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WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR MAY 2013 HOSPITAL H NEWSPAPER Looking for the right employee? Join our Career Guide! Online… PRESORT STANDARD U.S. POSTAGE PAID PERMIT 7246 PHILADELPHIA, PA 19143 CHANGE SERVICE REQUESTED Hospital Newspaper 1 Ardmore Street New Windsor NY 12553 The New Jersey Edition See page 27 If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals p10 Pay-Plus Solutions… Transforming the Payment Process p4 PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER of the Month National Nurses Week May 6-12, 2013 Congratulations NJ Nurses! Rocking Horse Rehab p16

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Hospitals will find this the place to recognize employees, tell their stories of patient care, market their new technology and promote upcoming events! No one tells the story of local hospitals like Hospital Newspaper!

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Page 1: Hosptal Newspaper New Jersey May edition

WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR MAY 2013

HOSPITALH NEWSPAPER

Looking for the right employee?

Join our Career Guide!

Online…PRESORT STANDARDU.S. POSTAGE PAID

PERMIT 7246PHILADELPHIA, PA 19143

CHANGE SERVICE REQUESTED

Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

The New Jersey Edition

See page 27

If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program

and you could WIN AN IPAD!

Fund-Ex Provides Customized Financing

Solutions to Healthcare Professionals p10

Pay-Plus Solutions…Transforming the

Payment Processp4

PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER

of the Month

National Nurses Week May 6-12, 2013

Congratulations NJ Nurses!

Rocking Horse Rehab

p16

Page 2: Hosptal Newspaper New Jersey May edition

PAGE 2 May, 2013 Hospital Newspaper - NJ

Page 3: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 3

Page 4: Hosptal Newspaper New Jersey May edition

PAGE 4 May, 2013 Hospital Newspaper - NJ

At its annual 2012 Forum, PHX announced the formation of a new

subsidiary, Pay-Plus™ Solutions, Inc. (PPS). Since the announcement,

PPS has successfully implemented its services to numerous Payors

and Providers who are realizing the Pay-Plus solution to be the next

generation in e-payments.

Progressively, Payors have been facing mounting pressures from the

resulting increase in administrative costs, operational inefficiencies

and complicated processing requirements. An electronic payment

and remittance solution such as PPS simplifies the payment process

of health plan Payors delivering significant savings of both time and

money. Because PPS understands both the TPA and broader Payor

marketplaces, it consistently demonstrates the capabilities of its

products to fulfill the operational, financial and regulatory needs of

the market while also providing the exceptional customer service.

As a result, Pay-Plus outperforms industry estimates by converting

90% of all paper checks to electronic payments which consequently

cuts printing costs by nearly 50%.

We talked with Payors who have implemented PPS and asked them why they chose PPS as their electronic payment solution:

• Cutting edge technology and experience to reach a high % of providers

• Smooth Implementation Process managed every step of the way with a dedicated project leader

• Credibility by working with a subsidiary of a trusted and proven partner such as PHX

In addition, the rigor of the Pay-Plus process has positioned it as the Payor’s

PPACA (Patient Protection and Affordable Care Act) solution. That means

Payors will be compliant with the mandate and ready to offer this option

without changing internal workflow.

Providers are also recognizing large benefits by converting their processes

over to an electronic format through PPS. Providers are under more pressure

than ever before, facing higher administrative costs and with the addition of

cash flow issues—it’s more difficult for physicians to manage their business

and maintain profitability.

One way to provide relief is to transform check based payment to an electronic

payment solution. Providers have to struggle too hard and too long with

checks and paper-based processing, which are inefficiencies on many levels.

The business advantages for Providers of an electronic payment method such as PPS:

• Get paid an average of 11 days faster than check based processing

• Reduce administrative costs and data entry rates

• Allow administrative staff to spend more time on patient related activities

Pay-Plus Solutions has become the next generation for e-payments for the healthcare industry. Its easy integration process and evident

benefits align with strategic business goals of a Payor organization as well as Providers. For more information about Pay-Plus Solutions,

check out their website at https://www.ppsonline.com

Pay-Plus Solutions…Transforming the Payment Process

Page 5: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 5

Page 6: Hosptal Newspaper New Jersey May edition

PAGE 6 may, 2013 Hospital Newspaper - NJ

Hospital Newspaper - New Jersey edition - Vol. 11 No. 5 -is published monthly, 12 times a year for $36 per year byBelsito Communications, Inc., 1 Ardmore Street, NewWindsor, NY 12553. Postage Paid at New Windsor, NYand additional mailing offices. Postmaster: Send addresschanges to Hospital Newspaper, 1 Ardmore Street, NewWindsor, NY 12553. No financial responsibility is assumedby this newspaper to publish a display, classified, or legalad or for typographical errors except of reprinting that partof the ad which was omitted or in error. Omissions or errorsmust be brought to the attention of the newspaper duringthe same month of publication.

