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New St<strong>and</strong>ard<br />

Summer 2012 An employee publication <strong>of</strong> the North Shore-LIJ Health System<br />

<strong>Support</strong> <strong>for</strong><br />

<strong>Soldiers</strong> <strong>and</strong><br />

<strong>Veterans</strong><br />

<strong>You</strong> <strong>Gotta</strong><br />

<strong>Have</strong> <strong>Heart</strong><br />

<strong>The</strong> <strong>Joy</strong> <strong>of</strong><br />

[Healthy]<br />

Cooking


what’s INSIDE<br />

2 Summer 2012<br />

9On the Job at 30,000 Feet<br />

Two North Shore University Hospital nurses flying to<br />

Florida <strong>for</strong> some R&R respond to a medical emergency.<br />

22Zeroing In on Sepsis<br />

<strong>The</strong> health system’s new, more stringent criteria <strong>for</strong><br />

diagnosis will save lives.<br />

34New Discovery in Ovarian Cancer<br />

MicroRNA, a genetic marker, can help in choosing<br />

the best course <strong>of</strong> treatment.<br />

72 A First in New York State<br />

Percutaneous mitral valve replacement is per<strong>for</strong>med<br />

at Lenox Hill Hospital.<br />

88 Ambulance Tracker Launched at LIJ<br />

A new wireless system can collect patient data be<strong>for</strong>e<br />

they arrive at the ED.<br />

94 Remembering Spinney Hill<br />

A health system employee honors a historic African-<br />

American community in his documentary film.<br />

On the Cover<br />

Forest Hills Hospital chef Dale Lyons clearly loves his work – even<br />

chopping onions. He <strong>and</strong> fellow Forest Hills chef Gary DeFreitas,<br />

pictured in the background in the white chef’s toque, were winners<br />

<strong>of</strong> the health system’s Ultimate Chef Healthy Entrée Challenge.<br />

Summer 2012<br />

Editor in Chief<br />

Terry Lynam<br />

Director <strong>of</strong> Editorial Services<br />

Maria Con<strong>for</strong>ti<br />

Contributors<br />

Alex<strong>and</strong>ra Brovey<br />

Allison Bunin<br />

Lisa D’Ambruoso<br />

Gerri Ganz<br />

Marc Greene<br />

<strong>The</strong>resa Jacobellis<br />

Dana Klosner<br />

Susan Kreimer<br />

Kristen Longo<br />

Stacey Makely<br />

Erica Manney<br />

Barbara Mlawer<br />

Brian Mulligan<br />

Emily Ng<br />

Margarita Oksenkrug<br />

Betty Olt<br />

Barbara Osborn<br />

Terri Ann Parnell, RN, DNP<br />

Michelle Pinto<br />

Michelle Pipia-Stiles<br />

Kathleen Rohan<br />

Neil Rosen<br />

Arleen Ryback<br />

Ann Silverman<br />

Peter Spanos<br />

Jamie Talan<br />

Timothy Vassilakos<br />

Kathleen Waton<br />

<strong>The</strong>a Welch<br />

Elaine Wohl<br />

Photography<br />

North Shore-LIJ Studios,<br />

except as noted<br />

Graphic Design<br />

Gina Reduzzi/Reduzzi Design<br />

Comments/Suggestions? Contact:<br />

Public Relations Department<br />

125 Community Drive<br />

Great Neck, NY 11021<br />

(516) 465-2600


a MESSAGE from the PRESIDENT<br />

See more<br />

Walk to Paris<br />

photos on<br />

page 47.<br />

Building a Wellness Culture<br />

Just a few weeks removed from the conclusion <strong>of</strong> the Walk to Paris, I can say without hesitation<br />

that it was the most successful employee engagement we’ve ever done. <strong>You</strong> demonstrated your<br />

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

first-ever fitness campaign <strong>and</strong> 914 teams (comprising 9,000+ employees) successfully completing<br />

the challenge, each team collectively walking 7.2 million steps – the approximate distance from New<br />

York to Paris.<br />

All told, participants walked over five million miles <strong>and</strong> took more than 10 billion steps.<br />

<strong>You</strong> lost an estimated 145,000 pounds – the equivalent <strong>of</strong> 764 adult males, 73 elephants or 66<br />

Honda Civics.<br />

We’re pleased to have recognized your ef<strong>for</strong>ts by raffling <strong>of</strong>f free trips to Paris to four<br />

teams (40 employees) <strong>and</strong> giving out some great consolation prizes to 10 additional teams (100<br />

employees), including choices<br />

<strong>of</strong> gym memberships, wellness<br />

retreats <strong>and</strong> massages.<br />

But as we all know, the<br />

Walk to Paris was about more<br />

than winning a trip to Paris –<br />

the overriding goal is to change<br />

our culture <strong>and</strong> help us make<br />

wellness part <strong>of</strong> our lifestyle. It<br />

has to be part <strong>of</strong> our DNA if we<br />

are going to change the health<br />

<strong>of</strong> our communities.<br />

We have already made some<br />

major progress. Several years<br />

ago, we became a tobacco-free<br />

organization, <strong>and</strong> through<br />

our free smoking cessation<br />

program, nearly 1,000<br />

employees have quit smoking.<br />

We started our “Weight<br />

Watchers At Work” program,<br />

enrolling thous<strong>and</strong>s <strong>of</strong><br />

Rosemarie Ennis celebrates when the team she captained, Twinkle Toes, was<br />

r<strong>and</strong>omly selected to go to Paris. Other Paris-bound teams were: Walka-<br />

Walka-Walka <strong>of</strong> Patient Financial Services in Westbury, Microbiologie Marche<br />

A’Paris <strong>of</strong> North Shore-LIJ Laboratories in Lake Success, <strong>and</strong> Champs-Elysees<br />

<strong>of</strong> LIJ Medical Center.<br />

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

<strong>and</strong> <strong>of</strong>fer various discounted gym memberships across the New York metro area.<br />

Perhaps most importantly, as part <strong>of</strong> our Know <strong>You</strong>r Numbers Program, more than 8,000<br />

employees participated in free onsite health screenings <strong>and</strong> another 5,000 saw their personal<br />

physicians to learn about their numbers <strong>and</strong> their risks <strong>for</strong> serious illness just this past winter.<br />

Going <strong>for</strong>ward, we’re planning another team-based competition <strong>and</strong> education program to<br />

help you <strong>and</strong> your families incorporate more fruits <strong>and</strong> vegetables (five servings a day) into your diet.<br />

Many <strong>of</strong> our cafeterias also are undergoing food <strong>and</strong> nutrition makeovers, <strong>and</strong> will be <strong>of</strong>fering more<br />

nutritious foods with more fruits <strong>and</strong> vegetables. We’re also looking to roll out fruit <strong>and</strong> vegetable<br />

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

So, welcome to the wellness revolution – <strong>and</strong> congratulations on an incredible achievement.<br />

<strong>The</strong> New St<strong>and</strong>ard<br />

3


For Craig Washington,<br />

serving overseas in the<br />

military meant missing<br />

family milestones, from the<br />

birth <strong>of</strong> his first niece to his<br />

cousin’s high school graduation.<br />

It also meant not being around<br />

<strong>for</strong> day-to-day chores, like<br />

helping his then-wife with yard<br />

work or fixing the television<br />

when it went out.<br />

“<strong>You</strong> feel very helpless<br />

because you’re over there<br />

<strong>and</strong> she’s over here,” said Mr.<br />

Washington, an Air Force<br />

veteran who completed two<br />

tours in Afghanistan. “Coming<br />

back, you have to overcome that<br />

— <strong>and</strong> it’s not always easy.”<br />

<strong>The</strong> transition process<br />

eventually led to the demise<br />

<strong>of</strong> his marriage, said Mr.<br />

Washington, who now works as<br />

the patient support manager at<br />

<strong>The</strong> Zucker Hillside Hospital.<br />

Hundreds <strong>of</strong> thous<strong>and</strong>s <strong>of</strong><br />

veterans like Mr. Washington<br />

have struggled with the<br />

transition from war back into<br />

civilian life. Almost 20 percent<br />

4 Summer 2012<br />

Partnership <strong>Support</strong>s<br />

<strong>Veterans</strong> <strong>and</strong> <strong>The</strong>ir Families<br />

By Stacey Makely<br />

<strong>of</strong> veterans who served in Iraq<br />

<strong>and</strong> Afghanistan reported<br />

symptoms <strong>of</strong> post-traumatic<br />

stress disorder or major<br />

depression in a 2008 study by<br />

the RAND Corporation.<br />

<strong>The</strong> Unified Behavioral<br />

Health Center <strong>for</strong> Military<br />

<strong>Veterans</strong> <strong>and</strong> <strong>The</strong>ir Families,<br />

scheduled to open later this<br />

year as a partnership between<br />

the US Department <strong>of</strong> <strong>Veterans</strong><br />

Affairs <strong>and</strong> Zucker Hillside,<br />

will help ease the strain <strong>of</strong> these<br />

<strong>and</strong> other issues that so <strong>of</strong>ten<br />

face veterans <strong>and</strong> their families.<br />

<strong>The</strong> 4,000-square-foot Bay<br />

Shore building will include a<br />

behavioral health center side<br />

by side with a VA healthcare<br />

facility. <strong>The</strong> pairing is the only<br />

one <strong>of</strong> its kind in New York<br />

State <strong>and</strong> will allow vets to<br />

receive medical care on one side<br />

<strong>of</strong> the building <strong>and</strong> behavioral<br />

healthcare on the other.<br />

“In a very unique way,<br />

the center will be able to treat<br />

veterans <strong>and</strong> their family<br />

members,” said Andrew<br />

Roberts, director <strong>of</strong> North<br />

Shore-LIJ’s Office <strong>of</strong> Military<br />

<strong>and</strong> <strong>Veterans</strong> Liaison Services.<br />

Mr. Roberts knows firsth<strong>and</strong><br />

just how important this<br />

kind <strong>of</strong> treatment can be: He<br />

served in Iraq from 2003<br />

to 2004 as an Army battery<br />

comm<strong>and</strong>er <strong>and</strong> returned with<br />

post-operational stress.<br />

But so many other soldiers<br />

never made it home from the<br />

war, <strong>and</strong> Mr. Roberts believes<br />

that veterans owe it to those<br />

soldiers to become reintegrated<br />

into society <strong>and</strong> live a full life —<br />

something that can be difficult<br />

without healing from the<br />

emotional wounds <strong>of</strong> war.<br />

“<strong>The</strong> stress that can come<br />

with a deployment to Iraq<br />

or Afghanistan can have a<br />

tremendous impact on not just<br />

the service member but also<br />

the family,” Mr. Roberts said.<br />

“Speaking as someone who<br />

suffered when I came back, it’s<br />

not always easy to realize or be<br />

aware that you’re struggling<br />

with something. Talking to a<br />

pr<strong>of</strong>essional who is trained<br />

in evidence-based therapies<br />

can really help you feel like<br />

yourself again.”<br />

Soldier Ride<br />

Join us on July 20 <strong>for</strong> a great ride <strong>for</strong> the<br />

Wounded Warrior Project.<br />

Soldier Ride is an inspiring opportunity<br />

<strong>for</strong> the public to participate in a cycling<br />

event that honors the men <strong>and</strong> women<br />

<strong>of</strong> our military who sacrificed so much.<br />

Soldier Ride raises awareness <strong>for</strong><br />

our nation’s wounded warriors who<br />

courageously battle the physical <strong>and</strong><br />

psychological damages <strong>of</strong> war,<br />

<strong>and</strong> <strong>of</strong>fers the public a chance to ride<br />

alongside as our nation’s wounded<br />

warriors promote their positive<br />

message <strong>of</strong> recovery!<br />

For further in<strong>for</strong>mation, call<br />

Lisa Finnegan at (631) 647-3825.


MANHASSET — Since Operation<br />

Iraqi Freedom began in<br />

2003, much has been written<br />

about the plight <strong>of</strong> returning<br />

military personnel. One member<br />

<strong>of</strong> the US Army Reserves,<br />

Michael Kentner, Platoon Sergeant,<br />

773rd Transportation<br />

Company, Fort Totten, who is<br />

also a New York City firefighter<br />

<strong>and</strong> a maintenance worker at<br />

the North Shore-LIJ Stern<br />

Center <strong>for</strong> Rehabilitation,<br />

knows how important it is <strong>for</strong><br />

reservists to have a supportive<br />

work environment.<br />

Last year, Sgt. Kentner<br />

found a Web site maintained<br />

by Employer <strong>Support</strong> <strong>of</strong> the<br />

Guard <strong>and</strong> Reserve, a US<br />

Department <strong>of</strong> Defense agency<br />

that sought Patriot Award<br />

nominations <strong>for</strong> employers<br />

that support military-reservist<br />

obligations. He wrote a letter<br />

extolling his immediate<br />

supervisor, Walter Oberman,<br />

the Stern Center’s assistant<br />

director <strong>of</strong> engineering, who<br />

“continues to support what I’m<br />

doing with a special sincerity<br />

that gives you chills. This guy<br />

embodies a certain intangible<br />

patriotism that simply cannot<br />

be articulated in words on<br />

paper.”<br />

At the recent ceremony to<br />

accept the Patriot Award, Mr.<br />

Oberman was surrounded by<br />

colleagues, veterans <strong>and</strong> active<br />

duty <strong>and</strong> reserve military<br />

personnel. He said he was<br />

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

Vincent Mannion, Maureen McClusky, First Sergeant Kilsi Ciprian <strong>and</strong> Michael Kentner, platoon sergeant <strong>and</strong> Stern<br />

Center staff member.<br />

What It Means to Be<br />

a Patriotic Employer<br />

By Michelle Pinto<br />

both humbled <strong>and</strong> honored<br />

to work with his good friend,<br />

who, he added, “is clearly an<br />

American hero. How can you<br />

not want to help someone<br />

whose only thought is to help<br />

his country <strong>and</strong> his city?”<br />

Andrew Roberts, director<br />

<strong>of</strong> North Shore-LIJ’s Office <strong>of</strong><br />

Military <strong>and</strong> <strong>Veterans</strong> Liaison<br />

Services, led the ceremony.<br />

Mr. Roberts noted that the<br />

North Shore-LIJ Health System<br />

has recruited 100 veterans<br />

<strong>for</strong> various staff positions<br />

throughout health system<br />

facilities in the past year. He<br />

praised the health’s system<br />

practice <strong>of</strong> paying employees<br />

on military leave the difference<br />

between military pay <strong>and</strong> their<br />

regular salaries, ensuring that<br />

their service to our country does<br />

not create economic hardship.<br />

Also on h<strong>and</strong> to present<br />

the award was Sgt. Major<br />

Vincent Mannion, 301st<br />

In<strong>for</strong>mation Operations<br />

Battalion, Fort Totten.<br />

“<strong>The</strong>re are so many people<br />

who talk the talk but wind<br />

up complaining about<br />

the reservists’ military<br />

obligations,” he said,<br />

congratulating Maureen<br />

McClusky, executive director<br />

<strong>of</strong> the Stern Center, <strong>and</strong> staff<br />

members <strong>for</strong> providing true<br />

support <strong>and</strong> concern.<br />

<strong>The</strong> New St<strong>and</strong>ard<br />

5


LAKE SUCCESS —<br />

Normally, when you hear<br />

the word “PJs” you think<br />

<strong>of</strong> pajamas. But on a<br />

recent Friday afternoon,<br />

“PJs” took on an entirely<br />

different meaning. On this<br />

particular afternoon, a group<br />

<strong>of</strong> Pararescue Jumpers, aka<br />

PJs, from the 103rd Rescue<br />

Squadron <strong>of</strong> the New York Air<br />

National Guard/US Air Force<br />

from Westhampton Beach, came<br />

to the North Shore-LIJ Biokills<br />

Education Center in Lake<br />

Success <strong>for</strong> a special workshop<br />

on combat medical care.<br />

<strong>The</strong> pararescuers, some <strong>of</strong><br />

whom deployed to the Mideast<br />

within a week <strong>of</strong> their visit to<br />

the Bioskills Center, are the<br />

elite combat <strong>for</strong>ce specifically<br />

organized, trained <strong>and</strong> equipped<br />

to conduct both conventional<br />

<strong>and</strong> unconventional combat <strong>and</strong><br />

noncombat rescue operations.<br />

<strong>The</strong>y are the most highly<br />

trained <strong>and</strong> versatile personnel<br />

recovery specialists in the world.<br />

Because <strong>of</strong> their training, the<br />

pararescuers are called on to<br />

execute the most extreme rescue<br />

missions across the globe.<br />

In light <strong>of</strong> the<br />

pararescuers’ critical mission,<br />

the workshop — directed by<br />

Lieutenant Colonel Stephen<br />

Rush, MD, a pararescue flight<br />

surgeon, <strong>and</strong> Jason D’Amore,<br />

MD, director <strong>of</strong> the North<br />

Shore-LIJ Advanced Airway<br />

6 Summer 2012<br />

Special Forces Medics<br />

Trained at North Shore-LIJ<br />

By Marc Greene<br />

Training Center — focused on<br />

the advanced life-saving skills<br />

necessary when per<strong>for</strong>ming<br />

in severe environments.<br />

<strong>The</strong> operating room <strong>for</strong><br />

pararescuers is frequently in<br />

the back <strong>of</strong> a helicopter.<br />

While training at the<br />

Bioskills Education Center,<br />

part <strong>of</strong> North Shore-<br />

LIJ’s Center <strong>for</strong> Learning<br />

<strong>and</strong> Innovation (CLI),<br />

pararescuers learned critical<br />

techniques in such areas as<br />

advanced airway intubation,<br />

chest tube placement <strong>and</strong><br />

deep-wound packing, along<br />

with multiple suturing <strong>for</strong><br />

skin closure.<br />

“I can say without<br />

equivocation that the care that<br />

we are able to render to our<br />

military personnel in critical<br />

rescue situations is truly<br />

enhanced by our experience<br />

at the Bioskills Center,” said<br />

Colonel Rush. “We have<br />

been <strong>for</strong>tunate to have Dr.<br />

D’Amore as an enthusiastic<br />

<strong>and</strong> expert teacher.”<br />

Colonel Rush also<br />

thanked the North Shore-LIJ<br />

Health System <strong>for</strong> opening<br />

its doors to the military, <strong>and</strong><br />

Bioskills Education Center<br />

director Joseph Colaccico <strong>for</strong><br />

his logistical help <strong>and</strong> support.<br />

Colonel Rush said the<br />

103rd Rescue Squadron<br />

currently has three airmen<br />

deployed in the theater <strong>of</strong><br />

operation. “Not only were<br />

two lives saved because <strong>of</strong><br />

techniques that we practice <strong>and</strong><br />

honed in the Bioskills Labs,<br />

but also the patients were kept<br />

more com<strong>for</strong>table,” he said.<br />

North Shore-LIJ’s<br />

Biokills Education Center<br />

brings the latest operative<br />

techniques to physicians,<br />

medical students, nurses<br />

<strong>and</strong> surgical technologists.<br />

Coupled with the most<br />

advanced technologies in<br />

video <strong>and</strong> endoscopic surgical<br />

equipment, the center<br />

supports surgical training,<br />

continuing medical education<br />

<strong>and</strong> research.<br />

Watch the pararescuers<br />

in action at the Bioskills<br />

Education Center at<br />

http://bit.ly/zbMwNS.<br />

Above: Jason D’Amore, MD, center,<br />

trains pararescuers from the 103rd<br />

Rescue Squadron <strong>of</strong> the New York<br />

Air National Guard/US Air Force<br />

during a recent visit to the North<br />

Shore-LIJ Bioskills Education<br />

Center.


H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine<br />

Helps Vets With Unique Healthcare Needs<br />

<strong>The</strong> H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine has signed<br />

on with First Lady Michelle Obama’s Joining Forces initiative,<br />

which is committed to creating a new generation <strong>of</strong> doctors,<br />

medical schools <strong>and</strong> research facilities that will make sure our<br />

heroes receive the care worthy <strong>of</strong> their service. Recognizing<br />

Necessity Spurs Innovation<br />

When Jason D’Amore, MD, director <strong>of</strong> the North Shore-LIJ Advanced<br />

Airway Training Center, began conducting workshops on combat medical care<br />

with the Air National Guard pararescuers, he was surprised when he took a<br />

close look at one <strong>of</strong> the surgical medical kits <strong>for</strong> cricothyrotomy, commonly<br />

called a cric kit, used by the military in the field.<br />

“<strong>The</strong> kit was clearly designed by people who never went into the field to use<br />

it. <strong>The</strong>re were basic surgical tools that should’ve been included but weren’t, <strong>and</strong><br />

some <strong>of</strong> the tools that were needed were just too big to fit in the st<strong>and</strong>ard issue kit.”<br />

Necessity being the mother <strong>of</strong> invention <strong>and</strong> innovation, Dr. D’Amore teamed<br />

with medical device manufacturer Cook Medical to create a new cric kit that would<br />

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

fanny pack. “One <strong>of</strong> the pararescuemen showed me his own kit that he had literally<br />

taped together with surgical tools from an assortment <strong>of</strong> scavenged kits. I knew<br />

that we had a serious need that had to be addressed, but I also knew that we could<br />

put something together that would fit the bill — <strong>and</strong> the fanny pack.”<br />

This is the redesigned kit developed at North Shore-LIJ’s Bioskills Education<br />

Center with Cook Medical.<br />

veterans’ <strong>and</strong> their families’ sacrifice <strong>and</strong> commitment, H<strong>of</strong>stra<br />

North Shore-LIJ School <strong>of</strong> Medicine pledged to mobilize its<br />

integrated missions in education, research, <strong>and</strong> clinical care<br />

to train physicians to meet veterans’ <strong>and</strong> their families’ unique<br />

healthcare needs, including post-traumatic stress disorder (PTSD)<br />

<strong>and</strong> traumatic brain injury (TBI).<br />

“We are honored to participate in the White House<br />

Joining Forces initiative to address the healthcare needs <strong>of</strong><br />

military service members <strong>and</strong> veterans <strong>and</strong> their families,” said<br />

Lawrence Smith, MD, founding dean <strong>of</strong> the medical school.<br />

“Since 2006, North Shore-LIJ has served military personnel<br />

<strong>and</strong> their families, including young children, through its<br />

Rosen Family Wellness Center <strong>for</strong> Law En<strong>for</strong>cement <strong>and</strong><br />

Military Personnel <strong>and</strong> <strong>The</strong>ir Families, as well as other<br />

veterans-related services. As a result, the health system has<br />

extensive experience diagnosing <strong>and</strong> treating military service<br />

members <strong>and</strong> their families with behavioral health issues. This<br />

commitment to veterans carries over to our medical school<br />

<strong>and</strong> our curriculum.”<br />

<strong>The</strong> School <strong>of</strong> Medicine joins the Association <strong>of</strong><br />

American Medical Colleges (AAMC) <strong>and</strong> the American<br />

Association <strong>of</strong> Colleges <strong>of</strong> Osteopathic Medicine (AACOM)<br />

in the commitment to enrich medical education to ensure<br />

that physicians are aware <strong>of</strong> the unique clinical challenges <strong>and</strong><br />

best practices associated with caring <strong>for</strong> this group; to develop<br />

new research <strong>and</strong> clinical trials on PTSD <strong>and</strong> TBI to foster<br />

better underst<strong>and</strong>ing <strong>and</strong> treatment <strong>of</strong> these conditions; to<br />

share their in<strong>for</strong>mation <strong>and</strong> best practices with each other<br />

through a collaborative Web <strong>for</strong>um created by the AAMC;<br />

<strong>and</strong> to grow the body <strong>of</strong> knowledge leading to improvements<br />

in healthcare <strong>and</strong> wellness <strong>for</strong> our military service members,<br />

veterans <strong>and</strong> their families.<br />

First Lady Michelle Obama <strong>and</strong> Dr. Jill Biden created<br />

Joining Forces to bring Americans together to recognize, honor<br />

<strong>and</strong> take action to support veterans <strong>and</strong> military families as they<br />

serve our country <strong>and</strong> throughout their lives. <strong>The</strong> initiative<br />

aims to educate, challenge <strong>and</strong> spark action from all sectors<br />

<strong>of</strong> society to ensure veterans <strong>and</strong> military families have the<br />

support they have earned. <strong>The</strong> initiative focuses on key priority<br />

areas — employment, education <strong>and</strong> wellness — while raising<br />

awareness about the service, sacrifice <strong>and</strong> needs <strong>of</strong> America’s<br />

veterans <strong>and</strong> military families. More in<strong>for</strong>mation is available at:<br />

JoiningForces.gov <strong>and</strong> NorthShoreLIJ.com/rosen.<br />

<strong>The</strong> New St<strong>and</strong>ard<br />

7


in the SPOTLIGHT<br />

Members <strong>of</strong> the HealthPort team,<br />

pictured from left to rignt, are<br />

Christina Birrer, Devon Kelly,<br />

Jaclyn Kelly, Ron Sharpe,<br />

Fabrizio DiFazio, Cathlyn Fagan,<br />

Kai Chan <strong>and</strong> Jose Villamar.<br />

<strong>The</strong> HealthPort Team<br />

By Jamie Talan<br />

Less than a decade ago, an employee wanting to know what was going<br />

on in the ever-exp<strong>and</strong>ing North Shore-LIJ Health System could find a single<br />

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

site <strong>for</strong> HealthPort is more like a city than a home. <strong>The</strong> renovation is nothing<br />

short <strong>of</strong>, well, BIG. It’s a community that serves the health system’s 43,000<br />

employees <strong>and</strong> allows them to navigate the entire l<strong>and</strong>scape <strong>of</strong> the health<br />

system’s infrastructure. <strong>The</strong>re are neighborhoods <strong>for</strong> nurses, doctors <strong>and</strong> other<br />

employees. Trustees even have their own key that provides them access to<br />

in<strong>for</strong>mation they can use to underst<strong>and</strong> the everyday operations <strong>of</strong> the system.<br />

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

when you had to hunt down a binder filled with hospital policies <strong>and</strong> procedures.<br />

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

it is virtually possible with one keystroke. PeopleFinder tells you where people<br />

work, how to find them <strong>and</strong> who they work <strong>for</strong>. People can sell cars <strong>and</strong> houses.<br />

<strong>The</strong>y can download any one <strong>of</strong> thous<strong>and</strong>s <strong>of</strong> <strong>for</strong>ms that once had been housed<br />

across the health system. And every day, HealthPort staff is creating even more<br />

customized features <strong>and</strong> is now designing an integrative social networking<br />

portal. People can now add their events themselves. HealthPort posts over 30<br />

new events a month.<br />

Training on the site is also saving time <strong>and</strong> money <strong>for</strong> the health system.<br />

Nurses can train at their desks with online nursing modules that have led to<br />

8 Summer 2012<br />

HealthPort has just won a 2012 LISA Award <strong>for</strong> Top S<strong>of</strong>tware Products<br />

from the Long Isl<strong>and</strong> S<strong>of</strong>tware & Technology Network (LISTnet). This puts<br />

North Shore-LIJ in the elite company <strong>of</strong> winners such as CA Technologies,<br />

Motorola, Northrop Grumman, PC Richard <strong>and</strong> Oracle. Congrats to the<br />

HealthPort team <strong>for</strong> the high-quality work you do!<br />

cost savings <strong>of</strong> almost $1 million, according to HealthPort manager Devon Kelly.<br />

Managers can now log on to the site <strong>and</strong> read <strong>and</strong> analyze financial score cards<br />

from every hospital in the health system. <strong>The</strong>y have access to daily census reports.<br />

And now doctors <strong>and</strong> other health practitioners have the tools at h<strong>and</strong> to read<br />

electronic medical records – <strong>and</strong> have x-rays <strong>and</strong> other scans uploaded to their<br />

desktop or phone, a private cyber-medical <strong>of</strong>fice.<br />

<strong>The</strong> HealthPort business team is powered by three full-time employees<br />

who work closely with the Web Services team. Last year, they implemented <strong>and</strong><br />

completed over 700 major projects <strong>for</strong> the site. “We are growing <strong>and</strong> creating<br />

a world where employees can find in<strong>for</strong>mation that will make their jobs easier,”<br />

said Devon Kelly, HealthPort manager. Employees also have remote access to<br />

HealthPort. <strong>The</strong>re are newsletters <strong>and</strong> events pages. Thous<strong>and</strong>s <strong>of</strong> people click<br />

in every day to the Employee Bulletin Board, where they can list items <strong>for</strong> sale<br />

or purchase them. <strong>The</strong> team has won 10 awards in the last few years. And they<br />

continue to talk to department heads about their specific needs so they can<br />

develop department-specific content <strong>for</strong> employees.<br />

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

door is always open.”<br />

Users can contact the Help Desk at (516) 470-7272,<br />

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


A DAY in the LIFE<br />

Joanne Turnier<br />

Program Manager, Diversity,<br />

Inclusion <strong>and</strong> Health Literacy<br />

Q: What are your responsibilities?<br />

A: I promote health literacy, cultural diversity <strong>and</strong> inclusion throughout North<br />

Shore-LIJ. I also assess <strong>and</strong> implement strategies to improve the health literacy<br />

<strong>of</strong> our staff members, patients <strong>and</strong> their families. Along with Dr. Terri Parnell, I<br />

create health literacy programs <strong>for</strong> healthcare pr<strong>of</strong>essionals, cultural resources<br />

<strong>for</strong> employees <strong>and</strong> educational content <strong>for</strong> patient-room TVs across the system.<br />

I also teach <strong>and</strong> develop curricula <strong>for</strong> the Center <strong>for</strong> Learning <strong>and</strong> Innovation <strong>and</strong><br />

the Nursing Institute.<br />

Q: How did your career path lead to this role?<br />

A: I began my career in neonatal intensive care, <strong>and</strong> eventually transitioned to<br />

working with those who’ve experienced the sudden traumatic death <strong>of</strong> a loved<br />

one. Meanwhile, I worked as a nurse educator focusing on staff wellness <strong>and</strong><br />

end-<strong>of</strong>-life care. This experience in program development <strong>and</strong> exposure to<br />

diverse populations prepared me <strong>for</strong> my current position. I believe effective<br />

communication is essential in healthcare no matter the situation.<br />

Q: What initiatives are you working on?<br />

A: I am particularly focused on our Dignity <strong>and</strong> Respect = Inclusion campaign.<br />

This program educates employees about various cultures <strong>and</strong> how to overcome<br />

biases or lack <strong>of</strong> knowledge so misin<strong>for</strong>mation does not hinder the healthcare we<br />

provide. <strong>The</strong> Office <strong>of</strong> Diversity, Inclusion <strong>and</strong> Health Literacy is introducing the<br />

program through videos <strong>and</strong> live presentations. I’m also developing a number <strong>of</strong><br />

educational initiatives <strong>and</strong> staff resources that we will launch soon.<br />

Q: What is your #1 tip to those who want to promote diversity, inclusion <strong>and</strong><br />

health literacy?<br />

A: Approach patients <strong>and</strong> families with a compassionate heart <strong>and</strong> cultural<br />

humility. Be aware <strong>of</strong> your own biases; don’t be afraid to ask questions about<br />

your patients’ beliefs, traditions <strong>and</strong> culture.<br />

Take the pledge: NorthShoreLIJ.com/inclusionpledge.<br />

— By Erica Manney<br />

Duty Calls at 30,000 Feet<br />

For Two NSUH Nurses<br />

By <strong>The</strong>a Welch<br />

Debbie Smith, RN, <strong>and</strong> Connie Kwiatkowski, RN, were on a<br />

JetBlue flight to West Palm Beach in April, getting away <strong>for</strong> some<br />

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

attendant made them realize that they weren’t on vacation quite yet.<br />

“She said, ‘Medical to the front, medical to the front,’” Ms.<br />

Smith recalled, “<strong>and</strong> then she said, ‘Any nurse or doctor, to the<br />

front.’ Connie <strong>and</strong> I looked at each other <strong>and</strong> she said to me, ‘I<br />

guess that’s us.’”<br />

So the nurses made their way to the front <strong>of</strong> the plane. <strong>The</strong>re<br />

they found an older woman on the floor, with a younger man<br />

kneeling beside her <strong>and</strong> supporting her head. “<strong>The</strong> first thing I<br />

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

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

more <strong>for</strong>cefully. Finally he did. ‘I’m a nurse,’ he said. ‘We are,<br />

too,’ I said. I didn’t tell him that we have more than 50 years <strong>of</strong><br />

nursing experience between us, but I guess he felt the woman was<br />

in capable h<strong>and</strong>s, because he went back to his seat.”<br />

continued on page 69<br />

Connie Kwiatkowski (left) <strong>and</strong> Debbie Smith, nurses at NSUH, were pressed<br />

into service on a recent flight to Florida.<br />

<strong>The</strong> New St<strong>and</strong>ard<br />

9


LIJ, North Shore University Hospital<br />

Rank Tops <strong>for</strong> <strong>Heart</strong> Care in New York<br />

By Betty Olt<br />

NEW HYDE PARK — LIJ<br />

Medical Center <strong>and</strong> North<br />

Shore University Hospital provide<br />

some <strong>of</strong> New York State’s<br />

best outcomes <strong>for</strong> open-heart<br />

surgery <strong>and</strong> percutaneous coronary<br />

interventions, according<br />

to reports recently released by<br />

the state Department <strong>of</strong> Health.<br />

In fact, LIJ was the only hospital<br />

in the state with significantly<br />

better outcomes <strong>for</strong> both cardiac<br />

surgery <strong>and</strong> percutaneous<br />

coronary interventions.<br />

According to the Department<br />

<strong>of</strong> Health’s latest report<br />

on adult cardiac surgery (covering<br />

2007 to 2009), LIJ was<br />

one <strong>of</strong> only four hospitals in<br />

New York State — <strong>and</strong> the only<br />

one on Long Isl<strong>and</strong> — whose<br />

risk-adjusted mortality rates<br />

were significantly better than<br />

the statewide average <strong>for</strong> 676<br />

patients undergoing surgeries<br />

to repair or replace heart<br />

valves <strong>and</strong> <strong>for</strong> those in need<br />

<strong>of</strong> surgeries <strong>for</strong> both valve<br />

<strong>and</strong> coronary artery bypass<br />

graft (CABG) surgery. In a<br />

separate category analyzing<br />

outcomes <strong>for</strong> CABG, valve or<br />

valve/CABG, LIJ <strong>and</strong> North<br />

Shore University Hospital were<br />

among six hospitals in the state<br />

— <strong>and</strong> the only ones on Long<br />

Isl<strong>and</strong> — distinguished by low<br />

risk-adjusted mortality rates.<br />

Over the three-year period<br />

analyzed by the Department <strong>of</strong><br />

Health, the combined volume<br />

<strong>of</strong> cardiac surgeries at North<br />

Shore University Hospital <strong>and</strong><br />

LIJ Medical Center was 2,082<br />

— the most in the state.<br />

In addition to the<br />

10 Summer 2012<br />

hospitals’ top rankings, two<br />

LIJ heart surgeons, Robert<br />

Palazzo, MD, <strong>and</strong> S. Jacob<br />

Scheinerman, MD, <strong>and</strong> two<br />

North Shore University Hospital<br />

surgeons, Alan Hartman,<br />

MD, <strong>and</strong> Robert Kalimi,<br />

MD, were among 13 surgeons<br />

statewide to earn the Department<br />

<strong>of</strong> Health’s prestigious<br />

double asterisk <strong>for</strong> their<br />

extraordinarily low mortality<br />

rates — out <strong>of</strong> a total <strong>of</strong> about<br />

190 surgeons at 40 hospitals<br />

who per<strong>for</strong>med open-heart<br />

surgeries during that period.<br />

In fact, Dr. Palazzo per<strong>for</strong>med<br />

225 CABG surgeries over the<br />

three-year period covered in<br />

the Department <strong>of</strong> Health report<br />

without a single death.<br />

In a separate New York<br />

State Department <strong>of</strong> Health<br />

report on percutaneous<br />

coronary interventions, Lenox<br />

Hill Hospital had the lowest<br />

risk-adjusted mortality<br />

rate in the state in 2009 <strong>for</strong><br />

2,940 patients undergoing<br />

angioplasty (a procedure that<br />

clears blocked heart arteries<br />

to increase blood flow). Over<br />

the three years covered in the<br />

report (2007 to 2009), LIJ<br />

was one <strong>of</strong> six hospitals statewide<br />

with statistically superior<br />

outcomes <strong>for</strong> angioplasty. In<br />

addition, North Shore was one<br />

<strong>of</strong> only three hospitals in New<br />

York — <strong>and</strong> the only one on<br />

Long Isl<strong>and</strong> — with significantly<br />

better outcomes <strong>for</strong> 935<br />

emergency angioplasty patients.<br />

From an individual<br />

st<strong>and</strong>point, LIJ Medical<br />

Center’s Barry Kaplan, MD,<br />

<strong>and</strong> North Shore University<br />

Hospital’s Loukas Boutis, MD,<br />

<strong>and</strong> Donna Marchant, MD,<br />

were among only a h<strong>and</strong>ful<br />

<strong>of</strong> cardiologists in New York<br />

State — out <strong>of</strong> more than 300<br />

statewide — who were outliers<br />

<strong>for</strong> superior outcomes.<br />

Since 2000, the Department<br />

<strong>of</strong> Health has released<br />

eight reports <strong>for</strong> angioplasty.<br />

LIJ has received double-asterisk<br />

rankings <strong>for</strong> all cases in six <strong>of</strong><br />

those reports, which is more<br />

than any other hospital in the<br />

state, according to Dr. Kaplan,<br />

vice chair <strong>of</strong> cardiology <strong>for</strong> the<br />

North Shore-LIJ Health System.<br />

In addition to LIJ being<br />

the only hospital in New York<br />

to receive a double asterisk<br />

<strong>for</strong> both cardiac surgery <strong>and</strong><br />

angioplasty in the current<br />

Department <strong>of</strong> Health reports,<br />

North Shore was the only<br />

other hospital in the state to<br />

also have statistically superior<br />

outcomes in at least one<br />

category <strong>for</strong> both open-heart<br />

surgery <strong>and</strong> angioplasty.<br />

“<strong>The</strong> New York Department<br />

<strong>of</strong> Health’s analysis <strong>of</strong><br />

cardiac outcomes in hospitals<br />

across the state has contributed<br />

to continuous improvements<br />

in the care delivered to New<br />

Yorkers with heart disease,”<br />

said Stanley Katz, MD, senior<br />

vice president <strong>of</strong> cardiovascular<br />

services <strong>for</strong> North Shore-<br />

LIJ <strong>and</strong> chair <strong>of</strong> cardiology at<br />

North Shore University Hospital<br />

<strong>and</strong> LIJ Medical Center. He<br />

added that heart disease is the<br />

number one cause <strong>of</strong> death in<br />

this state <strong>and</strong> in this country.<br />

“<strong>The</strong> availability <strong>of</strong> these<br />

reports provides heart patients<br />

<strong>and</strong> their families with valuable<br />

in<strong>for</strong>mation <strong>for</strong> making<br />

in<strong>for</strong>med decisions about their<br />

cardiac care.”<br />

“Teamwork is at the heart<br />

<strong>of</strong> everything we do,” said Dr.<br />

Hartman, chair <strong>of</strong> cardiothoracic<br />

surgery at North Shore-LIJ.<br />

“Fortunately, the same <strong>for</strong>mula<br />

<strong>for</strong> success that has enabled us to<br />

consistently provide exceptional<br />

open-heart surgery at North<br />

Shore University Hospital <strong>and</strong><br />

LIJ Medical Center has been<br />

replicated at Southside Hospital.”<br />

Since the launch <strong>of</strong> Southside’s<br />

cardiothoracic program in<br />

February 2011, Dr. Hartman’s<br />

team has per<strong>for</strong>med 359 surgeries,<br />

ensuring that residents <strong>of</strong><br />

Suffolk County’s South Shore<br />

get the same access to state-<strong>of</strong>the-art<br />

heart care as the tens <strong>of</strong><br />

thous<strong>and</strong>s who have entrusted<br />

their lives to LIJ <strong>and</strong> North<br />

Shore University Hospital.<br />

Adult Cardiac Surgery<br />

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

Angioplasty<br />

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


Aesthetics, Smarts <strong>and</strong> Compassion Built into New LIJ Unit<br />

By Betty Olt<br />

NEW HYDE PARK — If not <strong>for</strong> the<br />

cutting-edge bedside technology,<br />

you might mistake a patient room<br />

in LIJ Medical Center’s new 30-bed<br />

Cardiovascular <strong>and</strong> Thoracic Unit <strong>for</strong><br />

a sleek hotel room. That’s because,<br />

when planning the new space,<br />

designers focused on delivering care<br />

that is not only state-<strong>of</strong>-the-art, but<br />

also compassionate. So each room is<br />

private <strong>and</strong> provides ample space <strong>for</strong><br />

loved ones at the bedside <strong>and</strong> if they<br />

choose to stay overnight.<br />

<strong>The</strong> Cardiovascular <strong>and</strong><br />

Thoracic Unit is dedicated to<br />

patients undergoing cardiothoracic<br />

surgery, cardiac catheterization<br />

<strong>and</strong> electrophysiology procedures.<br />

Telemetry technology equips each<br />

patient room, allowing remote<br />

monitoring <strong>of</strong> vital signs; bedside<br />

computers give clinicians access to<br />

patients’ electronic health records.<br />

Amenities <strong>of</strong> patient rooms<br />

within the 29,000-square-foot<br />

medical/surgical unit include a full<br />

bathroom <strong>and</strong> shower, a 42-inch flatscreen<br />

TV, mini-refrigerator, Internet<br />

access, a desk <strong>and</strong> a visiting area<br />

with a pullout loveseat. Rich wood<br />

floors <strong>and</strong> nature-inspired motifs <strong>and</strong><br />

artwork provide a warm, welcoming<br />

setting that accommodates patient<br />

needs <strong>and</strong> privacy. Carpeted corridors<br />

are not only visually appealing, but<br />

also help reduce noise. Extra-large<br />

windows in each patient room <strong>and</strong><br />

family lounges provide access to<br />

natural daylight <strong>and</strong> views.<br />

<strong>The</strong> cardiac suite opened to<br />

rave reviews from patients <strong>and</strong> staff<br />

alike, but the new facility is built<br />

on the reputation <strong>of</strong> LIJ’s cardiac<br />

services. “LIJ has consistently<br />

excelled in per<strong>for</strong>ming angioplasty<br />

<strong>and</strong> cardiac surgery, <strong>and</strong> has<br />

achieved outst<strong>and</strong>ing outcomes <strong>for</strong><br />

both procedures in New York State,”<br />

said Barry Kaplan, MD, vice chair <strong>of</strong><br />

cardiology <strong>for</strong> LIJ <strong>and</strong> North Shore<br />

University Hospital. (See related<br />

story at left.) “Now, with the new<br />

unit, we can practice in a world-class<br />

facility <strong>and</strong> provide the best possible<br />

care to patients in a beautiful <strong>and</strong><br />

healing environment.”<br />

By decentralizing nursing<br />

stations <strong>and</strong> locating supply closets<br />

adjacent to every patient room<br />

entrance, nurses’ spend less time<br />

walking the floor — <strong>and</strong> more time<br />

with patients. A pharmacy on the<br />

floor ensures timely, accurate<br />

delivery <strong>of</strong> medications. And the<br />

needs <strong>of</strong> special patient populations<br />

are addressed via two dedicated<br />

<strong>The</strong> hospitality industry inspired the design <strong>of</strong> the Cardiovascular <strong>and</strong> Thoracic Unit. <strong>The</strong> inpatient space is on the eighth<br />

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

Barry Kaplan, MD, vice chair <strong>of</strong><br />

cardiology <strong>for</strong> LIJ <strong>and</strong> North Shore<br />

University Hospital, <strong>and</strong> S. Jacob<br />

Scheinerman, MD, vice chair <strong>of</strong><br />

cardiothoracic surgery at LIJ,<br />

showcase LIJ’s new Cardiovascular<br />

<strong>and</strong> Thoracic Unit.<br />

isolation rooms with anterooms <strong>for</strong><br />

patient observation <strong>and</strong> a bariatric<br />

room equipped with overhead lifts<br />

<strong>for</strong> patient <strong>and</strong> staff safety.<br />

In addition to beauty <strong>and</strong><br />

efficiency, LIJ’s new Cardiovascular <strong>and</strong><br />

Thoracic Unit is ecologically kind, too.<br />

As part <strong>of</strong> the North Shore-LIJ Health<br />

System’s commitment to sustainable<br />

<strong>and</strong> environmentally responsible<br />

healthcare, the unit is registered<br />

with the Green Building Certification<br />

Institute <strong>and</strong> has been designed to<br />

achieve a Silver rating from LEED,<br />

the accepted industry benchmark <strong>for</strong><br />

sustainable design, green building<br />

materials <strong>and</strong> energy efficiency.<br />

Take a tour <strong>of</strong> the new space at<br />

http://www.northshorelij.com/NSLIJ/<br />

media-portal/homepage-videochannel/lij-cardiac-units.<br />

<strong>The</strong> New St<strong>and</strong>ard 11


Ann Pszybylski, 84, is the first patient on Long Isl<strong>and</strong> to receive the only FDA-approved nonsurgical heart valve<br />

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

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

Jauhar; Annmarie Copertino, RN, nurse manager; <strong>and</strong> Robert Rodriguez, RN.<br />

New Nonsurgical <strong>Heart</strong> Procedure<br />

Gives Hope to Older Patients<br />

Ask 84-year-old Ann<br />

Pszybylski what it was like to<br />

take just a short walk down<br />

a hallway, fighting <strong>for</strong> each<br />

breath. She was in desperate<br />

need <strong>of</strong> a new heart valve,<br />

but her age <strong>and</strong> other medical<br />

problems made open heart<br />

surgery too risky.<br />

A new technical<br />

advance recently approved<br />

by the US Federal Drug<br />

Administration (FDA) – the<br />

Sapien transcatheter aortic<br />

12 Summer 2012<br />

valve replacement (TAVR) –<br />

is helping older people like<br />

Mrs. Pszybylski with severe<br />

aortic stenosis to breathe <strong>and</strong><br />

move about more easily, <strong>and</strong><br />

providing them with a new<br />

lease on life.<br />

“No more huffing <strong>and</strong><br />

puffing,” said Mrs. Pszybylski.<br />

<strong>The</strong> Hauppauge resident,<br />

who was not a c<strong>and</strong>idate <strong>for</strong><br />

the traditional heart valve<br />

replacement procedure, was<br />

the first patient at LIJ Medical<br />

By Betty Olt<br />

Center to receive the TAVR<br />

device. She is now on the<br />

move with her eight gr<strong>and</strong>-<br />

<strong>and</strong> great-gr<strong>and</strong>children.<br />

She said she wants to resume<br />

traveling, but mostly, she<br />

added, “I’m looking <strong>for</strong>ward<br />

to living longer.”<br />

Cardiologists <strong>and</strong><br />

cardiothoracic surgeons at<br />

LIJ are the first in Queens<br />

<strong>and</strong> Long Isl<strong>and</strong> to implant<br />

the new nonsurgical heart<br />

valve replacement device<br />

in patients with failing<br />

heart valves. “TAVR is a<br />

breakthrough because it <strong>of</strong>fers<br />

some patients who could not<br />

withst<strong>and</strong> the conventional<br />

surgery due to age or serious<br />

medical conditions a viable<br />

treatment option,” said S.<br />

Jacob Scheinerman, MD,<br />

vice chair <strong>of</strong> cardiothoracic<br />

surgery at LIJ. <strong>The</strong> TAVR is<br />

manufactured by Edwards<br />

Lifesciences in Irvine, CA.<br />

Similar to a technique<br />

to implant cardiac stents<br />

into clogged arteries, the<br />

TAVR procedure involves the<br />

physician guiding a catheter,<br />

or thin tube, attached to the<br />

Sapien valve through the<br />

patient’s femoral artery, in<br />

the thigh. <strong>The</strong> cardiac team<br />

uses transesophageal echo<br />

(TEE) <strong>and</strong> fluoroscopic<br />

imaging guidance <strong>for</strong> proper<br />

placement. <strong>The</strong> Sapien valve<br />

is exp<strong>and</strong>ed by a balloon in<br />

the delivery system (about<br />

the diameter <strong>of</strong> a quarter),<br />

pushing away the calcium to<br />

enlarge the opening <strong>of</strong> the<br />

valve. Once it is placed at<br />

the opening <strong>of</strong> the valve it is<br />

anchored inside the aorta <strong>and</strong><br />

blood flow is restored<br />

Approximately 250,000<br />

Americans suffer from<br />

severe aortic stenosis, <strong>of</strong>ten<br />

developing debilitating<br />

symptoms that can affect<br />

normal day-to-day activities<br />

such as walking short distances<br />

or climbing stairs. Generally,<br />

the condition affects people<br />

over 70. Aortic stenosis


occurs when the aortic valve<br />

does not properly open <strong>and</strong><br />

close, usually due to a buildup<br />

<strong>of</strong> calcium. <strong>The</strong> calcium<br />

build-up restricts blood flow<br />

from the heart to the rest<br />

<strong>of</strong> the body. This increases<br />

pressure within the heart,<br />

causing heart muscles to<br />

weaken. All <strong>of</strong> these events<br />

increase the risk <strong>of</strong> heart<br />

failure. Symptoms <strong>of</strong> the<br />

disease can include extreme<br />

fatigue, dizziness, chest pain<br />

or pressure, shortness <strong>of</strong><br />

breath during activity, rapid<br />

or irregular heartbeat <strong>and</strong><br />

fainting.<br />

“Patients who do not<br />

receive an aortic valve<br />

replacement have no effective,<br />

long-term treatment option<br />

to prevent or delay the<br />

progression <strong>of</strong> severe aortic<br />

stenosis <strong>and</strong> eventual death,”<br />

said Dr. Scheinerman, noting<br />

that approximately 50 percent<br />

<strong>of</strong> patients who are in their<br />

80s <strong>and</strong> have symptoms <strong>of</strong><br />

congestive heart failure with<br />

critical aortic stenosis will die<br />

in six months to a year without<br />

treatment. “For patients who<br />

were previously inoperable,<br />

the new TAVR gives hope <strong>for</strong><br />

extending <strong>and</strong> improving the<br />

quality <strong>of</strong> their lives.”<br />

Dr. Scheinerman, Barry<br />

Kaplan, MD, vice chair <strong>of</strong><br />

cardiology at LIJ <strong>and</strong> North<br />

Shore University Hospital<br />

<strong>and</strong> an interventional<br />

cardiologist, Rajiv Jauhar,<br />

MD, chief <strong>of</strong> cardiology<br />

<strong>and</strong> director <strong>of</strong> the cardiac<br />

catheterization laboratory <strong>and</strong><br />

interventional cardiology at<br />

LIJ, <strong>and</strong> Robert Palazzo, MD,<br />

a cardiothoracic surgeon,<br />

joined the multidisciplinary<br />

team to per<strong>for</strong>m the procedure<br />

on Mrs. Pszybylski. <strong>The</strong><br />

procedure was per<strong>for</strong>med in<br />

the new state-<strong>of</strong>-the art hybrid<br />

operating room built at LIJ.<br />

<strong>The</strong> $5 million surgical suite<br />

combines the latest surgical<br />

<strong>and</strong> cardiac catheterization,<br />

robotic technology <strong>and</strong><br />

three-dimensional radiologic<br />

imaging capabilities with realtime<br />

patient monitoring.<br />

“Having all the<br />

equipment <strong>and</strong> members <strong>of</strong><br />

the cardiac team in one OR<br />

saves time <strong>and</strong> eliminates<br />

the need <strong>for</strong> a patient to be<br />

moved from one room to<br />

another,” said Dr. Kaplan.<br />

“Interventional cardiologists<br />

<strong>and</strong> cardiac surgeons are able<br />

to collaborate closely during<br />

the procedure. Working<br />

in our new hybrid surgical<br />

suite allows us to be ready<br />

<strong>for</strong> any situation or potential<br />

emergency.”<br />

To watch a video featuring the<br />

cardiac team at LIJ who per<strong>for</strong>med<br />

the first TAVR procedures visit<br />

NorthShoreLIJ.com/NSLIJ/vitalityvideos,<br />

or use your smartphone<br />

to scan the QR code.<br />

Hybrid OR:<br />

Making Many Things Possible<br />

By Betty Marton<br />

Two new hybrid operating rooms — the first in Queens <strong>and</strong> Nassau<br />

County — are letting previously inoperable patients benefit from cutting-<br />

edge combination surgical, cardiac <strong>and</strong> vascular interventions, including<br />

a life-saving heart valve replacement procedure. Located at LIJ Medical<br />

Center <strong>and</strong> North Shore University Hospital, these interdisciplinary,<br />

multifunctional rooms allow cardiologists <strong>and</strong> cardiothoracic surgeons to<br />

per<strong>for</strong>m a range <strong>of</strong> open, minimally invasive, image-guided <strong>and</strong> catheter-<br />

based procedures in one operating suite.<br />

“It’s the ideal environment to bring interventional cardiologists <strong>and</strong><br />

cardiac surgeons together in a team approach that is relatively unusual <strong>and</strong><br />

unprecedented,” explained Barry Kaplan, MD, vice chair <strong>of</strong> cardiology at LIJ<br />

<strong>and</strong> North Shore University Hospital.<br />

<strong>The</strong> hybrid OR incorporates robotic technology <strong>and</strong> three-dimen-<br />

sional radiologic imaging capabilities with real-time patient monitoring<br />

that, when not needed, can easily be moved out <strong>of</strong> the way to support<br />

general surgical procedures. Maximizing room use <strong>and</strong> efficiency makes it<br />

possible to per<strong>for</strong>m such procedures as the Sapien® transcatheter aortic<br />

valve replacement (TAVR) on patients with severe aortic stenosis. TAVR is<br />

per<strong>for</strong>med via the femoral artery, which is similar to the approach used <strong>for</strong><br />

cardiac catheterization. <strong>The</strong> cardiac team then uses transesophageal echo<br />

(TEE) <strong>and</strong> fluoroscopic imaging guidance <strong>for</strong> proper placement.<br />

“TAVR only requires a two- or three-centimeter incision, which<br />

allows us to treat patients who were previously deemed inoperable due to<br />

age or serious medical conditions,” said S. Jacob Scheinerman, MD, vice<br />

chair <strong>of</strong> cardiothoracic surgery at LIJ.<br />

According to Robert Blenderman PA, director <strong>of</strong> cardiovascular <strong>and</strong><br />

thoracic surgery at North Shore University Hospital <strong>and</strong> LIJ, the $5 million<br />

hybrid surgical suites, built at a time when healthcare dollars are stretched<br />

thin, exemplify the North Shore-LIJ Health System’s commitment to<br />

providing the highest-quality treatment <strong>and</strong> care <strong>for</strong> its patients.<br />

“North Shore-LIJ has gone above <strong>and</strong> beyond in supporting this<br />

hybrid OR technology to meet the needs <strong>of</strong> future procedures,” he said.<br />

“It’s a beautiful thing to have the ability to <strong>of</strong>fer a quality treatment<br />

to those patients who previously had no other options. This is a<br />

groundbreaking development in cardiovascular surgery <strong>and</strong> shows our<br />

dedication to growing our discipline in a quality way.”<br />

<strong>The</strong> New St<strong>and</strong>ard 13


HealthGrades Rates LIJ, North Shore<br />

Among Best <strong>for</strong> Cardiovascular Care in US<br />

By Betty Olt<br />

LIJ Medical Center<br />

<strong>and</strong> North Shore University<br />

Hospital (NSUH) have been<br />

named among America’s 100<br />

Best Hospitals <strong>for</strong> cardiac care,<br />

cardiac surgery <strong>and</strong> coronary<br />

intervention, according to<br />

a recently released report by<br />

HealthGrades, an independent<br />

group that analyzes hospital<br />

quality outcomes. LIJ was also<br />

ranked number one in New<br />

York State <strong>for</strong> cardiac surgery<br />

<strong>for</strong> two consecutive years<br />

(2011 <strong>and</strong> 2012); <strong>and</strong> NSUH<br />

was ranked number two in<br />

the state <strong>for</strong> overall cardiac<br />

services, cardiology services <strong>and</strong><br />

coronary interventional (heart<br />

stent) procedures in 2012.<br />

HealthGrades analyzed<br />

Medicare patient outcome<br />

data from 5,000 hospitals<br />

nationwide from 2008 through<br />

2010, the most recent years<br />

<strong>for</strong> which data was available.<br />

It published per<strong>for</strong>mance<br />

outcomes <strong>for</strong> cardiac services in<br />

its 2011 Healthcare Consumerism <strong>and</strong><br />

Hospital Quality in America report. A<br />

quality comparison <strong>of</strong> doctors<br />

<strong>and</strong> hospitals in the New York<br />

area can be found online at<br />

HealthGrades.com.<br />

Among the achievements<br />

noted in the report, NSUH <strong>and</strong><br />

LIJ consistently received fivestar<br />

ratings, the highest possible<br />

hospital rating, in multiple<br />

cardiac service areas, which<br />

translates to a 73 percent lower<br />

chance <strong>of</strong> death compared to<br />

one-star hospitals, according to<br />

HealthGrades.<br />

“<strong>The</strong> North Shore-LIJ<br />

Health System is committed<br />

14 Summer 2012<br />

to providing the highestquality<br />

care to our patients,”<br />

said Stanley Katz, MD,<br />

senior vice president <strong>of</strong><br />

cardiovascular services<br />

<strong>and</strong> chair <strong>of</strong> cardiology at<br />

North Shore-LIJ. “Our<br />

cardiac physicians <strong>and</strong><br />

their teams at LIJ Medical<br />

Center <strong>and</strong> North Shore<br />

University Hospital are<br />

making major treatment<br />

breakthroughs in the field,<br />

improving the lives <strong>of</strong> our<br />

patients in our community.<br />

<strong>The</strong> HealthGrades ratings<br />

demonstrate our excellent<br />

outcomes in cardiac care, which<br />

are accessible to consumers<br />

online <strong>and</strong> are extremely useful<br />

<strong>for</strong> patients <strong>and</strong> loved ones<br />

making the important decision<br />

<strong>of</strong> choosing their cardiologists<br />

<strong>and</strong> hospitals.”<br />

LIJ Medical Center<br />

was also recognized <strong>for</strong> the<br />

following clinical achievements:<br />

LIJ Ranked Nationally<br />

Among the top 5 percent <strong>for</strong><br />

coronary interventional<br />

procedures (2008-2012)<br />

Among the top 5 percent <strong>for</strong><br />

cardiac surgery (2011-2012)<br />

Among the top 5 percent<br />

<strong>for</strong> overall cardiac services<br />

(2011-2012)<br />

LIJ Ranked in NY State<br />

Among the top 10 <strong>for</strong> coronary<br />

interventional procedures<br />

(2008-2012)<br />

Among the top 10 <strong>for</strong> cardiac<br />

surgery (2010-2012)<br />

Among the top 10 <strong>for</strong> overall<br />

cardiac services (2011-2012)<br />

NSUH received five-star ratings <strong>for</strong> the following clinical achievements:<br />

Overall cardiac services <strong>for</strong> five years in a row (2008-2012)<br />

Cardiac surgery <strong>for</strong> five years in a row (2008-2012)<br />

Cardiology services <strong>for</strong> two years in a row (2011-2012)<br />

Coronary bypass surgery in 2012<br />

Valve surgery <strong>for</strong> six years in a row (2007-2012)<br />

Coronary interventional procedures <strong>for</strong> 10 years in a row (2003-2012)<br />

Treatment <strong>of</strong> heart attack <strong>for</strong> seven years in a row (2006-2012)<br />

Treatment <strong>of</strong> heart failure in 2012<br />

LIJ received five-star recognition <strong>for</strong> the following clinical achievements:<br />

Overall cardiac services <strong>for</strong> two years in a row (2011-2012)<br />

Coronary interventional procedures <strong>for</strong> 10 years in a row (2003-2012)<br />

Cardiac surgery <strong>for</strong> three years in a row (2010-2012)<br />

Coronary bypass surgery <strong>for</strong> four years in a row (2009-2012)<br />

Valve surgery <strong>for</strong> two years in a row (2011-2012)<br />

In addition, North<br />

Shore University Hospital was<br />

recognized <strong>for</strong> the following<br />

clinical achievements:<br />

NSUH Ranked Nationally<br />

Among the top 5 percent <strong>for</strong><br />

coronary interventional<br />

procedures (2003-2012)<br />

Among the top 5 percent<br />

<strong>for</strong> overall cardiac services<br />

(2008-2012)<br />

Among the top 5 percent <strong>for</strong><br />

cardiac surgery in 2012<br />

Among the top 5 percent <strong>for</strong><br />

cardiology services in 2012<br />

NSUH Ranked in NY State<br />

Among the top 5 <strong>for</strong> coronary<br />

interventional procedures<br />

(2003-2012)<br />

Among the top 5 <strong>for</strong> cardiology<br />

services in 2012<br />

Among the top 10 <strong>for</strong> overall<br />

cardiac services (2005-2012)<br />

Among the top 10 <strong>for</strong> cardiac<br />

surgery (2007-2012)<br />

Key findings <strong>of</strong> the<br />

HealthGrades 2011 Healthcare<br />

Consumerism <strong>and</strong> Hospital Quality in<br />

America report include:<br />

q On average, patients had<br />

a 73 percent lower risk <strong>of</strong><br />

dying in a five-star-rated<br />

hospital compared to a<br />

one-star-rated hospital,<br />

<strong>and</strong> a 54 percent lower<br />

risk <strong>of</strong> dying in a five-starrated<br />

hospital compared to<br />

the national average.<br />

q If all Medicare patients<br />

from 2008 through 2010<br />

had been treated at fivestar<br />

hospitals, 240,040<br />

lives could have potentially<br />

been saved.<br />

q If all Medicare patients<br />

from 2008 through 2010<br />

had gone to five-star<br />

hospitals <strong>for</strong> their procedure,<br />

164,472 in-hospital<br />

complications could have<br />

potentially been avoided.


