Synapse : Spring 2009 - The Chester County Hospital
Synapse : Spring 2009 - The Chester County Hospital
Synapse : Spring 2009 - The Chester County Hospital
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T H E H E A L T H N E T W O R K O F T H E C H E S T E R C O U N T Y H O S P I T A L<br />
A fresh new approach to women’s health<br />
T H E P O W E R O F<br />
X-RAY<br />
VISION<br />
<strong>The</strong> Hearts<br />
of our Heroes<br />
<strong>Spring</strong> <strong>2009</strong>
H O S P I T A L P R O G R A M S & E V E N T S<br />
Throughout the year, <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> offers many types of programs, courses, support groups<br />
and social events. Here are just a few of the many opportunities that will be taking place in the coming months.<br />
Screenings<br />
U P C O M I N G<br />
■ O R A L C A N C E R * – April 29<br />
■ S T R O K E – May 26<br />
■ HE A RT T R AC K S – June 23<br />
Cardiovascular Risk Assessment<br />
■ S K IN C A N C E R * – June 24<br />
Shopping<br />
E N C O R E S H O P<br />
S C R E E N I N G S<br />
UPSCALE CONSIGNMENT SHOP<br />
SPECIALIZING IN CLOTHING,<br />
ANTIQUES AND GLASSWARE.<br />
Located at Route 52 South and Route 1,<br />
Kennett Square, 610-388-6269. Visit<br />
www.cchosp.com and search “Encore”.<br />
W O M E N ’ S AUX IL I A RY<br />
G IF T S H O P<br />
■ TRENDY FLIP-FLOPS<br />
■ UNIQUE JEWELRY<br />
■ BEAUTIFUL HANDBAGS<br />
Located within <strong>The</strong><br />
<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> –<br />
610-431-5544.<br />
Registration<br />
F O R P R O G R A M S & S C R E E N I N G S<br />
To register or to learn more about the<br />
times, locations and fees (if applicable) for<br />
any of these events, call 610-431-5644.<br />
* Free program; all others include a fee.<br />
20TH<br />
16TH<br />
May<br />
9TH<br />
MAY FESTIVAL GALA – Elegant dinnerdance<br />
(Sponsor: First National Bank)<br />
MAY<br />
FESTIVAL* –<br />
CANCER SURVIVORS’ DAY*<br />
Celebrating life<br />
21ST<br />
SENIOR SUPPER CLUB<br />
Understanding Hip<br />
& Knee Pain<br />
SENIOR SUPPER CLUB<br />
Taking Care of<br />
Your Hands<br />
DIABETES SUPPORT GROUP*<br />
16TH<br />
Inpatient Management<br />
of Diabetes<br />
2ND<br />
NO PAIN,<br />
NO GAIN?<br />
Orthopedic solutions<br />
for shoulder pain<br />
14TH<br />
14TH<br />
28TH<br />
April<br />
DIABETES SUPPORT GROUP*<br />
Diabetes and Chronic<br />
Kidney Disease<br />
8TH<br />
18TH<br />
A day for healthy<br />
family fun<br />
(Sponsor: First<br />
National Bank)<br />
HEART TO HEART WITH OUR<br />
CARDIOLOGIST: Matthew Sewell, MD<br />
Venue Partner: Ashbridge Manor<br />
31ST<br />
STOP<br />
SMOKING NOW!*<br />
( first of an 8-week series)<br />
Venue Partner: Kennett YMCA<br />
30TH<br />
CHESTER COUNTY CHALLENGE<br />
FOR CANCER BIKE RIDE<br />
(Sponsor: J&L Builders)<br />
THE CHESTER COUNTY<br />
HOSPITAL GOLF INVITATIONAL –<br />
Benefits women’s and children’s health<br />
(Sponsor: L.F. Driscoll Co.)<br />
15TH<br />
POLO CUP –<br />
Divot-stomping, family-friendly fun.<br />
(Sponsor: Endo Pharmaceuticals)<br />
STOP SMOKING<br />
NOW!*<br />
( first of an 8-week series)<br />
DIABETES SUPPORT GROUP*<br />
18TH<br />
Exercise and Diabetes<br />
16TH<br />
June<br />
17TH<br />
SENIOR SUPPER CLUB<br />
Maintain Your Balance<br />
HEART TO HEART WITH<br />
OUR CARDIOLOGIST<br />
Raghunam Mallya, MD,<br />
Venue Partner: Bellingham<br />
Retirement Community
C O N T E N T S<br />
3<br />
12<br />
Compassionate Coordinated Care<br />
In the course of one week, a woman might have five<br />
meetings, four errands, three family activities, two<br />
dinner engagements and one visit to the doctor.<br />
Life is certainly busy enough, without receiving an<br />
abnormal test result from your physician. Understanding<br />
the value of a woman’s time, the <strong>Hospital</strong><br />
has aligned harmonizing health services to expedite<br />
answers about your well-being in a setting that<br />
provides a calm and reassuring experience.<br />
X-Ray Vision<br />
<strong>The</strong> launch of an advanced radiology image-viewing<br />
system allows for greater time efficiency, easier<br />
consultations between physicians, and a better<br />
diagnostic process that will alleviate wait times<br />
throughout the Health Network.<br />
<strong>The</strong> Hearts of Our Heroes<br />
Firefighters heroically put themselves in harm’s way.<br />
<strong>The</strong>y run in while others run out. <strong>The</strong>y understand<br />
the danger involved in their line of work. <strong>The</strong><br />
<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has collaborated with<br />
several local fire companies to educate them about<br />
ways to protect their hearts.<br />
D E P A R T M E N T S<br />
2<br />
7<br />
8<br />
14<br />
16<br />
17<br />
10<br />
<strong>Hospital</strong> of Distinction<br />
Resistant Organism Reduction Taskforce<br />
Points of Pride<br />
Achievements and accolades bestowed upon<br />
various departments.<br />
Medical Staff Update<br />
Biographies of new physicians that have<br />
joined the <strong>Hospital</strong>’s team.<br />
Newsmakers<br />
A gallery of recent <strong>Hospital</strong> activities.<br />
Charitable Giving<br />
Health, Wealth and Wisdom: Donors make<br />
the Women’s Specialty Center possible.<br />
Building Update<br />
<strong>The</strong> <strong>Hospital</strong> continues to establish and to<br />
enhance its presence in the community.<br />
ON THE COVER: Cynthia Brown, Breast Care Coordinator, with Sharon DeNault,<br />
a 27-year breast cancer survivor.<br />
GR E E T I N G S F R O M T H E<br />
C H E S T E R C O U N T Y H O S P I T A L<br />
Dear Neighbors,<br />
<strong>Hospital</strong>s are usually immune from short-lived corrections in<br />
the financial market, but the magnitude and depth of current<br />
economic conditions are beginning to influence the healthcare<br />
industry. We hear from our colleagues at other hospitals<br />
that they are experiencing lower patient volumes as elective<br />
procedures are postponed, and they are seeing an increasing<br />
number of uninsured patients. While demand for our services<br />
remains strong, we have to anticipate that these trends could<br />
come to our <strong>Hospital</strong>. During these difficult times, we must<br />
stay focused on providing the best care to our patients as<br />
efficiently and as cost-effectively as possible.<br />
To weather what many experts believe will be a protracted<br />
economic downturn, we are taking proactive steps to conserve<br />
our capital, hire new staff only when absolutely necessary, and<br />
closely watch our discretionary spending. We know that the<br />
most precious asset we have is our <strong>Hospital</strong> staff, and we have<br />
a long history of protecting them as best we can.<br />
For more than 116 years, <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has<br />
weathered good times and bad, and we know that our community<br />
counts on our <strong>Hospital</strong> family to take good care<br />
of them regardless. <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has carried<br />
on through more wars than we want to remember and has<br />
faced frightening and deadly epidemics. We have found our<br />
way through economic recessions and even a Great Depression.<br />
Yet we have always marched resolutely forward driven<br />
by a singleness of purpose and a resourcefulness that has<br />
allowed us to succeed.<br />
Stay well,<br />
H.L. Perry Pepper<br />
President<br />
SYNAPSE (noun - sin-aps): e site of communication between nerve cells.<br />
<strong>Synapse</strong> is a publication of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>’s Corporate Marketing<br />
Department. <strong>The</strong> articles provided in this magazine are solely for informational<br />
purposes. It should not be relied on or used in placement of a physician’s medical<br />
advice or assessment. Always consult a physician in matters of your personal health.<br />
William W. Wylie, Jr. Chairman, Board of Directors<br />
H.L. Perry Pepper President<br />
Colleen Leonard Leyden Editor-in-Chief<br />
Lisa M. Huffman Managing Editor<br />
<strong>The</strong> Bing Group Design and Photography<br />
F E E D B AC K W E L C O M E : Email synapse@cchosp.com to let us know what<br />
you think about our magazine or to make suggestions about future topics.