845-534-7500 • (fax) 845-534-0055

[email protected]

A division of:

CORPORATE INFORMATION

ADVERTISER INDEX

Company Page

AkrimAx / Nitromist 32

Bankers Healthcare Group, inc. 11

EmA 7, 24

GNYHA Services 9

icare 31

Less Stress instructional Services 12

matheny School and Hospital 21

medExcel 3

NorthWest Seminars 25

Pay-Plus™ Solutions, inc. 5

Plymouth rock management Co of NJ 23

Premier Healthcare Exchange, inc. (PHx) 2

resource Directory 28, 30

rocking Horse rehab 17

runnells Specialized Hospital 19

Sun Home Loans 27

TESC 13

Trinitas regional medical Center 15

PUBLISHERJoseph P. Belsito

([email protected])

• • •GENERAL MANAGER

James Stankiewicz([email protected])

• • •MANAGING EDITOR

Cathryn Burak([email protected])

• • •SENIOR CORRESPONDENT

Geraldine A. Collier• • •

SENIOR SALES CONSULTANT

Maureen Rafferty Linell([email protected])

• • •MARKETING EXECUTIVE

Anthony Mairo([email protected])

• • •CIRCULATION

Michelle Belsito(845-534-7500 x220)

• • •BUSINESS DEVELOPMENT,

PUBLISHER'S REPRESENTATIVE

Jeff HortonField office; Mahopac, NY

cell- 845-729-2525

[email protected]

845-534-7500 • (fax) 845-534-0055

[email protected]

HOSPITALNEWSPAPERH

No. 1 - is published monthly, 12 times a year for

$

Telephone: ( ) ______________- __________________

A

State:________________________ Zip:_____________________________

_

_ C

_ _

HOSPITAL

NEWSPAPERH

Amount enclosed: ________________

Name: __________________________________________________________________________________________________________________

Telephone: ( ) _________________ - ______________________ Fax: ( ) _________________ - ______________________

Address: ________________________________________________________________________________________________________________

City: ___________________________________________________ State:___________________________ Zip:_______________________

___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!

___ $60 for a two year subscription. Save over 17% off regular price!

___ NE ___ $18 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!

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fax this form to 845-534-0055 or call

Michelle at 845-534-7500 ext 220

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Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form

WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR

MAY 2013

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See page 27

If you are a Hospital employee looking for a mortgage or refinancing

contact Sun Home Loans about their Hospital Employee Loan Programand you could WIN AN IPAD!

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National Nurses Week May 6-12, 2013

Congratulations NJ Nurses!

Rocking Horse Rehab

p16

OUR VIEW

Hospital Newspaper is proud to recognize nurses as part of National Nurse Week which is May 6-12.

Facing unknown health issues can be very stressful. Hospital stays can be made more comfortable

because of the gentle, encouraging care provided by nurses.

Around the clock, patients push the alert button to summon the nurses. What an immense sense of

relief when the kind and helpful face of a nurse appears.

Most nurses feel their services are not recognized. However, they should be. Nurses are a special

group, an important part of our communities. Many nurses expressed that a few encouraging words

would mean so much to them after a 24-hour work shift. In today's healthcare system, these special

men and women face ever changing challenges.

Please take the opportunity during national Nurse Week to put a smile on a valued nurse! Where we

would be without them?

Please share your stories with us: [email protected]

Jim can be reached at 845-534-7500 ext. 219 and via email at [email protected].

Hospital Newspaper salutes all Nurses during National Nurses WeekMay 6-12, 2013

Page 7: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 7

Gerardi Hosts Webinar for theEmergency Medicine PatientSafety Foundation (EMPSF)

Michael Gerardi, MD, FACEP, presented a webinar entitled,“Safety in Pediatric EmergencyMedicine” for the Emergency Medicine Patient Safety Foundation(EMPSF) Oct. 30, 2012.

Dr. Gerardi is a member of the faculty of the Department of Emergency Medicine at Morris-town (N.J.) Medical Center; a senior vice president with Emer-gency Medical Associates; and amember of the Board of Directorsof the American College of Emergency Physicians (ACEP).

Dr. Gerardi is a partner of Emergency Medical Associates.

About Emergency Medical AssociatesEmergency Medical Associates(EMA), headquartered in Parsip-pany, N.J., is a physician-led,physician-owned medical practicethat specializes in emergency, hospitalist and urgent care medicine. Dedicated to providingexceptional solutions for the measurable success of our hospitalpartners, EMA is recognized forclinical excellence, quality serviceand sustained improved patientsatisfaction. For more information,visit www.ema.net, www.face-book.com/EMANews or www.twitter.com/EMANews.

Stuhlmiller Co-Authors Chaptersin Commission on Accreditationof Medical Transport SystemsTextbook

David Stuhlmiller, MD, FACEP,CMTE, co-authored two chaptersin the Commission on Accredita-tion of Medical Transport Systemstextbook. The first surroundedmeasurement and data titled“Safety and Quality in MedicalTransport Systems. Creating an Effective Culture” and the secondchapter emphasized Essentials oflearning and improvement “Safetyand Quality in Medical TransportSystems. Creating an Effective Culture.”

Dr. Stuhlmiller is a partner ofEmergency Medical Associatesand chairman of the department ofemergency medicine at NewtonMedical Center, Newton, N.J.

Weinberg Serves as Faculty atBase Camp 2013

Eric Weinberg, MD, served as amember of the faculty for BaseCamp, a multidisciplinary confer-ence for first-year pediatric emer-gency medicine fellows andpediatric emergency nurses. The conference was held February9-10, 2013, at Weill Cornell Medical College in New York City.