Quick, Collaborative Cardiac Care Saves Patient<br />

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

<strong>The</strong> Valley Stream resident awakened with chest pain <strong>and</strong> intermittent searing<br />

pain across his back, <strong>and</strong> when the pain would not go away, he headed to Franklin<br />

Hospital, where Mollie Williams, MD, made a diagnosis that would save his life.<br />

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

treatment, kills 90 percent <strong>of</strong> patients within 48 hours.<br />

Aortic dissection happens when a tear inside the layered wall <strong>of</strong> the aorta<br />

(the largest artery <strong>of</strong> the body) causes<br />

bleeding into <strong>and</strong> along the wall,<br />

<strong>for</strong>cing the layers apart. Symptoms<br />

are varying <strong>and</strong> similar to those <strong>of</strong><br />

other heart problems — such as a<br />

severe ripping or tearing pain from the<br />

shoulder blades or back <strong>and</strong> extending<br />

to the chest, loss <strong>of</strong> consciousness,<br />

shortness <strong>of</strong> breath, sweating or<br />

overall weakness — which can make<br />

proper diagnosis difficult. Mr. Riley<br />

“did not have chronic hypertension,<br />

his EKG [electrocardiography] <strong>and</strong><br />

blood work were normal <strong>and</strong> he looked<br />

healthy,” said Dr. Williams, who<br />

treated him in Franklin’s Emergency<br />

Department. Considering his symptoms, she ordered a computed tomography<br />

(CT) scan, a test commonly used to diagnose aortic dissection, <strong>and</strong> discovered<br />

the severity <strong>of</strong> his condition.<br />

Mr. Riley required emergency surgery to prevent rupture <strong>and</strong> death — <strong>and</strong><br />

was transferred to LIJ Medical Center’s Department <strong>of</strong> Cardiothoracic Surgery.<br />

<strong>The</strong>re, a team <strong>of</strong> clinicians rushed him into surgery where S. Jacob Scheinerman,<br />

MD, associate chairman <strong>of</strong> the department, removed the damaged segments <strong>of</strong> the<br />

MANHASSET — For the second<br />

consecutive year, the American<br />

<strong>Heart</strong> Association (AHA) has<br />

awarded North Shore University<br />

Hospital its Platinum-Level<br />

Recognition <strong>for</strong> being a “Fit-<br />

Friendly” organization. <strong>The</strong> AHA’s<br />

Fit-Friendly Company Program<br />

recognizes employers who<br />

encourage the health <strong>of</strong> their<br />

employees <strong>and</strong> work to create a<br />

physically fit <strong>and</strong> healthy work<br />

environment.<br />

“We’re proud to achieve<br />

the American <strong>Heart</strong> Association’s<br />

‘Fit-Friendly’ designation <strong>for</strong> a<br />

second straight year,” said Susan<br />

Somerville, the hospital’s executive<br />

director. “We believe strongly that<br />

as members <strong>of</strong> a healthcare team,<br />

our employees have a responsibility<br />

to set a positive example <strong>for</strong> the<br />

patients they serve by maintaining a<br />

healthy lifestyle.”<br />

<strong>The</strong> AHA program honors<br />

companies in several ways. “Gold”<br />

ascending aorta, replaced the tissue with a graft <strong>and</strong>, along with Robert Palazzo,<br />

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

involves the root <strong>of</strong> the aorta, is the most dangerous type,” said Dr. Scheinerman.<br />

“<strong>The</strong> key to his survival was how quickly Franklin’s team made a diagnosis <strong>and</strong> got<br />

him to our operating room. Many people never even make it to the hospital.”<br />

<strong>The</strong> risk factors <strong>for</strong> aortic dissection include a history <strong>of</strong> uncontrolled<br />

hypertension, aortic aneurysm, a dilated aorta or congenital connective tissue<br />

disorders such as Marfan syndrome or Ehlers-Danlos<br />

syndrome, explained Dr. Scheinerman. Mr. Riley had<br />

none <strong>of</strong> these risk factors.<br />

As an orthotist (a specialist in the design <strong>of</strong><br />

orthopedic appliances), Mr. Riley was familiar with<br />

the condition, but was shocked by the diagnosis.<br />

“Dr. Williams’ ability to listen was pivotal to my<br />

survival,” said Mr. Riley. Her quick actions to explore<br />

all causes <strong>of</strong> his pain are the reason he made it<br />

to surgery in time, <strong>and</strong> the collaboration <strong>of</strong> the<br />

healthcare teams at Franklin Hospital <strong>and</strong> LIJ Medical<br />

Center saved his life.<br />

“Mr Riley’s case highlights the benefits<br />

patients receive from the collaboration <strong>of</strong> North<br />

Shore-LIJ hospitals,” said John Rohe, MD, director<br />

<strong>of</strong> emergency medicine at Franklin. “Our facilities<br />

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

health system’s cardiac care <strong>and</strong> each hospital’s access to that care, wellevidenced<br />

by Dr. Williams calling in the expertise <strong>of</strong> LIJ’s cardiac Emergency<br />

Medical Services transfer team <strong>and</strong> Aortic Surgery Center physicians.<br />

Mr. Riley has nothing but praise <strong>for</strong> the care he received at both Franklin<br />

Hospital <strong>and</strong> LIJ Medical Center. “It was nothing short <strong>of</strong> excellent,” he said. “<strong>The</strong>y<br />

saved my life.”<br />

American <strong>Heart</strong> Association Recognizes<br />

North Shore University Hospital as “Fit-Friendly”<br />

is the first tier <strong>of</strong> recognition <strong>and</strong><br />

“Platinum” is the advanced tier.<br />

Recognition is valid <strong>for</strong> one year<br />

<strong>and</strong> companies must renew annually<br />

by completing a renewal <strong>for</strong>m. <strong>The</strong><br />

AHA <strong>of</strong>fers employers numerous<br />

recommendations that enable them<br />

to achieve Fit-Friendly recognition,<br />

including: providing walking routes,<br />

promoting walking programs <strong>and</strong><br />

allowing staff to wear athletic shoes<br />

in the workplace on designated<br />

“sneaker days.”<br />

In addition to the Walk<br />

to Paris (see p. 3, p. 47), NSUH<br />

<strong>of</strong>fers on-site wellness programs<br />

such as Zumba <strong>and</strong> yoga fitness<br />

classes, individualized nutrition<br />

counseling <strong>and</strong> classes <strong>and</strong> wellattended<br />

multidisciplinary health<br />

<strong>and</strong> wellness fairs. <strong>The</strong> hospital<br />

is also making strides in helping<br />

employees select healthier food<br />

options, by programming vending<br />

machines to display selections’<br />

nutritional content.<br />

<strong>The</strong> New St<strong>and</strong>ard 15


around the system<br />

HUNTINGTON — Neither<br />

Peter Morley nor Tom O’Reilly<br />

works at Huntington Hospital<br />

or even in the healthcare field.<br />

But they serve side by side<br />

with hospital staff <strong>and</strong> board<br />

members on the hospital’s new<br />

Patient/Family Centered Care<br />

Partnership Council. Chaired by<br />

Amy Loeb, RN, nurse manager<br />

<strong>of</strong> 2SouthWest, the Council’s<br />

mission is “to create dynamic<br />

patient, family <strong>and</strong> caregiver<br />

partnerships that enhance<br />

the healthcare experience at<br />

Huntington Hospital.”<br />

<strong>The</strong> group aims to enhance<br />

the patient experience by encouraging open, twoway<br />

communication, articulating patients’ <strong>and</strong> family<br />

members’ needs <strong>and</strong> ensuring those needs are met.<br />

“We want community members to have a real<br />

partnership with the hospital to help enhance the<br />

patient experience,” Ms. Loeb said. “We want the<br />

patient <strong>and</strong> family perspective so we don’t have to<br />

assume we know what they want <strong>and</strong> need.”<br />

Huntington board member Carmela Anglim brings<br />

decades <strong>of</strong> experience to the partnership, including<br />

service as a hospital trustee, a hospital volunteer <strong>and</strong><br />

administrator <strong>of</strong> volunteer services <strong>for</strong> another Long Isl<strong>and</strong> hospital.<br />

“<strong>The</strong> hospital is the great equalizer,” she said. “Sooner or later<br />

we all get here. Patients can feel frightened <strong>and</strong> isolated <strong>and</strong> families<br />

may be reluctant to be involved. Our goal is to empower patients <strong>and</strong><br />

families <strong>and</strong> bring them into the circle <strong>of</strong> care.”<br />

<strong>The</strong> council will do more than enhance patient com<strong>for</strong>t.<br />

“This is a safety initiative too,” said Ms. Loeb. “By facilitating<br />

communication, when patients leave the hospital they will<br />

underst<strong>and</strong> why they were here <strong>and</strong> what they need to do to stay<br />

well in the future.”<br />

Ms. Loeb pointed to existing hospital programs that support the<br />

goals <strong>of</strong> the council. Weekly patient safety rounds bring department<br />

heads onto patient care units where direct care providers can discuss<br />

emerging concerns <strong>and</strong> issues. <strong>The</strong> Palliative Medicine Program is<br />

another avenue <strong>for</strong> patients <strong>and</strong> caregivers to set mutual goals.<br />

This collaborative approach is beginning to take root at hospitals<br />

16 Summer 2012<br />

Patient/Family/Caregiver<br />

Partnerships Include<br />

Community Members<br />

By <strong>The</strong>resa Jacobellis<br />

around the country. It began at Johns Hopkins in Baltimore following<br />

the tragic death <strong>of</strong> a child whose mother’s concerns were not taken<br />

seriously by her healthcare team. <strong>The</strong> Institute <strong>for</strong> Healthcare<br />

Improvement, the World Health Organization <strong>and</strong> other national <strong>and</strong><br />

international groups focused on healthcare quality endorse healthcare<br />

teams <strong>for</strong>mally including patient <strong>and</strong> family input.<br />

“Patients <strong>and</strong> their loved ones are our eyes <strong>and</strong> ears,” said Ms.<br />

Loeb. “We want to invite them to be our partners in caring because<br />

it benefits all <strong>of</strong> us.”<br />

“For me, this is not just another clinical initiative but a pathway<br />

to truly having a transparent organization,” said Deborah Feehan,<br />

RN, clinical nursing supervisor. “Through community input we can<br />

improve the care <strong>and</strong> experience our patients receive.”<br />

Pictured above are members <strong>of</strong> the new Patient/Family Centered Care<br />

Partnership Council.


Weight-Loss Surgery Study<br />

Combines Two Approaches<br />

By Kristen Longo<br />

SYOSSET — For patients considering weight-loss surgery, Syosset<br />

Hospital’s Center <strong>for</strong> Bariatric Surgical Specialties is participating<br />

in a national research study designed to evaluate the weight-loss<br />

results <strong>of</strong> b<strong>and</strong>ed gastric plication, an investigational procedure<br />

combining two common bariatric surgical methods under the<br />

hypothesis <strong>of</strong> earlier <strong>and</strong> more rapid weight loss with fewer<br />

risks. <strong>The</strong> research study has been reviewed <strong>and</strong> approved by an<br />

Institutional Review Board (IRB).<br />

B<strong>and</strong>ed gastric plication combines two minimally invasive<br />

procedures — adjustable gastric b<strong>and</strong>ing, which entails placing<br />

an adjustable silicone b<strong>and</strong> around the upper stomach, <strong>and</strong><br />

plication, a technique that uses sutures to fold the external wall <strong>of</strong><br />

the stomach, creating a sleeve-like contour to the lower part <strong>of</strong> the<br />

stomach below the b<strong>and</strong>. Both methods promote weight loss <strong>and</strong><br />

control hunger by reducing stomach size, limiting food intake <strong>and</strong><br />

increasing gastric emptying.<br />

Potential benefits <strong>of</strong> the procedure include reduced surgical<br />

risk, fewer gastric b<strong>and</strong> adjustments <strong>and</strong> significant short- <strong>and</strong> longterm<br />

weight loss. <strong>The</strong> process does not cut the stomach or reroute the<br />

intestines <strong>and</strong>, as a result, patients experience lower infection <strong>and</strong><br />

complication risks, faster recovery times <strong>and</strong> minimal post-operative<br />

pain <strong>and</strong> scarring as compared to more invasive bariatric methods<br />

like gastric bypass or sleeve gastrectomy. Potential risks are considered<br />

infrequent <strong>and</strong> are similar to those <strong>for</strong> medical or laparoscopic<br />

revision surgery. <strong>The</strong>se risks generally include gastric outlet<br />

obstruction (inability <strong>of</strong> food to pass from the stomach to the small<br />

intestine), bleeding from the stitched line, dilation (enlargement)<br />

<strong>of</strong> the plicated tissue over time <strong>and</strong> ischemic (restricted blood flow)<br />

complication at the surgery site.<br />

“Early studies have shown that b<strong>and</strong>ed gastric plication,<br />

compared to the gastric b<strong>and</strong> alone, may be a more durable<br />

surgical weight loss solution,” said Alan Geiss, MD, director <strong>of</strong><br />

the Center <strong>for</strong> Bariatric Surgical Specialties. “<strong>The</strong> early results are<br />

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

compiled to support the long-term effectiveness <strong>of</strong> the procedure.<br />

Preliminary results showed evidence <strong>of</strong> a marked increase in the<br />

percent <strong>of</strong> excess weight loss over seven months’ to one-year followup.<br />

<strong>The</strong> procedure requires one <strong>and</strong> a half hours <strong>and</strong> patients stay in<br />

the hospital <strong>for</strong> one day.<br />

For more in<strong>for</strong>mation call (516) 496-2752.<br />

CCMC Diabetes Program Recognized <strong>for</strong> Superior-Quality Care<br />

NEW HYDE PARK — <strong>The</strong> Diabetes<br />

Program in the Division <strong>of</strong> Pediatric<br />

Endocrinology at the Steven <strong>and</strong><br />

Alex<strong>and</strong>ra Cohen Children’s Center<br />

<strong>of</strong> New York (CCMC) was recently<br />

certified by the National Commission<br />

<strong>for</strong> Quality Assurance (NCQA), a<br />

private, nonpr<strong>of</strong>it organization<br />

that is a widely recognized symbol<br />

<strong>of</strong> healthcare quality. <strong>The</strong> CCMC<br />

program had previously been<br />

recognized by the American Diabetes<br />

Association as a certified Pediatric<br />

Diabetes Education Center.<br />

NCQA’s Diabetes Recognition<br />

Program (DRP) is designed to<br />

recognize physicians <strong>and</strong> other<br />

clinicians who provide excellent care<br />

to their patients with diabetes using<br />

10 evidence-based measures, such<br />

as LDL (low-density lipoprotein) <strong>and</strong><br />

blood pressure control. Achieving<br />

DRP recognition means that the<br />

CCMC program is part <strong>of</strong> an elite<br />

group that provides the very highest<br />

level <strong>of</strong> diabetes care.<br />

Phyllis Speiser, MD, chief <strong>of</strong><br />

pediatric endocrinology at CCMC,<br />

along with Margaret Pellizzari, RN,<br />

assistant nurse manager, <strong>and</strong> their<br />

team <strong>of</strong> nurses, nutritionists, social<br />

workers <strong>and</strong> physicians cares <strong>for</strong><br />

about 800 children with diabetes<br />

every year. From the day they are<br />

diagnosed until they “graduate” from<br />

pediatric care, the staff is dedicated<br />

to helping them maintain good<br />

glycemic control aimed at prolonging<br />

life <strong>and</strong> preventing complications,<br />

<strong>and</strong> educating their parents so they<br />

can be their children’s advocates. Dr.<br />

Speiser’s group worked closely with<br />

Pranav Mehta, MD, vice president<br />

<strong>for</strong> ambulatory per<strong>for</strong>mance<br />

improvement <strong>for</strong> the North Shore-LIJ<br />

Health System, <strong>and</strong> his staff to<br />

achieve this prestigious recognition.<br />

“Future healthcare delivery <strong>and</strong><br />

reimbursement models rely heavily<br />

on documenting efficiency, cost<br />

savings <strong>and</strong> superior-quality care,”<br />

said Dr. Speiser. “We are proud to<br />

be in the <strong>for</strong>efront <strong>of</strong> these changes<br />

sweeping the medical l<strong>and</strong>scape,<br />

Phyllis Speiser, MD<br />

<strong>and</strong> honored to display this newest<br />

evidence <strong>of</strong> our successful ef<strong>for</strong>ts to<br />

deliver the best care to our children<br />

affected with diabetes.”<br />

<strong>The</strong> New St<strong>and</strong>ard 17


around the system<br />

Enhancing Safety in<br />

Behavioral Health Settings<br />

SYOSSET — A new protocol implemented on the Behavioral Health Unit at<br />

Syosset Hospital has dramatically reduced episodes <strong>of</strong> patient aggression.<br />

<strong>The</strong> plan includes:<br />

• a violence assessment screening during patient admission, after which<br />

patients at risk are identified <strong>and</strong> communicated about at daily briefs <strong>for</strong><br />

every shift;<br />

• personal alarms provided to each staff member;<br />

• crisis prevention training <strong>for</strong> all nurses <strong>and</strong> security staff;<br />

• an additional nurse practitioner staff position during <strong>of</strong>f-hours; <strong>and</strong><br />

• additional mental wellness programs <strong>for</strong> patients including activities<br />

during evenings <strong>and</strong> weekends, increased snacks <strong>and</strong> dietician<br />

evaluations, fresh air walks, family support groups, nicotine withdrawal<br />

assessments <strong>and</strong> games <strong>and</strong> exercise materials<br />

18 Summer 2012<br />

Plainview Hospital<br />

Serves Up Tastier,<br />

Healthier Meals<br />

Syosset Collaborative Care Council members Mercy Jaiswal, RN,<br />

left,<strong>and</strong> Debra Dyck<strong>of</strong>f, RN, nurse manager <strong>of</strong> the hospital’s<br />

Behavioral Health Unit, were invited to present their project,<br />

Prevention <strong>of</strong> Violence in Inpatient Behavioral Health, at the Eighth<br />

Annual Maryl<strong>and</strong> Patient Safety Conference this spring.<br />

PLAINVIEW — While showing a patient the newly revised<br />

Plainview Hospital menu (below), nutrition coordinator Nina Eng<br />

discusses the importance <strong>of</strong> nutritional in<strong>for</strong>mation to recovering<br />

<strong>and</strong> maintaining health. <strong>The</strong> latest Plainview menus feature<br />

nutritional in<strong>for</strong>mation, including amounts <strong>of</strong> calories, fat,<br />

sodium <strong>and</strong> carbohydrates, next to every item <strong>of</strong>fered. Patients can<br />

call ahead <strong>and</strong> substitute alternative hot or cold items, including<br />

treats like bacon, sausage <strong>and</strong> cheese pizza,<br />

in serving sizes that provide nutritional<br />

value without risky calory, fat <strong>and</strong> salt<br />

counts. “We’re giving patients the tools<br />

that they need to make in<strong>for</strong>med decisions<br />

about what they eat,” said Ms. Eng.<br />

<strong>The</strong>re are also modifications available<br />

<strong>for</strong> each type <strong>of</strong> diet, including calculated,<br />

diabetic, no concentrated sweets, cardiac,<br />

low sodium, no added salt <strong>and</strong> renal.<br />

“Being able to provide food that patients<br />

crave <strong>and</strong> enjoy is key to promoting<br />

recovery <strong>and</strong> health,” said Eric Sieden,<br />

director <strong>of</strong> food <strong>and</strong> nutritional services at<br />

Plainview. “To create the meals that people<br />

want to eat, we use only fresh, highquality<br />

ingredients from local vendors <strong>and</strong><br />

farmers in the community. We make sure<br />

that the items ordered arrive the way they<br />

are requested, so there’s always something<br />

they want to eat.”


National Recognition<br />

For Spine Program<br />

GLEN COVE — <strong>The</strong> Center <strong>for</strong> Spine Services at Glen Cove<br />

Hospital was recently recognized as an Aetna Institute <strong>of</strong> Quality<br />

<strong>for</strong> Spine Surgery, a designation that highlights the center’s<br />

expertise, excellent surgical outcomes <strong>and</strong> patient-focused care.<br />

“This accreditation is another layer <strong>of</strong> credibility. It tells the<br />

community that we not only per<strong>for</strong>m a large number <strong>of</strong> spinal<br />

procedures, but also, more importantly, we do them very well,”<br />

said Vincent Leone, MD, director <strong>of</strong> orthopedic spine surgery at<br />

Glen Cove Hospital.<br />

To qualify <strong>for</strong> the designation, Glen Cove underwent a<br />

rigorous review process, meeting strict criteria regarding the<br />

center’s use <strong>of</strong> evidence-based protocols, follow-up support <strong>of</strong><br />

patients, program breadth, education <strong>and</strong> training <strong>of</strong> the medical<br />

<strong>and</strong> nonmedical community <strong>and</strong> quality improvement.<br />

History Exhibit Honors<br />

Fallen Firefighter<br />

STATEN ISLAND — To wrap up the anniversary <strong>of</strong> its 150-year history, Staten<br />

Isl<strong>and</strong> University Hospital (SIUH) recently opened a history exhibit in honor<br />

<strong>of</strong> Fire Department <strong>of</strong> New York (FDNY) Assistant Chief Gerard Barbara, who<br />

gave his life on 9/11.<br />

“Part <strong>of</strong> his timeline is the timeline <strong>of</strong> the hospital,” said Monsignor<br />

John Delendick, FDNY chaplain. “He served his community <strong>and</strong> city well; he<br />

there<strong>for</strong>e served this hospital with the same passion.”<br />

<strong>The</strong> exhibit features a plaque honoring Mr. Barbara <strong>and</strong> a timeline <strong>of</strong><br />

the hospital’s history, augmented by antiques from the hospital’s past. Mr.<br />

Barbara’s wife, Joanne, unveiled the exhibit as her family <strong>and</strong> about 200 firefighters,<br />

hospital employees <strong>and</strong> others looked on at the Regina M. McGinn,<br />

MD, Education Center.<br />

“My inspiration <strong>for</strong> getting involved in a project at Staten Isl<strong>and</strong><br />

University Hospital is because Jerry was an advocate <strong>for</strong> continuing education<br />

– especially in fire safety. This center is an education center, <strong>and</strong> that’s what<br />

we wanted to promote,” Ms. Barbara said.<br />

“<strong>The</strong> wall unites the hospital’s detailed history while honoring one <strong>of</strong> our<br />

community’s biggest role models,” said Anthony Ferreri, president <strong>and</strong> CEO <strong>of</strong><br />

SIUH. “Jerry was a leader, <strong>and</strong> he deserves to be remembered as a hero in our<br />

area <strong>for</strong> eternity.”<br />

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

north campus, 475 Seaview Ave. in Staten Isl<strong>and</strong>.<br />

<strong>The</strong> recently opened history exhibit at Staten Isl<strong>and</strong> University Hospital’s Regina M.McGinn, MD, Education Center, dedicated to the memory <strong>of</strong> firefighter<br />

Gerard Barbara. who died on 9/11.<br />

<strong>The</strong> New St<strong>and</strong>ard 19


around the system<br />

Lenox Hill Hospital volunteer Vincent Foster<br />

<strong>and</strong> Auxilian Ellen Starr were honored at the<br />

United Hospital Fund’s 19th Annual Hospital<br />

Auxilian <strong>and</strong> Volunteer Achievement Awards<br />

ceremony, held this spring at the Waldorf-Astoria. Mr.<br />

Foster <strong>and</strong> Ms. Starr were part <strong>of</strong> an elite group <strong>of</strong> 89<br />

volunteers who were honored <strong>for</strong> providing exceptional<br />

service to hospitals throughout the five boroughs <strong>of</strong> New<br />

York City. Janice Huff, chief meteorologist <strong>of</strong> NBC4 New<br />

York, was the special guest at the event, which drew nearly<br />

800 attendees to the hotel’s Gr<strong>and</strong> Ballroom.<br />

Mr. Foster has been a volunteer at Lenox Hill<br />

Hospital <strong>for</strong> over eight years. He has volunteered<br />

in the Pharmacy Department <strong>and</strong> most recently as a<br />

receptionist in the Human Resources Department.<br />

Glenn Courounis, vice president <strong>of</strong> human resources,<br />

lauds Mr. Foster as a thorough <strong>and</strong> detail-oriented<br />

worker who is always punctual <strong>and</strong> reliable, someone who<br />

takes his responsibilities very seriously. Mr. Foster is a<br />

retired social studies teacher in the NYC Public School<br />

System <strong>and</strong> an accomplished trumpet player. He is also a<br />

minister at the Christadelphian Ecclesia Church.<br />

Ms. Starr has been a member <strong>of</strong> Lenox Hill<br />

Hospital’s Auxiliary <strong>for</strong> over 15 years. She has chaired<br />

several fundraising events, including the Auxiliary’s annual<br />

theater benefit, which raises funds to support programs<br />

<strong>and</strong> enhancements at the hospital, <strong>and</strong> has served on the<br />

Auxiliary’s Executive Committee. Ms. Starr has done<br />

a great deal <strong>for</strong> the morale <strong>of</strong> the Auxiliary by putting<br />

together various outings, such as museum tours <strong>and</strong><br />

benefits. Auxilian Colleen Pizzitola says that with these<br />

events that encourage a sense <strong>of</strong> camaraderie she is the<br />

“glue that holds us together.” Ms. Starr is a principal in an<br />

interior design firm <strong>and</strong> has brought her creative eye to<br />

many hospital events including the annual Autumn Ball.<br />

Mr. Foster <strong>and</strong> Ms. Starr were chosen from among<br />

50,000 New York City healthcare volunteers who give <strong>of</strong><br />

their time willingly <strong>and</strong> selflessly to improve healthcare<br />

in our city.<br />

<strong>The</strong> United Hospital Fund’s Hospital Auxilian <strong>and</strong><br />

Volunteer Achievement Awards are part <strong>of</strong> the United<br />

Hospital Fund’s ef<strong>for</strong>ts to mobilize the energies <strong>of</strong><br />

volunteers, recognize volunteer achievements <strong>and</strong> open<br />

new avenues <strong>for</strong> volunteer involvement in healthcare.<br />

20 Summer 2012<br />

Two Lenox Hill Hospital<br />

Volunteers Honored<br />

By Barbara Osborn<br />

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

volunteer coordinator at the hospital, Elaine Rosenblum, senior associate executive director,<br />

<strong>and</strong> Evelyn Foster, his mother. Below: Honoree Ellen Starr, center, with her husb<strong>and</strong>, Michael<br />

Starr, MD, chief <strong>of</strong> corneal/external disease in the Department <strong>of</strong> Ophthalmology at Lenox<br />

Hill, <strong>and</strong> her daughter, Olivia, who works at the hospital in HR.


Nassau County Attorney<br />

Survives Sepsis<br />

By Kristen Longo<br />

VALLEY STREAM — Nassau<br />

County Attorney John<br />

Ciampoli showed up at<br />

Franklin Hospital mainly to<br />

ease the minds <strong>of</strong> family <strong>and</strong><br />

friends. He hadn’t been feeling<br />

well <strong>for</strong> over a week, <strong>and</strong> the<br />

antibiotics he was taking did<br />

not seem to be knocking out<br />

an infection. Yet he continued<br />

to put in long hours. When he<br />

arrived at the hospital, he was<br />

in a hurry to get back to work<br />

— but five hours later, he was<br />

on a ventilator.<br />

“Anywhere from two to<br />

four hours longer getting to<br />

the hospital, it would have<br />

been a one-way trip,” said Mr.<br />

Ciampoli. “When they asked,<br />

‘Did they take your temperature?<br />

What was it?’ I said,<br />

`Sure, they took my temperature,<br />

it was 250 degrees,’ <strong>and</strong><br />

my friend who was there with<br />

me said, ‘Listen, I know this<br />

guy, he has a sense <strong>of</strong> humor —<br />

that wasn’t his sense <strong>of</strong> humor.<br />

He’s losing it.’” That was<br />

Mr. Ciampoli’s last memory<br />

until he woke up a week later.<br />

Thanks to the expertise <strong>of</strong><br />

Southside Establishes Surgical Program<br />

<strong>for</strong> Complex Liver, Pancreas Diseases<br />

BAY SHORE — Patients with complex problems <strong>of</strong> the liver, bile<br />

ducts <strong>and</strong> pancreas can now find state-<strong>of</strong>-the-art surgical care at<br />

Southside Hospital’s new Hepatobiliary <strong>and</strong> Pancreatic Surgery<br />

Program. It is led by Juan Madariaga, MD, PhD, who was trained<br />

<strong>and</strong> practiced as a liver surgeon at the prestigious University <strong>of</strong><br />

Pittsburgh’s Thomas E. Starzl Transplantation Institute <strong>and</strong> subsequently<br />

at the University <strong>of</strong> Miami Transplant Center.<br />

Dr. Madariaga said patients with complex liver or biliary<br />

problems are <strong>of</strong>ten referred to the North Shore-LIJ Health System<br />

because <strong>of</strong> its “expertise <strong>and</strong> good patient outcomes.”<br />

No Need to Travel <strong>for</strong> Care<br />

“It’s great news <strong>for</strong> patients <strong>and</strong> their families that they don’t<br />

have to travel outside <strong>of</strong> their local community to find the highly<br />

specialized care they need,” said Christopher Nelson, assistant vice<br />

president <strong>of</strong> surgery. “<strong>The</strong> expansion <strong>of</strong> our hepatobiliary surgery<br />

program allows patients to stay in the community where they<br />

reside, closer to family <strong>and</strong> friends who play a crucial role in the<br />

recovery process.”<br />

clinicians at Franklin Hospital,<br />

he is alive to share his story.<br />

Mr. Ciampoli was suffering<br />

from sepsis, an overblown<br />

immune response that causes<br />

blood pressure to drop <strong>and</strong><br />

major organs to fail. “In the<br />

emergency departments across<br />

North Shore-LIJ, we have a<br />

very heightened awareness<br />

<strong>of</strong> sepsis,” said John Rohe,<br />

MD, director <strong>of</strong> emergency<br />

medicine at Franklin.“We<br />

have an evidence-based sepsis<br />

protocol, which has helped us<br />

reduce the number <strong>of</strong> deaths.”<br />

“<strong>The</strong> quicker we can<br />

recognize sepsis, the better<br />

patients respond clinically,” said<br />

Scott Horowitz, MD, acting<br />

chief <strong>of</strong> infectious disease at<br />

Franklin. Mr. Ciampoli is<br />

grateful that he went to Franklin<br />

<strong>for</strong> treatment. “<strong>The</strong> people<br />

there knew how to react, knew<br />

what to do, <strong>and</strong> they pulled me<br />

through,” he said.<br />

To see a video <strong>of</strong> Mr.<br />

Ciampoli’s story, visit http://<br />

bit.ly/nslijsurvivingsepsis<br />

Common conditions that hepatobiliary surgeons treat include<br />

liver, gallbladder or bile duct cancer; noncancerous liver tumors;<br />

narrowing or blockages <strong>of</strong> the bile ducts; <strong>and</strong> injury to the liver or<br />

bile ducts.<br />

<strong>The</strong> program employs a multidisciplinary team, including<br />

a hepatobiliary surgeon <strong>and</strong> a variety <strong>of</strong> specialists, who meet to<br />

review <strong>and</strong> discuss patients’ test results <strong>and</strong> develop individualized<br />

treatment plans.<br />

Minimally Invasive Procedures Available<br />

<strong>The</strong> surgeons in the program are skilled in open, laparoscopic<br />

<strong>and</strong> robotic methods <strong>of</strong> surgical treatment <strong>of</strong> disease. Because<br />

minimally invasive, cutting-edge surgery <strong>of</strong> the liver can mean<br />

faster patient recovery <strong>and</strong> less pain, surgeons opt <strong>for</strong> it whenever<br />

possible, Dr. Madariaga said. Patients also receive high-quality<br />

postoperative care from a highly skilled <strong>and</strong> experienced team to<br />

ensure a safe <strong>and</strong> speedy recovery. “With such a comprehensive<br />

<strong>and</strong> experienced team,” Dr. Madariaga said, “our patients can be<br />

assured <strong>of</strong> receiving the highest level <strong>of</strong> care.”<br />

<strong>The</strong> New St<strong>and</strong>ard 21


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

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

An elderly man presents<br />

at the Emergency<br />

Department (ED) <strong>of</strong><br />

a North Shore-LIJ hospital.<br />

He has a dry cough, a fever<br />

<strong>of</strong> 101 degrees <strong>and</strong> his heart<br />

rate is slightly elevated at 97.<br />

He doesn’t feel well, but his<br />

blood pressure is normal. He is<br />

undergoing chemotherapy <strong>for</strong><br />

colon cancer <strong>and</strong> his last chemo<br />

session was three weeks ago.<br />

A few years ago, that<br />

patient may have been triaged<br />

<strong>and</strong> treated as nonemergent,<br />

which means he may have<br />

taken his place in line behind<br />

cases that more clearly<br />

required emergent attention.<br />

All that has changed, however,<br />

thanks to the health system’s<br />

Surviving Sepsis Program that<br />

began in 2008.<br />

Sepsis is a lifethreatening<br />

condition<br />

that arises when a systemic<br />

22 Summer 2012<br />

Sepsis-Related Mortality<br />

Reduced by 35 Percent<br />

But the Work Is Just Beginning<br />

By <strong>The</strong>a Welch<br />

inflammatory response to<br />

infection or injury attacks<br />

the body’s own tissues<br />

<strong>and</strong> organs. Without<br />

diagnosis <strong>and</strong> treatment,<br />

it can proceed rapidly <strong>and</strong><br />

irrevocably to severe sepsis<br />

(sepsis complicated by organ<br />

dysfunction) <strong>and</strong> then septic<br />

shock (acute circulatory<br />

failure). In 2008, it was<br />

the single greatest cause<br />

<strong>of</strong> in-hospital mortality in<br />

the health system; further,<br />

North Shore-LIJ’s mortality<br />

rates were statistically higher<br />

than predicted, according to<br />

HealthGrades.<br />

As part <strong>of</strong> his no-tolerance<br />

approach to preventable death,<br />

North Shore-LIJ President<br />

<strong>and</strong> Chief Executive Officer<br />

Michael Dowling targeted sepsis<br />

as a major problem to address.<br />

That’s why, today, as soon<br />

as the patient hits the door<br />

to the ED, he is recognized<br />

as a possible sepsis patient,<br />

<strong>and</strong> everything speeds up. An<br />

established sepsis treatment<br />

algorithm is followed<br />

immediately, including<br />

drawing blood <strong>and</strong> ordering<br />

tests, such as serum lactate<br />

level (elevated serum lactate<br />

is associated with increased<br />

mortality in severe sepsis<br />

patients). <strong>The</strong> staff begins<br />

administering intravenous (IV)


fluids <strong>and</strong> antibiotics if there<br />

is any evidence <strong>of</strong> infection,<br />

<strong>and</strong> the patient’s vital signs<br />

are monitored continuously.<br />

Everyone in the ED is aware<br />

that with sepsis, as with trauma,<br />

a heart attack or a stroke,<br />

there is a “golden hour” — a<br />

critical period during which the<br />

progression <strong>of</strong> the illness must<br />

be halted.<br />

Since 2008, the lives <strong>of</strong><br />

hundreds <strong>of</strong> patients like our<br />

hypothetical patient have been<br />

saved. <strong>The</strong> health system’s<br />

mortality rate <strong>for</strong> severe sepsis<br />

<strong>and</strong> septic shock has declined to<br />

35 percent (as <strong>of</strong> August 2011)<br />

— a significant accomplishment,<br />

certainly. But the real work<br />

is just beginning, according<br />

to Martin Doerfler, MD, the<br />

health system’s vice president <strong>of</strong><br />

evidence-based clinical practice<br />

<strong>and</strong> co-chair <strong>of</strong> the North<br />

Shore-LIJ Sepsis Task Force,<br />

with John D’Angelo, MD,<br />

director <strong>of</strong> emergency medicine<br />

at Glen Cove Hospital, <strong>and</strong><br />

Darlene Parmentier, RN,<br />

manager <strong>for</strong> critical care at Glen<br />

Cove Hospital.<br />

“Over the last three years,<br />

we’ve laid the foundation<br />

<strong>for</strong> fighting sepsis,” said Dr.<br />

Doerfler. “<strong>The</strong>re is no question<br />

that we have made progress.<br />

But now, in collaboration with<br />

the Institute <strong>for</strong> Healthcare<br />

Improvement [IHI], we are<br />

rolling it out on a gr<strong>and</strong><br />

scale.” In addition to the sepsis<br />

initiative, the partnership<br />

with IHI has three other<br />

phases: improving the quality<br />

<strong>and</strong> accessibility <strong>of</strong> palliative<br />

care, preparing students <strong>and</strong><br />

pr<strong>of</strong>essionals to be outst<strong>and</strong>ing<br />

“improvers,” <strong>and</strong> improving<br />

the health system’s capacity to<br />

improve. <strong>The</strong> kick-<strong>of</strong>f event<br />

<strong>for</strong> the work phase <strong>of</strong> the<br />

sepsis initiative was a two-day<br />

workshop held the last week<br />

<strong>of</strong> February at the Swan Club<br />

in Roslyn, <strong>and</strong> attended by<br />

clinicians <strong>and</strong> administrators<br />

from the health system <strong>and</strong><br />

every hospital.<br />

“In the past we focused on<br />

the intensive care units. More<br />

recently we have focused on<br />

the EDs, where patients are<br />

<strong>of</strong>ten at the sicker end <strong>of</strong> the<br />

sepsis spectrum — low-hanging<br />

fruit,” said Dr. Doerfler.<br />

“Next, we want to move the<br />

focus upstream — to catch<br />

them on the floors <strong>and</strong> treat<br />

them be<strong>for</strong>e they progress<br />

to severe sepsis.” Over the<br />

next four years <strong>of</strong> the IHI<br />

partnership, Mr. Dowling has<br />

challenged the task <strong>for</strong>ce to cut<br />

the health system’s 35 percent<br />

mortality rate in half, which<br />

will put North Shore-LIJ in<br />

the company <strong>of</strong> the top 10<br />

percent <strong>of</strong> its peers <strong>for</strong> severe<br />

sepsis/septic shock mortality.<br />

“I commend emergency<br />

services personnel <strong>and</strong><br />

nursing leadership at the<br />

health system <strong>and</strong> hospital<br />

level <strong>for</strong> stepping up to the<br />

plate in an exemplary way,”<br />

said Dr. Doerfler. “So far, the<br />

work has fallen on them <strong>and</strong><br />

they have embraced it. <strong>The</strong>y<br />

have helped us take many steps<br />

<strong>for</strong>ward. In this next phase,<br />

many additional people in the<br />

health system will be involved,<br />

working with IHI teams on<br />

a weekly basis, at a much<br />

deeper level <strong>of</strong> engagement<br />

<strong>and</strong> underst<strong>and</strong>ing. We<br />

have some distance yet to<br />

cover, but I believe we have a<br />

reachable goal.”<br />

Jumping <strong>for</strong><br />

Good Health<br />

Over the past year, Cohen Children’s<br />

Medical Center (CCMC) <strong>and</strong> Kohl’s Cares<br />

<strong>for</strong> Kids have conducted an educational<br />

program with students at Jackson Main<br />

Elementary School in Hempstead. <strong>The</strong><br />

program was a health <strong>and</strong> wellness<br />

initiative aimed at educating students<br />

on proper nutrition, the importance <strong>of</strong><br />

exercise <strong>and</strong> how to stay fit at home.<br />

Teachers worked with a program called<br />

“Activity Works,” which urges youngsters<br />

to per<strong>for</strong>m 12 minutes a day <strong>of</strong> exercise<br />

in the classroom, <strong>and</strong> to report what<br />

they’ve learned to their parents <strong>and</strong><br />

siblings. Students worked so hard to<br />

meet their exercise goals that CCMC <strong>and</strong><br />

Kohl’s decided to surprise them with a<br />

visit <strong>and</strong> per<strong>for</strong>mance from the nationally<br />

recognized jump rope team, Lucie B.<br />

Jump N Fun Rocket Ropers. Afterwards,<br />

students joined in the fun.<br />

<strong>The</strong> New St<strong>and</strong>ard 23


nursing mission<br />

A Legacy <strong>of</strong> Nursing Excellence:<br />

Three Who Left <strong>The</strong>ir Mark<br />

HUNTINGTON — Phyllis<br />

Barlow, RN, began working at<br />

Huntington Hospital in 1958.<br />

Lola Goldman, RN, joined in<br />

1968. Myrna Myers-Laque,<br />

RN, who recently retired as<br />

vice president <strong>of</strong> nursing <strong>and</strong><br />

chief nursing <strong>of</strong>ficer, came<br />

in 1974. <strong>The</strong>se three nursing<br />

pr<strong>of</strong>essionals have witnessed<br />

tremendous progress in the<br />

field <strong>of</strong> medicine <strong>and</strong> the<br />

practice <strong>of</strong> nursing over the<br />

decades, <strong>and</strong> they have made<br />

enormous contributions to<br />

the high st<strong>and</strong>ard <strong>of</strong> nursing<br />

excellence that Huntington<br />

Hospital is known <strong>for</strong> today.<br />

“In 1958, the typical<br />

nurse was young. She wore a<br />

starched white uni<strong>for</strong>m, white<br />

shoes, white hose <strong>and</strong> a cap<br />

that indicated the school she<br />

graduated from,” recalled Ms.<br />

Barlow. Beyond the uni<strong>for</strong>m,<br />

1950s-era nurses adopted an<br />

attitude <strong>of</strong> subservience to<br />

physicians. “We stood when a<br />

doctor entered the room, <strong>and</strong><br />

we moved to the rear <strong>of</strong> the<br />

elevators when one got on.”<br />

In those days, licensed<br />

practical nurses (LPNs)<br />

worked alongside registered<br />

nurses. Eventually, LPNs were<br />

phased out, <strong>and</strong> registered<br />

nurses were encouraged to<br />

pursue advanced degrees as<br />

an increasing emphasis was<br />

placed on education.<br />

As director <strong>of</strong> nursing<br />

24 Summer 2012<br />

Phyllis Barlow<br />

<strong>and</strong> eventually vice president<br />

be<strong>for</strong>e retiring from the<br />

hospital in 1991, Ms. Barlow<br />

encouraged nurses to<br />

continue their education, as<br />

did Ms. Myers-Laque.<br />

One result was a shift<br />

in the relationship between<br />

nurses <strong>and</strong> physicians.<br />

“Relationships became more<br />

collaborative as a result <strong>of</strong> the<br />

increased pr<strong>of</strong>essionalism<br />

that came with additional<br />

education,” said Ms. Goldman.<br />

Today’s patients tend<br />

to be sicker than those 30<br />

years ago, Ms. Goldman<br />

noted. Thanks to advances in<br />

minimally invasive surgical<br />

techniques, patients require<br />

less time in the hospital <strong>and</strong><br />

spend more time recovering<br />

at home. Changing<br />

demographics have caused<br />

another shift in the patient<br />

pr<strong>of</strong>ile. Today’s hospital<br />

patients are <strong>of</strong>ten older <strong>and</strong><br />

frailer than their counterparts<br />

a generation or two ago.<br />

By <strong>The</strong>resa Jacobellis<br />

Myrna Myers-Laque, left, <strong>and</strong><br />

Lola Goldman<br />

“In this country, those<br />

over 85 are the fastest growing<br />

segment <strong>of</strong> the population,”<br />

said Ms. Myers-Laque.<br />

“Taking care <strong>of</strong> an 85-yearold<br />

is very different from<br />

taking care <strong>of</strong> a 45-year-old.”<br />

To help ensure that<br />

the needs <strong>of</strong> this exp<strong>and</strong>ing<br />

geriatric population are met,<br />

Ms. Myers-Laque challenged<br />

Huntington Hospital’s<br />

nursing staff to become<br />

certified in gerontological<br />

nursing, <strong>and</strong> more than 100<br />

nurses accepted.<br />

As with every aspect <strong>of</strong><br />

life, computerization has<br />

radically altered the practice<br />

<strong>of</strong> nursing. Be<strong>for</strong>e, “we did<br />

everything by h<strong>and</strong>,” Ms.<br />

Goldman said. Today, one<br />

glance at a central monitor in<br />

the Nursing Administration<br />

Department reveals the<br />

number <strong>and</strong> location <strong>of</strong><br />

available beds, <strong>and</strong> clinical<br />

in<strong>for</strong>mation can be accessed<br />

from any computer.<br />

As she steps away from her<br />

role as VP <strong>of</strong> nursing <strong>and</strong> takes<br />

on a new challenge as a nursing<br />

consultant, Ms. Myers-Laque<br />

looks toward the future.<br />

“<strong>The</strong> real issue in<br />

nursing is the need to<br />

trans<strong>for</strong>m the environment<br />

so nurses can spend more<br />

time at the bedside,” she said,<br />

citing a recent Robert Wood<br />

Johnson Foundation study<br />

that found that up to 60<br />

percent <strong>of</strong> a nurse’s time is<br />

spent on h<strong>and</strong>ling paperwork,<br />

hunting <strong>for</strong> supplies or<br />

transporting patients.<br />

Improved technology <strong>and</strong><br />

a redesign <strong>of</strong> patient care<br />

units will help with that<br />

trans<strong>for</strong>mation.<br />

One <strong>of</strong> the highlights<br />

<strong>of</strong> Ms. Myers-Laque’s 38year<br />

career at Huntington<br />

was the receipt <strong>of</strong> Magnet<br />

designation, conferred<br />

by the American Nurses<br />

Credentialing Center<br />

(ANCC). <strong>The</strong> program<br />

recognizes hospitals <strong>for</strong><br />

high st<strong>and</strong>ards <strong>of</strong> patient<br />

care, nursing excellence<br />

<strong>and</strong> innovations in nursing<br />

practice.<br />

According to the<br />

ANCC, Magnet hospitals<br />

report increased retention<br />

<strong>of</strong> nursing staff, a decreased<br />

nursing turnover rate <strong>and</strong><br />

higher job satisfaction among<br />

nurses. Additionally, Magnet<br />

facilities are associated with<br />

increased patient satisfaction,<br />

decreased mortality rates<br />

<strong>and</strong> improved patient<br />

safety. Ms. Myers-Laque<br />

is currently charged with<br />

helping Huntington prepare<br />

<strong>for</strong> its Magnet recertification<br />

scheduled <strong>for</strong> later this year.


