tribute to the excellence of the

Dolan facility.”

Under the arrangement, a

group of 10 to 12 residents spends

half a day at the Dolan Center,

working side-by-side with either

Dr. Gehrhardt or pediatrician

36 Summer 2012

Roberto Blando, MD. Residents

participate in taking patient histories,

checking vital signs and making diagnoses

as well as treatment recommendations.

Eventually, they will learn to use the Dolan

Center’s electronic medical record (EMR).

The relatively new arrangement

already shows signs of success, according

What’s Up, Doc?

Doctoring is North Shore-LIJ’s new physician-centric

communications piece. Available for free as a print publication,

monthly e-newsletter and interactive app, it furnishes intriguing

content about the science and art of practicing medicine.

Visit DoctoringMag.com to learn more.

to Dr. Gehrhardt. “We have observed the

residents to be a highly qualified, diligent,

really good group of people,” he said.

In the past, the center has been

involved with training pediatric residents

and nurse practitioners. Hofstra North

Shore-LIJ School of Medicine students

will also participate in educational

experiences at Dolan.

Dr. Gehrhardt is

proud of the contributions

that the Dolan Center is

making, ensuring that future

generations of physicians are

well-trained and prepared.

“It is an honor to be asked to

do this,” he said. “Teaching

others is an indication of

excellence, and the presence

of these residents enhances

the care and education that

we are able to provide to our

patients.”

Right: Glen Cove Hospital family

practice resident Kapeel Kumar,

MD, left, and Dolan Family Health

Center pediatrician Roberto

Blando, MD, examine six-monthold

Stephenie Rivera Ochoa.

Correction

In the spring issue of The New

Standard, Ron Israeli, MD, was

shown in a photo with his wife,

Nancy Lippman-Israeli, MD, who

was incorrectly identified as a

patient.


The New Standard

37


physician’s rounds

NASA Advisory Board Taps Harold Rekate, MD

By Michelle Pipia-Stiles

When the National Aeronautics

and Space Administration

(NASA) sought medical

insight on how to protect astronauts’

vision, they knew where to turn.

Harold Rekate, MD, director of

the Chiari Institute at North Shore

University Hospital, world-renowned

for his research over the past 30 years

relating to the causes and treatment

of raised intracranial pressure,

recently joined the agency’s advisory

board for the Visual Impairment

Intracranial Pressure (VIIP) Program.

The program analyzes the

physiological and anatomical changes

in astronauts who participate in

long-duration space missions, where

intracranial pressure may cause

long-term visual impairment. A study

sponsored by NASA found that space

flights lasting six months or more

can cause a spectrum of changes in

astronauts’ visual systems, including

blurry vision and excess fluid around

the optic nerve.

CME Conferences

The North Shore-LIJ Office of Continuing Medical Education has a full slate of continuing medical education (CME) conferences on tap this year.

Sept

Oct

Nov

38 Summer 2012

“Before astronauts

embark on space missions,

we need to determine who

is at risk of developing

intracranial hypertension.

When they return, we need

to determine who has

suffered visual impairment

as a result of ICP and

decide how to best treat

astronauts to prevent these

problems,” said Dr. Rekate.

“Intracranial hypertension

can be measured with a

spinal tap where a needle is

inserted into the spinal canal

in the lower part of the back

to measure cerebrospinal

fluid surrounding the brain

and spinal cord. The advisory

board is looking into other kinds

of treatment that are less invasive,

such as an ultrasound. The advisory

board will first need to determine if

the raised intracranial pressure is a

result of an eye or brain problem.”

21 Melanoma Conference Hofstra North Shore-LIJ School of Medicine

24 Current Topics in Pediatric and Adolescent Gynecology North Shore University Hospital

2 Urology and Urogynecology Conference Feinstein Institute for Medical Research

3 Wound Care Conference Long Island Marriott

Infection-control training is available online any time at NorthShoreLIJ.edu/ict.

In coming months, the VIIP

advisory board will meet to enact

protocols so astronauts can be

screened before a space mission; to

determine what astronauts can do to

relieve ICP while in space; and upon

their return, to measure ICP levels

immediately and treat those with

elevated levels.

Above: Dr. Rekate exits the space

shuttle astronaut training facility at

NASA’s Johnson Space Center.

Conference information is updated weekly. To learn more, visit NorthShoreLIJ.edu/cme or call 516-465-3CME (516-465-3263). The North Shore-LIJ Health System

is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NASA


It’s in His Bones:

Orthopedic Surgeon

Pays It Forward

By Margarita Oksenkrug

Leon E. Popovitz, MD, orthopedic surgeon and sports

medicine specialist at Lenox Hill Hospital, recently created the

Efim and Mila Popovitz Scholarship for Exceptional Character at

the Sophie Davis School of Biomedical Education, his alma mater.

The scholarship, named in honor of Dr. Popovitz’s parents, will

be offered to one deserving student annually over the next five

years. Each winner, who will be chosen based on exemplary moral

character, will receive a $20,000 gift toward his or her medical

education. “I stress the importance of ‘exceptional character’ in

the scholarship because when it comes down to it, no matter our

intelligence or accomplishments, it is our character that is the

measure of what kind of people we are,” explained Dr. Popovitz.

“That is particularly true of doctors.”

Founded at City College in 1973, the Sophie Davis School of

Biomedical Education is far from a typical medical university. Its

socially, economically and ethnically diverse base of students is

recruited right out of high school; the students are committed to

Residents and Fellows Plan

More Community Involvement

A relatively

new initiative

by the North

Shore-LIJ Residents

and Fellows Forum strives to

increase staff involvement in

volunteer and community

services activities.

The original mission of the

Residents and Fellows Forum

was to serve as a liaison with administration

and hospital staff

to address and resolve matters

within North Shore-LIJ. But

over the past several years, the

mission has evolved to include

a more patient-centered focus

both within hospitals and now,

the community.

Since the North Shore-

LIJ Health System already

had strong community

service involvement, several

residents and fellows seized

the opportunity to spearhead a

program at CitiField. During

the 2012 baseball season,

members are spending time at

the Health Information Team

pursuing a career in medicine from a very young age. One of the

school’s core principles, according to Dr. Popovitz, is ensuring

that its alumni give back to communities that are underprivileged

and underserved, similar to the ones they themselves have come

from. That concept struck a resonant chord with the doctor,

who immigrated to the US from the Soviet Union as a young

boy and recalls that the first few years here were “arduous and

impoverished times,” as his parents struggled to create a better

life for him and his brother.

Inspired by the unwavering support, confidence and

encouragement from his parents to pursue his American dream,

Dr. Popovitz created the scholarship to help a new generation

of aspiring physicians turn their own fantasies into real

success stories. “I established this scholarship because it is my

responsibility as an alumnus

to give support to those special

people who are devoted to

making somebody’s life better,”

remarked Dr. Popovitz in the

speech he made at the school’s

recent white coat ceremony

in which he announced the

inception of the scholarship.

The first recipient of the Efim

and Mila Popovitz Scholarship

for Exceptional Character will

be selected this summer.

Leon Popovitz, MD

(HIT) booth sponsored by

the North Shore-LIJ Health

System and the Katz Institute

for Women’s Health. Residents

and fellows educate fans about

health and wellness issues and

solutions before and during

the game.

What does the future

hold for the health system’s

residents and fellows? During

the next year, the plan is to

focus on undergraduate and

medical student mentorship

programs, health literacy

seminars in the community

and child safety initiatives.

Through these opportunities,

the leadership of the Residents

and Fellows Forum believes

that together, the residents,

fellows and the healthcare

system can have a measurable

impact on the community for

many years to come.

The New Standard 39


physician’s rounds

North Shore University Hospital’s Palliative Care Program

Receives Advanced Certification Status from the Joint Commission

MANHASSET — The Palliative Care Program at North Shore University Hospital

(NSUH) was recently awarded advanced certification status by the Joint

Commission, which accredits and certifies more than 19,000 healthcare

organizations and programs in the United States. NSUH is one of only six

hospitals in the country to receive this honor from the Joint Commission, which

signifies that NSUH has achieved a national level of excellence in patient- and

family-centered care.

Palliative care is defined as specialized medical care for people with

advanced illness. This type of care is focused on providing patients with relief

from the symptoms, pain and stress of their disease. North Shore University

Hospital has a dedicated 10-bed Palliative Care Unit, where care is provided by a

team of doctors, nurses and other specialists who work with the patient’s team of

healthcare providers to produce an extra layer of support.

“This national distinction was achieved through the visionary leadership of

Michael Dowling, the support of our hospital leaders and the specialized palliative

Charles Schleien, MD, Appointed

Chair of Pediatrics at CCMC

Charles Schleien, MD, MBA, is the

new chair of pediatrics at the Steven and

Alexandra Cohen Children’s Medical

Center of New York.

Dr. Schleien was executive

vice chairman in the

Department of Pediatrics at the

Columbia University College

of Physicians & Surgeons,

and professor of pediatrics

and anesthesiology at New York

Presbyterian Hospital. He is past

director of the Division of Pediatric

Critical Care Medicine, which he founded

upon his arrival at Columbia in 1999, and

served as medical director of the Pediatric

Intensive Care Unit at the Morgan

Stanley Children’s Hospital of Columbia

University.

Dr. Schleien previously served

as director and fellowship director—

40 Summer 2012

pediatric critical care medicine in the

Department of Pediatrics at the University

of Miami/Jackson Memorial Medical

Center; and professor of pediatrics

and anesthesiology at the

University of Miami School of

Medicine.

Dr. Schleien received

a bachelor’s degree from

the City University of New

York’s (CUNY) Queens

College and his medical degree

from the Mount Sinai School of

Medicine. He completed a pediatric

residency at Texas Children’s Hospital,

Baylor University Affiliated Hospitals,

Houston; an anesthesia residency at the

Johns Hopkins Hospital, Baltimore; and

a fellowship in pediatric critical care

medicine at the Johns Hopkins Hospital.

care team who are committed to improving care for patients with serious illness

and their families,” said Dana Lustbader, MD, section head of palliative medicine.

“Our primary goal is to align treatments with patient preferences while relieving

suffering. Research shows that patients with advanced illness who get palliative

care live longer. Palliative care is appropriate at any age and at any stage in a

serious illness, and can be provided together with curative treatment.”

Jeremy Boal, MD, North Shore-LIJ’s chief medical officer, said education

and improved communication are critical components in successful palliative

care programs. “We need to understand our patients’ preferences for care so that

we can build the best approach to meeting those preferences and goals,” said

Dr. Boal. “Many patients with advanced illness would choose care focused on

maintaining comfort and dignity over more aggressive forms of care if they were

well informed of the benefits and burdens of such care. Others would choose more

aggressive care. In either case, our responsibility is to understand their needs

and goals and to meet them.”

2011-2012

Feinstein Report

The recently published 2011-2012

Annual Report of the North Shore-LIJ Health

System’s Feinstein Institute for Medical

Research provides an overview of how the

Feinstein Institute succeeds at creating and

disseminating new knowledge, achieving

medical advances, providing service to our

community and beyond and constantly

striving to cure disease by studying disease.

See it at http://www.northshorelij.com/

NSLIJ/NSLIJ+Annual+Reports.


New York Head and Neck Institute

Names Ian Storper, MD, Director of Otology

Ian S. Storper, MD, has been

appointed director of the Otology Program

for the New York Head and Neck Institute

at Lenox Hill Hospital. He comes to Lenox

Hill from Columbia University College

of Physicians and Surgeons where he was

director of neurotology. Dr. Storper,

an internationally recognized otologist/

neurotologist who specializes in the

medical and surgical treatment of ear

disease, has a special interest in hearing

restoration surgery, including cochlear

implant, stapedectomy and ossicular

reconstruction. He has contributed

innovative surgical techniques to the

field in the areas of laser stapes surgery,

implantable hearing aids and surgery

for Meniere’s disease, cholesteatoma,

tympanoplasty and mastoidectomy. Dr.

Storper received his medical degree in

1988 from the University of Pennsylvania.

The North Shore-LIJ Department of

Medicine, in conjunction with the Krasnoff

Quality Management Institute of the North

Shore-LIJ Health System, has appointed

Maria Torroella Carney, MD,

to the position of director of

community-based geriatrics

for the North Shore-LIJ

Health System.

Dr. Carney is also

an assistant professor of

medicine at the Hofstra

North Shore-LIJ School of

Medicine. Her primary role

in the Department of Medicine is

He completed both an internship in

general surgery in 1990 and a residency

in head and neck surgery in 1994 at

UCLA Medical Center and fellowships

in neuroscience in 1992 at UCLA School

of Medicine and in otology/neurotology

in 1995 at the Otology Group/The EAR

Foundation in Nashville, TN. Dr. Storper

received the Maxwell Abramson Teaching

Award from Columbia University and the

Malcolm Schvey Teaching Award from

its Department of Otolaryngology/ Head

and Neck Surgery and has instructed

CME-accredited courses. He is the

author of numerous book chapters and

publications in peer-reviewed journals,

lectures frequently and is a fellow in the

American Academy of Otolaryngology,

the American College of Surgeons and the

American Neurotology Society. He was

senior investigator in studies on the use

Maria Carney, MD, Former Nassau County

Commissioner of Health, Joins North Shore-LIJ

to work in partnership with the Krasnoff

Quality Management Institute to utilize,

assess and evaluate health system data to

effect program change. She will assist in

expansion of academics, research and

clinical outcome studies to improve

education opportunities for medical

students, residents and fellows in

medical training.

Dr. Carney received her MD

at New York Medical College, and

carried out her residency training

in internal medicine at New York

Presbyterian Hospital - Weill/Cornell

Medical Center. She went on to complete

Ian Storper, MD

of steroids and antivirals in the treatment

of sudden hearing loss and in the use

of glycopyrrolate in the treatment of

Meniere’s disease.

a two-year clinical- and research-oriented

fellowship in geriatric medicine at the

Mount Sinai School of Medicine in New

York City.

Dr. Carney had been commissioner

for the Nassau County Department of

Health, where she effectively addressed

major challenges including the 2010

H1N1 influenza response, for which

she received the BOCES (Board of

Cooperative Education Services) Nassau

County Council of Superintendents’

Award, and New York State Association

of County Health Officials’ Public Health

Professional of the Year Award.

The New Standard 41


hearts and hands

One afternoon, Susie Wong left quite

an impression on a woman in the Stroke

Unit at North Shore University Hospital.

The patient’s family watched as Ms. Wong

and her pet therapy dogs entered the room.

“My very loving dog, Orion, gently

laid his head on her chest and looked

deep into her eyes,” Ms. Wong said of her

Great Pyrenees, a large and fluffy breed

with a gentle and caring nature. “It was at

that moment, while Orion’s breath tickled

her cheek, that I picked up her hand and

helped her stroke his head.”

42 Summer 2012

Pet Therapy Gives

the Warm Fuzzies

By Susan Kreimer

The patient, in her 40s, had been

paralyzed by the stroke, which struck during

a family vacation. But soon, Ms. Wong

recalls, “the attention of everyone in the

room was captivated when she started to

twitch her fingers in the hand stroking

Orion. She regained eye movement and

smiled. There wasn’t a dry eye in the room.”

Research has shown that animals’

unconditional love and acceptance provide

medical and emotional benefits to people

both young and old. That’s the rationale

behind the work of pet therapy volunteers

like Ms. Wong within the North Shore-LIJ

Health System.

“Our pet therapy visits take place at

bedside or in the playroom, depending

on patients’ needs. The dogs are there to

help brighten the patients’ day, to help

them take their minds off their situations,

if only for a moment,” said Maura Tully,

pet therapy coordinator in the Child Life

Department at Cohen Children’s Medical

Center (CCMC) of New York.

“Patients who were feeling down have

smiled for the first time during a visit from

a pet therapy dog,” Ms. Tully added. “I

have had patients say that they forgot about

their pain while they were visiting with one

of the dogs. The dogs also help motivate

the patients. Those who wouldn’t get out of

bed or go to the playroom will do so for a

pet therapy visit.”

There are currently six pet therapy dogs


Concierge Smooths Patients’ ED Experience

By Susan Kreimer

VALLEY STREAM — At the end of Arlene Veltri’s fourhour

shift, the staff is sad to see her leave.

“When I say I have to go home now, they say,

‘No, not now.’ It’s a very helpful job,” the 81-yearold

volunteer said. The time goes by fast. “I’m busy,

but that’s a good thing.”

Ms. Veltri, a retired special education aide,

volunteers in Franklin Hospital’s Emergency Department

Concierge Program, launched in the spring of

2009. She greets patients and directs them where

to sign in.

Concierge volunteers also bring wheelchairs to

patients, help them on and off with their coats, call a

taxi afterward and give some TLC, said Myra Cohen,

director of volunteer services at Franklin Hospital.

The concierges speak with patients and provide

needed company,” Ms. Cohen said. “They help

take the anxiety out of the emergency room visit.”

in the program at CCMC. Most visit patients

twice a month with their owners, who are

volunteers. The participants are a black

Labrador retriever, yellow Lab, Maltese,

Papillon, golden retriever and greyhound.

All of them were certified by a therapy dog

organization before consideration for the

hospital. Certified dogs also participate in

onsite behavioral screening.

They must go through a series of

tests to see how they would react in the

hospital environment,” said Ms. Tully,

who evaluates each candidate. She has also

placed volunteers with pet therapy dogs at

The Zucker Hillside Hospital. LIJ Medical

Center offers pet therapy too.

“We test to see how they react to

walkers, wheelchairs, crutches and IV

poles,” she said. “We test to see how they

would react to loud noises and strange

behavior. We also test to see how they

engage with our pediatric patients.”

If a dog passes the behavioral

screening, Ms. Tully asks to review its

veterinary records. The handler must be a

volunteer at the health system.

“It is quite a commitment, and it takes

Sometimes a patient who comes in later is

treated before another who arrived earlier. “If

anybody feels somebody went ahead,” Ms. Veltri

explains, “you can assure them that the person is

quite ill and has to be seen.”

From 9 a.m. to 1 p.m. on Thursday, her volunteering

helps reduce waiting times, and to patients,

the process appears to proceed more quickly, even

when it seems slow.

“We try to appease them in whatever way that

we can,” she said of the concierges’ duties. “Some

patients are friendly and want to talk. And if they

don’t, you don’t intrude on them at all.”

Ms. Veltri escorts patients to the fast-track

area if they have a minor ailment, such as a sore

throat, and are likely to go home. If they have

an illness or injury that may require hospitalization,

she takes them to a different section of the

a very dedicated handler to get through the

whole process,” she said. “We only accept

the best-trained dogs into our program.”

Ms. Wong has volunteered with her

dogs at North Shore University Hospital

since June 2006. All of them are Great

Pyrenees with champion status.

“I bring at least two at a time,” said

Ms. Wong, who has accumulated more

than 500 volunteer hours. She takes as

many as six or eight to the Stroke Club,

with the help of her youngest child of

three, 15-year-old Michelle, who also has

pet therapy licenses for each dog. Together

they comfort and cheer up stroke survivors

and their caretakers.

In addition, her pooches interact with

patients on various floors of the hospital,

including the Child Life Program and the

Palliative Care Unit. They also visit the Stern

Family Center for Rehabilitation. Wherever

the dogs go, they wear custom-made outfits.

Ms. Wong is one of eight volunteers

who bring their dogs to North Shore

University Hospital for pet therapy, said Lisa

Breiman, director of volunteer services. “I

see first-hand what a tremendous positive

Emergency Department. This relieves the nurse of

that responsibility and speeds up registration for

other patients.

“Arlene is a friendly, outgoing woman who is

wonderfully helpful to patients, visitors and staff,”

Ms. Cohen says. “She is perfect for this program.”

A resident of Lawrence, Ms. Veltri began

volunteering at Franklin Hospital in May 2009. She

started in the Medical Records Department, assisting

with filing and other requests. After taking some

time off due to health issues, Ms. Veltri became a

concierge in last spring.

Franklin Hospital staff members, including

the nurses, registrars and security guards, are

delightful, she said. “They make you feel that you’re

wanted and that you’re useful.”

impact pet therapy has on our patients, their

family members and also our staff, who look

forward to their visits,” Ms. Breiman says.

Aside from volunteering, Ms. Wong

works five overnight shifts per week as a

technician’s and doctor’s assistant, as well

as a receptionist, at Central Veterinary

Associates’ 24-hour emergency hospital in

Valley Stream. Henry Wong, her husband

of 26 years, is a pharmacist at North Shore

University Hospital.

Ms. Wong, who lives in Woodmere and

also has two cats, lectures about pet therapy

at various schools and colleges. Instead of

accepting compensation, she encourages

her listeners to donate to North Shore

University Hospital.

“This is a passion,” she said, adding

that it takes two hours to groom each dog

the day prior to pet therapy visits, which

she does one to three times per week. “It’s

not something that I get paid for. But the

reward is so much more than money.”

Opposite: Ms. Wong with Delilah, left, and Orion.

Custom outfits for her therapy dogs add even more

cheer to patient visits.

The New Standard 43


hearts and hands

A Big-League Volunteer for Generations of Kids

By Susan Kreimer

NEW HYDE PARK — Mike Oshinsky attends

religious services every morning. His Jewish faith

has taught him the importance of visiting and

comforting the sick.

With that in mind, he started volunteering

nearly 29 years ago at what’s now known as the

Cohen Children’s Medical Center (CCMC). For full

days on Tuesday and Thursday, he volunteers in the

Hematology/Oncology Unit.

“I had retired and I was looking for something

to do,” said Mr. Oshinsky, 83, who lives in North

Woodmere and is still involved in commercial

real estate. “Friends of mine recommended that I

volunteer at the hospital.”

Believing that “young people keep you young,”

he quickly aligned himself with helping pediatric

patients. “Obviously, it went well. I’m still there.”

A Child Life Program didn’t exist at the

time. “It was up to the volunteers to do whatever

they thought they should do to keep the children

occupied and busy,” Mr. Oshinsky recalled. “And

that’s what we did.”

He supplied the playroom with a lot of fun

stuff. Friends from various businesses donated

baseball hats and sticker books. He obtained the

stickers at wholesale prices. “What I couldn’t get

donated,” Mr. Oshinsky said, “I bought.”

CCMC’s Child Life Department now manages

special events and donations for patients, said

Maxine Legall, coordinator of volunteer services.

Mr. Oshinsky also made contacts with the New

York Islanders — a top hockey team in those days,

having won four Stanley Cups. In September 1984,

he brought one of the team’s core players, Bryan

Trottier, for a visit.

The Islanders have been coming to the

hospital ever since,” said Mr. Oshinsky, a sports

enthusiast who plays racquetball and tennis. “It’s an

Islander tradition to visit the hospital every year.”

The New York Jets and the Mets have also comforted

children in the hospital.