<strong>Hospital</strong> of<br />
D I S T I N C T I O N<br />
THE INFECTION PREVENTIONISTS<br />
Defending our patients from Superbugs<br />
Armed with knowledge, technology and powerful cleaning supplies,<br />
the Resistant Organism Reduction Taskforce is united in purpose<br />
– to thwart the power of evil “superbugs” MRSA, VRE and C. diff and<br />
defend the health of all of our patients.<br />
In a healthcare environment, germs can spread if not treated quickly<br />
and correctly. Some infectious organisms have undergone a metamorphosis<br />
over the years, meaning the antibiotics once used to eradicate<br />
them are no longer effective. Coined “superbugs,” these organisms have<br />
been on the rise not only in healthcare – but in the community as well.<br />
<strong>The</strong>se organisms are often found in people who have been on an<br />
antibiotic for a long time. Karen Novielli, Director of Pharmacy,<br />
explains, “<strong>The</strong> antibiotic kills off sensitive germs, leaving the more<br />
resistant strains to grow. Repeated exposure to the antibiotics causes<br />
the bugs to mutate and develop resistance.” <strong>The</strong> <strong>Hospital</strong> established<br />
its Taskforce to address the management of patients who need to be<br />
isolated because of MRSA, VRE and C. diff – three drug-resistant<br />
organisms that most <strong>Hospital</strong>s monitor.<br />
• MRSA (Methicillin-resistant Staphylococcus aureus) often lives in the<br />
nose and is resistant to common antibiotics, such as those in the<br />
penicillin family.<br />
• VRE (vancomycin-resistant Enterococci), which is resistant to the antibiotic<br />
vancomycin, is found in the intestines and female genital tract.<br />
• C. DIFF (Clostridium difficile) causes diarrhea and may be the result<br />
of taking antibiotics for a different infection. Because the bug is<br />
so resilient, environmental cleaning is key to controlling its spread.<br />
INPATIENT AND OUTPATIENT<br />
SUCCESSES 2005-2008<br />
✓ MRSA infections: Down 54%<br />
✓ VRE infections: Down 21%<br />
✓ C. DIFF infections: Down 33%<br />
<strong>The</strong>se <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />
percentages are based on a “per 1000<br />
patient days” ratio to provide the most<br />
accurate comparison.<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> is more than up-to-date with the<br />
latest technology to prevent and treat antibiotic-resistant organisms.<br />
Three years ago, the <strong>Hospital</strong> earned the North American Global<br />
Excellence in Business Process Management and Workflow Award<br />
for the system it implemented to track these bugs.<br />
Ray Hess, Vice President for Corporate Information Management,<br />
says, “<strong>The</strong> computer network checks the patient’s previous admission<br />
data for any known history<br />
HEALTH TIP<br />
of MRSA or VRE. If positive, the<br />
<strong>The</strong> best way to prevent system alerts the nurses at each unit.<br />
spreading any infection is This practice has helped decrease<br />
to clean your hands often. the number of infections in the<br />
<strong>Hospital</strong>.” If a person who has been<br />
admitted previously for an antibiotic-resistant organism returns to<br />
our <strong>Hospital</strong>, a notification will be on record to check them upon arrival.<br />
Charleen Faucette, Director of Infection Prevention and Control,<br />
says, “Our goal is to quickly recognize those who have infectious<br />
organisms now or have had them in the past, manage the infection<br />
to improve our patients’ health, and reduce the risk to all those<br />
around them.”<br />
Once admitted, the patient is placed in a private room to<br />
prevent the spread of the organism. <strong>The</strong> <strong>Hospital</strong> provides ready<br />
access to special supplies, including gowns and gloves, for our<br />
staff and to those visiting the patient.<br />
Upon discharge, MRSA and VRE patient rooms are cleaned with<br />
a <strong>Hospital</strong>-approved disinfectant specific for these organisms. Because<br />
of its hardiness, C. diff patient rooms are cleaned with a special<br />
sanitizer containing bleach, proven more effective in eliminating<br />
C. diff. <strong>The</strong> <strong>Hospital</strong>’s comprehensive and strict cleaning policies<br />
have helped reduce all three of these organisms.<br />
“Our constant monitoring and the measures we have in place help<br />
prevent the spread of these resistant organisms and prepare us for any<br />
new ‘superbugs’ that may be identified in the future,” Faucette says.<br />
Antibiotic-resistant organisms may be on the rise globally but<br />
through our dedicated efforts and a few strong cleaning supplies, the<br />
<strong>Hospital</strong> is controlling “superbugs” and making it hard for them to<br />
spread here.<br />
By Kristen M. Fulmer<br />
TO LEARN ABOUT THIS TASKFORCE AND OTHER QUALITY<br />
INITIATIVES, VISIT WWW.CCHOSP.COM/QUALITY.
C O V E R<br />
S T O R Y<br />
A F R E S H N E W H E A L T H E X P E R I E N C E F O R W O M E N<br />
Here you are once again, looking at yourself in the bathroom mirror, standing in that compromised position following your<br />
shower. Both arms raised, bent at the elbows with your fingers interlaced behind your head. Having already memorized the howto<br />
instructions years ago, you know what to look for during this portion of your monthly self-breast exam – dimples or distortions.<br />
Your doctor always asks if you check yourself regularly and so you make sure that you do.<br />
In fact, you try to do everything you need to do to stay on top of your health. In addition to making a renewed effort to eat smart<br />
and move more, you see your dentist, your optometrist and your gynecologist as often as prescribed. Once you hit that 40-plus age<br />
milestone, you added mammogram to your must-do list.<br />
<strong>The</strong>se thoughts are not in your mind as you move step-by-step through the self-exam though. Instead, you are thinking about<br />
your to-do list – whip up breakfast, make a hair appointment, go to the food store, baby-sit your grandson. It is as if you are<br />
on autopilot, until something stops you in your tracks – something like a questionable lump.<br />
This month, that is exactly what you found.<br />
After you catch your breath, the medical professionals at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> suggest you first make an appointment with<br />
your primary care physician or gynecologist, or one of their nurse practitioners. You will then be provided with the necessary<br />
prescription for a diagnostic mammogram and ultrasound, which is the first step in understanding the nature of your suspicious lump.<br />
Within the past year, the <strong>Hospital</strong> has invested a significant amount of resources into its Women’s Imaging Center. With three<br />
satellite Radiology locations – West <strong>Chester</strong>, Exton and Kennett Square – and the full spectrum of technology – digital<br />
mammography, MRI (including dedicated Breast MRI), DEXA, 64-slice CT, X-Ray, and ultrasound – imaging services for <strong>Chester</strong><br />
<strong>County</strong> residents are easily accessible and the most state-of-the-art. <strong>The</strong> <strong>Hospital</strong>’s affiliation with the University of Pennsylvania’s<br />
Department of Radiology assures your images are interpreted by radiologists who are well-trained, motivated and patient oriented.<br />
<strong>The</strong> <strong>Hospital</strong>’s newest facility in West <strong>Chester</strong> is located at the Fern Hill Medical Campus. All diagnostic mammograms are<br />
continued ➔<br />
Breast Cancer Taskforce (from left): Ann Marie Siegal, MD, Radiation Oncology; Susan Chang, MD, Breast Surgery; Cynthia Brown,<br />
RN, BSN, OCN, Breast Care Coordinator; Kim Killgore, Cancer Program Coordinator; Maria Lain, Service Line Director for Women’s<br />
Health and Oncology; Fredric B. Squires, MD, Radiology; Michelle Tedeschi, MD, Hematology/Oncology; Pamela P. Scott, MD, Breast<br />
Surgery; Paul S. Kim, MD, Plastic and Reconstructive Surgery; Lisa Pinheiro, MD, Radiology; and Marge Lang, LCSW, OSW-C,<br />
Oncology Social Worker.