WOODBURY — Amy Resnick,<br />

RN, pictured here, primary<br />

nurse in the Hospice Care<br />

Network, makes a difference in<br />

her patients’ <strong>and</strong> families’ lives<br />

— in large <strong>and</strong> small ways.<br />

In addition to her clinical<br />

duties, she’s gone the extra<br />

mile to babysit a terminally ill<br />

baby <strong>and</strong> her sibling so their<br />

exhausted mother could nap.<br />

She’s encouraged a teenage<br />

mother, distracted by her ill<br />

son’s care, to remember to<br />

eat. Ms. Resnick has gained<br />

the trust <strong>and</strong> affection <strong>of</strong> a<br />

man with pancreatic cancer<br />

who said that his greatest wish<br />

be<strong>for</strong>e dying was to find her<br />

a husb<strong>and</strong> (preferably his<br />

“h<strong>and</strong>some son”).<br />

<strong>The</strong> connections <strong>and</strong><br />

impressions Ms. Resnick makes<br />

are lasting. She was the first to<br />

learn that the teenage mother<br />

(now 20) is having another<br />

baby <strong>and</strong> among the first to be<br />

invited to her wedding this year.<br />

“This is what I was put<br />

on this earth to do,” Ms.<br />

Resnick said. “It’s a very<br />

vulnerable time <strong>for</strong> [patients<br />

<strong>and</strong> families] <strong>and</strong> they trust<br />

me to help.” In addition to<br />

clinical assessments, symptom<br />

management <strong>and</strong> patient/<br />

Being Present as<br />

Time Winds Down<br />

By Kathleen Waton<br />

family education related to<br />

end-<strong>of</strong>-life care, it’s “being<br />

kind <strong>and</strong> present,” she said.<br />

<strong>The</strong> role <strong>of</strong> caring <strong>for</strong><br />

patients at the end <strong>of</strong> life comes<br />

naturally to Ms. Resnick.<br />

“[Death] is going to happen to<br />

everyone <strong>and</strong> I just want to do<br />

<strong>for</strong> others what I would want<br />

NPs Facilitate Care at Forest Hills<br />

By Kathleen Waton<br />

FOREST HILLS — Forest Hills Hospital, like other facilities across the North Shore-<br />

LIJ Health System, is employing more nurse practitioners (NPs) in various areas<br />

to make a difference in patient care. Advanced practice nurses facilitate care by<br />

“functioning to the limit <strong>of</strong> their licensure” as “we face a shortage <strong>of</strong> practitioners<br />

in the future,” said Rita Mercieca, RN, executive director.<br />

Last fall, NPs entered two areas in particular that dem<strong>and</strong> more ef<strong>for</strong>t:<br />

heart failure <strong>and</strong> pain management. “One <strong>of</strong> our major causes <strong>of</strong> readmission to<br />

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

Hallie Bleau, NP, coordinates the care <strong>of</strong> heart failure patients in the<br />

community to prevent readmission. “We’re not going to be able to keep all<br />

<strong>of</strong> them out <strong>of</strong> the hospital,” she said, “because heart failure is a progressive<br />

disease <strong>and</strong> patients continue to get sicker.” But following up with patients<br />

after discharge <strong>and</strong> teaching simple steps like daily weighings to manage water<br />

retention <strong>and</strong> encouraging patients to visit their physicians within three to<br />

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

done <strong>for</strong> me,” she said.<br />

<strong>The</strong> work undoubtedly<br />

is very sad at times, she<br />

admitted, yet there are many<br />

happy moments. “Unless<br />

you do this work, it’s hard to<br />

underst<strong>and</strong> how much fun it<br />

can be. Patients’ guards are<br />

down <strong>and</strong> they welcome you<br />

into their family. It’s such an<br />

easy relationship.”<br />

When Ms. Resnick first<br />

meets patients <strong>and</strong> families,<br />

however, “they think it’s going<br />

to be gloom <strong>and</strong> doom, but it’s<br />

really talking about living until<br />

you are no longer living.”<br />

Ms. Resnick’s dedication<br />

to her patients makes an<br />

impression. “She is the ultimate<br />

in dedicated, bright <strong>and</strong><br />

compassionate staff,” said Nan<br />

Toelstedt, RN, executive vice<br />

president <strong>of</strong> the Hospice Care<br />

Network. “We are lucky to have<br />

her — <strong>and</strong> so are her patients.”<br />

involves nursing education, including making sure bedside nurses are attentive to<br />

weight gain <strong>and</strong> check low-sodium diets <strong>for</strong> heart failure patients.<br />

Jamina John, NP, manages patients’ pain <strong>and</strong> ensures patients with<br />

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

that ordering medication is within my scope <strong>of</strong> practice,” Ms. John said, “so<br />

I can make changes to the order, transition from IV medication to pills or order<br />

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

or hip replacements, new morphine epidurals provide continuous medication<br />

management <strong>for</strong> 48 hours after surgery, <strong>and</strong> allow Ms. John to tweak the dosage to<br />

manage pain.<br />

“Just having the time to sit in the room <strong>and</strong> talk makes the patient feel so<br />

much more com<strong>for</strong>table,” she said. “I’m so happy Forest Hills Hospital started<br />

this role <strong>and</strong> excited <strong>for</strong> the future. We’ve had so much positive feedback — from<br />

patients <strong>and</strong> staff.”<br />

<strong>The</strong> New St<strong>and</strong>ard 25<br />

Jeanne Morrison, LMSW


nursing mission<br />

NEW HYDE PARK — <strong>The</strong><br />

unique pro-education<br />

environment at the North<br />

Shore-LIJ Health System <strong>and</strong><br />

its nurses’ commitment to<br />

further their education were<br />

the focus <strong>of</strong> an article in the<br />

March issue <strong>of</strong> <strong>The</strong> Journal <strong>of</strong><br />

Continuing Education in Nursing. <strong>The</strong><br />

article, entitled “Continuing<br />

Nursing Education: A<br />

Partnership Between Learner<br />

<strong>and</strong> Teacher,” by Lena<br />

Garafalo, RN, North Shore-<br />

LIJ’s nursing education<br />

coordinator, highlights how<br />

health system nurses are<br />

26 Summer 2012<br />

Partnering <strong>for</strong><br />

Education<br />

By Kathleen Waton<br />

encouraged to continue their<br />

pr<strong>of</strong>essional development<br />

<strong>and</strong> provide input to improve<br />

programs.<br />

To be effective, Ms.<br />

Garafalo wrote, education<br />

should be interactive. Taking<br />

needs assessment/evaluation<br />

seriously guides the educator<br />

in ensuring timely, relevant<br />

educational activity <strong>and</strong> meets<br />

the “participants’ learning needs<br />

<strong>and</strong> career goals,” she said.<br />

Nursing feedback has led<br />

to more interactive breakout<br />

sessions <strong>and</strong> h<strong>and</strong>s-on<br />

experience with insulin pumps<br />

&<br />

<strong>and</strong> pens at a popular diabetes<br />

conference, <strong>and</strong> top certified<br />

wound <strong>and</strong> ostomy continence<br />

nurses leading a workshop<br />

on practical foot care <strong>for</strong><br />

nurses to apply in everyday<br />

practice. And a pediatric<br />

conference exp<strong>and</strong>ed into two<br />

separate learning tracks — one<br />

<strong>for</strong> critical care nurses <strong>and</strong><br />

another <strong>for</strong> med/surg nurses —<br />

based on input from nurses.<br />

To “share a common<br />

vision” <strong>for</strong> education, North<br />

Shore-LIJ executive nursing<br />

leadership <strong>and</strong> nursing educators<br />

meet monthly to roll up<br />

nursing input <strong>and</strong> share strategies<br />

<strong>for</strong> improvement, said<br />

Elaine Smith, RN, EdD, vice<br />

president <strong>for</strong> nursing education<br />

<strong>for</strong> the health system. “This is a<br />

wonderful benefit in an organization<br />

<strong>of</strong> this size,” she said.<br />

This ongoing<br />

communication has led to<br />

an all-day diabetes program<br />

Nursing Conferences<br />

Continuing Education Programs<br />

Enhance skills or build new ones with help from the North Shore-LIJ Institute <strong>for</strong> Nursing.<br />

July<br />

26<br />

Pediatric Conference<br />

Swan Club, Glenwood L<strong>and</strong>ing<br />

September<br />

12<br />

Critical Care/Emergency Conference<br />

Swan Club, Glenwood L<strong>and</strong>ing<br />

18<br />

Nursing Education Conference<br />

Swan Club, Glenwood L<strong>and</strong>ing<br />

27-28<br />

Oncology Nursing Society Chemo/<br />

Biotherapy Course<br />

Southside Hospital, Bay Shore<br />

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

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

<strong>and</strong> programs are added regularly. For more in<strong>for</strong>mation, please call the Institute <strong>for</strong> Nursing at (718) 470-3890 or register at<br />

NorthShoreLIJ.com/NSLIJ/nurses.<br />

becoming an annual event; the<br />

addition <strong>of</strong> a full-day program<br />

<strong>for</strong> emergency department<br />

nurses <strong>and</strong> technicians;<br />

<strong>and</strong> the rebirth <strong>of</strong> a critical<br />

care conference <strong>for</strong> nurses.<br />

In 2012, new conferences<br />

are coming in nursing<br />

in<strong>for</strong>matics, urology <strong>and</strong> one<br />

just <strong>for</strong> nurse practitioners.<br />

Dr. Smith said Ms.<br />

Garafalo demonstrates<br />

“developing the pr<strong>of</strong>essional<br />

dimensions <strong>of</strong> her own role”<br />

by writing peer-reviewed<br />

articles <strong>and</strong> developing the<br />

“large number <strong>of</strong> programs<br />

to enhance pr<strong>of</strong>essional<br />

competence.”<br />

About 100 continuing<br />

education programs benefit<br />

more than 6,000 system<br />

nurses a year. “That’s above <strong>and</strong><br />

beyond the general education<br />

taking place at other local<br />

hospitals,” Dr. Smith said.<br />

Bedside or not, nurses<br />

must be accountable <strong>for</strong><br />

learning, Ms. Garafalo<br />

added: “That’s what makes<br />

our health system <strong>and</strong> our<br />

nursing pr<strong>of</strong>ession so strong<br />

— <strong>and</strong> why we can provide<br />

such a high level <strong>of</strong> care to our<br />

patients <strong>and</strong> their families.”


SYOSSET — Jeanine Norton,<br />

RN, had just finished her daily<br />

early-morning workout when<br />

she saved the life <strong>of</strong> a 44-yearold<br />

man.<br />

<strong>The</strong> Post-Anesthesia Care<br />

Unit nurse at Syosset Hospital<br />

was preparing to leave the gym<br />

at 6 a.m. when staff asked if<br />

she could help a man having<br />

“seizures.” With 13 years <strong>of</strong><br />

critical care experience, Ms.<br />

Norton ran to help. She<br />

recognized the man who had<br />

recently started exercising<br />

regularly at the gym <strong>and</strong> saw<br />

he had no pulse <strong>and</strong> wasn’t<br />

breathing.<br />

Ms. Norton made sure<br />

that 911 had been called<br />

<strong>and</strong> then per<strong>for</strong>med chest<br />

compressions on the man<br />

<strong>for</strong> almost half an hour,<br />

while two physicians at the<br />

gym helped “get breath into<br />

him.” She continued applying<br />

chest compressions after the<br />

ambulance arrived so the<br />

emergency medical technicians<br />

(EMTs) could intubate the<br />

man. After attempting an<br />

intravenous line <strong>and</strong> resorting<br />

to an interoscular device in the<br />

leg, the EMTs administered<br />

epinephrine <strong>and</strong> atropine <strong>for</strong><br />

cardiac arrest.<br />

<strong>The</strong> ambulance rushed<br />

him to nearby Syosset<br />

Hospital, where he was<br />

stabilized <strong>and</strong> later transferred<br />

to North Shore University<br />

Hospital. In their cardiac cath<br />

lab, North Shore University<br />

Hospital staff discovered the<br />

main vessel in his heart was<br />

blocked. “It’s also known as the<br />

‘widow maker,’” Ms. Norton<br />

said, “because most people<br />

don’t survive that.”<br />

Recovery<br />

Nurse<br />

Saves<br />

Life at<br />

Gym<br />

By Kathleen Waton<br />

<strong>The</strong> man lived <strong>and</strong> after<br />

2.5 weeks in the hospital, was<br />

discharged with a pacemaker<br />

defibrillator.<br />

After responding<br />

immediately to the emergency,<br />

Ms. Norton continues to be<br />

affected by the event. “I wasn’t<br />

sure if he was going to be brain<br />

dead <strong>and</strong> would be on life<br />

support <strong>for</strong> the rest <strong>of</strong> his life<br />

because he had been without<br />

oxygen <strong>for</strong> so long. His doctor<br />

says he doesn’t know how he<br />

survived, without a heartbeat<br />

<strong>for</strong> 30 minutes. When I see<br />

him at the gym now, tears<br />

come to my eyes, the rescue<br />

was so amazing.”<br />

Ms. Norton encourages<br />

others to overcome their fears<br />

<strong>and</strong> act in an emergency.<br />

“Reach out <strong>and</strong> try to help,” she<br />

said. “Even if you can’t do CPR,<br />

get help, do something. Don’t<br />

just walk by. Give someone a<br />

second chance at life.”<br />

Above: Jeanine Norton, RN<br />

Zuckerberg Awards<br />

Nurses from throughout the North Shore-LIJ System recently received<br />

the 2012 Zuckerberg Family Awards <strong>for</strong> Nursing Service Excellence. <strong>The</strong><br />

honorees were recognized <strong>for</strong> meeting or exceeding expectations in all criteria<br />

on per<strong>for</strong>mance evaluations, <strong>and</strong> exceeding expectations in quality <strong>of</strong> work,<br />

attitude, interpersonal relationships <strong>and</strong> attendance. Winners each received<br />

a certificate <strong>and</strong> $1,000. <strong>The</strong> awards program is supported by Roy Zuckerberg,<br />

<strong>for</strong>mer chairman <strong>of</strong> the health system’s Board <strong>of</strong> Trustees.<br />

Award recipients were:<br />

Mavis Barriteau, RN, BSN<br />

Franklin Hospital<br />

Pat Loccisano, RN<br />

Forest Hills Hospital<br />

Megan Burt, RN<br />

Glen Cove Hospital<br />

Camille Hertzel, RN<br />

Huntington Hospital<br />

Jennifer Thys-Rose, RN<br />

Lenox Hill Hospital<br />

Marybeth Grieser, RN<br />

Long Isl<strong>and</strong> Jewish Hospital<br />

Lisa Flick, RN<br />

Manhattan Eye, Ear & Throat<br />

Hospital<br />

Cindy Gomez, RN<br />

North Shore University Hospital<br />

Carol Carlson, RN<br />

Plainview Hospital<br />

Frances McCarthy, RN<br />

Staten Isl<strong>and</strong> University<br />

Hospital North<br />

Frederick Cappetta, RN<br />

Staten Isl<strong>and</strong> University<br />

Hospital South<br />

Charla Doherty, RN<br />

Steven <strong>and</strong> Alex<strong>and</strong>ra Cohen<br />

Children’s Medical Center <strong>of</strong><br />

New York<br />

Charlotte Maloney, RN<br />

Southside Hospital<br />

Stella Bacus, RN<br />

Syosset Hospital<br />

Elise Bailey, RN<br />

<strong>The</strong> Zucker Hillside Hospital<br />

<strong>The</strong> New St<strong>and</strong>ard 27


nursing mission<br />

Psychiatric Nursing<br />

Research Fills In the Gaps<br />

GLEN OAKS — Nurses at<br />

<strong>The</strong> Zucker Hillside Hospital<br />

(ZHH) are breaking new<br />

ground in psychiatric care<br />

research.<br />

At the beginning <strong>of</strong> the<br />

year, the nursing leadership<br />

team launched a pilot study to<br />

determine patient outcomes<br />

after a rapid response team<br />

(RRT) call in a psychiatric<br />

setting. An RRT is called when<br />

a patient’s clinical condition<br />

meets criteria requiring a team<br />

<strong>of</strong> providers to respond, assess<br />

<strong>and</strong> treat immediately.<br />

“We are conducting a<br />

collaborative Institutional<br />

Review Board [IRB]-<br />

28 Summer 2012<br />

approved research study<br />

between nursing <strong>and</strong> internal<br />

medicine to look at nurseinitiated<br />

RRT calls in a<br />

behavioral health setting,”<br />

said Marybeth McManus, RN,<br />

associate executive director <strong>of</strong><br />

patient care services. “<strong>The</strong>re<br />

is currently a lack <strong>of</strong> literature<br />

on medical rapid response<br />

teams in freest<strong>and</strong>ing<br />

psychiatric hospitals.”<br />

<strong>The</strong> nurses will review<br />

100 cases in the pilot study<br />

phase to collect data on such<br />

variables as the reason <strong>for</strong><br />

activating the call, shift/day<br />

<strong>of</strong> week distribution, staffing,<br />

location, psychiatric diagnoses<br />

By Kathleen Waton<br />

<strong>and</strong> follow-up care.<br />

“We’ll review patient<br />

outcomes,” Ms. McManus<br />

said, “such as whether patients<br />

require evaluation in an<br />

emergency department or are<br />

admitted to a medical unit.<br />

<strong>The</strong> goal is to ensure the<br />

provision <strong>of</strong> the appropriate<br />

level <strong>of</strong> medical care in an acute<br />

behavioral health hospital.”<br />

Once the pilot is completed,<br />

the data will be<br />

submitted to the IRB <strong>for</strong> acceptance<br />

as a <strong>for</strong>mal research<br />

study with Ms. McManus <strong>and</strong><br />

Peter Manu, MD, director <strong>of</strong><br />

medical services, as principal<br />

coinvestigators.<br />

Another study in the planning<br />

stages involves helping<br />

patients stop smoking on a<br />

long-term basis.<br />

Since ZHH is a smokefree<br />

environment, patients do<br />

not smoke <strong>for</strong> the two or three<br />

weeks they usually remain<br />

there. Nurses hope to capitalize<br />

on that smoke-free time<br />

to help patients stop smoking<br />

long term after discharge.<br />

<strong>The</strong> nurses will study the<br />

effectiveness <strong>of</strong> a technique<br />

called motivational interviewing,<br />

which involves at least<br />

three one-to-one nurse-<strong>and</strong>patient<br />

sessions that educate<br />

<strong>and</strong> encourage patients to<br />

remain smoke-free. Patients<br />

will be interviewed by phone at<br />

set intervals after discharge to<br />

assess their smoke-free status.<br />

“Nursing research is one<br />

<strong>of</strong> the best ways to study <strong>and</strong><br />

document organizational<br />

processes that improve patient<br />

outcomes <strong>and</strong> quality,” Ms.<br />

McManus said.<br />

Maureen White to Be Inducted into<br />

the American Academy <strong>of</strong> Nursing<br />

<strong>The</strong> American Academy <strong>of</strong> Nursing recently announced its 2012 Class <strong>of</strong><br />

Fellows, <strong>and</strong> in this group <strong>of</strong> 176 esteemed nurse leaders from all over the<br />

country is North Shore-LIJ Health System Chief Nurse Executive Maureen<br />

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

the Swan Club in Roslyn, Ms. White was recognized <strong>for</strong> this honor, one <strong>of</strong><br />

the most prestigious in the field <strong>of</strong> nursing, by Michael Dowling, the health<br />

system’s president <strong>and</strong> chief executive <strong>of</strong>ficer, right, <strong>and</strong> Mark Solazzo,<br />

executive vice president <strong>and</strong> chief operating <strong>of</strong>ficer. Selection criteria include<br />

evidence <strong>of</strong> significant contributions to nursing <strong>and</strong> healthcare <strong>and</strong> the<br />

shaping <strong>of</strong> health policies. When she is inducted in October at the Academy’s<br />

39th Annual Meeting <strong>and</strong> Conference in Washington, DC, she will be in the<br />

elite company <strong>of</strong> about 1,800 nurse leaders in education, management,<br />

practice, policy <strong>and</strong> research, <strong>and</strong> she will be able to add FAAN (Fellowship <strong>of</strong><br />

the American Academy <strong>of</strong> Nursing) to her credentials.


Collaborative Care Councils<br />

Get Results<br />

By Kathleen Waton<br />

<strong>The</strong>odore J. (“T.J.”)<br />

Vlavianos, LMHC, <strong>and</strong> his<br />

fellow collaborative care council<br />

members streamlined the<br />

admissions process last year at<br />

<strong>The</strong> Zucker Hillside Hospital,<br />

improving orienting patients<br />

to the 33-bed adult acute care<br />

psychiatric unit, introducing<br />

treatment team members <strong>and</strong><br />

discharging patients. <strong>The</strong>y<br />

introduced addressing patient<br />

concerns twice a day. <strong>The</strong>ir<br />

success was reflected in higher<br />

continued on page 75<br />

Zucker Hillside Enhances Calming Environment<br />

By Kathleen Waton<br />

GLEN OAKS — A comprehensive<br />

program to reduce impulsive behavior<br />

in patients at <strong>The</strong> Zucker Hillside<br />

Hospital is moving the hospital closer<br />

to becoming restraint-free.<br />

<strong>The</strong> workhorse <strong>of</strong> the program<br />

is DASA (Dynamic Appraisal<br />

<strong>of</strong> Situational Aggression), a<br />

computerized assessment tool that<br />

predicts patients who are most likely<br />

to exhibit seven high-risk symptoms:<br />

negative attitudes, impulsivity,<br />

irritability, verbal threats, sensitivity<br />

to perceived provocation, being<br />

easily angered when requests are<br />

made <strong>and</strong> unwillingness to follow<br />

directions.<br />

Nurses <strong>and</strong> other clinicians<br />

score each patient on the criteria<br />

over a 24-hour period. “Anyone on<br />

the multidisciplinary team can check<br />

<strong>of</strong>f the seven points,” said Marybeth<br />

McManus, RN, associate executive<br />

director <strong>of</strong> patient care services.<br />

<strong>The</strong> night nurse enters the<br />

scores into the electronic health<br />

record. Each patient scoring three<br />

or more on the DASA is listed on a<br />

computerized report automatically<br />

sent each morning to nursing<br />

leaders <strong>and</strong> others who use it to<br />

guide staffing, admissions, care<br />

plans <strong>and</strong> other decisions.<br />

To ward <strong>of</strong>f high-risk episodes<br />

be<strong>for</strong>e they occur, patient engagement<br />

specialists (PES) — team members<br />

specially trained in deescalation<br />

<strong>and</strong> communication skills — are<br />

dispatched to the appropriate units.<br />

<strong>The</strong> PES team is the latest addition to<br />

the initiative. Under RN supervision,<br />

they engage patients in diversionary<br />

activities, such as talking <strong>and</strong><br />

walking with them, playing chess or<br />

listening to music to calm patients<br />

<strong>and</strong> redirect behavior.<br />

<strong>The</strong> user-friendly DASA has<br />

been in use approximately a year.<br />

It was piloted on a 20-bed adult<br />

inpatient unit <strong>for</strong> two months in<br />

the autumn <strong>of</strong> 2010, <strong>and</strong> then<br />

implemented on five other adult units<br />

<strong>and</strong> the hospital’s adolescent pavilion.<br />

<strong>The</strong> program has been very<br />

successful in keeping patients <strong>and</strong><br />

staff safe <strong>and</strong> creating a calmer<br />

atmosphere at Zucker Hillside. In<br />

2011, the hospital “decreased the use<br />

<strong>of</strong> restraints by almost 90 percent<br />

without increasing our seclusion<br />

rate,” Ms. McManus said. “That<br />

puts us well on our way to meeting<br />

our overarching goal <strong>of</strong> providing a<br />

therapeutic healing environment that<br />

is serene <strong>and</strong> calming.”<br />

Making a Vision<br />

Reality<br />

A decade ago, Maureen<br />

White, RN, senior vice president<br />

<strong>and</strong> chief nurse executive,<br />

pondered how to involve frontline<br />

staff more in decisionmaking,<br />

to meet patient needs<br />

<strong>and</strong> to help make the North<br />

Shore-LIJ Health System more<br />

agile in responding to change. “An<br />

empowering environment” was<br />

essential, Ms. White said, “one<br />

in which people feel com<strong>for</strong>table<br />

saying, ‘This doesn’t work,’ <strong>and</strong><br />

proposing solutions.”<br />

To support Ms. White’s<br />

vision, in 2007, Plainview<br />

Hospital piloted collaborative<br />

care councils, the same<br />

year Lily Thomas, PhD, RN,<br />

vice president, system<br />

nursing research, introduced<br />

TeamSTEPPS, an evidence-based<br />

communication tool.<br />

Devised by the Agency<br />

<strong>for</strong> Healthcare Research <strong>and</strong><br />

Quality (AHRQ), the tool fosters<br />

teamwork, “because teamwork is<br />

correlated with patient safety,” Dr.<br />

Thomas said. “It allows everyone<br />

to speak up in a way that puts the<br />

patient first.”<br />

Today, more than 30,000<br />

staff members are trained in<br />

TeamSTEPPS, <strong>and</strong> more than 300<br />

councils are active throughout<br />

the health system. <strong>The</strong>y are<br />

“still in early development,”<br />

according to Ms. White. “People<br />

are still getting used to the<br />

power <strong>of</strong> the councils <strong>and</strong> the<br />

differences they can make. But I<br />

feel the networking has improved<br />

communication <strong>and</strong> is bringing<br />

us closer to a work<strong>for</strong>ce that can<br />

turn on a dime. Healthcare is not<br />

known <strong>for</strong> rapid cycle change<br />

[but] in our fifth year we’re<br />

seeing dramatic changes.”<br />

<strong>The</strong> New St<strong>and</strong>ard 29


Evaluation <strong>of</strong> <strong>and</strong><br />

treatment <strong>for</strong> a rare<br />

birth defect that affects<br />

the brain are available right<br />

in your own backyard at the<br />

Hypothalamic Hamartoma<br />

Center (HHC), part <strong>of</strong><br />

North Shore-LIJ’s Cushing<br />

Neuroscience Institute (CNI).<br />

A hypothalamic<br />

hamartoma is a benign<br />

brain lesion found in the<br />

hypothalamus, a small<br />

but critical area located<br />

deep within the brain that<br />

is responsible <strong>for</strong> many<br />

automatic functions,<br />

including hunger, thirst, body<br />

temperature <strong>and</strong> hormone<br />

regulation. A hypothalamic<br />

hamartoma can cause seizures,<br />

premature puberty <strong>and</strong><br />

progressive deterioration<br />

<strong>of</strong> behavioral <strong>and</strong> cognitive<br />

function.<br />

30 Summer 2012<br />

New Center Takes On<br />

Rare Birth Defect<br />

By Michelle Pipia-Stiles<br />

“Hypothalamic<br />

hamartomas are debilitating,<br />

but the good news is that<br />

surgical removal <strong>of</strong> this birth<br />

defect can result in a normal<br />

or much improved life <strong>for</strong> the<br />

patient,” said neurosurgeon<br />

Harold Rekate, MD, director<br />

<strong>of</strong> CNI’s Hypothalamic<br />

Hamartoma Center. “Although<br />

several treatment options are<br />

available, the plan <strong>of</strong> clinical<br />

care must be strategically<br />

individualized because what<br />

may be appropriate <strong>for</strong><br />

one patient may not be <strong>for</strong><br />

another, depending on the<br />

anatomy <strong>of</strong> the lesion.”<br />

In addition to Dr. Rekate,<br />

the HHC is staffed with a<br />

multidisciplinary team <strong>of</strong><br />

experts. “Since our physicians<br />

<strong>and</strong> specialists are involved in all<br />

treatment plans <strong>and</strong> therapies,<br />

the Hypothalamic Hamartoma<br />

Center is a prime destination<br />

<strong>for</strong> those suffering from this<br />

rare condition,” said Dr. Rekate.<br />

Surgical removal <strong>of</strong><br />

hypothalamic hamartoma<br />

involves working within the<br />

center <strong>of</strong> the brain, while<br />

protecting the many vital<br />

structures that surround<br />

the mass, including all the<br />

arteries that supply the brain.<br />

In most cases, the hamartoma<br />

can be removed using an<br />

endoscope, through a very<br />

small hole in the skull, but<br />

some patients require more<br />

than one approach to remove<br />

the mass completely.<br />

Above: Two-year-old Mathewas<br />

Ephrem, who was successfully<br />

treated by Dr. Harold Rekate at the<br />

Cushing Neuroscience Institute’s<br />

Hypothalamic Hamartoma Center, is<br />

pictured with his grateful parents.


Staying<br />

Quit<br />

By Betty Marton<br />

Anthony DeGeorge <strong>and</strong> Geraldine<br />

Cruz-DeGeorge, both pack-a-day<br />

smokers, tried several times to quit.<br />

But it never stuck, so when they<br />

decided to marry, they realized they<br />

needed a different approach.<br />

“My main concern was that I’d be<br />

craving a cigarette during the wedding<br />

<strong>and</strong> the reception,” said Ms. Cruz-<br />

DeGeorge, a nurse on 6Monti at North<br />

Shore University Hospital. “I didn’t<br />

want that.”<br />

More than a year be<strong>for</strong>e their 2007<br />

wedding, the couple reached out to the<br />

North Shore-LIJ Center <strong>for</strong> Tobacco<br />

Control (CTC) <strong>for</strong> help withdrawing<br />

from cigarettes — the leading<br />

preventable cause <strong>of</strong> death <strong>and</strong> disease<br />

in the world. Based on guidelines from<br />

the Centers <strong>for</strong> Disease Control, the<br />

center’s quit-smoking program <strong>of</strong>fers<br />

employees <strong>and</strong> community members<br />

quitting <strong>and</strong> maintenance strategies<br />

plus individual <strong>and</strong> group support.<br />

Open 24/7, the CTC also educates<br />

healthcare providers throughout the<br />

metro New York region about how to help<br />

their patients.<br />

Approximately 4,000 people —<br />

including 630 employees — have taken<br />

advantage <strong>of</strong> the program’s counseling,<br />

nicotine replacement products <strong>and</strong><br />

medications between 1999 <strong>and</strong> 2010. And<br />

since the health system implemented a<br />

smoking ban on all properties in 2010,<br />

an additional 185 people have taken the<br />

challenge. According to Pat Folan, RN,<br />

director <strong>of</strong> the center, the numbers include<br />

repeat clients, because many people try many<br />

times be<strong>for</strong>e they’re successful.<br />

“We can get almost everyone to quit,”<br />

she explained. “It’s staying quit that’s<br />

difficult, so if one approach doesn’t work,<br />

we try different strategies.”<br />

<strong>The</strong> six-week program focuses on<br />

keeping people com<strong>for</strong>table while they break<br />

the habit. <strong>The</strong> DeGeorges first contacted<br />

the CTC in January 2006 <strong>and</strong> set a stopsmoking<br />

date <strong>of</strong> February 1. Whenever they<br />

felt their commitment waver, they met with<br />

or emailed Ms. Folan <strong>and</strong> other CTC staff<br />

members <strong>for</strong> support.<br />

“<strong>The</strong>y made sure they were always<br />

available <strong>for</strong> whatever we needed,”<br />

said Mr. DeGeorge, communications<br />

supervisor at Center <strong>for</strong> Emergency<br />

Medical Services.<br />

As an added incentive, as part <strong>of</strong> its<br />

health benefits program, North Shore-LIJ<br />

awards employees a $10 per paycheck credit<br />

to lower their health insurance premiums<br />

<strong>for</strong> those who pledge to be tobacco-free.<br />

And the DeGeorges have an additional<br />

incentive: plans to begin a family.<br />

“It’s good to look <strong>for</strong>ward to having<br />

children <strong>and</strong> not to have to worry about<br />

smoking,” Ms. Cruz-DeGeorge said.<br />

Get help kicking the habit at<br />

NorthShoreLIJ.com/stopsmoking or<br />

(516) 466-1980.<br />

Above: With their wedding on the horizon, the<br />

couple decided to get healthier beginning in 2006.<br />

<strong>The</strong> New St<strong>and</strong>ard 31


under the microscope<br />

MANHASSET — Adaptive radiotherapy (ART) can be beneficial<br />

with only one or two applications within a six-week treatment period,<br />

according to findings by researchers led by a senior investigator<br />

at the H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine <strong>and</strong> <strong>The</strong> Feinstein<br />

Institute <strong>for</strong> Medical Research. <strong>The</strong> National Cancer Institute<br />

sponsored the first-<strong>of</strong>-its-kind clinical trial, which focused on ART<br />

<strong>for</strong> head <strong>and</strong> neck cancer.<br />

Trial Examines Role<br />

<strong>of</strong> Radiotherapy in<br />

Head/Neck Cancer<br />

Physicians <strong>of</strong>ten use radiotherapy to treat head <strong>and</strong> neck cancer.<br />

A type <strong>of</strong> radiotherapy that is commonly used is intensity-modulated<br />

radiotherapy, or IMRT. IMRT allows physicians to “sculpt” radiation<br />

<strong>and</strong> have it bend around healthy tissue <strong>and</strong> target the tumor so the<br />

radiation adapts to the anatomy <strong>of</strong> each patient. Although IMRT<br />

is a preferred mode <strong>of</strong> cancer treatment, its Achilles heel is that<br />

it is based entirely on computed tomography (CT) or magnetic<br />

resonance imaging (MRI) per<strong>for</strong>med be<strong>for</strong>e a treatment period<br />

begins. Since typical radiation treatment periods <strong>for</strong> head <strong>and</strong> neck<br />

cancer take six to seven weeks, st<strong>and</strong>ard IMRT cannot compensate<br />

<strong>for</strong> common changes that occur in a patient’s body during treatment.<br />

Such changes could include weight loss, tumor shrinkage or gradual<br />

movement <strong>of</strong> normal tissues. By not compensating <strong>for</strong> these<br />

changes, there is increased risk <strong>of</strong><br />

toxicity or even missing the tumor.<br />

For the new trial, investigators<br />

started patients on st<strong>and</strong>ard IMRT.<br />

<strong>The</strong>n, they took CT scans while<br />

patients were lying in the radiation<br />

treatment room each day so they could<br />

monitor changes in tumor <strong>and</strong> normal<br />

tissues during the course <strong>of</strong> treatment<br />

(six weeks). Through computerized<br />

techniques, the investigators “adapted” David Schwartz, MD<br />

32 Summer 2012<br />

By Emily Ng<br />

(thus the name “adaptive radiotherapy”) according to significant<br />

tumor or body changes.<br />

“ART keeps radiation treatment tightly fitted to a patient’s body,<br />

almost as if it were being shrink-wrapped,” noted David Schwartz,<br />

MD, vice chair <strong>of</strong> radiation medicine at the North Shore-LIJ<br />

Health System <strong>and</strong> a senior investigator at the Feinstein. “It is as<br />

individualized as our current treatment can realistically be.”<br />

“What was most encouraging about the trial findings was that<br />

ART appears effective with only one or two additional replans. This<br />

means that ART does not have to be overly burdensome or expensive<br />

to make a difference. This is something that is feasible, <strong>and</strong> could<br />

eventually make a real-world difference in many clinics.”<br />

<strong>The</strong> findings <strong>of</strong> this trial were recently released online in<br />

advance <strong>of</strong> publication in the International Journal <strong>of</strong> Radiation Oncology<br />

*Biology* Physics.<br />

Above: Intensity-modulated radiotherapy, or IMRT, allows physicians to<br />

“sculpt” radiation <strong>and</strong> have it bend around healthy tissues <strong>and</strong> target a tumor.


MANHASSET — Two<br />

researchers at <strong>The</strong> Feinstein<br />

Institute <strong>for</strong> Medical Research<br />

have received novel research<br />

grants from the Lupus<br />

Research Institute (LRI) to<br />

study potential diagnostic <strong>and</strong><br />

therapeutic options <strong>for</strong> lupus<br />

<strong>and</strong> why the disease turns the<br />

body’s immune system against<br />

itself. A total <strong>of</strong> $3.6 million<br />

was committed to the novel<br />

research program by LRI.<br />

Meggan Mackay, MD, <strong>and</strong><br />

Thomas Rothstein, MD, PhD,<br />

received the grants.<br />

Dr. Mackay <strong>and</strong> her<br />

Feinstein colleagues will use<br />

brain imaging to investigate<br />

the relationship between<br />

certain autoantibodies<br />

(proteins made by the immune<br />

system that are directed against<br />

one or more <strong>of</strong> the individual’s<br />

own proteins) <strong>and</strong> brain<br />

dysfunction in lupus patients.<br />

Previous research in mice has<br />

shown that antibodies directed<br />

against the NMDA receptor in<br />

the brain alter the function <strong>of</strong><br />

brain cells, causing memory<br />

<strong>and</strong> behavioral problems.<br />

<strong>The</strong>y will use a new<br />

radiochemical tracer that<br />

binds to NMDA receptors in<br />

the brain so they can visualize<br />

receptor activity <strong>of</strong> lupus<br />

patients with <strong>and</strong> without the<br />

autoantibodies. If successful,<br />

the technology will be<br />

developed as a new method to<br />

evaluate brain involvement in<br />

lupus. <strong>The</strong> technology might<br />

also help monitor a patient’s<br />

response to treatment <strong>for</strong><br />

brain disease.<br />

Dr. Rothstein will study<br />

B1 cells. B1 cells are a small<br />

subpopulation <strong>of</strong> B cells,<br />

which are responsible <strong>for</strong><br />

producing natural antibodies<br />

that protect against infection<br />

<strong>and</strong> help dispose <strong>of</strong> cellular<br />

debris. Dr. Rothstein <strong>and</strong> his<br />

team were the first to identify<br />

B1 cells in humans, <strong>and</strong> they<br />

will continue to study whether<br />

B1 cells produce harmful<br />

autoantibodies in lupus. If<br />

B1 cells do produce harmful<br />

autoantibodies, Dr. Rothstein<br />

will explore if therapies could<br />

be developed that target B1<br />

cells without damaging healthy<br />

B cells, which are needed to<br />

respond to vaccination <strong>and</strong><br />

defend against many microbial<br />

pathogens (various species <strong>of</strong><br />

bacteria, viruses <strong>and</strong> protozoa).<br />

Meggan Mackay, MD, <strong>and</strong> Thomas Rothstein, MD, PhD<br />

Lupus Grant <strong>for</strong><br />

Feinstein Researchers<br />

By Emily Ng<br />

An Invitation to Participate in Discovery<br />

<strong>The</strong> Feinstein Institute <strong>for</strong> Medical Research’s new Recruitment Registry matches people who want to<br />

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

status (including North Shore-LIJ staff) are invited. Participation ranges from<br />

a survey that you can do at home to a clinical trial that may<br />

involve a treatment on-site.<br />

One example <strong>of</strong> a current clinical trial is<br />

the Genotype <strong>and</strong> Phenotype (GaP) Research<br />

Registry Program. <strong>The</strong> GaP Registry allows<br />

scientists to study healthy individuals <strong>and</strong><br />

learn about the role <strong>of</strong> genes (or DNA) in<br />

many different illnesses. More than 4,000<br />

volunteers have enrolled; the long-term goal<br />

is to enroll 20,000 volunteers.<br />

Learn about promoting a healthier future by<br />

calling 1-877-GO-NSLIJ (1-877-466-7545) or visiting<br />

FeinsteinInstitute.org/Feinstein/Recruitment+Registry.<br />

<strong>The</strong> New St<strong>and</strong>ard 33


under the microscope<br />

Ovarian cancer patients’ blood samples can help<br />

determine their best treatment plan, according to a<br />

new discovery by researchers <strong>and</strong> physicians from the<br />

North Shore-LIJ Health System <strong>and</strong> <strong>The</strong> Feinstein<br />

Institute <strong>for</strong> Medical Research. More specifically, a genetic marker<br />

embedded in deoxyribonucleic acid (DNA), called microRNA,<br />

indicates whether an ovarian tumor is benign or malignant, <strong>and</strong><br />

whether the patient will benefit from chemotherapy after surgical<br />

removal <strong>of</strong> the tumor.<br />

<strong>The</strong>re will be approximately 22,280 new cases <strong>and</strong> 15,500<br />

deaths from ovarian cancer in the United States this year. Due to<br />

lack <strong>of</strong> adequate screening, the majority <strong>of</strong> patients with ovarian<br />

cancer are diagnosed at Stage III (the second-to-last <strong>and</strong> most<br />

devastating stage <strong>of</strong> cancer), when 70 percent <strong>of</strong> these patients will<br />

die within 5 years.<br />

“<strong>The</strong> discovery that microRNAs can help assess the best<br />

treatment plan <strong>for</strong> women with ovarian cancer — who are most<br />

likely at Stage III <strong>of</strong> the disease — <strong>of</strong>fers them enormous hope,” said<br />

Iuliana Shapira, MD, director <strong>of</strong> the Cancer Genetics Program at<br />

the Monter Cancer Center. “We can now in<strong>for</strong>m Stage III patients<br />

whether they will have success with chemotherapy following<br />

surgery, similar to patients who are at Stage I. This in<strong>for</strong>mation<br />

gives them hope that the disease is curable, despite being diagnosed<br />

at an ‘advanced stage.’ It also gives them the strength necessary to<br />

undergo chemotherapy.”<br />

Several microRNAs have been found to have links with various<br />

types <strong>of</strong> cancer. Researchers at the North Shore-LIJ Health System<br />

<strong>and</strong> <strong>The</strong> Feinstein Institute <strong>for</strong> Medical<br />

Research found that microRNA-195<br />

increased 40-fold during chemotherapy<br />

<strong>and</strong> microRNA-16 increased 80-fold<br />

during chemotherapy. <strong>The</strong>se changes may<br />

explain why some women experience side<br />

effects from ovarian cancer chemotherapy,<br />

others are cured by chemotherapy <strong>and</strong><br />

others need ongoing chemotherapy to<br />

continue living with the cancer.<br />

34 Summer 2012<br />

Discovery<br />

Helps Assess<br />

Best Treatment<br />

<strong>for</strong> Ovarian Cancer<br />

Patients<br />

By Emily Ng<br />

Iuliana Shapira, MD Annette Lee, PhD<br />

“Underst<strong>and</strong>ing the changes in microRNA throughout<br />

chemotherapy helps us better underst<strong>and</strong> ovarian cancer <strong>and</strong><br />

how best to treat patients with this disease,” said Annette Lee,<br />

PhD, associate investigator at the Feinstein. “<strong>The</strong> genetic markers<br />

we identified allow patients to individualize their own therapy<br />

in order to get maximum benefit <strong>and</strong> minimal side effects. In<br />

addition, this knowledge will help<br />

researchers develop new ovarian<br />

cancer treatments.”<br />

Dr. Shapira added, “We<br />

applied <strong>for</strong> a government grant <strong>and</strong><br />

hope to receive the funds needed to<br />

validate these markers that result in<br />

women receiving therapies that are<br />

more personalized <strong>and</strong> match their<br />

genetic makeup.”<br />

Thinkstock


Morbid Obesity Deters Potential Kidney Donors<br />

Morbidly obese patients<br />

are generally excluded as organ<br />

donors given their increased<br />

risk <strong>for</strong> complications during<br />

surgery <strong>and</strong> the development<br />

<strong>of</strong> chronic conditions linked<br />

to obesity (e.g., type 2<br />

diabetes, heart disease, etc.).<br />

Researchers at the H<strong>of</strong>stra<br />

North Shore-LIJ School <strong>of</strong><br />

Medicine <strong>and</strong> <strong>The</strong> Feinstein<br />

Institute <strong>for</strong> Medical Research<br />

conducted a retrospective<br />

analysis that found that <strong>of</strong> 104<br />

potential living kidney donors,<br />

Cushing<br />

Neuroscience<br />

Institute<br />

Microsite News<br />

<strong>The</strong> Cushing Neuroscience<br />

Institute (CNI) recently launched<br />

their new microsite, neurocni.<br />

com. <strong>The</strong> comprehensive site<br />

showcases the breadth <strong>of</strong> services<br />

<strong>of</strong>fered at CNI <strong>and</strong> features expert<br />

physicians <strong>and</strong> state-<strong>of</strong>-the-art<br />

technology. <strong>The</strong> new Web site<br />

has been designed to be more<br />

user friendly <strong>and</strong> interactive,<br />

<strong>and</strong> will grow <strong>and</strong> thrive with<br />

fresh, updated content, rotating<br />

banners <strong>and</strong> active links. Users<br />

have access to in<strong>for</strong>mation they<br />

need to make finding the right<br />

service, physician <strong>and</strong> location<br />

easier. <strong>The</strong>y will also be able to<br />

check out the latest news <strong>and</strong><br />

patient success stories, which will<br />

continually be updated.<br />

Visit neurocni.com today!<br />

23 (22 percent) were classified<br />

as morbidly obese, only three<br />

(13 percent) <strong>of</strong> whom were<br />

able to successfully lose weight<br />

<strong>and</strong> donate their kidney.<br />

According to Mala Sachdeva,<br />

MD, assistant pr<strong>of</strong>essor <strong>of</strong><br />

medicine at the H<strong>of</strong>stra North<br />

Shore-LIJ School <strong>of</strong> Medicine<br />

<strong>and</strong> the lead investigator, “As<br />

a next step, we must conduct<br />

larger studies that assess how<br />

vast a problem this is on a<br />

national level <strong>and</strong> how best to<br />

exp<strong>and</strong> our living donor pool<br />

<strong>for</strong> kidney transplantation.<br />

Perhaps potential donors who<br />

are excluded from donation<br />

due to their high BMI should<br />

participate in more stringent<br />

weight loss programs, check<br />

in much more regularly at<br />

their transplant center <strong>for</strong><br />

follow-ups <strong>and</strong> even join social<br />

support groups as a means <strong>of</strong><br />

motivation.” Dr. Sachdeva<br />

presented this data at the<br />

National Kidney Foundation<br />

(NKF) 2012 Spring Clinical<br />

Meetings.<br />

Mala Sachdeva, MD<br />

Science Camp Discounted 20 Percent<br />

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

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

Delaware Drive, Suite 5, in the Lake Success Quadrangle.<br />

Camps include Fun with DNA (entering grade 6 or 7); World <strong>of</strong> Enzymes (entering grade 8 or Fun with DNA alumni<br />

entering grade 7); Forensic Detectives (entering grade 9 or World <strong>of</strong> Enzymes alumni entering grade 8); Green Genes<br />

(entering grade 9 or World <strong>of</strong> Enzymes alumni entering grade 8); Barcoding Biodiversity (Green Genes alumni); DNA<br />

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

(DNA Science alumni entering grade 11 or 12); <strong>and</strong> Plant Genomics (DNA Science alumni entering grade 11 or 12).<br />

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

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

is designed to spark an early interest in<br />

medicine, expose students to healthcare<br />

careers, <strong>of</strong>fer career guidance, allow students<br />

to experience a laboratory environment <strong>and</strong><br />

learn from healthcare pr<strong>of</strong>essionals, according<br />

to Bob Stallone, vice president <strong>of</strong> laboratories<br />

<strong>for</strong> North Shore-LIJ.<br />

H<strong>and</strong>s-on experiences at DNALC West are<br />

supplemented by online resources at dnalc.<br />

org <strong>and</strong> the Gene Screen app, while a DNALC<br />

West internship gives students experience in<br />

molecular biology techniques by assisting in lab<br />

routines. Learn more at summercamps.dnalc.<br />

org; details about the staff discount at DNALC<br />

West appear under FAQ.<br />

<strong>The</strong> New St<strong>and</strong>ard 35


physician’s rounds<br />

Dolan Center Trains Residents<br />

from Glen Cove Family Practice<br />

By <strong>The</strong>resa Jacobellis<br />

HUNTINGTON — Pediatricians at<br />

Huntington Hospital’s Dolan Family<br />

Health Center are passing the flame<br />

<strong>of</strong> knowledge on to future physicians<br />

through a unique collaboration with Glen<br />

Cove Hospital’s Family Practice Program.<br />

Under the arrangement, second- <strong>and</strong><br />

third-year family practice residents,<br />

physicians who are undergoing<br />

post-graduate training, will spend<br />

two years rotating through the<br />

Dolan Center to gain experience<br />

in pediatric medicine.<br />

Family practitioners take care<br />

<strong>of</strong> patients <strong>of</strong> all ages, from infancy<br />

through geriatrics. While residents<br />

in Glen Cove’s Family Practice<br />

Program get first-h<strong>and</strong> experience<br />

in caring <strong>for</strong> adults, the number <strong>of</strong><br />

children treated there has declined<br />

over the years.<br />

“At Dolan, we take care <strong>of</strong> a<br />

large <strong>and</strong> diverse group <strong>of</strong> pediatric<br />

patients,” said William Gehrhardt,<br />

MD, pediatrician <strong>and</strong> medical<br />

director <strong>of</strong> the Dolan Center.<br />

“We are partnering with the<br />

Dolan Family Health Center because<br />

it is an exceptional outpatient<br />

facility with very capable staff <strong>and</strong><br />

physicians <strong>and</strong> a wonderfully diverse<br />

demographic mix <strong>of</strong> patients,” said<br />

William Bennett, MD, director<br />

<strong>of</strong> Glen Cove Hospital’s Family<br />

Practice Program. “This partnership<br />

is a tribute to the excellence <strong>of</strong> the<br />

Dolan facility.”<br />

Under the arrangement, a<br />

group <strong>of</strong> 10 to 12 residents spends<br />

half a day at the Dolan Center,<br />

working side-by-side with either<br />

Dr. Gehrhardt or pediatrician<br />

36 Summer 2012<br />

Roberto Bl<strong>and</strong>o, MD. Residents<br />

participate in taking patient histories,<br />

checking vital signs <strong>and</strong> making diagnoses<br />

as well as treatment recommendations.<br />

Eventually, they will learn to use the Dolan<br />

Center’s electronic medical record (EMR).<br />

<strong>The</strong> relatively new arrangement<br />

already shows signs <strong>of</strong> success, according<br />

What’s Up, Doc?<br />

Doctoring is North Shore-LIJ’s new physician-centric<br />

communications piece. Available <strong>for</strong> free as a print publication,<br />

monthly e-newsletter <strong>and</strong> interactive app, it furnishes intriguing<br />

content about the science <strong>and</strong> art <strong>of</strong> practicing medicine.<br />

Visit DoctoringMag.com to learn more.<br />

to Dr. Gehrhardt. “We have observed the<br />

residents to be a highly qualified, diligent,<br />

really good group <strong>of</strong> people,” he said.<br />

In the past, the center has been<br />

involved with training pediatric residents<br />

<strong>and</strong> nurse practitioners. H<strong>of</strong>stra North<br />

Shore-LIJ School <strong>of</strong> Medicine students<br />

will also participate in educational<br />

experiences at Dolan.<br />

Dr. Gehrhardt is<br />

proud <strong>of</strong> the contributions<br />

that the Dolan Center is<br />

making, ensuring that future<br />

generations <strong>of</strong> physicians are<br />

well-trained <strong>and</strong> prepared.<br />

“It is an honor to be asked to<br />

do this,” he said. “Teaching<br />

others is an indication <strong>of</strong><br />

excellence, <strong>and</strong> the presence<br />

<strong>of</strong> these residents enhances<br />

the care <strong>and</strong> education that<br />

we are able to provide to our<br />

patients.”<br />

Right: Glen Cove Hospital family<br />

practice resident Kapeel Kumar,<br />

MD, left, <strong>and</strong> Dolan Family Health<br />

Center pediatrician Roberto<br />

Bl<strong>and</strong>o, MD, examine six-monthold<br />

Stephenie Rivera Ochoa.<br />

Correction<br />

In the spring issue <strong>of</strong> <strong>The</strong> New<br />

St<strong>and</strong>ard, Ron Israeli, MD, was<br />

shown in a photo with his wife,<br />

Nancy Lippman-Israeli, MD, who<br />

was incorrectly identified as a<br />

patient.