Dr. Weinberg served as the facili-tator throughout the day. Throughsimulation, lectures and hands-onpracticals with cadavers and procedural simulators, Weinbergtaught pediatric resuscitation techniques to pediatric emergencymedicine fellows and nurses.

Dr. Weinberg is an attending pediatric emergency physician andassistant professor of the depart-ment of pediatric emergency med-icine at Maria Fareri Children'sHospital at Westchester MedicalCenter in Valhalla, N.Y.Dr. Weinberg is a partner of Emergency Medical Associates.

News in Emergency Medicine

(877) 692-4665 [email protected] www.EMA.net

The Sign of Excellence in Emergency Medicine® for More Than Three Decades

35 years of expertise

Serving patients in New Jersey, New York and Pennsylvania, as well as North Carolina and Rhode Island

Dedicated board-certi�ed emergency physicians integrate into your hospital’s culture

Recognized for clinical excellence, quality service and high patient satisfaction

2012 Best Places to Work in Healthcare

2012 Top 10 Emergency Department Contractors

The Sign of Excellence in Emergency Medicinefor More Than Three Decades

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Page 8: Hosptal Newspaper New Jersey May edition

PAGE 8 May, 2013 Hospital Newspaper - NJ

All too often, conversations about product quality, costs, and nursing take place separately. While the relationship

between nurses and the quality of hospital care has been a frequent topic of discussion and research (with much of it

linking nursing care to safety, patient satisfaction, and outcomes), the same cannot be said about nurses and their

impact on costs. The celebration of National Nurses Week (May 6-12) provides a good time to recognize the vital role

nurses play in helping to control hospital costs, specifically in the supply chain.

As supply chain management rightly takes ownership of the intersection of cost, quality, and outcomes in response to

the integrated care delivery model, the once deeply siloed supply chain will need to become more collaborative.

Nurses—with their hands-on experience using the majority of hospital products, their expanding professional duties,

and their clinical backgrounds—are indispensable supply chain allies in helping to select the right product and technology

at the right price.

The disconnect between nurses and the supply chain does not work in today’s collaborative supply chain, which, more

than ever before, has a big-picture focus that goes beyond costs. According to an American Society of Health-System

Pharmacists survey, nurses administer medications in 99.7% of hospitals. And for many patients, nurses, who have

the most patient contact, are the face of the hospital, delivering life-saving care and advice, and making valuable patient

care decisions. Nurses comprise most of hospital staff. Therefore, hospitals that relegate nurses solely to the role of

supply users who have little or no input on products, tools, or equipment choices—and who are left out of training on

product purchasing and cost savings—are bypassing a critical resource that could facilitate major improvements that

lead to a better bottom line.

In order to evaluate a new product or technology, or fix supply chain issues by prioritizing patient care over process

approach, supply chain professionals need to go beyond the numbers and learn about care practices and how products

are used on the hospital floor. Nurses, in turn, should be aware of how their work with patients connects to hospital

costs. Nurses who are engaged with their supply chain department can positively affect the product decision-making

process by adding valuable product usage insight, such as the long-term expense of a low-cost but inefficient product.

Supply chain educated nurses can also serve as partners in promoting cost consciousness and product use efficiencies

to hospital physicians and other clinicians who are often more responsive to colleagues who understand their job

firsthand. In addition, nurses can add a perspective based on experience rather than supplier claims.

The value of nurses’ unique skill set—patient care, clinical expertise, and supply and equipment knowledge—cannot

be ignored. Involving nurses early and often in the supply chain process (especially during value analysis) should be

a fundamental requisite of any optimized, strategic, clinically integrated supply chain.

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital

Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization,

and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials

Management (AHRMM).

Ask An ExpertAsk An Expert

Christopher J. O’ConnorExecutive Vice President, GNYHA Ventures, Inc.,

President, GNYHA Services, Inc. and President, Nexera, Inc.

Connecting Nurses, Supply Chain to Control Costs

Page 9: Hosptal Newspaper New Jersey May edition

GNYHA Services provides support to both clinicians and non-clinicians in the acute care se�ing. Our physician preference, product evaluation, continuing education, and communication services help bring clinicians together with supply chain executives to implement innovative processes that bene�t your bo�om line as well as your patients.

Join forces today. Call GNYHA Services at (212) 246-7100.

555 West 57th St. I New York, NY 10019

Collaborate to Innovate CELEBRATING NATIONAL

NURSES WEEKMay 6−12, 2013

GNYHA Services thanks nurses everywhere for the extraordinary work they do

to support our communities and improve the lives of the

patients they serve.

Hospital Newspaper - NJ May, 2013 Page 9

Page 10: Hosptal Newspaper New Jersey May edition

In a time of extraordinary change within the industry, healthcare professionals face a list of challenges that seems to grow longer by the day. Providers are required to juggle priorities and effectively dele-gate responsibility in an effort to deliver high quality care. External pressures such as declining reimbursements, increasing compliance requirements and uncertainty surrounding the Affordable Care Act only add to the burden.

Additionally, healthcare providers must adapt to the changing dynamics of the doctor-patient relationship as patients take a more proactive approach in how they gather information and interact with care providers.