The benefits of aging well and giving back to

the community complement each other. Marilyn

Oshinsky, his wife of 62 years, volunteered in the

hospital’s gift shop in the mid- to late 1980s.

You have to keep your mind active,” Mr.

44 Summer 2012

Oshinsky says. “You have to keep your body active.

You have to keep your soul active. You do all three.”

Danielle Davis, a certified Child Life specialist

in hematology/oncology, is in awe of Mr. Oshinsky’s

knack for connecting with youngsters.

“Mike has this amazing ability to form a

relationship with a child of any age, gender or

cultural background. He truly makes a lasting

impression,” Ms. Davis says. “It’s clear how

much of a difference he makes in the lives of our

patients and families, when they continue to talk

about him and remember him long after their

treatment is finished.”

Above: Volunteer Mike Oshinsky and a young

patient are clearly connecting at the CCMC.


Huntington Auxiliary Giving Nears $200,000

Kevin Lawlor, Huntington Hospital president and CEO, right, recently thanked Auxiliary members for their $198,465

donation. From left: Thomas Rizzo, treasurer; Anita Rizzo, vice president/advocacy; and Edna Fetkowitz, president. The

gift represented proceeds of the Auxiliary’s 2011 fundraising efforts, which included lobby sales, telephone and TV rentals

and special events.

NEW HYDE PARK — For

Barbara Raber, volunteering

is a natural extension of her

life’s calling. First a teacher,

then a principal at Lakeville

Elementary School in Great

Neck for 26 years, she chose

the North Shore-LIJ Health

System for her community

service endeavor.

The summer before officially

retiring on Sept. 1,

2010, she trained with Denice

Romero, director of volunteer

services at LIJ Medical Center.

This way, she would be ready

to begin as soon as possible.

“I adore children,” said

Ms. Raber, 76. She started volunteering

at Cohen Children’s

Medical Center (CCMC),

“supporting in whatever

capacity I could. I would help

a number of the older patients

with homework.”

At the hospital, she also

played games and read books

to the youngsters. She brought

Former Educator

Serves as LIJ

Ambassador

By Susan Kreimer

arts and crafts to them. And

when they couldn’t come to the

playroom, she went to their

rooms and engaged them in

activities.

Ms. Raber represents the

new face of volunteers who

want meaningful involvement

in their golden chapters, after

long and accomplished careers.

“Years ago, the gift shop

was a prime assignment,” Ms.

Romero says. It was often run

by stay-at-home moms, the

wives of hospital physicians.

“Now, our retirees want a con-

tinuance of their professional

status.” She has trained a

retired flight attendant, editor,

teachers and administrators to

serve as dedicated volunteers.

Many doctors and other

hospital staff members know

Ms. Raber because she taught

or supervised their children in

school. Now, they’re surprised

to see her in their workplace.

“What are you doing here,

Barbara?” is a common question

they pose.

“Barbara is able to engage

people and provide all the

needed information effectively,”

Ms. Romero says. “Her winning

smile and overt caring are evident

in each interaction.”

In late January, upon

the opening of LIJ Medical

Center’s Katz Women’s Hospital

and Zuckerberg Pavilion, she

changed volunteering roles.

“Denice asked whether I would

consider switching to an ambassadorship,”

Ms. Raber recalls.

“And I said to her, ‘As long as I

don’t have to leave the country, I

would be happy to try it.’ ”

Once a week, she assists at

the new main entrance. With a

friendly face, she guides visitors

to where they need to go

and helps melt away their anxiety

over coming to a hospital,

whether it’s to have surgery,

give birth or undergo tests.

Sometimes she escorts them

personally in a wheelchair or

on foot.

“I really run for four

hours bringing people all over

the complex,” Ms. Raber says

of her 9 a.m. to 1 p.m. shift on

Tuesday. “It’s very active and

very busy.”

Ms. Raber is multitalented.

Aside from her hospital

volunteer duties, she plays

tennis in a women’s league.

And as a young woman, she

trained as a concert pianist.

Rewards from volunteering

come in the form of smiles and

hugs. “We are helping people

who, at the time of their illness,

need some additional support,”

Ms. Raber says. “Whatever little

words of comfort you can offer

are so appreciated.”

The New Standard 45


hearts and hands

HUNTINGTON — On the calendar, Bill

Segal is 79 years old, but “in my heart,

I’ll always be 39,” he jokingly said. It’s no

wonder he brings boundless energy to

volunteering at Huntington Hospital.

Mr. Segal, who turns 80 in August,

has poured tons of passion into helping

others. After retiring at age 66, “I decided

I was too young to sit in a rocking chair,”

said the former advertising and marketing

executive. Seeking a rewarding outlet for

his spare time led him to Huntington

Hospital. By the end of 2011, Mr. Segal

had clocked 4,500 volunteer hours;

this February, he celebrated his 12th

anniversary.

“Over the years, I’ve done everything

from volunteering in the Post-Anesthesia

Care Unit to the admissions desk,” he said.

On Friday afternoons, he’s assigned to

the pharmacy and delivers medications to

nursing units. And on Monday afternoons,

he discharges patients while escorting

newcomers to the Emergency Department.

He also delivers flowers and supervises the

junior volunteers on that day.

The juniors are high school students

from the Huntington area. “There are

some kids who put in their hours and

then they disappear,” says Mr. Segal,

who lives in Huntington Village and has

likely supervised more than a thousand

junior volunteers over the years. “And

then there are others who will put in

several hundred hours because they get

46 Summer 2012

enthusiastic about the program.”

That’s the kind of attitude Mr. Segal

hopes to encourage in the youngsters

he mentors. At least 75 hours per year

are required to be considered a junior

Huntington Volunteer

Touts the Rewards of

Community Service

By Susan Kreimer

volunteer in good standing and at

least 100 hours are needed to receive a

recommendation letter from the hospital

in applying to college.

“A lot of them become involved

because it looks good on a college

application,” Mr. Segal says. “And I try

to convince them that they will feel good

about themselves for volunteering.”

While it can be challenging, Mr.

Segal enjoys showing teenagers the value

of community service. On Christmas

morning, he and a group of junior

volunteers tour the hospital, singing

carols to patients while Santa distributes

presents provided by the Huntington

Hospital Auxiliary.

“I have to remind them every now

and then that they’re volunteering in a

hospital, and I want them to find this to be

a rewarding experience,” Mr. Segal says.

“Everything they do helps the nursing staff.”

Gina Torchon, director of volunteer

services at Huntington Hospital, admires

his unwavering dedication. “Bill is a oneof-a-kind

volunteer,” she says. “He is very

generous with his time and wisdom, and he

is a role model for our junior volunteers.”

Between 175 and 200 junior

volunteers usually serve at the hospital

during the same calendar year. They stay

anywhere from one to four years.

Mr. Segal also takes on various

other roles at hospital functions, from

assisting with registration at public health

screenings to attending retirement parties

and Cancer Survivors’ Day.

“He gets along with so many people

and is so well-liked that he doesn’t want to

miss anything,” Ms. Torchon says. “He is

very involved.”

NSUH Auxiliary Golf

Classic To Honor

Susan Somerville

This is the 34th year that North

Shore University Hospital has held a

golf outing, and it is the first year that

the event has had an honoree. Susan

Somerville, RN, MA, has been chosen

for this distinction; she is the hospital’s

executive director. The 34th Annual Golf

Classic will be held on Monday, July

16, at the North Shore Country Club in

Glen Head. Proceeds will benefit the

development of the West Wing at NSUH.

For further information, please call the

Volunteer-Auxiliary Office at

(516) 562-4947.


Walk to Paris Winners Announced

On Valentine’s Day, North Shore-LIJ announced a challenge for all

employees: In teams of 10, walk the 7.2 million steps it would take to reach

Paris from New York, in exchange for better health and the chance to win a

free trip to Paris. An unprecedented 15,000 employees participated in the

Walk to Paris – forming teams, walking at least 8,000 steps every day and

having a great time doing it.

The challenge ended in late June with a closing ceremony and

winners’drawing held at the Crest Hollow Country Club in Woodbury. North

Shore-LIJ President and CEO Michael Dowling surprised everyone by drawing

four grand prize winners. Congratulations to the

grand-prize winning teams: Walka Walka Walka,

Microbiologie Marche A’ Paris, Champs-Elysees

and Twinkle Toes.

In addition to the 40 employees now

going to Paris, Mr. Dowling drew the names of

11 more teams to win the second-place prize:

a wellness package, valued at $1,000, for each

team member.

“Walk to Paris is part of a much larger

commitment that North Shore-LIJ is making to its

employees,” Mr. Dowling said. “Our careers are

based on helping others achieve wellness, and

we know that we have a tremendous opportunity

to help our employee community reach their own

personal wellness goals.”

Mr. Dowling noted that wellness is part of

the health reform movement. “This is part of the

whole effort that the Supreme Court dealt with,”

Mr. Dowling said. “Wellness is not going away

and we are proud to be supporting our employees

and leading the way for others.”

Top Right: The Walk to Paris team wearing pink

is Sistaz with Blistaz – one of the first five teams

to cross the finish line. Bottom Right: The team in

white is Lab Rats on the Run from North Shore-LIJ

Laboratories.

The New Standard 47


mission possible

While vacationing in Oaxaca, Mexico, last year, Matthew

Kaufman, MD, walked into the local hospital and began

introducing himself to the doctors. Still in vacation

mode, the chief resident in LIJ Medical Center’s Emergency

Department told them that he worked for an American healthcare

system that helped other medical centers and asked where they

needed support.

Recounting the story of a recent mudslide, the Mexican

physicians voiced their concerns about being unprepared in a

major crisis or natural disaster.

Impromptu Discussion

Spurs Emergency

Training Conference

“It’s a very interesting thing to go into a different culture with

different resources and see how they would handle this,” he said. Dr.

Kaufman immediately wanted to get involved. He had never gone on

medical mission before, but envied his colleagues’ medical missions.

When he returned home, Dr. Kaufman continued talking with

doctors and the Red Cross in Oaxaca, and

began building a North Shore-LIJ team

that could help the Mexican hospital better

prepare for a major crisis. Luckily for all,

LIJ is the site of an international emergency

medicine fellowship and Dario Gonzalez,

MD, the medical director for New York

City’s Office for Emergency Management

and associate medical director of the FDNY,

is a faculty member. Led by Dr. Gonzalez’s

expertise in disaster management, the

team included Gino Farina, MD; Herberth

Balsells, DO; and Kathryn Bailey, AB.

This January, the group traveled to

Oaxaca to conduct a needs assessment of

the hospitals that would be most vulnerable

in a disaster. The team also presented

an emergency management conference

that attracted nearly 400 participants,

including doctors, firefighters, emergency

medical technicians, Red Cross workers,

epidemiologists and military officials.

48 Summer 2012

The conference itself was really an amazing event,” Dr.

Kaufman said. “I think it allowed attendees to evaluate their

own system in a critical way. I also see an opportunity for us to

continue this process and help to facilitate these changes.” Most

importantly, the event began a dialogue between agencies that had

not previously convened.

Emergency medicine specialists from North Shore-LIJ have

worked with hospitals in India, Haiti and other underdeveloped

countries that face such problems as poorly constructed facilities

or lack of formal training programs for doctors, said Mae Ward,

RN, senior research director of emergency medicine at North

Shore University Hospital. Sassan Naderi, MD, director of the

international emergency medicine fellowship at LIJ, had previously

arranged a three-year emergency medicine training program in

Durgapur, India.

This trip, however, was different because Oaxaca has the facilities

and the doctors, but needed the communication tools and

organizational structure to respond to a crisis. The response in

Oaxaca has been tremendous, Dr. Kaufman said, adding that medical

officials there have already started making changes. The initial

trip to Oaxaca was funded largely through a grant from Goldman

Sachs Gives, a donor-advised fund that gives grants to nonprofits.

As the project continues, there will be more trips to Oaxaca with

additional training exercises run by Dr. Kaufman and his team.

“I certainly intend to make this kind of project an ongoing

part of my career,” he said. “These projects are really exciting and

meaningful, especially because you can make systematic changes.”

North Shore-LIJ volunteers convened an emergency management conference in Oaxaca, Mexico.


The New Standard

49


PLAINVIEW — Veterans of

World War II, the Korean

War and Vietnam who live in

the Plainview-Old Bethpage

neighborhood naturally occurring

retirement community

(NNORC) recently gave

history lessons that Mepham

High School in Bellmore

students won’t soon forget.

Their videotaped interviews

have been archived with the

Library of Congress Veterans

History Project.

“I listened to the story

of one man’s journey from a

young boy in Brooklyn to a

50 Summer 2012

Nurse Helps Plainview

Veterans Give Real-Life

History Lesson

prisoner of war in Germany,

and realized that I’d stumbled

upon a reservoir of history on

the verge of being lost,” said

Kelly Soel, RN, a North Shore-

LIJ community health nurse

who works with a number of

veterans through the Plainview-

Old Bethpage NNORC.

Ms. Soel established a

group among the NNORC

members in which veterans

could gather to share their

experiences while promoting

well-being and a deeper sense

of community. In researching

discussion topics, she found the

By Kristen Longo

Library of Congress Veterans

History Project and arranged

for the veterans to share their

war stories with a group of

Mepham High School students

and answer their questions.

Paul Zadoff, 90, told

students about his World War

II experience of serving on Iwo

Jima. “You learn about the war

through textbooks, but it was

nothing like being there,” he

said. “We went directly into

combat and many of us expected

to die — but I made it back and

have the real story to tell so it’s

not forgotten.” Melvin Breshin,

67, who served as an Army

captain in South Korea during

the Vietnam War, also emphasized

to students the importance

of learning what happened and

passing that knowledge to future

generations.

The veterans were more

than happy to share their

past. “Their legacy will live on

through the bright young minds

of tomorrow,” said Ms. Soel.

She feels a deep connection to

the project through her work

with the NNORC and hopes

that some day her son, a second-class

petty officer with the

US Navy, will be able to teach

the next generation first-hand

about the sacrifices and bravery

of those serve our country.

Above: Paul Zadoff shared maps and

photos with his first-hand account

of his experience on the front lines

on Iwo Jima with Kelly Soel, RN,

community health nurse for the health

system, and a group of Mepham High

School students—who are the age that

he was when he left for war.


Taking Steps to Protect

Young Athletes From

Sexual Assault

With the London

Summer Olympics

approaching and

young people across the

country taking part in team

sports, North Shore-LIJ,

Nassau County Executive

Ed Mangano and the Nassau

County Sports Commission

have joined together to

identify ways of recognizing

and preventing sexual abuse in

youth sports.

At a news conference

held recently in Mineola,

the keynote speaker was

Katherine Starr, a member

of the 1984 and 1988 Great

Britain Olympic swim team,

who had her athletic career

destroyed after being sexually

assaulted by her coach. Now

the founder and president

of a nonprofit organization

she named Safe4Athletes,

Ms. Starr says, “Every athlete

should be provided a safe and

positive environment free of

sexual abuse, bullying and

harassment.”

“We are very proud to

work with Nassau County and

the Sports Commission to

find new ways to help young

people who fall victim to

these predators,” said Jamie

Hoffman-Rosenfeld, MD,

chief of child advocacy and

protection services at Cohen

Children’s Medical Center. “It

is our responsibility to alert

parents, teachers, educators

and young people that we are

here to listen to them.”

County Executive

Mangano said Nassau County

supports this ongoing work.

“We must do whatever we

can to keep our children

safe,” he said, “and eradicate

predators from young

people’s sporting activities.”

The most heartfelt words

came from Ms. Starr, who

spoke about the devastation

and loss associated with her

personal tragedy. “When this

happened to me, it destroyed

my dreams,” she said. “There

was no one I could talk to,

because I felt that I had no

power. It’s my goal that no

young athlete should ever have

to be in this position again.”

FOR your BENEFIT

Planning for the Future

Just Got Easier

It’s never too early to plan and save for your future, but sometimes it can

seem overwhelming or confusing. But a new Web site — NSLIJRetirementPlans.

com — gives North Shore-LIJ Health System employees easy-to-understand tools

to maximize their retirement benefits and start saving.

“We provide not only exceptional retirement benefits including retirement

savings plans, but also resources to help employees become more proactive

about financial planning,” said Joseph Cabral, Chief Human Resources Officer. “No

one is born an expert at retirement planning, so North Shore-LIJ offers these free

services. We encourage employees to take full advantage of them.”

In partnership with MetLife, North Shore-LIJ offers many ways for

employees to get the information they need — either through in-person

classes held around the system, one-on-one planning sessions with a

financial services representative or online videos and presentations. Log on to

NSLIJRetirementPlans.com for information about 403(b) and 401(k) retirement

savings accounts, retirement calculators, registration for on-site seminars or to

arrange for one-on-one sessions with a MetLife financial services representative.

Shown at a recent news conference, from the left, are Brian Revello, executive director of the Nassau County Sports

Commission, Nassau County Executive Ed Mangano, Dr. Jamie Hoffman-Rosenfeld and Katherine Starr, former

Olympian and founder of Safe4Athletes.

The New Standard 51


Story-telling is not something that is usually

part of a hospital visit. But LIJ Medical

Center and Hospice Care Network have

partnered with StoryCorps Legacy, a pilot

program that provides people with life-threatening

conditions and their families the opportunity to

record, preserve and share their stories. And our

patients are sharing stories that will be handed

down to their families and the community at large.

StoryCorps works with a variety of

organizations including hospitals, palliative care

departments and hospices to help them incorporate

the reminiscence interview experience into their

existing services. Legacy staff train and prepare

partners to conduct and record interviews using

professional broadcast equipment on loan from

StoryCorps. Participants receive a CD of the interview

to share with friends and family, and another copy

is archived at the American Folklife Center at the

Library of Congress in Washington, DC.

At the health system, StoryCorps Legacy is

collaborating with LIJ’s Departments of Geriatric and

Palliative Medicine and Patient and Family Centered

Care and the Hospice Care Network’s Complementary

Therapy Program. The project runs through July and

both organizations expect to conduct a total of 60

interviews. The program is funded by a grant from

the Jordan Family Foundation.

The StoryCorps project is a natural extension

of the conversations we share on a daily basis in

caring for older patients with serious illnesses and

supporting their loved ones,” said Tanveer Mir, MD,

associate chief of geriatric and palliative medicine at

LIJ. “This project allows us to explore and celebrate

people’s lives and document their stories for

generations to come.”

Christina Lightbourne, a volunteer at LIJ

for the last couple of years, became involved

in the StoryCorps project because she said she

enjoyed connecting and talking with older patients

and it seemed like a “natural segue” given her

activities at the hospital. In her first interview, Ms.

Lightbourne arranged a conversation between her

84-year-old aunt, Ruth Robinson, who has been

treated at LIJ for cancer and other conditions, and

her husband, Paul Lightbourne. “I was surprised

at how much detail my aunt remembered about

her childhood teacher Miss Green, who taught her

how to read and write. My aunt was also excited

to talk about her family, in more depth than at our

reunions every two years.”

The StoryCorps program helps us capture the

voices of patients and family members and helps

us to look at the patient as a complete person,” said

52 Summer 2012

Partnership Gives Voices to Patients

with Life-Threatening Illnesses

By Betty Olt

Kirby Veevers, coordinator of patient- and family-

centered care at LIJ. “People have a big life before

they become patients at the hospital and we want

to honor that.”

Eva Pendleton, LMT, director of complementary

therapy at Hospice Care Network, said the StoryCorps

program is “striking a chord” with volunteers and

staff members and there has been an overwhelming

response to the project. “There is a fundamental

need for people to be heard. People love to tell a

story and everyone has a story to tell,” she said.

“In hospice care, life review and the

conversations we have with patients are done in

the spirit of the work we do every day,” explained

Ms. Pendleton. “StoryCorps is important because it

leaves a legacy for loved ones.”

Since 2003, StoryCorps has collected and

archived more than 35,000 interviews from more than

70,000 people. Some stories are shared during weekly

National Public Radio broadcasts of the show Morning

Edition. For more information, visit StoryCorps.org

Above: Volunteer Christina Lightbourne with

her 84-year-old aunt, Ruth Robinson, who had

stories to tell.


allied NATION

In the past, general practitioners were expected to manage

the majority of medical issues, from arthritis to high blood

pressure, pneumonia to appendicitis. Today’s healthcare,

however, trends toward exceptionally individualized and

specialized patient care cases, requiring the specialist — like the

rheumatologist, internist, pulmonologist, and laparoscopic surgeon

— to provide more expertise on each specific concern. While this

trend builds, community hospitals must find ways to continue to

meet all general healthcare needs and to provide a wide variety

of services and care to keep up with every

patient. At Forest Hills Hospital, physician

assistants (PAs) help to achieve the level of

care necessary to provide all services for all

patients. They are the hospital staff who step

in to coordinate timely, safe and efficient

care for every patient. They are the new

generalists.

PAs are highly trained healthcare

professionals who are licensed and

credentialed to practice medicine in

physician-led teams. They conduct physical

exams and histories, diagnose and treat

illnesses, order and interpret tests, counsel

patients, make rounds, assist in surgery and

write prescriptions. They are involved in

day-to-day care and make medical-related

decisions, turning to their supervising

physicians when complicated cases require

further medical expertise. PAs also handle

patient complaints and follow-up visits

while providing a broad range of diagnostic,

therapeutic, administrative, educational and

research services. According to the Bureau of

Labor Statistics, the PA profession is among

the fastest growing in the country.

“Given the challenges ahead — such

as regulatory compliance, pay-forperformance

and the increasing number

of Baby Boomers entering the health

system for care — the physician/PA team

will help to keep waiting times low and

patient satisfaction high while filling in

the gaps wherever there is a shortage of

physicians and residents,” said Martin Morales, corporate director

of physician assistant services.

At Forest Hills Hospital, PAs work closely with specialist

surgeons in all departments —including general, vascular, thoracic,

plastic, urological and bariatric surgeries — and coordinate the care

of patients requiring any of these services. The plan of care for any

patient is determined by his or her physician, but helping to develop

that plan and ensuring it is properly followed and assigned the proper

specialists is the role of the PA. They also respond to emergencies,

codes and rapid responses, are a resource for the nurses, manage

patients in the Emergency Department and Intensive Care Unit and

provide expert surgical assistance in the Operating Room.

On average, the PAs at Forest Hills have 11 years of experience

in the medical field, more than twice the period of time it takes to

train a board-eligible surgeon. They practice in the Orthopedic,

Radiology, Obstetrics and Gynecology and Surgery Departments —

in fact, the 10-member surgery team assisted in almost 3,000

The New Generalists

Physician Assistants at Forest Hills Hospital

Physician assistants Rupert Evans, left, Diane Marchiafava and Khaim Babayev are on the Forest Hills

Hospital team that coordinates timely, safe and effective medical care.

operative procedures during the last year alone. Their competence

in and understanding of each surgeon’s practice lead to enormous

satisfaction among the surgeons, as well as the rest of the hospital

staff and patients, which in turn motivates this proud North

Shore-LIJ Health System team. Lead PA Diane Marchiafava,

RPA-C, says, “The best part of our PA team is, we get to use all of

our skills and everyone benefits.”