<strong>The</strong> New St<strong>and</strong>ard<br />

37


physician’s rounds<br />

NASA Advisory Board Taps Harold Rekate, MD<br />

By Michelle Pipia-Stiles<br />

When the National Aeronautics<br />

<strong>and</strong> Space Administration<br />

(NASA) sought medical<br />

insight on how to protect astronauts’<br />

vision, they knew where to turn.<br />

Harold Rekate, MD, director <strong>of</strong><br />

the Chiari Institute at North Shore<br />

University Hospital, world-renowned<br />

<strong>for</strong> his research over the past 30 years<br />

relating to the causes <strong>and</strong> treatment<br />

<strong>of</strong> raised intracranial pressure,<br />

recently joined the agency’s advisory<br />

board <strong>for</strong> the Visual Impairment<br />

Intracranial Pressure (VIIP) Program.<br />

<strong>The</strong> program analyzes the<br />

physiological <strong>and</strong> anatomical changes<br />

in astronauts who participate in<br />

long-duration space missions, where<br />

intracranial pressure may cause<br />

long-term visual impairment. A study<br />

sponsored by NASA found that space<br />

flights lasting six months or more<br />

can cause a spectrum <strong>of</strong> changes in<br />

astronauts’ visual systems, including<br />

blurry vision <strong>and</strong> excess fluid around<br />

the optic nerve.<br />

CME Conferences<br />

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

Sept<br />

Oct<br />

Nov<br />

38 Summer 2012<br />

“Be<strong>for</strong>e astronauts<br />

embark on space missions,<br />

we need to determine who<br />

is at risk <strong>of</strong> developing<br />

intracranial hypertension.<br />

When they return, we need<br />

to determine who has<br />

suffered visual impairment<br />

as a result <strong>of</strong> ICP <strong>and</strong><br />

decide how to best treat<br />

astronauts to prevent these<br />

problems,” said Dr. Rekate.<br />

“Intracranial hypertension<br />

can be measured with a<br />

spinal tap where a needle is<br />

inserted into the spinal canal<br />

in the lower part <strong>of</strong> the back<br />

to measure cerebrospinal<br />

fluid surrounding the brain<br />

<strong>and</strong> spinal cord. <strong>The</strong> advisory<br />

board is looking into other kinds<br />

<strong>of</strong> treatment that are less invasive,<br />

such as an ultrasound. <strong>The</strong> advisory<br />

board will first need to determine if<br />

the raised intracranial pressure is a<br />

result <strong>of</strong> an eye or brain problem.”<br />

21 Melanoma Conference H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine<br />

24 Current Topics in Pediatric <strong>and</strong> Adolescent Gynecology North Shore University Hospital<br />

2 Urology <strong>and</strong> Urogynecology Conference Feinstein Institute <strong>for</strong> Medical Research<br />

3 Wound Care Conference Long Isl<strong>and</strong> Marriott<br />

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

In coming months, the VIIP<br />

advisory board will meet to enact<br />

protocols so astronauts can be<br />

screened be<strong>for</strong>e a space mission; to<br />

determine what astronauts can do to<br />

relieve ICP while in space; <strong>and</strong> upon<br />

their return, to measure ICP levels<br />

immediately <strong>and</strong> treat those with<br />

elevated levels.<br />

Above: Dr. Rekate exits the space<br />

shuttle astronaut training facility at<br />

NASA’s Johnson Space Center.<br />

Conference in<strong>for</strong>mation is updated weekly. To learn more, visit NorthShoreLIJ.edu/cme or call 516-465-3CME (516-465-3263). <strong>The</strong> North Shore-LIJ Health System<br />

is accredited by the Accreditation Council <strong>for</strong> Continuing Medical Education to provide continuing medical education <strong>for</strong> physicians.<br />

NASA


It’s in His Bones:<br />

Orthopedic Surgeon<br />

Pays It Forward<br />

By Margarita Oksenkrug<br />

Leon E. Popovitz, MD, orthopedic surgeon <strong>and</strong> sports<br />

medicine specialist at Lenox Hill Hospital, recently created the<br />

Efim <strong>and</strong> Mila Popovitz Scholarship <strong>for</strong> Exceptional Character at<br />

the Sophie Davis School <strong>of</strong> Biomedical Education, his alma mater.<br />

<strong>The</strong> scholarship, named in honor <strong>of</strong> Dr. Popovitz’s parents, will<br />

be <strong>of</strong>fered to one deserving student annually over the next five<br />

years. Each winner, who will be chosen based on exemplary moral<br />

character, will receive a $20,000 gift toward his or her medical<br />

education. “I stress the importance <strong>of</strong> ‘exceptional character’ in<br />

the scholarship because when it comes down to it, no matter our<br />

intelligence or accomplishments, it is our character that is the<br />

measure <strong>of</strong> what kind <strong>of</strong> people we are,” explained Dr. Popovitz.<br />

“That is particularly true <strong>of</strong> doctors.”<br />

Founded at City College in 1973, the Sophie Davis School <strong>of</strong><br />

Biomedical Education is far from a typical medical university. Its<br />

socially, economically <strong>and</strong> ethnically diverse base <strong>of</strong> students is<br />

recruited right out <strong>of</strong> high school; the students are committed to<br />

Residents <strong>and</strong> Fellows Plan<br />

More Community Involvement<br />

A relatively<br />

new initiative<br />

by the North<br />

Shore-LIJ Residents<br />

<strong>and</strong> Fellows Forum strives to<br />

increase staff involvement in<br />

volunteer <strong>and</strong> community<br />

services activities.<br />

<strong>The</strong> original mission <strong>of</strong> the<br />

Residents <strong>and</strong> Fellows Forum<br />

was to serve as a liaison with administration<br />

<strong>and</strong> hospital staff<br />

to address <strong>and</strong> resolve matters<br />

within North Shore-LIJ. But<br />

over the past several years, the<br />

mission has evolved to include<br />

a more patient-centered focus<br />

both within hospitals <strong>and</strong> now,<br />

the community.<br />

Since the North Shore-<br />

LIJ Health System already<br />

had strong community<br />

service involvement, several<br />

residents <strong>and</strong> fellows seized<br />

the opportunity to spearhead a<br />

program at CitiField. During<br />

the 2012 baseball season,<br />

members are spending time at<br />

the Health In<strong>for</strong>mation Team<br />

pursuing a career in medicine from a very young age. One <strong>of</strong> the<br />

school’s core principles, according to Dr. Popovitz, is ensuring<br />

that its alumni give back to communities that are underprivileged<br />

<strong>and</strong> underserved, similar to the ones they themselves have come<br />

from. That concept struck a resonant chord with the doctor,<br />

who immigrated to the US from the Soviet Union as a young<br />

boy <strong>and</strong> recalls that the first few years here were “arduous <strong>and</strong><br />

impoverished times,” as his parents struggled to create a better<br />

life <strong>for</strong> him <strong>and</strong> his brother.<br />

Inspired by the unwavering support, confidence <strong>and</strong><br />

encouragement from his parents to pursue his American dream,<br />

Dr. Popovitz created the scholarship to help a new generation<br />

<strong>of</strong> aspiring physicians turn their own fantasies into real<br />

success stories. “I established this scholarship because it is my<br />

responsibility as an alumnus<br />

to give support to those special<br />

people who are devoted to<br />

making somebody’s life better,”<br />

remarked Dr. Popovitz in the<br />

speech he made at the school’s<br />

recent white coat ceremony<br />

in which he announced the<br />

inception <strong>of</strong> the scholarship.<br />

<strong>The</strong> first recipient <strong>of</strong> the Efim<br />

<strong>and</strong> Mila Popovitz Scholarship<br />

<strong>for</strong> Exceptional Character will<br />

be selected this summer.<br />

Leon Popovitz, MD<br />

(HIT) booth sponsored by<br />

the North Shore-LIJ Health<br />

System <strong>and</strong> the Katz Institute<br />

<strong>for</strong> Women’s Health. Residents<br />

<strong>and</strong> fellows educate fans about<br />

health <strong>and</strong> wellness issues <strong>and</strong><br />

solutions be<strong>for</strong>e <strong>and</strong> during<br />

the game.<br />

What does the future<br />

hold <strong>for</strong> the health system’s<br />

residents <strong>and</strong> fellows? During<br />

the next year, the plan is to<br />

focus on undergraduate <strong>and</strong><br />

medical student mentorship<br />

programs, health literacy<br />

seminars in the community<br />

<strong>and</strong> child safety initiatives.<br />

Through these opportunities,<br />

the leadership <strong>of</strong> the Residents<br />

<strong>and</strong> Fellows Forum believes<br />

that together, the residents,<br />

fellows <strong>and</strong> the healthcare<br />

system can have a measurable<br />

impact on the community <strong>for</strong><br />

many years to come.<br />

<strong>The</strong> New St<strong>and</strong>ard 39


physician’s rounds<br />

North Shore University Hospital’s Palliative Care Program<br />

Receives Advanced Certification Status from the Joint Commission<br />

MANHASSET — <strong>The</strong> Palliative Care Program at North Shore University Hospital<br />

(NSUH) was recently awarded advanced certification status by the Joint<br />

Commission, which accredits <strong>and</strong> certifies more than 19,000 healthcare<br />

organizations <strong>and</strong> programs in the United States. NSUH is one <strong>of</strong> only six<br />

hospitals in the country to receive this honor from the Joint Commission, which<br />

signifies that NSUH has achieved a national level <strong>of</strong> excellence in patient- <strong>and</strong><br />

family-centered care.<br />

Palliative care is defined as specialized medical care <strong>for</strong> people with<br />

advanced illness. This type <strong>of</strong> care is focused on providing patients with relief<br />

from the symptoms, pain <strong>and</strong> stress <strong>of</strong> their disease. North Shore University<br />

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

team <strong>of</strong> doctors, nurses <strong>and</strong> other specialists who work with the patient’s team <strong>of</strong><br />

healthcare providers to produce an extra layer <strong>of</strong> support.<br />

“This national distinction was achieved through the visionary leadership <strong>of</strong><br />

Michael Dowling, the support <strong>of</strong> our hospital leaders <strong>and</strong> the specialized palliative<br />

Charles Schleien, MD, Appointed<br />

Chair <strong>of</strong> Pediatrics at CCMC<br />

Charles Schleien, MD, MBA, is the<br />

new chair <strong>of</strong> pediatrics at the Steven <strong>and</strong><br />

Alex<strong>and</strong>ra Cohen Children’s Medical<br />

Center <strong>of</strong> New York.<br />

Dr. Schleien was executive<br />

vice chairman in the<br />

Department <strong>of</strong> Pediatrics at the<br />

Columbia University College<br />

<strong>of</strong> Physicians & Surgeons,<br />

<strong>and</strong> pr<strong>of</strong>essor <strong>of</strong> pediatrics<br />

<strong>and</strong> anesthesiology at New York<br />

Presbyterian Hospital. He is past<br />

director <strong>of</strong> the Division <strong>of</strong> Pediatric<br />

Critical Care Medicine, which he founded<br />

upon his arrival at Columbia in 1999, <strong>and</strong><br />

served as medical director <strong>of</strong> the Pediatric<br />

Intensive Care Unit at the Morgan<br />

Stanley Children’s Hospital <strong>of</strong> Columbia<br />

University.<br />

Dr. Schleien previously served<br />

as director <strong>and</strong> fellowship director—<br />

40 Summer 2012<br />

pediatric critical care medicine in the<br />

Department <strong>of</strong> Pediatrics at the University<br />

<strong>of</strong> Miami/Jackson Memorial Medical<br />

Center; <strong>and</strong> pr<strong>of</strong>essor <strong>of</strong> pediatrics<br />

<strong>and</strong> anesthesiology at the<br />

University <strong>of</strong> Miami School <strong>of</strong><br />

Medicine.<br />

Dr. Schleien received<br />

a bachelor’s degree from<br />

the City University <strong>of</strong> New<br />

York’s (CUNY) Queens<br />

College <strong>and</strong> his medical degree<br />

from the Mount Sinai School <strong>of</strong><br />

Medicine. He completed a pediatric<br />

residency at Texas Children’s Hospital,<br />

Baylor University Affiliated Hospitals,<br />

Houston; an anesthesia residency at the<br />

Johns Hopkins Hospital, Baltimore; <strong>and</strong><br />

a fellowship in pediatric critical care<br />

medicine at the Johns Hopkins Hospital.<br />

care team who are committed to improving care <strong>for</strong> patients with serious illness<br />

<strong>and</strong> their families,” said Dana Lustbader, MD, section head <strong>of</strong> palliative medicine.<br />

“Our primary goal is to align treatments with patient preferences while relieving<br />

suffering. Research shows that patients with advanced illness who get palliative<br />

care live longer. Palliative care is appropriate at any age <strong>and</strong> at any stage in a<br />

serious illness, <strong>and</strong> can be provided together with curative treatment.”<br />

Jeremy Boal, MD, North Shore-LIJ’s chief medical <strong>of</strong>ficer, said education<br />

<strong>and</strong> improved communication are critical components in successful palliative<br />

care programs. “We need to underst<strong>and</strong> our patients’ preferences <strong>for</strong> care so that<br />

we can build the best approach to meeting those preferences <strong>and</strong> goals,” said<br />

Dr. Boal. “Many patients with advanced illness would choose care focused on<br />

maintaining com<strong>for</strong>t <strong>and</strong> dignity over more aggressive <strong>for</strong>ms <strong>of</strong> care if they were<br />

well in<strong>for</strong>med <strong>of</strong> the benefits <strong>and</strong> burdens <strong>of</strong> such care. Others would choose more<br />

aggressive care. In either case, our responsibility is to underst<strong>and</strong> their needs<br />

<strong>and</strong> goals <strong>and</strong> to meet them.”<br />

2011-2012<br />

Feinstein Report<br />

<strong>The</strong> recently published 2011-2012<br />

Annual Report <strong>of</strong> the North Shore-LIJ Health<br />

System’s Feinstein Institute <strong>for</strong> Medical<br />

Research provides an overview <strong>of</strong> how the<br />

Feinstein Institute succeeds at creating <strong>and</strong><br />

disseminating new knowledge, achieving<br />

medical advances, providing service to our<br />

community <strong>and</strong> beyond <strong>and</strong> constantly<br />

striving to cure disease by studying disease.<br />

See it at http://www.northshorelij.com/<br />

NSLIJ/NSLIJ+Annual+Reports.


New York Head <strong>and</strong> Neck Institute<br />

Names Ian Storper, MD, Director <strong>of</strong> Otology<br />

Ian S. Storper, MD, has been<br />

appointed director <strong>of</strong> the Otology Program<br />

<strong>for</strong> the New York Head <strong>and</strong> Neck Institute<br />

at Lenox Hill Hospital. He comes to Lenox<br />

Hill from Columbia University College<br />

<strong>of</strong> Physicians <strong>and</strong> Surgeons where he was<br />

director <strong>of</strong> neurotology. Dr. Storper,<br />

an internationally recognized otologist/<br />

neurotologist who specializes in the<br />

medical <strong>and</strong> surgical treatment <strong>of</strong> ear<br />

disease, has a special interest in hearing<br />

restoration surgery, including cochlear<br />

implant, stapedectomy <strong>and</strong> ossicular<br />

reconstruction. He has contributed<br />

innovative surgical techniques to the<br />

field in the areas <strong>of</strong> laser stapes surgery,<br />

implantable hearing aids <strong>and</strong> surgery<br />

<strong>for</strong> Meniere’s disease, cholesteatoma,<br />

tympanoplasty <strong>and</strong> mastoidectomy. Dr.<br />

Storper received his medical degree in<br />

1988 from the University <strong>of</strong> Pennsylvania.<br />

<strong>The</strong> North Shore-LIJ Department <strong>of</strong><br />

Medicine, in conjunction with the Krasn<strong>of</strong>f<br />

Quality Management Institute <strong>of</strong> the North<br />

Shore-LIJ Health System, has appointed<br />

Maria Torroella Carney, MD,<br />

to the position <strong>of</strong> director <strong>of</strong><br />

community-based geriatrics<br />

<strong>for</strong> the North Shore-LIJ<br />

Health System.<br />

Dr. Carney is also<br />

an assistant pr<strong>of</strong>essor <strong>of</strong><br />

medicine at the H<strong>of</strong>stra<br />

North Shore-LIJ School <strong>of</strong><br />

Medicine. Her primary role<br />

in the Department <strong>of</strong> Medicine is<br />

He completed both an internship in<br />

general surgery in 1990 <strong>and</strong> a residency<br />

in head <strong>and</strong> neck surgery in 1994 at<br />

UCLA Medical Center <strong>and</strong> fellowships<br />

in neuroscience in 1992 at UCLA School<br />

<strong>of</strong> Medicine <strong>and</strong> in otology/neurotology<br />

in 1995 at the Otology Group/<strong>The</strong> EAR<br />

Foundation in Nashville, TN. Dr. Storper<br />

received the Maxwell Abramson Teaching<br />

Award from Columbia University <strong>and</strong> the<br />

Malcolm Schvey Teaching Award from<br />

its Department <strong>of</strong> Otolaryngology/ Head<br />

<strong>and</strong> Neck Surgery <strong>and</strong> has instructed<br />

CME-accredited courses. He is the<br />

author <strong>of</strong> numerous book chapters <strong>and</strong><br />

publications in peer-reviewed journals,<br />

lectures frequently <strong>and</strong> is a fellow in the<br />

American Academy <strong>of</strong> Otolaryngology,<br />

the American College <strong>of</strong> Surgeons <strong>and</strong> the<br />

American Neurotology Society. He was<br />

senior investigator in studies on the use<br />

Maria Carney, MD, Former Nassau County<br />

Commissioner <strong>of</strong> Health, Joins North Shore-LIJ<br />

to work in partnership with the Krasn<strong>of</strong>f<br />

Quality Management Institute to utilize,<br />

assess <strong>and</strong> evaluate health system data to<br />

effect program change. She will assist in<br />

expansion <strong>of</strong> academics, research <strong>and</strong><br />

clinical outcome studies to improve<br />

education opportunities <strong>for</strong> medical<br />

students, residents <strong>and</strong> fellows in<br />

medical training.<br />

Dr. Carney received her MD<br />

at New York Medical College, <strong>and</strong><br />

carried out her residency training<br />

in internal medicine at New York<br />

Presbyterian Hospital - Weill/Cornell<br />

Medical Center. She went on to complete<br />

Ian Storper, MD<br />

<strong>of</strong> steroids <strong>and</strong> antivirals in the treatment<br />

<strong>of</strong> sudden hearing loss <strong>and</strong> in the use<br />

<strong>of</strong> glycopyrrolate in the treatment <strong>of</strong><br />

Meniere’s disease.<br />

a two-year clinical- <strong>and</strong> research-oriented<br />

fellowship in geriatric medicine at the<br />

Mount Sinai School <strong>of</strong> Medicine in New<br />

York City.<br />

Dr. Carney had been commissioner<br />

<strong>for</strong> the Nassau County Department <strong>of</strong><br />

Health, where she effectively addressed<br />

major challenges including the 2010<br />

H1N1 influenza response, <strong>for</strong> which<br />

she received the BOCES (Board <strong>of</strong><br />

Cooperative Education Services) Nassau<br />

County Council <strong>of</strong> Superintendents’<br />

Award, <strong>and</strong> New York State Association<br />

<strong>of</strong> County Health Officials’ Public Health<br />

Pr<strong>of</strong>essional <strong>of</strong> the Year Award.<br />

<strong>The</strong> New St<strong>and</strong>ard 41


hearts <strong>and</strong> h<strong>and</strong>s<br />

One afternoon, Susie Wong left quite<br />

an impression on a woman in the Stroke<br />

Unit at North Shore University Hospital.<br />

<strong>The</strong> patient’s family watched as Ms. Wong<br />

<strong>and</strong> her pet therapy dogs entered the room.<br />

“My very loving dog, Orion, gently<br />

laid his head on her chest <strong>and</strong> looked<br />

deep into her eyes,” Ms. Wong said <strong>of</strong> her<br />

Great Pyrenees, a large <strong>and</strong> fluffy breed<br />

with a gentle <strong>and</strong> caring nature. “It was at<br />

that moment, while Orion’s breath tickled<br />

her cheek, that I picked up her h<strong>and</strong> <strong>and</strong><br />

helped her stroke his head.”<br />

42 Summer 2012<br />

Pet <strong>The</strong>rapy Gives<br />

the Warm Fuzzies<br />

By Susan Kreimer<br />

<strong>The</strong> patient, in her 40s, had been<br />

paralyzed by the stroke, which struck during<br />

a family vacation. But soon, Ms. Wong<br />

recalls, “the attention <strong>of</strong> everyone in the<br />

room was captivated when she started to<br />

twitch her fingers in the h<strong>and</strong> stroking<br />

Orion. She regained eye movement <strong>and</strong><br />

smiled. <strong>The</strong>re wasn’t a dry eye in the room.”<br />

Research has shown that animals’<br />

unconditional love <strong>and</strong> acceptance provide<br />

medical <strong>and</strong> emotional benefits to people<br />

both young <strong>and</strong> old. That’s the rationale<br />

behind the work <strong>of</strong> pet therapy volunteers<br />

like Ms. Wong within the North Shore-LIJ<br />

Health System.<br />

“Our pet therapy visits take place at<br />

bedside or in the playroom, depending<br />

on patients’ needs. <strong>The</strong> dogs are there to<br />

help brighten the patients’ day, to help<br />

them take their minds <strong>of</strong>f their situations,<br />

if only <strong>for</strong> a moment,” said Maura Tully,<br />

pet therapy coordinator in the Child Life<br />

Department at Cohen Children’s Medical<br />

Center (CCMC) <strong>of</strong> New York.<br />

“Patients who were feeling down have<br />

smiled <strong>for</strong> the first time during a visit from<br />

a pet therapy dog,” Ms. Tully added. “I<br />

have had patients say that they <strong>for</strong>got about<br />

their pain while they were visiting with one<br />

<strong>of</strong> the dogs. <strong>The</strong> dogs also help motivate<br />

the patients. Those who wouldn’t get out <strong>of</strong><br />

bed or go to the playroom will do so <strong>for</strong> a<br />

pet therapy visit.”<br />

<strong>The</strong>re are currently six pet therapy dogs


Concierge Smooths Patients’ ED Experience<br />

By Susan Kreimer<br />

VALLEY STREAM — At the end <strong>of</strong> Arlene Veltri’s fourhour<br />

shift, the staff is sad to see her leave.<br />

“When I say I have to go home now, they say,<br />

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

volunteer said. <strong>The</strong> time goes by fast. “I’m busy,<br />

but that’s a good thing.”<br />

Ms. Veltri, a retired special education aide,<br />

volunteers in Franklin Hospital’s Emergency Department<br />

Concierge Program, launched in the spring <strong>of</strong><br />

2009. She greets patients <strong>and</strong> directs them where<br />

to sign in.<br />

Concierge volunteers also bring wheelchairs to<br />

patients, help them on <strong>and</strong> <strong>of</strong>f with their coats, call a<br />

taxi afterward <strong>and</strong> give some TLC, said Myra Cohen,<br />

director <strong>of</strong> volunteer services at Franklin Hospital.<br />

“<strong>The</strong> concierges speak with patients <strong>and</strong> provide<br />

needed company,” Ms. Cohen said. “<strong>The</strong>y help<br />

take the anxiety out <strong>of</strong> the emergency room visit.”<br />

in the program at CCMC. Most visit patients<br />

twice a month with their owners, who are<br />

volunteers. <strong>The</strong> participants are a black<br />

Labrador retriever, yellow Lab, Maltese,<br />

Papillon, golden retriever <strong>and</strong> greyhound.<br />

All <strong>of</strong> them were certified by a therapy dog<br />

organization be<strong>for</strong>e consideration <strong>for</strong> the<br />

hospital. Certified dogs also participate in<br />

onsite behavioral screening.<br />

“<strong>The</strong>y must go through a series <strong>of</strong><br />

tests to see how they would react in the<br />

hospital environment,” said Ms. Tully,<br />

who evaluates each c<strong>and</strong>idate. She has also<br />

placed volunteers with pet therapy dogs at<br />

<strong>The</strong> Zucker Hillside Hospital. LIJ Medical<br />

Center <strong>of</strong>fers pet therapy too.<br />

“We test to see how they react to<br />

walkers, wheelchairs, crutches <strong>and</strong> IV<br />

poles,” she said. “We test to see how they<br />

would react to loud noises <strong>and</strong> strange<br />

behavior. We also test to see how they<br />

engage with our pediatric patients.”<br />

If a dog passes the behavioral<br />

screening, Ms. Tully asks to review its<br />

veterinary records. <strong>The</strong> h<strong>and</strong>ler must be a<br />

volunteer at the health system.<br />

“It is quite a commitment, <strong>and</strong> it takes<br />

Sometimes a patient who comes in later is<br />

treated be<strong>for</strong>e another who arrived earlier. “If<br />

anybody feels somebody went ahead,” Ms. Veltri<br />

explains, “you can assure them that the person is<br />

quite ill <strong>and</strong> has to be seen.”<br />

From 9 a.m. to 1 p.m. on Thursday, her volunteering<br />

helps reduce waiting times, <strong>and</strong> to patients,<br />

the process appears to proceed more quickly, even<br />

when it seems slow.<br />

“We try to appease them in whatever way that<br />

we can,” she said <strong>of</strong> the concierges’ duties. “Some<br />

patients are friendly <strong>and</strong> want to talk. And if they<br />

don’t, you don’t intrude on them at all.”<br />

Ms. Veltri escorts patients to the fast-track<br />

area if they have a minor ailment, such as a sore<br />

throat, <strong>and</strong> are likely to go home. If they have<br />

an illness or injury that may require hospitalization,<br />

she takes them to a different section <strong>of</strong> the<br />

a very dedicated h<strong>and</strong>ler to get through the<br />

whole process,” she said. “We only accept<br />

the best-trained dogs into our program.”<br />

Ms. Wong has volunteered with her<br />

dogs at North Shore University Hospital<br />

since June 2006. All <strong>of</strong> them are Great<br />

Pyrenees with champion status.<br />

“I bring at least two at a time,” said<br />

Ms. Wong, who has accumulated more<br />

than 500 volunteer hours. She takes as<br />

many as six or eight to the Stroke Club,<br />

with the help <strong>of</strong> her youngest child <strong>of</strong><br />

three, 15-year-old Michelle, who also has<br />

pet therapy licenses <strong>for</strong> each dog. Together<br />

they com<strong>for</strong>t <strong>and</strong> cheer up stroke survivors<br />

<strong>and</strong> their caretakers.<br />

In addition, her pooches interact with<br />

patients on various floors <strong>of</strong> the hospital,<br />

including the Child Life Program <strong>and</strong> the<br />

Palliative Care Unit. <strong>The</strong>y also visit the Stern<br />

Family Center <strong>for</strong> Rehabilitation. Wherever<br />

the dogs go, they wear custom-made outfits.<br />

Ms. Wong is one <strong>of</strong> eight volunteers<br />

who bring their dogs to North Shore<br />

University Hospital <strong>for</strong> pet therapy, said Lisa<br />

Breiman, director <strong>of</strong> volunteer services. “I<br />

see first-h<strong>and</strong> what a tremendous positive<br />

Emergency Department. This relieves the nurse <strong>of</strong><br />

that responsibility <strong>and</strong> speeds up registration <strong>for</strong><br />

other patients.<br />

“Arlene is a friendly, outgoing woman who is<br />

wonderfully helpful to patients, visitors <strong>and</strong> staff,”<br />

Ms. Cohen says. “She is perfect <strong>for</strong> this program.”<br />

A resident <strong>of</strong> Lawrence, Ms. Veltri began<br />

volunteering at Franklin Hospital in May 2009. She<br />

started in the Medical Records Department, assisting<br />

with filing <strong>and</strong> other requests. After taking some<br />

time <strong>of</strong>f due to health issues, Ms. Veltri became a<br />

concierge in last spring.<br />

Franklin Hospital staff members, including<br />

the nurses, registrars <strong>and</strong> security guards, are<br />

delightful, she said. “<strong>The</strong>y make you feel that you’re<br />

wanted <strong>and</strong> that you’re useful.”<br />

impact pet therapy has on our patients, their<br />

family members <strong>and</strong> also our staff, who look<br />

<strong>for</strong>ward to their visits,” Ms. Breiman says.<br />

Aside from volunteering, Ms. Wong<br />

works five overnight shifts per week as a<br />

technician’s <strong>and</strong> doctor’s assistant, as well<br />

as a receptionist, at Central Veterinary<br />

Associates’ 24-hour emergency hospital in<br />

Valley Stream. Henry Wong, her husb<strong>and</strong><br />

<strong>of</strong> 26 years, is a pharmacist at North Shore<br />

University Hospital.<br />

Ms. Wong, who lives in Woodmere <strong>and</strong><br />

also has two cats, lectures about pet therapy<br />

at various schools <strong>and</strong> colleges. Instead <strong>of</strong><br />

accepting compensation, she encourages<br />

her listeners to donate to North Shore<br />

University Hospital.<br />

“This is a passion,” she said, adding<br />

that it takes two hours to groom each dog<br />

the day prior to pet therapy visits, which<br />

she does one to three times per week. “It’s<br />

not something that I get paid <strong>for</strong>. But the<br />

reward is so much more than money.”<br />

Opposite: Ms. Wong with Delilah, left, <strong>and</strong> Orion.<br />

Custom outfits <strong>for</strong> her therapy dogs add even more<br />

cheer to patient visits.<br />

<strong>The</strong> New St<strong>and</strong>ard 43


hearts <strong>and</strong> h<strong>and</strong>s<br />

A Big-League Volunteer <strong>for</strong> Generations <strong>of</strong> Kids<br />

By Susan Kreimer<br />

NEW HYDE PARK — Mike Oshinsky attends<br />

religious services every morning. His Jewish faith<br />

has taught him the importance <strong>of</strong> visiting <strong>and</strong><br />

com<strong>for</strong>ting the sick.<br />

With that in mind, he started volunteering<br />

nearly 29 years ago at what’s now known as the<br />

Cohen Children’s Medical Center (CCMC). For full<br />

days on Tuesday <strong>and</strong> Thursday, he volunteers in the<br />

Hematology/Oncology Unit.<br />

“I had retired <strong>and</strong> I was looking <strong>for</strong> something<br />

to do,” said Mr. Oshinsky, 83, who lives in North<br />

Woodmere <strong>and</strong> is still involved in commercial<br />

real estate. “Friends <strong>of</strong> mine recommended that I<br />

volunteer at the hospital.”<br />

Believing that “young people keep you young,”<br />

he quickly aligned himself with helping pediatric<br />

patients. “Obviously, it went well. I’m still there.”<br />

A Child Life Program didn’t exist at the<br />

time. “It was up to the volunteers to do whatever<br />

they thought they should do to keep the children<br />

occupied <strong>and</strong> busy,” Mr. Oshinsky recalled. “And<br />

that’s what we did.”<br />

He supplied the playroom with a lot <strong>of</strong> fun<br />

stuff. Friends from various businesses donated<br />

baseball hats <strong>and</strong> sticker books. He obtained the<br />

stickers at wholesale prices. “What I couldn’t get<br />

donated,” Mr. Oshinsky said, “I bought.”<br />

CCMC’s Child Life Department now manages<br />

special events <strong>and</strong> donations <strong>for</strong> patients, said<br />

Maxine Legall, coordinator <strong>of</strong> volunteer services.<br />

Mr. Oshinsky also made contacts with the New<br />

York Isl<strong>and</strong>ers — a top hockey team in those days,<br />

having won four Stanley Cups. In September 1984,<br />

he brought one <strong>of</strong> the team’s core players, Bryan<br />

Trottier, <strong>for</strong> a visit.<br />

“<strong>The</strong> Isl<strong>and</strong>ers have been coming to the<br />

hospital ever since,” said Mr. Oshinsky, a sports<br />

enthusiast who plays racquetball <strong>and</strong> tennis. “It’s an<br />

Isl<strong>and</strong>er tradition to visit the hospital every year.”<br />

<strong>The</strong> New York Jets <strong>and</strong> the Mets have also com<strong>for</strong>ted<br />

children in the hospital.<br />

<strong>The</strong> benefits <strong>of</strong> aging well <strong>and</strong> giving back to<br />

the community complement each other. Marilyn<br />

Oshinsky, his wife <strong>of</strong> 62 years, volunteered in the<br />

hospital’s gift shop in the mid- to late 1980s.<br />

“<strong>You</strong> have to keep your mind active,” Mr.<br />

44 Summer 2012<br />

Oshinsky says. “<strong>You</strong> have to keep your body active.<br />

<strong>You</strong> have to keep your soul active. <strong>You</strong> do all three.”<br />

Danielle Davis, a certified Child Life specialist<br />

in hematology/oncology, is in awe <strong>of</strong> Mr. Oshinsky’s<br />

knack <strong>for</strong> connecting with youngsters.<br />

“Mike has this amazing ability to <strong>for</strong>m a<br />

relationship with a child <strong>of</strong> any age, gender or<br />

cultural background. He truly makes a lasting<br />

impression,” Ms. Davis says. “It’s clear how<br />

much <strong>of</strong> a difference he makes in the lives <strong>of</strong> our<br />

patients <strong>and</strong> families, when they continue to talk<br />

about him <strong>and</strong> remember him long after their<br />

treatment is finished.”<br />

Above: Volunteer Mike Oshinsky <strong>and</strong> a young<br />

patient are clearly connecting at the CCMC.


Huntington Auxiliary Giving Nears $200,000<br />

Kevin Lawlor, Huntington Hospital president <strong>and</strong> CEO, right, recently thanked Auxiliary members <strong>for</strong> their $198,465<br />

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

gift represented proceeds <strong>of</strong> the Auxiliary’s 2011 fundraising ef<strong>for</strong>ts, which included lobby sales, telephone <strong>and</strong> TV rentals<br />

<strong>and</strong> special events.<br />

NEW HYDE PARK — For<br />

Barbara Raber, volunteering<br />

is a natural extension <strong>of</strong> her<br />

life’s calling. First a teacher,<br />

then a principal at Lakeville<br />

Elementary School in Great<br />

Neck <strong>for</strong> 26 years, she chose<br />

the North Shore-LIJ Health<br />

System <strong>for</strong> her community<br />

service endeavor.<br />

<strong>The</strong> summer be<strong>for</strong>e <strong>of</strong>ficially<br />

retiring on Sept. 1,<br />

2010, she trained with Denice<br />

Romero, director <strong>of</strong> volunteer<br />

services at LIJ Medical Center.<br />

This way, she would be ready<br />

to begin as soon as possible.<br />

“I adore children,” said<br />

Ms. Raber, 76. She started volunteering<br />

at Cohen Children’s<br />

Medical Center (CCMC),<br />

“supporting in whatever<br />

capacity I could. I would help<br />

a number <strong>of</strong> the older patients<br />

with homework.”<br />

At the hospital, she also<br />

played games <strong>and</strong> read books<br />

to the youngsters. She brought<br />

Former Educator<br />

Serves as LIJ<br />

Ambassador<br />

By Susan Kreimer<br />

arts <strong>and</strong> crafts to them. And<br />

when they couldn’t come to the<br />

playroom, she went to their<br />

rooms <strong>and</strong> engaged them in<br />

activities.<br />

Ms. Raber represents the<br />

new face <strong>of</strong> volunteers who<br />

want meaningful involvement<br />

in their golden chapters, after<br />

long <strong>and</strong> accomplished careers.<br />

“Years ago, the gift shop<br />

was a prime assignment,” Ms.<br />

Romero says. It was <strong>of</strong>ten run<br />

by stay-at-home moms, the<br />

wives <strong>of</strong> hospital physicians.<br />

“Now, our retirees want a con-<br />

tinuance <strong>of</strong> their pr<strong>of</strong>essional<br />

status.” She has trained a<br />

retired flight attendant, editor,<br />

teachers <strong>and</strong> administrators to<br />

serve as dedicated volunteers.<br />

Many doctors <strong>and</strong> other<br />

hospital staff members know<br />

Ms. Raber because she taught<br />

or supervised their children in<br />

school. Now, they’re surprised<br />

to see her in their workplace.<br />

“What are you doing here,<br />

Barbara?” is a common question<br />

they pose.<br />

“Barbara is able to engage<br />

people <strong>and</strong> provide all the<br />

needed in<strong>for</strong>mation effectively,”<br />

Ms. Romero says. “Her winning<br />

smile <strong>and</strong> overt caring are evident<br />

in each interaction.”<br />

In late January, upon<br />

the opening <strong>of</strong> LIJ Medical<br />

Center’s Katz Women’s Hospital<br />

<strong>and</strong> Zuckerberg Pavilion, she<br />

changed volunteering roles.<br />

“Denice asked whether I would<br />

consider switching to an ambassadorship,”<br />

Ms. Raber recalls.<br />

“And I said to her, ‘As long as I<br />

don’t have to leave the country, I<br />

would be happy to try it.’ ”<br />

Once a week, she assists at<br />

the new main entrance. With a<br />

friendly face, she guides visitors<br />

to where they need to go<br />

<strong>and</strong> helps melt away their anxiety<br />

over coming to a hospital,<br />

whether it’s to have surgery,<br />

give birth or undergo tests.<br />

Sometimes she escorts them<br />

personally in a wheelchair or<br />

on foot.<br />

“I really run <strong>for</strong> four<br />

hours bringing people all over<br />

the complex,” Ms. Raber says<br />

<strong>of</strong> her 9 a.m. to 1 p.m. shift on<br />

Tuesday. “It’s very active <strong>and</strong><br />

very busy.”<br />

Ms. Raber is multitalented.<br />

Aside from her hospital<br />

volunteer duties, she plays<br />

tennis in a women’s league.<br />

And as a young woman, she<br />

trained as a concert pianist.<br />

Rewards from volunteering<br />

come in the <strong>for</strong>m <strong>of</strong> smiles <strong>and</strong><br />

hugs. “We are helping people<br />

who, at the time <strong>of</strong> their illness,<br />

need some additional support,”<br />

Ms. Raber says. “Whatever little<br />

words <strong>of</strong> com<strong>for</strong>t you can <strong>of</strong>fer<br />

are so appreciated.”<br />

<strong>The</strong> New St<strong>and</strong>ard 45


hearts <strong>and</strong> h<strong>and</strong>s<br />

HUNTINGTON — On the calendar, Bill<br />

Segal is 79 years old, but “in my heart,<br />

I’ll always be 39,” he jokingly said. It’s no<br />

wonder he brings boundless energy to<br />

volunteering at Huntington Hospital.<br />

Mr. Segal, who turns 80 in August,<br />

has poured tons <strong>of</strong> passion into helping<br />

others. After retiring at age 66, “I decided<br />

I was too young to sit in a rocking chair,”<br />

said the <strong>for</strong>mer advertising <strong>and</strong> marketing<br />

executive. Seeking a rewarding outlet <strong>for</strong><br />

his spare time led him to Huntington<br />

Hospital. By the end <strong>of</strong> 2011, Mr. Segal<br />

had clocked 4,500 volunteer hours;<br />

this February, he celebrated his 12th<br />

anniversary.<br />

“Over the years, I’ve done everything<br />

from volunteering in the Post-Anesthesia<br />

Care Unit to the admissions desk,” he said.<br />

On Friday afternoons, he’s assigned to<br />

the pharmacy <strong>and</strong> delivers medications to<br />

nursing units. And on Monday afternoons,<br />

he discharges patients while escorting<br />

newcomers to the Emergency Department.<br />

He also delivers flowers <strong>and</strong> supervises the<br />

junior volunteers on that day.<br />

<strong>The</strong> juniors are high school students<br />

from the Huntington area. “<strong>The</strong>re are<br />

some kids who put in their hours <strong>and</strong><br />

then they disappear,” says Mr. Segal,<br />

who lives in Huntington Village <strong>and</strong> has<br />

likely supervised more than a thous<strong>and</strong><br />

junior volunteers over the years. “And<br />

then there are others who will put in<br />

several hundred hours because they get<br />

46 Summer 2012<br />

enthusiastic about the program.”<br />

That’s the kind <strong>of</strong> attitude Mr. Segal<br />

hopes to encourage in the youngsters<br />

he mentors. At least 75 hours per year<br />

are required to be considered a junior<br />

Huntington Volunteer<br />

Touts the Rewards <strong>of</strong><br />

Community Service<br />

By Susan Kreimer<br />

volunteer in good st<strong>and</strong>ing <strong>and</strong> at<br />

least 100 hours are needed to receive a<br />

recommendation letter from the hospital<br />

in applying to college.<br />

“A lot <strong>of</strong> them become involved<br />

because it looks good on a college<br />

application,” Mr. Segal says. “And I try<br />

to convince them that they will feel good<br />

about themselves <strong>for</strong> volunteering.”<br />

While it can be challenging, Mr.<br />

Segal enjoys showing teenagers the value<br />

<strong>of</strong> community service. On Christmas<br />

morning, he <strong>and</strong> a group <strong>of</strong> junior<br />

volunteers tour the hospital, singing<br />

carols to patients while Santa distributes<br />

presents provided by the Huntington<br />

Hospital Auxiliary.<br />

“I have to remind them every now<br />

<strong>and</strong> then that they’re volunteering in a<br />

hospital, <strong>and</strong> I want them to find this to be<br />

a rewarding experience,” Mr. Segal says.<br />

“Everything they do helps the nursing staff.”<br />

Gina Torchon, director <strong>of</strong> volunteer<br />

services at Huntington Hospital, admires<br />

his unwavering dedication. “Bill is a one<strong>of</strong>-a-kind<br />

volunteer,” she says. “He is very<br />

generous with his time <strong>and</strong> wisdom, <strong>and</strong> he<br />

is a role model <strong>for</strong> our junior volunteers.”<br />

Between 175 <strong>and</strong> 200 junior<br />

volunteers usually serve at the hospital<br />

during the same calendar year. <strong>The</strong>y stay<br />

anywhere from one to four years.<br />

Mr. Segal also takes on various<br />

other roles at hospital functions, from<br />

assisting with registration at public health<br />

screenings to attending retirement parties<br />

<strong>and</strong> Cancer Survivors’ Day.<br />

“He gets along with so many people<br />

<strong>and</strong> is so well-liked that he doesn’t want to<br />

miss anything,” Ms. Torchon says. “He is<br />

very involved.”<br />

NSUH Auxiliary Golf<br />

Classic To Honor<br />

Susan Somerville<br />

This is the 34th year that North<br />

Shore University Hospital has held a<br />

golf outing, <strong>and</strong> it is the first year that<br />

the event has had an honoree. Susan<br />

Somerville, RN, MA, has been chosen<br />

<strong>for</strong> this distinction; she is the hospital’s<br />

executive director. <strong>The</strong> 34th Annual Golf<br />

Classic will be held on Monday, July<br />

16, at the North Shore Country Club in<br />

Glen Head. Proceeds will benefit the<br />

development <strong>of</strong> the West Wing at NSUH.<br />

For further in<strong>for</strong>mation, please call the<br />

Volunteer-Auxiliary Office at<br />

(516) 562-4947.


Walk to Paris Winners Announced<br />

On Valentine’s Day, North Shore-LIJ announced a challenge <strong>for</strong> all<br />

employees: In teams <strong>of</strong> 10, walk the 7.2 million steps it would take to reach<br />

Paris from New York, in exchange <strong>for</strong> better health <strong>and</strong> the chance to win a<br />

free trip to Paris. An unprecedented 15,000 employees participated in the<br />

Walk to Paris – <strong>for</strong>ming teams, walking at least 8,000 steps every day <strong>and</strong><br />

having a great time doing it.<br />

<strong>The</strong> challenge ended in late June with a closing ceremony <strong>and</strong><br />

winners’drawing held at the Crest Hollow Country Club in Woodbury. North<br />

Shore-LIJ President <strong>and</strong> CEO Michael Dowling surprised everyone by drawing<br />

four gr<strong>and</strong> prize winners. Congratulations to the<br />

gr<strong>and</strong>-prize winning teams: Walka Walka Walka,<br />

Microbiologie Marche A’ Paris, Champs-Elysees<br />

<strong>and</strong> Twinkle Toes.<br />

In addition to the 40 employees now<br />

going to Paris, Mr. Dowling drew the names <strong>of</strong><br />

11 more teams to win the second-place prize:<br />

a wellness package, valued at $1,000, <strong>for</strong> each<br />

team member.<br />

“Walk to Paris is part <strong>of</strong> a much larger<br />

commitment that North Shore-LIJ is making to its<br />

employees,” Mr. Dowling said. “Our careers are<br />

based on helping others achieve wellness, <strong>and</strong><br />

we know that we have a tremendous opportunity<br />

to help our employee community reach their own<br />

personal wellness goals.”<br />

Mr. Dowling noted that wellness is part <strong>of</strong><br />

the health re<strong>for</strong>m movement. “This is part <strong>of</strong> the<br />

whole ef<strong>for</strong>t that the Supreme Court dealt with,”<br />

Mr. Dowling said. “Wellness is not going away<br />

<strong>and</strong> we are proud to be supporting our employees<br />

<strong>and</strong> leading the way <strong>for</strong> others.”<br />

Top Right: <strong>The</strong> Walk to Paris team wearing pink<br />

is Sistaz with Blistaz – one <strong>of</strong> the first five teams<br />

to cross the finish line. Bottom Right: <strong>The</strong> team in<br />

white is Lab Rats on the Run from North Shore-LIJ<br />

Laboratories.<br />

<strong>The</strong> New St<strong>and</strong>ard 47


mission possible<br />

While vacationing in Oaxaca, Mexico, last year, Matthew<br />

Kaufman, MD, walked into the local hospital <strong>and</strong> began<br />

introducing himself to the doctors. Still in vacation<br />

mode, the chief resident in LIJ Medical Center’s Emergency<br />

Department told them that he worked <strong>for</strong> an American healthcare<br />

system that helped other medical centers <strong>and</strong> asked where they<br />

needed support.<br />

Recounting the story <strong>of</strong> a recent mudslide, the Mexican<br />

physicians voiced their concerns about being unprepared in a<br />

major crisis or natural disaster.<br />

Impromptu Discussion<br />

Spurs Emergency<br />

Training Conference<br />

“It’s a very interesting thing to go into a different culture with<br />

different resources <strong>and</strong> see how they would h<strong>and</strong>le this,” he said. Dr.<br />

Kaufman immediately wanted to get involved. He had never gone on<br />

medical mission be<strong>for</strong>e, but envied his colleagues’ medical missions.<br />

When he returned home, Dr. Kaufman continued talking with<br />

doctors <strong>and</strong> the Red Cross in Oaxaca, <strong>and</strong><br />

began building a North Shore-LIJ team<br />

that could help the Mexican hospital better<br />

prepare <strong>for</strong> a major crisis. Luckily <strong>for</strong> all,<br />

LIJ is the site <strong>of</strong> an international emergency<br />

medicine fellowship <strong>and</strong> Dario Gonzalez,<br />

MD, the medical director <strong>for</strong> New York<br />

City’s Office <strong>for</strong> Emergency Management<br />

<strong>and</strong> associate medical director <strong>of</strong> the FDNY,<br />

is a faculty member. Led by Dr. Gonzalez’s<br />

expertise in disaster management, the<br />

team included Gino Farina, MD; Herberth<br />

Balsells, DO; <strong>and</strong> Kathryn Bailey, AB.<br />

This January, the group traveled to<br />

Oaxaca to conduct a needs assessment <strong>of</strong><br />

the hospitals that would be most vulnerable<br />

in a disaster. <strong>The</strong> team also presented<br />

an emergency management conference<br />

that attracted nearly 400 participants,<br />

including doctors, firefighters, emergency<br />

medical technicians, Red Cross workers,<br />

epidemiologists <strong>and</strong> military <strong>of</strong>ficials.<br />

48 Summer 2012<br />

“<strong>The</strong> conference itself was really an amazing event,” Dr.<br />

Kaufman said. “I think it allowed attendees to evaluate their<br />

own system in a critical way. I also see an opportunity <strong>for</strong> us to<br />

continue this process <strong>and</strong> help to facilitate these changes.” Most<br />

importantly, the event began a dialogue between agencies that had<br />

not previously convened.<br />

Emergency medicine specialists from North Shore-LIJ have<br />

worked with hospitals in India, Haiti <strong>and</strong> other underdeveloped<br />

countries that face such problems as poorly constructed facilities<br />

or lack <strong>of</strong> <strong>for</strong>mal training programs <strong>for</strong> doctors, said Mae Ward,<br />

RN, senior research director <strong>of</strong> emergency medicine at North<br />

Shore University Hospital. Sassan Naderi, MD, director <strong>of</strong> the<br />

international emergency medicine fellowship at LIJ, had previously<br />

arranged a three-year emergency medicine training program in<br />

Durgapur, India.<br />

This trip, however, was different because Oaxaca has the facilities<br />

<strong>and</strong> the doctors, but needed the communication tools <strong>and</strong><br />

organizational structure to respond to a crisis. <strong>The</strong> response in<br />

Oaxaca has been tremendous, Dr. Kaufman said, adding that medical<br />

<strong>of</strong>ficials there have already started making changes. <strong>The</strong> initial<br />

trip to Oaxaca was funded largely through a grant from Goldman<br />

Sachs Gives, a donor-advised fund that gives grants to nonpr<strong>of</strong>its.<br />

As the project continues, there will be more trips to Oaxaca with<br />

additional training exercises run by Dr. Kaufman <strong>and</strong> his team.<br />

“I certainly intend to make this kind <strong>of</strong> project an ongoing<br />

part <strong>of</strong> my career,” he said. “<strong>The</strong>se projects are really exciting <strong>and</strong><br />

meaningful, especially because you can make systematic changes.”<br />

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


<strong>The</strong> New St<strong>and</strong>ard<br />

49


PLAINVIEW — <strong>Veterans</strong> <strong>of</strong><br />

World War II, the Korean<br />

War <strong>and</strong> Vietnam who live in<br />

the Plainview-Old Bethpage<br />

neighborhood naturally occurring<br />

retirement community<br />

(NNORC) recently gave<br />

history lessons that Mepham<br />

High School in Bellmore<br />

students won’t soon <strong>for</strong>get.<br />

<strong>The</strong>ir videotaped interviews<br />

have been archived with the<br />

Library <strong>of</strong> Congress <strong>Veterans</strong><br />

History Project.<br />

“I listened to the story<br />

<strong>of</strong> one man’s journey from a<br />

young boy in Brooklyn to a<br />

50 Summer 2012<br />

Nurse Helps Plainview<br />

<strong>Veterans</strong> Give Real-Life<br />

History Lesson<br />

prisoner <strong>of</strong> war in Germany,<br />

<strong>and</strong> realized that I’d stumbled<br />

upon a reservoir <strong>of</strong> history on<br />

the verge <strong>of</strong> being lost,” said<br />

Kelly Soel, RN, a North Shore-<br />

LIJ community health nurse<br />

who works with a number <strong>of</strong><br />

veterans through the Plainview-<br />

Old Bethpage NNORC.<br />

Ms. Soel established a<br />

group among the NNORC<br />

members in which veterans<br />

could gather to share their<br />

experiences while promoting<br />

well-being <strong>and</strong> a deeper sense<br />

<strong>of</strong> community. In researching<br />

discussion topics, she found the<br />

By Kristen Longo<br />

Library <strong>of</strong> Congress <strong>Veterans</strong><br />

History Project <strong>and</strong> arranged<br />

<strong>for</strong> the veterans to share their<br />

war stories with a group <strong>of</strong><br />

Mepham High School students<br />

<strong>and</strong> answer their questions.<br />

Paul Zad<strong>of</strong>f, 90, told<br />

students about his World War<br />

II experience <strong>of</strong> serving on Iwo<br />

Jima. “<strong>You</strong> learn about the war<br />

through textbooks, but it was<br />

nothing like being there,” he<br />

said. “We went directly into<br />

combat <strong>and</strong> many <strong>of</strong> us expected<br />

to die — but I made it back <strong>and</strong><br />

have the real story to tell so it’s<br />

not <strong>for</strong>gotten.” Melvin Breshin,<br />

67, who served as an Army<br />

captain in South Korea during<br />

the Vietnam War, also emphasized<br />

to students the importance<br />

<strong>of</strong> learning what happened <strong>and</strong><br />

passing that knowledge to future<br />

generations.<br />

<strong>The</strong> veterans were more<br />

than happy to share their<br />

past. “<strong>The</strong>ir legacy will live on<br />

through the bright young minds<br />

<strong>of</strong> tomorrow,” said Ms. Soel.<br />

She feels a deep connection to<br />

the project through her work<br />

with the NNORC <strong>and</strong> hopes<br />

that some day her son, a second-class<br />

petty <strong>of</strong>ficer with the<br />

US Navy, will be able to teach<br />

the next generation first-h<strong>and</strong><br />

about the sacrifices <strong>and</strong> bravery<br />

<strong>of</strong> those serve our country.<br />

Above: Paul Zad<strong>of</strong>f shared maps <strong>and</strong><br />

photos with his first-h<strong>and</strong> account<br />

<strong>of</strong> his experience on the front lines<br />

on Iwo Jima with Kelly Soel, RN,<br />

community health nurse <strong>for</strong> the health<br />

system, <strong>and</strong> a group <strong>of</strong> Mepham High<br />

School students—who are the age that<br />

he was when he left <strong>for</strong> war.