Despite these challenges, providers must make sure that operations continue to run smoothly while maintaining a steady

upgraded, additional staff may be needed to distribute the workload, and payroll or

burden can often be overwhelming, leaving bills unpaid and projects stalled.

In 2010, Fund-Ex, LLC was founded to provide healthcare professionals with the

grow a practice. As a lender that works exclusively with healthcare professionals,

-

and challenges. The funds can be used for a wide range of business purposes includ-ing working capital, debt consolidation,

a practice. Fund-Ex’s goal is to simplify and shorten the lending experience for healthcare providers, ensuring that time away from patients is minimized.

doesn’t run like your typical business. Every second that a doctor spends away from patients means lost revenue,” said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access

keeping the disruption of their day-to-day routine to an absolute minimum.”

doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro

-care providers for more than two decades. That extensive experience has helped them gain a deep understanding of healthcare business cycles. It also led them to the realization that healthcare professionals

“Our years of experience have helped

us to provide capital to our healthcare clientele with unparalleled speed, service

Owner and COO of Fund-Ex. “Combine that low-stress, no-pressure experience

solutions and you have winning combina-tion for healthcare professionals.”

In addition to being time consuming and tedious, healthcare professionals

fruitless. Traditional lenders are often

Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals

unfamiliar with healthcare professionals and unwilling to look outside their credit matrix to understand the complete picture surrounding the borrower.

“Day after day we hear how challenging

healthcare professionals with healthy incomes and solid credit histories,” said April Brissette, Chief Lending

is rooted in a thorough understanding of their business process, and we take the time to understand the entire situation. This understanding allows Fund-Ex to say yes when other lenders are saying no.”

www.fund-ex.com | 877.851.9405

The Funding Expert for Healthcare Professionals

By Patrick Harrigan | Syracuse, NY

PAGE 10 May, 2013 Hospital Newspaper - NJ

Page 11: Hosptal Newspaper New Jersey May edition

* Express Program offers fund availability in as few as 5 days, Flex Program offers funds at interest rates as low as 6%.

Your healthy financial future is here.

At Fund-Ex, our specialty is you. As a lender that

works exclusively with healthcare professionals, we take the time to

understand your needs and determine the best solution for you and

your business. Fund-Ex can help you improve operational cash flow,

expand or relocate, upgrade equipment or just simplify and save

by consolidating high interest debt.

Call 877.851.9405 or visit www.fund-ex.com/HNNY to connect with one of our funding experts.

The Funding Expert for Healthcare Professionals

Rates as low as 6%*

Saving healthcare professionals an average of $6,000/month

Loan amounts up to $5,000,000

GET YOUR FUNDS IN

as few as

days*

Hospital Newspaper - NJ May, 2013 Page 11

Page 12: Hosptal Newspaper New Jersey May edition

PAGE 12 May, 2013 Hospital Newspaper - NJ

education & careers

Unique RecruitmentOpportunity

Hospital Newspaper believes that high school students should be informed about potential healthcare careers.

Special career sections will be placed in your local high schools, medical schools, colleges and nursing schools.

This is your opportunity to displayopportunities for:

Faculty/PhysicianNursingAdministrativeSupport PositionsClinical Care

Medical AssistantsCounselorsMedical ImagingDieticians

Please contact Jim Stankiewiczfor more information.

[email protected]: 845-534-7500 x219

MONOC is pleased to announce

that they have just received five

year accreditation by the Commis-

sion on Accreditation of Allied

Health Education Programs (CAA-

HEP) for their Paramedic program.

MONOC runs their Paramedic pro-

gram in conjunction with Ocean

County College and is one of just

four New Jersey Department of

Health approved programs in the

state and only the second program

to be accredited by CAAHEP.

“MONOC is pleased to have

achieved this important milestone,”

said Vince Robbins, MONOC’s

President and CEO. “CAAHEP ac-

creditation is a mark of distinction

we are honored to now have. It is

a testament to the professional,

high quality education program

MONOC provides. We appreciate

the dedication and hard work our

education team displays every

day.”

CAAHEP is a programmatic

postsecondary accrediting agency

recognized by the Council for

Higher Education Accreditation

(CHEA) and carries out its accred-

iting activities in cooperation with

19 review committees (Committees

on Accreditation). CAAHEP is the

largest programmatic accreditor

in the health sciences field. In

collaboration with its Committees

on Accreditation, CAAHEP reviews

and accredits over 2,100 educa-

tional programs in 23 health science

occupations.

The specific committee that

oversees EMS is called the Com-

mittee on Accreditation of Educa-

tional Programs for the Emergency

Medical Services Professions

(CoAEMSP). The mission of the

CoAEMSP, under the auspices of

CAAHEP, is to continuously im-

prove the quality of EMS educa-

tion through accreditation and

recognition services for the full

range of EMS professions. Their

vision is that CoAEMSP/CAA-

HEP will be the single, compre-

hensive National EMS education

accreditation agency, as defined in

the EMS Education Agenda for the

Future.

MONOC Mobile Health Services

is a non-profit hospital cooperative

consisting of 15 acute care hospitals

located throughout New Jersey.