The New Standard 53


GREEN solutions

New Structure Meets

Sustainability Benchmark

By Neil Rosen

The Katz Women’s Hospital

at North Shore

University Hospital

recently was the first New

York hospital to receive LEED

platinum certification. The

Katz Women’s Hospital uses

about 18.6 percent less energy

and 51 percent less water. Furthermore,

all of the electricity

consumed in its first two years

of operation will come from

renewable energy generated by

wind power in Texas.

The recognized standard

of the sustainable building

54 Summer 2012

movement, LEED stands

for Leadership in Energy

and Environmental Design,

a rating system for green

buildings that was developed

by the United States Green

Building Council. Designed

to encourage, standardize,

and award sustainable building

efforts, LEED provides a

framework for identifying and

implementing practical and

quantifiable green building

solutions.

The LEED system outlines

a number of credits and as-

North Shore University Hospital Wins

National Award for Eco-Friendly Practices

Practice Greenhealth, a

national organization for healthcare

facilities committed to environmentally

responsible operations,

recently presented NSUH with the

2012 Partner for Change Award. The

award is one of the organization’s

Environmental Excellence Awards

given each year to honor outstanding

environmental achievements in the

healthcare sector.

The Partner for Change Award

recognizes healthcare facilities that

continuously improve and expand

upon their mercury elimination,

waste reduction and source reduction

programs. At a minimum, facilities

applying for this award must be

recycling 15 percent of their total

waste, be well on the way to mercury

elimination and have developed

other successful pollution prevention

programs in many different areas.

“This award demonstrates

North Shore University Hospital’s and

the North Shore-LIJ Health System’s

commitment to our patients, staff

members and the community to

protect public health and preserve

the environment,” said Maurice

LaBonne, senior vice president of

facilities services at North Shore-LIJ.

“North Shore-LIJ is truly demonstrating

leadership for the future of health

care and sustainability.”

NSUH received the Partner for

Change Award for environmental

performance in the following areas:

recycling and waste reduction,

participation in the health system’s

green cleaning program, measures

to reduce mercury in all medi-

signs points to a project based

on how many credits the

project fulfills. Based on the

number of points earned, a

project can earn titles ranging

from certified to silver, gold

and platinum. Only the most

sustainable projects achieve the

platinum rating.

There are six major LEED

categories: sustainable sites,

water efficiency, energy and

atmosphere, materials and

resources, indoor environmental

quality and innovation

in design.

cal procedures and nontoxic paint

products. In addition, in February,

the Katz Women’s Hospital third-floor

renovation project achieved a LEED

platinum certification, the industry’s

highest rating for sustainable design,

green building materials and energyefficient

systems. The facility is the

third hospital project worldwide to

receive this distinction.

“We are pleased to be

recognized for this significant

achievement,” said Neil Rosen,

director of sustainable development

at North Shore-LIJ. “We are proud

to be a model of how hospitals can

develop and implement eco-friendly

programs and sustainable buildings

to improve the health of people and

our planet.”

North Shore-

LIJ Launches

Interactive TV

Programming

GREAT NECK — North

Shore-LIJ Health TV,

an interactive television

service, recently premiered

on iO TV channel 616.

Presented by the North

Shore-LIJ Health System

and Cablevision, the videoon-demand

channel offers

health and wellness information

to Cablevision’s

nearly three million digital

cable customers on Long

Island and in the Bronx,

Brooklyn, Westchester,

Lower Hudson Valley, New

Jersey and Connecticut.

The launch of North

Shore-LIJ Health TV with

Cablevision provides a

groundbreaking experience

that utilizes the strengths

of both organizations to

deliver health and wellness

information via video-ondemand

content from New

York’s very best physicians

and clinicians into living

rooms,” said Michael

Dowling, president and

CEO of the health system.

The health system

is the first New Yorkarea

healthcare provider

to establish its own TV

channel. North Shore-

LIJ Health TV provides

access to a video library

of health and wellness

topics and information on

North Shore LIJ hospitals,

and viewers can request

additional information on

the health system’s services.


Over 2,400 Celebrate at

NSUH-LIJ’s Sixth Combined

Cancer Survivors’ Day

More than 2,400 cancer

survivors and their guests

attended the invitation-only

Cancer Survivors’ Day celebration,

held at the North Shore-LIJ Health

system’s Monter Cancer Center on

June 2. The keynote speaker was

Shannon Miller, Olympic gold medalwinning

gymnast and US Olympic Hall

of Famer, whose greatest win of all

was against ovarian cancer.

The large gathering watched

monitors positioned throughout the

340-foot-by-100-foot tent, where

a brief video brought back memories

of the determined little blonde girl’s

performance on the balance beam at

the 1996 Summer Olympics in Atlanta.

The audience listened attentively as

she recounted her thoughts on that

stellar day 16 years ago; then she

described how she felt in December

2010, when at age 33 she received

word from her doctors that she had

a rare from of ovarian cancer: a

baseball-size germ cell tumor.

The malignant cyst was

removed from her ovary and she went

through nine weeks of chemotherapy.

“On my last day of chemo I was so

excited that it was over, but at the

same time it hit me – is it going

to come back? When will it come

back?” Ms. Miller told the people in

her audience, many of whom have

felt the same uncertainty and fear.

She decided to focus on “helping

people, encouraging them to get

regular screenings, because early

detection does save lives. That has

become a mantra for me.”

The American Cancer

Society estimates that there

will be nearly 22,000 new cases

of ovarian cancer this year and

more than 15,000 related deaths,

making it the deadliest (in terms

of percentages) gynecologic

cancer. Ms. Miller is now

dedicated to raising women’s

awareness of this disease.

At the end of her

presentation, North Shore-

LIJ Board Chairman Richard

Goldstein and President and

Chief Executive Officer Michael

Dowling presented Ms. Miller

with a special white lab coat,

embroidered with her name,

making her an honorary member

of the North Shore-LIJ faculty. Mr.

Dowling also presented a special

award of recognition to Ruthee-

Lu Bayer, MD, director of the Don

Monti Adult Hematopoietic Stem

Cell Transplant Program at North

Shore University Hospital, for her

contributions to the care of her

healthcare LITERACY

Health Literacy

Seminar Updates

North Shore-LIJ’s health literacy and clear communication

course, Can We Talk? features new components based on employee

feedback. The program is available more frequently (six times this

year) at the Center for Learning and Innovation and has been

customized according to the participants’ scope of practice; new

simulated scenarios add interactivity into the mix.

To learn how to enhance written and oral communication,

and how to create or choose patient-friendly written education

materials, register for Can We Talk? at NorthShoreLIJ.com/cli.

The Remaining 2012 course dates are:

q Licensed/clinical professionals — September 12

q Ancillary/support staff members — July 18, November 14

Call the Office of Diversity, Inclusion and Health Literacy at

(516) 396-6373 for more information.

patients and to the unique research

she is conducting to treat cancer.

Earlier in the program, two

local Long Island cancer survivors

spoke eloquently about their

personal battles and how they

overcame the disease. They were

Judith Dowd, of Floral Park, an

ovarian cancer survivor, and Lee

Ielpi of Great Neck, a survivor of

Waldenstrom macroglobulinemia.

From left are: Vincent Vinciguerra,

MD, Judith Dowd, Lee Ielpi,

Shannon Miller, Richard Goldstein

and Michael Dowling.

The New Standard 55


NEW HYDE PARK — Samuel

Kenan, MD, was always

interested in fixing things, so

it was no surprise that by his

last year of medical school he

decided to take a residency in

orthopedics. But the chairman

of the department at Hadassah

University Medical Center,

Mayer Makin, MD, had other

things in mind for the young

man. He recommended that he

train in orthopedic oncology

and spend a year working in

bone pathology to understand

everything he could about

bone cancer.

That was 1977 when

fixing bone tumors meant

amputation. But the chairman

had hopes that Dr. Kenan

would move the field into new

directions that included limbsparing,

life-saving surgeries.

His mentor was right.

Dr. Kenan finished his

year-long stint at Hadassah’s

pathology laboratory and completed

six years of residency

in orthopedic surgery at the

Israeli health system before

coming to New York for a fellowship

with Michael Lewis,

MD, at the Hospital for Joint

Diseases. Dr. Lewis was doing

precisely what the Hadassah

chairman of orthopedics had

envisioned: he was creating

joint prosthetics made of metal

and bone, and enabling pediatric

cancer patients to walk

out of surgery with their leg.

The bone prosthetics

were a major advance but the

pediatric population brought

new problems. Children

grow, and Drs. Kenan, Lewis

and others knew they had to

figure out a way to get both

legs to match. They developed

bone prosthetics that could

56 Summer 2012

Saving Lives and Limbs

By Jamie Talan

be expanded as their patients

grew. It changed the field, and

Dr. Kenan became a fixer with

a mission. “It’s hard enough

that children have bone cancer,

but then to tell them that they

might lose a leg was just too

much,” Dr. Kenan said.

He began working on sparing

the growth plate, even when

tumors were precariously close

to the plate. Saving the growth

plate meant that the child’s limb

would grow naturally to match

the other leg.

Dr. Kenan went on

to head several orthopedic

oncology programs, from the

Hospital for Joint Diseases to

Mount Sinai Medical Center

and Hadassah. He was recently

recruited by the North Shore-

LIJ Health System to head

an initiative in orthopedic

oncology that offers young

patients access to a team of

health professionals, starting

from the initial suspicion that

there may be something wrong,

to chemotherapy, surgery and

lifelong care.

In addition to his

technical skill in the surgical

suite cutting out diseased

bone, crafting an implant and

setting the stage for healing,

Dr. Kenan connects with his

young patients in indelible

ways. When 18-year-old

Mariela Calderon of Port

Washington showed up last

October with osteosarcoma,

Dr. Kenan called Nicole

Lubin of Hempstead, a

teenager who recently

underwent surgery for bone

cancer, and brought the girls

together. While Mariela was

in Cohen Children’s Medical

Center (CCMC), Nicole

came to visit. Watching Nicole

walk effortlessly gave Mariela

hope that someday soon her

crutches would be a thing

of the past, and her leg, like

Mariela’s, would be spared.

“Dr. Kenan is technically

exceptional,” and it is the

whole package of what he

brings to the surgical table,

said Jeffrey Lipton, MD, PhD,

chief of pediatric hematology/

oncology and stem cell

transplantation at CCMC.

These patients are complex,

and we have teams of professionals

working with patients.”

Dr. Kenan has performed

nearly 250 of these surgical

cases in his career. And he

keeps in touch with many of

the children, some of whom

are now grown. He saves

videos and photos of his young

patients during all stages of the

process. He pulls up a digital

picture of John Browndorf,

who is now 28 and taller than

his doctor. Mr. Browndorf was

six years old when he was diagnosed

with Ewing Sarcoma.

It was located in the proximal

tibia. The first thought was

that there would be no way

to spare the growth plate; the

tumor was too close. But his

father, a golfer, wanted his son

to walk – with both feet planted

on the green – in his footsteps.

“Do what you can to save

the growth plate,” his father

said. And Dr. Kenan listened,

carrying off the complicated

surgery. Now, more than two

decades later, Mr. Browndorf

stands tall. And plays golf.

Mariela said that she wants

to be a medical assistant when

she grows up. And she looks

forward to the day when she

can replace her crutches with a

fancy pair of high heels.

Above: Dr. Kenan with Mariela

Calderon, left, and Nicole Lubin.


Parenting, Baby Care &CPR

Classes

Stay safe and healthy with

the help of programs offered

by North Shore-LIJ’s Department

of Public Health Education.

To learn more, go to

NorthShoreLIJ.com. Click on

“Classes,” then “Community

Wellness, Parenting or CPR,”

or call 516-465-2500 for a

brochure. Sorry, no phone

registrations.

LAMAZE CHILDBIRTH

For expectant mothers and

their partners.

Instruction in stages of labor,

role of labor partner, relaxation

and pushing techniques,

hospital admission procedures,

anesthesia/analgesic

options, cesarean and vaginal

birth after cesarean and postpartum

expectations.

Class includes a tour of postpartum

and nursery units.

Lamaze instruction must be

completed two weeks prior to

expected delivery date.

$175 per couple

Weekends: Saturday or Sunday

(one session)

9 a.m. to 5 p.m.

Weekends: Saturday and

Sunday (two sessions)

9:30 a.m. to 2:30 p.m.

Weekdays (three sessions)

7 to 10 p.m.

BREAST-FEEDING I:

THE BASICS

Expectant mothers and their

partners can learn about

breast-feeding techniques,

facts and myths. Bring a baby

doll or stuffed animal.

7 to 9:30 p.m.;

$40 per person/$65 per couple

BREAST-FEEDING II:

BEYOND THE BASICS

For expectant and new mothers

and their partners. Covers

bottle use, returning to work

and breast pumping.

7 to 9:30 p.m.; $40 per

person/$65 per couple

BABY CARE BASICS

Expectant parents, grandparents

and childcare providers

can learn about characteristics

of the newborn, feeding,

bathing, diapering, cord and

circumcision care, temperature

taking, baby equipment,

safety, sleep and immunization.

Bring a baby doll.

7 to 9:30 p.m.;

$50 per person/$75 per

couple

BABY SAFE

Topics include creating a safe

home environment for baby,

home emergencies and basic

first aid for bleeding, burns,

fractures, shock and poisoning.

7 to 9 p.m.;

$20 per person/$35 per couple

CARDIOPULMONARY

RESUSCITATION (CPR)

Cardiopulmonary resuscitation

(CPR ) is a technique that

revives victims of cardiovascular

emergencies by helping to

maintain blood flow to the

victim’s heart and brain.

The North Shore-LIJ Health

System’s awardwinning

Department of Professional and

Public Health Education offers

CPR courses tailored for babies,

children and adults.

Courses include instruction

in CPR and foreign-body

airway obstruction clearance

techniques.

Mets’ Murphy Visits Cohen

INFANT CPR

CPR for newborn to 1-yearold

children.

$45 per person/$75 per couple

INFANT/CHILD CPR

CPR for newborn to 8-yearold

children.

$45 per person/$75 per couple

ADULT CPR

Adult course includes a

take-home kit with inflatable

mannequin, practice DVD,

American Heart Association

booklet and accessories.

$55 per person

The Katz Womens’ Hospital

in New Hyde Park offers

childbirth preparation classes,

breast-feeding education, baby

care programs and orientation

tours of the Maternity Unit.

For more information, call the

Parents’ Education Office at

(718) 470-5134.

New York Mets’ first baseman Daniel Murphy recently paid a visit to Cohen Children’s Medical Center of New

York, putting a smile on the faces of children and family members as he signed baseballs and hats for Joseph

Lacasse, left, and his father Joseph of Syosset, and Lucas Shannon of Williston, being held by his grandmother.

The 26-year-old Murphy hit .320 last year for the Mets, the second-highest batting average on the team.

The New Standard 57


kudos

Mauricio Alarçon, analyst in the North Shore-LIJ Health

System’s Office of the Chief Information Officer, was a member of

one of the winning teams, Team greatOne, which placed third in

the popHealth Tool Development Challenge. The competition was

launched in the fall of 2011 as part of the Office of the National

Coordinator for Health Information Technology’s Investing in

Innovation (i2) initiative.

The title of Master of the American College of Physicians

was bestowed on Jack Ansel, MD, chairman of the Department of

Medicine at Lenox Hill Hospital, in recognition of his outstanding

and extraordinary career accomplishments. He received the title at

a convocation ceremony during the American College of Physicians’

Annual Meeting, Internal Medicine 2012, held in New Orleans.

Michael S. Aronoff, MD, a long-standing voluntary attending

in the Department of Psychiatry at Lenox Hill Hospital and host

of a two-hour interview and call-in program, The Psychiatry Show, on

SiriusXM Doctor Radio, presented a paper titled “Terrorism: The

Ecstasy of Hatred” at the Annual Tristate American Academy of

Psychiatry and the Law (SSPL) Forensic Psychiatry Conference in

San Juan, Puerto Rico, in December 2011.

Louis-Jean Auguste, MD, a surgeon with privileges at North

Shore University Hospital (NSUH) and LIJ, co-authored two

abstracts accepted for publication at the Society of Surgical

Oncology meeting in Orlando, FL, this spring: “Gastric Cancer

Surgery in a Low Volume Center – Are Long Term Outcomes

Comparable?” andHave Outcomes in Gastric Adenocarcinoma

Improved over the Last Decade? A 20-Year Retrospective Review.”

Patrick Basu, MD, chief of gastroenterology and gastrointestinal

endoscopy at Forest Hills Hospital, and Sakina Farhat, MD, thirdyear

medical resident, recently lectured on “Effect of Vitamin E

and Alfa Lipoic Acid (ALA) in Non Alcoholic Fatty Liver Disease:

A Randomized, Placebo Controlled Open Label Prospective

Clinical Trial — VAIN Trial” at the Annual Scientific Meeting of the

American College of Gastroenterology (ACG) in Washington, DC,

and received the ACG Auxiliary Award for the best scientific paper

by physicians in training or by a fellow/member of the ACG. They

also received the ACG 2011 Presidential Poster Award for “Single

Use of Romilopostim Thrombopoietin Analogue (TPO) in Severe

Thrombocytopenia for Outpatient Percutaneous Liver Biopsy in

Patients with Chronic Liver

Disease (CLD).”

Catherine Blotiau,

coordinator of the health system’s

Department of Public Health

Education and Nassau County’s

58 Summer 2012

Safe Kids coordinator, was one of the leaders of a “Train the

Trainers” session held in Levittown in February. The trainees were

16 Circle Kers, members of Circle K International, a Kiwanis

service organization that is open to college and university students.

The lessons included bike and helmet safety, fire safety, water safety,

pedestrian safety and how to call 9-1-1.

Leigh Briscoe-Dwyer, PharmD, RPh, chief pharmacy and

medical safety officer for the North Shore-LIJ Health System, has

been named to the Executive Committee of the New York State

Board of Pharmacy, which regulates the practice of pharmacy in

the state. She is in line to chair the board in 2015.

Alan Cooper, PhD, vice president of learning and innovation

for the North Shore-LIJ Health System, associate dean for

knowledge management and associate professor of science education

and population health at the Hofstra North Shore-LIJ School of

Medicine, has been named associate editor for the Leadership

and Organizational Development (LOD) collection of the MedEd

PORTAL of the Association of American Medical Colleges (AAMC).

The LOD collection is an online repository of innovative materials

pertaining to leadership development and its relationship to

improved organizational performance.

Nick Fitterman, MD, FACP, FHM, has been elected governor

of the American College of Physicians (ACP) for the Long Island

Region. Dr. Fitterman, medical director of the newly established

Group Health Management and former director of hospitalist

services and chief of staff at Huntington Hospital, began a oneyear

term as governor-elect in April, to be followed by a four-year

term as governor.

Steven Fishbane, MD, director of research in the Department

of Medicine, North Shore University Hospital and LIJ Medical

Center, and vice president of network dialysis services, North

Shore-LIJ Health System, was elected to the Board of Directors

of the Renal Physicians Association (RPA), an association of

5,000 nephrologists. He also serves on their Government Affairs,

Anemia and Quality, Safety and Accountability Committees.

Sajith Foustin, MD, and Lynn Ang, MD, medical residents

at Forest Hills Hospital, presented three posters at the Annual

Scientific Meeting of the ACG in Washington, DC. The posters

were: “Effect of Interferon Alpha on Parathyroid Gland in Chronic

Hepatitis B and C”; “Serum Retinol

Binding Protein 4 (RBP) Is a

Unique Surrogate Marker of End

Stage Liver Disease” and “Irritable

Bladder Syndrome (IBS) Is a Part of

Functional Bowel Syndrome (FBS).”


Marianne Frieri, MD, PhD, attending physician in medicine

and pediatrics for the North Shore-LIJ Health System, presented a

symposium entitled “Update on Asthma Pathogenesis, Treatment

and Airway Remodeling” at the 2012 Eastern Regional Meeting of

the American Federation for Medical Research in Washington, DC.

Christine Ginocchio, PhD, chief of microbiology at the North

Shore-LIJ Health System Core Laboratory, is pictured on the cover

of the April 2012 issue of CAP Today, a publication of the College of

American Pathologists, and was interviewed for a feature article. She

called this “an excellent time to be working in infectious diseases.”

Ariel T. Goldman, MD, orthopedic traumatologist at NSUH

and LIJ, was recently inducted as a fellow of the American Academy

of Orthopaedic Surgeons.

Gady Har-El, MD, chairman of the Department of

Otolaryngology-Head and Neck Surgery at Lenox Hill Hospital,

was elected secretary of the American Laryngological Association

(ALA), one of the oldest subspecialty organizations in the

world. Dr. Har-El, who also served in the past as president of

the ALA’s sister society, the American Broncho-Esophagological

Association, was elected during the recent ALA Annual Meeting

in San Diego. He will serve a four-year term.

Cynthia Harden, MD, chief of epilepsy and

electroencephalography at the Cushing Neuroscience Institute, has

coauthored an article published in a recent issue of Neurology, the

prestigious medical journal of the American Academy of Neurology

(AAN). The article issues an updated guideline that recommends

monitoring the spinal cord during spinal surgery and certain

chest surgeries to help prevent paralysis or loss of muscle function

related to the surgeries.

Clarita Herrera, MD, received the 2012 Bertha Van Hoosen

Award at the 97th annual meeting of the American Medical Women’s

Association (AMWA) in Miami. The annual award honors a woman

physician who has been an active member of the association for at

least five years and who has demonstrated exceptional leadership

and service to AMWA. The award is named in honor of Bertha Van

Hoosen, MD, who founded AMWA in 1915.

Warren Huberman, PhD, affiliate clinical psychologist

in the Department of Psychiatry at Lenox Hill Hospital, has

written a book titled Through Thick & Thin: The Emotional Journey of

Weight Loss Surgery.

Employee Development Efforts Get Some Bling

The North Shore-LIJ Health

System’s investment in staff

development recently received

high praise from the Brandon Hall

Group. The research and analysis

organization recognized Corporate

Human Resources’ High Potential

Program with the Gold Award for

Excellence in Talent Management for

Leadership Training.