Taking Steps to Protect<br />

<strong>You</strong>ng Athletes From<br />

Sexual Assault<br />

With the London<br />

Summer Olympics<br />

approaching <strong>and</strong><br />

young people across the<br />

country taking part in team<br />

sports, North Shore-LIJ,<br />

Nassau County Executive<br />

Ed Mangano <strong>and</strong> the Nassau<br />

County Sports Commission<br />

have joined together to<br />

identify ways <strong>of</strong> recognizing<br />

<strong>and</strong> preventing sexual abuse in<br />

youth sports.<br />

At a news conference<br />

held recently in Mineola,<br />

the keynote speaker was<br />

Katherine Starr, a member<br />

<strong>of</strong> the 1984 <strong>and</strong> 1988 Great<br />

Britain Olympic swim team,<br />

who had her athletic career<br />

destroyed after being sexually<br />

assaulted by her coach. Now<br />

the founder <strong>and</strong> president<br />

<strong>of</strong> a nonpr<strong>of</strong>it organization<br />

she named Safe4Athletes,<br />

Ms. Starr says, “Every athlete<br />

should be provided a safe <strong>and</strong><br />

positive environment free <strong>of</strong><br />

sexual abuse, bullying <strong>and</strong><br />

harassment.”<br />

“We are very proud to<br />

work with Nassau County <strong>and</strong><br />

the Sports Commission to<br />

find new ways to help young<br />

people who fall victim to<br />

these predators,” said Jamie<br />

H<strong>of</strong>fman-Rosenfeld, MD,<br />

chief <strong>of</strong> child advocacy <strong>and</strong><br />

protection services at Cohen<br />

Children’s Medical Center. “It<br />

is our responsibility to alert<br />

parents, teachers, educators<br />

<strong>and</strong> young people that we are<br />

here to listen to them.”<br />

County Executive<br />

Mangano said Nassau County<br />

supports this ongoing work.<br />

“We must do whatever we<br />

can to keep our children<br />

safe,” he said, “<strong>and</strong> eradicate<br />

predators from young<br />

people’s sporting activities.”<br />

<strong>The</strong> most heartfelt words<br />

came from Ms. Starr, who<br />

spoke about the devastation<br />

<strong>and</strong> loss associated with her<br />

personal tragedy. “When this<br />

happened to me, it destroyed<br />

my dreams,” she said. “<strong>The</strong>re<br />

was no one I could talk to,<br />

because I felt that I had no<br />

power. It’s my goal that no<br />

young athlete should ever have<br />

to be in this position again.”<br />

FOR your BENEFIT<br />

Planning <strong>for</strong> the Future<br />

Just Got Easier<br />

It’s never too early to plan <strong>and</strong> save <strong>for</strong> your future, but sometimes it can<br />

seem overwhelming or confusing. But a new Web site — NSLIJRetirementPlans.<br />

com — gives North Shore-LIJ Health System employees easy-to-underst<strong>and</strong> tools<br />

to maximize their retirement benefits <strong>and</strong> start saving.<br />

“We provide not only exceptional retirement benefits including retirement<br />

savings plans, but also resources to help employees become more proactive<br />

about financial planning,” said Joseph Cabral, Chief Human Resources Officer. “No<br />

one is born an expert at retirement planning, so North Shore-LIJ <strong>of</strong>fers these free<br />

services. We encourage employees to take full advantage <strong>of</strong> them.”<br />

In partnership with MetLife, North Shore-LIJ <strong>of</strong>fers many ways <strong>for</strong><br />

employees to get the in<strong>for</strong>mation they need — either through in-person<br />

classes held around the system, one-on-one planning sessions with a<br />

financial services representative or online videos <strong>and</strong> presentations. Log on to<br />

NSLIJRetirementPlans.com <strong>for</strong> in<strong>for</strong>mation about 403(b) <strong>and</strong> 401(k) retirement<br />

savings accounts, retirement calculators, registration <strong>for</strong> on-site seminars or to<br />

arrange <strong>for</strong> one-on-one sessions with a MetLife financial services representative.<br />

Shown at a recent news conference, from the left, are Brian Revello, executive director <strong>of</strong> the Nassau County Sports<br />

Commission, Nassau County Executive Ed Mangano, Dr. Jamie H<strong>of</strong>fman-Rosenfeld <strong>and</strong> Katherine Starr, <strong>for</strong>mer<br />

Olympian <strong>and</strong> founder <strong>of</strong> Safe4Athletes.<br />

<strong>The</strong> New St<strong>and</strong>ard 51


Story-telling is not something that is usually<br />

part <strong>of</strong> a hospital visit. But LIJ Medical<br />

Center <strong>and</strong> Hospice Care Network have<br />

partnered with StoryCorps Legacy, a pilot<br />

program that provides people with life-threatening<br />

conditions <strong>and</strong> their families the opportunity to<br />

record, preserve <strong>and</strong> share their stories. And our<br />

patients are sharing stories that will be h<strong>and</strong>ed<br />

down to their families <strong>and</strong> the community at large.<br />

StoryCorps works with a variety <strong>of</strong><br />

organizations including hospitals, palliative care<br />

departments <strong>and</strong> hospices to help them incorporate<br />

the reminiscence interview experience into their<br />

existing services. Legacy staff train <strong>and</strong> prepare<br />

partners to conduct <strong>and</strong> record interviews using<br />

pr<strong>of</strong>essional broadcast equipment on loan from<br />

StoryCorps. Participants receive a CD <strong>of</strong> the interview<br />

to share with friends <strong>and</strong> family, <strong>and</strong> another copy<br />

is archived at the American Folklife Center at the<br />

Library <strong>of</strong> Congress in Washington, DC.<br />

At the health system, StoryCorps Legacy is<br />

collaborating with LIJ’s Departments <strong>of</strong> Geriatric <strong>and</strong><br />

Palliative Medicine <strong>and</strong> Patient <strong>and</strong> Family Centered<br />

Care <strong>and</strong> the Hospice Care Network’s Complementary<br />

<strong>The</strong>rapy Program. <strong>The</strong> project runs through July <strong>and</strong><br />

both organizations expect to conduct a total <strong>of</strong> 60<br />

interviews. <strong>The</strong> program is funded by a grant from<br />

the Jordan Family Foundation.<br />

“<strong>The</strong> StoryCorps project is a natural extension<br />

<strong>of</strong> the conversations we share on a daily basis in<br />

caring <strong>for</strong> older patients with serious illnesses <strong>and</strong><br />

supporting their loved ones,” said Tanveer Mir, MD,<br />

associate chief <strong>of</strong> geriatric <strong>and</strong> palliative medicine at<br />

LIJ. “This project allows us to explore <strong>and</strong> celebrate<br />

people’s lives <strong>and</strong> document their stories <strong>for</strong><br />

generations to come.”<br />

Christina Lightbourne, a volunteer at LIJ<br />

<strong>for</strong> the last couple <strong>of</strong> years, became involved<br />

in the StoryCorps project because she said she<br />

enjoyed connecting <strong>and</strong> talking with older patients<br />

<strong>and</strong> it seemed like a “natural segue” given her<br />

activities at the hospital. In her first interview, Ms.<br />

Lightbourne arranged a conversation between her<br />

84-year-old aunt, Ruth Robinson, who has been<br />

treated at LIJ <strong>for</strong> cancer <strong>and</strong> other conditions, <strong>and</strong><br />

her husb<strong>and</strong>, Paul Lightbourne. “I was surprised<br />

at how much detail my aunt remembered about<br />

her childhood teacher Miss Green, who taught her<br />

how to read <strong>and</strong> write. My aunt was also excited<br />

to talk about her family, in more depth than at our<br />

reunions every two years.”<br />

“<strong>The</strong> StoryCorps program helps us capture the<br />

voices <strong>of</strong> patients <strong>and</strong> family members <strong>and</strong> helps<br />

us to look at the patient as a complete person,” said<br />

52 Summer 2012<br />

Partnership Gives Voices to Patients<br />

with Life-Threatening Illnesses<br />

By Betty Olt<br />

Kirby Veevers, coordinator <strong>of</strong> patient- <strong>and</strong> family-<br />

centered care at LIJ. “People have a big life be<strong>for</strong>e<br />

they become patients at the hospital <strong>and</strong> we want<br />

to honor that.”<br />

Eva Pendleton, LMT, director <strong>of</strong> complementary<br />

therapy at Hospice Care Network, said the StoryCorps<br />

program is “striking a chord” with volunteers <strong>and</strong><br />

staff members <strong>and</strong> there has been an overwhelming<br />

response to the project. “<strong>The</strong>re is a fundamental<br />

need <strong>for</strong> people to be heard. People love to tell a<br />

story <strong>and</strong> everyone has a story to tell,” she said.<br />

“In hospice care, life review <strong>and</strong> the<br />

conversations we have with patients are done in<br />

the spirit <strong>of</strong> the work we do every day,” explained<br />

Ms. Pendleton. “StoryCorps is important because it<br />

leaves a legacy <strong>for</strong> loved ones.”<br />

Since 2003, StoryCorps has collected <strong>and</strong><br />

archived more than 35,000 interviews from more than<br />

70,000 people. Some stories are shared during weekly<br />

National Public Radio broadcasts <strong>of</strong> the show Morning<br />

Edition. For more in<strong>for</strong>mation, visit StoryCorps.org<br />

Above: Volunteer Christina Lightbourne with<br />

her 84-year-old aunt, Ruth Robinson, who had<br />

stories to tell.


allied NATION<br />

In the past, general practitioners were expected to manage<br />

the majority <strong>of</strong> medical issues, from arthritis to high blood<br />

pressure, pneumonia to appendicitis. Today’s healthcare,<br />

however, trends toward exceptionally individualized <strong>and</strong><br />

specialized patient care cases, requiring the specialist — like the<br />

rheumatologist, internist, pulmonologist, <strong>and</strong> laparoscopic surgeon<br />

— to provide more expertise on each specific concern. While this<br />

trend builds, community hospitals must find ways to continue to<br />

meet all general healthcare needs <strong>and</strong> to provide a wide variety<br />

<strong>of</strong> services <strong>and</strong> care to keep up with every<br />

patient. At Forest Hills Hospital, physician<br />

assistants (PAs) help to achieve the level <strong>of</strong><br />

care necessary to provide all services <strong>for</strong> all<br />

patients. <strong>The</strong>y are the hospital staff who step<br />

in to coordinate timely, safe <strong>and</strong> efficient<br />

care <strong>for</strong> every patient. <strong>The</strong>y are the new<br />

generalists.<br />

PAs are highly trained healthcare<br />

pr<strong>of</strong>essionals who are licensed <strong>and</strong><br />

credentialed to practice medicine in<br />

physician-led teams. <strong>The</strong>y conduct physical<br />

exams <strong>and</strong> histories, diagnose <strong>and</strong> treat<br />

illnesses, order <strong>and</strong> interpret tests, counsel<br />

patients, make rounds, assist in surgery <strong>and</strong><br />

write prescriptions. <strong>The</strong>y are involved in<br />

day-to-day care <strong>and</strong> make medical-related<br />

decisions, turning to their supervising<br />

physicians when complicated cases require<br />

further medical expertise. PAs also h<strong>and</strong>le<br />

patient complaints <strong>and</strong> follow-up visits<br />

while providing a broad range <strong>of</strong> diagnostic,<br />

therapeutic, administrative, educational <strong>and</strong><br />

research services. According to the Bureau <strong>of</strong><br />

Labor Statistics, the PA pr<strong>of</strong>ession is among<br />

the fastest growing in the country.<br />

“Given the challenges ahead — such<br />

as regulatory compliance, pay-<strong>for</strong>per<strong>for</strong>mance<br />

<strong>and</strong> the increasing number<br />

<strong>of</strong> Baby Boomers entering the health<br />

system <strong>for</strong> care — the physician/PA team<br />

will help to keep waiting times low <strong>and</strong><br />

patient satisfaction high while filling in<br />

the gaps wherever there is a shortage <strong>of</strong><br />

physicians <strong>and</strong> residents,” said Martin Morales, corporate director<br />

<strong>of</strong> physician assistant services.<br />

At Forest Hills Hospital, PAs work closely with specialist<br />

surgeons in all departments —including general, vascular, thoracic,<br />

plastic, urological <strong>and</strong> bariatric surgeries — <strong>and</strong> coordinate the care<br />

<strong>of</strong> patients requiring any <strong>of</strong> these services. <strong>The</strong> plan <strong>of</strong> care <strong>for</strong> any<br />

patient is determined by his or her physician, but helping to develop<br />

that plan <strong>and</strong> ensuring it is properly followed <strong>and</strong> assigned the proper<br />

specialists is the role <strong>of</strong> the PA. <strong>The</strong>y also respond to emergencies,<br />

codes <strong>and</strong> rapid responses, are a resource <strong>for</strong> the nurses, manage<br />

patients in the Emergency Department <strong>and</strong> Intensive Care Unit <strong>and</strong><br />

provide expert surgical assistance in the Operating Room.<br />

On average, the PAs at Forest Hills have 11 years <strong>of</strong> experience<br />

in the medical field, more than twice the period <strong>of</strong> time it takes to<br />

train a board-eligible surgeon. <strong>The</strong>y practice in the Orthopedic,<br />

Radiology, Obstetrics <strong>and</strong> Gynecology <strong>and</strong> Surgery Departments —<br />

in fact, the 10-member surgery team assisted in almost 3,000<br />

<strong>The</strong> New Generalists<br />

Physician Assistants at Forest Hills Hospital<br />

Physician assistants Rupert Evans, left, Diane Marchiafava <strong>and</strong> Khaim Babayev are on the Forest Hills<br />

Hospital team that coordinates timely, safe <strong>and</strong> effective medical care.<br />

operative procedures during the last year alone. <strong>The</strong>ir competence<br />

in <strong>and</strong> underst<strong>and</strong>ing <strong>of</strong> each surgeon’s practice lead to enormous<br />

satisfaction among the surgeons, as well as the rest <strong>of</strong> the hospital<br />

staff <strong>and</strong> patients, which in turn motivates this proud North<br />

Shore-LIJ Health System team. Lead PA Diane Marchiafava,<br />

RPA-C, says, “<strong>The</strong> best part <strong>of</strong> our PA team is, we get to use all <strong>of</strong><br />

our skills <strong>and</strong> everyone benefits.”<br />

<strong>The</strong> New St<strong>and</strong>ard 53


GREEN solutions<br />

New Structure Meets<br />

Sustainability Benchmark<br />

By Neil Rosen<br />

<strong>The</strong> Katz Women’s Hospital<br />

at North Shore<br />

University Hospital<br />

recently was the first New<br />

York hospital to receive LEED<br />

platinum certification. <strong>The</strong><br />

Katz Women’s Hospital uses<br />

about 18.6 percent less energy<br />

<strong>and</strong> 51 percent less water. Furthermore,<br />

all <strong>of</strong> the electricity<br />

consumed in its first two years<br />

<strong>of</strong> operation will come from<br />

renewable energy generated by<br />

wind power in Texas.<br />

<strong>The</strong> recognized st<strong>and</strong>ard<br />

<strong>of</strong> the sustainable building<br />

54 Summer 2012<br />

movement, LEED st<strong>and</strong>s<br />

<strong>for</strong> Leadership in Energy<br />

<strong>and</strong> Environmental Design,<br />

a rating system <strong>for</strong> green<br />

buildings that was developed<br />

by the United States Green<br />

Building Council. Designed<br />

to encourage, st<strong>and</strong>ardize,<br />

<strong>and</strong> award sustainable building<br />

ef<strong>for</strong>ts, LEED provides a<br />

framework <strong>for</strong> identifying <strong>and</strong><br />

implementing practical <strong>and</strong><br />

quantifiable green building<br />

solutions.<br />

<strong>The</strong> LEED system outlines<br />

a number <strong>of</strong> credits <strong>and</strong> as-<br />

North Shore University Hospital Wins<br />

National Award <strong>for</strong> Eco-Friendly Practices<br />

Practice Greenhealth, a<br />

national organization <strong>for</strong> healthcare<br />

facilities committed to environmentally<br />

responsible operations,<br />

recently presented NSUH with the<br />

2012 Partner <strong>for</strong> Change Award. <strong>The</strong><br />

award is one <strong>of</strong> the organization’s<br />

Environmental Excellence Awards<br />

given each year to honor outst<strong>and</strong>ing<br />

environmental achievements in the<br />

healthcare sector.<br />

<strong>The</strong> Partner <strong>for</strong> Change Award<br />

recognizes healthcare facilities that<br />

continuously improve <strong>and</strong> exp<strong>and</strong><br />

upon their mercury elimination,<br />

waste reduction <strong>and</strong> source reduction<br />

programs. At a minimum, facilities<br />

applying <strong>for</strong> this award must be<br />

recycling 15 percent <strong>of</strong> their total<br />

waste, be well on the way to mercury<br />

elimination <strong>and</strong> have developed<br />

other successful pollution prevention<br />

programs in many different areas.<br />

“This award demonstrates<br />

North Shore University Hospital’s <strong>and</strong><br />

the North Shore-LIJ Health System’s<br />

commitment to our patients, staff<br />

members <strong>and</strong> the community to<br />

protect public health <strong>and</strong> preserve<br />

the environment,” said Maurice<br />

LaBonne, senior vice president <strong>of</strong><br />

facilities services at North Shore-LIJ.<br />

“North Shore-LIJ is truly demonstrating<br />

leadership <strong>for</strong> the future <strong>of</strong> health<br />

care <strong>and</strong> sustainability.”<br />

NSUH received the Partner <strong>for</strong><br />

Change Award <strong>for</strong> environmental<br />

per<strong>for</strong>mance in the following areas:<br />

recycling <strong>and</strong> waste reduction,<br />

participation in the health system’s<br />

green cleaning program, measures<br />

to reduce mercury in all medi-<br />

signs points to a project based<br />

on how many credits the<br />

project fulfills. Based on the<br />

number <strong>of</strong> points earned, a<br />

project can earn titles ranging<br />

from certified to silver, gold<br />

<strong>and</strong> platinum. Only the most<br />

sustainable projects achieve the<br />

platinum rating.<br />

<strong>The</strong>re are six major LEED<br />

categories: sustainable sites,<br />

water efficiency, energy <strong>and</strong><br />

atmosphere, materials <strong>and</strong><br />

resources, indoor environmental<br />

quality <strong>and</strong> innovation<br />

in design.<br />

cal procedures <strong>and</strong> nontoxic paint<br />

products. In addition, in February,<br />

the Katz Women’s Hospital third-floor<br />

renovation project achieved a LEED<br />

platinum certification, the industry’s<br />

highest rating <strong>for</strong> sustainable design,<br />

green building materials <strong>and</strong> energyefficient<br />

systems. <strong>The</strong> facility is the<br />

third hospital project worldwide to<br />

receive this distinction.<br />

“We are pleased to be<br />

recognized <strong>for</strong> this significant<br />

achievement,” said Neil Rosen,<br />

director <strong>of</strong> sustainable development<br />

at North Shore-LIJ. “We are proud<br />

to be a model <strong>of</strong> how hospitals can<br />

develop <strong>and</strong> implement eco-friendly<br />

programs <strong>and</strong> sustainable buildings<br />

to improve the health <strong>of</strong> people <strong>and</strong><br />

our planet.”<br />

North Shore-<br />

LIJ Launches<br />

Interactive TV<br />

Programming<br />

GREAT NECK — North<br />

Shore-LIJ Health TV,<br />

an interactive television<br />

service, recently premiered<br />

on iO TV channel 616.<br />

Presented by the North<br />

Shore-LIJ Health System<br />

<strong>and</strong> Cablevision, the videoon-dem<strong>and</strong><br />

channel <strong>of</strong>fers<br />

health <strong>and</strong> wellness in<strong>for</strong>mation<br />

to Cablevision’s<br />

nearly three million digital<br />

cable customers on Long<br />

Isl<strong>and</strong> <strong>and</strong> in the Bronx,<br />

Brooklyn, Westchester,<br />

Lower Hudson Valley, New<br />

Jersey <strong>and</strong> Connecticut.<br />

“<strong>The</strong> launch <strong>of</strong> North<br />

Shore-LIJ Health TV with<br />

Cablevision provides a<br />

groundbreaking experience<br />

that utilizes the strengths<br />

<strong>of</strong> both organizations to<br />

deliver health <strong>and</strong> wellness<br />

in<strong>for</strong>mation via video-ondem<strong>and</strong><br />

content from New<br />

York’s very best physicians<br />

<strong>and</strong> clinicians into living<br />

rooms,” said Michael<br />

Dowling, president <strong>and</strong><br />

CEO <strong>of</strong> the health system.<br />

<strong>The</strong> health system<br />

is the first New Yorkarea<br />

healthcare provider<br />

to establish its own TV<br />

channel. North Shore-<br />

LIJ Health TV provides<br />

access to a video library<br />

<strong>of</strong> health <strong>and</strong> wellness<br />

topics <strong>and</strong> in<strong>for</strong>mation on<br />

North Shore LIJ hospitals,<br />

<strong>and</strong> viewers can request<br />

additional in<strong>for</strong>mation on<br />

the health system’s services.


Over 2,400 Celebrate at<br />

NSUH-LIJ’s Sixth Combined<br />

Cancer Survivors’ Day<br />

More than 2,400 cancer<br />

survivors <strong>and</strong> their guests<br />

attended the invitation-only<br />

Cancer Survivors’ Day celebration,<br />

held at the North Shore-LIJ Health<br />

system’s Monter Cancer Center on<br />

June 2. <strong>The</strong> keynote speaker was<br />

Shannon Miller, Olympic gold medalwinning<br />

gymnast <strong>and</strong> US Olympic Hall<br />

<strong>of</strong> Famer, whose greatest win <strong>of</strong> all<br />

was against ovarian cancer.<br />

<strong>The</strong> large gathering watched<br />

monitors positioned throughout the<br />

340-foot-by-100-foot tent, where<br />

a brief video brought back memories<br />

<strong>of</strong> the determined little blonde girl’s<br />

per<strong>for</strong>mance on the balance beam at<br />

the 1996 Summer Olympics in Atlanta.<br />

<strong>The</strong> audience listened attentively as<br />

she recounted her thoughts on that<br />

stellar day 16 years ago; then she<br />

described how she felt in December<br />

2010, when at age 33 she received<br />

word from her doctors that she had<br />

a rare from <strong>of</strong> ovarian cancer: a<br />

baseball-size germ cell tumor.<br />

<strong>The</strong> malignant cyst was<br />

removed from her ovary <strong>and</strong> she went<br />

through nine weeks <strong>of</strong> chemotherapy.<br />

“On my last day <strong>of</strong> chemo I was so<br />

excited that it was over, but at the<br />

same time it hit me – is it going<br />

to come back? When will it come<br />

back?” Ms. Miller told the people in<br />

her audience, many <strong>of</strong> whom have<br />

felt the same uncertainty <strong>and</strong> fear.<br />

She decided to focus on “helping<br />

people, encouraging them to get<br />

regular screenings, because early<br />

detection does save lives. That has<br />

become a mantra <strong>for</strong> me.”<br />

<strong>The</strong> American Cancer<br />

Society estimates that there<br />

will be nearly 22,000 new cases<br />

<strong>of</strong> ovarian cancer this year <strong>and</strong><br />

more than 15,000 related deaths,<br />

making it the deadliest (in terms<br />

<strong>of</strong> percentages) gynecologic<br />

cancer. Ms. Miller is now<br />

dedicated to raising women’s<br />

awareness <strong>of</strong> this disease.<br />

At the end <strong>of</strong> her<br />

presentation, North Shore-<br />

LIJ Board Chairman Richard<br />

Goldstein <strong>and</strong> President <strong>and</strong><br />

Chief Executive Officer Michael<br />

Dowling presented Ms. Miller<br />

with a special white lab coat,<br />

embroidered with her name,<br />

making her an honorary member<br />

<strong>of</strong> the North Shore-LIJ faculty. Mr.<br />

Dowling also presented a special<br />

award <strong>of</strong> recognition to Ruthee-<br />

Lu Bayer, MD, director <strong>of</strong> the Don<br />

Monti Adult Hematopoietic Stem<br />

Cell Transplant Program at North<br />

Shore University Hospital, <strong>for</strong> her<br />

contributions to the care <strong>of</strong> her<br />

healthcare LITERACY<br />

Health Literacy<br />

Seminar Updates<br />

North Shore-LIJ’s health literacy <strong>and</strong> clear communication<br />

course, Can We Talk? features new components based on employee<br />

feedback. <strong>The</strong> program is available more frequently (six times this<br />

year) at the Center <strong>for</strong> Learning <strong>and</strong> Innovation <strong>and</strong> has been<br />

customized according to the participants’ scope <strong>of</strong> practice; new<br />

simulated scenarios add interactivity into the mix.<br />

To learn how to enhance written <strong>and</strong> oral communication,<br />

<strong>and</strong> how to create or choose patient-friendly written education<br />

materials, register <strong>for</strong> Can We Talk? at NorthShoreLIJ.com/cli.<br />

<strong>The</strong> Remaining 2012 course dates are:<br />

q Licensed/clinical pr<strong>of</strong>essionals — September 12<br />

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

Call the Office <strong>of</strong> Diversity, Inclusion <strong>and</strong> Health Literacy at<br />

(516) 396-6373 <strong>for</strong> more in<strong>for</strong>mation.<br />

patients <strong>and</strong> to the unique research<br />

she is conducting to treat cancer.<br />

Earlier in the program, two<br />

local Long Isl<strong>and</strong> cancer survivors<br />

spoke eloquently about their<br />

personal battles <strong>and</strong> how they<br />

overcame the disease. <strong>The</strong>y were<br />

Judith Dowd, <strong>of</strong> Floral Park, an<br />

ovarian cancer survivor, <strong>and</strong> Lee<br />

Ielpi <strong>of</strong> Great Neck, a survivor <strong>of</strong><br />

Waldenstrom macroglobulinemia.<br />

From left are: Vincent Vinciguerra,<br />

MD, Judith Dowd, Lee Ielpi,<br />

Shannon Miller, Richard Goldstein<br />

<strong>and</strong> Michael Dowling.<br />

<strong>The</strong> New St<strong>and</strong>ard 55


NEW HYDE PARK — Samuel<br />

Kenan, MD, was always<br />

interested in fixing things, so<br />

it was no surprise that by his<br />

last year <strong>of</strong> medical school he<br />

decided to take a residency in<br />

orthopedics. But the chairman<br />

<strong>of</strong> the department at Hadassah<br />

University Medical Center,<br />

Mayer Makin, MD, had other<br />

things in mind <strong>for</strong> the young<br />

man. He recommended that he<br />

train in orthopedic oncology<br />

<strong>and</strong> spend a year working in<br />

bone pathology to underst<strong>and</strong><br />

everything he could about<br />

bone cancer.<br />

That was 1977 when<br />

fixing bone tumors meant<br />

amputation. But the chairman<br />

had hopes that Dr. Kenan<br />

would move the field into new<br />

directions that included limbsparing,<br />

life-saving surgeries.<br />

His mentor was right.<br />

Dr. Kenan finished his<br />

year-long stint at Hadassah’s<br />

pathology laboratory <strong>and</strong> completed<br />

six years <strong>of</strong> residency<br />

in orthopedic surgery at the<br />

Israeli health system be<strong>for</strong>e<br />

coming to New York <strong>for</strong> a fellowship<br />

with Michael Lewis,<br />

MD, at the Hospital <strong>for</strong> Joint<br />

Diseases. Dr. Lewis was doing<br />

precisely what the Hadassah<br />

chairman <strong>of</strong> orthopedics had<br />

envisioned: he was creating<br />

joint prosthetics made <strong>of</strong> metal<br />

<strong>and</strong> bone, <strong>and</strong> enabling pediatric<br />

cancer patients to walk<br />

out <strong>of</strong> surgery with their leg.<br />

<strong>The</strong> bone prosthetics<br />

were a major advance but the<br />

pediatric population brought<br />

new problems. Children<br />

grow, <strong>and</strong> Drs. Kenan, Lewis<br />

<strong>and</strong> others knew they had to<br />

figure out a way to get both<br />

legs to match. <strong>The</strong>y developed<br />

bone prosthetics that could<br />

56 Summer 2012<br />

Saving Lives <strong>and</strong> Limbs<br />

By Jamie Talan<br />

be exp<strong>and</strong>ed as their patients<br />

grew. It changed the field, <strong>and</strong><br />

Dr. Kenan became a fixer with<br />

a mission. “It’s hard enough<br />

that children have bone cancer,<br />

but then to tell them that they<br />

might lose a leg was just too<br />

much,” Dr. Kenan said.<br />

He began working on sparing<br />

the growth plate, even when<br />

tumors were precariously close<br />

to the plate. Saving the growth<br />

plate meant that the child’s limb<br />

would grow naturally to match<br />

the other leg.<br />

Dr. Kenan went on<br />

to head several orthopedic<br />

oncology programs, from the<br />

Hospital <strong>for</strong> Joint Diseases to<br />

Mount Sinai Medical Center<br />

<strong>and</strong> Hadassah. He was recently<br />

recruited by the North Shore-<br />

LIJ Health System to head<br />

an initiative in orthopedic<br />

oncology that <strong>of</strong>fers young<br />

patients access to a team <strong>of</strong><br />

health pr<strong>of</strong>essionals, starting<br />

from the initial suspicion that<br />

there may be something wrong,<br />

to chemotherapy, surgery <strong>and</strong><br />

lifelong care.<br />

In addition to his<br />

technical skill in the surgical<br />

suite cutting out diseased<br />

bone, crafting an implant <strong>and</strong><br />

setting the stage <strong>for</strong> healing,<br />

Dr. Kenan connects with his<br />

young patients in indelible<br />

ways. When 18-year-old<br />

Mariela Calderon <strong>of</strong> Port<br />

Washington showed up last<br />

October with osteosarcoma,<br />

Dr. Kenan called Nicole<br />

Lubin <strong>of</strong> Hempstead, a<br />

teenager who recently<br />

underwent surgery <strong>for</strong> bone<br />

cancer, <strong>and</strong> brought the girls<br />

together. While Mariela was<br />

in Cohen Children’s Medical<br />

Center (CCMC), Nicole<br />

came to visit. Watching Nicole<br />

walk ef<strong>for</strong>tlessly gave Mariela<br />

hope that someday soon her<br />

crutches would be a thing<br />

<strong>of</strong> the past, <strong>and</strong> her leg, like<br />

Mariela’s, would be spared.<br />

“Dr. Kenan is technically<br />

exceptional,” <strong>and</strong> it is the<br />

whole package <strong>of</strong> what he<br />

brings to the surgical table,<br />

said Jeffrey Lipton, MD, PhD,<br />

chief <strong>of</strong> pediatric hematology/<br />

oncology <strong>and</strong> stem cell<br />

transplantation at CCMC.<br />

“<strong>The</strong>se patients are complex,<br />

<strong>and</strong> we have teams <strong>of</strong> pr<strong>of</strong>essionals<br />

working with patients.”<br />

Dr. Kenan has per<strong>for</strong>med<br />

nearly 250 <strong>of</strong> these surgical<br />

cases in his career. And he<br />

keeps in touch with many <strong>of</strong><br />

the children, some <strong>of</strong> whom<br />

are now grown. He saves<br />

videos <strong>and</strong> photos <strong>of</strong> his young<br />

patients during all stages <strong>of</strong> the<br />

process. He pulls up a digital<br />

picture <strong>of</strong> John Browndorf,<br />

who is now 28 <strong>and</strong> taller than<br />

his doctor. Mr. Browndorf was<br />

six years old when he was diagnosed<br />

with Ewing Sarcoma.<br />

It was located in the proximal<br />

tibia. <strong>The</strong> first thought was<br />

that there would be no way<br />

to spare the growth plate; the<br />

tumor was too close. But his<br />

father, a golfer, wanted his son<br />

to walk – with both feet planted<br />

on the green – in his footsteps.<br />

“Do what you can to save<br />

the growth plate,” his father<br />

said. And Dr. Kenan listened,<br />

carrying <strong>of</strong>f the complicated<br />

surgery. Now, more than two<br />

decades later, Mr. Browndorf<br />

st<strong>and</strong>s tall. And plays golf.<br />

Mariela said that she wants<br />

to be a medical assistant when<br />

she grows up. And she looks<br />

<strong>for</strong>ward to the day when she<br />

can replace her crutches with a<br />

fancy pair <strong>of</strong> high heels.<br />

Above: Dr. Kenan with Mariela<br />

Calderon, left, <strong>and</strong> Nicole Lubin.


Parenting, Baby Care &CPR<br />

Classes<br />

Stay safe <strong>and</strong> healthy with<br />

the help <strong>of</strong> programs <strong>of</strong>fered<br />

by North Shore-LIJ’s Department<br />

<strong>of</strong> Public Health Education.<br />

To learn more, go to<br />

NorthShoreLIJ.com. Click on<br />

“Classes,” then “Community<br />

Wellness, Parenting or CPR,”<br />

or call 516-465-2500 <strong>for</strong> a<br />

brochure. Sorry, no phone<br />

registrations.<br />

LAMAZE CHILDBIRTH<br />

For expectant mothers <strong>and</strong><br />

their partners.<br />

Instruction in stages <strong>of</strong> labor,<br />

role <strong>of</strong> labor partner, relaxation<br />

<strong>and</strong> pushing techniques,<br />

hospital admission procedures,<br />

anesthesia/analgesic<br />

options, cesarean <strong>and</strong> vaginal<br />

birth after cesarean <strong>and</strong> postpartum<br />

expectations.<br />

Class includes a tour <strong>of</strong> postpartum<br />

<strong>and</strong> nursery units.<br />

Lamaze instruction must be<br />

completed two weeks prior to<br />

expected delivery date.<br />

$175 per couple<br />

Weekends: Saturday or Sunday<br />

(one session)<br />

9 a.m. to 5 p.m.<br />

Weekends: Saturday <strong>and</strong><br />

Sunday (two sessions)<br />

9:30 a.m. to 2:30 p.m.<br />

Weekdays (three sessions)<br />

7 to 10 p.m.<br />

BREAST-FEEDING I:<br />

THE BASICS<br />

Expectant mothers <strong>and</strong> their<br />

partners can learn about<br />

breast-feeding techniques,<br />

facts <strong>and</strong> myths. Bring a baby<br />

doll or stuffed animal.<br />

7 to 9:30 p.m.;<br />

$40 per person/$65 per couple<br />

BREAST-FEEDING II:<br />

BEYOND THE BASICS<br />

For expectant <strong>and</strong> new mothers<br />

<strong>and</strong> their partners. Covers<br />

bottle use, returning to work<br />

<strong>and</strong> breast pumping.<br />

7 to 9:30 p.m.; $40 per<br />

person/$65 per couple<br />

BABY CARE BASICS<br />

Expectant parents, gr<strong>and</strong>parents<br />

<strong>and</strong> childcare providers<br />

can learn about characteristics<br />

<strong>of</strong> the newborn, feeding,<br />

bathing, diapering, cord <strong>and</strong><br />

circumcision care, temperature<br />

taking, baby equipment,<br />

safety, sleep <strong>and</strong> immunization.<br />

Bring a baby doll.<br />

7 to 9:30 p.m.;<br />

$50 per person/$75 per<br />

couple<br />

BABY SAFE<br />

Topics include creating a safe<br />

home environment <strong>for</strong> baby,<br />

home emergencies <strong>and</strong> basic<br />

first aid <strong>for</strong> bleeding, burns,<br />

fractures, shock <strong>and</strong> poisoning.<br />

7 to 9 p.m.;<br />

$20 per person/$35 per couple<br />

CARDIOPULMONARY<br />

RESUSCITATION (CPR)<br />

Cardiopulmonary resuscitation<br />

(CPR ) is a technique that<br />

revives victims <strong>of</strong> cardiovascular<br />

emergencies by helping to<br />

maintain blood flow to the<br />

victim’s heart <strong>and</strong> brain.<br />

<strong>The</strong> North Shore-LIJ Health<br />

System’s awardwinning<br />

Department <strong>of</strong> Pr<strong>of</strong>essional <strong>and</strong><br />

Public Health Education <strong>of</strong>fers<br />

CPR courses tailored <strong>for</strong> babies,<br />

children <strong>and</strong> adults.<br />

Courses include instruction<br />

in CPR <strong>and</strong> <strong>for</strong>eign-body<br />

airway obstruction clearance<br />

techniques.<br />

Mets’ Murphy Visits Cohen<br />

INFANT CPR<br />

CPR <strong>for</strong> newborn to 1-yearold<br />

children.<br />

$45 per person/$75 per couple<br />

INFANT/CHILD CPR<br />

CPR <strong>for</strong> newborn to 8-yearold<br />

children.<br />

$45 per person/$75 per couple<br />

ADULT CPR<br />

Adult course includes a<br />

take-home kit with inflatable<br />

mannequin, practice DVD,<br />

American <strong>Heart</strong> Association<br />

booklet <strong>and</strong> accessories.<br />

$55 per person<br />

<strong>The</strong> Katz Womens’ Hospital<br />

in New Hyde Park <strong>of</strong>fers<br />

childbirth preparation classes,<br />

breast-feeding education, baby<br />

care programs <strong>and</strong> orientation<br />

tours <strong>of</strong> the Maternity Unit.<br />

For more in<strong>for</strong>mation, call the<br />

Parents’ Education Office at<br />

(718) 470-5134.<br />

New York Mets’ first baseman Daniel Murphy recently paid a visit to Cohen Children’s Medical Center <strong>of</strong> New<br />

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

Lacasse, left, <strong>and</strong> his father Joseph <strong>of</strong> Syosset, <strong>and</strong> Lucas Shannon <strong>of</strong> Williston, being held by his gr<strong>and</strong>mother.<br />

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

<strong>The</strong> New St<strong>and</strong>ard 57


kudos<br />

Mauricio Alarçon, analyst in the North Shore-LIJ Health<br />

System’s Office <strong>of</strong> the Chief In<strong>for</strong>mation Officer, was a member <strong>of</strong><br />

one <strong>of</strong> the winning teams, Team greatOne, which placed third in<br />

the popHealth Tool Development Challenge. <strong>The</strong> competition was<br />

launched in the fall <strong>of</strong> 2011 as part <strong>of</strong> the Office <strong>of</strong> the National<br />

Coordinator <strong>for</strong> Health In<strong>for</strong>mation Technology’s Investing in<br />

Innovation (i2) initiative.<br />

<strong>The</strong> title <strong>of</strong> Master <strong>of</strong> the American College <strong>of</strong> Physicians<br />

was bestowed on Jack Ansel, MD, chairman <strong>of</strong> the Department <strong>of</strong><br />

Medicine at Lenox Hill Hospital, in recognition <strong>of</strong> his outst<strong>and</strong>ing<br />

<strong>and</strong> extraordinary career accomplishments. He received the title at<br />

a convocation ceremony during the American College <strong>of</strong> Physicians’<br />

Annual Meeting, Internal Medicine 2012, held in New Orleans.<br />

Michael S. Aron<strong>of</strong>f, MD, a long-st<strong>and</strong>ing voluntary attending<br />

in the Department <strong>of</strong> Psychiatry at Lenox Hill Hospital <strong>and</strong> host<br />

<strong>of</strong> a two-hour interview <strong>and</strong> call-in program, <strong>The</strong> Psychiatry Show, on<br />

SiriusXM Doctor Radio, presented a paper titled “Terrorism: <strong>The</strong><br />

Ecstasy <strong>of</strong> Hatred” at the Annual Tristate American Academy <strong>of</strong><br />

Psychiatry <strong>and</strong> the Law (SSPL) Forensic Psychiatry Conference in<br />

San Juan, Puerto Rico, in December 2011.<br />

Louis-Jean Auguste, MD, a surgeon with privileges at North<br />

Shore University Hospital (NSUH) <strong>and</strong> LIJ, co-authored two<br />

abstracts accepted <strong>for</strong> publication at the Society <strong>of</strong> Surgical<br />

Oncology meeting in Orl<strong>and</strong>o, FL, this spring: “Gastric Cancer<br />

Surgery in a Low Volume Center – Are Long Term Outcomes<br />

Comparable?” <strong>and</strong> “<strong>Have</strong> Outcomes in Gastric Adenocarcinoma<br />

Improved over the Last Decade? A 20-Year Retrospective Review.”<br />

Patrick Basu, MD, chief <strong>of</strong> gastroenterology <strong>and</strong> gastrointestinal<br />

endoscopy at Forest Hills Hospital, <strong>and</strong> Sakina Farhat, MD, thirdyear<br />

medical resident, recently lectured on “Effect <strong>of</strong> Vitamin E<br />

<strong>and</strong> Alfa Lipoic Acid (ALA) in Non Alcoholic Fatty Liver Disease:<br />

A R<strong>and</strong>omized, Placebo Controlled Open Label Prospective<br />

Clinical Trial — VAIN Trial” at the Annual Scientific Meeting <strong>of</strong> the<br />

American College <strong>of</strong> Gastroenterology (ACG) in Washington, DC,<br />

<strong>and</strong> received the ACG Auxiliary Award <strong>for</strong> the best scientific paper<br />

by physicians in training or by a fellow/member <strong>of</strong> the ACG. <strong>The</strong>y<br />

also received the ACG 2011 Presidential Poster Award <strong>for</strong> “Single<br />

Use <strong>of</strong> Romilopostim Thrombopoietin Analogue (TPO) in Severe<br />

Thrombocytopenia <strong>for</strong> Outpatient Percutaneous Liver Biopsy in<br />

Patients with Chronic Liver<br />

Disease (CLD).”<br />

Catherine Blotiau,<br />

coordinator <strong>of</strong> the health system’s<br />

Department <strong>of</strong> Public Health<br />

Education <strong>and</strong> Nassau County’s<br />

58 Summer 2012<br />

Safe Kids coordinator, was one <strong>of</strong> the leaders <strong>of</strong> a “Train the<br />

Trainers” session held in Levittown in February. <strong>The</strong> trainees were<br />

16 Circle Kers, members <strong>of</strong> Circle K International, a Kiwanis<br />

service organization that is open to college <strong>and</strong> university students.<br />

<strong>The</strong> lessons included bike <strong>and</strong> helmet safety, fire safety, water safety,<br />

pedestrian safety <strong>and</strong> how to call 9-1-1.<br />

Leigh Briscoe-Dwyer, PharmD, RPh, chief pharmacy <strong>and</strong><br />

medical safety <strong>of</strong>ficer <strong>for</strong> the North Shore-LIJ Health System, has<br />

been named to the Executive Committee <strong>of</strong> the New York State<br />

Board <strong>of</strong> Pharmacy, which regulates the practice <strong>of</strong> pharmacy in<br />

the state. She is in line to chair the board in 2015.<br />

Alan Cooper, PhD, vice president <strong>of</strong> learning <strong>and</strong> innovation<br />

<strong>for</strong> the North Shore-LIJ Health System, associate dean <strong>for</strong><br />

knowledge management <strong>and</strong> associate pr<strong>of</strong>essor <strong>of</strong> science education<br />

<strong>and</strong> population health at the H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong><br />

Medicine, has been named associate editor <strong>for</strong> the Leadership<br />

<strong>and</strong> Organizational Development (LOD) collection <strong>of</strong> the MedEd<br />

PORTAL <strong>of</strong> the Association <strong>of</strong> American Medical Colleges (AAMC).<br />

<strong>The</strong> LOD collection is an online repository <strong>of</strong> innovative materials<br />

pertaining to leadership development <strong>and</strong> its relationship to<br />

improved organizational per<strong>for</strong>mance.<br />

Nick Fitterman, MD, FACP, FHM, has been elected governor<br />

<strong>of</strong> the American College <strong>of</strong> Physicians (ACP) <strong>for</strong> the Long Isl<strong>and</strong><br />

Region. Dr. Fitterman, medical director <strong>of</strong> the newly established<br />

Group Health Management <strong>and</strong> <strong>for</strong>mer director <strong>of</strong> hospitalist<br />

services <strong>and</strong> chief <strong>of</strong> staff at Huntington Hospital, began a oneyear<br />

term as governor-elect in April, to be followed by a four-year<br />

term as governor.<br />

Steven Fishbane, MD, director <strong>of</strong> research in the Department<br />

<strong>of</strong> Medicine, North Shore University Hospital <strong>and</strong> LIJ Medical<br />

Center, <strong>and</strong> vice president <strong>of</strong> network dialysis services, North<br />

Shore-LIJ Health System, was elected to the Board <strong>of</strong> Directors<br />

<strong>of</strong> the Renal Physicians Association (RPA), an association <strong>of</strong><br />

5,000 nephrologists. He also serves on their Government Affairs,<br />

Anemia <strong>and</strong> Quality, Safety <strong>and</strong> Accountability Committees.<br />

Sajith Foustin, MD, <strong>and</strong> Lynn Ang, MD, medical residents<br />

at Forest Hills Hospital, presented three posters at the Annual<br />

Scientific Meeting <strong>of</strong> the ACG in Washington, DC. <strong>The</strong> posters<br />

were: “Effect <strong>of</strong> Interferon Alpha on Parathyroid Gl<strong>and</strong> in Chronic<br />

Hepatitis B <strong>and</strong> C”; “Serum Retinol<br />

Binding Protein 4 (RBP) Is a<br />

Unique Surrogate Marker <strong>of</strong> End<br />

Stage Liver Disease” <strong>and</strong> “Irritable<br />

Bladder Syndrome (IBS) Is a Part <strong>of</strong><br />

Functional Bowel Syndrome (FBS).”


Marianne Frieri, MD, PhD, attending physician in medicine<br />

<strong>and</strong> pediatrics <strong>for</strong> the North Shore-LIJ Health System, presented a<br />

symposium entitled “Update on Asthma Pathogenesis, Treatment<br />

<strong>and</strong> Airway Remodeling” at the 2012 Eastern Regional Meeting <strong>of</strong><br />

the American Federation <strong>for</strong> Medical Research in Washington, DC.<br />

Christine Ginocchio, PhD, chief <strong>of</strong> microbiology at the North<br />

Shore-LIJ Health System Core Laboratory, is pictured on the cover<br />

<strong>of</strong> the April 2012 issue <strong>of</strong> CAP Today, a publication <strong>of</strong> the College <strong>of</strong><br />

American Pathologists, <strong>and</strong> was interviewed <strong>for</strong> a feature article. She<br />

called this “an excellent time to be working in infectious diseases.”<br />

Ariel T. Goldman, MD, orthopedic traumatologist at NSUH<br />

<strong>and</strong> LIJ, was recently inducted as a fellow <strong>of</strong> the American Academy<br />

<strong>of</strong> Orthopaedic Surgeons.<br />

Gady Har-El, MD, chairman <strong>of</strong> the Department <strong>of</strong><br />

Otolaryngology-Head <strong>and</strong> Neck Surgery at Lenox Hill Hospital,<br />

was elected secretary <strong>of</strong> the American Laryngological Association<br />

(ALA), one <strong>of</strong> the oldest subspecialty organizations in the<br />

world. Dr. Har-El, who also served in the past as president <strong>of</strong><br />

the ALA’s sister society, the American Broncho-Esophagological<br />

Association, was elected during the recent ALA Annual Meeting<br />

in San Diego. He will serve a four-year term.<br />

Cynthia Harden, MD, chief <strong>of</strong> epilepsy <strong>and</strong><br />

electroencephalography at the Cushing Neuroscience Institute, has<br />

coauthored an article published in a recent issue <strong>of</strong> Neurology, the<br />

prestigious medical journal <strong>of</strong> the American Academy <strong>of</strong> Neurology<br />

(AAN). <strong>The</strong> article issues an updated guideline that recommends<br />

monitoring the spinal cord during spinal surgery <strong>and</strong> certain<br />

chest surgeries to help prevent paralysis or loss <strong>of</strong> muscle function<br />

related to the surgeries.<br />

Clarita Herrera, MD, received the 2012 Bertha Van Hoosen<br />

Award at the 97th annual meeting <strong>of</strong> the American Medical Women’s<br />

Association (AMWA) in Miami. <strong>The</strong> annual award honors a woman<br />

physician who has been an active member <strong>of</strong> the association <strong>for</strong> at<br />

least five years <strong>and</strong> who has demonstrated exceptional leadership<br />

<strong>and</strong> service to AMWA. <strong>The</strong> award is named in honor <strong>of</strong> Bertha Van<br />

Hoosen, MD, who founded AMWA in 1915.<br />

Warren Huberman, PhD, affiliate clinical psychologist<br />

in the Department <strong>of</strong> Psychiatry at Lenox Hill Hospital, has<br />

written a book titled Through Thick & Thin: <strong>The</strong> Emotional Journey <strong>of</strong><br />

Weight Loss Surgery.<br />

Employee Development Ef<strong>for</strong>ts Get Some Bling<br />

<strong>The</strong> North Shore-LIJ Health<br />

System’s investment in staff<br />

development recently received<br />

high praise from the Br<strong>and</strong>on Hall<br />

Group. <strong>The</strong> research <strong>and</strong> analysis<br />

organization recognized Corporate<br />

Human Resources’ High Potential<br />

Program with the Gold Award <strong>for</strong><br />

Excellence in Talent Management <strong>for</strong><br />

Leadership Training.<br />

In addition, the health system<br />

was designated a member <strong>of</strong> the<br />

program’s Elite 8 <strong>for</strong> superior<br />

demonstration <strong>of</strong> organizational<br />

leadership. It is the program’s highest<br />

recognition – <strong>and</strong> North Shore-LIJ<br />

was the only healthcare organization<br />

selected <strong>for</strong> it. <strong>The</strong> North Shore-LIJ<br />

High Potential Program began in 2008<br />

to identify, develop <strong>and</strong> fast-track the<br />

organization’s top per<strong>for</strong>mers. To date,<br />

the program has had 444 participants<br />

with a retention rate <strong>of</strong> 90 percent.<br />

Furthermore, North Shore-LIJ<br />

was recently named one <strong>of</strong> the 50<br />

Most Engaged Workplaces in the US<br />

by Achievers, a national organization<br />

dedicated to developing solutions<br />

to reward work<strong>for</strong>ce per<strong>for</strong>mance.<br />

<strong>The</strong> award recognizes employers that<br />

demonstrate superior leadership<br />

<strong>and</strong> innovation toward engaging<br />

employees <strong>and</strong> commitment to<br />

creating thriving work environments.<br />

Joseph Cabral, center, senior vice president <strong>and</strong> chief human resources (HR)<br />

<strong>of</strong>ficer <strong>for</strong> the health system, accepted the award at the 50 Most Engaged<br />

Workplaces Gala. Accompanying him were Lisa D’Ambruoso, left, senior specialist<br />

<strong>of</strong> HR project content; <strong>and</strong> Claudine Cangiano, senior director <strong>of</strong> HR.<br />

<strong>The</strong> New St<strong>and</strong>ard 59


kudos<br />

Andrew Jacono, MD, section head <strong>of</strong> facial plastic <strong>and</strong><br />

reconstructive surgery at NSUH, presented lectures at several<br />

national meetings, including “Minimal Access Deep Plane<br />

Extended Face Lift” <strong>and</strong> “Utilizing a New Classification <strong>of</strong><br />

Midfacial Aging to Direct Treatments in Midfacial Rejuvenation” at<br />

the American Academy <strong>of</strong> Facial Plastic <strong>and</strong> Reconstructive Surgery<br />

Nation Rejuvenation <strong>of</strong> the Aging Face Course in San Diego.<br />

Ramtin Kassir, MD, FACS, otolaryngologist <strong>and</strong> facial<br />

plastic <strong>and</strong> reconstructive surgeon at Lenox Hill Hospital, was<br />

the primary investigator <strong>for</strong> the original research report “Intense<br />

Pulsed Light <strong>for</strong> the Treatment <strong>of</strong> Rosacea <strong>and</strong> Telangiectasias,”<br />

which was recently published in the Journal <strong>of</strong> Cosmetic <strong>and</strong> Laser<br />

<strong>The</strong>rapy, as well as <strong>for</strong> “Extensive Necrosis After Injection<br />

<strong>of</strong> Hyaluronic Acid Filler: Case Report <strong>and</strong> Review <strong>of</strong> the<br />

Literature,” recently published in the Journal <strong>of</strong> Cosmetic Dermatology.<br />

In addition, in January 2012, Dr. Kassir received his third board<br />

certification, this one in sleep medicine.<br />

Seymour Katz, MD, an attending gastroenterologist at North<br />

Shore University Hospital <strong>and</strong> LIJ Medical Center, recently<br />

received the 2011 Distinguished Physician Lifetime Achievement<br />

Award from the Crohn’s <strong>and</strong> Colitis Foundation <strong>of</strong> America <strong>for</strong><br />

his contributions to the management <strong>of</strong> patients with inflamma-<br />

Elaine Smith Is National Finalist<br />

In Nursing Spectrum Competition<br />

At the Nursing Spectrum gala in Teaneck, NJ, in<br />

June, it was announced that Elaine Smith, RN, MSN,<br />

North Shore-LIJ’s vice president <strong>for</strong> nursing education,<br />

is a regional winner <strong>and</strong> has moved on to the national<br />

level in the 2012 Nursing Spectrum Nursing Excellence<br />

competition. <strong>The</strong> national winners will be announced in<br />

the fall. Ms. Smith was a regional finalist in the Education &<br />

Mentoring category; three other regional finalists representing the North<br />

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

vice president <strong>for</strong> nursing research <strong>and</strong> evidence-based practice, <strong>and</strong> Cari<br />

Quinn, RN, MSN, associate executive director <strong>for</strong> patient care services at<br />

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

the Pr<strong>of</strong>ession category, <strong>and</strong> Lory Tortelli, BSN, RN, director <strong>of</strong> patient<br />

care services at North Shore-LIJ’s Goldman Diagnostic Imaging Center, in<br />

Community & Ambulatory Care.<br />

60 Spring 2012<br />

tory bowel disease <strong>and</strong> the education <strong>of</strong> physicians on the subject.<br />

He also delivered the keynote address at the annual meeting <strong>of</strong> the<br />

American College <strong>of</strong> Gastroenterology <strong>and</strong> received the Edward J.<br />

Berk Distinguished Lecturer Award.<br />

Andrew Roberts, director <strong>of</strong> the North Shore-LIJ Health<br />

System’s Office <strong>of</strong> Military <strong>and</strong> <strong>Veterans</strong> Liaison Services,<br />

administrator <strong>of</strong> the Rosen Family Wellness Center <strong>and</strong> project<br />

director <strong>for</strong> the soon-to-be-opened Unified Family Behavioral<br />

Health Center, a joint endeavor with the US Department <strong>of</strong><br />

<strong>Veterans</strong> Affairs, has been appointed to the New York State<br />

Council on Returning <strong>Veterans</strong> <strong>and</strong> <strong>The</strong>ir Families. <strong>The</strong> Rosen<br />

Center has been providing no-cost behavioral healthcare to law<br />

en<strong>for</strong>cement, military, veterans <strong>and</strong> their families since 2006<br />

<strong>and</strong> the Unified Family Behavioral Health Center will provide<br />

collaborative services to veterans <strong>and</strong> their families. He has also<br />

been appointed to the New York Community Trust <strong>Veterans</strong> Fund<br />

Advisory Committee, comprising representatives from public<br />

agencies, nonpr<strong>of</strong>it organizations <strong>and</strong> veterans’ advocates, which<br />

assesses the status <strong>of</strong> veterans’ services, determines where private<br />

dollars can be most useful <strong>and</strong> develops grant strategies.<br />

José A. Rodriguez, MD, orthopedic surgeon <strong>and</strong> section chief <strong>of</strong><br />

adult reconstruction at Lenox Hill Hospital, recently cowrote “Long-<br />

Term Results <strong>of</strong> Arthroscopic Labral Debridement: Predictors <strong>of</strong><br />

Outcomes” <strong>for</strong> Orthopedics. He was also a podium co-presenter at the<br />

Eastern Orthopedic Association 2011 Annual Meeting in Kingsmill,<br />

VA. <strong>The</strong> topics included: “Fixation <strong>of</strong> Unstable Intertrochanteric<br />

Fractures in Internal Rotation: An Important Predictor <strong>of</strong> Fracture<br />

Union,” “Metaphyseal Sleeves in Revision TKA with Bone Loss –<br />

Does Cementation <strong>Have</strong> a Role?” <strong>and</strong> “Sexual Function Be<strong>for</strong>e <strong>and</strong><br />

After Primary Total Hip <strong>and</strong> Knee Arthroplasty.”<br />

Elise M. Ross, the Hospice Care Network’s vice president<br />

<strong>for</strong> human resources, received the Joseph C. Duffy Lifetime<br />

Achievement Award from the Society <strong>of</strong> Human Resource<br />

Management’s Long Isl<strong>and</strong> Chapter.<br />

Jesse Roth, MD, diabetes researcher at <strong>The</strong> Feinstein Institute<br />

<strong>for</strong> Medical Research, was presented with an honorary doctoral<br />

degree by Ben-Gurion University <strong>of</strong> the Negev at the 42nd Board<br />

<strong>of</strong> Governors Meeting held recently in Beer-Sheva, Israel. Dr.<br />

Roth is pr<strong>of</strong>essor <strong>of</strong> medicine at the H<strong>of</strong>stra North Shore-LIJ<br />

School <strong>of</strong> Medicine. He is also a pr<strong>of</strong>essor at the Elmezzi Graduate<br />

School <strong>of</strong> Molecular Medicine, <strong>and</strong> an investigator at the Laboratory<br />

<strong>of</strong> Diabetes & Metabolic Disorders, both <strong>of</strong> which operate in<br />

collaboration with the Feinstein.