Formed in 1978 MONOC’s mission

is to improve health care and

reduce costs. MONOC Mobile

Health Services is accredited by the

MONOC receives National Accreditation for Paramedic Program

Commission on Accreditation of

Ambulance Services (CAAS) and

employs over 730 employees and

operates a fleet of over 100 ambu-

lances. Together this shared

services consortium acts as a health

care cooperative for these acute

care hospitals and over 2.8 million

residents that they serve living in

more than 1,800 square miles of

the Garden State.

Among its numerous service

lines, MONOC operates MICU

Paramedic Services, Helicopter in-

terfacility and 911 services, Mobile

Critical Care Services, and Basic

Life Support interfacility and 911

services. Additionally, MONOC

operates a Continuing Education

Coordinating Board for Emergency

Medical Services (CECBEMS)

accredited education department

which is the largest EMS education

department in New Jersey providing

continuing medical education to

EMTs, Paramedics, Nurses, Police

Officers, Fire Fighters and the

general public. Coordinating all of

MONOC’s communications is an

Accredited Center of Excellence

(ACE) 24/7 state of the art 9- 1-1

dispatch center which handled over

171,000 requests for service in 2012.

Page 13: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 PAGE 13

education & careers

Thomas Edison State College is one of the 12 senior public colleges and universities in New Jersey, and is accredited by the Middle States Commission on Higher Education, 3624 Market Street, Philadelphia, PA 19104 (267-284-5000).

All nursing programs are accredited. For speci�c accreditation information, please visit the nursing webpage at www.tesc.edu/nursing.

Apply Now!Learn more at www.tesc.edu/nursing, or call 866.540.9378.

Our �exible, self-paced nursing programs are designed to advance clinical expertise, technological competence, and professional leadership. Our offerings include:

• RN-BSN • RN-BSN/MSN

Design Your Education Accelerate degree completion; ask about generous credit transfer and demonstration of college-level knowledge earned outside the classroom. Choose from convenient, state-of-the-art learning opportunities.

• MSN • Graduate Nursing Certi�cate Programs

DESIGN YOUR EDUCATIONADVANCE YOUR CAREER

100 percent pass rate for Thomas Edison State College graduates who took2012 National Nursing Licensure Exam

The New Jersey Board of Nursing recently reported

that the first graduates of Thomas Edison State

College’s accelerated Bachelor of Science in Nursing

(BSN) program achieved a 100 percent pass rate on

the National Council Licensure Examination for

Registered Nurses (NCLEX-RN), based on the

graduates who took the exam in 2012.

The college’s Accelerated 2nd Degree BSN

Program, launched in 2011, is a one-year program

designed for those who already possess a non-nursing

bachelor’s degree and are interested in becoming a

registered nurse. The program’s first graduating class

included 16 graduates, of which 14 took the NCLEX-

RN exam in 2012. All of the graduates who took the

exam in 2012 passed.

“We are extremely pleased about this outcome and

the performance of our graduates,” said Dr. Phyllis

Marshall, dean of the W. Cary Edwards School of

Nursing. “They have invested a great effort and were

fully committed to putting their lives on hold for the

program.”

The information reported to the college by the

New Jersey Board of Nursing was provided by the

National Council of State Boards of Nursing and

reflects the results of all first-time NCLEX test takers

from the college who took the exam in 2012.

About Thomas Edison State CollegeThomas Edison State College provides flexible,

high-quality, collegiate learning opportunities for self-

directed adults. One of New Jersey’s 12 senior public

institutions of higher education, the College offers as-

sociate, bachelor’s and master’s degrees in more than

100 areas of study. Students earn degrees through a

wide variety of rigorous and high-quality academic

methods that can be customized to meet their individ-

ual needs. Identified by Forbes magazine as one of the

top 20 colleges and universities in the nation in the use

of technology to create learning opportunities for

adults, Thomas Edison State College is a national

leader in the assessment of adult learning and a pio-

neer in the use of educational technologies. The Col-

lege is home to The John S. Watson Institute for Public

Policy. The New Jersey State Library is an affiliate of

Thomas Edison State College. Further information

about admission to the College may be obtained by

calling (888) 442-8372, via email at [email protected] or

by visiting the College website at www.tesc.edu.

(From left) Brittany Arrington, Gerald Bertekap, Carl Coleman, RachelBoka and Lisa Dellon, members of the first graduating class ofThomas Edison State College’s accelerated Bachelor of Science inNursing (BSN) program, which achieved a 100 percent pass rate onthe National Council Licensure Examination for Registered Nurses(NCLEX-RN), based on the graduates who took the exam in 2012.

provided

Page 14: Hosptal Newspaper New Jersey May edition

PAGE 14 May, 2013 Hospital Newspaper - NJ

Latestinfo fo

r

nurses and

students

By Alison Lazzaro

National Nurses Week allows nurses to be recognized for their around

the clock diligence and caring. The week actually ends on May 12 to

celebrate Florence Nightingale's birthday. National School Nurse Day is

incorporated into the Wednesday of the weeklong holiday. In February

of 1974, President Nixon designated National Nurse Week through a

proclamation. Later in 1982, the American Nurses Association formally acknowledged May 6th as National

Nurses Day, which helped pass a joint resolution of the United States Congress to recognize the day for

nurses.

During this week, nurses can take some time to show each other their appreciation, reflect on growth, and

cherish unique nursing friendships. Whether the individual is a co-worker on your unit, professor, or preceptor,

show a special nurse how much he or she meant to you and helped your career.