Angie Womack,<br />
Patient Registration<br />
Sandy McBride,<br />
Mammogram Technologist<br />
Lisa Pinheiro, MD,<br />
Director of Breast Imaging<br />
Fredric B. Squires, MD,<br />
Chair of Radiology<br />
4 S Y N A P S E<br />
performed here, which means the<br />
team sees many women throughout<br />
the day who are understandably<br />
anxious. When designing the<br />
new space, the creation of a calming<br />
health experience for women was the<br />
guiding principle.<br />
“We have tried to make it a comfortable<br />
area,” says Fredric B. Squires, MD, Chair of<br />
Radiology. “We separated the waiting room for women<br />
from the general waiting room.” Beyond the front desk, there are spacious changing rooms, a<br />
private corridor for mammography, a patient education center and Internet access. “We really<br />
want women to have a positive experience while they are here.”<br />
More than the location, the technology and the environment, the quality of care and the efficiency<br />
at which it is provided are the two greatest factors of a woman’s health experience.<br />
“In the world of radiology,” says Lisa Pinheiro, MD, Director of Breast Imaging, “breast imaging<br />
is really very unique because it is such an emotionally charged issue.” Every woman prescribed<br />
to have a diagnostic mammogram because of an abnormal screening result is a “bundle of fear,”<br />
she explains. Expediting the care for women so that conclusive answers can be drawn quickly<br />
helps eliminate the amount of time between<br />
Screening vs. Diagnostic Mammogram<br />
appointments, when worry can run rampant.<br />
While digital mammograms are offered at A screening mammogram is an x-ray of the<br />
all three locations, Pinheiro says that the breast used to detect breast changes in<br />
<strong>Hospital</strong> chose to centralize the problem-solving women who have no signs or symptoms of<br />
mammograms at the Fern Hill location to make breast cancer. It usually involves two x-rays<br />
of each breast. A diagnostic mammogram is<br />
it simpler for patients. <strong>The</strong> Exton and Kennett<br />
an x-ray of the breast that is used to check<br />
Square offices perform screening mammograms.<br />
for breast cancer after a lump or other sign<br />
<strong>The</strong> <strong>Hospital</strong> recently launched its Accelerated or symptom of breast cancer has been found.<br />
Diagnostic Breast Examination initiative so that A diagnostic mammogram involves more<br />
women who have a questionable lump can x-rays in order to obtain views of the breast<br />
be scheduled for an urgent appointment within<br />
from several angles. After a diagnostic mammogram,<br />
the Radiologist will personally<br />
24 to 48 hours of receiving a prescription from<br />
discuss the results with the patient.<br />
their doctor.<br />
(Source: National Cancer Institute)<br />
“I’ve worked with plenty of women who<br />
started with an abnormal screening mammogram,” says Pinheiro, “who came back for x-ray images,<br />
had a biopsy and then had a diagnosis within a week.” This helps quickly alleviate any misguided<br />
fears or put women with a true abnormal finding on the right path for care immediately.<br />
To accomplish this, there must be synergy between the patient, her doctor, her radiologist and<br />
her specialists, such as breast surgeons and oncologists. Since women’s health includes more than just<br />
the breast, the patient’s team may extend to a gynecologic oncologist or urogynecologist.<br />
Breast Care Coordinator Cynthia Brown, RN, BSN, and Cancer Care Coordinator January<br />
Pasquantonio, RN, BSN, MA, work with patients to help them navigate the health system so that<br />
patients are not misdirected or confused during their course of care.<br />
Brown says, “Anytime a woman has an abnormal diagnostic mammogram, the radiologist and<br />
I speak with her in our private consultation room before she leaves. Right there, I either schedule her<br />
for an ultrasound-guided biopsy, or I will make her an appointment to see a breast surgeon for a
BREAST CANCER RISK ASSESSMENT TOOL<br />
This tool helps calculate a women’s lifetime risk,<br />
consultation within 48 hours.” Gone are<br />
the days where women were left alone to<br />
as well as her yearly risk. If the lifetime risk is figure out for themselves what to do and<br />
greater than 20–25%, most health and insurance<br />
organizations will consider her“high risk.” <strong>The</strong><br />
where to go when a possible diagnosis of<br />
Breast Cancer Risk Assessment Tool is based on cancer is on the line. “I follow them along<br />
a statistical model. To take the test online, the continuum of care to make sure they<br />
search “Breast Cancer Risk Assessment Tool”<br />
are okay,” she says.<br />
at www.cancer.gov.<br />
Certified in oncology nursing, the<br />
1 Do you have a medical history of any breast scope of Brown’s role includes calling the<br />
cancer, abnormal cell growth in the milk duct,<br />
patient’s primary physician and gynecologist<br />
to share the findings and plan for in-<br />
or abnormal cell growth in the lobular ducts of<br />
the breast?<br />
2 What is your age?<br />
tervention. She secures the digital images<br />
3 What was your age at the time of your<br />
first menstrual period?<br />
for the surgeons; she follows up after the<br />
surgical visit; she meets with the patient<br />
4 What was your age at the time of your first<br />
live birth of a child?<br />
prior to the biopsy; she schedules all<br />
the subsequent appointments; and she<br />
5 How many of your first-degree relatives – mother,<br />
sisters, daughters – have had breast cancer?<br />
provides education about the <strong>Hospital</strong>’s<br />
suite of resources for wellness and support,<br />
6 Have you ever had a breast biopsy?<br />
until a clean bill of health is received.<br />
a. If yes, how many breast biopsies<br />
“I try to meet our patients at their<br />
(positive or negative) have you had?<br />
appointments when they are likely to be<br />
b. If yes, have you had at least one breast<br />
the most nervous. I meet them at their<br />
biopsy with atypical hyperplasia?<br />
7 What is your race/ethnicity?<br />
mammogram. I meet them before their<br />
biopsy. And, if it is part of their plan of<br />
care, I meet them at their first chemotherapy treatment, because that is when patients are anxiety<br />
ridden,” she adds. Some of the women she helps are still awaiting a diagnosis, but about half<br />
of the women have confirmed breast cancer.<br />
Pasquantonio, who holds a master’s degree in holistic nursing, guides patients with all<br />
types of cancer other than the breast. She supports women and men. She, too, facilitates<br />
collaboration between multiple medical specialties and bridges the communication gap between<br />
all related physicians.<br />
“As a practitioner,” she says, “I’ve seen the problems patients have going through the stress of a<br />
diagnosis like cancer. It is overwhelming for them. I handle the details, so they can focus on being<br />
well and having time to recover.” She is often asked if there is a fee for the care coordinator service.<br />
Since it is a <strong>Hospital</strong>-provided service, there is no charge to the patients or their health insurance.<br />
Pasquantonio and Brown are the links between the Women’s Imaging Center and the Women’s<br />
Specialty Center, the <strong>Hospital</strong>’s newest service. Also located at the Fern Hill Medical Campus, the<br />
Women’s Specialty Center provides medical care in a unique setting that combines the expertise<br />
of breast surgery, urogynecology and gynecologic-oncology.<br />
Breast Surgeon Pamela Scott, MD, says, “<strong>The</strong> whole concept behind the Center is to have a<br />
physical space identified as a place for women’s healthcare. <strong>The</strong> fact that Imaging is in the same<br />
building, as well as one of the <strong>Hospital</strong>’s obstetrics-gynecology practices, makes it much easier<br />
for women to pick up their studies, for the doctors to communicate between each other and for<br />
us to review things with patients.” Dr. Scott, Medical Director of the Breast Health Program, and<br />
fellowship-trained breast surgeon Susan Chang, MD, have provided clinical leadership as<br />
members of the <strong>Hospital</strong>’s Breast Health Taskforce. <strong>The</strong> Taskforce was instrumental in the<br />
establishment of the Women’s Specialty Center.<br />
continued ➔<br />
Cynthia Brown,<br />
Breast Care Coordinator<br />
Pamela Scott, MD, and Susan<br />
Chang, MD, Breast Surgeons<br />
January Pasquantonio,<br />
Cancer Care Coordinator<br />
Waleed Shalaby, MD,<br />
Gynecology Oncologist<br />
5
C O O R D I N A T I O N<br />
O F C A R E<br />
F O R W O M E N<br />
<strong>The</strong> following services of <strong>The</strong> <strong>Chester</strong><br />
<strong>County</strong> <strong>Hospital</strong> work cooperatively to<br />
ensure there is seamless integration of<br />
care and speedier time to treatment.<br />
• Women’s Imaging Center –<br />
Radiology offers the highest quality<br />
imaging equipment read by expert<br />
radiologists, all of whom are members<br />
of the University of Pennsylvania’s<br />
Department of Radiology staff.<br />
• Pathology/Laboratory – Accredited<br />
by the College of American Pathologists,<br />
the lab enjoys a reputation for excellence.<br />
• Breast Surgery<br />
• Plastic and Reconstructive Surgery<br />
• Urogynecology<br />
• Gynecologic Oncology<br />
• Hematology/Oncology and<br />
Radiation Oncology – <strong>The</strong> <strong>Chester</strong><br />
<strong>County</strong> <strong>Hospital</strong> is a member of the<br />
University of Pennsylvania Cancer Network.<br />
• Pelvic Health Program – A multidisciplinary<br />
team of clinicians work with<br />
patients with pelvic health concerns to<br />
create a personalized treatment plan.<br />
• Lymphedema Treatment Program –<br />
A short-term program, physical therapists<br />
develop an individualized plan of care to<br />
treat lymphedema.<br />
• Accelerated Diagnostic<br />
Breast Evaluation<br />
• Care Coordinators<br />
• Genetics Counseling<br />
• Integrative Pain Management<br />
• Wellness Programs and<br />
Support Groups<br />
6 S Y N A P S E<br />
<strong>The</strong> Women’s Specialty Center is the<br />
new model for women’s healthcare and<br />
revolves around the ease of access, communication<br />
and patient-centered care.<br />
Conceptualized by women for women,<br />
the new Center immerses its patients<br />
in a restorative atmosphere from the<br />
moment they step through the door.<br />
One of the <strong>Hospital</strong>’s newest attending<br />
David P. Singer, MD<br />
Plastic and Reconstructive Surgery<br />
physicians is Waleed Shalaby, Care Extends to Breast Reconstruction<br />
MD, PhD, Gynecologic Oncologist. Dr.<br />
Shalaby treats patients whose imaging<br />
“Women who have had a mastectomy need a<br />
silver lining,” says David P. Singer, MD, Plastic<br />
and Reconstructive Surgeon. Dr. Singer is one<br />
results from abdominal or pelvic ultrasounds,<br />
CT scans or MRI tests confirm<br />
of just two specially-trained physicians in the<br />
entire Philadelphia region performing the most<br />
they have cervical, ovarian or other modern options in breast reconstructive<br />
gynecologic cancer.<br />
“It’s important to give women access<br />
to an array of sub-specialists who can<br />
surgery – Deep Inferior Epigastric Perforator<br />
(DIEP) Flap and Superior Gluteal Artery Perforator<br />
(SGAP) Flap. Alternatives to traditional<br />
implants and muscle-tissue replacement, these<br />
manage their care as they make their way<br />
options use skin and fatty tissue from the<br />
through the healthcare system,” he says.<br />
tummy or the upper buttocks, respectively,<br />
“It’s not just about medical care, but also<br />
helping women with related issues they<br />
face when they get home. Women need<br />
to have access to their care providers.<br />
to rebuild the breast(s). Some patients may<br />
qualify to have a mastectomy and reconstructive<br />
surgery simultaneously. <strong>The</strong> <strong>Hospital</strong>’s<br />
breast surgeons can identify current patients<br />
who qualify for the DIEP or SGAP procedures<br />
It’s about giving them a much more<br />
based on the stage of the cancer, as well<br />
tailored approach.”<br />
as the patient’s overall health. Dr. Singer<br />
<strong>The</strong> essence of the <strong>Hospital</strong>’s and his colleagues – Paul S. Kim, MD, Gary<br />
coordinated services is that women who<br />
have a questionable breast lump or those<br />
F. Wingate, MD and Albert Harris, MD –<br />
have been performing this surgery for two<br />
who have an abnormal gynecological<br />
years at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
test result can get the diagnosis confirmation<br />
TO LEARN MORE, CALL 610–524–8244.<br />
they need in an expedited fashion. Whether a woman is receiving care from the<br />
Women’s Imaging Center or the Women’s Specialty Center, she can be assured that she will<br />
receive consultation and a synchronized plan of action from specialists within a matter of<br />
days, rather than weeks. <strong>The</strong> care coordinators will facilitate conversations across multiple<br />
specialties, make appointments, provide resources and support, and help the patient<br />
through the full continuum of their care.<br />
“I think this fresh approach will resonate with women facing cancer,” says Dr. Shalaby.<br />
“Patients bond with their care providers. <strong>The</strong>y look for compassionate experts to talk to<br />
them, hold their hand, and guide them.”<br />
Integrated care, expedited time to diagnosis and treatment, and a warm and<br />
empathetic environment conducive to healing are the goals. All of these are performed with<br />
the patient – specifically the female patient – in mind.<br />
Article by Lisa M. Huffman<br />
Research by Kristine A. Conner<br />
IF YOU NEED US, WE ARE HERE. VISIT THE WOMEN’S HEALTH<br />
SECTION OF WWW.CCHOSP.COM TO LEARN MORE.