In addition, the health system

was designated a member of the

program’s Elite 8 for superior

demonstration of organizational

leadership. It is the program’s highest

recognition – and North Shore-LIJ

was the only healthcare organization

selected for it. The North Shore-LIJ

High Potential Program began in 2008

to identify, develop and fast-track the

organization’s top performers. To date,

the program has had 444 participants

with a retention rate of 90 percent.

Furthermore, North Shore-LIJ

was recently named one of the 50

Most Engaged Workplaces in the US

by Achievers, a national organization

dedicated to developing solutions

to reward workforce performance.

The award recognizes employers that

demonstrate superior leadership

and innovation toward engaging

employees and commitment to

creating thriving work environments.

Joseph Cabral, center, senior vice president and chief human resources (HR)

officer for the health system, accepted the award at the 50 Most Engaged

Workplaces Gala. Accompanying him were Lisa D’Ambruoso, left, senior specialist

of HR project content; and Claudine Cangiano, senior director of HR.

The New Standard 59


kudos

Andrew Jacono, MD, section head of facial plastic and

reconstructive surgery at NSUH, presented lectures at several

national meetings, including “Minimal Access Deep Plane

Extended Face Lift” and “Utilizing a New Classification of

Midfacial Aging to Direct Treatments in Midfacial Rejuvenation” at

the American Academy of Facial Plastic and Reconstructive Surgery

Nation Rejuvenation of the Aging Face Course in San Diego.

Ramtin Kassir, MD, FACS, otolaryngologist and facial

plastic and reconstructive surgeon at Lenox Hill Hospital, was

the primary investigator for the original research report “Intense

Pulsed Light for the Treatment of Rosacea and Telangiectasias,”

which was recently published in the Journal of Cosmetic and Laser

Therapy, as well as for “Extensive Necrosis After Injection

of Hyaluronic Acid Filler: Case Report and Review of the

Literature,” recently published in the Journal of Cosmetic Dermatology.

In addition, in January 2012, Dr. Kassir received his third board

certification, this one in sleep medicine.

Seymour Katz, MD, an attending gastroenterologist at North

Shore University Hospital and LIJ Medical Center, recently

received the 2011 Distinguished Physician Lifetime Achievement

Award from the Crohn’s and Colitis Foundation of America for

his contributions to the management of patients with inflamma-

Elaine Smith Is National Finalist

In Nursing Spectrum Competition

At the Nursing Spectrum gala in Teaneck, NJ, in

June, it was announced that Elaine Smith, RN, MSN,

North Shore-LIJ’s vice president for nursing education,

is a regional winner and has moved on to the national

level in the 2012 Nursing Spectrum Nursing Excellence

competition. The national winners will be announced in

the fall. Ms. Smith was a regional finalist in the Education &

Mentoring category; three other regional finalists representing the North

Shore-LIJ Nursing Leadership team were Lily Thomas, RN, the health system’s

vice president for nursing research and evidence-based practice, and Cari

Quinn, RN, MSN, associate executive director for patient care services at

Cohen Children’s Medical Center (CCMC), both in the Advancing & Leading

the Profession category, and Lory Tortelli, BSN, RN, director of patient

care services at North Shore-LIJ’s Goldman Diagnostic Imaging Center, in

Community & Ambulatory Care.

60 Spring 2012

tory bowel disease and the education of physicians on the subject.

He also delivered the keynote address at the annual meeting of the

American College of Gastroenterology and received the Edward J.

Berk Distinguished Lecturer Award.

Andrew Roberts, director of the North Shore-LIJ Health

System’s Office of Military and Veterans Liaison Services,

administrator of the Rosen Family Wellness Center and project

director for the soon-to-be-opened Unified Family Behavioral

Health Center, a joint endeavor with the US Department of

Veterans Affairs, has been appointed to the New York State

Council on Returning Veterans and Their Families. The Rosen

Center has been providing no-cost behavioral healthcare to law

enforcement, military, veterans and their families since 2006

and the Unified Family Behavioral Health Center will provide

collaborative services to veterans and their families. He has also

been appointed to the New York Community Trust Veterans Fund

Advisory Committee, comprising representatives from public

agencies, nonprofit organizations and veterans’ advocates, which

assesses the status of veterans’ services, determines where private

dollars can be most useful and develops grant strategies.

José A. Rodriguez, MD, orthopedic surgeon and section chief of

adult reconstruction at Lenox Hill Hospital, recently cowrote “Long-

Term Results of Arthroscopic Labral Debridement: Predictors of

Outcomes” for Orthopedics. He was also a podium co-presenter at the

Eastern Orthopedic Association 2011 Annual Meeting in Kingsmill,

VA. The topics included: “Fixation of Unstable Intertrochanteric

Fractures in Internal Rotation: An Important Predictor of Fracture

Union,” “Metaphyseal Sleeves in Revision TKA with Bone Loss –

Does Cementation Have a Role?” and “Sexual Function Before and

After Primary Total Hip and Knee Arthroplasty.”

Elise M. Ross, the Hospice Care Network’s vice president

for human resources, received the Joseph C. Duffy Lifetime

Achievement Award from the Society of Human Resource

Management’s Long Island Chapter.

Jesse Roth, MD, diabetes researcher at The Feinstein Institute

for Medical Research, was presented with an honorary doctoral

degree by Ben-Gurion University of the Negev at the 42nd Board

of Governors Meeting held recently in Beer-Sheva, Israel. Dr.

Roth is professor of medicine at the Hofstra North Shore-LIJ

School of Medicine. He is also a professor at the Elmezzi Graduate

School of Molecular Medicine, and an investigator at the Laboratory

of Diabetes & Metabolic Disorders, both of which operate in

collaboration with the Feinstein.


Carlos E. Ruiz, MD, PhD, director of the structural

and congenital heart disease program of the Department of

Interventional Cardiology at Lenox Hill Hospital, recently wrote

“Optimizing Transcatheter Aortic Valve Sizing and Minimizing

Vascular Complications,” and cowrote “Percutaneous Closure

of Periprosthetic Paravalvular Leaks,” “Clinical Outcomes in

Patients Undergoing Percutaneous Closure of Periprosthetic

Paravalvular Leaks” and “Clinical Experience with Percutaneous

Left Ventricular Transapical Access for Interventions in Structural

Heart Defects: A Safe Access and Secure Exit” for the Journal of the

American College of Cardiology. In addition, he coauthored “Vacuum

Thrombectomy of Large Right Atrial Thrombus” for Catheterization

Cardiovascular Interventions, “Percutaneous Mitral Valve Treatment” for

Minerva Cardiologica, and “Use of Multi-Modality Imaging in a Patient

with a Persistent Left Superior Vena Cava, Partial Anomalous

Pulmonary Venous Connection, and Sinus Venosus-Type Atrial

Septal Defect” for the European Heart Journal.

Neil Sanghvi, MD, cardiologist and cardiac electrophysiologist

at Lenox Hill Hospital, recently wrote “Mechanisms and Application

of Cardiac Cryoablation” for EP Lab Digest.

Giles R. Scuderi, MD, vice president of orthopedic services

for the North Shore-LIJ Health System, coauthored several

chapters of the 2012 edition of the textbook Surgery of the Knee.

These include “Surgical Approaches in Total Knee Arthroplasty,”

“Posterior Cruciate Ligament Substituting Total Knee Arthroplasty,”

“Complications of Total Knee Arthroplasty” and “Revision of

Aseptic Failed Total Knee Arthroplasty.” Dr. Scuderi and

Nicholas A. Sgaglione, MD, chair of orthopedic surgery at

NSUH and LIJ, were recently named to the “125 Outstanding

Knee Surgeons” list published by Becker’s Orthopedic, Spine & Pain

Management Review.

Michael Setzen, MD, FACS, FAAP, chief of rhinology at NSUH,

recently served as program organizer and scientific chairman for

the December 2011 meeting of the American College of Surgeons,

co-sponsored by the Nassau Surgical Society and the Brooklyn

Long Island Chapter. The keynote speaker was Mike Francesa of

WFAN’s “Mike and the Mad Dog” and “Miked Up” programs. This

year’s attendance set a record of

510 surgeons, many from the

North Shore-LIJ Health System.

Terence Smith, administrator

of Huntington Hospital’s

Dolan Family Health Center, was

Kanti Rai, MD,

Receives ASCO Award

Kanti R. Rai, MD, BS, one of the Special Awards

Honorees of the American Society for Clinical Oncology, is the

recipient of the 2012 David A. Karnofsky Memorial Award and

Lecture for his outstanding achievements in

cancer research and for his influence on the

treatment of patients with cancer. Dr. Rai is

chief of the North Shore-LIJ Health System’s

Chronic Lymphocytic Leukemia Research and

Treatment Program and the Joel Finkelstein

Cancer Foundation Professor of Medicine at

the Hofstra North Shore-LIJ School of Medicine, where he

also holds the title of professor of molecular medicine. As an

investigator with The Feinstein Institute for Medical Research,

Dr. Rai is known for establishing the Rai clinical staging system

for chronic lymphocytic leukemia (CLL), which is based on an

analysis of how the body is affected by the abnormal lymphocytes.

Giles Scuderi, MD,

Knee Society President

Giles R. Scuderi, MD, vice president of orthopedic

services for the North Shore-LIJ Health System and an

attending at Franklin and Lenox Hill Hospitals, was recently

appointed president of The Knee Society at its Open Meeting

in San Francisco. The Knee Society, founded

in 1983, is a closed-membership organization

of orthopedic surgeons specializing in

treatment of the knee joint. Dr. Scuderi has

served on the society’s executive board for the

last decade in numerous leadership positions.

He also chaired the Society’s Research

Committee and plays an instrumental role in the development

and worldwide distribution of The 2011 Knee Society Scoring

System © , a universally recognized outcomes measurement tool.

one of the honorees at the Leadership Huntington gala and graduation

of the class of 2012 in April, receiving the Community Leadership

Award. He is described by Leadership Huntington as a “passionate

advocate for affordable community healthcare.” The Dolan

Family Health Center opened its doors in October 1995 as Long

Island’s only privately owned, charitably supported, free-standing

facility dedicated to providing primary and preventive healthcare to

uninsured and underinsured families.

The New Standard 61


kudos

Donald Tanenbaum, DDS, section head of the Division of

Orofacial Pain/TMD/Dental Sleep Medicine in the Department

of Dental Medicine at LIJ and clinical assistant professor at the

Hofstra North Shore-LIJ School of Medicine, has written a new

book, Doctor, Why Does My Face Still Ache?, which provides information

and solutions for the 75 million Americans suffering intense ear,

teeth and jaw pain, which can also cause severe headaches, loud

snoring and sleep problems.

A research study led by Lily Thomas, RN, North Shore-LIJ

vice president for nursing research and evidence-based practice,

which was conducted at NSUH, is the basis for an article that

appeared recently in the American Journal of Hospice and Palliative Care

Nursing. Kathy Trombley, RN, and Mary Brennan, RN, of NSUH,

brought to Ms. Thomas’s attention their observations that patients

in the Palliative Care Unit developed what appeared to be pressure

injuries within hours or days of their death, and she helped

them design the study. Discovery of what has been named the

Trombley-Brennan pressure injury is a major breakthrough in

understanding pressure injuries.

Kevin J. Tracey, MD, president of The Feinstein Institute for

Medical Research, was inducted into the Long Island Technology

Hall of Fame (LITHF) in May. He was selected for his personal

accomplishments and the accomplishments of researchers at the

Feinstein Institute. “I’m honored to be inducted into the Long

Island Technology Hall of Fame and am proud of the research

conducted at the Feinstein Institute,” said Dr. Tracey. “We work

every day at the Feinstein to study disease so that we can cure

disease, and this kind of recognition is very much appreciated.”

Sung K. Min, chair of the board of directors of the Korean-

American Association of Greater New York (KAAGNY), recently

presented Mark Solazzo, executive vice president and chief operating

officer of the North Shore-LIJ Health System, with an appreciation

award in recognition of the health system’s support of KAAGNY’s

recent gala celebrating its 52nd anniversary. In addition, KAAGNY

presented Emily Kao, RPh, associate executive director at North

Shore University Hospital, with its Person of the Year Award.

Adrianna Vlachos, MD, a pediatric oncologist/hematologist

at Cohen Children’s Medical Center (CCMC), and Jeffrey M.

Lipton, MD, PhD, chief of hematology/oncology at CCMC and

head of the Feinstein Institute’s Susan & Herman Merinoff Center

for Patient-Oriented Research, were among the coauthors of

“Cancer Surveillance Defines Diamond Blackfan Anemia (DBA)

62 Summer 2012

As a Cancer Predisposition Syndrome,” which received the award

for best abstract in the general category of epidemiology at the 2nd

National Conference on Blood Disorders in Public Health held in

March in Atlanta.

Robert Waldbaum, MD, has received a 50-year citation from

the Nassau County Medical Society. Dr. Waldbaum is chairman

emeritus of urology at North Shore University Hospital, where he

was the hospital’s first chairman of urology and served as director

of urology for more than 30 years.

Bruce Zagelbaum, MD, FACS, has co-authored a book chapter

in the ophthalmology textbook series Duane’s Clinical Ophthalmology,

published by Lippincott Williams & Wilkins. The chapter is

titled “Surgical Management

of Anterior Segment Trauma.”

Another book coauthored by

Dr. Zagelbaum, Ophthalmic Surgical

Procedures, was recently published

in a Portuguese language

translation.

Eli Cometh

Super Bowl champion New York Giants’ quarterback Eli Manning was the

keynote speaker at North Shore University Hospital’s Medical Staff Society

Annual Meeting May 14 at the Garden City Hotel. Among those welcoming him

were Carole Moodhe, MD, right, the medical staff society’s president. State

Health Commissioner Nirav Shah, MD, also addressed the packed house.


Project Sunshine

Honors Michael Dowling

Michael Dowling, president and CEO of the North Shore-LIJ Health System (left),

was the honoree at the recent benefit celebration of Project Sunshine, held at

Cipriani Wall Street in Manhattan. Project Sunshine is a nonprofit organization

that provides free educational, recreational and social programs to children and

families living with medical challenges. Pictured with Mr. Dowling is Bernard

Rosof, MD, chair of the Board of Directors of Huntington Hospital and a member of

the Executive Committee of the North Shore-LIJ Health System Board of Trustees.

NEW HYDE PARK — For

the sixth consecutive year, the

Steven and Alexandra Cohen

Children’s Medical Center of

New York (CCMC) has been

ranked among the best children’s

hospitals in the nation in US

News & World Report’s 2012-13

“America’s Best Children’s

Hospitals” survey.

CCMC placed among

the top 50 hospitals in seven

different pediatric specialty

areas surveyed in the magazine’s

annual rankings, specifically:

cancer, diabetes and

endocrinology; neonatalogy;

nephrology; neurology and

neurosurgery; pulmonology

and urology. The hospital was

ranked 16th in the nation for

pediatric urology, its highest

placement in the survey.

The U.S. News Rankings

are based on a hospital’s

reputation, medical outcomes

such as death and infection

rates, and care-related

New MPH Program

at Hofstra

HEMPSTEAD — In collaboration with the North Shore-LIJ Health System and the

Hofstra-North Shore LIJ School of Medicine, Hofstra University has created a

Master of Public Health (MPH) program scheduled to begin September 4.

Hofstra is accepting applications and enrolling students through mid-

August. The MPH program offers an innovative, interdisciplinary curriculum and

advanced training for the next generation of health professionals. The faculty

includes clinicians, practitioners, researchers, policymakers and policy analysts

from Hofstra’s programs in health professions, the North Shore-LIJ Health

System and the medical school. Their combined decades of experience provide

students with a strong academic foundation and the practical preparation

necessary to meet the challenges of increasingly complex and changing health

care policy reforms.

Advanced training in public health enables healthcare professionals to

identify risks to health and prevention strategies and interventions earlier in

the disease process, leading to a more efficient and effective health system.

The program is designed to accommodate full-time professionals, and can be

completed on a part-time basis in less than three years. For more information

about this dynamic new program go to www.hofstra.edu/publichealth or contact

Hofstra University’s Office of Graduate Admissions at www.hofstra.edu/graduate

or 1-866 -GRADHOF.

US News Ranks Cohen Among America’s Best

Children’s Hospitals for Sixth Straight Year

indicators such as patient

volume, nurse staffing and

availability of specialized

programs. The magazine’s

“Best Children’s Hospitals”

edition is accessible online

at www.usnews.com/

childrenshospitals.

The US News & World Report

rankings provide unparalleled,

quality-related information

and serve as an invaluable

guide for parents looking

to make decisions regarding

high quality healthcare for

their children,” said Kevin

McGeachy, CCMC’s executive

director. “Being ranked for

six straight years as one of

the nation’s best pediatric

hospitals is testament to the

excellent care provided by our

physicians and nurses. It is

one of the reasons the Cohen

Children’s Medical Center

is a destination hospital for

children from around the

world.”

The New Standard 63


Franklin to Expand Care to JFK

VALLEY STREAM — Franklin Hospital

is providing additional around-theclock

healthcare services for JFK

International Airport staff and patrons,

as part of a new clinical affiliation

agreement with Airport Medical Offices

(AMO). The agreement enhances the

services provided by AMO by offering

airport employees and patrons an

additional treatment site and greater

access to care — including inpatient,

outpatient and emergency services —

at Franklin Hospital, a short distance

from the airport.

In case patients require

specialized treatment, they will

now have 24/7 access to the full

Photo courtesy of NYRR

64 Summer 2012

range of services offered by

Franklin Hospital and the North

Shore LIJ Health System, including:

cancer care, cardiology, wound

care, neurology, orthopedics, pain

management, psychiatry, radiology,

rehabilitation and surgery. Franklin

and AMO will also partner to provide

preventive care, health and wellness

information and screenings at the

airport and local venues. “We are

pleased to partner with AMO to bring

a comprehensive array of specialty

care to those who work and live in

and around our shared communities,”

said Catherine Hottendorf, RN,

new executive director of Franklin

Hospital. “Our physicians, nurses

and clinical and administrative staff

are looking forward to providing

high-quality, compassionate care to

AMO patients.”

AMO caters to the healthcare

needs of employees, travelers and

those that reside in the surrounding

communities. The program provides

a full range of healthcare services,

including all aspects of occupational

health and medical treatment for

accidents, injuries and illnesses

in the workplace, primary care,

internal medicine, family practice

and urgent care, and AMO clinicians

will also become credentialed to care

Health System

Helps Kick Off

City Parks Event

Staff from Lenox Hill Hospital, the

Manhattan Eye, Ear and Throat

Hospital (MEETH) and the North

Shore-LIJ Health System were out

in force in April during the City

Parks Foundation’s annual Run

for the Parks in Central Park. The

four-mile race, sponsored by North

Shore-LIJ, which kicked off the

running season in New York City,

has the distinction of being the

largest one-day running event in

Central Park. There was also a kids’

race (top). Lenox Hill and MEETH

staff provided free blood pressure

screenings and pocket-sized

sunscreen to the more than 7,000

runners who turned out and other

participants. In the bottom photo,

Jennifer Mieres, MD, left, senior

vice president of North Shore-LIJ’s

Office of Community and Public

Health, greeted the race’s overall

winner, Ro Crispin, of Clifton,

NJ, who burned up the course in

20:26 – a 5:07 pace.

for patients at Franklin Hospital.

Patients are welcome 24 hours a

day, seven days a week and Airport

Medical participates with most major

insurance plans.

The affiliation with Franklin

Hospital provides our patients

with access to the highest levels of

specialty care available,” said Thomas

D. Kelliher, Esq., executive director

of AMO. “We are proud to work with

such a top-notch team of healthcare

professionals and happy to advance

our mission to provide timely access

to exceptional healthcare, coupled

with extraordinary convenience, to

our patients.”


life SAVER

Employee

Blood Drives

7/10 Franklin Hospital

7/11 Glen Cove Hospital

7/11 SIUH South

7/12 Plainview Hospital

7/17 NSUH

7/17 SIUH North

7/18 NSUH

JULY

7/19 Center for Advanced Medicine

(CFAM)

7/19 Administrative Offices-

Westbury

7/25 SIUH Pouch

7/27 Corporate Offices-

Lake Success

8/8 SIUH North

8/15 Physician and Ambulatory

AUGUST

Network Services (PAANS)

8/15 SIUH South

8/23 Southside Hospital

8/24 Forest Hills Hospital

Lenox Hill Auxiliary Hosts Luncheon

Holly Phillips, MD, of CBS “This Morning,” was the moderator at Lenox Hill Hospital’s annual A Healthy Give &

Take luncheon, held in April at the New York Historical Society and hosted by the hospital’s Auxiliary. Now in

its fourteenth year, the luncheon was attended by over 225 people; this year’s theme was “Stents, Statins and

Supplements…Oh My.” The program focused on advances being made in cardiac and vascular medicine, with an

expert panel of hospital physicians discussing steps we can take to promote good health. Above, from left, are

panel members Maja Zaric, MD, Tara Narula, MD, and Lara Oboler, MD, with moderator Holly Phillips.

North Shore-LIJ: A Great Place to Work

Becker’s Hospital Review and Becker’s ASC Review have again selected the North Shore-LIJ Health

System as one of the 100 Great Places to Work in Healthcare. Making the list for the second

consecutive year, North Shore-LIJ was chosen for its “demonstrated excellence in providing

robust benefits, wellness initiatives, professional development opportunities and atmospheres

of employee unity and satisfaction.”

Several factors earned North Shore-LIJ a spot on the list, including:

o the opening of the new Hofstra North Shore-LIJ School of Medicine;

o professional development courses offered through the health system’s Center for

Learning and Innovation;

o extensive tuition reimbursement for advanced college degrees, including a master’s

program in healthcare or quality management at Hofstra University, as well as a nursing

doctorate program;

o programs to identify, develop and fast-track its top performers;

o a wellness program that offers Zumba, yoga, guided imagery, meditation, nutrition and

other fitness classes to employees; and

o the introduction of a new “CEO Chat” in which President and CEO Michael Dowling

addresses the workforce.

To see a full list, go to: www.beckershospitalreview.com and type “best workplaces” in the search.

The New Standard 65


Hospital and Clinical Leadership Changes

North Shore-LIJ President and Chief Executive Officer Michael

Dowling and Chief Operating Officer Mark Solazzo recently

announced the following changes to the health system’s hospital

and clinical leadership teams:

Winifred Mack, RN, BSN, has been

named regional executive director for the

health system’s Eastern Region, which

includes Franklin, Huntington, Plainview,

Southside and Syosset Hospitals. Ms.

Mack’s responsibilities include coordinating

activities within the region to focus on

building physician partnerships and looking

for new opportunities for growth and investment.

She succeeds Deborah Tascone, RN, who resigned in March for

health reasons.

Donna Moravick, NP, succeeds Winnie Mack

as executive director of Southside Hospital.

She is responsible for oversight of the hospital

and works closely with members of Southside’s

management team and Ms. Mack as the

regional executive director.