Carlos E. Ruiz, MD, PhD, director <strong>of</strong> the structural<br />

<strong>and</strong> congenital heart disease program <strong>of</strong> the Department <strong>of</strong><br />

Interventional Cardiology at Lenox Hill Hospital, recently wrote<br />

“Optimizing Transcatheter Aortic Valve Sizing <strong>and</strong> Minimizing<br />

Vascular Complications,” <strong>and</strong> cowrote “Percutaneous Closure<br />

<strong>of</strong> Periprosthetic Paravalvular Leaks,” “Clinical Outcomes in<br />

Patients Undergoing Percutaneous Closure <strong>of</strong> Periprosthetic<br />

Paravalvular Leaks” <strong>and</strong> “Clinical Experience with Percutaneous<br />

Left Ventricular Transapical Access <strong>for</strong> Interventions in Structural<br />

<strong>Heart</strong> Defects: A Safe Access <strong>and</strong> Secure Exit” <strong>for</strong> the Journal <strong>of</strong> the<br />

American College <strong>of</strong> Cardiology. In addition, he coauthored “Vacuum<br />

Thrombectomy <strong>of</strong> Large Right Atrial Thrombus” <strong>for</strong> Catheterization<br />

Cardiovascular Interventions, “Percutaneous Mitral Valve Treatment” <strong>for</strong><br />

Minerva Cardiologica, <strong>and</strong> “Use <strong>of</strong> Multi-Modality Imaging in a Patient<br />

with a Persistent Left Superior Vena Cava, Partial Anomalous<br />

Pulmonary Venous Connection, <strong>and</strong> Sinus Venosus-Type Atrial<br />

Septal Defect” <strong>for</strong> the European <strong>Heart</strong> Journal.<br />

Neil Sanghvi, MD, cardiologist <strong>and</strong> cardiac electrophysiologist<br />

at Lenox Hill Hospital, recently wrote “Mechanisms <strong>and</strong> Application<br />

<strong>of</strong> Cardiac Cryoablation” <strong>for</strong> EP Lab Digest.<br />

Giles R. Scuderi, MD, vice president <strong>of</strong> orthopedic services<br />

<strong>for</strong> the North Shore-LIJ Health System, coauthored several<br />

chapters <strong>of</strong> the 2012 edition <strong>of</strong> the textbook Surgery <strong>of</strong> the Knee.<br />

<strong>The</strong>se include “Surgical Approaches in Total Knee Arthroplasty,”<br />

“Posterior Cruciate Ligament Substituting Total Knee Arthroplasty,”<br />

“Complications <strong>of</strong> Total Knee Arthroplasty” <strong>and</strong> “Revision <strong>of</strong><br />

Aseptic Failed Total Knee Arthroplasty.” Dr. Scuderi <strong>and</strong><br />

Nicholas A. Sgaglione, MD, chair <strong>of</strong> orthopedic surgery at<br />

NSUH <strong>and</strong> LIJ, were recently named to the “125 Outst<strong>and</strong>ing<br />

Knee Surgeons” list published by Becker’s Orthopedic, Spine & Pain<br />

Management Review.<br />

Michael Setzen, MD, FACS, FAAP, chief <strong>of</strong> rhinology at NSUH,<br />

recently served as program organizer <strong>and</strong> scientific chairman <strong>for</strong><br />

the December 2011 meeting <strong>of</strong> the American College <strong>of</strong> Surgeons,<br />

co-sponsored by the Nassau Surgical Society <strong>and</strong> the Brooklyn<br />

Long Isl<strong>and</strong> Chapter. <strong>The</strong> keynote speaker was Mike Francesa <strong>of</strong><br />

WFAN’s “Mike <strong>and</strong> the Mad Dog” <strong>and</strong> “Miked Up” programs. This<br />

year’s attendance set a record <strong>of</strong><br />

510 surgeons, many from the<br />

North Shore-LIJ Health System.<br />

Terence Smith, administrator<br />

<strong>of</strong> Huntington Hospital’s<br />

Dolan Family Health Center, was<br />

Kanti Rai, MD,<br />

Receives ASCO Award<br />

Kanti R. Rai, MD, BS, one <strong>of</strong> the Special Awards<br />

Honorees <strong>of</strong> the American Society <strong>for</strong> Clinical Oncology, is the<br />

recipient <strong>of</strong> the 2012 David A. Karn<strong>of</strong>sky Memorial Award <strong>and</strong><br />

Lecture <strong>for</strong> his outst<strong>and</strong>ing achievements in<br />

cancer research <strong>and</strong> <strong>for</strong> his influence on the<br />

treatment <strong>of</strong> patients with cancer. Dr. Rai is<br />

chief <strong>of</strong> the North Shore-LIJ Health System’s<br />

Chronic Lymphocytic Leukemia Research <strong>and</strong><br />

Treatment Program <strong>and</strong> the Joel Finkelstein<br />

Cancer Foundation Pr<strong>of</strong>essor <strong>of</strong> Medicine at<br />

the H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine, where he<br />

also holds the title <strong>of</strong> pr<strong>of</strong>essor <strong>of</strong> molecular medicine. As an<br />

investigator with <strong>The</strong> Feinstein Institute <strong>for</strong> Medical Research,<br />

Dr. Rai is known <strong>for</strong> establishing the Rai clinical staging system<br />

<strong>for</strong> chronic lymphocytic leukemia (CLL), which is based on an<br />

analysis <strong>of</strong> how the body is affected by the abnormal lymphocytes.<br />

Giles Scuderi, MD,<br />

Knee Society President<br />

Giles R. Scuderi, MD, vice president <strong>of</strong> orthopedic<br />

services <strong>for</strong> the North Shore-LIJ Health System <strong>and</strong> an<br />

attending at Franklin <strong>and</strong> Lenox Hill Hospitals, was recently<br />

appointed president <strong>of</strong> <strong>The</strong> Knee Society at its Open Meeting<br />

in San Francisco. <strong>The</strong> Knee Society, founded<br />

in 1983, is a closed-membership organization<br />

<strong>of</strong> orthopedic surgeons specializing in<br />

treatment <strong>of</strong> the knee joint. Dr. Scuderi has<br />

served on the society’s executive board <strong>for</strong> the<br />

last decade in numerous leadership positions.<br />

He also chaired the Society’s Research<br />

Committee <strong>and</strong> plays an instrumental role in the development<br />

<strong>and</strong> worldwide distribution <strong>of</strong> <strong>The</strong> 2011 Knee Society Scoring<br />

System © , a universally recognized outcomes measurement tool.<br />

one <strong>of</strong> the honorees at the Leadership Huntington gala <strong>and</strong> graduation<br />

<strong>of</strong> the class <strong>of</strong> 2012 in April, receiving the Community Leadership<br />

Award. He is described by Leadership Huntington as a “passionate<br />

advocate <strong>for</strong> af<strong>for</strong>dable community healthcare.” <strong>The</strong> Dolan<br />

Family Health Center opened its doors in October 1995 as Long<br />

Isl<strong>and</strong>’s only privately owned, charitably supported, free-st<strong>and</strong>ing<br />

facility dedicated to providing primary <strong>and</strong> preventive healthcare to<br />

uninsured <strong>and</strong> underinsured families.<br />

<strong>The</strong> New St<strong>and</strong>ard 61


kudos<br />

Donald Tanenbaum, DDS, section head <strong>of</strong> the Division <strong>of</strong><br />

Or<strong>of</strong>acial Pain/TMD/Dental Sleep Medicine in the Department<br />

<strong>of</strong> Dental Medicine at LIJ <strong>and</strong> clinical assistant pr<strong>of</strong>essor at the<br />

H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine, has written a new<br />

book, Doctor, Why Does My Face Still Ache?, which provides in<strong>for</strong>mation<br />

<strong>and</strong> solutions <strong>for</strong> the 75 million Americans suffering intense ear,<br />

teeth <strong>and</strong> jaw pain, which can also cause severe headaches, loud<br />

snoring <strong>and</strong> sleep problems.<br />

A research study led by Lily Thomas, RN, North Shore-LIJ<br />

vice president <strong>for</strong> nursing research <strong>and</strong> evidence-based practice,<br />

which was conducted at NSUH, is the basis <strong>for</strong> an article that<br />

appeared recently in the American Journal <strong>of</strong> Hospice <strong>and</strong> Palliative Care<br />

Nursing. Kathy Trombley, RN, <strong>and</strong> Mary Brennan, RN, <strong>of</strong> NSUH,<br />

brought to Ms. Thomas’s attention their observations that patients<br />

in the Palliative Care Unit developed what appeared to be pressure<br />

injuries within hours or days <strong>of</strong> their death, <strong>and</strong> she helped<br />

them design the study. Discovery <strong>of</strong> what has been named the<br />

Trombley-Brennan pressure injury is a major breakthrough in<br />

underst<strong>and</strong>ing pressure injuries.<br />

Kevin J. Tracey, MD, president <strong>of</strong> <strong>The</strong> Feinstein Institute <strong>for</strong><br />

Medical Research, was inducted into the Long Isl<strong>and</strong> Technology<br />

Hall <strong>of</strong> Fame (LITHF) in May. He was selected <strong>for</strong> his personal<br />

accomplishments <strong>and</strong> the accomplishments <strong>of</strong> researchers at the<br />

Feinstein Institute. “I’m honored to be inducted into the Long<br />

Isl<strong>and</strong> Technology Hall <strong>of</strong> Fame <strong>and</strong> am proud <strong>of</strong> the research<br />

conducted at the Feinstein Institute,” said Dr. Tracey. “We work<br />

every day at the Feinstein to study disease so that we can cure<br />

disease, <strong>and</strong> this kind <strong>of</strong> recognition is very much appreciated.”<br />

Sung K. Min, chair <strong>of</strong> the board <strong>of</strong> directors <strong>of</strong> the Korean-<br />

American Association <strong>of</strong> Greater New York (KAAGNY), recently<br />

presented Mark Solazzo, executive vice president <strong>and</strong> chief operating<br />

<strong>of</strong>ficer <strong>of</strong> the North Shore-LIJ Health System, with an appreciation<br />

award in recognition <strong>of</strong> the health system’s support <strong>of</strong> KAAGNY’s<br />

recent gala celebrating its 52nd anniversary. In addition, KAAGNY<br />

presented Emily Kao, RPh, associate executive director at North<br />

Shore University Hospital, with its Person <strong>of</strong> the Year Award.<br />

Adrianna Vlachos, MD, a pediatric oncologist/hematologist<br />

at Cohen Children’s Medical Center (CCMC), <strong>and</strong> Jeffrey M.<br />

Lipton, MD, PhD, chief <strong>of</strong> hematology/oncology at CCMC <strong>and</strong><br />

head <strong>of</strong> the Feinstein Institute’s Susan & Herman Merin<strong>of</strong>f Center<br />

<strong>for</strong> Patient-Oriented Research, were among the coauthors <strong>of</strong><br />

“Cancer Surveillance Defines Diamond Blackfan Anemia (DBA)<br />

62 Summer 2012<br />

As a Cancer Predisposition Syndrome,” which received the award<br />

<strong>for</strong> best abstract in the general category <strong>of</strong> epidemiology at the 2nd<br />

National Conference on Blood Disorders in Public Health held in<br />

March in Atlanta.<br />

Robert Waldbaum, MD, has received a 50-year citation from<br />

the Nassau County Medical Society. Dr. Waldbaum is chairman<br />

emeritus <strong>of</strong> urology at North Shore University Hospital, where he<br />

was the hospital’s first chairman <strong>of</strong> urology <strong>and</strong> served as director<br />

<strong>of</strong> urology <strong>for</strong> more than 30 years.<br />

Bruce Zagelbaum, MD, FACS, has co-authored a book chapter<br />

in the ophthalmology textbook series Duane’s Clinical Ophthalmology,<br />

published by Lippincott Williams & Wilkins. <strong>The</strong> chapter is<br />

titled “Surgical Management<br />

<strong>of</strong> Anterior Segment Trauma.”<br />

Another book coauthored by<br />

Dr. Zagelbaum, Ophthalmic Surgical<br />

Procedures, was recently published<br />

in a Portuguese language<br />

translation.<br />

Eli Cometh<br />

Super Bowl champion New York Giants’ quarterback Eli Manning was the<br />

keynote speaker at North Shore University Hospital’s Medical Staff Society<br />

Annual Meeting May 14 at the Garden City Hotel. Among those welcoming him<br />

were Carole Moodhe, MD, right, the medical staff society’s president. State<br />

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


Project Sunshine<br />

Honors Michael Dowling<br />

Michael Dowling, president <strong>and</strong> CEO <strong>of</strong> the North Shore-LIJ Health System (left),<br />

was the honoree at the recent benefit celebration <strong>of</strong> Project Sunshine, held at<br />

Cipriani Wall Street in Manhattan. Project Sunshine is a nonpr<strong>of</strong>it organization<br />

that provides free educational, recreational <strong>and</strong> social programs to children <strong>and</strong><br />

families living with medical challenges. Pictured with Mr. Dowling is Bernard<br />

Ros<strong>of</strong>, MD, chair <strong>of</strong> the Board <strong>of</strong> Directors <strong>of</strong> Huntington Hospital <strong>and</strong> a member <strong>of</strong><br />

the Executive Committee <strong>of</strong> the North Shore-LIJ Health System Board <strong>of</strong> Trustees.<br />

NEW HYDE PARK — For<br />

the sixth consecutive year, the<br />

Steven <strong>and</strong> Alex<strong>and</strong>ra Cohen<br />

Children’s Medical Center <strong>of</strong><br />

New York (CCMC) has been<br />

ranked among the best children’s<br />

hospitals in the nation in US<br />

News & World Report’s 2012-13<br />

“America’s Best Children’s<br />

Hospitals” survey.<br />

CCMC placed among<br />

the top 50 hospitals in seven<br />

different pediatric specialty<br />

areas surveyed in the magazine’s<br />

annual rankings, specifically:<br />

cancer, diabetes <strong>and</strong><br />

endocrinology; neonatalogy;<br />

nephrology; neurology <strong>and</strong><br />

neurosurgery; pulmonology<br />

<strong>and</strong> urology. <strong>The</strong> hospital was<br />

ranked 16th in the nation <strong>for</strong><br />

pediatric urology, its highest<br />

placement in the survey.<br />

<strong>The</strong> U.S. News Rankings<br />

are based on a hospital’s<br />

reputation, medical outcomes<br />

such as death <strong>and</strong> infection<br />

rates, <strong>and</strong> care-related<br />

New MPH Program<br />

at H<strong>of</strong>stra<br />

HEMPSTEAD — In collaboration with the North Shore-LIJ Health System <strong>and</strong> the<br />

H<strong>of</strong>stra-North Shore LIJ School <strong>of</strong> Medicine, H<strong>of</strong>stra University has created a<br />

Master <strong>of</strong> Public Health (MPH) program scheduled to begin September 4.<br />

H<strong>of</strong>stra is accepting applications <strong>and</strong> enrolling students through mid-<br />

August. <strong>The</strong> MPH program <strong>of</strong>fers an innovative, interdisciplinary curriculum <strong>and</strong><br />

advanced training <strong>for</strong> the next generation <strong>of</strong> health pr<strong>of</strong>essionals. <strong>The</strong> faculty<br />

includes clinicians, practitioners, researchers, policymakers <strong>and</strong> policy analysts<br />

from H<strong>of</strong>stra’s programs in health pr<strong>of</strong>essions, the North Shore-LIJ Health<br />

System <strong>and</strong> the medical school. <strong>The</strong>ir combined decades <strong>of</strong> experience provide<br />

students with a strong academic foundation <strong>and</strong> the practical preparation<br />

necessary to meet the challenges <strong>of</strong> increasingly complex <strong>and</strong> changing health<br />

care policy re<strong>for</strong>ms.<br />

Advanced training in public health enables healthcare pr<strong>of</strong>essionals to<br />

identify risks to health <strong>and</strong> prevention strategies <strong>and</strong> interventions earlier in<br />

the disease process, leading to a more efficient <strong>and</strong> effective health system.<br />

<strong>The</strong> program is designed to accommodate full-time pr<strong>of</strong>essionals, <strong>and</strong> can be<br />

completed on a part-time basis in less than three years. For more in<strong>for</strong>mation<br />

about this dynamic new program go to www.h<strong>of</strong>stra.edu/publichealth or contact<br />

H<strong>of</strong>stra University’s Office <strong>of</strong> Graduate Admissions at www.h<strong>of</strong>stra.edu/graduate<br />

or 1-866 -GRADHOF.<br />

US News Ranks Cohen Among America’s Best<br />

Children’s Hospitals <strong>for</strong> Sixth Straight Year<br />

indicators such as patient<br />

volume, nurse staffing <strong>and</strong><br />

availability <strong>of</strong> specialized<br />

programs. <strong>The</strong> magazine’s<br />

“Best Children’s Hospitals”<br />

edition is accessible online<br />

at www.usnews.com/<br />

childrenshospitals.<br />

“<strong>The</strong> US News & World Report<br />

rankings provide unparalleled,<br />

quality-related in<strong>for</strong>mation<br />

<strong>and</strong> serve as an invaluable<br />

guide <strong>for</strong> parents looking<br />

to make decisions regarding<br />

high quality healthcare <strong>for</strong><br />

their children,” said Kevin<br />

McGeachy, CCMC’s executive<br />

director. “Being ranked <strong>for</strong><br />

six straight years as one <strong>of</strong><br />

the nation’s best pediatric<br />

hospitals is testament to the<br />

excellent care provided by our<br />

physicians <strong>and</strong> nurses. It is<br />

one <strong>of</strong> the reasons the Cohen<br />

Children’s Medical Center<br />

is a destination hospital <strong>for</strong><br />

children from around the<br />

world.”<br />

<strong>The</strong> New St<strong>and</strong>ard 63


Franklin to Exp<strong>and</strong> Care to JFK<br />

VALLEY STREAM — Franklin Hospital<br />

is providing additional around-theclock<br />

healthcare services <strong>for</strong> JFK<br />

International Airport staff <strong>and</strong> patrons,<br />

as part <strong>of</strong> a new clinical affiliation<br />

agreement with Airport Medical Offices<br />

(AMO). <strong>The</strong> agreement enhances the<br />

services provided by AMO by <strong>of</strong>fering<br />

airport employees <strong>and</strong> patrons an<br />

additional treatment site <strong>and</strong> greater<br />

access to care — including inpatient,<br />

outpatient <strong>and</strong> emergency services —<br />

at Franklin Hospital, a short distance<br />

from the airport.<br />

In case patients require<br />

specialized treatment, they will<br />

now have 24/7 access to the full<br />

Photo courtesy <strong>of</strong> NYRR<br />

64 Summer 2012<br />

range <strong>of</strong> services <strong>of</strong>fered by<br />

Franklin Hospital <strong>and</strong> the North<br />

Shore LIJ Health System, including:<br />

cancer care, cardiology, wound<br />

care, neurology, orthopedics, pain<br />

management, psychiatry, radiology,<br />

rehabilitation <strong>and</strong> surgery. Franklin<br />

<strong>and</strong> AMO will also partner to provide<br />

preventive care, health <strong>and</strong> wellness<br />

in<strong>for</strong>mation <strong>and</strong> screenings at the<br />

airport <strong>and</strong> local venues. “We are<br />

pleased to partner with AMO to bring<br />

a comprehensive array <strong>of</strong> specialty<br />

care to those who work <strong>and</strong> live in<br />

<strong>and</strong> around our shared communities,”<br />

said Catherine Hottendorf, RN,<br />

new executive director <strong>of</strong> Franklin<br />

Hospital. “Our physicians, nurses<br />

<strong>and</strong> clinical <strong>and</strong> administrative staff<br />

are looking <strong>for</strong>ward to providing<br />

high-quality, compassionate care to<br />

AMO patients.”<br />

AMO caters to the healthcare<br />

needs <strong>of</strong> employees, travelers <strong>and</strong><br />

those that reside in the surrounding<br />

communities. <strong>The</strong> program provides<br />

a full range <strong>of</strong> healthcare services,<br />

including all aspects <strong>of</strong> occupational<br />

health <strong>and</strong> medical treatment <strong>for</strong><br />

accidents, injuries <strong>and</strong> illnesses<br />

in the workplace, primary care,<br />

internal medicine, family practice<br />

<strong>and</strong> urgent care, <strong>and</strong> AMO clinicians<br />

will also become credentialed to care<br />

Health System<br />

Helps Kick Off<br />

City Parks Event<br />

Staff from Lenox Hill Hospital, the<br />

Manhattan Eye, Ear <strong>and</strong> Throat<br />

Hospital (MEETH) <strong>and</strong> the North<br />

Shore-LIJ Health System were out<br />

in <strong>for</strong>ce in April during the City<br />

Parks Foundation’s annual Run<br />

<strong>for</strong> the Parks in Central Park. <strong>The</strong><br />

four-mile race, sponsored by North<br />

Shore-LIJ, which kicked <strong>of</strong>f the<br />

running season in New York City,<br />

has the distinction <strong>of</strong> being the<br />

largest one-day running event in<br />

Central Park. <strong>The</strong>re was also a kids’<br />

race (top). Lenox Hill <strong>and</strong> MEETH<br />

staff provided free blood pressure<br />

screenings <strong>and</strong> pocket-sized<br />

sunscreen to the more than 7,000<br />

runners who turned out <strong>and</strong> other<br />

participants. In the bottom photo,<br />

Jennifer Mieres, MD, left, senior<br />

vice president <strong>of</strong> North Shore-LIJ’s<br />

Office <strong>of</strong> Community <strong>and</strong> Public<br />

Health, greeted the race’s overall<br />

winner, Ro Crispin, <strong>of</strong> Clifton,<br />

NJ, who burned up the course in<br />

20:26 – a 5:07 pace.<br />

<strong>for</strong> patients at Franklin Hospital.<br />

Patients are welcome 24 hours a<br />

day, seven days a week <strong>and</strong> Airport<br />

Medical participates with most major<br />

insurance plans.<br />

“<strong>The</strong> affiliation with Franklin<br />

Hospital provides our patients<br />

with access to the highest levels <strong>of</strong><br />

specialty care available,” said Thomas<br />

D. Kelliher, Esq., executive director<br />

<strong>of</strong> AMO. “We are proud to work with<br />

such a top-notch team <strong>of</strong> healthcare<br />

pr<strong>of</strong>essionals <strong>and</strong> happy to advance<br />

our mission to provide timely access<br />

to exceptional healthcare, coupled<br />

with extraordinary convenience, to<br />

our patients.”


life SAVER<br />

Employee<br />

Blood Drives<br />

7/10 Franklin Hospital<br />

7/11 Glen Cove Hospital<br />

7/11 SIUH South<br />

7/12 Plainview Hospital<br />

7/17 NSUH<br />

7/17 SIUH North<br />

7/18 NSUH<br />

JULY<br />

7/19 Center <strong>for</strong> Advanced Medicine<br />

(CFAM)<br />

7/19 Administrative Offices-<br />

Westbury<br />

7/25 SIUH Pouch<br />

7/27 Corporate Offices-<br />

Lake Success<br />

8/8 SIUH North<br />

8/15 Physician <strong>and</strong> Ambulatory<br />

AUGUST<br />

Network Services (PAANS)<br />

8/15 SIUH South<br />

8/23 Southside Hospital<br />

8/24 Forest Hills Hospital<br />

Lenox Hill Auxiliary Hosts Luncheon<br />

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

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

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

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

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

panel members Maja Zaric, MD, Tara Narula, MD, <strong>and</strong> Lara Oboler, MD, with moderator Holly Phillips.<br />

North Shore-LIJ: A Great Place to Work<br />

Becker’s Hospital Review <strong>and</strong> Becker’s ASC Review have again selected the North Shore-LIJ Health<br />

System as one <strong>of</strong> the 100 Great Places to Work in Healthcare. Making the list <strong>for</strong> the second<br />

consecutive year, North Shore-LIJ was chosen <strong>for</strong> its “demonstrated excellence in providing<br />

robust benefits, wellness initiatives, pr<strong>of</strong>essional development opportunities <strong>and</strong> atmospheres<br />

<strong>of</strong> employee unity <strong>and</strong> satisfaction.”<br />

Several factors earned North Shore-LIJ a spot on the list, including:<br />

o the opening <strong>of</strong> the new H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine;<br />

o pr<strong>of</strong>essional development courses <strong>of</strong>fered through the health system’s Center <strong>for</strong><br />

Learning <strong>and</strong> Innovation;<br />

o extensive tuition reimbursement <strong>for</strong> advanced college degrees, including a master’s<br />

program in healthcare or quality management at H<strong>of</strong>stra University, as well as a nursing<br />

doctorate program;<br />

o programs to identify, develop <strong>and</strong> fast-track its top per<strong>for</strong>mers;<br />

o a wellness program that <strong>of</strong>fers Zumba, yoga, guided imagery, meditation, nutrition <strong>and</strong><br />

other fitness classes to employees; <strong>and</strong><br />

o the introduction <strong>of</strong> a new “CEO Chat” in which President <strong>and</strong> CEO Michael Dowling<br />

addresses the work<strong>for</strong>ce.<br />

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

<strong>The</strong> New St<strong>and</strong>ard 65


Hospital <strong>and</strong> Clinical Leadership Changes<br />

North Shore-LIJ President <strong>and</strong> Chief Executive Officer Michael<br />

Dowling <strong>and</strong> Chief Operating Officer Mark Solazzo recently<br />

announced the following changes to the health system’s hospital<br />

<strong>and</strong> clinical leadership teams:<br />

Winifred Mack, RN, BSN, has been<br />

named regional executive director <strong>for</strong> the<br />

health system’s Eastern Region, which<br />

includes Franklin, Huntington, Plainview,<br />

Southside <strong>and</strong> Syosset Hospitals. Ms.<br />

Mack’s responsibilities include coordinating<br />

activities within the region to focus on<br />

building physician partnerships <strong>and</strong> looking<br />

<strong>for</strong> new opportunities <strong>for</strong> growth <strong>and</strong> investment.<br />

She succeeds Deborah Tascone, RN, who resigned in March <strong>for</strong><br />

health reasons.<br />

Donna Moravick, NP, succeeds Winnie Mack<br />

as executive director <strong>of</strong> Southside Hospital.<br />

She is responsible <strong>for</strong> oversight <strong>of</strong> the hospital<br />

<strong>and</strong> works closely with members <strong>of</strong> Southside’s<br />

management team <strong>and</strong> Ms. Mack as the<br />

regional executive director.<br />

William O’Connell, RN, succeeds Donna<br />

Moravick as vice president <strong>for</strong> North Shore-<br />

LIJ’s cardiac service line, with oversight <strong>for</strong><br />

daily operations <strong>of</strong> cardiac services at our<br />

tertiary hospitals, community hospitals <strong>and</strong><br />

ambulatory sites. Mr. O’Connell is also<br />

responsible <strong>for</strong> the service line’s financial<br />

<strong>and</strong> operational per<strong>for</strong>mance, <strong>and</strong> works with<br />

senior administrators <strong>and</strong> physicians developing<br />

strategic business plans <strong>and</strong> new programs.<br />

Joseph Manopella has been named vice<br />

president <strong>of</strong> Physician <strong>and</strong> Ambulatory<br />

Network Services (PAANS) regional strategy<br />

<strong>and</strong> business development. He is responsible<br />

<strong>for</strong> creating regional physician strategy,<br />

working with Deborah Schiff, PAANS’ vice<br />

president <strong>of</strong> strategy <strong>and</strong> business development.<br />

Catherine Hottendorf, RN, succeeds<br />

Joe Manopella as executive director <strong>of</strong><br />

Franklin Hospital. She oversees day-today<br />

administration <strong>of</strong> the hospital <strong>and</strong> is<br />

responsible <strong>for</strong> finance, operations, quality,<br />

patient satisfaction <strong>and</strong> staff per<strong>for</strong>mance.<br />

66 Summer 2012<br />

Patricia Farrell, RN, succeeds Cathy<br />

Hottendorf as associate executive director<br />

<strong>of</strong> patient care services at Southside. As<br />

the hospital’s chief nursing <strong>of</strong>ficer, she has<br />

oversight <strong>for</strong> all nursing services, including<br />

strategic planning, budget management <strong>and</strong><br />

regulatory compliance.<br />

Eileen Lovett, currently the vice president<br />

<strong>of</strong> ambulatory services at PAANS at Lenox<br />

Hill Hospital, has been named vice<br />

president <strong>of</strong> physician administration at<br />

Staten Isl<strong>and</strong> University Hospital. She has<br />

oversight <strong>for</strong> SIUH physician relations.<br />

Joseph Baglio, currently the deputy<br />

executive director at Plainview Hospital, has<br />

been appointed assistant vice president <strong>of</strong><br />

physician administration at Lenox Hill<br />

Hospital, succeeding Eileen Lovett. He<br />

is responsible <strong>for</strong> managing day-to-day<br />

physician partnerships <strong>and</strong> relationships<br />

with the hospital’s faculty.<br />

Ann Roderick, RN, currently the assistant<br />

director <strong>of</strong> cardiology services at LIJ Medical<br />

Center, has been appointed director <strong>of</strong><br />

cardiac services at LIJ Medical Center,<br />

succeeding Pat Farrell. In this role, she<br />

is responsible <strong>for</strong> patient care, business<br />

development, clinical management, finance<br />

<strong>and</strong> quality management <strong>for</strong> the hospital’s<br />

cardiac services.<br />

Cathy Devlin, RN, currently the associate executive director<br />

at Southside, has been named assistant vice president <strong>of</strong><br />

perioperative services <strong>for</strong> the health system. She assists in the<br />

development, coordination <strong>and</strong> administration <strong>of</strong> perioperative<br />

services; has oversight <strong>for</strong> related in<strong>for</strong>mation systems <strong>and</strong><br />

technology; <strong>and</strong> facilitates quality improvement initiatives.<br />

Please join us in congratulating these individuals <strong>and</strong> wishing<br />

them success in their new positions.


PAANS Exp<strong>and</strong>s to Meet Community Needs<br />

MANHASSET — As the North Shore-LIJ Health System adapts to meet the future<br />

needs <strong>of</strong> the communities it serves throughout the metropolitan area, there<br />

has been a major focus on the evolution <strong>of</strong> our clinical <strong>and</strong> business models.<br />

Physician <strong>and</strong> Ambulatory Network Services (PAANS) continues to play a major<br />

role in this realignment as the paradigm shifts from providing care in the<br />

traditional hospital setting to an even greater focus on the care provided outside<br />

<strong>of</strong> the hospital.<br />

In the four years since PAANS was established, its network has grown from<br />

a budget <strong>of</strong> $450 million to $1.1 billion this year. During this same period, PAANS<br />

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

in employed physicians. <strong>The</strong> health system now has more than 2,400 full-time<br />

physicians geographically dispersed over nearly 250 inpatient <strong>and</strong> ambulatory<br />

facilities – <strong>and</strong> those numbers continue to grow. In a recent issue <strong>of</strong> Modern<br />

Healthcare magazine, the North Shore-LIJ Medical Group was ranked as the<br />

nation’s sixth-largest group practice, larger than the Mayo Clinic <strong>and</strong> numerous<br />

other nationally recognized providers.<br />

“We would like to acknowledge <strong>and</strong> express our appreciation <strong>for</strong> the<br />

work <strong>and</strong> ef<strong>for</strong>ts <strong>of</strong> the clinical leadership <strong>of</strong> the Medical Group in guiding <strong>and</strong><br />

developing this rapid growth in size <strong>and</strong> scope <strong>of</strong> services,” said Dennis Dowling,<br />

regional executive director <strong>of</strong> PAANS.<br />

PAANS’ expansion requires the health system to work differently to ensure<br />

that it meets the needs <strong>of</strong> its integrated network <strong>of</strong> employed physicians,<br />

ambulatory care centers, state-<strong>of</strong>-the-art tertiary care facilities, premier local<br />

community hospitals, nationally ranked specialty care hospitals <strong>and</strong>, most<br />

importantly, its patients. To support those ef<strong>for</strong>ts, PAANS is adding talent <strong>and</strong><br />

building the infrastructure needed to position it <strong>for</strong> continued success.<br />

<strong>The</strong> following individuals were recently appointed to work with PAANS’<br />

leadership — Dennis Dowling, Deborah Schiff, Sharon <strong>Joy</strong>, Kim Schneider,<br />

Rosalie Long <strong>and</strong> Andrew Sama, MD, chair <strong>of</strong> the North Shore-LIJ Medical Group’s<br />

Executive Committee — to help lead the trans<strong>for</strong>mation <strong>and</strong> continued growth:<br />

Joseph Moscola, PA-C, MBA, has been promoted to<br />

vice president <strong>of</strong> ambulatory services. He joins PAANS<br />

from his previous role as director <strong>of</strong> corporate services<br />

system operations. In his new role, he oversees the<br />

development, integration <strong>and</strong> coordination <strong>of</strong> ambulatory<br />

operations, affiliated relationships, marketing,<br />

communications <strong>and</strong> operational responsibilities. <strong>The</strong>se<br />

include both financial <strong>and</strong> strategic planning activities.<br />

Mr. Moscola reports to Mr. Dowling.<br />

Susan Browning, BA, MPH, has been named vice<br />

president <strong>of</strong> ambulatory services. Her previous role<br />

was at Staten Isl<strong>and</strong> University Hospital as senior<br />

vice president <strong>of</strong> business development <strong>and</strong> practice<br />

management. In her new role, she oversees the<br />

day-to-day program development <strong>of</strong> the ambulatory<br />

sites established throughout the health system, with a<br />

focus on capital <strong>and</strong> facilities. Ms. Browning reports to<br />

Deborah Schiff, PAANS’ vice president <strong>of</strong> strategy <strong>and</strong><br />

business development.<br />

Anne Arthur, BS, MBA, has been promoted to<br />

assistant vice president <strong>of</strong> ambulatory services. She<br />

joins PAANS from Southside Hospital, where she was<br />

director <strong>of</strong> access management <strong>and</strong> patient throughput.<br />

In her new position, she is working on the coordination<br />

<strong>of</strong> ambulatory services <strong>for</strong> PAANS. She is responsible <strong>for</strong><br />

the oversight <strong>of</strong> the financial integration <strong>of</strong> our multispecialty<br />

centers, as well as directing the development,<br />

coordination <strong>and</strong> administration <strong>of</strong> daily practice <strong>and</strong><br />

ambulatory operations. She reports to Mr. Moscola.<br />

Lenny Nartowicz, BS, MBA, has been appointed<br />

assistant vice president <strong>of</strong> finance business plan<br />

modeling. In his previous role, he was associate<br />

executive director <strong>of</strong> finance at <strong>The</strong> Zucker Hillside<br />

Hospital. He is overseeing the daily financial<br />

operations <strong>of</strong> PAANS, including budget preparation,<br />

business plan modeling <strong>and</strong> the integrity <strong>of</strong> financial<br />

statements. Mr. Nartowicz reports to Sharon <strong>Joy</strong>,<br />

PAANS’ vice president <strong>of</strong> finance.<br />

R<strong>and</strong>i Mednick, BS, MHA, has been promoted to<br />

assistant vice president <strong>of</strong> the obstetrics/gynecology<br />

service line. She was previously senior director <strong>of</strong><br />

business development <strong>for</strong> post-acute services <strong>and</strong><br />

director <strong>of</strong> the health system’s cardiovascular service<br />

line. Her new responsibilities focus on building an<br />

infrastructure <strong>for</strong> the ob/gyn service line, including:<br />

oversight <strong>of</strong> existing operations, strategic development<br />

<strong>and</strong> implementation <strong>of</strong> new practices <strong>and</strong> helping our<br />

hospitals integrate new opportunities. Ms. Mednick reports to Adiel Fleischer,<br />

MD, the health system’s chair <strong>of</strong> ob/gyn.<br />

Patricia Dillman, RN, has been appointed assistant vice president <strong>of</strong><br />

ambulatory services. She joins PAANS from Columbia University Medical Center,<br />

where she was director <strong>of</strong> clinical operations <strong>of</strong> the hospital’s faculty practice<br />

organization. In her new role, Ms. Dillman will be a key member <strong>of</strong> the PAANS<br />

trans<strong>for</strong>mation team, preparing practices to meet the challenges <strong>for</strong> delivering<br />

<strong>and</strong> coordinating care within the ambulatory setting. She reports to Rosalie Long,<br />

PAANS’ vice president <strong>of</strong> ambulatory services.<br />

<strong>The</strong> New St<strong>and</strong>ard 67


Executive Appointments<br />

Barbara Felker has been named vice president <strong>of</strong> community<br />

<strong>and</strong> external affairs, reporting to Jennifer Mieres, MD, in the<br />

North Shore-LIJ Health System’s Office <strong>of</strong> Community<br />

<strong>and</strong> Public Health. Prior to this appointment,<br />

Ms. Felker served as the vice president <strong>for</strong><br />

corporate human resources, overseeing talent<br />

management <strong>and</strong> talent acquisition.<br />

In her new role, Ms. Felker will develop <strong>and</strong><br />

implement community engagement strategies<br />

to enhance the healthcare needs <strong>and</strong> wellness <strong>of</strong><br />

communities served by North Shore-LIJ. As part <strong>of</strong><br />

the health system’s diversity, inclusion <strong>and</strong> health literacy strategy,<br />

Ms. Felker will also develop <strong>and</strong> implement affinity-based employee<br />

resource groups to create business plans that drive employee<br />

engagement, increase talent retention <strong>and</strong> serve as ambassadors to<br />

internal <strong>and</strong> external communities.<br />

Be<strong>for</strong>e joining North Shore-LIJ, Ms. Felker held various<br />

leadership positions at companies including New York<br />

Presbyterian’s Morgan Stanley Children’s Hospital <strong>and</strong> HR<br />

Dynamics Consulting, Inc., <strong>and</strong> served as the legislative director<br />

<strong>for</strong> the New York State Senate.<br />

Catherine Galla has been promoted to assistant vice president<br />

<strong>for</strong> nursing initiatives at the North Shore-LIJ Institute <strong>for</strong> Nursing.<br />

Ms. Galla has been with the North Shore-LIJ Health System since<br />

1981 in a variety <strong>of</strong> clinical staff <strong>and</strong> leadership<br />

positions. In 1999, she transitioned into a project<br />

management position in the Office <strong>of</strong> the Chief<br />

Nurse Executive, where she coordinated projects<br />

related to st<strong>and</strong>ardizing nursing practice across<br />

the health system.<br />

During the past 12 years, Ms. Galla’s role<br />

has exp<strong>and</strong>ed to include leadership <strong>of</strong> large-scale,<br />

patient-care-related process <strong>and</strong> practice changes<br />

across the system, including the design <strong>and</strong> implementation <strong>of</strong> the<br />

clinical in<strong>for</strong>mation system, IV pump product selection, rollout<br />

<strong>of</strong> the collaborative care model <strong>and</strong> the cross-country vendor<br />

management agreement.<br />

Susan Knoepffler, RN, has been named vice<br />

president <strong>of</strong> nursing <strong>and</strong> chief nursing <strong>of</strong>ficer<br />

at Huntington Hospital. Ms. Knoepffler joins<br />

Huntington from LIJ Medical Center, where she<br />

served as senior administrative director <strong>of</strong> the<br />

Emergency Department. Ms. Knoepffler began<br />

her 30-year career as a staff nurse in the Neonatal<br />

Intensive Care Unit at North Shore University<br />

Hospital. Career highlights include leadership roles<br />

as administrative supervisor <strong>and</strong> nursing care coordinator at<br />

St. Francis Hospital be<strong>for</strong>e joining LIJ in 2008. In her new<br />

68 Summer 2012<br />

role, Ms. Knoepffler’s top priorities are to enhance the patient<br />

experience, work toward achieving Magnet redesignation <strong>and</strong><br />

focus on employee engagement.<br />

Ms. Knoepffler earned a bachelor <strong>of</strong> science in nursing<br />

from the University <strong>of</strong> Delaware, <strong>and</strong> a master’s in public health<br />

administration from Long Isl<strong>and</strong> University — CW Post. She<br />

is a certified nurse executive <strong>and</strong> is a member <strong>of</strong> the American<br />

Organization <strong>of</strong> Nurse Executives.<br />

Joseph Molloy has been appointed vice president <strong>of</strong> managed<br />

care benefits <strong>and</strong> direct contracting with the North Shore-LIJ<br />

Health System. In this role, he will develop relationships to deliver<br />

North Shore-LIJ’s healthcare services directly<br />

to employers, Taft-Hartley Health Funds <strong>and</strong><br />

partnerships with insurance carriers <strong>and</strong> thirdparty<br />

administrators.<br />

<strong>The</strong> dem<strong>and</strong> <strong>for</strong> this position comes as the<br />

health system’s model <strong>of</strong> care continues to evolve<br />

to focus more specifically on preventing <strong>and</strong><br />

managing disease, as well as promoting wellness<br />

<strong>and</strong> healthy lifestyles. Mr. Molloy will work to deliver<br />

quality, evidence-based care to develop products <strong>and</strong> services <strong>for</strong><br />

employers, union funds <strong>and</strong> insurance carriers.<br />

Prior to this position, Mr. Molloy served as the health system’s<br />

vice president <strong>of</strong> benefits <strong>and</strong> human resources services, overseeing<br />

nearly $1 billion <strong>of</strong> annual benefits, including the redesign <strong>of</strong> the<br />

health plan to incentivize the use <strong>of</strong> system facilities, hospitals <strong>and</strong><br />

CIIPA network.<br />

Ms. Diaz Named PA Director<br />

Elizabeth Diaz, PA, has<br />

been appointed director <strong>of</strong><br />

physician assistants at North<br />

Shore University Hospital. She<br />

had been supervising PA in the<br />

Department <strong>of</strong> Surgery <strong>for</strong> a<br />

year <strong>and</strong> a half. Ms. Diaz joined<br />

the hospital from St. Vincent’s<br />

Medical Center in Manhattan,<br />

where she served as supervising<br />

PA <strong>for</strong> four years. She graduated<br />

in 2001 from the Saint Vincent’s<br />

Catholic Medical Center’s PA<br />

Program <strong>and</strong> holds an MPA<br />

from New York University’s<br />

Robert F. Wagner School <strong>of</strong><br />

Public Service.


George Richardson has been named vice president <strong>of</strong><br />

development at Huntington Hospital. Most recently, Mr.<br />

Richardson served as executive director <strong>of</strong> development <strong>and</strong> alumni<br />

relations at St. John’s University School <strong>of</strong> Law.<br />

He began his career as an administrator at Mercy<br />

Medical Center, where he was director <strong>of</strong><br />

external affairs, <strong>and</strong> held various fundraising<br />

positions at H<strong>of</strong>stra University.<br />

Mr. Richardson is a graduate <strong>of</strong> Fairfield<br />

University <strong>and</strong> holds an MBA from H<strong>of</strong>stra.<br />

He is a <strong>for</strong>mer <strong>and</strong> current board member <strong>of</strong> the<br />

Association <strong>of</strong> Fundraising Pr<strong>of</strong>essionals/Long Isl<strong>and</strong><br />

Chapter. For the past two years, he has served as a Eucharistic<br />

minister at Huntington Hospital.<br />

GROUP HEALTH MANAGEMENT<br />

North Shore-LIJ has established a new entity called Group<br />

Health Management to work with clinical <strong>and</strong> administrative<br />

leadership to develop a comprehensive strategy <strong>for</strong><br />

addressing the needs <strong>of</strong> the chronically ill.<br />

This will help the health system transition<br />

to a new value-based Medicare/Medicaid<br />

reimbursement system that rewards wellness<br />

promotion <strong>and</strong> disease prevention.<br />

Nick Fitterman, MD, is the medical director <strong>of</strong><br />

the new entity, <strong>and</strong> Irina Mitzner, RN, has been<br />

named vice president <strong>of</strong> clinical operations.<br />

A team <strong>of</strong> case managers, nurse practitioners, educators <strong>and</strong><br />

other health pr<strong>of</strong>essionals led by Dr. Fitterman <strong>and</strong> Ms. Mitzner<br />

will identify health system patients who are the largest users <strong>of</strong> our<br />

services. <strong>The</strong>y will work with their physicians <strong>and</strong> other caregivers<br />

to pursue better ways <strong>of</strong> caring <strong>for</strong> them, beyond traditional<br />

approaches that not only have proven to be inefficient <strong>and</strong> costly,<br />

but do not produce the clinical outcomes we hope to achieve.<br />

Dr. Fitterman previously served as chief <strong>of</strong> staff <strong>and</strong> medical<br />

director <strong>of</strong> hospitalist services at Huntington Hospital, <strong>and</strong><br />

Ms. Mitzner’s <strong>for</strong>mer position was as vice president <strong>of</strong> clinical<br />

operations at the North Shore-LIJ Home Care Network. In their<br />

new roles with Group Health Management, Dr. Fitterman <strong>and</strong><br />

Ms. Mitzner will work with Merryl Siegel, executive director <strong>of</strong><br />

post-acute services <strong>for</strong> the health system, <strong>and</strong> Howard Gold, the<br />

health system’s senior vice president <strong>of</strong> revenue <strong>and</strong> business<br />

development, to establish a groundbreaking model <strong>for</strong> managing<br />

the care. As medical director <strong>of</strong> this new entity, Dr. Fitterman will<br />

also coordinate activities with Jeremy Boal, MD, the health system’s<br />

chief medical <strong>of</strong>ficer.<br />

Duty Calls at 30,000 Feet<br />

For Two NSUH Nurses<br />

from page 9<br />

<strong>The</strong> flight attendant supplied a portable external<br />

defibrillator, which wasn’t needed because the woman had<br />

a pulse, although she was semi-conscious. <strong>The</strong> nurses took<br />

her pulse <strong>and</strong> her blood pressure, which were normal, <strong>and</strong> as<br />

she seemed to revive a bit lying flat, they asked her some key<br />

questions: Are you a diabetic? Do you have a heart condition?<br />

Any allergies? Are you on medication? Do you have chest pains?<br />

When did you last have something to eat? Something to drink?<br />

“We also did some neurochecks,” said Ms. Kwiatkowski, “like<br />

what’s called A&O (<strong>for</strong> aware <strong>and</strong> oriented) times 4: What’s your<br />

name? Where are you? What time is it? What’s happening? She<br />

knew the answers. If it was a stroke, the plane would have had to<br />

divert to the nearest airport, but we ruled that out.”<br />

“She was on an antibiotic <strong>for</strong> a minor illness, but she said<br />

she hadn’t had anything to eat or drink in a while,” Ms. Smith said.<br />

“I had a hunch that she was dehydrated. <strong>The</strong> flight attendant<br />

brought us three bottles <strong>of</strong> water, <strong>and</strong> the woman drank two<br />

<strong>of</strong> them <strong>and</strong> then said she was feeling much, much better. She<br />

got up <strong>and</strong> sat down, <strong>and</strong> Connie sat with her <strong>and</strong> her husb<strong>and</strong><br />

until we l<strong>and</strong>ed. <strong>The</strong>re was only room <strong>for</strong> one <strong>of</strong> us, so I went<br />

back to my seat.”<br />

“Her poor husb<strong>and</strong> was an absolute wreck,” said Ms.<br />

Kwiatkowski. “<strong>The</strong>y had been married <strong>for</strong> more than 50 years,<br />

<strong>and</strong> he was so afraid <strong>for</strong> her. In situations like that, you have two<br />

patients: the one who is sick <strong>and</strong> the one who is about to collapse<br />

with anxiety.<br />

But his wife <strong>and</strong> I were able to reassure him.”<br />

When the plane l<strong>and</strong>ed, the pilot <strong>and</strong> the co-pilot came out<br />

<strong>of</strong> the cabin to shake their h<strong>and</strong>s. <strong>The</strong> pilot arranged <strong>for</strong> each<br />

<strong>of</strong> them to get a $100 credit from JetBlue. And a man who was<br />

sitting behind the couple asked the nurses where they worked.<br />

When they told him they worked at North Shore University<br />

Hospital, he beamed. He introduced himself as Mark Claster,<br />

vice president <strong>of</strong> the North Shore-LIJ Board <strong>of</strong> Trustees, <strong>and</strong><br />

he told them how proud he was <strong>of</strong> them. “Michael Dowling’s<br />

going to hear about this,” he said.<br />

And Michael Dowling did. In the letter that Mr. Claster sent<br />

to the president <strong>and</strong> CEO <strong>of</strong> the North Shore-LIJ Health System,<br />

he wrote, “<strong>The</strong> two nurses couldn’t have been more caring,<br />

skillful <strong>and</strong> unflappable in a very stressful situation. <strong>The</strong>y deserve<br />

recognition. <strong>The</strong>y were everything we would hope <strong>for</strong> as nurses<br />

in our health system <strong>and</strong> as human beings.”<br />

In his letters to the nurses, Michael Dowling expressed<br />

his sincere appreciation <strong>for</strong> their “willingness to provide care<br />

without hesitation.” He wrote, “<strong>You</strong> exemplify the values <strong>of</strong><br />

caring <strong>and</strong> putting patients first that we are most proud <strong>of</strong> here at<br />

the North Shore-LIJ Health System.”<br />

<strong>The</strong> New St<strong>and</strong>ard 69


Healthcare Challenges Seen as Opportunities<br />

at National Meeting Hosted by North Shore-LIJ<br />

By <strong>The</strong>a Welch<br />

MANHASSET — Healthcare<br />

may be in crisis in the US,<br />

but a spirit <strong>of</strong> excitement <strong>and</strong><br />

even optimism prevailed at<br />

the recent 2012 Corporate<br />

Member Meeting <strong>of</strong> the<br />

Commission on Accreditation<br />

<strong>of</strong> Healthcare Management<br />

Education (CAHME), hosted<br />

by the North Shore-LIJ Health<br />

System, a CAHME corporate<br />

member. Entitled “Healthcare<br />

Re<strong>for</strong>m: Positioning Graduate<br />

Healthcare Management<br />

Education <strong>for</strong> the Future,”<br />

the meeting was held at <strong>The</strong><br />

Feinstein Institute <strong>for</strong> Medical<br />

Research.<br />

“<strong>The</strong>re are huge<br />

challenges in healthcare<br />

today, but there are also<br />

huge opportunities,” said<br />

keynote speaker Richard J.<br />

Umbdenstock, president <strong>and</strong><br />

chief executive <strong>of</strong>ficer <strong>of</strong> the<br />

American Hospital Association<br />

(AHA). “I believe we are closer<br />

70 Summer 2012<br />

than ever to getting it right.”<br />

His optimism was echoed<br />

by North Shore-LIJ President<br />

<strong>and</strong> CEO Michael Dowling,<br />

who welcomed the 66<br />

CAHME corporate member<br />

representatives in attendance,<br />

including CEOs <strong>of</strong> some<br />

<strong>of</strong> the nation’s largest <strong>and</strong><br />

most highly respected health<br />

systems. “For those who aren’t<br />

afraid to embrace change, the<br />

future looks fantastic,” he said.<br />

Mr. Umbdenstock <strong>and</strong> Mr.<br />

Dowling, both national leaders<br />

in healthcare themselves, agreed<br />

that educating to a new kind <strong>of</strong><br />

leadership is vitally important.<br />

“Team-based healthcare delivery<br />

is like a new sport,” said Mr.<br />

Umbdenstock, “<strong>and</strong> the new<br />

leader must be less the captain<br />

<strong>of</strong> the ship <strong>and</strong> more the leader<br />

<strong>of</strong> the team.” In keeping with<br />

that theme, Mr. Dowling<br />

said, “We shouldn’t confuse<br />

leadership with management.<br />

2011 Annual Report<br />

North Shore-LIJ President <strong>and</strong> CEO Michael Dowling, right, with Richard<br />

Umbdenstock, left, president <strong>and</strong> CEO <strong>of</strong> the American Hospital Association,<br />

<strong>and</strong> David Fine, president <strong>and</strong> CEO <strong>of</strong> St. Luke’s Episcopal Health System in<br />

Houston, TX, <strong>and</strong> chair <strong>of</strong> the Commission on Accreditation <strong>of</strong> Healthcare<br />

Management Education, which held a board meeting at <strong>The</strong> Feinstein<br />

Institute <strong>for</strong> Medical Research.<br />

Both are necessary, but while<br />

managers create order, leaders<br />

create the future.”<br />

In regards to concerns<br />

about shrinking reimbursements,<br />

Mr. Umbdenstock said,<br />

<strong>The</strong> North Shore-LIJ Health System’s recently published<br />

2011 Annual Report, Partners in Health, recognizes our<br />

relationships with individuals, organizations <strong>and</strong> the<br />

community at large; every one plays a vital role in helping us<br />

fulfill our mission. See it at http://www.northshorelij.com/<br />

NSLIJ/NSLIJ+Annual+Reports.<br />

“We will never be better paid<br />

than we are today. <strong>The</strong>re is<br />

no new money. <strong>The</strong> old<br />

approach has been, ‘Well,<br />

we’ll do more with less.’ I say<br />

the new approach should be,<br />

‘Let’s do less with less — <strong>and</strong><br />

get better outcomes.’”<br />

In small breakout sessions,<br />

meeting attendees tackled<br />

tough <strong>and</strong> timely healthcare<br />

topics led by experts such as<br />

Robert Henkel, president <strong>and</strong><br />

CEO <strong>of</strong> Ascension Health,<br />

headquartered in St. Louis,<br />

MO; Chris Van Gorder,<br />

president <strong>and</strong> CEO <strong>of</strong> San<br />

Diego, CA-based Scripps<br />

Health; <strong>and</strong> Kathleen Gallo,<br />

PhD, RN, North Shore-LIJ’s<br />

senior vice president <strong>and</strong> chief<br />

learning <strong>of</strong>ficer.


Kids Give Tobacco the Kiss-Off<br />

<strong>You</strong>ngsters from the Cross Isl<strong>and</strong> YMCA in Bellerose learned about the dangers <strong>of</strong> smoking at an educational workshop led by Nancy Copperman, RD, director <strong>of</strong> public<br />

health initiatives at North Shore-LIJ. <strong>The</strong> event was part <strong>of</strong> National Kick Butts Day, which focuses attention on community activism by boys <strong>and</strong> girls to take a st<strong>and</strong><br />

against tobacco. <strong>The</strong> children created posters with antismoking messages <strong>and</strong> per<strong>for</strong>med a short rap song pledging not to smoke. <strong>The</strong> Y also announced its new<br />

smoke-free outdoor air policy to protect children <strong>and</strong> the community from the hazards <strong>of</strong> smoking <strong>and</strong> second-h<strong>and</strong> smoke. <strong>The</strong> project was funded by a grant from<br />

the Queens Smoke-Free Partnership, with help from the North Shore-LIJ Health System. Back row, from left: Deanna Bitetti, chief <strong>of</strong> staff <strong>for</strong> Assemblyman David<br />

Weprin, Jamé Krauter <strong>of</strong> the Cross Isl<strong>and</strong> YMCA, Ms. Copperman, <strong>and</strong> Tina Stinson-Lewis, also <strong>of</strong> the Cross Isl<strong>and</strong> Y.<br />

North Shore-LIJ Epilepsy Center Is First on LI<br />

to Offer New Device to Stimulate Vagus Nerve<br />

<strong>The</strong> Comprehensive<br />

Epilepsy Care Center at<br />

North Shore-LIJ’s Cushing<br />

Neuroscience Institute (CNI)<br />

is the first center on Long<br />

Isl<strong>and</strong> to <strong>of</strong>fer the new version<br />

<strong>of</strong> vagus nerve stimulation<br />

(VNS) therapy, implanting an<br />

AspireHC generator into<br />

a 23-year-old female patient<br />

from Hicksville with refractory<br />

epilepsy this spring.<br />

Asesh Mehta, MD, director<br />

<strong>of</strong> epilepsy surgery at the<br />

Comprehensive Epilepsy Care<br />

Center, said, “VNS <strong>The</strong>rapy<br />

is an effective, safe option <strong>for</strong><br />

epilepsy patients who are not<br />

achieving satisfactory seizure<br />

control from medications.<br />

Because this newest model<br />

<strong>of</strong> the vagus nerve stimulator<br />

has the longest battery life<br />

<strong>of</strong> any VNS therapy device,<br />

replacement <strong>of</strong> the generator<br />

can take place less frequently<br />

<strong>for</strong> patients who are on<br />

higher doses <strong>of</strong> stimulation.<br />

In addition, the AspireHC,<br />

which is about the size <strong>of</strong> a<br />

small pocket watch, will provide<br />

improved quality <strong>of</strong> life benefits<br />

<strong>for</strong> VNS therapy patients.”<br />

Dr. Mehta explained that<br />

implantation is a short outpatient<br />

procedure lasting one<br />

to two hours. <strong>The</strong> stimulator<br />

is implanted in the patient’s<br />

left chest area, where a thin<br />

flexible wire (lead) sends mild<br />

stimulation to the left vagus<br />

nerve in the neck automatically<br />

at regular intervals.<br />

<strong>The</strong> Comprehensive<br />

Epilepsy Care Center is a truly<br />

integrated <strong>and</strong> multidisciplinary<br />

endeavor, with epilepsy<br />

doctors, nurses, pharmacists,<br />

neurosurgeons, neuropsychologists,<br />

social workers, technical<br />

staff <strong>and</strong> an administrative<br />

team all working together<br />

to provide care <strong>and</strong> support<br />

<strong>for</strong> both adult <strong>and</strong> pediatric<br />

epilepsy patients. It is the largest<br />

<strong>and</strong> most comprehensive<br />

program on Long Isl<strong>and</strong> <strong>for</strong><br />

the evaluation <strong>and</strong> medical <strong>and</strong><br />

surgical treatment <strong>of</strong> epilepsy<br />

in children <strong>and</strong> adults.<br />

<strong>The</strong> New St<strong>and</strong>ard 71


Lenox Hill Hospital First in New York State to<br />

Per<strong>for</strong>m Minimally Invasive Mitral Valve Replacement<br />

NEW YORK — A 76-yearold<br />

woman from Flushing,<br />

Queens, was the first patient<br />

in New York <strong>and</strong> only the<br />

second in the entire country<br />

to undergo a percutaneously<br />

implanted mitral valve<br />

replacement.<br />

<strong>The</strong> procedure,<br />

per<strong>for</strong>med in February, was<br />

executed conjointly by Lenox<br />

Hill Hospital’s Carlos Ruiz,<br />

MD, director <strong>of</strong> the Structural<br />

<strong>and</strong> Congenital <strong>Heart</strong> Disease<br />

Program <strong>of</strong> the Department<br />

<strong>of</strong> Interventional Cardiology,<br />

<strong>and</strong> Gregory P. Fontana, MD,<br />

chairman <strong>of</strong> the Department <strong>of</strong><br />

Cardiothoracic Surgery. This<br />

minimally invasive procedure<br />

is used to repair a blocked or<br />

leaky mitral heart valve that<br />

had previously been replaced.<br />

<strong>The</strong> replacement valve is<br />

inserted percutaneously<br />

through a vein in the groin<br />

<strong>and</strong> positioned within the<br />

72 Summer 2012<br />

mitral valve. It is an option <strong>for</strong><br />

individuals who are at high risk<br />

<strong>for</strong> undergoing a second openheart<br />

surgery given their age or<br />

current medical condition.<br />

“Transcatheter valve<br />

replacement is a major<br />

breakthrough in the treatment<br />

<strong>of</strong> heart disease <strong>and</strong> is part<br />

<strong>of</strong> an important trend in<br />

which minimally invasive<br />

procedures are used in place <strong>of</strong><br />

traditionally invasive surgical<br />

procedures,” noted Dr. Ruiz.<br />

“What is unique at Lenox<br />

Hill Hospital is the close<br />

collaboration between the<br />

interventional cardiologists<br />

<strong>and</strong> the heart surgeons. <strong>The</strong><br />

doctors <strong>of</strong>ten review <strong>and</strong><br />

discuss all available test results<br />

to <strong>of</strong>fer a joint opinion to<br />

ensure that each patient<br />

receives the best treatment <strong>for</strong><br />

his or her particular problem.”<br />

“It is a true<br />

multidisciplinary ef<strong>for</strong>t,”<br />

added Dr. Fontana.<br />

“Cardiologists, cardiac<br />

surgeons <strong>and</strong> vascular surgeons<br />

all work together in a single<br />

setting with a single goal:<br />

to provide extraordinary,<br />

minimally invasive, efficient<br />

heart care to patients suffering<br />

from all <strong>for</strong>ms <strong>of</strong> heart disease<br />

<strong>and</strong> vascular disease.”<br />

Girl Scouts Find a<br />

Few Good Babies<br />

It’s never too early to recruit new<br />

members, which is why the Girl Scouts<br />

<strong>of</strong> Nassau County came to LIJ’s Katz<br />

Women’s Hospital this spring to present<br />

honorary memberships to all baby<br />

girls born on March 12, 2012, the 100th<br />

anniversary <strong>of</strong> Girl Scouting in America.<br />

Pictured are four new recruits with<br />

their mothers, members <strong>of</strong> Girl Scouts<br />

<strong>of</strong> Nassau County <strong>and</strong> the leadership <strong>of</strong><br />

Katz Women’s Hospital.