Points <br />
P R I D E<br />
Departmental Achievements Around the House<br />
Generous Grant Broadens<br />
the Reach of NHA’s Services<br />
<strong>The</strong> Pennsylvania State Department of Health has generously<br />
granted the Neighborhood Health Agencies, Inc. $250,000<br />
\to develop a Home Visiting Nurse Practitioner program.<br />
This program provides primary healthcare to low-income populations<br />
in <strong>Chester</strong> <strong>County</strong> designated as medically underserved. <strong>The</strong> grant<br />
will be used to set up a home office base in one of the medically underserved<br />
locations, to establish the ability to make house calls, and<br />
to provide access and education to skilled nursing, assisted living and<br />
aggregate housing facilities.<strong>The</strong>se direct on-site visits will increase<br />
access to care by having the Medical Practitioner come to the home<br />
of the patient who otherwise would be unable to access a health<br />
provider, and may often end up in an Emergency Department.<br />
Cancer Data Center<br />
Recognized for Achievement<br />
<strong>The</strong> Cancer Data Center received a certificate of achievement<br />
from the Pennsylvania Cancer Registry (PCR). <strong>The</strong> PCR awarded<br />
this certificate to only 35 hospitals in the State of Pennsylvania for<br />
meeting the timeliness standard of submitting at least 90% of our<br />
cancer cases to the PCR within 180 days of discharge or outpatient<br />
treatment. <strong>The</strong> Pennsylvania Department of Health Disease Reporting<br />
Regulations mandates this standard. By meeting the benchmark,<br />
our <strong>Hospital</strong> has directly influenced the availability of more timely<br />
statewide cancer incidence data.<br />
New Physical <strong>The</strong>rapy Program<br />
Physical Rehabilitation, in conjunction with the orthopedic service line<br />
and Neighborhood Health Agencies Inc., is beginning a patient-care program<br />
called “Start Strong – Stay Strong.” It provides an integrated<br />
and intensified program of education and treatment options for patients<br />
undergoing total joint replacement. Recommended by the orthopedic<br />
surgeons, it begins with a home safety assessment by Neighborhood<br />
Health Agencies, pre-surgical outpatient rehabilitation to address physical<br />
limitations, and a pre-surgical education class. Following surgery,<br />
Physical <strong>The</strong>rapy offers more intense home care and outpatient care.<br />
Cardiac Rehab Honored<br />
as a 25-year Leader<br />
<strong>The</strong> Cardiopulmonary Rehabilitation Department received a<br />
Service Recognition Award from Nursing Enrichment Consultants,<br />
Inc. for its 25 years of Continuous Service as a Leader in<br />
Cardiac Rehabilitation.<br />
Award Received for Excellent<br />
Wound Care Treatment<br />
<br />
THE WOUND CARE AND HYPERBARIC MEDICINE CENTER<br />
EARNED THE DIVERSIFIED CLINICAL SERVICES CENTER OF<br />
DISTINCTION AWARD BY DELIVERING OUTSTANDING<br />
RESULTS DURING 2008. THE AWARD IS IN RECOGNITION OF<br />
MEETING OR EXCEEDING COMPANY BENCHMARKS IN<br />
HEALING OUTCOMES, PATIENT SATISFACTION, OUTLIER<br />
MANAGEMENT, DAYS TO HEAL, AND ACCESS TO CARE. OF THE<br />
300 ELIGIBLE FACILITIES NATIONWIDE, THE CHESTER COUNTY<br />
HOSPITAL’S WOUND CARE CENTER WAS ONE AMONG FIVE<br />
LOCATIONS TO RECEIVE THE HONOR FOR 2008,<br />
AND IT WAS THE ONLY ONE IN PENNSYLVANIA TO BE<br />
RECOGNIZED. “THIS REALLY DOES REPRESENT THE BEST OF<br />
THE BEST,” SAID JEFF NELSON, CEO OF DIVERSIFIED.<br />
T H E C H E S T E R C O U N T Y H O S P I T A L 7
Welcome<br />
N E W P H Y S I C I A N S<br />
A T T E N D I N G<br />
S T A F F<br />
Joseph Acri, DO, Department of Medicine,<br />
Section of Internal Medicine. Dr. Acri graduated<br />
from the Philadelphia College of Osteopathic<br />
Medicine, and completed an internship<br />
and residency at Community General Osteopathic<br />
<strong>Hospital</strong> in Harrisburg. Dr. Acri is Board<br />
Certified in Internal Medicine and has joined<br />
<strong>Hospital</strong> Care Specialists.<br />
Susan Chang, MD,<br />
Department of Surgery,<br />
Section of General Surgery.<br />
Dr. Chang graduated<br />
from Temple<br />
University School of<br />
Medicine, and completed<br />
an internship and residency at UMDNJ-<br />
Robert Wood Johnson Medical School and a<br />
breast surgery fellowship at John Wayne Cancer<br />
Institute in California. Dr. Chang is Board<br />
Certified in General Surgery and has joined<br />
Surgical Specialists, PC.<br />
Glenn Ereso, MD,<br />
Department of Surgery,<br />
Section of Anesthesiology.<br />
Dr. Ereso graduated<br />
from the Virginia<br />
Commonwealth University<br />
School of Medicine,<br />
completed an internship at Abington<br />
Memorial <strong>Hospital</strong> and a residency at Thomas<br />
Jefferson University <strong>Hospital</strong>. Dr. Ereso has<br />
joined West <strong>Chester</strong> Anesthesia Associates.<br />
Chad Friedman,<br />
DPM, Department of<br />
Surgery, Section of<br />
Podiatry. Dr. Friedman<br />
graduated from the<br />
Temple University<br />
School of Podiatric<br />
Medicine, and completed a residency at<br />
Washington <strong>Hospital</strong> Center in Washington,<br />
DC. Dr. Friedman has joined Podiatry Care<br />
Specialists, PC.<br />
Laura Lasley, MD,<br />
Department of Pediatrics,<br />
Section of<br />
Neonatology. Dr. Lasley<br />
graduated from Northwestern<br />
University in<br />
Chicago, completed<br />
an internship and residency at Children’s<br />
<strong>Hospital</strong> of Los Angeles and a fellowship at<br />
Women & Infant’s <strong>Hospital</strong> of Rhode Island in<br />
Providence. Dr. Lasley is Board Certified in<br />
Neonatal/Perinatal Medicine and has joined<br />
the <strong>Hospital</strong>’s neonatology practice, CHOP<br />
Newborn Care.<br />
Raghuram Mallya,<br />
MD, Department of<br />
Medicine, Section of<br />
Cardiology. Dr. Mallya<br />
graduated from<br />
UMDNJ-New Jersey<br />
Medical School and<br />
completed an internship, residency and fellowship<br />
at Thomas Jefferson University <strong>Hospital</strong>.<br />
Dr. Mallya is Board Certified in Internal<br />
Medicine and has joined <strong>Chester</strong> <strong>County</strong><br />
Cardiology Associates.<br />
Matthew Sewell,<br />
MD, Department of<br />
Medicine, Section of<br />
Cardiology. Dr. Sewell<br />
graduated from the<br />
University of Virginia<br />
School of Medicine<br />
and completed an internship and residency at<br />
the <strong>Hospital</strong> of the University of Pennsylvania<br />
and a fellowship at Thomas Jefferson University<br />
<strong>Hospital</strong>. Dr. Sewell is Board Certified in<br />
Internal Medicine and has joined <strong>Chester</strong><br />
<strong>County</strong> Cardiology Associates.<br />
Jason Tatka, DO, Department of Pediatrics,<br />
Section of Neonatology. Dr. Tatka graduated<br />
from Midwestern University in Chicago,<br />
completed an internship at the Philadelphia<br />
College of Osteopathic Medicine, a residency<br />
at Christ <strong>Hospital</strong> and Medical Center and a<br />
fellowship at Loyola University Medical Center,<br />
both in Illinois. Dr. Tatka is Board Certified<br />
in Pediatrics and has joined the <strong>Hospital</strong>’s<br />
neonatology practice, CHOP Newborn Care.<br />
Nestor Veitia, MD, Department of Surgery,<br />
Section of Plastic Surgery. Dr. Veitia graduated<br />
from Jefferson Medical College, completed<br />
an internship and residency at<br />
Pennsylvania <strong>Hospital</strong> and a fellowship at the<br />
University of Pittsburgh. Dr. Veitia’s practice is<br />
located in Chadds Ford.<br />
Susan Ward, MD,<br />
Department of Medicine,<br />
Section of<br />
Rheumatology. Dr.<br />
Ward graduated from<br />
Jefferson Medical<br />
College, completed<br />
an internship and residency at Bryn Mawr<br />
<strong>Hospital</strong> and a fellowship at Thomas Jefferson<br />
University <strong>Hospital</strong>. Dr. Ward is Board Certified<br />
in Internal Medicine and Rheumatology<br />
and has an office in Exton.<br />
8 S Y N A P S E
C O U R T E S Y<br />
S T A F F<br />
Abass Alavi, MD, Department of Radiology.<br />
Dr. Alavi graduated from the Tehran University<br />
of Medical Sciences and Health<br />
Services in Tehran, Iran, completed an internship<br />
and residency at Albert Einstein Medical<br />
Center in Philadelphia and a fellowship at the<br />
<strong>Hospital</strong> of the University of Pennsylvania. Dr.<br />
Alavi is Board Certified in Nuclear Medicine<br />
and is part of the Penn Radiology service at<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
Michelle Alonso-Basanta, MD, Department<br />
of Radiology, Section of Radiation Oncology.<br />
Dr. Alonso-Basanta graduated from<br />
New York University School of Medicine<br />
where he also completed an internship and<br />