William O’Connell, RN, succeeds Donna

Moravick as vice president for North Shore-

LIJ’s cardiac service line, with oversight for

daily operations of cardiac services at our

tertiary hospitals, community hospitals and

ambulatory sites. Mr. O’Connell is also

responsible for the service line’s financial

and operational performance, and works with

senior administrators and physicians developing

strategic business plans and new programs.

Joseph Manopella has been named vice

president of Physician and Ambulatory

Network Services (PAANS) regional strategy

and business development. He is responsible

for creating regional physician strategy,

working with Deborah Schiff, PAANS’ vice

president of strategy and business development.

Catherine Hottendorf, RN, succeeds

Joe Manopella as executive director of

Franklin Hospital. She oversees day-today

administration of the hospital and is

responsible for finance, operations, quality,

patient satisfaction and staff performance.

66 Summer 2012

Patricia Farrell, RN, succeeds Cathy

Hottendorf as associate executive director

of patient care services at Southside. As

the hospital’s chief nursing officer, she has

oversight for all nursing services, including

strategic planning, budget management and

regulatory compliance.

Eileen Lovett, currently the vice president

of ambulatory services at PAANS at Lenox

Hill Hospital, has been named vice

president of physician administration at

Staten Island University Hospital. She has

oversight for SIUH physician relations.

Joseph Baglio, currently the deputy

executive director at Plainview Hospital, has

been appointed assistant vice president of

physician administration at Lenox Hill

Hospital, succeeding Eileen Lovett. He

is responsible for managing day-to-day

physician partnerships and relationships

with the hospital’s faculty.

Ann Roderick, RN, currently the assistant

director of cardiology services at LIJ Medical

Center, has been appointed director of

cardiac services at LIJ Medical Center,

succeeding Pat Farrell. In this role, she

is responsible for patient care, business

development, clinical management, finance

and quality management for the hospital’s

cardiac services.

Cathy Devlin, RN, currently the associate executive director

at Southside, has been named assistant vice president of

perioperative services for the health system. She assists in the

development, coordination and administration of perioperative

services; has oversight for related information systems and

technology; and facilitates quality improvement initiatives.

Please join us in congratulating these individuals and wishing

them success in their new positions.


PAANS Expands to Meet Community Needs

MANHASSET — As the North Shore-LIJ Health System adapts to meet the future

needs of the communities it serves throughout the metropolitan area, there

has been a major focus on the evolution of our clinical and business models.

Physician and Ambulatory Network Services (PAANS) continues to play a major

role in this realignment as the paradigm shifts from providing care in the

traditional hospital setting to an even greater focus on the care provided outside

of the hospital.

In the four years since PAANS was established, its network has grown from

a budget of $450 million to $1.1 billion this year. During this same period, PAANS

has grown from 3,200 employees to more than 4,700, with a 34 percent increase

in employed physicians. The health system now has more than 2,400 full-time

physicians geographically dispersed over nearly 250 inpatient and ambulatory

facilities – and those numbers continue to grow. In a recent issue of Modern

Healthcare magazine, the North Shore-LIJ Medical Group was ranked as the

nation’s sixth-largest group practice, larger than the Mayo Clinic and numerous

other nationally recognized providers.

“We would like to acknowledge and express our appreciation for the

work and efforts of the clinical leadership of the Medical Group in guiding and

developing this rapid growth in size and scope of services,” said Dennis Dowling,

regional executive director of PAANS.

PAANS’ expansion requires the health system to work differently to ensure

that it meets the needs of its integrated network of employed physicians,

ambulatory care centers, state-of-the-art tertiary care facilities, premier local

community hospitals, nationally ranked specialty care hospitals and, most

importantly, its patients. To support those efforts, PAANS is adding talent and

building the infrastructure needed to position it for continued success.

The following individuals were recently appointed to work with PAANS’

leadership — Dennis Dowling, Deborah Schiff, Sharon Joy, Kim Schneider,

Rosalie Long and Andrew Sama, MD, chair of the North Shore-LIJ Medical Group’s

Executive Committee — to help lead the transformation and continued growth:

Joseph Moscola, PA-C, MBA, has been promoted to

vice president of ambulatory services. He joins PAANS

from his previous role as director of corporate services

system operations. In his new role, he oversees the

development, integration and coordination of ambulatory

operations, affiliated relationships, marketing,

communications and operational responsibilities. These

include both financial and strategic planning activities.

Mr. Moscola reports to Mr. Dowling.

Susan Browning, BA, MPH, has been named vice

president of ambulatory services. Her previous role

was at Staten Island University Hospital as senior

vice president of business development and practice

management. In her new role, she oversees the

day-to-day program development of the ambulatory

sites established throughout the health system, with a

focus on capital and facilities. Ms. Browning reports to

Deborah Schiff, PAANS’ vice president of strategy and

business development.

Anne Arthur, BS, MBA, has been promoted to

assistant vice president of ambulatory services. She

joins PAANS from Southside Hospital, where she was

director of access management and patient throughput.

In her new position, she is working on the coordination

of ambulatory services for PAANS. She is responsible for

the oversight of the financial integration of our multispecialty

centers, as well as directing the development,

coordination and administration of daily practice and

ambulatory operations. She reports to Mr. Moscola.

Lenny Nartowicz, BS, MBA, has been appointed

assistant vice president of finance business plan

modeling. In his previous role, he was associate

executive director of finance at The Zucker Hillside

Hospital. He is overseeing the daily financial

operations of PAANS, including budget preparation,

business plan modeling and the integrity of financial

statements. Mr. Nartowicz reports to Sharon Joy,

PAANS’ vice president of finance.

Randi Mednick, BS, MHA, has been promoted to

assistant vice president of the obstetrics/gynecology

service line. She was previously senior director of

business development for post-acute services and

director of the health system’s cardiovascular service

line. Her new responsibilities focus on building an

infrastructure for the ob/gyn service line, including:

oversight of existing operations, strategic development

and implementation of new practices and helping our

hospitals integrate new opportunities. Ms. Mednick reports to Adiel Fleischer,

MD, the health system’s chair of ob/gyn.

Patricia Dillman, RN, has been appointed assistant vice president of

ambulatory services. She joins PAANS from Columbia University Medical Center,

where she was director of clinical operations of the hospital’s faculty practice

organization. In her new role, Ms. Dillman will be a key member of the PAANS

transformation team, preparing practices to meet the challenges for delivering

and coordinating care within the ambulatory setting. She reports to Rosalie Long,

PAANS’ vice president of ambulatory services.

The New Standard 67


Executive Appointments

Barbara Felker has been named vice president of community

and external affairs, reporting to Jennifer Mieres, MD, in the

North Shore-LIJ Health System’s Office of Community

and Public Health. Prior to this appointment,

Ms. Felker served as the vice president for

corporate human resources, overseeing talent

management and talent acquisition.

In her new role, Ms. Felker will develop and

implement community engagement strategies

to enhance the healthcare needs and wellness of

communities served by North Shore-LIJ. As part of

the health system’s diversity, inclusion and health literacy strategy,

Ms. Felker will also develop and implement affinity-based employee

resource groups to create business plans that drive employee

engagement, increase talent retention and serve as ambassadors to

internal and external communities.

Before joining North Shore-LIJ, Ms. Felker held various

leadership positions at companies including New York

Presbyterian’s Morgan Stanley Children’s Hospital and HR

Dynamics Consulting, Inc., and served as the legislative director

for the New York State Senate.

Catherine Galla has been promoted to assistant vice president

for nursing initiatives at the North Shore-LIJ Institute for Nursing.

Ms. Galla has been with the North Shore-LIJ Health System since

1981 in a variety of clinical staff and leadership

positions. In 1999, she transitioned into a project

management position in the Office of the Chief

Nurse Executive, where she coordinated projects

related to standardizing nursing practice across

the health system.

During the past 12 years, Ms. Galla’s role

has expanded to include leadership of large-scale,

patient-care-related process and practice changes

across the system, including the design and implementation of the

clinical information system, IV pump product selection, rollout

of the collaborative care model and the cross-country vendor

management agreement.

Susan Knoepffler, RN, has been named vice

president of nursing and chief nursing officer

at Huntington Hospital. Ms. Knoepffler joins

Huntington from LIJ Medical Center, where she

served as senior administrative director of the

Emergency Department. Ms. Knoepffler began

her 30-year career as a staff nurse in the Neonatal

Intensive Care Unit at North Shore University

Hospital. Career highlights include leadership roles

as administrative supervisor and nursing care coordinator at

St. Francis Hospital before joining LIJ in 2008. In her new

68 Summer 2012

role, Ms. Knoepffler’s top priorities are to enhance the patient

experience, work toward achieving Magnet redesignation and

focus on employee engagement.

Ms. Knoepffler earned a bachelor of science in nursing

from the University of Delaware, and a master’s in public health

administration from Long Island University — CW Post. She

is a certified nurse executive and is a member of the American

Organization of Nurse Executives.

Joseph Molloy has been appointed vice president of managed

care benefits and direct contracting with the North Shore-LIJ

Health System. In this role, he will develop relationships to deliver

North Shore-LIJ’s healthcare services directly

to employers, Taft-Hartley Health Funds and

partnerships with insurance carriers and thirdparty

administrators.

The demand for this position comes as the

health system’s model of care continues to evolve

to focus more specifically on preventing and

managing disease, as well as promoting wellness

and healthy lifestyles. Mr. Molloy will work to deliver

quality, evidence-based care to develop products and services for

employers, union funds and insurance carriers.

Prior to this position, Mr. Molloy served as the health system’s

vice president of benefits and human resources services, overseeing

nearly $1 billion of annual benefits, including the redesign of the

health plan to incentivize the use of system facilities, hospitals and

CIIPA network.

Ms. Diaz Named PA Director

Elizabeth Diaz, PA, has

been appointed director of

physician assistants at North

Shore University Hospital. She

had been supervising PA in the

Department of Surgery for a

year and a half. Ms. Diaz joined

the hospital from St. Vincent’s

Medical Center in Manhattan,

where she served as supervising

PA for four years. She graduated

in 2001 from the Saint Vincent’s

Catholic Medical Center’s PA

Program and holds an MPA

from New York University’s

Robert F. Wagner School of

Public Service.


George Richardson has been named vice president of

development at Huntington Hospital. Most recently, Mr.

Richardson served as executive director of development and alumni

relations at St. John’s University School of Law.

He began his career as an administrator at Mercy

Medical Center, where he was director of

external affairs, and held various fundraising

positions at Hofstra University.

Mr. Richardson is a graduate of Fairfield

University and holds an MBA from Hofstra.

He is a former and current board member of the

Association of Fundraising Professionals/Long Island

Chapter. For the past two years, he has served as a Eucharistic

minister at Huntington Hospital.

GROUP HEALTH MANAGEMENT

North Shore-LIJ has established a new entity called Group

Health Management to work with clinical and administrative

leadership to develop a comprehensive strategy for

addressing the needs of the chronically ill.

This will help the health system transition

to a new value-based Medicare/Medicaid

reimbursement system that rewards wellness

promotion and disease prevention.

Nick Fitterman, MD, is the medical director of

the new entity, and Irina Mitzner, RN, has been

named vice president of clinical operations.

A team of case managers, nurse practitioners, educators and

other health professionals led by Dr. Fitterman and Ms. Mitzner

will identify health system patients who are the largest users of our

services. They will work with their physicians and other caregivers

to pursue better ways of caring for them, beyond traditional

approaches that not only have proven to be inefficient and costly,

but do not produce the clinical outcomes we hope to achieve.

Dr. Fitterman previously served as chief of staff and medical

director of hospitalist services at Huntington Hospital, and

Ms. Mitzner’s former position was as vice president of clinical

operations at the North Shore-LIJ Home Care Network. In their

new roles with Group Health Management, Dr. Fitterman and

Ms. Mitzner will work with Merryl Siegel, executive director of

post-acute services for the health system, and Howard Gold, the

health system’s senior vice president of revenue and business

development, to establish a groundbreaking model for managing

the care. As medical director of this new entity, Dr. Fitterman will

also coordinate activities with Jeremy Boal, MD, the health system’s

chief medical officer.

Duty Calls at 30,000 Feet

For Two NSUH Nurses

from page 9

The flight attendant supplied a portable external

defibrillator, which wasn’t needed because the woman had

a pulse, although she was semi-conscious. The nurses took

her pulse and her blood pressure, which were normal, and as

she seemed to revive a bit lying flat, they asked her some key

questions: Are you a diabetic? Do you have a heart condition?

Any allergies? Are you on medication? Do you have chest pains?

When did you last have something to eat? Something to drink?

“We also did some neurochecks,” said Ms. Kwiatkowski, “like

what’s called A&O (for aware and oriented) times 4: What’s your

name? Where are you? What time is it? What’s happening? She

knew the answers. If it was a stroke, the plane would have had to

divert to the nearest airport, but we ruled that out.”

“She was on an antibiotic for a minor illness, but she said

she hadn’t had anything to eat or drink in a while,” Ms. Smith said.

“I had a hunch that she was dehydrated. The flight attendant

brought us three bottles of water, and the woman drank two

of them and then said she was feeling much, much better. She

got up and sat down, and Connie sat with her and her husband

until we landed. There was only room for one of us, so I went

back to my seat.”

“Her poor husband was an absolute wreck,” said Ms.

Kwiatkowski. “They had been married for more than 50 years,

and he was so afraid for her. In situations like that, you have two

patients: the one who is sick and the one who is about to collapse

with anxiety.

But his wife and I were able to reassure him.”

When the plane landed, the pilot and the co-pilot came out

of the cabin to shake their hands. The pilot arranged for each

of them to get a $100 credit from JetBlue. And a man who was

sitting behind the couple asked the nurses where they worked.

When they told him they worked at North Shore University

Hospital, he beamed. He introduced himself as Mark Claster,

vice president of the North Shore-LIJ Board of Trustees, and

he told them how proud he was of them. “Michael Dowling’s

going to hear about this,” he said.

And Michael Dowling did. In the letter that Mr. Claster sent

to the president and CEO of the North Shore-LIJ Health System,

he wrote, “The two nurses couldn’t have been more caring,

skillful and unflappable in a very stressful situation. They deserve

recognition. They were everything we would hope for as nurses

in our health system and as human beings.”

In his letters to the nurses, Michael Dowling expressed

his sincere appreciation for their “willingness to provide care

without hesitation.” He wrote, “You exemplify the values of

caring and putting patients first that we are most proud of here at

the North Shore-LIJ Health System.”

The New Standard 69


Healthcare Challenges Seen as Opportunities

at National Meeting Hosted by North Shore-LIJ

By Thea Welch

MANHASSET — Healthcare

may be in crisis in the US,

but a spirit of excitement and

even optimism prevailed at

the recent 2012 Corporate

Member Meeting of the

Commission on Accreditation

of Healthcare Management

Education (CAHME), hosted

by the North Shore-LIJ Health

System, a CAHME corporate

member. Entitled “Healthcare

Reform: Positioning Graduate

Healthcare Management

Education for the Future,”

the meeting was held at The

Feinstein Institute for Medical

Research.

There are huge

challenges in healthcare

today, but there are also

huge opportunities,” said

keynote speaker Richard J.

Umbdenstock, president and

chief executive officer of the

American Hospital Association

(AHA). “I believe we are closer

70 Summer 2012

than ever to getting it right.”

His optimism was echoed

by North Shore-LIJ President

and CEO Michael Dowling,

who welcomed the 66

CAHME corporate member

representatives in attendance,

including CEOs of some

of the nation’s largest and

most highly respected health

systems. “For those who aren’t

afraid to embrace change, the

future looks fantastic,” he said.

Mr. Umbdenstock and Mr.

Dowling, both national leaders

in healthcare themselves, agreed

that educating to a new kind of

leadership is vitally important.

“Team-based healthcare delivery

is like a new sport,” said Mr.

Umbdenstock, “and the new

leader must be less the captain

of the ship and more the leader

of the team.” In keeping with

that theme, Mr. Dowling

said, “We shouldn’t confuse

leadership with management.

2011 Annual Report

North Shore-LIJ President and CEO Michael Dowling, right, with Richard

Umbdenstock, left, president and CEO of the American Hospital Association,

and David Fine, president and CEO of St. Luke’s Episcopal Health System in

Houston, TX, and chair of the Commission on Accreditation of Healthcare

Management Education, which held a board meeting at The Feinstein

Institute for Medical Research.

Both are necessary, but while

managers create order, leaders

create the future.”

In regards to concerns

about shrinking reimbursements,

Mr. Umbdenstock said,

The North Shore-LIJ Health System’s recently published

2011 Annual Report, Partners in Health, recognizes our

relationships with individuals, organizations and the

community at large; every one plays a vital role in helping us

fulfill our mission. See it at http://www.northshorelij.com/

NSLIJ/NSLIJ+Annual+Reports.

“We will never be better paid

than we are today. There is

no new money. The old

approach has been, ‘Well,

we’ll do more with less.’ I say

the new approach should be,

‘Let’s do less with less — and

get better outcomes.’”

In small breakout sessions,

meeting attendees tackled

tough and timely healthcare

topics led by experts such as

Robert Henkel, president and

CEO of Ascension Health,

headquartered in St. Louis,

MO; Chris Van Gorder,

president and CEO of San

Diego, CA-based Scripps

Health; and Kathleen Gallo,

PhD, RN, North Shore-LIJ’s

senior vice president and chief

learning officer.


Kids Give Tobacco the Kiss-Off

Youngsters from the Cross Island YMCA in Bellerose learned about the dangers of smoking at an educational workshop led by Nancy Copperman, RD, director of public

health initiatives at North Shore-LIJ. The event was part of National Kick Butts Day, which focuses attention on community activism by boys and girls to take a stand

against tobacco. The children created posters with antismoking messages and performed a short rap song pledging not to smoke. The Y also announced its new

smoke-free outdoor air policy to protect children and the community from the hazards of smoking and second-hand smoke. The project was funded by a grant from

the Queens Smoke-Free Partnership, with help from the North Shore-LIJ Health System. Back row, from left: Deanna Bitetti, chief of staff for Assemblyman David

Weprin, Jamé Krauter of the Cross Island YMCA, Ms. Copperman, and Tina Stinson-Lewis, also of the Cross Island Y.

North Shore-LIJ Epilepsy Center Is First on LI

to Offer New Device to Stimulate Vagus Nerve

The Comprehensive

Epilepsy Care Center at

North Shore-LIJ’s Cushing

Neuroscience Institute (CNI)

is the first center on Long

Island to offer the new version

of vagus nerve stimulation

(VNS) therapy, implanting an

AspireHC generator into

a 23-year-old female patient

from Hicksville with refractory

epilepsy this spring.

Asesh Mehta, MD, director

of epilepsy surgery at the

Comprehensive Epilepsy Care

Center, said, “VNS Therapy

is an effective, safe option for

epilepsy patients who are not

achieving satisfactory seizure

control from medications.

Because this newest model

of the vagus nerve stimulator

has the longest battery life

of any VNS therapy device,

replacement of the generator

can take place less frequently

for patients who are on

higher doses of stimulation.

In addition, the AspireHC,

which is about the size of a

small pocket watch, will provide

improved quality of life benefits

for VNS therapy patients.”

Dr. Mehta explained that

implantation is a short outpatient

procedure lasting one

to two hours. The stimulator

is implanted in the patient’s

left chest area, where a thin

flexible wire (lead) sends mild

stimulation to the left vagus

nerve in the neck automatically

at regular intervals.

The Comprehensive

Epilepsy Care Center is a truly

integrated and multidisciplinary

endeavor, with epilepsy

doctors, nurses, pharmacists,

neurosurgeons, neuropsychologists,

social workers, technical

staff and an administrative

team all working together

to provide care and support

for both adult and pediatric

epilepsy patients. It is the largest

and most comprehensive

program on Long Island for

the evaluation and medical and

surgical treatment of epilepsy

in children and adults.

The New Standard 71


Lenox Hill Hospital First in New York State to

Perform Minimally Invasive Mitral Valve Replacement

NEW YORK — A 76-yearold

woman from Flushing,

Queens, was the first patient

in New York and only the

second in the entire country

to undergo a percutaneously

implanted mitral valve

replacement.

The procedure,

performed in February, was

executed conjointly by Lenox

Hill Hospital’s Carlos Ruiz,

MD, director of the Structural

and Congenital Heart Disease

Program of the Department

of Interventional Cardiology,

and Gregory P. Fontana, MD,

chairman of the Department of

Cardiothoracic Surgery. This

minimally invasive procedure

is used to repair a blocked or

leaky mitral heart valve that

had previously been replaced.

The replacement valve is

inserted percutaneously

through a vein in the groin

and positioned within the

72 Summer 2012

mitral valve. It is an option for

individuals who are at high risk

for undergoing a second openheart

surgery given their age or

current medical condition.

“Transcatheter valve

replacement is a major

breakthrough in the treatment

of heart disease and is part

of an important trend in

which minimally invasive

procedures are used in place of

traditionally invasive surgical

procedures,” noted Dr. Ruiz.

“What is unique at Lenox

Hill Hospital is the close

collaboration between the

interventional cardiologists

and the heart surgeons. The

doctors often review and

discuss all available test results

to offer a joint opinion to

ensure that each patient

receives the best treatment for

his or her particular problem.”

“It is a true

multidisciplinary effort,”

added Dr. Fontana.

“Cardiologists, cardiac

surgeons and vascular surgeons

all work together in a single

setting with a single goal:

to provide extraordinary,

minimally invasive, efficient

heart care to patients suffering

from all forms of heart disease

and vascular disease.”

Girl Scouts Find a

Few Good Babies

It’s never too early to recruit new

members, which is why the Girl Scouts

of Nassau County came to LIJ’s Katz

Women’s Hospital this spring to present

honorary memberships to all baby

girls born on March 12, 2012, the 100th

anniversary of Girl Scouting in America.

Pictured are four new recruits with

their mothers, members of Girl Scouts

of Nassau County and the leadership of

Katz Women’s Hospital.


The North Shore-LIJ Health

System recently formed a Lions

Club International chapter,

the Manhasset North Shore-

LIJ Lions, with the mission to provide

resources and support for the prevention

and treatment of diabetes in Long Island

communities.

Approximately 26 million people in

the United States have diabetes and one in

four is unaware. Estimates range as high as

79 million who have pre-diabetes and are

at a high risk for developing the disease.

“Without prevention and treatment, the

numbers will continue to rise,” said Tracy

Breen, MD, director of diabetes care for

North Shore-LIJ. “Many Americans live

with undiagnosed diabetes and don’t even

know it. Routine checkups and blood work

are the best prevention methods, and

access to that care is essential.”