<strong>The</strong> North Shore-LIJ Health<br />

System recently <strong>for</strong>med a Lions<br />

Club International chapter,<br />

the Manhasset North Shore-<br />

LIJ Lions, with the mission to provide<br />

resources <strong>and</strong> support <strong>for</strong> the prevention<br />

<strong>and</strong> treatment <strong>of</strong> diabetes in Long Isl<strong>and</strong><br />

communities.<br />

Approximately 26 million people in<br />

the United States have diabetes <strong>and</strong> one in<br />

four is unaware. Estimates range as high as<br />

79 million who have pre-diabetes <strong>and</strong> are<br />

at a high risk <strong>for</strong> developing the disease.<br />

“Without prevention <strong>and</strong> treatment, the<br />

numbers will continue to rise,” said Tracy<br />

Breen, MD, director <strong>of</strong> diabetes care <strong>for</strong><br />

North Shore-LIJ. “Many Americans live<br />

with undiagnosed diabetes <strong>and</strong> don’t even<br />

know it. Routine checkups <strong>and</strong> blood work<br />

are the best prevention methods, <strong>and</strong><br />

access to that care is essential.”<br />

“As a major healthcare provider,<br />

it is our responsibility to provide<br />

multidisciplinary diabetes care <strong>and</strong><br />

prevention services to our communities,”<br />

said Susan Somerville, executive director<br />

<strong>of</strong> North Shore University Hospital.<br />

“Awareness is essential <strong>and</strong> our Lions<br />

Club’s charter is another step to helping<br />

make each community aware <strong>of</strong> the<br />

diabetes services available. With the<br />

additional support <strong>of</strong> dedicated Lions<br />

members <strong>and</strong> volunteers, we have the<br />

ability to make a difference <strong>for</strong> thous<strong>and</strong>s<br />

<strong>of</strong> at-risk New Yorkers.”<br />

Research shows that patients with<br />

diabetes or pre-diabetes, who are not<br />

carefully managed, experience poorer<br />

outcomes such as blindness, kidney failure<br />

<strong>and</strong> damage to the heart <strong>and</strong> circulatory<br />

system. <strong>The</strong> health system’s diabetes<br />

task <strong>for</strong>ce combines the expertise <strong>of</strong><br />

the departments <strong>of</strong> nursing, nutrition,<br />

medicine, surgery, pharmacy, social work,<br />

laboratory <strong>and</strong> quality management to<br />

Shown from left: Pat Webb McNally, guiding Lion, Rockville Centre Lions Club; Stephen Dean, district<br />

governor; Marie Frazzitta; <strong>and</strong> Wing-Kun Tam, Lions Clubs International President.<br />

Manhasset North Shore-LIJ<br />

Lions Club Receives Charter<br />

<strong>for</strong> Chapter to Address Diabetes<br />

reduce the incidence <strong>of</strong> diabetes <strong>and</strong><br />

coordinate patient care. “<strong>The</strong> best way<br />

to treat diabetes is to prevent it,” said<br />

Marie Frazzitta, director <strong>of</strong> diabetes<br />

education <strong>for</strong> North Shore-LIJ, president<br />

<strong>of</strong> the Manhasset North Shore-LIJ Lions<br />

Club <strong>and</strong> co-chair <strong>of</strong> the health system’s<br />

diabetes task <strong>for</strong>ce. “Our new Lions<br />

Club is committed to helping provide the<br />

screening <strong>and</strong> educational resources <strong>and</strong><br />

services to begin battling diabetes be<strong>for</strong>e<br />

it strikes, <strong>and</strong> to keep those diagnosed as<br />

healthy as possible.”<br />

<strong>The</strong> New St<strong>and</strong>ard 73


WOMEN’S corner<br />

North Shore-LIJ Physicians, Researcher<br />

Honored at Women’s Health Conference<br />

While hosting more than 600 attendees at its fifth women’s health conference on May 2,<br />

the North Shore-LIJ Health System took time out <strong>of</strong> a busy, day-long schedule <strong>of</strong> seminars<br />

to honor four physicians <strong>and</strong> a researcher <strong>for</strong> their contributions to their pr<strong>of</strong>essions <strong>and</strong><br />

the health system. <strong>The</strong> following individuals received awards named in honor <strong>of</strong> long-time<br />

donors <strong>and</strong> trustees whose support contributed greatly to North Shore-LIJ’s success:<br />

74 Summer 2012<br />

Lorinda De Roulet Award <strong>for</strong> Excellence in Research<br />

Christine Metz, PhD<br />

Investigator<br />

<strong>The</strong> Feinstein Institute <strong>for</strong> Medical Research<br />

Center <strong>for</strong> Immunology <strong>and</strong> Inflammation<br />

Center <strong>for</strong> Patient-Oriented Research<br />

Tita Monti Award <strong>for</strong> Outst<strong>and</strong>ing Community Education<br />

Dana Lustbader, MD<br />

Section Head, Palliative Medicine<br />

Intensivist, Critical Care Medicine<br />

North Shore University Hospital<br />

Ann Gottlieb Award <strong>for</strong> Excellence in<br />

Teaching<br />

Miriam Ann Smith, MD<br />

Chairman, Department <strong>of</strong> Medicine<br />

Residency Program Director<br />

Forest Hills Hospital<br />

S<strong>and</strong>ra Atlas Bass Award <strong>for</strong> Clinical<br />

Excellence<br />

Carmel Foley, MD<br />

Director <strong>of</strong> Consultation-Liaison Psychiatry<br />

Steven <strong>and</strong> Alex<strong>and</strong>ra Cohen Children’s<br />

Medical Center<br />

Sharon <strong>Joy</strong>ce Schlanger Award <strong>for</strong><br />

Outst<strong>and</strong>ing Community Service<br />

Jacqueline Moline, MD<br />

Vice President, Population Health<br />

North Shore-LIJ Health System<br />

Chair, Department <strong>of</strong> Population Health<br />

North Shore University Hospital <strong>and</strong><br />

H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine<br />

Dr. Nancy Snyderman at<br />

Women’s Health Conference<br />

“Celebrating a New Era in Women’s Health: In<strong>for</strong>mation/Innovation/<br />

Wellness” was the theme <strong>of</strong> the fifth North Shore-LIJ women’s health<br />

conference, held at the Long Isl<strong>and</strong> Marriott Hotel in Uniondale. Nancy<br />

Snyderman, MD, chief medical editor <strong>for</strong> NBC News, shared her medical<br />

insights <strong>and</strong> personal history with the 600 attendees. She is pictured with<br />

Michael Dowling, president <strong>and</strong> chief executive <strong>of</strong>ficer <strong>of</strong> the health system,<br />

left, <strong>and</strong> Richard Goldstein, chairman <strong>of</strong> the board. “If you feel that your<br />

doctor is not listening to you, it’s probably a good time to ask <strong>for</strong> your<br />

medical records <strong>and</strong> find another physician who does listen,” Dr. Snyderman<br />

said. “Women must take care <strong>of</strong> themselves first.”


nursing mission<br />

Collaborative Care Council<br />

Gets Results<br />

from page 29<br />

Press Ganey scores.<br />

Nelson Martinez,<br />

environmental aide at<br />

Plainview Hospital, co-chaired<br />

a council that was able to<br />

decrease bed turnaround<br />

time from 70 minutes to 62<br />

minutes. Danielle Green at<br />

Plainview co-chaired a food<br />

<strong>and</strong> nutrition council, <strong>and</strong><br />

the ratings <strong>for</strong> food service<br />

courtesy, overall meals <strong>and</strong><br />

meal quality all improved.<br />

At Franklin Hospital,<br />

a council on a med/surg<br />

oncology unit reduced the<br />

length <strong>of</strong> stay from 8.07<br />

days in January to 6.84 in<br />

November <strong>of</strong> 2011. “We<br />

focused on what we needed to<br />

do to get patients safely <strong>and</strong><br />

quickly through their hospital<br />

stay,” said Kathy Bradfield,<br />

LMSW, director <strong>of</strong> social work.<br />

At Long Isl<strong>and</strong> Jewish<br />

Medical Center, a council<br />

redesigned a surgical waiting<br />

room, provided more<br />

privacy <strong>for</strong> consultations <strong>and</strong><br />

improved communication<br />

between clinicians <strong>and</strong><br />

waiting families <strong>and</strong> patients<br />

in recovery, according to<br />

Agnes Barden, DNP, RN.<br />

Another council created a<br />

pre- <strong>and</strong> post-op surgical<br />

education class <strong>for</strong> patients<br />

<strong>and</strong> family, obtained a<br />

grant <strong>for</strong> DVD education<br />

<strong>and</strong> worked to collaborate<br />

more effectively with the<br />

cardiothoracic ICU on<br />

patient transfers. Automating<br />

physician orders on 7 South<br />

freed the unit receptionist,<br />

Patricia Rodriguez, to<br />

per<strong>for</strong>m a concierge role,<br />

keeping everyone in<strong>for</strong>med,<br />

helping solve problems<br />

<strong>and</strong> coordinating tests.<br />

Rachel Neuman, PT, who<br />

participated in the council<br />

with Ms. Rodriguez <strong>and</strong><br />

others, said the concierge<br />

position “changes the attitude<br />

<strong>of</strong> the whole team.”<br />

This is just a sampling<br />

<strong>of</strong> how more than 300<br />

collaborative care councils at<br />

North Shore-LIJ Health System<br />

are gaining measurable results.<br />

Collaborative ef<strong>for</strong>ts<br />

between facilities are reaping<br />

results, too. Collaborative<br />

care councils at North<br />

Shore University Hospital<br />

<strong>and</strong> Stern Family Center<br />

<strong>for</strong> Rehabilitation worked<br />

together to share more<br />

comprehensive <strong>and</strong> accurate<br />

patient in<strong>for</strong>mation on the<br />

clinical in<strong>for</strong>mation system<br />

to ensure better h<strong>and</strong><strong>of</strong>fs.<br />

As a result, “We were more<br />

prepared to admit patients<br />

when they came to us,” said<br />

Carole Clement, RN, Stern<br />

Family Center nurse manager.<br />

Press Ganey “likelihood to<br />

recommend” scores at the<br />

long-term care facility jumped<br />

from 77.1 in June 2011 to 92.9<br />

in November last year.<br />

Lynn Johnson, NP,<br />

manager, nursing initiatives,<br />

Institute <strong>for</strong> Nursing, who<br />

President’s Awards<br />

Keep an eye out <strong>for</strong> a special supplement on North Shore-LIJ’s President’s<br />

Award program featuring this year’s nominees <strong>and</strong> winners, including<br />

Sylvester Wallace <strong>of</strong> Cohen Children’s Medical Center <strong>of</strong> New York.<br />

facilitated both collaborative<br />

care councils, also helped<br />

roll out councils at Lenox<br />

Hill Hospital. Over 3,300<br />

employees learned about the<br />

collaborative care model last<br />

summer, <strong>and</strong> Lenox Hill<br />

is already gaining results.<br />

A council chaired by James<br />

Richter, MD, chief <strong>of</strong><br />

anesthesiology, succeeded<br />

at decreasing turnover time<br />

between OR cases, in part<br />

thanks to more realistic<br />

scheduling. “If there is ever<br />

going to be a mechanism<br />

<strong>for</strong> reducing turnover, the<br />

councils are it,” he said. Arlex<br />

Matulac, associate executive<br />

director, perioperative<br />

services, said, “We started with<br />

turnover at 51 minutes last<br />

fall <strong>and</strong> were at 48 minutes<br />

in February. Our goal is 45<br />

minutes <strong>and</strong> our stretch goal is<br />

30 minutes.”<br />

Linda DiCarlo, RN,<br />

director, nursing in<strong>for</strong>matics,<br />

Lenox Hill, attributes the<br />

success <strong>of</strong> collaborative care<br />

councils to “all the disciplines<br />

participating <strong>and</strong> everyone<br />

talking the same language,”<br />

but admits that it takes time to<br />

achieve full results.<br />

Catherine Galla, RN,<br />

assistant vice president,<br />

nursing initiatives, Institute<br />

<strong>for</strong> Nursing, concurs.<br />

“Trans<strong>for</strong>mational change<br />

never happens immediately,<br />

but we have a structure<br />

that supports incremental<br />

changes <strong>and</strong> staff working<br />

in interdisciplinary teams to<br />

improve the care we deliver.”<br />

<strong>The</strong> New St<strong>and</strong>ard 75


center <strong>for</strong> learning <strong>and</strong> innovation<br />

Center <strong>for</strong> Learning <strong>and</strong> Innovation<br />

Celebrates 10th Anniversary<br />

LAKE SUCCESS — <strong>The</strong> adage “if you build it, they will come”<br />

characterizes the 10 years that the Center <strong>for</strong> Learning <strong>and</strong><br />

Innovation has existed. <strong>The</strong> corporate university <strong>for</strong> the North<br />

Shore-LIJ Health System celebrated its tenth anniversary on January<br />

16, 2012. From its humble beginnings in a rented single classroom<br />

at the Dale Carnegie Institute in Woodbury, CLI has grown <strong>and</strong><br />

flourished, impacting employees from all levels <strong>and</strong> areas <strong>and</strong> now<br />

occupying a state-<strong>of</strong>-the-art facility in Lake Success. Through the<br />

end <strong>of</strong> 2011, CLI has taught 163,384 people <strong>and</strong> it has no plans to<br />

slow down. “Since it opened in 2002, CLI has become the largest<br />

corporate university in the healthcare industry, setting the st<strong>and</strong>ard<br />

<strong>for</strong> educational excellence <strong>and</strong> demonstrating the highest level <strong>of</strong><br />

innovation,” said Michael Dowling, president <strong>and</strong> CEO <strong>of</strong> the North<br />

Shore-LIJ Health System.<br />

A New Place to Play<br />

Officials from Smith <strong>Have</strong>n Mall in Lake Grove <strong>and</strong> Cohen Children’s Medical Center (CCMC) <strong>of</strong> New York<br />

recently celebrated the opening <strong>of</strong> the shopping center’s new children’s play area. Sponsored by the North<br />

Shore-LIJ Health System, the play space is located in the mall’s Sears Court. Among those at the opening were,<br />

from left: Cynthia Ruf, corporate director <strong>of</strong> marketing <strong>for</strong> the health system; Kevin Carraccio, CCMC’s vice<br />

president <strong>of</strong> philanthropy; Debora Riccardi, CCMC’s director <strong>of</strong> community outreach; Paul Fiore, Simon Property<br />

Group’s northeast regional director <strong>of</strong> business development; Sharon Ritterb<strong>and</strong>, Simon Property group’s<br />

area director <strong>of</strong> business development; <strong>and</strong> James Lundgren, Smith <strong>Have</strong>n Mall’s general manager.<br />

76 Summer 2012<br />

Based on Michael Dowling’s original white paper on the<br />

development <strong>of</strong> a leadership institute, CLI began 10 years ago with<br />

educational <strong>of</strong>ferings limited to Core Management <strong>and</strong> Six Sigma,<br />

which had instructors traveling to hospitals <strong>and</strong> using a rented<br />

classroom to <strong>of</strong>fer the education to employees. It was not until a year<br />

later, when CLI moved to its first location, that the education was<br />

centralized <strong>and</strong> the amount <strong>of</strong> programs that the corporate university<br />

was able to <strong>of</strong>fer began to grow. Over the years, CLI developed<br />

additional programs such as the administrative <strong>and</strong> physician high<br />

potential programs, as well as the scholar pipeline <strong>and</strong> administrative<br />

fellowships. In 2012, over 80 different enrichment courses are<br />

scheduled, with additional courses being developed due to the high<br />

dem<strong>and</strong> <strong>of</strong> learners <strong>and</strong> the continued growth <strong>of</strong> the health system.<br />

One <strong>of</strong> CLI’s innovations was the establishment <strong>of</strong> the<br />

Patient Safety Institute (PSI) in<br />

2006 to focus on preventable<br />

medical errors, teamwork <strong>and</strong><br />

communication. PSI provided<br />

the clinical aspect <strong>of</strong> education<br />

that was in high dem<strong>and</strong> <strong>for</strong> the<br />

organization’s team members who<br />

were directly involved in patient<br />

care. In 2011 alone, CLI <strong>and</strong> PSI<br />

conducted over 950 individual<br />

educational programs.<br />

Outside organizations<br />

repeatedly take notice <strong>of</strong> the<br />

work that is done by CLI. <strong>The</strong><br />

International Association <strong>for</strong><br />

Continuing Education <strong>and</strong> Training<br />

(IACET), which accredits CLI to<br />

<strong>of</strong>fer continuing education units,<br />

awarded the corporate university the<br />

2011 Exemplar Award <strong>for</strong> Internal<br />

Training. <strong>The</strong> Center <strong>for</strong> Learning<br />

<strong>and</strong> Innovation also received a<br />

Silver Award <strong>for</strong> Best Leadership<br />

Training Program. Most recently,<br />

Chief Learning Officer Magazine named<br />

CLI a 2012 Learning Elite Finalist.<br />

“We’re proud <strong>of</strong> CLI’s<br />

success <strong>and</strong> confident that its<br />

future achievements will enable<br />

us to reach even greater heights<br />

as a ‘learning organization,’” said<br />

Mr. Dowling.


Simulation Lab Creates Real-Life<br />

Scenarios <strong>for</strong> New Med Students<br />

H<strong>of</strong>stra North Shore-LIJ School <strong>of</strong> Medicine Students Benefit<br />

from Simulation Training at Center <strong>for</strong> Learning <strong>and</strong> Innovation<br />

Students in the inaugural class at the H<strong>of</strong>stra North Shore-<br />

LIJ School <strong>of</strong> Medicine have completed only one year <strong>of</strong><br />

study <strong>and</strong> already they have per<strong>for</strong>med physical exams on<br />

patients, cleared an obstructed airway <strong>and</strong> even assisted in<br />

the birth <strong>of</strong> a baby at the CLI’s Patient Safety Institute. While none<br />

<strong>of</strong> these procedures were carried out on real people, they certainly<br />

had the look <strong>and</strong> feel <strong>of</strong> true-to-life situations.<br />

“<strong>The</strong> exposure to simulation exercises, at one <strong>of</strong> the largest<br />

institutes <strong>of</strong> its kind in the country, certainly gives our students a<br />

wonderful opportunity to learn <strong>and</strong> strengthen their clinical skills<br />

at an early stage in their education,” said Lawrence Smith, MD,<br />

dean <strong>of</strong> the School <strong>of</strong> Medicine.<br />

Simulation education is a bridge between classroom learning<br />

<strong>and</strong> real-life clinical experience. CLI’s advanced learning facility<br />

features state-<strong>of</strong>-the-art human-simulation laboratories with<br />

digitally enhanced <strong>and</strong> controlled mannequins <strong>and</strong> partial-<br />

<strong>and</strong> full-body task trainers, st<strong>and</strong>ardized patient rooms, <strong>and</strong><br />

endovascular simulators <strong>for</strong> interventionalists. CLI helps<br />

students manage hypothetical patient cases as members <strong>of</strong> a<br />

multidisciplinary healthcare team. <strong>The</strong> exercises are followed by<br />

a debriefing with the med school faculty <strong>and</strong> the CLI staff, which<br />

comprises a multitude <strong>of</strong> complementary health pr<strong>of</strong>essions.<br />

“Our students are exposed to these simulation exercises much<br />

earlier than at most medical schools, which would normally cover<br />

this material in the third year. This gives our students a great advan-<br />

tage,” said Thomas Kwiatkowski, MD, assistant dean <strong>of</strong> education/<br />

simulation <strong>and</strong> course director <strong>for</strong> CPR at the School <strong>of</strong> Medicine.<br />

<strong>The</strong> high-tech, computerized mannequins at CLI are able to<br />

mimic real patients <strong>and</strong> are able to talk <strong>and</strong> respond to the medical<br />

students, who take vital signs <strong>and</strong> per<strong>for</strong>m emergency procedures,<br />

such as intravenous line insertion, breathing tube insertion<br />

<strong>and</strong> medication administration. <strong>The</strong> mannequin patients are<br />

controlled remotely by instructors at CLI, who can make them cry<br />

out in pain, move about <strong>and</strong> even react to a student’s touch.<br />

First-year medical student Niki Sheth called the CLI simulations<br />

“very realistic” <strong>and</strong> the detailed debriefings very helpful.<br />

“<strong>The</strong> debriefing was a great way <strong>of</strong> getting feedback,” she said.<br />

“It also helps you reason out <strong>and</strong> explain why you took certain<br />

actions during the exercise.”<br />

According to Dr. Kwiatkowski, lessons taught in a realistic<br />

simulation are retained better, due to the required active learning<br />

<strong>and</strong> focused concentration, the experience’s emotional investment<br />

<strong>and</strong> the direct association with the real world.<br />

Medical students also train at the world-renowned Feinstein<br />

Institute <strong>for</strong> Medical Research, the research arm <strong>of</strong> the health system.<br />

To see a video <strong>of</strong> this story, go to: www.northshorelij.com/<br />

NSLIJ/media-portal/homepage-video-channel/sim-lab.<br />

Above: Margaret Delaney, a nurse educator at North Shore-LIJ’s Patient Safety<br />

Institute, works with medical student Robert Metzler.<br />

<strong>The</strong> New St<strong>and</strong>ard 77


center <strong>for</strong> learning <strong>and</strong> innovation<br />

LAKE SUCCESS — <strong>The</strong><br />

Center <strong>for</strong> Learning <strong>and</strong><br />

Innovation (CLI) has established<br />

a Quality Academy to<br />

further improve per<strong>for</strong>mance<br />

in healthcare delivery at North<br />

Shore-LIJ facilities. <strong>The</strong> initiative<br />

builds on more than a<br />

decade <strong>of</strong> work<strong>for</strong>ce development<br />

programs to improve<br />

patient safety <strong>and</strong> quality care<br />

throughout the North Shore-<br />

LIJ Health System.<br />

<strong>The</strong> Quality Academy is<br />

grounded in staff members’<br />

need to keep pace with rapid<br />

changes in the healthcare field.<br />

At the same time, the science<br />

<strong>of</strong> improvement in healthcare<br />

has gotten more sophisticated<br />

<strong>and</strong> is constantly evolving.<br />

<strong>The</strong> academy addresses these<br />

challenges with a comprehensive,<br />

multitiered program to<br />

advance the knowledge base <strong>of</strong><br />

the work<strong>for</strong>ce to further enable<br />

staff members at every level to<br />

anticipate, recognize <strong>and</strong> solve<br />

problems to improve per<strong>for</strong>mance<br />

<strong>and</strong> to provide “perfect”<br />

care to patients <strong>and</strong> families.<br />

“<strong>The</strong> Quality Academy<br />

will allow the health system to<br />

combine <strong>and</strong> st<strong>and</strong>ardize all<br />

quality improvement education<br />

<strong>and</strong> training programs<br />

under one ro<strong>of</strong>,” said Jeremy<br />

Boal, MD, senior vice president<br />

<strong>and</strong> chief medical <strong>of</strong>ficer<br />

at North Shore-LIJ. “This<br />

78 Summer 2012<br />

allows us to <strong>for</strong>malize per<strong>for</strong>mance<br />

improvement initiatives,<br />

using the same measurement<br />

tools <strong>and</strong> metrics across<br />

the board in order to replicate<br />

high-quality outcomes in our<br />

patient care processes.” Dr.<br />

Boal added that front-line staff<br />

members are <strong>of</strong>ten in the best<br />

position to underst<strong>and</strong> <strong>and</strong><br />

improve their work environments<br />

to optimize patient care<br />

<strong>and</strong> outcomes.<br />

“Education programs<br />

at the academy will increase<br />

awareness about quality issues<br />

<strong>and</strong> further empower all<br />

employees to identify problems<br />

<strong>and</strong> take an active role in quality<br />

improvement, regardless <strong>of</strong><br />

job title,” said Alan Cooper,<br />

PhD, vice president <strong>of</strong> learning<br />

<strong>and</strong> innovation at North Shore-<br />

LIJ. For example, if nurses<br />

notice a delay in responding to<br />

patient call bells, they are in the<br />

best position to recognize ways<br />

to increase response time <strong>and</strong><br />

enhance patient satisfaction.<br />

Through proper education in<br />

improvement sciences, they can<br />

study the problem <strong>and</strong> engineer<br />

ways to improve workflow.<br />

“This not only creates a safer<br />

environment <strong>for</strong> patients, but<br />

also has the benefit <strong>of</strong> creating a<br />

more efficient workplace,” said<br />

Dr. Cooper.<br />

At the academy, quality<br />

improvement training <strong>and</strong><br />

education are being developed<br />

collaboratively with health<br />

system departments <strong>and</strong> business<br />

units, which will provide<br />

educational opportunities <strong>for</strong><br />

all North Shore-LIJ staff. For<br />

example, the Quality Academy<br />

will incorporate a section on<br />

quality improvement in Beginnings,<br />

the program geared toward<br />

new employees, <strong>and</strong> reach<br />

out to train other staff members.<br />

<strong>The</strong> Quality Academy is<br />

New Quality Academy Focuses<br />

on Improving Per<strong>for</strong>mance<br />

By Betty Olt<br />

also developing an online video<br />

introduction to the importance<br />

<strong>of</strong> everyone’s role in improving<br />

per<strong>for</strong>mance throughout the<br />

health system.<br />

Ultimately, programming<br />

will target all managers, directors<br />

<strong>and</strong> senior staff members;<br />

all chiefs, chairs <strong>and</strong> medical<br />

directors; all staff members<br />

hired in quality roles; <strong>and</strong> the<br />

highest level, or expert level,<br />

which will be designated <strong>for</strong><br />

staff including quality pr<strong>of</strong>essionals,<br />

administrators, managers,<br />

physicians <strong>and</strong> other<br />

Stay Connected, Get Inspired<br />

clinicians involved in multidepartmental,<br />

facility-wide or<br />

system-wide improvements.<br />

Learning will incorporate<br />

in-class training <strong>and</strong> online<br />

modules with group exercises.<br />

Already, all health system associate<br />

executive directors have<br />

attended the Quality Academy’s<br />

first course, “Quality,<br />

Safety <strong>and</strong> Improvement Sciences,”<br />

which is part <strong>of</strong> CLI’s<br />

new leadership development<br />

program, ALEAD – Applied<br />

Leadership Effectiveness <strong>and</strong><br />

Development.<br />

Fiona Levy, chief quality<br />

<strong>of</strong>ficer <strong>for</strong> the Cohen Children’s<br />

Medical Center <strong>of</strong> New<br />

York, leads <strong>and</strong> facilitates the<br />

Quality Academy development<br />

team. In addition to Drs. Boal,<br />

Cooper <strong>and</strong> Levy, the team<br />

includes Yosef Dlugacz, PhD,<br />

senior vice president <strong>and</strong> chief<br />

<strong>of</strong> clinical quality, education<br />

<strong>and</strong> research at the Krasn<strong>of</strong>f<br />

Quality Management Institute;<br />

Mark Jarrett, MD, vice president<br />

<strong>and</strong> health system chief<br />

quality <strong>of</strong>ficer; Marc Napp,<br />

MD, vice president <strong>of</strong> medical<br />

affairs; Karen Nelson, RN,<br />

vice president, clinical excellence<br />

<strong>and</strong> quality; <strong>and</strong> Elaine<br />

Smith, EdD, RN, vice president<br />

<strong>for</strong> nursing education.<br />

For more details about the<br />

Quality Academy, call CLI at<br />

(516) 396-6150.<br />

Inspiration is just a click away.<strong>The</strong> North Shore-LIJ Foundation<br />

supports health system services by sponsoring neighborhood events, walks,<br />

concerts, luncheons, sporting events <strong>and</strong> so much more. Stay in touch with all<br />

the North Shore-LIJ Foundation is doing by connecting with us at Facebook.<br />

com/NorthShoreLIJFoundation <strong>and</strong> on Twitter at Twitter.com/nslijfoundation.


According to the<br />

US Institute<br />

<strong>of</strong> Medicine<br />

(2000, 2001),<br />

the widespread incidence <strong>of</strong><br />

preventable errors in our<br />

nation’s hospitals revealed<br />

that how care is delivered is<br />

as important as what care is<br />

delivered. <strong>The</strong>se l<strong>and</strong>mark<br />

reports noted that developing<br />

effective clinical teams is essential to delivering care that is patientcentered,<br />

safer, timelier <strong>and</strong> more effective, efficient <strong>and</strong> equitable.<br />

To achieve those goals, the Center <strong>for</strong> Learning <strong>and</strong> Innovation<br />

(CLI) is exp<strong>and</strong>ing its ef<strong>for</strong>ts to “train in teams those that work<br />

in teams” in order to build interpr<strong>of</strong>essional teamwork <strong>and</strong><br />

collaboration. To that end, Barbara DeVoe, DNP, FNP-BC, has<br />

been promoted to vice president <strong>for</strong> interpr<strong>of</strong>essional learning <strong>and</strong><br />

education, a role in which she will enhance the strategic importance<br />

<strong>of</strong> interpr<strong>of</strong>essional learning <strong>and</strong> education throughout the health<br />

system. She will also continue her day-to-day responsibilities<br />

at CLI’s Patient Safety Institute (PSI). Barbara was recruited to<br />

CLI six years ago to develop the Critical Care Nurse Fellowship<br />

Program, <strong>for</strong> which we established our first simulation program.<br />

Her clinical background is critical care <strong>and</strong> emergency nursing. She<br />

is also a board-certified family nurse practitioner <strong>and</strong> has worked<br />

collaboratively in two physician practices. Barbara received her<br />

doctorate in nursing practice from Case Western Reserve University<br />

in 2009. Her areas <strong>of</strong> interests are patient safety, teamwork <strong>and</strong><br />

communication <strong>and</strong> human factors.<br />

Interpr<strong>of</strong>essional Education<br />

Fosters Clinical Teamwork,<br />

Increases Patient Safety<br />

Interpr<strong>of</strong>essional<br />

education (IPE) has been<br />

defined as: “when two or<br />

more pr<strong>of</strong>essionals learn with,<br />

from <strong>and</strong> about each other to<br />

improve collaboration <strong>and</strong><br />

the quality <strong>of</strong> care.” While<br />

this activity commonly occurs<br />

among clinical teams at PSI,<br />

it is incumbent upon us to<br />

exp<strong>and</strong> IPE even further,<br />

Barbara DeVoe<br />

considering its proven success<br />

in improving patient safety.<br />

Similar to CLI, PSI has grown rapidly, not only in reputation<br />

but also in programs, size <strong>and</strong> resources. What began as an idea<br />

<strong>and</strong> one simulator in 2006 has become an infrastructure that is<br />

strategically important to the health system as well as the H<strong>of</strong>stra<br />

North Shore-LIJ School <strong>of</strong> Medicine. CLI <strong>and</strong> PSI will continue to<br />

evolve as the needs <strong>of</strong> the health system change.<br />

Dowling<br />

at Dowling<br />

North Shore-LIJ President <strong>and</strong> CEO<br />

Michael Dowling spoke to more<br />

than 200 high school students from<br />

throughout Long Isl<strong>and</strong> during a<br />

Long Isl<strong>and</strong> <strong>You</strong>th Summit hosted<br />

last spring at Dowling College in<br />

Oakdale. <strong>The</strong> purpose <strong>of</strong> the Summit<br />

was to work with the brightest <strong>and</strong><br />

most active high school students in<br />

order to make them aware <strong>of</strong> the<br />

socioeconomic, environmental <strong>and</strong><br />

sociomedical issues affecting Long<br />

Isl<strong>and</strong> <strong>and</strong> to recommend solutions.<br />

<strong>The</strong> New St<strong>and</strong>ard 79


Hospital Chefs<br />

Compete in<br />

Healthy Cooking<br />

Challenge<br />

By Betty Olt<br />

GLEN COVE — Hospital food<br />

usually gets a bad rap, but<br />

chefs from 11 North Shore-LIJ<br />

hospitals recently competed in<br />

the health system’s first-ever<br />

cooking challenge to prove<br />

that hospital chefs can serve<br />

up gourmet restaurant-quality<br />

meals, but without high fat,<br />

calories or sodium.<br />

Coinciding with National<br />

Nutrition Month, culinary<br />

teams from Queens, Nassau,<br />

Suffolk, Manhattan <strong>and</strong> Staten<br />

Isl<strong>and</strong> faced <strong>of</strong>f at Glen Cove<br />

Hospital’s Pratt Auditorium,<br />

which was trans<strong>for</strong>med into a<br />

giant kitchen equipped with<br />

stove-top burners, a pantry<br />

<strong>and</strong> farmers’ market <strong>for</strong> the<br />

Ultimate Chef Healthy Entrée<br />

Challenge. Each team had<br />

one hour to create a delicious,<br />

attractive <strong>and</strong> nutritious meal.<br />

Three celebrity chef judges<br />

awarded Forest Hills Hospital’s<br />

chefs with the top prize <strong>for</strong><br />

their original dish <strong>of</strong> spinachstuffed<br />

pork tenderloin with<br />

cranberry wild rice. Lenox<br />

80 Summer 2012<br />

Hill Hospital<br />

received second<br />

place <strong>and</strong><br />

Syosset Hospital<br />

came in third.<br />

Michael<br />

Kiley, director<br />

<strong>of</strong> nutrition <strong>and</strong><br />

food services<br />

at Glen Cove<br />

Hospital, who<br />

also helps<br />

coordinate North Shore-LIJ’s<br />

chef committee, organized<br />

the cook-<strong>of</strong>f. “Patients <strong>of</strong>ten<br />

compare hospital food to<br />

restaurants, <strong>and</strong> this event<br />

showcases that hospital chefs<br />

can prepare appealing food<br />

that tastes really good <strong>and</strong> is<br />

nutritious,” said Mr. Kiley.<br />

Judges rated all entrees <strong>and</strong><br />

side dishes prepared during<br />

the competition based on taste,<br />

nutrition, originality <strong>and</strong><br />

presentation. Each hospital<br />

culinary team was paired with<br />

a registered dietician from<br />

a North Shore-LIJ hospital<br />

to ensure that each dish<br />

contained no more than 500<br />

calories, 15 grams <strong>of</strong> fat <strong>and</strong><br />

600 milligrams <strong>of</strong> sodium.<br />

Teams worked with a “surprise<br />

protein” — such as halibut,<br />

shrimp, chicken <strong>and</strong> pork<br />

tenderloin — to build a creative<br />

meal around the item.<br />

Winning chefs Gary<br />

DeFreitas <strong>and</strong> Dale Lyons from<br />

Forest Hills Hospital said they<br />

are used to preparing meals <strong>for</strong><br />

600 to 700 patients each day.<br />

After the awards ceremony, Mr.<br />

Lyons said, “This event gives us<br />

the opportunity to show what<br />

we can do in the kitchen.…<br />

It’s a dream come true.” Mr.<br />

DeFreitas, who has been<br />

cooking since he was 19 years<br />

old, said it was a “great honor”<br />

to receive first prize in the<br />

competition but pointed out<br />

that “love is the most important<br />

ingredient in cooking, <strong>and</strong> it<br />

always comes out in the dish.”<br />

Above: Chefs from Forest Hills<br />

Hospital won North Shore-LIJ’s<br />

Ultimate Chef Challenge cook-<strong>of</strong>f.<br />

Dale Lyons chops an onion <strong>for</strong> the<br />

winning dish — spinach-stuffed<br />

pork tenderloin with cranberry wild<br />

rice — while Gary DeFreitas consults<br />

with Malgorazata Rokoszak, RD, <strong>of</strong><br />

Staten Isl<strong>and</strong> University Hospital.


Ultimate Chef Healthy Entrée 1st Place Recipe<br />

Spinach-Stuffed Pork Tenderloin with Cranberry Wild Rice<br />

By: Gary DeFreitas <strong>and</strong> Dale Lyons<br />

Serving Size: 6 oz Stuffed Pork, 1/3 cup Wild Rice Preparation time: 30 minutes<br />

Servings: 4 Cooking time: 30 minutes<br />

Ingredients:<br />

Pork Tenderloin<br />

1 pound Pork Tenderloin, silver skin removed<br />

1 tablespoon Balsamic Vinegar<br />

½ tablespoon Dijon Mustard<br />

1/8 teaspoon Garlic Powder<br />

1/8 teaspoon Rosemary, fresh, chopped<br />

Stuffing<br />

1 tablespoon Canola Oil<br />

4 oz Fresh Baby Spinach<br />

2 oz Snap Peas<br />

2 oz Dried Figs, minced<br />

1 oz Pistachio Nuts, shelled <strong>and</strong> roughly chopped<br />

½ tablespoon Rosemary, fresh, chopped<br />

½ tablespoon Shallots, peeled <strong>and</strong> chopped<br />

1 ½ teaspoons Garlic, fresh, chopped<br />

Directions:<br />

1. Pork Tenderloin: Cut the pork<br />

tenderloin into 4 equal 4oz portions.<br />

Place each piece <strong>of</strong> pork onto a large piece<br />

<strong>of</strong> plastic wrap <strong>and</strong> cover it with another<br />

piece <strong>of</strong> plastic wrap. Pound each portion<br />

with a meat mallet or the bottom <strong>of</strong> a flat<br />

frying pan until it is thin: about a 4” x 6”<br />

piece <strong>of</strong> meat.<br />

2. Mix together the balsamic vinegar,<br />

mustard, garlic powder <strong>and</strong> rosemary.<br />

Drizzle or smear the mixture onto both<br />

sides <strong>of</strong> each pork cutlet. Reserve seasoned<br />

pork cutlets until ready to stuff.<br />

3. Spinach Stuffing: Preheat a sauté<br />

pan over medium-high heat. Add the<br />

canola oil <strong>and</strong> garlic to the hot pan. Cook<br />

garlic until golden, <strong>and</strong> then add the<br />

spinach, snap peas, dried figs, pistachio<br />

nuts, rosemary, shallots <strong>and</strong> garlic. Sauté<br />

the mixture <strong>for</strong> about 5 minutes until<br />

the spinach wilts <strong>and</strong> the flavors have<br />

developed.<br />

4. Lay each seasoned piece <strong>of</strong> pork<br />

Wild Rice<br />

½ cup Wild Rice<br />

½ cup Celery, minced<br />

¼ cup Onion, minced<br />

½ tablespoon Garlic, minced<br />

1 ½ teaspoons Canola Oil<br />

1 oz Dried Cranberries<br />

1 cup Water<br />

Pan Sauce<br />

1 ½ oz White Wine, dry<br />

1 ½ teaspoons Dijon Mustard<br />

4 leaves Radicchio <strong>for</strong> garnish<br />

tenderloin onto a flat surface like a cutting<br />

board. Place ¼ <strong>of</strong> the spinach mixture<br />

onto each <strong>of</strong> the 4 pieces <strong>of</strong> flattened <strong>and</strong><br />

seasoned pork tenderloin. Pat the spinach<br />

mixture down to cover the pork tenderloin<br />

cutlet. On the longest side <strong>of</strong> the cutlet,<br />

fold the pork over onto the spinach tightly.<br />

Continue to roll in a jelly roll fashion until<br />

you have a tight roulade.<br />

5. Wild Rice: Sauté wild rice in ½<br />

tablespoon <strong>of</strong> canola oil <strong>for</strong> one minute.<br />

Add the fresh chopped garlic, chopped<br />

celery <strong>and</strong> minced onion to the rice <strong>and</strong><br />

continue to cook <strong>for</strong> about 3-5 minutes.<br />

Add 1 cup water to the saucepan <strong>and</strong> bring<br />

the mixture to a boil. Cover <strong>and</strong> reduce<br />

heat to a simmer. Cook <strong>for</strong> 20 – 25<br />

minutes until the rice is tender <strong>and</strong> the<br />

water has been absorbed into the rice.<br />

6. While the rice is cooking, heat a<br />

frying pan over medium-high heat: Add 1<br />

teaspoon <strong>of</strong> canola oil to the pan <strong>and</strong> then<br />

add the four roulades. Position the stuffed<br />

pork pieces so that they are not touching<br />

each other. Cook the pork all around the<br />

roulades until the internal temperature<br />

reaches 140ºF. Take the pork out <strong>of</strong> the<br />

pan <strong>and</strong> place it onto a plate to rest.<br />

7. Sauce: Pour white wine <strong>and</strong> Dijon<br />

mustard into the frying pan <strong>and</strong> deglaze<br />

the pan. Simmer the wine mixture until it<br />

reduces slightly.<br />

8. Plating: After the rice is cooked<br />

add the dried cranberries <strong>and</strong> stir. With<br />

a sharp knife, slice each roulade into 1”<br />

pinwheel slices on the bias. Place 1/3<br />

cup <strong>of</strong> rice mixture into the center <strong>of</strong> a<br />

dinner plate using a cup as a mold. Place<br />

1 radicchio leaf into the rice so that it<br />

st<strong>and</strong>s up. Place the slices <strong>of</strong> the roulade<br />

around the rice. Drizzle the pan sauce<br />

around the plate <strong>and</strong> serve.<br />

Nutritional In<strong>for</strong>mation: 228 Calories, 8g Fat,<br />

26g Protein, 10g Carbohydrate, 62mg Cholesterol, 1g<br />

Fiber, 121mg Sodium, 570mg Potassium.<br />

<strong>The</strong> New St<strong>and</strong>ard 81


Miracle Foundation Palliative Care Center:<br />

It’s All About Quality <strong>of</strong> Life<br />

Patients living with a<br />

serious illness can find<br />

pain relief <strong>and</strong> address<br />

symptom management<br />

at home, in the company <strong>of</strong><br />

their loved ones, courtesy <strong>of</strong> the<br />

Miracle Foundation Palliative<br />

Care Center.<br />

“<strong>The</strong> Miracle Foundation<br />

Palliative Care Center dialogues<br />

with patients <strong>and</strong> families<br />

living with advanced illnesses<br />

about treatment options,<br />

<strong>of</strong>fers emotional support <strong>and</strong><br />

makes them as com<strong>for</strong>table<br />

as possible,” said Maureen<br />

Hinkelman, chief executive<br />

<strong>of</strong>ficer <strong>of</strong> the Hospice Care<br />

Network, part <strong>of</strong> the North<br />

Shore-LIJ Health System.<br />

Palliative care is<br />

comprehensive, individualized<br />

medical treatment that<br />

complements curative<br />

therapies <strong>for</strong> patients with<br />

life-threatening illness. In<br />

February <strong>and</strong> April 2011,<br />

Governor Cuomo passed two<br />

important pieces <strong>of</strong> legislation<br />

to address it. <strong>The</strong> Palliative<br />

Care In<strong>for</strong>mation Act requires<br />

that attending physicians<br />

<strong>and</strong> nurse practitioners<br />

<strong>of</strong>fer terminally ill patients<br />

in<strong>for</strong>mation <strong>and</strong> counseling<br />

concerning palliative care<br />

<strong>and</strong> appropriate end-<strong>of</strong>-life<br />

options. According to the<br />

New York State Department <strong>of</strong><br />

Health, the law helps to ensure<br />

that patients are fully in<strong>for</strong>med<br />

<strong>of</strong> their options when they face<br />

a terminal illness or condition.<br />

82 Summer 2012<br />

Jim Kennedy<br />

<strong>The</strong> second law, the<br />

Palliative Care Access<br />

Act, requires hospitals,<br />

nursing homes, home care<br />

agencies <strong>and</strong> assisted living<br />

residences to provide access to<br />

in<strong>for</strong>mation <strong>and</strong> counseling<br />

about palliative care to<br />

patients with advanced,<br />

life-limiting conditions <strong>and</strong><br />

illnesses. <strong>The</strong>se providers<br />

must also facilitate access to<br />

palliative care consultation<br />

<strong>and</strong> services that are<br />

consistent with the patient’s<br />

needs <strong>and</strong> preferences.<br />

“We are always looking <strong>for</strong><br />

better ways to serve the patients<br />

<strong>and</strong> families in our community.<br />

Many families have told us that<br />

they wished they had known<br />

sooner about palliative care <strong>and</strong><br />

hospice service options. <strong>The</strong><br />

Miracle Foundation Palliative<br />

Care Center addresses this<br />

concern by providing a useful<br />

venue to help physicians attend<br />

to the new requirements,” said<br />

Ms. Hinkelman.<br />

This unique center<br />

is generously funded by a<br />

$500,000 grant from the<br />

Miracle Foundation, an<br />

organization founded by<br />

Patti <strong>and</strong> Michael Tenaglia<br />

<strong>and</strong> dedicated to improving<br />

the lives <strong>of</strong> those diagnosed<br />

with cancer <strong>and</strong> other lifethreatening<br />

diseases.<br />

Above: With a live-in aide <strong>and</strong><br />

regular visits from palliative care<br />

nurse Laurie Alonso, NP, left,<br />

102-year-old George Wittmer is<br />

able to remain in his home.


Club TLC Benefits Families <strong>of</strong> “NICU Babies”<br />

A night <strong>of</strong> dancing, cocktails, light bites <strong>and</strong> socializing at the Maximus Spa & Salon in Mineola was also a fundraiser <strong>for</strong> the Tender<br />

Loving Care (TLC) Foundation, which raises funds <strong>for</strong> support programs geared toward families <strong>of</strong> newborns treated in the Neonatal<br />

Intensive Care Units (NICU) at the North Shore-LIJ Health System’s Steven <strong>and</strong> Alex<strong>and</strong>ra Cohen Children’s Medical Center <strong>of</strong> New York<br />

in New Hyde Park <strong>and</strong> Manhasset. Sick <strong>and</strong> critically ill newborns <strong>of</strong>ten spend weeks or months in the NICUs receiving highly specialized<br />

care, putting an enormous<br />

strain on families.<br />

Proceeds from this event<br />

<strong>and</strong> those in 2010 <strong>and</strong> 2011<br />

have helped or will help<br />

provide funding <strong>for</strong> muchneeded<br />

medical equipment<br />

such as a Transport Isolette<br />

<strong>and</strong> Retscan Retina Scanning<br />

Unit, as well as support <strong>for</strong> the<br />

music therapy program, family<br />

support groups, monthly<br />

dinners in the NICU <strong>and</strong><br />

sibling outreach.<br />

Shown at Club TLC, from left: David Goldberg, TLC chairman, his wife, Franessa, <strong>and</strong> <strong>Joy</strong>ce <strong>and</strong> Richard Calcasola, who<br />

generously hosted the event.<br />

Multispecialty<br />

Facility<br />

Ribbon-Cutting<br />

North Shore-LIJ <strong>of</strong>ficials<br />

gathered to celebrate the<br />

opening <strong>of</strong> a single destination<br />

<strong>for</strong> orthopedic, neuroscience<br />

<strong>and</strong> imaging services at 611<br />

Northern Boulevard in Great<br />

Neck. <strong>The</strong> new facility brings<br />

together the experience<br />

<strong>and</strong> resources <strong>of</strong> University<br />

Orthopedic Associates, the<br />

Cushing Neuroscience Institute<br />

<strong>and</strong> North Shore-LIJ Imaging.<br />

<strong>The</strong> New St<strong>and</strong>ard 83


Patients at North<br />

Shore-LIJ hospitals<br />

<strong>and</strong> facilities may now<br />

see visitors any time,<br />

thanks to a new visitation policy.<br />

Only occasional limitations may<br />

be needed <strong>for</strong> health reasons or<br />

certain situations.<br />

Active involvement <strong>of</strong><br />

patients <strong>and</strong> families in their<br />

healthcare helps improve the<br />

safety <strong>and</strong> overall quality <strong>of</strong><br />

care, according to the American<br />

Association <strong>of</strong> Critical Care<br />

Nurses. This is especially<br />

true in intensive care units,<br />

where patients <strong>of</strong>ten have<br />

breathing tubes inserted <strong>and</strong><br />

North Shore-LIJ Nursing Homes Among<br />

Best, says US News & World Report<br />

By Betty Olt<br />

<strong>The</strong> Stern Family Center <strong>for</strong> Rehabilitation in Manhasset <strong>and</strong> the Orzac Center <strong>for</strong> Rehabilitation in Valley Stream recently<br />

earned the top five-star overall quality ranking in US News & World Report’s 2012 Best Nursing Homes report. <strong>The</strong> report also<br />

recognized four health system affiliates: A. Holly Patterson Extended Care Facility in Uniondale; Amsterdam Nursing Home in<br />

Manhattan; Queens Boulevard Extended Care Facility in Woodside; <strong>and</strong> Fairview Nursing Care Center in Forest Hills.<br />

US News’ Best Nursing Homes recognizes top-rated facilities in all 50 states <strong>and</strong> <strong>of</strong>fers important guidance to families<br />

<strong>and</strong> healthcare providers caring <strong>for</strong> people who need a nursing home.<br />

<strong>The</strong> publication’s evaluation is based on data from Nursing Home Compare, the US Centers <strong>for</strong> Medicare <strong>and</strong><br />

Medicaid Services’ consumer Web site. <strong>The</strong> government agency sets <strong>and</strong> en<strong>for</strong>ces st<strong>and</strong>ards <strong>for</strong> nursing homes (defined<br />

as facilities or portions <strong>of</strong> facilities enrolled in Medicare or Medicaid that provide 24-hour nursing care <strong>and</strong> other<br />

medical services). Facilities earn an overall rating <strong>of</strong> one to five stars, as well as up to five stars in health inspections,<br />

nurse staffing <strong>and</strong> quality <strong>of</strong> care.<br />

Of more than 15,500 nursing homes rated <strong>and</strong> pr<strong>of</strong>iled on the US News Web site, North Shore-LIJ’s Stern <strong>and</strong> Orzac<br />

centers <strong>and</strong> its four affiliate nursing homes were among the fewer than one in eight that received a five-star overall quality<br />

rating in all four quarters <strong>of</strong> 2011. View Best Nursing Homes 2012 at USNews.com/nursinghomes.<br />

According to US News, more than three million Americans will spend part <strong>of</strong> this year in a nursing home. “Nursing<br />

homes in New York <strong>and</strong> across the country vary in quality <strong>of</strong> care <strong>and</strong> the healthcare services they provide to residents,” said<br />

Maureen McClusky, executive director <strong>of</strong> the Stern <strong>and</strong> Orzac facilities. “Earning US News’ five-star quality ranking <strong>for</strong> our<br />

facilities is a top honor, thanks to the dedication <strong>of</strong> our clinical teams <strong>and</strong> our entire staff. <strong>The</strong> report also gives concrete<br />

quality measures consumers can access online to help them select the best nursing home.”<br />

84 Summer 2012<br />

can’t speak <strong>for</strong> themselves.<br />

<strong>The</strong> association also pointed<br />

out that unrestricted visitation<br />

<strong>of</strong> a support person or<br />

family member can improve<br />

communication <strong>and</strong> help<br />

convey a better underst<strong>and</strong>ing<br />

<strong>of</strong> the patient.<br />

“<strong>The</strong> health system has<br />

created an environment where<br />

the patient’s voice is heard<br />

<strong>and</strong> where we value the<br />

benefit <strong>and</strong> support <strong>of</strong> family<br />

members <strong>and</strong> others involved<br />

in their loved ones’ care,” said<br />

Elaine Smith, EdD, RN, vice<br />

president <strong>for</strong> nursing education<br />

at North Shore-LIJ <strong>and</strong> co-<br />

chair <strong>of</strong> the newly <strong>for</strong>med<br />

Patient Rights Task Force.<br />

<strong>The</strong> task <strong>for</strong>ce focuses on<br />

reviewing <strong>and</strong> establishing a<br />

safe, open visitation process<br />

that protects all patients’<br />

privacy. James Romagnoli, the<br />

health system’s vice president<br />

Family-Friendly Visitation<br />

Puts Patients First<br />

By Betty Olt<br />

<strong>of</strong> protective services, also cochairs<br />

the interpr<strong>of</strong>essional<br />

task <strong>for</strong>ce, which combines<br />

the expertise <strong>of</strong> nurses,<br />

physicians, in<strong>for</strong>mation<br />

technology specialists,<br />

attorneys, staff educators,<br />

health literacy pr<strong>of</strong>essionals,<br />

hospital executive directors,<br />

clinical excellence <strong>and</strong> quality<br />

staff <strong>and</strong> security personnel.<br />

<strong>The</strong> visitation policy allows<br />

patients to designate a support<br />

person to carry out their wishes<br />

about who can visit <strong>and</strong> manage<br />

the flow <strong>of</strong> visitors to the<br />

hospital room. Children who<br />

are supervised by an adult are<br />

welcome to visit.<br />

Piloted at North Shore<br />

University Hospital (NSUH),<br />

the policy puts structure around<br />

visitation <strong>and</strong> supports families,<br />

patients <strong>and</strong> staff, according<br />

to task <strong>for</strong>ce member Joanne<br />

Bentson, RN, DNP, associate<br />

executive director at NSUH.<br />

“We know that having family<br />

members or significant others at<br />

the bedside is in the best interest<br />

<strong>of</strong> patients <strong>and</strong> promotes<br />

healing,” said Dr. Bentson.<br />

“Our policy puts patients first,<br />

while ensuring simple guidelines<br />

<strong>for</strong> safe, respectful visitation <strong>for</strong><br />

all patients.”<br />

Going<br />

Abroad?<br />

Protect your health when you<br />

travel overseas. Contact the North<br />

Shore-LI J Travel Immunization<br />

Center be<strong>for</strong>e your getaway. Call<br />

(516) 562-4280 to learn more.<br />

Thinkstock/Stockbyte


It’s three diamonds<br />

down, only two to go <strong>for</strong> Long<br />

Isl<strong>and</strong> Jewish Medical Center’s<br />

Satellite Dialysis Facility in<br />

Queens Village, led by John D.<br />

Wagner, MD, medical director.<br />

Yol<strong>and</strong>a A. Malone, RN,<br />

nurse manager, was recently<br />

in<strong>for</strong>med by the New York<br />

State ESRD (End Stage Renal<br />

Disease) Network that the<br />

facility had taken the measures<br />

necessary to achieve the third<br />

diamond in the 5-Diamond<br />

Patient Safety Program <strong>and</strong> will<br />

be recognized in the network<br />

newsletter. Sponsored by<br />

the CMS-contracted Quality<br />

Improvement Organization,<br />

a subsidiary <strong>of</strong> IPRO, the<br />

program is dedicated to assisting<br />

dialysis facilities in improving<br />

both staff <strong>and</strong> patient awareness<br />

<strong>of</strong> specific patient safety areas,<br />

promoting patient safety values<br />

<strong>and</strong> building a culture <strong>of</strong> patient<br />

safety in every dialysis facility.<br />

“<strong>The</strong> first module<br />

we completed was Patient<br />

LIJ Dialysis Facility Achieves<br />

Third Diamond in ESRD Program<br />

Safety Principles,” said Ms.<br />

Malone. “This m<strong>and</strong>atory<br />

module, representing the<br />

first diamond, teaches basic<br />

concepts <strong>of</strong> patient safety<br />

<strong>and</strong> the appropriate steps to<br />

prevent errors. <strong>The</strong> second<br />

module was Medication<br />

Reconciliation; it stresses<br />

the importance to both<br />

patients <strong>and</strong> staff <strong>of</strong> avoiding<br />

medication errors. Third<br />

was H<strong>and</strong> Hygiene. Next is<br />

Slips, Trips <strong>and</strong> Falls, <strong>and</strong> the<br />

module we will tackle last will<br />

be Emergency Preparation.”<br />

Following in the footsteps<br />

<strong>of</strong> the Queens Village facility<br />

is the pediatric chronic<br />

dialysis unit, located within<br />

the inpatient unit at LIJ,<br />

where Ms. Malone is also<br />

nurse manager; they hope<br />

soon to achieve their first<br />

diamond. Joanne Seylar, RN,<br />

Marlyn Batan, RN, <strong>and</strong> the<br />

entire nursing leadership join<br />

together in commending the<br />

staffs <strong>of</strong> both facilities <strong>for</strong><br />

their enthusiastic participation<br />

in the program, undergoing<br />

training <strong>and</strong> bringing the<br />

lessons learned down to the<br />

patient level.<br />

“We have a great team,”<br />

said Ms. Malone. “Everyone<br />

pitched in <strong>and</strong> helped, from<br />

leadership, especially Dr.<br />

Wagner, our educator, Nicole<br />

Lemoine, RN, on down. With<br />

that level <strong>of</strong> multidisciplinary<br />

collaboration, by the end <strong>of</strong><br />

2012, we expect that both units<br />

will be 5-Diamond facilities.”<br />

“<strong>The</strong> 5-Diamond<br />

program <strong>for</strong>mally measures<br />

<strong>and</strong> acknowledges our facility’s<br />

ef<strong>for</strong>ts in the areas cited, but<br />

our per<strong>for</strong>mance improvement<br />

program has always focused on<br />

these areas,” said Dr. Wagner.<br />

“Participating in the program<br />

confirms that we are on the<br />

right track, <strong>and</strong> it also applauds<br />

our achievements. I could<br />

not be prouder <strong>of</strong> the highly<br />

talented team <strong>of</strong> nurses, patient<br />

care technicians, dietitians,<br />

social workers <strong>and</strong> support<br />

staff who took the initiative to<br />

engage in this program.”<br />

Above: Shown in the pediatric<br />

chronic dialysis unit with a young<br />

patient are Yol<strong>and</strong>a Malone, RN,<br />

left, <strong>and</strong> Vera Benn, RN.<br />

<strong>The</strong> New St<strong>and</strong>ard 85


LAKE SUCCESS — <strong>The</strong>re<br />

was a surprise visitor this<br />

spring when North Shore-<br />

LIJ Laboratories hosted a<br />

reception to celebrate the<br />

10th anniversary <strong>of</strong> the DNA<br />

Learning Center West: none<br />

other than Nobel Laureate<br />

James Watson, PhD.<br />

<strong>The</strong> DNA Learning<br />

Center, a joint collaboration<br />

<strong>of</strong> North Shore-LIJ <strong>and</strong> Cold<br />

Spring Harbor Laboratory<br />

(CSHL), has provided<br />

education in genetics to more<br />

than 30,000 middle <strong>and</strong> high<br />

school students from across<br />

Long Isl<strong>and</strong>, New York City<br />

<strong>and</strong> the entire tri-state area<br />

since opening in June 2002.<br />

Within the 2,200-squarefoot<br />

education center, located<br />

adjacent to North Shore-LIJ<br />

Laboratories’ headquarters<br />

at 10 Nevada Drive in Lake<br />

Success, are a genetic/<br />

biochemistry lab, a prep lab,<br />

a lunchroom <strong>and</strong> an <strong>of</strong>fice.<br />

North Shore-LIJ Laboratories<br />

86 Summer 2012<br />

Nobel Laureate Helps<br />

DNA Learning Center West<br />

Celebrate 10th Anniversary<br />

underwrites the $250,000<br />

annual cost <strong>of</strong> the leased space.<br />

“For many <strong>of</strong> these<br />

students, the experience<br />

they’ve gained at the DNA<br />

Learning Center West has<br />

opened their eyes to careers<br />

in medicine, science <strong>and</strong><br />

other healthcare fields,”<br />

said Robert Stallone, vice<br />

president <strong>of</strong> North Shore-LIJ<br />

Laboratories. He said some<br />

<strong>for</strong>mer students now work as<br />

medical technologists <strong>and</strong> in<br />

other related jobs at North<br />

Shore-LIJ Laboratories, a<br />

fully automated, 60,000-<br />

square-foot facility that<br />

<strong>of</strong>fers a range <strong>of</strong> specialty<br />

lab testing to physician<br />

practices, hospitals, nursing<br />

homes <strong>and</strong> the biomedical<br />

industry. <strong>The</strong> lab’s business<br />

has doubled in the past four<br />

years, underscoring the career<br />

opportunities available <strong>for</strong><br />

young people in this field.<br />

<strong>The</strong> three-to-fourhour<br />

daily tours <strong>of</strong> the DNA<br />

Learning Center West <strong>and</strong><br />

North Shore-LIJ Laboratories<br />

are so popular that schools must<br />

book a year in advance, said<br />

center instructor Tedi Setton.<br />

In addition to the school tours,<br />

the DNA Learning Center hosts<br />

about 300 students during<br />

its annual summer program.<br />

Curriculum is developed <strong>and</strong><br />

taught by CSHL staff.<br />

Among the highlights<br />

<strong>of</strong> the center’s curriculum,<br />

students are able to view their<br />

own DNA, utilizing the center’s<br />

fingerprinting <strong>and</strong> human<br />

mitochondrial sequencing<br />

labs. <strong>The</strong> center’s interactive<br />

approach links the process<br />

<strong>of</strong> discovery to learning, said<br />

James Craw<strong>for</strong>d, MD, North<br />

Shore-LIJ’s chair <strong>of</strong> pathology.<br />

“Every time I come by the Lab,<br />

I’m looking <strong>for</strong> those bright<br />

eyes <strong>of</strong> students <strong>and</strong> they’re<br />

here five days a week, yearround,”<br />

said Dr. Craw<strong>for</strong>d.<br />

To learn more about the<br />

DNA Learning Center West,<br />

go to: www.dnalc.org/about/<br />

locations/aboutdnalcwest.html<br />

Among those celebrating the DNA<br />

Learning Center West’s 10th<br />

anniversary were, from left: Robert<br />

Stallone, vice president <strong>of</strong> North<br />

Shore-LIJ Laboratories; Dr. James<br />

Watson, chancellor emeritus at<br />

Cold Spring Harbor Laboratory<br />

(CSHL); David Micklos, founder<br />

<strong>and</strong> executive director <strong>of</strong> the DNA<br />

Learning Center; <strong>and</strong> Dr. James<br />

Craw<strong>for</strong>d, North Shore-LIJ’s chair<br />

<strong>of</strong> pathology.