residency, and is part of the Penn Radiology<br />
service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
Marc Awobuluyi, MD, Department of Radiology.<br />
Dr. Awobuluyi graduated from Harvard<br />
University School of Medicine,<br />
completed an internship at Massachusetts<br />
General <strong>Hospital</strong> and a residency and fellowship<br />
at the University of San Francisco School<br />
of Medicine. Dr. Awobuluyi is Board Certified<br />
in Radiology and is part of the Penn Radiology<br />
service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
Jeffrey Friedman, MD, Department of<br />
Medicine, Section of Physical Medicine. Dr.<br />
Friedman graduated from Albany Medical<br />
College in New York, completed an internship<br />
at Crozer-<strong>Chester</strong> Medical Center and a residency<br />
at Thomas Jefferson University <strong>Hospital</strong>.<br />
Dr. Friedman is Board Certified in Physical<br />
Medicine and Rehabilitation. He has an office<br />
in Malvern.<br />
Mitchell Smith, MD, Department of Radiology.<br />
Dr. Smith graduated from Tulane University<br />
School of Medicine in Louisiana,<br />
completed an internship at Carilion Health<br />
Systems in Virginia and a residency at the<br />
University of Colorado Health Sciences Center.<br />
Dr. Smith is Board Certified in Radiology<br />
and is part of the Penn Radiology service at<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
Stefan Tachev, MD, Department of Medicine,<br />
Section of Nephrology. Dr. Tachev graduated<br />
from the Medical University of Sofia in<br />
Bulgaria, and completed an internship, residency<br />
and fellowship at Drexel University<br />
College of Medicine/Hahnemann University<br />
<strong>Hospital</strong>. Dr. Tachev is Board Certified in Internal<br />
Medicine and Nephrology. He has<br />
joined Clinical Renal Associates.<br />
Rachel Montgomery, DDS for Courtesy<br />
Staff, Department of Surgery, Section of Dentistry<br />
(Pediatric). Dr. Montgomery graduated<br />
from the University of Texas Dental Branch at<br />
Houston and completed a residency at Boston<br />
University. Dr. Montgomery has joined Children’s<br />
Dental Health Associates.<br />
C O U R T E S Y<br />
for coverage only<br />
S T A F F<br />
Scott Uretsky, MD, Department of<br />
Medicine, Section of Neurology. Dr. Uretsky<br />
graduated from SUNY Downstate School of<br />
Medicine in New York, completed an internship<br />
and residency at the University of Pittsburgh<br />
Medical Center and a fellowship at<br />
Wills Eye <strong>Hospital</strong>. Dr. Uretsky has joined<br />
Neuro Care Associates.<br />
A F F I L I A T E<br />
S T A F F<br />
Martha Brinsfield, MD, Department of<br />
Family Practice. Dr. Brinsfield graduated from<br />
Jefferson Medical College, and completed an<br />
internship and residency at Thomas Jefferson<br />
University <strong>Hospital</strong>. Dr. Brinsfield is Board<br />
Certified in Family Practice and has joined<br />
Kennett Family Practice.<br />
Sam Cheng, MD, Department of Radiology.<br />
Dr. Cheng graduated from Mount Sinai<br />
School of Medicine in New York, completed<br />
an internship at St. Joseph’s <strong>Hospital</strong> and a<br />
residency at Albany Medical Center, both in<br />
New York. He also completed a fellowship at<br />
New Haven <strong>Hospital</strong> in Connecticut. Dr.<br />
Cheng is Board Certified in Radiology and is<br />
part of the Penn Radiology service at <strong>The</strong><br />
<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
Jeffrey Citara, DO, Department of Medicine,<br />
Section of Physical Medicine. Dr. Citara<br />
graduated from the Philadelphia College of<br />
Osteopathic Medicine, completed an internship<br />
at St. Joseph’s <strong>Hospital</strong> in Philadelphia<br />
and a residency at Baylor College of Medicine<br />
in Texas. Dr. Citara has joined <strong>Chester</strong><br />
<strong>County</strong> Orthopaedic Associates, Ltd.<br />
D E N T A L S T A F F<br />
Paul Bahn, DMD for Courtesy Staff, Department<br />
of Surgery, Section of Dentistry (Pediatric).<br />
Dr. Bahn graduated from Temple<br />
University School of Dentistry where he also<br />
completed a residency. Dr. Bahn has joined<br />
<strong>Chester</strong> <strong>County</strong> Dentistry for Children.<br />
Carla Guzman, DDS for Courtesy Staff,<br />
Department of Surgery, Section of Dentistry<br />
(Pediatric). Dr. Guzman graduated from the<br />
University of Maryland Baltimore College of<br />
Dental Surgery and completed a residency at<br />
Cincinnati Children’s Medical <strong>Hospital</strong> Center.<br />
Dr. Guzman has joined Children’s Dental<br />
Health Associates.<br />
<strong>The</strong>se physicians hold Medical Staff privileges at<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> but are not necessarily<br />
employees of <strong>The</strong> Health Network of <strong>The</strong> <strong>Chester</strong><br />
<strong>County</strong> <strong>Hospital</strong> or its affiliates.<br />
Complimentary<br />
MEDICAL DIRECTORY<br />
Contact the Corporate Marketing<br />
office at jbixler@cchosp.com.<br />
T H E C H E S T E R C O U N T Y H O S P I T A L 9
F E A T U R E<br />
HIGH-TECH DIGITAL IMAGING REPLACES OLD-SCHOOL FILMS<br />
<strong>The</strong> doctors and nurses of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />
do not claim to have super powers...<br />
■ WE ARE NOT ACTUALLY FASTER THAN A SPEEDING BULLET.<br />
■ WE ARE NOT LITERALLY MORE POWERFUL THAN A LOCOMOTIVE.<br />
■ WE CANNOT TRULY LEAP TALL BUILDINGS IN A SINGLE BOUND.<br />
But, now that the <strong>Hospital</strong> is well-equipped with a super new digital<br />
imaging system, it is coming close to having one of the television hero’s<br />
most well-known capabilities.<br />
Before, we just had x-ray films; now, we have x-ray vision. Or rather,<br />
we’ve successfully implemented our vision for imaging technology to<br />
provide greater speed, power and accessibility. <strong>The</strong> Picture Archiving<br />
and Communication System (PACS) uses digital software created by<br />
Siemens® Medical to computerize the storage and viewing of new radiology<br />
films and reports.<br />
Anyone who has had x-rays taken knows how it was done the “old way.”<br />
First, you would have your x-ray taken, either at the <strong>Hospital</strong> or at an offsite<br />
location, then you’d wait. And, wait. Our average wait time was a respectable<br />
30 minutes, but with busy schedules and stressful<br />
anticipation, that half-hour could seem like eons to you.<strong>The</strong>n, after your<br />
films were ready, you became the messenger carrying your precious<br />
films with you wherever the doctor sent you next.<br />
<strong>The</strong> old way, there was just one set of films, and it could only be viewed<br />
in whatever single location it currently resided. Think of it as Kodachrome®<br />
slide film. It took a long time to develop the sole copy at the<br />
local Fotomat®; it could be viewed only when the appropriate light<br />
source was available; and it had limited detail.<br />
<strong>The</strong> old way is to slide film, as the new way is to digital photography.<br />
Faster than a speeding bullet<br />
<strong>The</strong> wait is over. Literally. <strong>The</strong> wait for your images to be ready is a thing<br />
of the past.<br />
“Like a digital picture, radiology images are now instantly available,”<br />
says Michael Ward, PACS Administrator for the <strong>Hospital</strong>. “This is going<br />
to help patients get in and get out faster.” Not only will their wait-time<br />
be reduced, but with the Radiology Department’s high-volume CT scanners<br />
that capture the digital images, the amount of time a patient needs<br />
to spend having images taken is also greatly decreased.<br />
Of all the benefits the PACS system affords, the patient will most<br />
likely notice the speed in which their images will be ready for viewing.<br />
Once the CT scanner captures the image, it is sent and stored directly<br />
in Radiology’s database, making it available to the clinical team faster<br />
than ever.<br />
Affiliations and Partnerships<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> Department of Radiology combines<br />
the capabilities of the latest technology with the international reputation<br />
of the University of Pennsylvania’s Department of Radiology.<br />
For nearly a decade, the <strong>Hospital</strong> has been a partner of<br />
Siemens to bring advanced medical technology to our patients,<br />
often before other hospitals in the area. <strong>The</strong> most notable<br />
technology is the <strong>Hospital</strong>-wide Soarian® system that allows<br />
digitized patient medical records to be accessed and maintained<br />
from all clinical workstations. In essence, your electronic medical<br />
record (EMR) travels with you throughout <strong>The</strong> Health Network of<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>. EMR is a hot topic among politicians<br />