College chapters of Student Nurses Associations are a great avenue for student nurses to show their

appreciation to mentors and friends in nursing who have aided in their success. The American Nurses

Association Board of Directors actually designated May 8th as National Student Nurses Day. Candy grams

are an easy fundraiser that allows students to purchase a piece of candy for a fellow nursing student or

professor in order to show their appreciation. All profits from the candy sale can go directly to the organization

or contribute to a small award honoring a nurse or teacher. Nursing friendships are bonded through countless

hours of studying, group projects, and long hours at clinical.

College chapters can also honor the nursing profession and their peers through a health

fair or preventative screening in their student center. This promotes the positive influence

nurses can have and brings awareness to all organizations throughout campus. Using

promotional pins, tee-shirts and posters can help to make it an inspirational event and

raise awareness.

Nurses working in hospitals or facilities after graduation can recognize other nurses

on their unit through awards, honorary breakfasts or a simple card. Think about the

nurses who are always willing to go out of her way to switch hours with you so you can

make it to an appointment, the nurse who brought you a coffee to help jump start your night shift, or the

nurse who got out late but helped you review a procedure so you would feel more comfortable. Do not let

these special people who work days, nights, weekends, and holidays go unnoticed.

Nurse’s Viewpoint

Hospital Newspaper Correspondent

Celebrating Caring, Commitment, and Compassion

Page 15: Hosptal Newspaper New Jersey May edition

Trinitas Regional Medical Center is the first healthcare institution in the nationto receive not one but two Center of Excellence designations from the Na-tional League for Nursing, the pre-eminent organization in the country for pro-

moting quality nursing standards and initiatives.

The Trinitas School of Nursing is a repeat recipient of the NLN’s Center of Excellence designation in the category of “Creating Environments that Enhance Student Learning and Professional Development.” This honor was followed just recently by another accolade, Center of Excellence recognition of Trinitas in the category of “Creating Workplace Environments that Promote Academic Progressionof Nurses.” Trinitas is one of three hospitals in the United States to attain this secondhonor, which recognizes our significant achievements in providing nursing staff withopportunities for academic advancement, enabling nurses to use their new knowledge to improve patient care and outcomes.

This dual honor means that Trinitas nurses – both those in basic nursing education as well as those established in their careers– can benefit from programs that have been recognized as the best in the field. And that is very good news for our patients!

TR IN I TAS REG IONAL MED ICAL CENTER225 Williamson Street, Elizabeth, NJ 07202 • www.TrinitasRMC.org

For information on nursing at Trinitas, call 908.994.5334For information on the Trinitas School of Nursing, visit www.TrinitasSchoolOfNursing.org

TRINITAS CENTERS Behavioral Health • Cancer Care • Cardiology • Diabetes Management OF EXCELLENCE Maternal & Child Health • Renal Services • School of Nursing • Senior Services Sleep Disorders • Women’s Services • Wound Healing & Hyperbaric Medicine

Trinitas Regional Medical Center is a Catholic teaching institution sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.

Trinitas Leads the Nation in Creating Educational EnvironmentsThat Support Nursing Excellence!

Proud graduates of the Trinitas School of Nursing,Class of January 2013, join a long line of expertly educated nurses going back to 1891.

Trinitas Leads the Nation in Creating Educational EnvironmentsThat Support Nursing Excellence!

Hospital Newspaper - NJ May, 2013 Page 15

Page 16: Hosptal Newspaper New Jersey May edition

Back in 1993, Sheri A. Marino-Haiken, MA, CCC-SLP

was working as a speech pathologist with a 3-year-old autistic

boy named Russell, when his mother noticed something

amazing at a birthday party. Russell became more attentive

and engaging when he was on a pony ride.

With this knowledge, Haiken set out to find a riding center

where she could bring Russell for his therapy. This kind of

treatment is called Hippotherapy and helps autistic children

develop social, language and motor skills. For more than

twenty years, Haiken as been a forerunner treating children

with autism in the U.S. and internationally.

“I’m not quite sure where my passion comes from,”

Haiken smiles. “Maybe it started when I was a young girl in

grammar school. I remember we had a boy transfer in who

had muscular dystrophy. Most kids were intimidated by his

wheelchair. I was determined to help him get around and

make friends. I guess I have always been like that. But I have

a passion for and love what I do. I always have, I always will.”

RHR is a pediatric rehabilitation and family wellness center

specializing in alternative therapies for children with special

needs and their families. Haiken and her experienced and

compassionate staff proudly offers a comprehensive array of

therapeutic services, including speech, physical and occupa-

tional therapy, Hippotherapy, equine mental health programs,

therapeutic riding, aquatic therapy, music therapy, therapeutic

yoga and therapeutic martial arts.

A variety of medical and psychiatric conditions are treated

at RHR, including autism, cerebral palsy, developmental and

congenital disorders, traumatic brain injuries, emotional and

behavioral disorders, brain tumors and spinal muscular atrophy.

However, with Haiken leading the way, RHR has become

renowned for their Equine Assisted Therapy programs.

Haiken was the first speech pathologist in New Jersey

and the second in the country to practice Hippotherapy.