“As a major healthcare provider,

it is our responsibility to provide

multidisciplinary diabetes care and

prevention services to our communities,”

said Susan Somerville, executive director

of North Shore University Hospital.

“Awareness is essential and our Lions

Club’s charter is another step to helping

make each community aware of the

diabetes services available. With the

additional support of dedicated Lions

members and volunteers, we have the

ability to make a difference for thousands

of at-risk New Yorkers.”

Research shows that patients with

diabetes or pre-diabetes, who are not

carefully managed, experience poorer

outcomes such as blindness, kidney failure

and damage to the heart and circulatory

system. The health system’s diabetes

task force combines the expertise of

the departments of nursing, nutrition,

medicine, surgery, pharmacy, social work,

laboratory and quality management to

Shown from left: Pat Webb McNally, guiding Lion, Rockville Centre Lions Club; Stephen Dean, district

governor; Marie Frazzitta; and Wing-Kun Tam, Lions Clubs International President.

Manhasset North Shore-LIJ

Lions Club Receives Charter

for Chapter to Address Diabetes

reduce the incidence of diabetes and

coordinate patient care. “The best way

to treat diabetes is to prevent it,” said

Marie Frazzitta, director of diabetes

education for North Shore-LIJ, president

of the Manhasset North Shore-LIJ Lions

Club and co-chair of the health system’s

diabetes task force. “Our new Lions

Club is committed to helping provide the

screening and educational resources and

services to begin battling diabetes before

it strikes, and to keep those diagnosed as

healthy as possible.”

The New Standard 73


WOMEN’S corner

North Shore-LIJ Physicians, Researcher

Honored at Women’s Health Conference

While hosting more than 600 attendees at its fifth women’s health conference on May 2,

the North Shore-LIJ Health System took time out of a busy, day-long schedule of seminars

to honor four physicians and a researcher for their contributions to their professions and

the health system. The following individuals received awards named in honor of long-time

donors and trustees whose support contributed greatly to North Shore-LIJ’s success:

74 Summer 2012

Lorinda De Roulet Award for Excellence in Research

Christine Metz, PhD

Investigator

The Feinstein Institute for Medical Research

Center for Immunology and Inflammation

Center for Patient-Oriented Research

Tita Monti Award for Outstanding Community Education

Dana Lustbader, MD

Section Head, Palliative Medicine

Intensivist, Critical Care Medicine

North Shore University Hospital

Ann Gottlieb Award for Excellence in

Teaching

Miriam Ann Smith, MD

Chairman, Department of Medicine

Residency Program Director

Forest Hills Hospital

Sandra Atlas Bass Award for Clinical

Excellence

Carmel Foley, MD

Director of Consultation-Liaison Psychiatry

Steven and Alexandra Cohen Children’s

Medical Center

Sharon Joyce Schlanger Award for

Outstanding Community Service

Jacqueline Moline, MD

Vice President, Population Health

North Shore-LIJ Health System

Chair, Department of Population Health

North Shore University Hospital and

Hofstra North Shore-LIJ School of Medicine

Dr. Nancy Snyderman at

Women’s Health Conference

“Celebrating a New Era in Women’s Health: Information/Innovation/

Wellness” was the theme of the fifth North Shore-LIJ women’s health

conference, held at the Long Island Marriott Hotel in Uniondale. Nancy

Snyderman, MD, chief medical editor for NBC News, shared her medical

insights and personal history with the 600 attendees. She is pictured with

Michael Dowling, president and chief executive officer of the health system,

left, and Richard Goldstein, chairman of the board. “If you feel that your

doctor is not listening to you, it’s probably a good time to ask for your

medical records and find another physician who does listen,” Dr. Snyderman

said. “Women must take care of themselves first.”


nursing mission

Collaborative Care Council

Gets Results

from page 29

Press Ganey scores.

Nelson Martinez,

environmental aide at

Plainview Hospital, co-chaired

a council that was able to

decrease bed turnaround

time from 70 minutes to 62

minutes. Danielle Green at

Plainview co-chaired a food

and nutrition council, and

the ratings for food service

courtesy, overall meals and

meal quality all improved.

At Franklin Hospital,

a council on a med/surg

oncology unit reduced the

length of stay from 8.07

days in January to 6.84 in

November of 2011. “We

focused on what we needed to

do to get patients safely and

quickly through their hospital

stay,” said Kathy Bradfield,

LMSW, director of social work.

At Long Island Jewish

Medical Center, a council

redesigned a surgical waiting

room, provided more

privacy for consultations and

improved communication

between clinicians and

waiting families and patients

in recovery, according to

Agnes Barden, DNP, RN.

Another council created a

pre- and post-op surgical

education class for patients

and family, obtained a

grant for DVD education

and worked to collaborate

more effectively with the

cardiothoracic ICU on

patient transfers. Automating

physician orders on 7 South

freed the unit receptionist,

Patricia Rodriguez, to

perform a concierge role,

keeping everyone informed,

helping solve problems

and coordinating tests.

Rachel Neuman, PT, who

participated in the council

with Ms. Rodriguez and

others, said the concierge

position “changes the attitude

of the whole team.”

This is just a sampling

of how more than 300

collaborative care councils at

North Shore-LIJ Health System

are gaining measurable results.

Collaborative efforts

between facilities are reaping

results, too. Collaborative

care councils at North

Shore University Hospital

and Stern Family Center

for Rehabilitation worked

together to share more

comprehensive and accurate

patient information on the

clinical information system

to ensure better handoffs.

As a result, “We were more

prepared to admit patients

when they came to us,” said

Carole Clement, RN, Stern

Family Center nurse manager.

Press Ganey “likelihood to

recommend” scores at the

long-term care facility jumped

from 77.1 in June 2011 to 92.9

in November last year.

Lynn Johnson, NP,

manager, nursing initiatives,

Institute for Nursing, who

President’s Awards

Keep an eye out for a special supplement on North Shore-LIJ’s President’s

Award program featuring this year’s nominees and winners, including

Sylvester Wallace of Cohen Children’s Medical Center of New York.

facilitated both collaborative

care councils, also helped

roll out councils at Lenox

Hill Hospital. Over 3,300

employees learned about the

collaborative care model last

summer, and Lenox Hill

is already gaining results.

A council chaired by James

Richter, MD, chief of

anesthesiology, succeeded

at decreasing turnover time

between OR cases, in part

thanks to more realistic

scheduling. “If there is ever

going to be a mechanism

for reducing turnover, the

councils are it,” he said. Arlex

Matulac, associate executive

director, perioperative

services, said, “We started with

turnover at 51 minutes last

fall and were at 48 minutes

in February. Our goal is 45

minutes and our stretch goal is

30 minutes.”

Linda DiCarlo, RN,

director, nursing informatics,

Lenox Hill, attributes the

success of collaborative care

councils to “all the disciplines

participating and everyone

talking the same language,”

but admits that it takes time to

achieve full results.

Catherine Galla, RN,

assistant vice president,

nursing initiatives, Institute

for Nursing, concurs.

“Transformational change

never happens immediately,

but we have a structure

that supports incremental

changes and staff working

in interdisciplinary teams to

improve the care we deliver.”

The New Standard 75


center for learning and innovation

Center for Learning and Innovation

Celebrates 10th Anniversary

LAKE SUCCESS — The adage “if you build it, they will come”

characterizes the 10 years that the Center for Learning and

Innovation has existed. The corporate university for the North

Shore-LIJ Health System celebrated its tenth anniversary on January

16, 2012. From its humble beginnings in a rented single classroom

at the Dale Carnegie Institute in Woodbury, CLI has grown and

flourished, impacting employees from all levels and areas and now

occupying a state-of-the-art facility in Lake Success. Through the

end of 2011, CLI has taught 163,384 people and it has no plans to

slow down. “Since it opened in 2002, CLI has become the largest

corporate university in the healthcare industry, setting the standard

for educational excellence and demonstrating the highest level of

innovation,” said Michael Dowling, president and CEO of the North

Shore-LIJ Health System.

A New Place to Play

Officials from Smith Haven Mall in Lake Grove and Cohen Children’s Medical Center (CCMC) of New York

recently celebrated the opening of the shopping center’s new children’s play area. Sponsored by the North

Shore-LIJ Health System, the play space is located in the mall’s Sears Court. Among those at the opening were,

from left: Cynthia Ruf, corporate director of marketing for the health system; Kevin Carraccio, CCMC’s vice

president of philanthropy; Debora Riccardi, CCMC’s director of community outreach; Paul Fiore, Simon Property

Group’s northeast regional director of business development; Sharon Ritterband, Simon Property group’s

area director of business development; and James Lundgren, Smith Haven Mall’s general manager.

76 Summer 2012

Based on Michael Dowling’s original white paper on the

development of a leadership institute, CLI began 10 years ago with

educational offerings limited to Core Management and Six Sigma,

which had instructors traveling to hospitals and using a rented

classroom to offer the education to employees. It was not until a year

later, when CLI moved to its first location, that the education was

centralized and the amount of programs that the corporate university

was able to offer began to grow. Over the years, CLI developed

additional programs such as the administrative and physician high

potential programs, as well as the scholar pipeline and administrative

fellowships. In 2012, over 80 different enrichment courses are

scheduled, with additional courses being developed due to the high

demand of learners and the continued growth of the health system.

One of CLI’s innovations was the establishment of the

Patient Safety Institute (PSI) in

2006 to focus on preventable

medical errors, teamwork and

communication. PSI provided

the clinical aspect of education

that was in high demand for the

organization’s team members who

were directly involved in patient

care. In 2011 alone, CLI and PSI

conducted over 950 individual

educational programs.

Outside organizations

repeatedly take notice of the

work that is done by CLI. The

International Association for

Continuing Education and Training

(IACET), which accredits CLI to

offer continuing education units,

awarded the corporate university the

2011 Exemplar Award for Internal

Training. The Center for Learning

and Innovation also received a

Silver Award for Best Leadership

Training Program. Most recently,

Chief Learning Officer Magazine named

CLI a 2012 Learning Elite Finalist.

“We’re proud of CLI’s

success and confident that its

future achievements will enable

us to reach even greater heights

as a ‘learning organization,’” said

Mr. Dowling.


Simulation Lab Creates Real-Life

Scenarios for New Med Students

Hofstra North Shore-LIJ School of Medicine Students Benefit

from Simulation Training at Center for Learning and Innovation

Students in the inaugural class at the Hofstra North Shore-

LIJ School of Medicine have completed only one year of

study and already they have performed physical exams on

patients, cleared an obstructed airway and even assisted in

the birth of a baby at the CLI’s Patient Safety Institute. While none

of these procedures were carried out on real people, they certainly

had the look and feel of true-to-life situations.

The exposure to simulation exercises, at one of the largest

institutes of its kind in the country, certainly gives our students a

wonderful opportunity to learn and strengthen their clinical skills

at an early stage in their education,” said Lawrence Smith, MD,

dean of the School of Medicine.

Simulation education is a bridge between classroom learning

and real-life clinical experience. CLI’s advanced learning facility

features state-of-the-art human-simulation laboratories with

digitally enhanced and controlled mannequins and partial-

and full-body task trainers, standardized patient rooms, and

endovascular simulators for interventionalists. CLI helps

students manage hypothetical patient cases as members of a

multidisciplinary healthcare team. The exercises are followed by

a debriefing with the med school faculty and the CLI staff, which

comprises a multitude of complementary health professions.

“Our students are exposed to these simulation exercises much

earlier than at most medical schools, which would normally cover

this material in the third year. This gives our students a great advan-

tage,” said Thomas Kwiatkowski, MD, assistant dean of education/

simulation and course director for CPR at the School of Medicine.

The high-tech, computerized mannequins at CLI are able to

mimic real patients and are able to talk and respond to the medical

students, who take vital signs and perform emergency procedures,

such as intravenous line insertion, breathing tube insertion

and medication administration. The mannequin patients are

controlled remotely by instructors at CLI, who can make them cry

out in pain, move about and even react to a student’s touch.

First-year medical student Niki Sheth called the CLI simulations

“very realistic” and the detailed debriefings very helpful.

The debriefing was a great way of getting feedback,” she said.

“It also helps you reason out and explain why you took certain

actions during the exercise.”

According to Dr. Kwiatkowski, lessons taught in a realistic

simulation are retained better, due to the required active learning

and focused concentration, the experience’s emotional investment

and the direct association with the real world.

Medical students also train at the world-renowned Feinstein

Institute for Medical Research, the research arm of the health system.

To see a video of this story, go to: www.northshorelij.com/

NSLIJ/media-portal/homepage-video-channel/sim-lab.

Above: Margaret Delaney, a nurse educator at North Shore-LIJ’s Patient Safety

Institute, works with medical student Robert Metzler.

The New Standard 77


center for learning and innovation

LAKE SUCCESS — The

Center for Learning and

Innovation (CLI) has established

a Quality Academy to

further improve performance

in healthcare delivery at North

Shore-LIJ facilities. The initiative

builds on more than a

decade of workforce development

programs to improve

patient safety and quality care

throughout the North Shore-

LIJ Health System.

The Quality Academy is

grounded in staff members’

need to keep pace with rapid

changes in the healthcare field.

At the same time, the science

of improvement in healthcare

has gotten more sophisticated

and is constantly evolving.

The academy addresses these

challenges with a comprehensive,

multitiered program to

advance the knowledge base of

the workforce to further enable

staff members at every level to

anticipate, recognize and solve

problems to improve performance

and to provide “perfect”

care to patients and families.

The Quality Academy

will allow the health system to

combine and standardize all

quality improvement education

and training programs

under one roof,” said Jeremy

Boal, MD, senior vice president

and chief medical officer

at North Shore-LIJ. “This

78 Summer 2012

allows us to formalize performance

improvement initiatives,

using the same measurement

tools and metrics across

the board in order to replicate

high-quality outcomes in our

patient care processes.” Dr.

Boal added that front-line staff

members are often in the best

position to understand and

improve their work environments

to optimize patient care

and outcomes.

“Education programs

at the academy will increase

awareness about quality issues

and further empower all

employees to identify problems

and take an active role in quality

improvement, regardless of

job title,” said Alan Cooper,

PhD, vice president of learning

and innovation at North Shore-

LIJ. For example, if nurses

notice a delay in responding to

patient call bells, they are in the

best position to recognize ways

to increase response time and

enhance patient satisfaction.

Through proper education in

improvement sciences, they can

study the problem and engineer

ways to improve workflow.

“This not only creates a safer

environment for patients, but

also has the benefit of creating a

more efficient workplace,” said

Dr. Cooper.

At the academy, quality

improvement training and

education are being developed

collaboratively with health

system departments and business

units, which will provide

educational opportunities for

all North Shore-LIJ staff. For

example, the Quality Academy

will incorporate a section on

quality improvement in Beginnings,

the program geared toward

new employees, and reach

out to train other staff members.

The Quality Academy is

New Quality Academy Focuses

on Improving Performance

By Betty Olt

also developing an online video

introduction to the importance

of everyone’s role in improving

performance throughout the

health system.

Ultimately, programming

will target all managers, directors

and senior staff members;

all chiefs, chairs and medical

directors; all staff members

hired in quality roles; and the

highest level, or expert level,

which will be designated for

staff including quality professionals,

administrators, managers,

physicians and other

Stay Connected, Get Inspired

clinicians involved in multidepartmental,

facility-wide or

system-wide improvements.

Learning will incorporate

in-class training and online

modules with group exercises.

Already, all health system associate

executive directors have

attended the Quality Academy’s

first course, “Quality,

Safety and Improvement Sciences,”

which is part of CLI’s

new leadership development

program, ALEAD – Applied

Leadership Effectiveness and

Development.

Fiona Levy, chief quality

officer for the Cohen Children’s

Medical Center of New

York, leads and facilitates the

Quality Academy development

team. In addition to Drs. Boal,

Cooper and Levy, the team

includes Yosef Dlugacz, PhD,

senior vice president and chief

of clinical quality, education

and research at the Krasnoff

Quality Management Institute;

Mark Jarrett, MD, vice president

and health system chief

quality officer; Marc Napp,

MD, vice president of medical

affairs; Karen Nelson, RN,

vice president, clinical excellence

and quality; and Elaine

Smith, EdD, RN, vice president

for nursing education.

For more details about the

Quality Academy, call CLI at

(516) 396-6150.

Inspiration is just a click away.The North Shore-LIJ Foundation

supports health system services by sponsoring neighborhood events, walks,

concerts, luncheons, sporting events and so much more. Stay in touch with all

the North Shore-LIJ Foundation is doing by connecting with us at Facebook.

com/NorthShoreLIJFoundation and on Twitter at Twitter.com/nslijfoundation.


According to the

US Institute

of Medicine

(2000, 2001),

the widespread incidence of

preventable errors in our

nation’s hospitals revealed

that how care is delivered is

as important as what care is

delivered. These landmark

reports noted that developing

effective clinical teams is essential to delivering care that is patientcentered,

safer, timelier and more effective, efficient and equitable.

To achieve those goals, the Center for Learning and Innovation

(CLI) is expanding its efforts to “train in teams those that work

in teams” in order to build interprofessional teamwork and

collaboration. To that end, Barbara DeVoe, DNP, FNP-BC, has

been promoted to vice president for interprofessional learning and

education, a role in which she will enhance the strategic importance

of interprofessional learning and education throughout the health

system. She will also continue her day-to-day responsibilities

at CLI’s Patient Safety Institute (PSI). Barbara was recruited to

CLI six years ago to develop the Critical Care Nurse Fellowship

Program, for which we established our first simulation program.

Her clinical background is critical care and emergency nursing. She

is also a board-certified family nurse practitioner and has worked

collaboratively in two physician practices. Barbara received her

doctorate in nursing practice from Case Western Reserve University

in 2009. Her areas of interests are patient safety, teamwork and

communication and human factors.

Interprofessional Education

Fosters Clinical Teamwork,

Increases Patient Safety

Interprofessional

education (IPE) has been

defined as: “when two or

more professionals learn with,

from and about each other to

improve collaboration and

the quality of care.” While

this activity commonly occurs

among clinical teams at PSI,

it is incumbent upon us to

expand IPE even further,

Barbara DeVoe

considering its proven success

in improving patient safety.

Similar to CLI, PSI has grown rapidly, not only in reputation

but also in programs, size and resources. What began as an idea

and one simulator in 2006 has become an infrastructure that is

strategically important to the health system as well as the Hofstra

North Shore-LIJ School of Medicine. CLI and PSI will continue to

evolve as the needs of the health system change.

Dowling

at Dowling

North Shore-LIJ President and CEO

Michael Dowling spoke to more

than 200 high school students from

throughout Long Island during a

Long Island Youth Summit hosted

last spring at Dowling College in

Oakdale. The purpose of the Summit

was to work with the brightest and

most active high school students in

order to make them aware of the

socioeconomic, environmental and

sociomedical issues affecting Long

Island and to recommend solutions.

The New Standard 79


Hospital Chefs

Compete in

Healthy Cooking

Challenge

By Betty Olt

GLEN COVE — Hospital food

usually gets a bad rap, but

chefs from 11 North Shore-LIJ

hospitals recently competed in

the health system’s first-ever

cooking challenge to prove

that hospital chefs can serve

up gourmet restaurant-quality

meals, but without high fat,

calories or sodium.

Coinciding with National

Nutrition Month, culinary

teams from Queens, Nassau,

Suffolk, Manhattan and Staten

Island faced off at Glen Cove

Hospital’s Pratt Auditorium,

which was transformed into a

giant kitchen equipped with

stove-top burners, a pantry

and farmers’ market for the

Ultimate Chef Healthy Entrée

Challenge. Each team had

one hour to create a delicious,

attractive and nutritious meal.

Three celebrity chef judges

awarded Forest Hills Hospital’s

chefs with the top prize for

their original dish of spinachstuffed

pork tenderloin with

cranberry wild rice. Lenox

80 Summer 2012

Hill Hospital

received second

place and

Syosset Hospital

came in third.

Michael

Kiley, director

of nutrition and

food services

at Glen Cove

Hospital, who

also helps

coordinate North Shore-LIJ’s

chef committee, organized

the cook-off. “Patients often

compare hospital food to

restaurants, and this event

showcases that hospital chefs

can prepare appealing food

that tastes really good and is

nutritious,” said Mr. Kiley.

Judges rated all entrees and

side dishes prepared during

the competition based on taste,

nutrition, originality and

presentation. Each hospital

culinary team was paired with

a registered dietician from

a North Shore-LIJ hospital

to ensure that each dish

contained no more than 500

calories, 15 grams of fat and

600 milligrams of sodium.

Teams worked with a “surprise

protein” — such as halibut,

shrimp, chicken and pork

tenderloin — to build a creative

meal around the item.

Winning chefs Gary

DeFreitas and Dale Lyons from

Forest Hills Hospital said they

are used to preparing meals for

600 to 700 patients each day.

After the awards ceremony, Mr.

Lyons said, “This event gives us

the opportunity to show what

we can do in the kitchen.…

It’s a dream come true.” Mr.

DeFreitas, who has been

cooking since he was 19 years

old, said it was a “great honor”

to receive first prize in the

competition but pointed out

that “love is the most important

ingredient in cooking, and it

always comes out in the dish.”

Above: Chefs from Forest Hills

Hospital won North Shore-LIJ’s

Ultimate Chef Challenge cook-off.

Dale Lyons chops an onion for the

winning dish — spinach-stuffed

pork tenderloin with cranberry wild

rice — while Gary DeFreitas consults

with Malgorazata Rokoszak, RD, of

Staten Island University Hospital.


Ultimate Chef Healthy Entrée 1st Place Recipe

Spinach-Stuffed Pork Tenderloin with Cranberry Wild Rice

By: Gary DeFreitas and Dale Lyons

Serving Size: 6 oz Stuffed Pork, 1/3 cup Wild Rice Preparation time: 30 minutes

Servings: 4 Cooking time: 30 minutes

Ingredients:

Pork Tenderloin

1 pound Pork Tenderloin, silver skin removed

1 tablespoon Balsamic Vinegar

½ tablespoon Dijon Mustard

1/8 teaspoon Garlic Powder

1/8 teaspoon Rosemary, fresh, chopped

Stuffing

1 tablespoon Canola Oil

4 oz Fresh Baby Spinach

2 oz Snap Peas

2 oz Dried Figs, minced

1 oz Pistachio Nuts, shelled and roughly chopped

½ tablespoon Rosemary, fresh, chopped

½ tablespoon Shallots, peeled and chopped

1 ½ teaspoons Garlic, fresh, chopped

Directions:

1. Pork Tenderloin: Cut the pork

tenderloin into 4 equal 4oz portions.

Place each piece of pork onto a large piece

of plastic wrap and cover it with another

piece of plastic wrap. Pound each portion

with a meat mallet or the bottom of a flat

frying pan until it is thin: about a 4” x 6”

piece of meat.