eager to move healthcare into the digital age. <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />
<strong>Hospital</strong> has already implemented this technology.<br />
10 S Y N A P S E
More powerful than a locomotive<br />
“For our Radiologists,” says Paul Morris, Jr., Radiology Imaging<br />
System (RIS) Administrator for the <strong>Hospital</strong>, “their entire lives have<br />
been dedicated to reading film, and we’ve shaken their world.” But,<br />
the enthusiasm our Radiologists have for this new technology is<br />
inspiring, he adds, because the clarity of the digital images gives them<br />
the power to isolate more depth and detail in the x-rays. <strong>The</strong> greater<br />
the clarity; the greater the accuracy.<br />
Another strength of the PACS system is that it seamlessly integrates<br />
with the Radiology Information System (RIS) and the Voice<br />
Recognition System (VRS). RIS and VRS are both components of<br />
Siemen’s Syngo® technology, as is PACS. Physicians reading the<br />
digital x-rays can record their clinical analysis directly into the<br />
digital file while viewing the image, ensuring their verbal description<br />
is saved to the patient’s record with the image itself.<br />
Another benefit of the new system is that as old films are requested<br />
from storage, they are then scanned as well.<br />
“Once they are digitized, they are always in the system,” says<br />
Rob Smith, Consulting Project Manager for the Syngo® suite. As the<br />
<strong>Hospital</strong>’s Siemens representative, Smith worked on-site throughout<br />
Radiology’s transition to troubleshoot any technical issues with the<br />
cutting-edge system before it went live last year.<br />
“Not many community-based <strong>Hospital</strong>s have technology like this,”<br />
he shares.“<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> is among the few healthcare<br />
facilities at the forefront of this technical advancement.”<br />
<strong>The</strong> <strong>Hospital</strong> offers state-of-the art outpatient Radiology<br />
services in West <strong>Chester</strong>, Exton and Kennett Square. For<br />
locations, visit www.cchosp.com/directions. Other imaging<br />
services available include Ultrasound, CT Scanning, Digital<br />
Mammography, DEXA, MRI, 64-slice CT and Breast MRI.<br />
SEAMLESS INTEGRATION William J. Barry, MD, Radiologist,<br />
analyzes the images on the multi-panel screen while digitally<br />
recording his findings into the patient’s record.<br />
Able to leap tall buildings<br />
in a single bound<br />
From the ground floor to the top floor, the digital nature of the images<br />
will allow them to be shared and viewed at any workstation in the<br />
Health Network simultaneously. Greater accessibility also reduces<br />
wait time.<br />
For patients, the other most notable difference will be that they are<br />
no longer the film’s courier. Because the images are digital, the<br />
Radiology report should arrive to your doctor’s office before you walk<br />
through their door. This reduces the obligation on the patient to be<br />
responsible for the single set of films, and ensures the images are<br />
not misplaced during transport.<br />
<strong>The</strong> main goal of this technological innovation is to better serve the<br />
health needs of the community by eliminating unnecessary delays and<br />
by giving the clinical team greater capability to read detailed images<br />
with more accuracy. <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has fully adopted<br />
this new vision for x-ray imaging advancement. Although it might<br />
require more technical equipment than the “man of steel” variety,<br />
our “x-ray vision” gives our Radiologists the same powerful ability<br />
to positively affect the residents of our very own “Metropolis” –<br />
<strong>Chester</strong> <strong>County</strong>.<br />
By Lisa M. Huffman<br />
THE WAIT IS OVER. CALL 610-431-5131 TO SCHEDULE AN<br />
APPOINTMENT WITH RADIOLOGY.<br />
T H E C H E S T E R C O U N T Y H O S P I T A L 11
<strong>The</strong> Hearts<br />
of our Heroes<br />
PROTECTING THE HEALTH OF THOSE WHO PROTECT US<br />
<strong>The</strong> West Whiteland Fire Company had not lost a firefighter in the “lineof-duty”<br />
since 1953, but in 2006 a member was directing traffic at the<br />
scene of a house fire when he had a fatal heart attack. It is this kind of<br />
crisis <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> hopes to prevent through outreach<br />
and cardiovascular education programs, such as Heart Tracks.<br />
Heart Tracks has been in place for five years, and works in conjunction<br />
with the <strong>Hospital</strong>’s CardioVascular Center, Cardiac Rehabilitation,<br />
and Outpatient Nutrition programs, as well as the <strong>Chester</strong> <strong>County</strong><br />
Health Department. “We wanted to expand what we were doing in<br />
the community regarding heart disease prevention,” explains Susan<br />
Pizzi, the Community Health Educator for the program.<br />
After a successful initial screening program conducted as part of<br />
the <strong>Hospital</strong>’s annual heart awareness event, Pizzi and Julie Funk,<br />
Director of Community Outreach and Education, put together a<br />
<strong>Hospital</strong> team composed of several cardiovascular professionals<br />
including nurse educators, dietitians and physicians—to offer the<br />
program both on and off campus at local YMCAs, businesses, and<br />
medical offices. In 2008, the <strong>Hospital</strong> teamed up with two local fire<br />
companies to bring Heart Tracks directly to local firefighters.<br />
“While many people are well aware of a firefighter’s job-related<br />
hazards, most do not know that nearly half of all deaths experienced<br />
by on-duty firefighters are actually caused by heart disease,” says<br />
Gregg Neithardt, MD, Cardiologist. “Studies show that the greatest<br />
risk for heart-related death is during fire suppression, followed by<br />
returning from an alarm, and then by responding to an alarm,” he says.<br />
He adds that blood pressure and cholesterol screenings are critical<br />
for emergency workers who routinely experience stressful situations,<br />
which in turn puts their heart at risk especially if they have undiagnosed<br />
coronary disease.<br />
Bud Turner, President of West Whiteland Fire Company (and Fire<br />
Chief during the 2006 tragedy), recognized that his company needed<br />
to take steps in line with the U.S. Fire Administration’s emphasis on<br />
physical fitness. “Of the 115 or so firefighter deaths in the line of<br />
duty nationally last year, some 58% were heart related,” explains<br />
Mr. Turner. When he learned about the <strong>Hospital</strong>’s Heart Tracks program,<br />
it was just what the company needed.<br />
Individuals attending Heart Tracks are assessed for their risk of<br />
heart disease and diabetes. <strong>The</strong> program components include a blood<br />
pressure screening, weight and body fat evaluations, Ankle Brachial<br />
Index (a tool to screen for heart disease), and cholesterol, HDL and<br />
blood sugar screenings. Each participant meets with a member of the<br />
professional team who reviews the screening results, discusses their<br />
risk and develops a personalized care plan to give meaning and direction<br />
to the results.<br />
It was during a screening at First West <strong>Chester</strong> Fire Company that<br />
the team saw first-hand the affect of a call on a firefighter’s heart. A 20-<br />
year-old firefighter was having his blood pressure checked—with results<br />
that were perfectly normal—when the company received an<br />
emergency call. Within seconds, the nurse saw his blood pressure spike.<br />
Assistant Fire Chief Dale McClure of First West <strong>Chester</strong> describes<br />
the ongoing stressors that volunteer firefighters face. In 2008, his<br />
company, one of three in West <strong>Chester</strong>, responded to 523 calls. As of<br />
early-March, his company already had 116 calls, each requiring at least<br />
one hour, in addition to the three-hour trainings they do each week.<br />
<strong>The</strong> time and physicality of the work are rigorous.<br />
“Since firefighters are routinely under extreme stress,” says Dr. Neithardt,<br />
“they may develop symptoms or complications from their heart<br />
disease that would remain silent in others. A heart attack may occur<br />
because the stress causes a plaque to rupture or simply because their<br />
heart cannot keep up with the demand placed on it.” Lifestyle factors<br />
such as diet, exercise, and use of tobacco products take on even more<br />
significance. “<strong>The</strong> advantage of an outreach program like Heart<br />
Tracks,” he says, “is that it gives a chance to screen early on for<br />
any risk factors so that heart disease can be prevented.”<br />