MANHASSET — North<br />

Shore University Hospital has<br />

been designated an Academic<br />

Center <strong>of</strong> Excellence <strong>for</strong><br />

minimally invasive surgery<br />

in gynecologic oncology <strong>and</strong><br />

gynecology by the American<br />

Institute <strong>of</strong> Minimally Invasive<br />

Surgery (AIMIS), joining LIJ<br />

Medical Center as one <strong>of</strong> only<br />

28 Centers <strong>of</strong> Excellence in<br />

the country to achieve this<br />

designation <strong>and</strong> only one <strong>of</strong><br />

four centers in New York State.<br />

“This prestigious<br />

accreditation from AIMIS<br />

shows that we have a deep<br />

commitment to providing only<br />

the highest quality <strong>of</strong> care to<br />

all our female patients with<br />

state-<strong>of</strong>-the-art, minimally<br />

invasive <strong>and</strong> robotic surgical<br />

gynecologic expertise,” said<br />

Susan Somerville, executive<br />

director <strong>of</strong> the hospital. “This<br />

is an occasion to take pride<br />

in our work <strong>and</strong> to rededicate<br />

ourselves to continue at this<br />

same high level in the future.”<br />

AIMIS is the nation’s<br />

preeminent educator <strong>of</strong><br />

advanced surgical techniques<br />

<strong>for</strong> women’s health specialists<br />

<strong>and</strong> recognizes hospitals <strong>and</strong><br />

clinics that excel <strong>and</strong> provide<br />

leadership in leading-edge<br />

surgical techniques. A hospital<br />

or surgical center can be<br />

recognized as a Center <strong>of</strong><br />

Excellence once it has combined<br />

ef<strong>for</strong>ts with an accredited<br />

AIMIS surgeon <strong>and</strong> meets<br />

AIMIS st<strong>and</strong>ards. Recognized<br />

institutions have made<br />

minimally invasive surgery a<br />

priority, which helps minimize<br />

recovery times <strong>and</strong> provide<br />

better patient outcomes.<br />

“We have always taken<br />

great pride in our ability to<br />

North Shore Recognized <strong>for</strong><br />

Gynecological Surgery Expertise<br />

provide our patients with the<br />

latest that technology <strong>of</strong>fers<br />

in a safe, caring, pr<strong>of</strong>essional<br />

environment,” said Michael<br />

Nimar<strong>of</strong>f, MD, vice chair <strong>and</strong><br />

chief <strong>of</strong> gynecology at North<br />

Shore University Hospital. “We<br />

are fully committed to <strong>of</strong>fering<br />

our patients the full range<br />

<strong>of</strong> minimally invasive <strong>and</strong><br />

robotic surgical options that<br />

successfully treat a wide range<br />

<strong>of</strong> both benign conditions <strong>and</strong><br />

gynecological cancers.”<br />

North Shore University<br />

Hospital’s Division <strong>of</strong><br />

Gynecology per<strong>for</strong>med more<br />

gynecologic surgery procedures<br />

than any other hospital in<br />

New York State — a total<br />

<strong>of</strong> 3,935 cases in 2011. “It<br />

is because <strong>of</strong> our team <strong>of</strong><br />

highly trained gynecologists,<br />

urogynecologists, reproductive<br />

surgeons <strong>and</strong> gynecological<br />

oncologists that we have<br />

established a proven track<br />

record <strong>of</strong> positive surgical<br />

outcomes <strong>for</strong> women. We<br />

thank AIMIS <strong>for</strong> recognizing<br />

North Shore University<br />

Hospital with this highly<br />

sought-after accreditation,”<br />

said Dr. Nimar<strong>of</strong>f.<br />

Minimally invasive<br />

surgery, whether laparoscopic<br />

or robotically assisted, is<br />

advancing healthcare <strong>for</strong><br />

women by providing doctors<br />

new tools to accomplish the<br />

same goals as they would with<br />

traditional open surgery.<br />

Most patients undergoing<br />

minimally invasive procedures<br />

experience less pain <strong>and</strong> blood<br />

loss, decreased scarring, fewer<br />

complications, faster recovery<br />

<strong>and</strong> a decreased length <strong>of</strong><br />

hospital stay.<br />

AIMIS teaches <strong>and</strong><br />

supports minimally<br />

invasive gynecological <strong>and</strong><br />

urogynecological surgical<br />

methods while improving<br />

patient outcomes through<br />

advanced surgical techniques.<br />

<strong>The</strong> organization brings<br />

together hospitals, surgeons,<br />

clinics, medical technology<br />

companies, the insurance<br />

industry <strong>and</strong> patients by<br />

providing a plat<strong>for</strong>m to deliver<br />

advanced surgical procedures<br />

that improve healthcare <strong>for</strong><br />

women <strong>of</strong> all ages.<br />

Above: North Shore University<br />

Hospital’s minimally invasive <strong>and</strong><br />

robotic surgery team, pictured<br />

from left: Kelly Cifu, RN, associate<br />

executive director, peri-op services<br />

at NSUH; Chris Ciampa, quality<br />

management; Pat Moleski, RN,<br />

director, peri-op services; Adiel<br />

Fleischer, MD, North Shore-LIJ’s<br />

chair <strong>of</strong> obstetrics <strong>and</strong> gynecology;<br />

Emily Kao, RPh, associate executive<br />

director, NSUH; Robert Barnett,<br />

MD, AIMIS representative; Michael<br />

Nimar<strong>of</strong>f, MD, vice chair <strong>of</strong><br />

obstetrics <strong>and</strong> gynecology <strong>and</strong> chief<br />

<strong>of</strong> gynecology at NSUH; Cindy<br />

Girdusky, RN, nurse manager, periop<br />

services; <strong>and</strong> Andrea Restifo, RN,<br />

associate executive director, quality<br />

management.<br />

<strong>The</strong> New St<strong>and</strong>ard 87


Ambulance Tracking Tool<br />

Launched at LIJ<br />

By Betty Olt<br />

NEW HYDE PARK — North<br />

Shore-LIJ’s Center <strong>for</strong><br />

Emergency Medical Services<br />

(CEMS) has installed a new<br />

wireless tracking system to<br />

better predict ambulance<br />

arrivals <strong>and</strong> collect critical<br />

health data in real time be<strong>for</strong>e<br />

patients arrive at the Emergency<br />

Department (ED). <strong>The</strong> new<br />

technology was recently rolled<br />

out at LIJ, the first hospital on<br />

Long Isl<strong>and</strong> <strong>and</strong> Queens to use<br />

the s<strong>of</strong>tware.<br />

Responding to 911 calls,<br />

paramedics <strong>and</strong> emergency<br />

medical technicians (EMTs)<br />

begin their assessment<br />

<strong>and</strong> gather critical patient<br />

in<strong>for</strong>mation. Using a laptop<br />

computer, emergency medical<br />

workers transmit patients’<br />

age, gender, vital signs <strong>and</strong><br />

brief comments about their<br />

condition — <strong>for</strong> example,<br />

“dizziness, seizure, fainting.”<br />

In<strong>for</strong>mation is displayed on a<br />

40-inch monitor on the wall<br />

facing the entrance <strong>of</strong> LIJ’s<br />

ambulance bay (names are<br />

not used to protect patient<br />

privacy). Triage nurses or<br />

physicians can get a quick visual<br />

picture about the number <strong>of</strong><br />

ambulances en route to the<br />

88 Summer 2012<br />

hospital <strong>and</strong> the severity <strong>of</strong><br />

patients’ conditions, which<br />

allow staff to better prepare<br />

<strong>for</strong> patients <strong>and</strong> manage care.<br />

Physicians <strong>and</strong> nurses can also<br />

access patient in<strong>for</strong>mation on<br />

computers in the ED.<br />

“<strong>The</strong> ED is an<br />

unpredictable place,” said<br />

Salvatore Pardo, MD,<br />

associate chairman <strong>of</strong><br />

emergency medicine at LIJ.<br />

“<strong>The</strong> technology is a great<br />

tool because it gives the ED<br />

team in<strong>for</strong>mation at a glance<br />

to better plan <strong>for</strong> incoming<br />

patients.” From several yards<br />

away staff can see incoming<br />

cases blinking on the monitor,<br />

with trauma cases in black<br />

or cardiac arrests in orange,<br />

<strong>for</strong> example. Previously, Dr.<br />

Pardo said the ED would get<br />

a phone call from emergency<br />

medical staff in the ambulance<br />

<strong>and</strong> it was nearly impossible<br />

to capture all details <strong>of</strong> a<br />

patient’s condition. (EMTs<br />

will likely still call ahead to the<br />

ED to alert staff to heart attack<br />

or major trauma patients.)<br />

“<strong>The</strong> tracking system<br />

eliminates paperwork <strong>and</strong><br />

gets patients registered be<strong>for</strong>e<br />

they arrive, making treatment<br />

<strong>and</strong> the entire process more<br />

effective,” he added.<br />

<strong>The</strong> new tracking system,<br />

known as XChangER, was<br />

developed by the Duluth,<br />

MN-based company Sansio.<br />

Currently, North Shore-LIJ<br />

EMS <strong>and</strong> the SeniorCare EMS<br />

are using the system at LIJ.<br />

CEMS, the largest hospitalbased<br />

ambulance service in<br />

the New York metropolitan<br />

area <strong>and</strong> one <strong>of</strong> the largest<br />

in the country, plans to<br />

introduce the technology at<br />

other health system hospitals<br />

in the coming months.<br />

“<strong>The</strong> tracking technology<br />

provides a continuum <strong>of</strong><br />

care <strong>for</strong> patients, integrating<br />

in<strong>for</strong>mation taken at the<br />

emergency site <strong>and</strong> in the<br />

ambulance prior to arrival at<br />

the hospital <strong>for</strong> treatment,”<br />

said Alan Schwalberg, CEMS<br />

vice president. “Combining<br />

the technology <strong>of</strong> electronic<br />

medical records <strong>and</strong> this new<br />

tracking s<strong>of</strong>tware, we are<br />

providing accurate, up-to-the<br />

minute health in<strong>for</strong>mation<br />

about patients so ED staff can<br />

prepare <strong>and</strong> coordinate the<br />

best possible medical care.”<br />

In the past year, LIJ’s<br />

ED saw a 36 percent increase<br />

in patient visits, partially<br />

attributable to recent hospital<br />

closures in Queens, according<br />

to Patricia Farrell, RN, senior<br />

administrative director <strong>of</strong><br />

patient care services at LIJ.<br />

Each month, LIJ’s ED receives<br />

about 1,400 ambulances<br />

via 911 calls; it receives


approximately 80,000 patient<br />

visits annually.<br />

“We know that seconds<br />

count in a 911 call <strong>for</strong> a<br />

medical emergency,” said Ms.<br />

Farrell. “<strong>The</strong> tracking system<br />

jump-starts care <strong>and</strong> we are<br />

able to triage patients be<strong>for</strong>e<br />

they come through the door.”<br />

Ms. Farrell explained that<br />

the pre-hospital electronic<br />

records technology also helps<br />

the ED staff to better manage<br />

incoming ambulance traffic.<br />

Through CEMS, they have the<br />

ability to divert an ambulance<br />

to a nearby hospital, if<br />

necessary, improving<br />

“hospital throughput.”<br />

“If we see an increased<br />

volume <strong>of</strong> patients in the ED<br />

<strong>and</strong> we know their condition,<br />

we can notify the operating<br />

room or other hospital<br />

departments, <strong>for</strong> example,<strong>of</strong> a<br />

need <strong>for</strong> more beds,” she said.<br />

“This way, we have a game plan<br />

that not only enhances patient<br />

care <strong>and</strong> service, but makes the<br />

workflow more efficient.”<br />

Above: LIJ’s new tracking s<strong>of</strong>tware<br />

gives emergency medicine staff a<br />

snapshot <strong>of</strong> incoming ambulances<br />

<strong>and</strong> patients, which optimizes care.<br />

ER nurse Debbie Sutton-Williams,<br />

RN, left, discusses a patient’s case<br />

with North Shore-LIJ paramedics.<br />

<strong>The</strong> New St<strong>and</strong>ard 89


Make a Gift Now<br />

<strong>and</strong> Receive<br />

Payments<br />

<strong>for</strong> Life!<br />

It sounds too good to be true!<br />

Make a gift <strong>and</strong> gain an income<br />

stream <strong>for</strong> life.<br />

<strong>You</strong> can do just that — support<br />

yourself, <strong>and</strong> then support North<br />

Shore-LIJ. A charitable gift annuity<br />

enables you (or you <strong>and</strong> a spouse)<br />

to make a gift <strong>of</strong> $10,000+ <strong>and</strong> gain<br />

a fixed income stream <strong>for</strong> your life.<br />

Any remaining amount will be used<br />

by North Shore-LIJ to fulfill our mission<br />

<strong>of</strong> caring <strong>for</strong> our community.<br />

Here are some representative<br />

one-life rates:<br />

ONE LIFE<br />

Age Rate<br />

60 4.9%<br />

65 5.2%<br />

70 5.6%<br />

75 6.3%<br />

80 7.3%<br />

85 8.3%<br />

Example: Anna, age 78, donates<br />

$10,000. She would receive $690/<br />

year ($566 tax-free <strong>for</strong> 10.5 years)<br />

<strong>and</strong> may be eligible to claim a $4,052<br />

income tax deduction.<br />

For more in<strong>for</strong>mation <strong>and</strong><br />

a no-obligation personalized<br />

illustration <strong>of</strong> benefits, contact<br />

Alex<strong>and</strong>ra Brovey, senior director <strong>of</strong><br />

gift planning, at (516) 465-2610 or<br />

abrovey@nshs.edu.<br />

Rates are subject to change. Please<br />

contact us to discuss your rate, tax-free<br />

income <strong>and</strong> charitable deduction.<br />

90 Summer 2012<br />

North Shore-LIJ Integration Garners Praise<br />

GREAT NECK — <strong>The</strong> North Shore-LIJ Health System continues to rank among the top 100 integrated healthcare networks<br />

(IHNs) in the US, according to IMS Health. North Shore-LIJ ranked 31st out <strong>of</strong> 100 IHNs. A provider <strong>of</strong> in<strong>for</strong>mation services<br />

to the healthcare field, IMS Health rates each network’s per<strong>for</strong>mance <strong>and</strong> degree <strong>of</strong> integration.<br />

Rankings are determined by coming up with a system’s total score based on measurements <strong>of</strong> 33 attributes in<br />

weighted per<strong>for</strong>mance categories. Specifically, networks are rated on:<br />

w Hospital utilization: use <strong>of</strong> medical services, procedures <strong>and</strong> facilities (includes data on measures such as<br />

length <strong>of</strong> stay, tests <strong>and</strong> procedures, discharges, etc.).<br />

w Financial stability: network operating <strong>and</strong> pr<strong>of</strong>it margins, long-term debt-to-capitalization ratio <strong>and</strong><br />

financial results.<br />

w Physician participation: the size <strong>and</strong> scope <strong>of</strong> physicians in the network.<br />

w Services <strong>and</strong> access: the availability <strong>of</strong> specific services, network size <strong>and</strong> hospital accreditation.<br />

w Contractual capabilities: the ability to manage costs in the purchasing <strong>and</strong> managed care markets.<br />

w Outpatient utilization: patient care, continuum <strong>of</strong> care <strong>and</strong> effects <strong>of</strong> diversification.<br />

w Integration: coordination <strong>of</strong> administrative <strong>and</strong> clinical functions <strong>and</strong> procedures throughout the network.<br />

w Integrated technology: integration <strong>of</strong> the network’s technical systems, including the level <strong>of</strong> seamless<br />

communication <strong>and</strong> in<strong>for</strong>mation systems.<br />

Last year, North Shore-LIJ ranked 34th among the top 100 IHNs. <strong>The</strong> improved score reflects collaborative ef<strong>for</strong>ts<br />

throughout the health system to work effectively <strong>and</strong> efficiently.<br />

“Every Woman Matters” 5k Walk Attracts 5,000+<br />

<strong>The</strong> North Shore-LIJ Health<br />

System’s third annual Every Woman<br />

Matters Walk: A Walk <strong>for</strong> Women <strong>and</strong><br />

<strong>The</strong>ir Families at Jones Beach State<br />

Park brought together families, friends<br />

<strong>and</strong> the whole community to celebrate<br />

women’s health <strong>and</strong> wellness, <strong>and</strong><br />

support an initiative that promises<br />

to trans<strong>for</strong>m women’s healthcare<br />

throughout the region: North Shore-<br />

LIJ’s Katz Institute <strong>for</strong> Women’s Health<br />

<strong>and</strong> Katz Women’s Hospitals.<br />

Highlights <strong>of</strong> the day included<br />

demonstrations <strong>of</strong> the da Vinci robot,<br />

the state-<strong>of</strong>-the-art instrument that<br />

allows surgeons to remotely per<strong>for</strong>m<br />

minimally invasive surgeries, an<br />

early-morning yoga class, the Katz<br />

Institute <strong>of</strong> Women’s Health showcase<br />

tent <strong>and</strong> many giveaways from<br />

event sponsors. Many participants<br />

registered online, enticed by the<br />

incentive <strong>of</strong> receiving two tickets to<br />

an upcoming New York Mets game,<br />

donated by Saul Katz, president <strong>of</strong> the<br />

Mets <strong>and</strong> long-time North Shore-LIJ<br />

trustee <strong>and</strong> <strong>for</strong>mer chairman.<br />

Since the inception <strong>of</strong> the 5k<br />

walk in 2010, more than $1.5 million<br />

has been raised to support the Katz<br />

Women’s Hospitals.<br />

Above: <strong>The</strong> Third Every Woman<br />

Matters Walk


Mets Present “Every Woman Matters”<br />

Award to Dr. Michael Nimar<strong>of</strong>f<br />

Michael Nimar<strong>of</strong>f, MD, vice chair <strong>and</strong> chief <strong>of</strong> gynecology at the North Shore<br />

University Hospital (NSUH) Department <strong>of</strong> Obstetrics <strong>and</strong> Gynecology, was<br />

presented with the “Every Woman Matters” Award this spring at the New York<br />

Mets’ Welcome Home Dinner. <strong>The</strong> award is presented annually to an individual<br />

associated with North Shore-LIJ’s Katz Institute <strong>for</strong> Women’s Health <strong>and</strong><br />

the Katz Women’s Hospitals who exemplifies outst<strong>and</strong>ing care, compassion<br />

<strong>and</strong> achievement in the care <strong>of</strong> women. Dr. Nimar<strong>of</strong>f has been a pioneer in<br />

introducing minimally invasive surgical techniques, including robotic <strong>and</strong><br />

single-incision procedures designed to help women return to their normal lives<br />

as quickly as possible. He dedicates much <strong>of</strong> his time to training practitioners<br />

in the latest gynecologic surgical techniques. He established NSUH’s Minimally<br />

Invasive <strong>and</strong> Robotic Gynecologic Fellowship program in 2009. From left are:<br />

ob/gyn Daniel Kuo , MD; North Shore-LIJ Trustee <strong>and</strong> Mets President Saul B.<br />

Katz; Adiel Fleischer, MD, North Shore-LIJ’s chair <strong>of</strong> ob/gyn; Neeta Shah, MD, the<br />

health system’s vice president <strong>of</strong> women’s health; NSUH medical director Vicki<br />

LoPachin, MD; Dr. Nimar<strong>of</strong>f; <strong>and</strong> ob/gyns Helen Greco, MD, <strong>and</strong> Allen Toles, MD.<br />

MANHASSET — A US Food<br />

<strong>and</strong> Drug Administrationapproved<br />

revascularization<br />

device is now available to<br />

North Shore University<br />

Hospital patients suffering<br />

from acute ischemic stroke.<br />

Jeffrey Katz, MD, chief<br />

<strong>of</strong> vascular neurology <strong>and</strong><br />

director <strong>of</strong> the NSUH Stroke<br />

Center, recently used the<br />

Solitaire Flow Restoration<br />

(FR) device in 47-year-old<br />

Richard Hasselberger from<br />

Manhasset, who presented<br />

with a spontaneous carotid<br />

dissection <strong>and</strong> ischemic stroke.<br />

“<strong>The</strong> Solitaire device is<br />

relatively easy to use compared<br />

to the older technology we<br />

have been accustomed to <strong>and</strong><br />

has the potential to open<br />

blood vessels more rapidly<br />

than previous devices,” said<br />

Dr. Katz. “This is important<br />

because ‘time is brain’ when<br />

SIUH Receives<br />

Cancer Care Award<br />

<strong>The</strong> Commission on Cancer (CoC) <strong>of</strong> the American<br />

College <strong>of</strong> Surgeons has granted an Outst<strong>and</strong>ing Achievement<br />

Award (OAA) to Staten Isl<strong>and</strong> University Hospital. This<br />

puts the hospital in the distinguished company <strong>of</strong> 106 cancer<br />

programs nationwide being recognized <strong>for</strong> striving <strong>for</strong> excellence<br />

in providing quality care to cancer patients. <strong>The</strong> facilities so<br />

honored demonstrate a Commendation level <strong>of</strong> compliance<br />

in six areas <strong>of</strong> cancer program activity: cancer committee<br />

leadership, cancer data management, clinical management,<br />

research, community outreach <strong>and</strong> quality improvement.<br />

“As the primary deliverer <strong>of</strong> cancer care in our community,<br />

we are happy to service our patients. None <strong>of</strong> the staff seeks<br />

out praise <strong>for</strong> what they do, but it is always nice to be singled<br />

out by a national organization as a center <strong>of</strong> excellence,” said<br />

Dr. Frank Forte, program director <strong>of</strong> oncology/hematology/<br />

palliative care at SIUH. “Thank you to the entire pr<strong>of</strong>essional,<br />

administrative <strong>and</strong> support staff <strong>for</strong> a job well done.”<br />

Established in 1922 by the American College <strong>of</strong> Surgeons,<br />

the Commission on Cancer is a consortium <strong>of</strong> pr<strong>of</strong>essional<br />

organizations dedicated to improving patient outcomes <strong>and</strong><br />

quality <strong>of</strong> life <strong>for</strong> cancer patients through st<strong>and</strong>ard-setting,<br />

prevention, research, education <strong>and</strong> the monitoring <strong>of</strong><br />

comprehensive quality care.<br />

NSUH Stroke Center Offers New Treatment<br />

treating stroke patients. In the<br />

r<strong>and</strong>omized trial comparing<br />

the new Solitaire device to the<br />

Merci retriever, patients treated<br />

with Solitaire had excellent<br />

clinical outcomes, which is what<br />

we have seen in the first two<br />

patients we treated.”<br />

<strong>The</strong> Solitaire FR is a selfexp<strong>and</strong>ing,<br />

columnar metal<br />

cage device combining the<br />

ability to restore blood flow to<br />

the brain, administer medical<br />

therapy <strong>and</strong> retrieve the blood<br />

clot. Treatment with Solitaire<br />

allows the interventional<br />

neurologist to reopen target<br />

arteries in a much more<br />

effective <strong>and</strong> efficient way,<br />

resulting in less symptomatic<br />

intracranial hemorrhage <strong>and</strong><br />

better neurologic outcomes by<br />

three months after the stroke.<br />

<strong>The</strong> New St<strong>and</strong>ard 91


To help facilitate the<br />

commercialization<br />

<strong>of</strong> discoveries at <strong>The</strong><br />

Feinstein Institute<br />

<strong>for</strong> Medical Research <strong>and</strong><br />

pursue other opportunities<br />

across the the health system,<br />

North Shore-LIJ entered into<br />

an alliance this spring with the<br />

world-renowned Clevel<strong>and</strong><br />

Clinic’s venture arm, Clevel<strong>and</strong><br />

Clinic Innovations.<br />

“Our scientists are leaders<br />

in their fields, <strong>and</strong> we believe<br />

that the North Shore-LIJ/<br />

Clevel<strong>and</strong> Clinic alliance will<br />

help us translate discoveries<br />

made in our labs into<br />

significant patient benefits,”<br />

said Kevin Tracey, MD, the<br />

Feinstein’s president <strong>and</strong> chief<br />

executive <strong>of</strong>ficer. Considering<br />

that it typically takes years<br />

<strong>and</strong> costs millions <strong>of</strong> dollars<br />

to move research advances<br />

to market, the partnership<br />

is significant because <strong>of</strong><br />

Clevel<strong>and</strong> Clinic Innovations’<br />

solid track record <strong>of</strong> advancing<br />

fledgling research <strong>and</strong><br />

promising clinical discoveries.<br />

With 55 research<br />

laboratories organized into<br />

11 Centers <strong>of</strong> Excellence, the<br />

Feinstein has more than 1,500<br />

employees engaged in basic <strong>and</strong><br />

clinical research, working to<br />

move discoveries from the lab<br />

to the bedside. <strong>The</strong> Feinstein<br />

already receives about $60<br />

million annually in research<br />

grants, including about $45<br />

million from the National<br />

Institutes <strong>of</strong> Health (NIH).<br />

<strong>The</strong> Bayh-Dole Act <strong>of</strong><br />

1980 authorizes universities<br />

<strong>and</strong> research institutions to<br />

control <strong>and</strong> commercialize<br />

the patent rights arising<br />

from their research that is<br />

supported by federal grants.<br />

92 Summer 2012<br />

Generally, this is accomplished<br />

by licensing Feinstein patent<br />

rights, either to outside<br />

companies or to new ventures<br />

started by its entrepreneurial<br />

faculty members, which can<br />

support the high cost <strong>of</strong><br />

developing <strong>and</strong> validating new<br />

clinical products. Since the<br />

Feinstein’s founding in 1999,<br />

breakthroughs have led to the<br />

creation <strong>of</strong> a dozen startup<br />

companies <strong>and</strong> more than<br />

70 licensing opportunities,<br />

according to Kirk Manogue,<br />

PhD, vice president <strong>and</strong><br />

director <strong>of</strong> the Feinstein’s<br />

Office <strong>of</strong> Technology Transfer.<br />

Below are some <strong>of</strong> those<br />

companies <strong>and</strong> the promising<br />

technologies they are<br />

developing <strong>for</strong> clinical use.<br />

Established in 1998,<br />

Angion Biomedica Corp. has<br />

licensed Feinstein patent rights<br />

<strong>and</strong> is developing products<br />

relating to renal transplant<br />

<strong>and</strong> myocardial infarction.<br />

Since 2005, Angion has<br />

received more than $40<br />

million in NIH Small Business<br />

Innovation Research (SBIR)<br />

funding. Angion scientists at<br />

its multidisciplinary research<br />

<strong>and</strong> development facility in<br />

Uniondale are advancing<br />

several <strong>of</strong> its products to Phase<br />

I <strong>and</strong> Phase 2 clinical trials.<br />

In 2008, Critical<br />

<strong>The</strong>rapeutics, Inc., c<strong>of</strong>ounded<br />

in 2001 by Dr.<br />

Tracey, with colleagues<br />

from the Massachusetts<br />

General Hospital <strong>and</strong> the<br />

University <strong>of</strong> Pittsburgh,<br />

merged with Cornerstone<br />

Biopharma Holdings to create<br />

Cornerstone <strong>The</strong>rapeutics,<br />

Inc. Cornerstone holds<br />

licensed rights to autoimmune,<br />

inflammatory disease <strong>and</strong><br />

critical care treatments that<br />

are based on discoveries made<br />

in Dr. Tracey’s Laboratory <strong>of</strong><br />

Biomedical Sciences.<br />

SetPoint Medical,<br />

another faculty startup, is<br />

developing an implantable<br />

neuromodulator under<br />

license from the Feinstein.<br />

This computerized vagus<br />

nerve stimulator is based<br />

on discoveries made in Dr.<br />

Tracey’s laboratory <strong>and</strong> is<br />

presently in Phase 2 clinical<br />

trials in rheumatoid arthritis.<br />

Under license from the<br />

Feinstein <strong>and</strong> Cornerstone,<br />

Targacept, Inc. is developing<br />

a drug that acts through<br />

neuronal nicotinic receptors<br />

(NNRs), which are key<br />

regulators <strong>of</strong> the nervous<br />

system, to treat asthma <strong>and</strong><br />

type 2 diabetes. Phase 2<br />

clinical trials are ongoing.<br />

<strong>The</strong> drug is also based on<br />

discoveries made in Dr.<br />

Tracey’s laboratory.<br />

TissueGenesis, Inc.,<br />

founded in 1998 by Daniel<br />

Gr<strong>and</strong>e, PhD, has licensed the<br />

rights to develop products that<br />

enhance bone <strong>and</strong> cartilage<br />

repair through gene-enhanced<br />

tissue engineering. <strong>The</strong>se<br />

orthopedic implants are based<br />

on research conducted in<br />

Dr. Gr<strong>and</strong>e’s Laboratory <strong>of</strong><br />

Orthopedic Research.<br />

Clevel<strong>and</strong> Clinic Alliance to<br />

Enhance Feinstein Institute’s<br />

Commercial Success<br />

<strong>The</strong>raSource LLC is a<br />

faculty startup that has licensed<br />

patent rights to develop novel<br />

medicines <strong>for</strong> the treatment <strong>of</strong><br />

sepsis, ischemia/reperfusion<br />

injury <strong>and</strong> hemorrhagic<br />

shock. <strong>The</strong>raSource was<br />

founded by Ping Wang, MD,<br />

who leads the Laboratory <strong>of</strong><br />

Surgical Research, the source<br />

<strong>of</strong> discoveries that are now<br />

licensed to <strong>The</strong>raSource <strong>for</strong><br />

product development.<br />

T3 <strong>The</strong>rapeutics is<br />

under license to develop<br />

an experimental thyroid<br />

medication based on<br />

discoveries made at the<br />

Feinstein.


Eleven North Shore-LIJ Hospitals<br />

Recognized <strong>for</strong> Superior Stroke Care<br />

<strong>The</strong> American <strong>Heart</strong> Association/<br />

American Stroke Association’s Get With <strong>The</strong><br />

Guidelines®-Stroke Quality Achievement<br />

Award has been awarded to 11 North Shore-<br />

LIJ Health System hospitals, recognizing<br />

the facilities’ successes in implementing<br />

excellent care <strong>for</strong> stroke patients, according<br />

to evidence-based guidelines.<br />

To receive the Get With <strong>The</strong><br />

Guidelines®-Stroke Gold Plus or Gold<br />

Quality Achievement Award, each hospital<br />

achieved 24 consecutive months <strong>of</strong> 85<br />

percent or higher adherence to all stroke<br />

per<strong>for</strong>mance achievement indicators. <strong>The</strong>se<br />

measures include aggressive use <strong>of</strong> medications,<br />

such as tissue plasminogen activator<br />

(or tPA, a clot-busting drug); interventions<br />

to prevent blood clots; administration <strong>of</strong><br />

cholesterol-reducing drugs; <strong>and</strong> review <strong>of</strong><br />

smoking cessation techniques with patients.<br />

All the protocols are designed to reduce<br />

mortality <strong>and</strong> disability rates, <strong>and</strong> improve<br />

the lives <strong>of</strong> stroke patients. Gold Plus<br />

indicates hospitals that have met the Gold<br />

requirements AND have shown adherence<br />

to several additional quality measures.<br />

North Shore-LIJ hospitals received<br />

the following awards:<br />

Gold Plus Quality Achievement Award<br />

Forest Hills Hospital<br />

Franklin Hospital<br />

Glen Cove Hospital<br />

Huntington Hospital<br />

Long Isl<strong>and</strong> Jewish Medical Center<br />

North Shore University Hospital<br />

Plainview Hospital<br />

Southside Hospital<br />

Staten Isl<strong>and</strong> University Hospital<br />

Syosset Hospital<br />

Gold Achievement Award<br />

Lenox Hill Hospital<br />

In addition, Forest Hills Hospital <strong>and</strong><br />

Lenox Hill Hospital achieved Target: Stroke<br />

honor roll status, an additional campaign<br />

to improve outcomes <strong>for</strong> ischemic stroke<br />

patients, indicating the achievement <strong>of</strong><br />

door-to-needle (DTN) times <strong>of</strong> 60 minutes<br />

or less in at least 50 percent <strong>of</strong> stroke cases<br />

<strong>for</strong> at least one year. Shorter DTN times<br />

have been proven to improve outcomes <strong>and</strong>,<br />

through Target: Stroke, hospital teams can<br />

work toward eliminating delays <strong>and</strong> reducing<br />

long-term disability in stroke patients.<br />

“With a stroke, time lost is brain<br />

lost,” said Richard Libman, MD, chair <strong>of</strong><br />

North Shore-LIJ’s stroke task <strong>for</strong>ce <strong>and</strong> chief<br />

<strong>of</strong> vascular neurology at LIJ Medical Center.<br />

“<strong>The</strong> Get With <strong>The</strong> Guidelines®-Stroke<br />

Quality Achievement Awards demonstrate<br />

that our highly trained physicians <strong>and</strong><br />

nurses are committed to providing care that<br />

has been clinically proven to quickly <strong>and</strong><br />

efficiently treat stroke patients <strong>and</strong> save lives.”<br />

As New York State-designated stroke centers,<br />

all 11 hospitals have multidisciplinary stroke<br />

teams available 24 hours a day to assess <strong>and</strong><br />

treat stroke patients.<br />

North Shore-LIJ<br />

Goes to Harvard<br />

Twenty-four staff from throughout<br />

the North Shore-LIJ Health System,<br />

pictured at left, participated in<br />

the Harvard Project Management<br />

Program, a specialized training<br />

program designed <strong>for</strong> healthcare<br />

pr<strong>of</strong>essionals in both clinical <strong>and</strong><br />

operational roles that focuses<br />

on improving cost, quality <strong>and</strong><br />

delivery through management<br />

<strong>of</strong> both people <strong>and</strong> processes.<br />

Participants attended the five<br />

2-day modules over 10 months.<br />

<strong>The</strong> program enables participants<br />

to develop management skills to<br />

deliver projects on time, within<br />

budget <strong>and</strong> to specification.<br />

<strong>The</strong> New St<strong>and</strong>ard 93


MANHASSET — If you’ve<br />

driven north on Community<br />

Drive toward North Shore<br />

University Hospital, as many<br />

North Shore-LIJ Health System<br />

employees have, on your left<br />

you may have spotted a tiny<br />

white clapboard church. In the<br />

crush <strong>of</strong> fast-moving traffic, you<br />

may have caught a glimpse <strong>of</strong> a<br />

graveyard behind the church.<br />

Surrounded by modern medical<br />

facilities, they are clearly relics<br />

<strong>of</strong> another time <strong>and</strong> place. That<br />

time was the first half <strong>of</strong> the<br />

20th century, <strong>and</strong> the place was<br />

the vibrant African-American<br />

community called Spinney<br />

Hill that once spread over<br />

several acres <strong>of</strong> Great Neck <strong>and</strong><br />

Manhasset.<br />

Dedrick Johnson,<br />

coordinator <strong>of</strong> medical<br />

records at North Shore<br />

University Hospital, grew<br />

up in Spinney Hill, or more<br />

accurately, what remained <strong>of</strong><br />

Spinney Hill, in the seventies<br />

<strong>and</strong> eighties. (He still lives<br />

in the neighborhood, <strong>and</strong><br />

can walk to work.) A sense <strong>of</strong><br />

nostalgia, along with an urge<br />

to tell the story be<strong>for</strong>e it is lost<br />

in the past, led Mr. Johnson<br />

<strong>and</strong> his boyhood friend,<br />

Lloyd Means, now a s<strong>of</strong>tware<br />

engineer with Cablevision,<br />

to make a documentary about<br />

Spinney Hill.<br />

Sunday services are still<br />

conducted at the Lakeville<br />

AME Zion Church on<br />

Community Drive, which<br />

was founded by freed slaves<br />

in the 1820s. But the African<br />

American-owned businesses<br />

that once lined Northern<br />

Boulevard are gone. “<strong>The</strong>re<br />

was a barber shop, a beauty<br />

salon, a nightclub called<br />

Gibson’s, Hotel James,” said<br />

Mr. Johnson. “On what is now<br />

the golf course, black farmers<br />

grew asparagus. <strong>The</strong> hospital<br />

94 Summer 2012<br />

grounds were all fields, too, <strong>of</strong><br />

potatoes, probably, <strong>and</strong> corn.”<br />

Spinney Hill’s settlers<br />

were part <strong>of</strong> what is called the<br />

Great Migration <strong>of</strong> African-<br />

Americans, mostly from<br />

the tobacco fields <strong>of</strong> South<br />

Carolina, from about 1910 to<br />

1930. New York City’s rich<br />

<strong>and</strong> famous – the Astors, the<br />

V<strong>and</strong>erbilts – were building<br />

lavish mansions along Long<br />

Documentary<br />

Brings Forgotten<br />

African-American<br />

Community to Life<br />

By <strong>The</strong>a Welch<br />

Isl<strong>and</strong>’s Gold Coast, <strong>and</strong><br />

the new residents took jobs<br />

as cooks, yard men, maids,<br />

housekeepers, chauffeurs.<br />

Many became entrepreneurs.<br />

If they didn’t live on the gr<strong>and</strong><br />

estates, their homes were in<br />

Spinney Hill. In the fifties,<br />

legendary pro football player<br />

Jim Brown, who lived on<br />

Lee Avenue in Spinney Hill,<br />

graduated from Manhasset<br />

High School, having earned 17<br />

letters in a variety <strong>of</strong> sports. In<br />

the sixties, Dr. Martin Luther<br />

King, Jr., visited synagogues in<br />

Great Neck to raise money <strong>for</strong><br />

the cause <strong>of</strong> civil rights.<br />

Mr. Johnson <strong>and</strong> his friend<br />

enjoyed what he describes as a<br />

“Norman Rockwell childhood,”<br />

building <strong>for</strong>ts in the woods<br />

<strong>and</strong> skating on Whitney Pond.<br />

But the post-war Baby Boom<br />

<strong>and</strong> the suburbanization <strong>of</strong><br />

Long Isl<strong>and</strong> were eating away<br />

at Spinney Hill. <strong>The</strong> final<br />

blow was an urban renewal<br />

project in the mid-1980s, with<br />

medical <strong>and</strong> <strong>of</strong>fice buildings<br />

replacing most <strong>of</strong> the original<br />

establishments.<br />

For Mssrs. Johnson <strong>and</strong><br />

Means, the work is ongoing.<br />

<strong>The</strong>y are still collecting<br />

photographs <strong>and</strong> interviewing<br />

<strong>for</strong>mer residents about their<br />

memories — <strong>and</strong> they are<br />

making another film. “Two<br />

men we interviewed <strong>for</strong> the<br />

first film, William Singletary<br />

<strong>and</strong> Joe Oliphant, who both<br />

sang at Hotel James, died<br />

be<strong>for</strong>e the film was finished,”<br />

Mr. Johnson said. “We regret<br />

that they didn’t live to see it.<br />

We want the old-timers to<br />

know that Spinney Hill <strong>and</strong><br />

they are not <strong>for</strong>gotten.”<br />

Left: Dedrick Johnson st<strong>and</strong>s outside<br />

the tiny church, founded in the<br />

1820s by freed slaves.


Department <strong>of</strong> Medicine Presents Scherr Awards<br />

It’s a rite <strong>of</strong> spring at North Shore University Hospital (NSUH): the presentation<br />

<strong>of</strong> awards to interns, residents <strong>and</strong> fellows who have put <strong>for</strong>th significant time<br />

<strong>and</strong> ef<strong>for</strong>t in the pursuit <strong>of</strong> knowledge. <strong>The</strong> awards have been presented <strong>for</strong> 24<br />

years, but <strong>for</strong> the last five years they have been named in honor <strong>of</strong> Lawrence<br />

Scherr, MD, MACP, NSUH’s <strong>for</strong>mer chair <strong>of</strong> medicine <strong>and</strong> the North Shore-LIJ<br />

Health System’s academic dean emeritus <strong>and</strong> historian. <strong>The</strong> Lawrence Scherr,<br />

MD, MACP, Scholarly Activity Awards were presented May 3 at NSUH’s Rust<br />

Auditorium. From left are: Andrew Yacht, MD, associate dean <strong>for</strong> general medical<br />

education at Lenox Hill Hospital; Amgad Makaryus, MD, chair <strong>of</strong> the Scherr<br />

Awards Committee <strong>and</strong> director <strong>of</strong> echocardiography, cardiac CT <strong>and</strong> MRI in the<br />

North Shore-LIJ Laboratories<br />

Per<strong>for</strong>ms C-Reactive Protein Tests<br />

Live on “Dr. Oz Show”<br />

Eight New York State licensed medical technologists were chosen from<br />

North Shore-LIJ Laboratories <strong>and</strong> the Monter Cancer Center Laboratory<br />

to per<strong>for</strong>m129 fingerstick high-sensitivity CRP tests on members <strong>of</strong><br />

the studio audience. <strong>The</strong> testing <strong>of</strong> Dr. Oz himself was executed by<br />

Rosemary Frederick, manager <strong>of</strong> point <strong>of</strong> care testing, pictured here<br />

with the doctor. North Shore-LIJ Labs’ dedicated, knowledgeable<br />

<strong>and</strong> well-prepared team per<strong>for</strong>med a valuable service in terms <strong>of</strong><br />

increasing awareness <strong>of</strong> this test, not just <strong>for</strong> the studio audience but<br />

<strong>for</strong> the thous<strong>and</strong>s <strong>of</strong> people watching at home.<br />

Department <strong>of</strong> Cardiology; John Makaryus, MD, house staff awardee in the case<br />

reports category; Robert Sporter, MD, house staff co-awardee in the abstract<br />

category; Nishtha Sareen, MD, house staff co-awardee in the paper category;<br />

Sameer Khanjio, MD, house staff co-awardee in the paper category; Saima<br />

Chaudhry, MD, residency program director <strong>and</strong> associate chair <strong>of</strong> graduate<br />

medical education <strong>for</strong> the Department <strong>of</strong> Medicine; Thomas McGinn, MD, chair<br />

<strong>of</strong> the Department <strong>of</strong> Medicine; Elizabeth Forde, residency liaison <strong>for</strong> the Office<br />

<strong>of</strong> Graduate Medical Education; <strong>and</strong> David Battinelli, MD, North Shore-LIJ’s chief<br />

academic <strong>of</strong>ficer. (<strong>The</strong> house staff co-awardee in the abstract category, Shalin<br />

Desai, MD, was unable to be present at the ceremony.)<br />

<strong>The</strong> New St<strong>and</strong>ard 95


Drug “Take Back”<br />

Collection Hits<br />

New High<br />

<strong>The</strong> fourth drug “Take Back” event, held<br />

on Saturday, April 28, was the best yet, with<br />

all participating North Shore-LIJ facilities<br />

combined collecting 481 pounds <strong>of</strong> prescription<br />

drugs. That total represents 9 percent <strong>of</strong> what<br />

was collected on Long Isl<strong>and</strong>, <strong>and</strong> 8 percent <strong>of</strong><br />

what was collected in New York City.<br />

Each year, the rate <strong>of</strong> prescription drug<br />

abuse increases in the US, as does the number<br />

<strong>of</strong> accidental poisonings <strong>and</strong> overdoses. Studies<br />

show that a majority <strong>of</strong> abused prescription<br />

drugs are obtained from family <strong>and</strong> friends,<br />

including from home medicine cabinets.<br />

In addition, many Americans do not know<br />

how to properly dispose <strong>of</strong> their unused<br />

medicines, <strong>of</strong>ten flushing them down the<br />

toilet or throwing them away – both potential<br />

safety <strong>and</strong> health hazards. <strong>The</strong> “Take Back”<br />

initiative, conducted by the North Shore-LIJ<br />

Health System in partnership with the US<br />

Drug En<strong>for</strong>cement Administration (DEA)<br />

<strong>and</strong> other government, community, public<br />

health <strong>and</strong> law en<strong>for</strong>cement organizations,<br />

seeks to prevent increased pill abuse <strong>and</strong> theft<br />

by collecting potentially dangerous expired,<br />

unused <strong>and</strong> unwanted prescription drugs at<br />

system hospitals <strong>and</strong> disposing <strong>of</strong> them safely.<br />

“Each time we participate in this event<br />

our numbers increase, which I think is a<br />

reflection <strong>of</strong> all <strong>of</strong> the work you all do in<br />

getting the word out, as well as the ongoing<br />

need in our communities,” said Lisa Burch,<br />

MPH, system director <strong>of</strong> community <strong>and</strong><br />

public health. “To illustrate how the initiative<br />

has grown, in October 2011 we collected<br />

319 pounds, in April 2011 we collected 305<br />

pounds <strong>and</strong> in September 2010 we collected<br />

239 pounds. Once again, thank you <strong>for</strong> your<br />

participation <strong>and</strong> thank you <strong>for</strong> helping to<br />

keep our communities safe.”<br />

<strong>The</strong> DEA is already planning another<br />

“Take Back” event be<strong>for</strong>e the end <strong>of</strong> the year; it<br />

will be publicized when the date is set.<br />

96 Summer 2012<br />

COMPLIANCE corner


Spiritual Inspiration<br />

Among the features <strong>of</strong> LIJ Medical Center’s<br />

newly opened Katz Women’s Hospital <strong>and</strong><br />

Zuckerberg Pavilion is the Judy <strong>and</strong> Fred<br />

Wilpon Family Foundation Meditation<br />

Center. Open around-the-clock, the center<br />

is surrounded on three sides by a reflecting<br />

pool. Soon after the tower opened, LIJ<br />

administrators greeted priests, rabbis,<br />

ministers, an Imam, a nun <strong>and</strong> other clergy in<br />

the meditation center, which <strong>of</strong>fers various<br />

religious services throughout the week. Mr.<br />

Wilpon <strong>and</strong> North Shore-LIJ trustee Saul Katz<br />

are owners <strong>of</strong> the New York Mets.<br />

<strong>The</strong> New St<strong>and</strong>ard 97


98 Summer 2012


ORIGINS<br />

photo credit<br />

<strong>The</strong> First Miss North Shore Hospital<br />

In 1950, students in local high schools were invited to participate in a contest to raise money <strong>and</strong><br />

awareness <strong>of</strong> the need <strong>for</strong> a community hospital in Manhasset. <strong>The</strong> young women who entered wore<br />

nurse’s uni<strong>for</strong>ms (a “bathing beauty” contest was deemed inappropriate) <strong>and</strong> delivered one-minute<br />

speeches stating why the hospital should be built. <strong>The</strong> winner, pictured here, the first Miss North Shore<br />

Hospital, was 16-year-old Glorian Devereux, a senior at Manhasset High School (where football legend<br />

Jim Brown was a sophomore). With her is a young <strong>and</strong> h<strong>and</strong>some Perry Como, who was from Port<br />

Washington. He per<strong>for</strong>med at the event, held at Roosevelt Raceway, as did Frank Sinatra (although<br />

he was from New Jersey). “<strong>The</strong> prize was an all-expenses-paid trip to Bermuda, with a boyfriend <strong>and</strong><br />

a chaperone,” Mrs. Dorsey (her married name) recalled. “I think I received a set <strong>of</strong> luggage, too. <strong>The</strong><br />

chaperone was the high school gym teacher, who was only 22 herself, <strong>and</strong> the three <strong>of</strong> us rode bikes –<br />

not motor bikes – all over the isl<strong>and</strong>. We had a wonderful time.”<br />

New TV Star<br />

at PAANS<br />

Adrian Ashby, administrative<br />

support associate with the Physician<br />

<strong>and</strong> Ambulatory Network Services<br />

(PAANS), was selected to compete on<br />

the Food Network’s Chopped cooking<br />

competition program. Mr. Ashby,<br />

whose favorite hobby is cooking <strong>and</strong><br />

baking, stood out because <strong>of</strong> his<br />

extensive experience in throughout<br />

New York City’s competition circuit<br />

<strong>and</strong> <strong>for</strong> doing well during his screen<br />

test. Look <strong>for</strong> the program to air by<br />

the end <strong>of</strong> the year.<br />

<strong>The</strong> New St<strong>and</strong>ard 99


125 Community Drive<br />

Great Neck, NY 11021<br />

100 Summer 2012<br />

NON PROFIT<br />

U.S. POSTAGE<br />

PAID<br />

NSLIJHS

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