2. Mix together the balsamic vinegar,

mustard, garlic powder and rosemary.

Drizzle or smear the mixture onto both

sides of each pork cutlet. Reserve seasoned

pork cutlets until ready to stuff.

3. Spinach Stuffing: Preheat a sauté

pan over medium-high heat. Add the

canola oil and garlic to the hot pan. Cook

garlic until golden, and then add the

spinach, snap peas, dried figs, pistachio

nuts, rosemary, shallots and garlic. Sauté

the mixture for about 5 minutes until

the spinach wilts and the flavors have

developed.

4. Lay each seasoned piece of pork

Wild Rice

½ cup Wild Rice

½ cup Celery, minced

¼ cup Onion, minced

½ tablespoon Garlic, minced

1 ½ teaspoons Canola Oil

1 oz Dried Cranberries

1 cup Water

Pan Sauce

1 ½ oz White Wine, dry

1 ½ teaspoons Dijon Mustard

4 leaves Radicchio for garnish

tenderloin onto a flat surface like a cutting

board. Place ¼ of the spinach mixture

onto each of the 4 pieces of flattened and

seasoned pork tenderloin. Pat the spinach

mixture down to cover the pork tenderloin

cutlet. On the longest side of the cutlet,

fold the pork over onto the spinach tightly.

Continue to roll in a jelly roll fashion until

you have a tight roulade.

5. Wild Rice: Sauté wild rice in ½

tablespoon of canola oil for one minute.

Add the fresh chopped garlic, chopped

celery and minced onion to the rice and

continue to cook for about 3-5 minutes.

Add 1 cup water to the saucepan and bring

the mixture to a boil. Cover and reduce

heat to a simmer. Cook for 20 – 25

minutes until the rice is tender and the

water has been absorbed into the rice.

6. While the rice is cooking, heat a

frying pan over medium-high heat: Add 1

teaspoon of canola oil to the pan and then

add the four roulades. Position the stuffed

pork pieces so that they are not touching

each other. Cook the pork all around the

roulades until the internal temperature

reaches 140ºF. Take the pork out of the

pan and place it onto a plate to rest.

7. Sauce: Pour white wine and Dijon

mustard into the frying pan and deglaze

the pan. Simmer the wine mixture until it

reduces slightly.

8. Plating: After the rice is cooked

add the dried cranberries and stir. With

a sharp knife, slice each roulade into 1”

pinwheel slices on the bias. Place 1/3

cup of rice mixture into the center of a

dinner plate using a cup as a mold. Place

1 radicchio leaf into the rice so that it

stands up. Place the slices of the roulade

around the rice. Drizzle the pan sauce

around the plate and serve.

Nutritional Information: 228 Calories, 8g Fat,

26g Protein, 10g Carbohydrate, 62mg Cholesterol, 1g

Fiber, 121mg Sodium, 570mg Potassium.

The New Standard 81


Miracle Foundation Palliative Care Center:

It’s All About Quality of Life

Patients living with a

serious illness can find

pain relief and address

symptom management

at home, in the company of

their loved ones, courtesy of the

Miracle Foundation Palliative

Care Center.

The Miracle Foundation

Palliative Care Center dialogues

with patients and families

living with advanced illnesses

about treatment options,

offers emotional support and

makes them as comfortable

as possible,” said Maureen

Hinkelman, chief executive

officer of the Hospice Care

Network, part of the North

Shore-LIJ Health System.

Palliative care is

comprehensive, individualized

medical treatment that

complements curative

therapies for patients with

life-threatening illness. In

February and April 2011,

Governor Cuomo passed two

important pieces of legislation

to address it. The Palliative

Care Information Act requires

that attending physicians

and nurse practitioners

offer terminally ill patients

information and counseling

concerning palliative care

and appropriate end-of-life

options. According to the

New York State Department of

Health, the law helps to ensure

that patients are fully informed

of their options when they face

a terminal illness or condition.

82 Summer 2012

Jim Kennedy

The second law, the

Palliative Care Access

Act, requires hospitals,

nursing homes, home care

agencies and assisted living

residences to provide access to

information and counseling

about palliative care to

patients with advanced,

life-limiting conditions and

illnesses. These providers

must also facilitate access to

palliative care consultation

and services that are

consistent with the patient’s

needs and preferences.

“We are always looking for

better ways to serve the patients

and families in our community.

Many families have told us that

they wished they had known

sooner about palliative care and

hospice service options. The

Miracle Foundation Palliative

Care Center addresses this

concern by providing a useful

venue to help physicians attend

to the new requirements,” said

Ms. Hinkelman.

This unique center

is generously funded by a

$500,000 grant from the

Miracle Foundation, an

organization founded by

Patti and Michael Tenaglia

and dedicated to improving

the lives of those diagnosed

with cancer and other lifethreatening

diseases.

Above: With a live-in aide and

regular visits from palliative care

nurse Laurie Alonso, NP, left,

102-year-old George Wittmer is

able to remain in his home.


Club TLC Benefits Families of “NICU Babies”

A night of dancing, cocktails, light bites and socializing at the Maximus Spa & Salon in Mineola was also a fundraiser for the Tender

Loving Care (TLC) Foundation, which raises funds for support programs geared toward families of newborns treated in the Neonatal

Intensive Care Units (NICU) at the North Shore-LIJ Health System’s Steven and Alexandra Cohen Children’s Medical Center of New York

in New Hyde Park and Manhasset. Sick and critically ill newborns often spend weeks or months in the NICUs receiving highly specialized

care, putting an enormous

strain on families.

Proceeds from this event

and those in 2010 and 2011

have helped or will help

provide funding for muchneeded

medical equipment

such as a Transport Isolette

and Retscan Retina Scanning

Unit, as well as support for the

music therapy program, family

support groups, monthly

dinners in the NICU and

sibling outreach.

Shown at Club TLC, from left: David Goldberg, TLC chairman, his wife, Franessa, and Joyce and Richard Calcasola, who

generously hosted the event.

Multispecialty

Facility

Ribbon-Cutting

North Shore-LIJ officials

gathered to celebrate the

opening of a single destination

for orthopedic, neuroscience

and imaging services at 611

Northern Boulevard in Great

Neck. The new facility brings

together the experience

and resources of University

Orthopedic Associates, the

Cushing Neuroscience Institute

and North Shore-LIJ Imaging.

The New Standard 83


Patients at North

Shore-LIJ hospitals

and facilities may now

see visitors any time,

thanks to a new visitation policy.

Only occasional limitations may

be needed for health reasons or

certain situations.

Active involvement of

patients and families in their

healthcare helps improve the

safety and overall quality of

care, according to the American

Association of Critical Care

Nurses. This is especially

true in intensive care units,

where patients often have

breathing tubes inserted and

North Shore-LIJ Nursing Homes Among

Best, says US News & World Report

By Betty Olt

The Stern Family Center for Rehabilitation in Manhasset and the Orzac Center for Rehabilitation in Valley Stream recently

earned the top five-star overall quality ranking in US News & World Report’s 2012 Best Nursing Homes report. The report also

recognized four health system affiliates: A. Holly Patterson Extended Care Facility in Uniondale; Amsterdam Nursing Home in

Manhattan; Queens Boulevard Extended Care Facility in Woodside; and Fairview Nursing Care Center in Forest Hills.

US News’ Best Nursing Homes recognizes top-rated facilities in all 50 states and offers important guidance to families

and healthcare providers caring for people who need a nursing home.

The publication’s evaluation is based on data from Nursing Home Compare, the US Centers for Medicare and

Medicaid Services’ consumer Web site. The government agency sets and enforces standards for nursing homes (defined

as facilities or portions of facilities enrolled in Medicare or Medicaid that provide 24-hour nursing care and other

medical services). Facilities earn an overall rating of one to five stars, as well as up to five stars in health inspections,

nurse staffing and quality of care.

Of more than 15,500 nursing homes rated and profiled on the US News Web site, North Shore-LIJ’s Stern and Orzac

centers and its four affiliate nursing homes were among the fewer than one in eight that received a five-star overall quality

rating in all four quarters of 2011. View Best Nursing Homes 2012 at USNews.com/nursinghomes.

According to US News, more than three million Americans will spend part of this year in a nursing home. “Nursing

homes in New York and across the country vary in quality of care and the healthcare services they provide to residents,” said

Maureen McClusky, executive director of the Stern and Orzac facilities. “Earning US News’ five-star quality ranking for our

facilities is a top honor, thanks to the dedication of our clinical teams and our entire staff. The report also gives concrete

quality measures consumers can access online to help them select the best nursing home.”

84 Summer 2012

can’t speak for themselves.

The association also pointed

out that unrestricted visitation

of a support person or

family member can improve

communication and help

convey a better understanding

of the patient.

The health system has

created an environment where

the patient’s voice is heard

and where we value the

benefit and support of family

members and others involved

in their loved ones’ care,” said

Elaine Smith, EdD, RN, vice

president for nursing education

at North Shore-LIJ and co-

chair of the newly formed

Patient Rights Task Force.

The task force focuses on

reviewing and establishing a

safe, open visitation process

that protects all patients’

privacy. James Romagnoli, the

health system’s vice president

Family-Friendly Visitation

Puts Patients First

By Betty Olt

of protective services, also cochairs

the interprofessional

task force, which combines

the expertise of nurses,

physicians, information

technology specialists,

attorneys, staff educators,

health literacy professionals,

hospital executive directors,

clinical excellence and quality

staff and security personnel.

The visitation policy allows

patients to designate a support

person to carry out their wishes

about who can visit and manage

the flow of visitors to the

hospital room. Children who

are supervised by an adult are

welcome to visit.

Piloted at North Shore

University Hospital (NSUH),

the policy puts structure around

visitation and supports families,

patients and staff, according

to task force member Joanne

Bentson, RN, DNP, associate

executive director at NSUH.

“We know that having family

members or significant others at

the bedside is in the best interest

of patients and promotes

healing,” said Dr. Bentson.

“Our policy puts patients first,

while ensuring simple guidelines

for safe, respectful visitation for

all patients.”

Going

Abroad?

Protect your health when you

travel overseas. Contact the North

Shore-LI J Travel Immunization

Center before your getaway. Call

(516) 562-4280 to learn more.

Thinkstock/Stockbyte


It’s three diamonds

down, only two to go for Long

Island Jewish Medical Center’s

Satellite Dialysis Facility in

Queens Village, led by John D.

Wagner, MD, medical director.

Yolanda A. Malone, RN,

nurse manager, was recently

informed by the New York

State ESRD (End Stage Renal

Disease) Network that the

facility had taken the measures

necessary to achieve the third

diamond in the 5-Diamond

Patient Safety Program and will

be recognized in the network

newsletter. Sponsored by

the CMS-contracted Quality

Improvement Organization,

a subsidiary of IPRO, the

program is dedicated to assisting

dialysis facilities in improving

both staff and patient awareness

of specific patient safety areas,

promoting patient safety values

and building a culture of patient

safety in every dialysis facility.

The first module

we completed was Patient

LIJ Dialysis Facility Achieves

Third Diamond in ESRD Program

Safety Principles,” said Ms.

Malone. “This mandatory

module, representing the

first diamond, teaches basic

concepts of patient safety

and the appropriate steps to

prevent errors. The second

module was Medication

Reconciliation; it stresses

the importance to both

patients and staff of avoiding

medication errors. Third

was Hand Hygiene. Next is

Slips, Trips and Falls, and the

module we will tackle last will

be Emergency Preparation.”

Following in the footsteps

of the Queens Village facility

is the pediatric chronic

dialysis unit, located within

the inpatient unit at LIJ,

where Ms. Malone is also

nurse manager; they hope

soon to achieve their first

diamond. Joanne Seylar, RN,

Marlyn Batan, RN, and the

entire nursing leadership join

together in commending the

staffs of both facilities for

their enthusiastic participation

in the program, undergoing

training and bringing the

lessons learned down to the

patient level.

“We have a great team,”

said Ms. Malone. “Everyone

pitched in and helped, from

leadership, especially Dr.

Wagner, our educator, Nicole

Lemoine, RN, on down. With

that level of multidisciplinary

collaboration, by the end of

2012, we expect that both units

will be 5-Diamond facilities.”

The 5-Diamond

program formally measures

and acknowledges our facility’s

efforts in the areas cited, but

our performance improvement

program has always focused on

these areas,” said Dr. Wagner.

“Participating in the program

confirms that we are on the

right track, and it also applauds

our achievements. I could

not be prouder of the highly

talented team of nurses, patient

care technicians, dietitians,

social workers and support

staff who took the initiative to

engage in this program.”

Above: Shown in the pediatric

chronic dialysis unit with a young

patient are Yolanda Malone, RN,

left, and Vera Benn, RN.

The New Standard 85


LAKE SUCCESS — There

was a surprise visitor this

spring when North Shore-

LIJ Laboratories hosted a

reception to celebrate the

10th anniversary of the DNA

Learning Center West: none

other than Nobel Laureate

James Watson, PhD.

The DNA Learning

Center, a joint collaboration

of North Shore-LIJ and Cold

Spring Harbor Laboratory

(CSHL), has provided

education in genetics to more

than 30,000 middle and high

school students from across

Long Island, New York City

and the entire tri-state area

since opening in June 2002.

Within the 2,200-squarefoot

education center, located

adjacent to North Shore-LIJ

Laboratories’ headquarters

at 10 Nevada Drive in Lake

Success, are a genetic/

biochemistry lab, a prep lab,

a lunchroom and an office.

North Shore-LIJ Laboratories

86 Summer 2012

Nobel Laureate Helps

DNA Learning Center West

Celebrate 10th Anniversary

underwrites the $250,000

annual cost of the leased space.

“For many of these

students, the experience

they’ve gained at the DNA

Learning Center West has

opened their eyes to careers

in medicine, science and

other healthcare fields,”

said Robert Stallone, vice

president of North Shore-LIJ

Laboratories. He said some

former students now work as

medical technologists and in

other related jobs at North

Shore-LIJ Laboratories, a

fully automated, 60,000-

square-foot facility that

offers a range of specialty

lab testing to physician

practices, hospitals, nursing

homes and the biomedical

industry. The lab’s business

has doubled in the past four

years, underscoring the career

opportunities available for

young people in this field.

The three-to-fourhour

daily tours of the DNA

Learning Center West and

North Shore-LIJ Laboratories

are so popular that schools must

book a year in advance, said

center instructor Tedi Setton.

In addition to the school tours,

the DNA Learning Center hosts

about 300 students during

its annual summer program.

Curriculum is developed and

taught by CSHL staff.

Among the highlights

of the center’s curriculum,

students are able to view their

own DNA, utilizing the center’s

fingerprinting and human

mitochondrial sequencing

labs. The center’s interactive

approach links the process

of discovery to learning, said

James Crawford, MD, North

Shore-LIJ’s chair of pathology.

“Every time I come by the Lab,

I’m looking for those bright

eyes of students and they’re

here five days a week, yearround,”

said Dr. Crawford.

To learn more about the

DNA Learning Center West,

go to: www.dnalc.org/about/

locations/aboutdnalcwest.html

Among those celebrating the DNA

Learning Center West’s 10th

anniversary were, from left: Robert

Stallone, vice president of North

Shore-LIJ Laboratories; Dr. James

Watson, chancellor emeritus at

Cold Spring Harbor Laboratory

(CSHL); David Micklos, founder

and executive director of the DNA

Learning Center; and Dr. James

Crawford, North Shore-LIJ’s chair

of pathology.


MANHASSET — North

Shore University Hospital has

been designated an Academic

Center of Excellence for

minimally invasive surgery

in gynecologic oncology and

gynecology by the American

Institute of Minimally Invasive

Surgery (AIMIS), joining LIJ

Medical Center as one of only

28 Centers of Excellence in

the country to achieve this

designation and only one of

four centers in New York State.

“This prestigious

accreditation from AIMIS

shows that we have a deep

commitment to providing only

the highest quality of care to

all our female patients with

state-of-the-art, minimally

invasive and robotic surgical

gynecologic expertise,” said

Susan Somerville, executive

director of the hospital. “This

is an occasion to take pride

in our work and to rededicate

ourselves to continue at this

same high level in the future.”

AIMIS is the nation’s

preeminent educator of

advanced surgical techniques

for women’s health specialists

and recognizes hospitals and

clinics that excel and provide

leadership in leading-edge

surgical techniques. A hospital

or surgical center can be

recognized as a Center of

Excellence once it has combined

efforts with an accredited

AIMIS surgeon and meets

AIMIS standards. Recognized

institutions have made

minimally invasive surgery a

priority, which helps minimize

recovery times and provide

better patient outcomes.

“We have always taken

great pride in our ability to

North Shore Recognized for

Gynecological Surgery Expertise

provide our patients with the

latest that technology offers

in a safe, caring, professional

environment,” said Michael

Nimaroff, MD, vice chair and

chief of gynecology at North

Shore University Hospital. “We

are fully committed to offering

our patients the full range

of minimally invasive and

robotic surgical options that

successfully treat a wide range

of both benign conditions and

gynecological cancers.”

North Shore University

Hospital’s Division of

Gynecology performed more

gynecologic surgery procedures

than any other hospital in

New York State — a total

of 3,935 cases in 2011. “It

is because of our team of

highly trained gynecologists,

urogynecologists, reproductive

surgeons and gynecological

oncologists that we have

established a proven track

record of positive surgical

outcomes for women. We

thank AIMIS for recognizing

North Shore University

Hospital with this highly

sought-after accreditation,”

said Dr. Nimaroff.

Minimally invasive

surgery, whether laparoscopic

or robotically assisted, is

advancing healthcare for

women by providing doctors

new tools to accomplish the

same goals as they would with

traditional open surgery.

Most patients undergoing

minimally invasive procedures

experience less pain and blood

loss, decreased scarring, fewer

complications, faster recovery

and a decreased length of

hospital stay.

AIMIS teaches and

supports minimally

invasive gynecological and

urogynecological surgical

methods while improving

patient outcomes through

advanced surgical techniques.

The organization brings

together hospitals, surgeons,

clinics, medical technology

companies, the insurance

industry and patients by

providing a platform to deliver

advanced surgical procedures

that improve healthcare for

women of all ages.

Above: North Shore University

Hospital’s minimally invasive and

robotic surgery team, pictured

from left: Kelly Cifu, RN, associate

executive director, peri-op services

at NSUH; Chris Ciampa, quality

management; Pat Moleski, RN,

director, peri-op services; Adiel

Fleischer, MD, North Shore-LIJ’s

chair of obstetrics and gynecology;

Emily Kao, RPh, associate executive

director, NSUH; Robert Barnett,

MD, AIMIS representative; Michael

Nimaroff, MD, vice chair of

obstetrics and gynecology and chief

of gynecology at NSUH; Cindy

Girdusky, RN, nurse manager, periop

services; and Andrea Restifo, RN,

associate executive director, quality

management.

The New Standard 87


Ambulance Tracking Tool

Launched at LIJ

By Betty Olt

NEW HYDE PARK — North

Shore-LIJ’s Center for

Emergency Medical Services

(CEMS) has installed a new

wireless tracking system to

better predict ambulance

arrivals and collect critical

health data in real time before

patients arrive at the Emergency

Department (ED). The new

technology was recently rolled

out at LIJ, the first hospital on

Long Island and Queens to use

the software.

Responding to 911 calls,

paramedics and emergency

medical technicians (EMTs)

begin their assessment

and gather critical patient

information. Using a laptop

computer, emergency medical

workers transmit patients’

age, gender, vital signs and

brief comments about their

condition — for example,

“dizziness, seizure, fainting.”

Information is displayed on a

40-inch monitor on the wall

facing the entrance of LIJ’s

ambulance bay (names are

not used to protect patient

privacy). Triage nurses or

physicians can get a quick visual

picture about the number of

ambulances en route to the

88 Summer 2012

hospital and the severity of

patients’ conditions, which

allow staff to better prepare

for patients and manage care.

Physicians and nurses can also

access patient information on

computers in the ED.

The ED is an

unpredictable place,” said

Salvatore Pardo, MD,

associate chairman of

emergency medicine at LIJ.

The technology is a great

tool because it gives the ED

team information at a glance

to better plan for incoming

patients.” From several yards

away staff can see incoming

cases blinking on the monitor,

with trauma cases in black

or cardiac arrests in orange,

for example. Previously, Dr.

Pardo said the ED would get

a phone call from emergency

medical staff in the ambulance

and it was nearly impossible

to capture all details of a

patient’s condition. (EMTs

will likely still call ahead to the

ED to alert staff to heart attack

or major trauma patients.)

The tracking system

eliminates paperwork and

gets patients registered before

they arrive, making treatment

and the entire process more

effective,” he added.

The new tracking system,

known as XChangER, was

developed by the Duluth,

MN-based company Sansio.

Currently, North Shore-LIJ

EMS and the SeniorCare EMS

are using the system at LIJ.

CEMS, the largest hospitalbased

ambulance service in

the New York metropolitan

area and one of the largest

in the country, plans to

introduce the technology at

other health system hospitals

in the coming months.

The tracking technology

provides a continuum of

care for patients, integrating

information taken at the

emergency site and in the

ambulance prior to arrival at

the hospital for treatment,”

said Alan Schwalberg, CEMS

vice president. “Combining

the technology of electronic

medical records and this new

tracking software, we are

providing accurate, up-to-the

minute health information

about patients so ED staff can

prepare and coordinate the

best possible medical care.”

In the past year, LIJ’s

ED saw a 36 percent increase

in patient visits, partially

attributable to recent hospital

closures in Queens, according

to Patricia Farrell, RN, senior

administrative director of

patient care services at LIJ.

Each month, LIJ’s ED receives

about 1,400 ambulances

via 911 calls; it receives


approximately 80,000 patient

visits annually.

“We know that seconds

count in a 911 call for a

medical emergency,” said Ms.

Farrell. “The tracking system

jump-starts care and we are

able to triage patients before

they come through the door.”

Ms. Farrell explained that

the pre-hospital electronic

records technology also helps

the ED staff to better manage

incoming ambulance traffic.

Through CEMS, they have the

ability to divert an ambulance

to a nearby hospital, if

necessary, improving

“hospital throughput.”

“If we see an increased

volume of patients in the ED

and we know their condition,

we can notify the operating

room or other hospital

departments, for example,of a

need for more beds,” she said.

“This way, we have a game plan

that not only enhances patient

care and service, but makes the

workflow more efficient.”

Above: LIJ’s new tracking software

gives emergency medicine staff a

snapshot of incoming ambulances

and patients, which optimizes care.

ER nurse Debbie Sutton-Williams,

RN, left, discusses a patient’s case

with North Shore-LIJ paramedics.