Hippotherapy is an intensive one-on-one therapy session

with a physical, occupational, or speech therapist utilizing

the movement of the horse as a treatment strategy. It does not

teach riding skills. The three dimensional movement of the

horse helps stimulate the arousal mechanism of the central

nervous system effecting the patients motor skills, sensory

integration and attending skills. Speech and language skills

are addressed through improvements in trunk stability,

enhanced respiratory function and motor planning.

Haiken explains, “As therapists, we are trained to use the

biomechanics of the horses movement to improve postural

stability, muscle tone, core strength and sensory processing.

It’s a strategy that treats the whole child, integrating all

systems. For a non-ambulatory child, this 3 dimensional

movement accesses the muscles of the pelvis and trunk that

are at risk of atrophy from being in a wheelchair. Emotionally,

for the child, the horse gives them a sense of freedom as it

can take them beyond the limits of their wheelchair.”

Equine facilitated mental health programs at RHR are lead

by Kathy Lutz, LCSW. Lutz wrote the book “Horsemanship

and Humanship: How Horses Make us Better People” which

teaches social skills through groundwork with horses. It is

common for children with Asperger’s to have difficulty

forming relationships with their peers because of a lack of

social awareness and ability to understand social rules.

“Horses are a mirror of our soul. If we show up anxious or

agitated, the horse will react the same way. We use the

horse’s reactions as a form of biofeedback to teach children

how to be in touch with their own feelings. When we move

too quickly or speak too loudly they react showing the whites

of their eyes and pinning back their ears. We can teach

children with Asperger’s how to read body language, first

using the horse, and then generalizing with a peer. Horses

are beautiful teaching tool because they have a forgiving

heart ” said Haiken.

Ask any of the staff at RHR and they will all tell you they

have witnessed many miracles happen over the years.

“The greatest moments are when a child takes his first

steps or says his first words at Rocking Horse Rehab. It is

an emotional experience for the families and the therapists

involved.” Haiken said. Unfortunately, they have had their

share of sad moments too. Working with medically fragile

children has exposed the staff to great loss when a young

patient loses their fight with a terminal illness. “It’s a feeling

you cannot even put into words. The grief is unimaginable.

But the families tell us that their childs’ happiest moments

were with us, with their ponies. That’s what keeps you going.

I know those little angels up there have a hand in the miracles

we see” said Haiken.

Haiken prides herself on being entrenched in the community.

Currently she is leading a wellness program titled Peace-

Love-Ponies, for families who have lost their homes and

loves ones in Hurricane Sandy.

Haiken and RHR are proud to be a part of the community it

serves. The enterprising, 2,000-square foot facility is affiliated

with 20 universities across the nation, which provides RHR

yearly with some of the brightest interns studying speech,

occupational and physical therapy, social work and family

studies. RHR works with children at local schools with

special needs and works with all kinds of insurance.

More recently, Haiken has become the executive director

of the prestigious Autism Think Tank and Medical Center in

Warren, N.J. The Center is an innovative outpatient medical

center designed to provide a multidisciplinary team approach

to the identification and treatment of the complicated medical

co-morbidities of autism.

At the Autism Think Tank, world-renowned medical

experts collaborate via videoconference to assess medically

complex children and adults with autism. “It is a privilege

to work with a team of doctors who understand that the

complexity of autism needs to be addressed through a

collaborative approach. A synergistic plan of care which

medically stabilizes a child ensures greater educational and

therapeutic outcomes” said Haiken. Comprehensive family

services including diagnostics, rehabilitative medicine,

integrative medicine and comprehensive case management

are offered at the Autism Medical Center through the Autism

Think Tank and Bright Star Therapy.

Haiken has worked with thousands of patients and families

during her illustrious career. And, of course, she will never

forget any of these special people. Especially Russell, the

boy she treated nearly two decades ago. Just recently, he was

admitted to college in Colorado, with Haiken by his side.

“Aside from having my own children, it was one of the

most exciting moments of my life,” said Haiken. “It’s the

greatest feeling to see a patient thrive. My career has come

full circle and I’m just grateful to still be a part of Russell’s

and all of my patients’ lives.”

PAGE 16 May, 2013 Hospital Newspaper - NJ

PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER

of the Month

Sheri A. Marino-Haiken,

MA, CCC-SLP

Michael Torrens and Belle.photograph by: Sandra Nissen

Page 17: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 17

Speech • Physical • Occupational Therapy • HippotherapyEquine Assisted Psychotherapy • Sensory Integration Therapy

Therapeutic Yoga • Aquatic Therapy • Music TherapySibling & Parent Support Groups • Field Trips • Summer Programs

Director: Sheri Marino Haiken, MA, CCC-SLP

PEDIATRIC REHABILITATION & FAMILY WELLNESS CENTER

973-731-8588www.rockinghorserehab.com

Woodland Ave • West Orange, NJ

Page 18: Hosptal Newspaper New Jersey May edition

PAGE 18 May, 2013 Hospital Newspaper - NJ

NJLN and The Wright Choice partner to increase Nurse faculty

The New Jersey League for Nurses(NJLN) partnered with The Wright ChoiceStaffing and Wright Choice for HomeHealth Care in the “Mouse that Roared”

program dedicated to provide scholarshipsto nursing students interested in becomingNurse Educators. Funding for scholarshipsaccrue from donations made by the WrightChoice when nurses apply for and accept as-signments from these agencies: $1 is do-nated for each hour worked, for as long asthe nurse works.