12 S Y N A P S E
More than 30 members of First West <strong>Chester</strong> took part in the Heart<br />
Tracks program. <strong>The</strong> West Whiteland station had nearly 75%<br />
participation in the voluntary program, with more than 40<br />
participants. Spouses from both stations also participated.<br />
“<strong>The</strong> program was actually fun,” says Mr. Turner. “<strong>The</strong> people<br />
from the <strong>Hospital</strong> truly became a catalyst for ongoing change in our<br />
company.” <strong>The</strong> experience led to a twice-weekly company program<br />
with a personal trainer to help our members get in better physical<br />
shape. “This has led to a leaner, healthier force,” he says.<br />
Other participants have come back to the Heart Tracks Program<br />
for re-screening and have reported significant lifestyle changes because<br />
of their prior assessment. Many report they have lost those<br />
extra pounds or have started walking regularly. “One recent attendee<br />
followed up with his doctor and soon after underwent an<br />
angioplasty to repair a blood vessel,” notes Funk. “We’re so proud<br />
to play a continuing role in helping members of our community to<br />
take better care of themselves.”<br />
McClure says, “Many of the people in our company were surprised<br />
that their overall health was better than they expected,<br />
but they were also able to learn about little changes that could<br />
make a big difference.” <strong>The</strong> <strong>Hospital</strong> plans to continue<br />
supporting the lifestyle changes of these two fire companies<br />
and to extend this effort to the other two West<br />
<strong>Chester</strong> companies in the near future.<br />
Heart Tracks is one of many outreach program<br />
offered by the <strong>Hospital</strong> with the goal of keeping<br />
our community well. Wellness education for<br />
heart health goes hand-in-hand with the<br />
<strong>Hospital</strong>’s full spectrum of cardiovascular<br />
services, which include diagnostic testing<br />
(i.e. electrocardiogram or ECG) and<br />
interventional procedures (i.e. cardiac<br />
surgery), for which it has a clinical<br />
affiliation with Cleveland Clinic.<br />
Together, these programs are supporting<br />
the heart health needs of <strong>Chester</strong><br />
<strong>County</strong> residents.<br />
By Alison Rooney<br />
Tobacco Grant Allows for Free<br />
Smoking Cessation Programs<br />
<strong>The</strong> Community Health Education Department at <strong>The</strong> <strong>Chester</strong><br />
<strong>County</strong> <strong>Hospital</strong> has been involved with the development and implementation<br />
of tobacco prevention and cessation programs for<br />
youth and adults for more than 10 years. <strong>The</strong>se programs consist<br />
of multiple interventions involving families, schools and the community<br />
at large. <strong>The</strong>re are four essential components: building<br />
strong community-based partnerships; reducing exposure to environmental<br />
tobacco smoke; reducing youth initiation to tobacco;<br />
and promoting cessation services to adults and youth. In 2008,<br />
the <strong>Hospital</strong> applied for and received a grant from the Health Promotion<br />
Council and the Pennsylvania Department of Health to<br />
fund these and new programs. <strong>The</strong> grant awarded was $180,000<br />
over a 21-month timeframe. In addition to Heart Tracks, the firefighters<br />
have also been welcomed to participate in the <strong>Hospital</strong>’s<br />
smoking cessation educational initiative – Stop Smoking Now!<br />
Because of the grant, the <strong>Hospital</strong> is able to offer Stop Smoking<br />
Now! and nicotine replacement therapies for free.<br />
WANT TO GET TO THE<br />
HEART OF THE MATTER?<br />
CALL 610.738.2300 TO LEARN MORE<br />
ABOUT OUTREACH OPPORTUNITIES<br />
WITH THE HEART TRACKS PROGRAM.<br />
Pictured: <strong>The</strong> firefighters of First West <strong>Chester</strong>.<br />
T H E C H E S T E R C O U N T Y H O S P I T A L 13
movers shakers newsmakers<br />
GEM Premier 4000<br />
Premiers in the NICU<br />
<strong>The</strong> MOMS Club of Downingtown East, the Benton family and <strong>Hospital</strong> staff<br />
celebrated the unveiling of the GEM Premier 4000 earlier this year. Purchased<br />
with proceeds from the MOMS Club cookbook – Sugar and Spice and<br />
MOMS Club Delights – and the 2nd Annual Golf Invitational, the GEM<br />
Premier 4000 conducts rapid blood testing for newborns with a fraction of<br />
the sample required for traditional testing.<br />
Fore Health Golf Classic<br />
<strong>The</strong> 23rd Annual Fore Health Golf Classic was held on September<br />
23 at the beautiful White Manor Country Club. <strong>The</strong> event paired a<br />
great day of golf with a fall beer tasting by Victory Brewing Company<br />
and raised more than $35,000.<br />
In Memoriam: Jean M. Reidnour<br />
<strong>The</strong> <strong>Hospital</strong> mourns the loss of Jean M. Reidnour, who passed away<br />
in late September. Jean had a distinguished career and lived a life of<br />
“service above self.” After 24 years of service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />
<strong>Hospital</strong>, she retired in 1982 as Vice President for Nursing Affairs. She<br />
was responsible for the entire Nursing Service and School of Nursing.<br />
During her career in West <strong>Chester</strong>, she served on the boards of the<br />
American Cancer Society, the American Red Cross, the Visiting Nurses<br />
Association, and local and state nursing organizations. She served a<br />
term as president of the Pennsylvania Nurses Association. She retired<br />
from the <strong>Hospital</strong>, highly respected by the Board of Directors, Medical<br />
Staff and <strong>Hospital</strong> family.<br />
<strong>The</strong> Benton’s started the Invitational to honor the life of their late son, Henry,<br />
and the outstanding care and medical expertise offered in the Neonatal<br />
Intensive Care Unit (NICU). Each year, with the help of the MOMS Club, the<br />
Benton’s raise funds to benefit Women’s and Children’s Health. <strong>The</strong> GEM<br />
Premier 4000 is an amazing piece of technology and a truly generous gift. To<br />
sponsor or participate in this year’s golf outing on June 8, call 610-431-5329.<br />
Pictured: Kelly Hornak and Jen Coughlin of the MOMS Club, joined H.L. Perry<br />
Pepper, <strong>Hospital</strong> President, and Andy Benton with the GEM Premier 4000.<br />
14 S Y N A P S E
SHiNE<br />
On October 18, the historic Winterthur Estate sparkled as the annual<br />
SHiNE dinner dance raised $150,000 to support patients of <strong>The</strong><br />
Cancer Program. SHiNE funds created the position of Cancer Care<br />
Coordinator at the Cancer Center, and it pays for prescription and<br />
transportation assistance.<br />
<strong>Chester</strong> <strong>County</strong> Day<br />
Always the first Saturday in October, the 67th <strong>Chester</strong> <strong>County</strong> Day<br />
House Tour showcased homes in the southwest quadrant of the county<br />
that ran the gamut in age, architecture, landscaping and décor. <strong>The</strong> tour<br />
truly represented the unique character of <strong>Chester</strong> <strong>County</strong>, and with more<br />
than 3,000 guests, raised an impressive $115,000 for the <strong>Hospital</strong>.<br />
Gifford Photography<br />
Pictured: Lisa Hayes celebrates with Kim Lamb when her key<br />
was drawn to win the lease for a brand new <strong>2009</strong> Jaguar XF<br />
donated by Jaguar Land Rover West <strong>Chester</strong> at last year’s SHiNE.<br />
From the Bottom<br />
of their Huggy Hearts<br />
<strong>The</strong> students of Penn State University’s Brandywine Campus<br />
donated 246 Heart Huggy Pillows to <strong>The</strong> CardioVascular Unit (CVU).<br />
<strong>The</strong> patients use the pillows for compression to stabilize their incision<br />
when they cough, sneeze or change positions. This was the Martin<br />
Luther King, Jr. Day of Service project of senior Emily Robb (pictured).<br />
Emily, who also had members of the community assisting with the<br />
pillow project, says her goal was to create awareness about the importance<br />
of the pillows and to make sure every patient in our CVU is able<br />
to have one this year. <strong>The</strong> <strong>Hospital</strong> distributes about 25 pillows each<br />
month. <strong>The</strong> quantity Penn State donated so far will last until the fall.<br />
Our gratitude goes to Emily, Penn State and everyone who shared their<br />
heart with the patients in the CVU.<br />
Dilworthtown Inn Wine Festival<br />
Perfect weather, gourmet cuisine, great shopping and delicious wine<br />
complemented the pristine scenery surrounding the Dilworthtown<br />
Inn for the 17th Annual Wine Festival on October 12. <strong>The</strong> event<br />