The New Standard 89


Make a Gift Now

and Receive

Payments

for Life!

It sounds too good to be true!

Make a gift and gain an income

stream for life.

You can do just that — support

yourself, and then support North

Shore-LIJ. A charitable gift annuity

enables you (or you and a spouse)

to make a gift of $10,000+ and gain

a fixed income stream for your life.

Any remaining amount will be used

by North Shore-LIJ to fulfill our mission

of caring for our community.

Here are some representative

one-life rates:

ONE LIFE

Age Rate

60 4.9%

65 5.2%

70 5.6%

75 6.3%

80 7.3%

85 8.3%

Example: Anna, age 78, donates

$10,000. She would receive $690/

year ($566 tax-free for 10.5 years)

and may be eligible to claim a $4,052

income tax deduction.

For more information and

a no-obligation personalized

illustration of benefits, contact

Alexandra Brovey, senior director of

gift planning, at (516) 465-2610 or

abrovey@nshs.edu.

Rates are subject to change. Please

contact us to discuss your rate, tax-free

income and charitable deduction.

90 Summer 2012

North Shore-LIJ Integration Garners Praise

GREAT NECK — The North Shore-LIJ Health System continues to rank among the top 100 integrated healthcare networks

(IHNs) in the US, according to IMS Health. North Shore-LIJ ranked 31st out of 100 IHNs. A provider of information services

to the healthcare field, IMS Health rates each network’s performance and degree of integration.

Rankings are determined by coming up with a system’s total score based on measurements of 33 attributes in

weighted performance categories. Specifically, networks are rated on:

w Hospital utilization: use of medical services, procedures and facilities (includes data on measures such as

length of stay, tests and procedures, discharges, etc.).

w Financial stability: network operating and profit margins, long-term debt-to-capitalization ratio and

financial results.

w Physician participation: the size and scope of physicians in the network.

w Services and access: the availability of specific services, network size and hospital accreditation.

w Contractual capabilities: the ability to manage costs in the purchasing and managed care markets.

w Outpatient utilization: patient care, continuum of care and effects of diversification.

w Integration: coordination of administrative and clinical functions and procedures throughout the network.

w Integrated technology: integration of the network’s technical systems, including the level of seamless

communication and information systems.

Last year, North Shore-LIJ ranked 34th among the top 100 IHNs. The improved score reflects collaborative efforts

throughout the health system to work effectively and efficiently.

“Every Woman Matters” 5k Walk Attracts 5,000+

The North Shore-LIJ Health

System’s third annual Every Woman

Matters Walk: A Walk for Women and

Their Families at Jones Beach State

Park brought together families, friends

and the whole community to celebrate

women’s health and wellness, and

support an initiative that promises

to transform women’s healthcare

throughout the region: North Shore-

LIJ’s Katz Institute for Women’s Health

and Katz Women’s Hospitals.

Highlights of the day included

demonstrations of the da Vinci robot,

the state-of-the-art instrument that

allows surgeons to remotely perform

minimally invasive surgeries, an

early-morning yoga class, the Katz

Institute of Women’s Health showcase

tent and many giveaways from

event sponsors. Many participants

registered online, enticed by the

incentive of receiving two tickets to

an upcoming New York Mets game,

donated by Saul Katz, president of the

Mets and long-time North Shore-LIJ

trustee and former chairman.

Since the inception of the 5k

walk in 2010, more than $1.5 million

has been raised to support the Katz

Women’s Hospitals.

Above: The Third Every Woman

Matters Walk


Mets Present “Every Woman Matters”

Award to Dr. Michael Nimaroff

Michael Nimaroff, MD, vice chair and chief of gynecology at the North Shore

University Hospital (NSUH) Department of Obstetrics and Gynecology, was

presented with the “Every Woman Matters” Award this spring at the New York

Mets’ Welcome Home Dinner. The award is presented annually to an individual

associated with North Shore-LIJ’s Katz Institute for Women’s Health and

the Katz Women’s Hospitals who exemplifies outstanding care, compassion

and achievement in the care of women. Dr. Nimaroff has been a pioneer in

introducing minimally invasive surgical techniques, including robotic and

single-incision procedures designed to help women return to their normal lives

as quickly as possible. He dedicates much of his time to training practitioners

in the latest gynecologic surgical techniques. He established NSUH’s Minimally

Invasive and Robotic Gynecologic Fellowship program in 2009. From left are:

ob/gyn Daniel Kuo , MD; North Shore-LIJ Trustee and Mets President Saul B.

Katz; Adiel Fleischer, MD, North Shore-LIJ’s chair of ob/gyn; Neeta Shah, MD, the

health system’s vice president of women’s health; NSUH medical director Vicki

LoPachin, MD; Dr. Nimaroff; and ob/gyns Helen Greco, MD, and Allen Toles, MD.

MANHASSET — A US Food

and Drug Administrationapproved

revascularization

device is now available to

North Shore University

Hospital patients suffering

from acute ischemic stroke.

Jeffrey Katz, MD, chief

of vascular neurology and

director of the NSUH Stroke

Center, recently used the

Solitaire Flow Restoration

(FR) device in 47-year-old

Richard Hasselberger from

Manhasset, who presented

with a spontaneous carotid

dissection and ischemic stroke.

The Solitaire device is

relatively easy to use compared

to the older technology we

have been accustomed to and

has the potential to open

blood vessels more rapidly

than previous devices,” said

Dr. Katz. “This is important

because ‘time is brain’ when

SIUH Receives

Cancer Care Award

The Commission on Cancer (CoC) of the American

College of Surgeons has granted an Outstanding Achievement

Award (OAA) to Staten Island University Hospital. This

puts the hospital in the distinguished company of 106 cancer

programs nationwide being recognized for striving for excellence

in providing quality care to cancer patients. The facilities so

honored demonstrate a Commendation level of compliance

in six areas of cancer program activity: cancer committee

leadership, cancer data management, clinical management,

research, community outreach and quality improvement.

“As the primary deliverer of cancer care in our community,

we are happy to service our patients. None of the staff seeks

out praise for what they do, but it is always nice to be singled

out by a national organization as a center of excellence,” said

Dr. Frank Forte, program director of oncology/hematology/

palliative care at SIUH. “Thank you to the entire professional,

administrative and support staff for a job well done.”

Established in 1922 by the American College of Surgeons,

the Commission on Cancer is a consortium of professional

organizations dedicated to improving patient outcomes and

quality of life for cancer patients through standard-setting,

prevention, research, education and the monitoring of

comprehensive quality care.

NSUH Stroke Center Offers New Treatment

treating stroke patients. In the

randomized trial comparing

the new Solitaire device to the

Merci retriever, patients treated

with Solitaire had excellent

clinical outcomes, which is what

we have seen in the first two

patients we treated.”

The Solitaire FR is a selfexpanding,

columnar metal

cage device combining the

ability to restore blood flow to

the brain, administer medical

therapy and retrieve the blood

clot. Treatment with Solitaire

allows the interventional

neurologist to reopen target

arteries in a much more

effective and efficient way,

resulting in less symptomatic

intracranial hemorrhage and

better neurologic outcomes by

three months after the stroke.

The New Standard 91


To help facilitate the

commercialization

of discoveries at The

Feinstein Institute

for Medical Research and

pursue other opportunities

across the the health system,

North Shore-LIJ entered into

an alliance this spring with the

world-renowned Cleveland

Clinic’s venture arm, Cleveland

Clinic Innovations.

“Our scientists are leaders

in their fields, and we believe

that the North Shore-LIJ/

Cleveland Clinic alliance will

help us translate discoveries

made in our labs into

significant patient benefits,”

said Kevin Tracey, MD, the

Feinstein’s president and chief

executive officer. Considering

that it typically takes years

and costs millions of dollars

to move research advances

to market, the partnership

is significant because of

Cleveland Clinic Innovations’

solid track record of advancing

fledgling research and

promising clinical discoveries.

With 55 research

laboratories organized into

11 Centers of Excellence, the

Feinstein has more than 1,500

employees engaged in basic and

clinical research, working to

move discoveries from the lab

to the bedside. The Feinstein

already receives about $60

million annually in research

grants, including about $45

million from the National

Institutes of Health (NIH).

The Bayh-Dole Act of

1980 authorizes universities

and research institutions to

control and commercialize

the patent rights arising

from their research that is

supported by federal grants.

92 Summer 2012

Generally, this is accomplished

by licensing Feinstein patent

rights, either to outside

companies or to new ventures

started by its entrepreneurial

faculty members, which can

support the high cost of

developing and validating new

clinical products. Since the

Feinstein’s founding in 1999,

breakthroughs have led to the

creation of a dozen startup

companies and more than

70 licensing opportunities,

according to Kirk Manogue,

PhD, vice president and

director of the Feinstein’s

Office of Technology Transfer.

Below are some of those

companies and the promising

technologies they are

developing for clinical use.

Established in 1998,

Angion Biomedica Corp. has

licensed Feinstein patent rights

and is developing products

relating to renal transplant

and myocardial infarction.

Since 2005, Angion has

received more than $40

million in NIH Small Business

Innovation Research (SBIR)

funding. Angion scientists at

its multidisciplinary research

and development facility in

Uniondale are advancing

several of its products to Phase

I and Phase 2 clinical trials.

In 2008, Critical

Therapeutics, Inc., cofounded

in 2001 by Dr.

Tracey, with colleagues

from the Massachusetts

General Hospital and the

University of Pittsburgh,

merged with Cornerstone

Biopharma Holdings to create

Cornerstone Therapeutics,

Inc. Cornerstone holds

licensed rights to autoimmune,

inflammatory disease and

critical care treatments that

are based on discoveries made

in Dr. Tracey’s Laboratory of

Biomedical Sciences.

SetPoint Medical,

another faculty startup, is

developing an implantable

neuromodulator under

license from the Feinstein.

This computerized vagus

nerve stimulator is based

on discoveries made in Dr.

Tracey’s laboratory and is

presently in Phase 2 clinical

trials in rheumatoid arthritis.

Under license from the

Feinstein and Cornerstone,

Targacept, Inc. is developing

a drug that acts through

neuronal nicotinic receptors

(NNRs), which are key

regulators of the nervous

system, to treat asthma and

type 2 diabetes. Phase 2

clinical trials are ongoing.

The drug is also based on

discoveries made in Dr.

Tracey’s laboratory.

TissueGenesis, Inc.,

founded in 1998 by Daniel

Grande, PhD, has licensed the

rights to develop products that

enhance bone and cartilage

repair through gene-enhanced

tissue engineering. These

orthopedic implants are based

on research conducted in

Dr. Grande’s Laboratory of

Orthopedic Research.

Cleveland Clinic Alliance to

Enhance Feinstein Institute’s

Commercial Success

TheraSource LLC is a

faculty startup that has licensed

patent rights to develop novel

medicines for the treatment of

sepsis, ischemia/reperfusion

injury and hemorrhagic

shock. TheraSource was

founded by Ping Wang, MD,

who leads the Laboratory of

Surgical Research, the source

of discoveries that are now

licensed to TheraSource for

product development.

T3 Therapeutics is

under license to develop

an experimental thyroid

medication based on

discoveries made at the

Feinstein.


Eleven North Shore-LIJ Hospitals

Recognized for Superior Stroke Care

The American Heart Association/

American Stroke Association’s Get With The

Guidelines®-Stroke Quality Achievement

Award has been awarded to 11 North Shore-

LIJ Health System hospitals, recognizing

the facilities’ successes in implementing

excellent care for stroke patients, according

to evidence-based guidelines.

To receive the Get With The

Guidelines®-Stroke Gold Plus or Gold

Quality Achievement Award, each hospital

achieved 24 consecutive months of 85

percent or higher adherence to all stroke

performance achievement indicators. These

measures include aggressive use of medications,

such as tissue plasminogen activator

(or tPA, a clot-busting drug); interventions

to prevent blood clots; administration of

cholesterol-reducing drugs; and review of

smoking cessation techniques with patients.

All the protocols are designed to reduce

mortality and disability rates, and improve

the lives of stroke patients. Gold Plus

indicates hospitals that have met the Gold

requirements AND have shown adherence

to several additional quality measures.

North Shore-LIJ hospitals received

the following awards:

Gold Plus Quality Achievement Award

Forest Hills Hospital

Franklin Hospital

Glen Cove Hospital

Huntington Hospital

Long Island Jewish Medical Center

North Shore University Hospital

Plainview Hospital

Southside Hospital

Staten Island University Hospital

Syosset Hospital

Gold Achievement Award

Lenox Hill Hospital

In addition, Forest Hills Hospital and

Lenox Hill Hospital achieved Target: Stroke

honor roll status, an additional campaign

to improve outcomes for ischemic stroke

patients, indicating the achievement of

door-to-needle (DTN) times of 60 minutes

or less in at least 50 percent of stroke cases

for at least one year. Shorter DTN times

have been proven to improve outcomes and,

through Target: Stroke, hospital teams can

work toward eliminating delays and reducing

long-term disability in stroke patients.

“With a stroke, time lost is brain

lost,” said Richard Libman, MD, chair of

North Shore-LIJ’s stroke task force and chief

of vascular neurology at LIJ Medical Center.

The Get With The Guidelines®-Stroke

Quality Achievement Awards demonstrate

that our highly trained physicians and

nurses are committed to providing care that

has been clinically proven to quickly and

efficiently treat stroke patients and save lives.”

As New York State-designated stroke centers,

all 11 hospitals have multidisciplinary stroke

teams available 24 hours a day to assess and

treat stroke patients.

North Shore-LIJ

Goes to Harvard

Twenty-four staff from throughout

the North Shore-LIJ Health System,

pictured at left, participated in

the Harvard Project Management

Program, a specialized training

program designed for healthcare

professionals in both clinical and

operational roles that focuses

on improving cost, quality and

delivery through management

of both people and processes.

Participants attended the five

2-day modules over 10 months.

The program enables participants

to develop management skills to

deliver projects on time, within

budget and to specification.

The New Standard 93


MANHASSET — If you’ve

driven north on Community

Drive toward North Shore

University Hospital, as many

North Shore-LIJ Health System

employees have, on your left

you may have spotted a tiny

white clapboard church. In the

crush of fast-moving traffic, you

may have caught a glimpse of a

graveyard behind the church.

Surrounded by modern medical

facilities, they are clearly relics

of another time and place. That

time was the first half of the

20th century, and the place was

the vibrant African-American

community called Spinney

Hill that once spread over

several acres of Great Neck and

Manhasset.

Dedrick Johnson,

coordinator of medical

records at North Shore

University Hospital, grew

up in Spinney Hill, or more

accurately, what remained of

Spinney Hill, in the seventies

and eighties. (He still lives

in the neighborhood, and

can walk to work.) A sense of

nostalgia, along with an urge

to tell the story before it is lost

in the past, led Mr. Johnson

and his boyhood friend,

Lloyd Means, now a software

engineer with Cablevision,

to make a documentary about

Spinney Hill.

Sunday services are still

conducted at the Lakeville

AME Zion Church on

Community Drive, which

was founded by freed slaves

in the 1820s. But the African

American-owned businesses

that once lined Northern

Boulevard are gone. “There

was a barber shop, a beauty

salon, a nightclub called

Gibson’s, Hotel James,” said

Mr. Johnson. “On what is now

the golf course, black farmers

grew asparagus. The hospital

94 Summer 2012

grounds were all fields, too, of

potatoes, probably, and corn.”

Spinney Hill’s settlers

were part of what is called the

Great Migration of African-

Americans, mostly from

the tobacco fields of South

Carolina, from about 1910 to

1930. New York City’s rich

and famous – the Astors, the

Vanderbilts – were building

lavish mansions along Long

Documentary

Brings Forgotten

African-American

Community to Life

By Thea Welch

Island’s Gold Coast, and

the new residents took jobs

as cooks, yard men, maids,

housekeepers, chauffeurs.

Many became entrepreneurs.

If they didn’t live on the grand

estates, their homes were in

Spinney Hill. In the fifties,

legendary pro football player

Jim Brown, who lived on

Lee Avenue in Spinney Hill,

graduated from Manhasset

High School, having earned 17

letters in a variety of sports. In

the sixties, Dr. Martin Luther

King, Jr., visited synagogues in

Great Neck to raise money for

the cause of civil rights.

Mr. Johnson and his friend

enjoyed what he describes as a

“Norman Rockwell childhood,”

building forts in the woods

and skating on Whitney Pond.

But the post-war Baby Boom

and the suburbanization of

Long Island were eating away

at Spinney Hill. The final

blow was an urban renewal

project in the mid-1980s, with

medical and office buildings

replacing most of the original

establishments.

For Mssrs. Johnson and

Means, the work is ongoing.

They are still collecting

photographs and interviewing

former residents about their

memories — and they are

making another film. “Two

men we interviewed for the

first film, William Singletary

and Joe Oliphant, who both

sang at Hotel James, died

before the film was finished,”

Mr. Johnson said. “We regret

that they didn’t live to see it.

We want the old-timers to

know that Spinney Hill and

they are not forgotten.”

Left: Dedrick Johnson stands outside

the tiny church, founded in the

1820s by freed slaves.


Department of Medicine Presents Scherr Awards

It’s a rite of spring at North Shore University Hospital (NSUH): the presentation

of awards to interns, residents and fellows who have put forth significant time

and effort in the pursuit of knowledge. The awards have been presented for 24

years, but for the last five years they have been named in honor of Lawrence

Scherr, MD, MACP, NSUH’s former chair of medicine and the North Shore-LIJ

Health System’s academic dean emeritus and historian. The Lawrence Scherr,

MD, MACP, Scholarly Activity Awards were presented May 3 at NSUH’s Rust

Auditorium. From left are: Andrew Yacht, MD, associate dean for general medical

education at Lenox Hill Hospital; Amgad Makaryus, MD, chair of the Scherr

Awards Committee and director of echocardiography, cardiac CT and MRI in the

North Shore-LIJ Laboratories

Performs C-Reactive Protein Tests

Live on “Dr. Oz Show”

Eight New York State licensed medical technologists were chosen from

North Shore-LIJ Laboratories and the Monter Cancer Center Laboratory

to perform129 fingerstick high-sensitivity CRP tests on members of

the studio audience. The testing of Dr. Oz himself was executed by

Rosemary Frederick, manager of point of care testing, pictured here

with the doctor. North Shore-LIJ Labs’ dedicated, knowledgeable

and well-prepared team performed a valuable service in terms of

increasing awareness of this test, not just for the studio audience but

for the thousands of people watching at home.

Department of Cardiology; John Makaryus, MD, house staff awardee in the case

reports category; Robert Sporter, MD, house staff co-awardee in the abstract

category; Nishtha Sareen, MD, house staff co-awardee in the paper category;

Sameer Khanjio, MD, house staff co-awardee in the paper category; Saima

Chaudhry, MD, residency program director and associate chair of graduate

medical education for the Department of Medicine; Thomas McGinn, MD, chair

of the Department of Medicine; Elizabeth Forde, residency liaison for the Office

of Graduate Medical Education; and David Battinelli, MD, North Shore-LIJ’s chief

academic officer. (The house staff co-awardee in the abstract category, Shalin

Desai, MD, was unable to be present at the ceremony.)

The New Standard 95


Drug “Take Back”

Collection Hits

New High

The fourth drug “Take Back” event, held

on Saturday, April 28, was the best yet, with

all participating North Shore-LIJ facilities

combined collecting 481 pounds of prescription

drugs. That total represents 9 percent of what

was collected on Long Island, and 8 percent of

what was collected in New York City.

Each year, the rate of prescription drug

abuse increases in the US, as does the number

of accidental poisonings and overdoses. Studies

show that a majority of abused prescription

drugs are obtained from family and friends,

including from home medicine cabinets.

In addition, many Americans do not know

how to properly dispose of their unused

medicines, often flushing them down the

toilet or throwing them away – both potential

safety and health hazards. The “Take Back”

initiative, conducted by the North Shore-LIJ

Health System in partnership with the US

Drug Enforcement Administration (DEA)

and other government, community, public

health and law enforcement organizations,

seeks to prevent increased pill abuse and theft

by collecting potentially dangerous expired,

unused and unwanted prescription drugs at

system hospitals and disposing of them safely.

“Each time we participate in this event

our numbers increase, which I think is a

reflection of all of the work you all do in

getting the word out, as well as the ongoing

need in our communities,” said Lisa Burch,

MPH, system director of community and

public health. “To illustrate how the initiative

has grown, in October 2011 we collected

319 pounds, in April 2011 we collected 305

pounds and in September 2010 we collected

239 pounds. Once again, thank you for your

participation and thank you for helping to

keep our communities safe.”

The DEA is already planning another

“Take Back” event before the end of the year; it

will be publicized when the date is set.

96 Summer 2012

COMPLIANCE corner


Spiritual Inspiration

Among the features of LIJ Medical Center’s

newly opened Katz Women’s Hospital and

Zuckerberg Pavilion is the Judy and Fred

Wilpon Family Foundation Meditation

Center. Open around-the-clock, the center

is surrounded on three sides by a reflecting

pool. Soon after the tower opened, LIJ

administrators greeted priests, rabbis,

ministers, an Imam, a nun and other clergy in

the meditation center, which offers various

religious services throughout the week. Mr.

Wilpon and North Shore-LIJ trustee Saul Katz

are owners of the New York Mets.

The New Standard 97


98 Summer 2012


ORIGINS

photo credit

The First Miss North Shore Hospital

In 1950, students in local high schools were invited to participate in a contest to raise money and

awareness of the need for a community hospital in Manhasset. The young women who entered wore

nurse’s uniforms (a “bathing beauty” contest was deemed inappropriate) and delivered one-minute

speeches stating why the hospital should be built. The winner, pictured here, the first Miss North Shore

Hospital, was 16-year-old Glorian Devereux, a senior at Manhasset High School (where football legend

Jim Brown was a sophomore). With her is a young and handsome Perry Como, who was from Port

Washington. He performed at the event, held at Roosevelt Raceway, as did Frank Sinatra (although

he was from New Jersey). “The prize was an all-expenses-paid trip to Bermuda, with a boyfriend and

a chaperone,” Mrs. Dorsey (her married name) recalled. “I think I received a set of luggage, too. The

chaperone was the high school gym teacher, who was only 22 herself, and the three of us rode bikes –

not motor bikes – all over the island. We had a wonderful time.”

New TV Star

at PAANS

Adrian Ashby, administrative

support associate with the Physician

and Ambulatory Network Services

(PAANS), was selected to compete on

the Food Network’s Chopped cooking

competition program. Mr. Ashby,

whose favorite hobby is cooking and

baking, stood out because of his

extensive experience in throughout

New York City’s competition circuit

and for doing well during his screen

test. Look for the program to air by

the end of the year.

The New Standard 99


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100 Summer 2012

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