raised more than $46,000 to support <strong>The</strong> Cancer Program and<br />
Neighborhood Hospice.<br />
T H E C H E S T E R C O U N T Y H O S P I T A L 15
C H A R I T A B L E<br />
G I V I N G<br />
Health Wealth Wisdom<br />
16 S Y N A P S E<br />
<strong>The</strong> Women’s Specialty Center benefits<br />
from the generosity of two philanthropists<br />
ALL IN THE FAMILY: Pat and John Celii (pictured right) with daughter<br />
Jacqui and her husband, Mark Friday, and granddaughter,<br />
Ashley, at the Women’s Specialty Center dedication.<br />
<strong>The</strong> Celii’s daughter Stephanie was unable to attend.<br />
Health services for women need<br />
to complement a woman’s life. It<br />
serves women well, especially<br />
those who are facing a possible<br />
cancer diagnosis, to be scheduled<br />
for appointments quickly<br />
and to have specialists and<br />
services centrally located.<br />
<strong>The</strong> <strong>Hospital</strong> wholeheartedly<br />
believes in this comprehensive<br />
and convenient approach to<br />
healthcare. In 2008, it conceptualized<br />
a specialty center for<br />
women, with a price tag of<br />
$500,000, but knew the project<br />
would have to wait until funding<br />
was available.<br />
About the same time, the <strong>Chester</strong> <strong>County</strong> Community Foundation<br />
reached out to the <strong>Hospital</strong> to say that one of its donors<br />
was interested in supporting a medical project in the county and<br />
wanted to learn about the <strong>Hospital</strong>’s needs. <strong>The</strong> Community<br />
Foundation, whose mission is “to connect people who care with<br />
causes that matter,” introduced <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> to<br />
Patricia and John Celii.<br />
Mr. Celii says, “Knowing that we love living in <strong>Chester</strong> <strong>County</strong><br />
and that we have an interest in healthcare programs that could<br />
benefit the county, the Community Foundation recommended<br />
that we support <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.”<br />
Of the <strong>Hospital</strong>’s many worthy projects the Celii family could<br />
have supported, the Women’s Specialty Center resonated most<br />
with Mr. and Mrs. Celii and their two daughters, Jacqui and<br />
Stephanie. As a family, they have personally struggled with coordinating<br />
medical conversations between multiple specialties. Like<br />
many, they have felt the frustration of traveling from location-tolocation<br />
within one day’s time to see various doctors in the city<br />
and the suburbs.<br />
<strong>The</strong> Women’s Specialty Center provides the compassionate<br />
guidance women need in a unique medical setting that combines<br />
the expertise of breast surgery, urogynecology and gynecologiconcology<br />
in one convenient<br />
location at the Fern Hill Medical<br />
Campus in West <strong>Chester</strong>.<br />
Mrs. Celii says, “We are very<br />
excited that <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />
<strong>Hospital</strong> has placed a priority on<br />
providing an innovative and<br />
state-of-the-art environment for<br />
female patients who face various<br />
illnesses.”<br />
<strong>The</strong> commitment of $250,000<br />
from the Patricia C. and John<br />
Celii, Jr. Medical Research Fund,<br />
administered by the Community<br />
Foundation, was the first step toward<br />
fulfilling the concept of the<br />
Women’s Specialty Center. With<br />
half the amount needed for the project in hand, the Celii’s issued a<br />
challenge to find other donors that would match their gift.<br />
Within a few short weeks, a second, equally generous donor<br />
stepped forward and matched the $250,000 donation, dollar-fordollar.<br />
Requesting to remain anonymous, this long-time supporter<br />
of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> chose to meet the challenge to<br />
fund the Center because he too believes in the fresh philosophy<br />
of care this program offers women.<br />
At the celebration of the opening of the Center in February,<br />
<strong>Hospital</strong> President H.L. Perry Pepper said, “We are very appreciative<br />
of the Celii family’s generous gift and that of our anonymous<br />
benefactor. Through their leadership, we are able to<br />
establish the Women’s Specialty Center.”<br />
Conceptualized by women for women, the Center immerses<br />
its patients in a restorative atmosphere from the moment they step<br />
through the door. From the rapport with the entire team to the<br />
décor of the facility, the Center is a place for comfort and healing.<br />
“We are happy to be able to give, and it’s really good to know<br />
that people will benefit from a coordinated care program,” says<br />
Mr. Celii.<br />
By Lisa M. Huffman<br />
TO LEARN MORE ABOUT HOW YOU TOO MAY SUPPORT<br />
THE CHESTER COUNTY HOSPITAL, CALL 610–431–5108.
B U I L D I N G U P D A T E<br />
West Pavilion Expansion<br />
THE LONG-TERM DEMAND FOR THE HOSPITAL’S SERVICES REMAINS STRONG,<br />
DRIVEN BY THE RAPIDLY GROWING POPULATION IN THE CHESTER COUNTY AREA.<br />
<strong>The</strong> need for more inpatient beds remains a top priority. <strong>The</strong> <strong>Hospital</strong> is poised to<br />
begin construction to expand its facility as soon as financing becomes economically<br />
feasible.<br />
Eventually, the financial system will move back toward equilibrium and long-term<br />
borrowing rates will rationalize. In the meantime, we are seeing much better pricing<br />
for the materials and equipment that will go into our new building. And, perhaps<br />
the best news is that we have received several large donations in recent months that<br />
have taken us ever so close to meeting our $25 million fundraising goal for the project.*<br />
So, while we need to be patient, it may be that things are actually moving in a<br />
good direction.<br />
<strong>The</strong> <strong>Hospital</strong>’s plans are for a four-story addition that will: (a) consolidate and integrate<br />
all cardiovascular services; (b) increase capacity by adding up to 72 beds;<br />
and (c) add surgical and interventional suites.<br />
By H.L. Perry Pepper, President<br />
* At the time of printing, the <strong>Hospital</strong>’s Foundation surpassed its comprehensive campaign<br />
goal of $30.0 million. Of the $25.0 million needed for the building<br />
project specifically, the <strong>Hospital</strong> has raised more than $24.0 million, with<br />
confident anticipation that it will exceed its second goal shortly.<br />
TO SUPPORT THE CAMPAIGN FOR CHESTER COUNTY HOSPITAL,<br />
VISIT WWW.CCHOSP.COM/FOUNDATION.
<strong>The</strong> Health Network of<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />
701 East Marshall Street<br />
West <strong>Chester</strong>, PA 19380<br />
cchosp.com<br />
NON-PROFIT<br />
U.S. POSTAGE<br />
PAID<br />
PERMIT #9<br />
WEST CHESTER, PA<br />
Call 610-738-2793 to update your mailing information.<br />
BEYOND GOOD CARE <br />
As part of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>'s mission, we are dedicated to not only healing our patients but<br />
also keeping them well. With this spring comes a full calendar of events designed to bring the<br />
family together to enjoy the outdoors and take part in fun, healthy activities that benefit the <strong>Hospital</strong>.<br />
May Festival Raffle<br />
presented by<br />
Thomas Chevrolet<br />
Available through May 16<br />
Raffle tickets for a new car and other<br />
items will be sold in the <strong>Hospital</strong> as<br />
well as at Parkway dry cleaners.<br />
May Festival Science Fair<br />
May 16 @ 10 am – Noon<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />
New to the May Festival this<br />
year is a Science Fair for<br />
students of grades 7–10.<br />
May Festival Gala<br />
presented by First National<br />
Bank of <strong>Chester</strong> <strong>County</strong><br />
May 9 @ 7:00 pm<br />
Longwood Gardens<br />
This event, supported by the Medical Staff<br />
and many local organizations, benefits<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />
May Festival<br />
presented by First National<br />
Bank of <strong>Chester</strong> <strong>County</strong><br />
May 16 @ 10 am – 7 pm<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />
Join us to Think Smart,<br />
Eat Well, and Move More<br />
with food, fun, friends, and<br />
entertainment! This is a<br />
FREE one day event for<br />
the whole family!<br />
<strong>The</strong> <strong>Chester</strong> <strong>County</strong> Challenge<br />
for Cancer Bike Ride presented by J&L Builders<br />
May 31 @ 8am, <strong>The</strong> Cancer<br />
Center of <strong>Chester</strong> <strong>County</strong><br />
This bike race, which includes a 63,<br />
50, 25 mile non-competitive rides<br />
and 10, and 5 mile family rides,<br />
benefits <strong>The</strong> Cancer Program<br />
and Neighborhood Hospice.