According to NJLN president Carol Pater-son, RN, MSN, CNE, “the Mouse that

Roared is an excellent way for healthcareorganizations and the NJLN to work to-gether to alleviate the nursing faculty short-age.” Since its inception in 2009, $1,000 inscholarship moneys have been awarded an-nually to nurses who are pursuing graduateeducation to specifically begin a career innursing education.

George Strang, CEO of the WrightChoice, would like to see the program ex-

panded. “If other agencies got on board, wewould be doing our part to eliminate the dis-parity of nurse educators,” he says.

The NJLN, whose headquarters in Gar-wood, NJ, supports and implements the mis-sion of the National League for Nursing topromote excellence in nursing education tobuild a strong and diverse nursing work-force to advance the nation's health at theconstituent level.

For more information or an application,log on to NJLN’s website: www.njln.org

The “Mouse that Roared” program has the potential to create a

cache of New Jersey Nurse Faculty needed to educate student nurses.

Highlights from the 2013

NEW JERSEY LEAGUE FOR NURSING CONVENTION

Steve Testa, VP Regional Sales Manager for Sun Home Loans, signs up anotherattendee for the Hospital Employee Loan program at the Hospital News exhibit.

Hospital News was warmly received at the New Jersey League forNursing Convention at Tropicana Casino & Resort in Atlantic City, NJ.Hundreds of attendees visited the exhibit hall as RN's and studentscelebrated “Nurisng: Issues of Our time”.

HOSPITALNEWSPAPERH

Page 19: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 19

40 Watchung Way, Berkeley Heights, NJ 07922Easily reached from Routes 22, 24 & 78. Just 1 mile from exit 41 off I-78.

A service of the Union County Board of Chosen Freeholders.

One of the area’s most respected providers of Rehabilitation and Post Acute Care.

The region’s premier provider of quality, compassionate care for long-term, hospice and Alzheimer’s-type patients.Respite stays available.

Call 908-771-5901 www.ucnj.org/RUNNELLS

Sub-acute Care

Nursing Care

With breathtaking views of the Watchung Mountains, this state-of-the-art facility is staffed 24 hours-a-day by dedicated professional nurses and daily by caring, compassionate physicians.

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Hunterdon Medical Center Nurse wins March of Dimes Nurse of the Year Award

The March of Dimes New Jersey chap-

ter is pleased to announce the winners of

the annual March of Dimes Nurse of the

Year Awards. Hunterdon Medical Center

Nurse, Maryse Bouton, RN, MSN,

CWON was selected as the Nurse of the

year in the category, Hospice, Home

Health & Palliative Care/Long Term

Acute Care/ Long Term Rehab. Maryse

Bouton is the Education Coordinator for

Home Health and she resides in White-

house Station.

Nurses are an integral part of the March

of Dimes mission for stronger, healthier

babies. The Nurse of the Year Awards is a

state-wide event that recognizes excep-

tional nurses, creates awareness of profes-

sional excellence and promotes the future

of the nursing profession, while helping

to advance the mission of the March of

Dimes.

The Nurse of the Year selection com-

mittee reviews hundreds of applications

across 15 categories ranging from Adult

Critical Care to Neonatal. More than 100

finalists emerged, all representing the

March of Dimes vision for a healthier,

stronger generation of babies and fami-

lies.

“Nurses play a vital role in our society.

They are truly the unsung heroes of the

health care provider community, and we

are proud to honor the work they do,”

says Pat Steingall, Honorary Chair, Vice

President of Patient Care Services and

Chief Nursing Officer at Hunterdon Med-

ical Center.

The Nurse of the Year Award is pre-

sented by Actavis, Investors Bank, Hun-

terdon Healthcare, and Robert Wood

Johnson University Hospital- New

Brunswick.

The March of Dimes is the leading non-

profit organization for pregnancy and baby

health. With chapters nationwide, the

March of Dimes works to improve the

health of babies by preventing birth defects,

premature birth and infant mortality. For the

latest resources and information, visit mar-

chofdimes.com or nacersano.org. Find us

on Facebook and follow us on Twitter.

The other 2012 Nurse of the Year Winners included:

Michele Zucconi, South Jersey Healthcare

Category: Adult Critical Care/Emergency

Catherine Amato Bowden, Robert Wood Johnson University Hospital

New Brunswick

Category: Advanced Practice

Kimberly Briggs, Virtua

Category: Behavioral Health

Deborah Bruzek, Virtua

Category: Case Management/Quality/Risk Management/Clinical Informatics

Cheryl Holly, University of Medicine and Dentistry of NJ - School of Nursing

Category: Research

Ellen Shuzman, Central Jersey Family Health Consortium

Category: Education

Margaret Cunningham, Virtua

Category: General Adult Care

Dawn Goffredo, South Jersey Healthcare

Category: Leadership

Jessa Torres-Manalastas, Robert Wood Johnson University Hospital

New Brunswick

Category: Neonatal

Dr. Robert Cowan, Virtua

Category: Nurse Champion

Suzanne Butler, Cooper University Hospital

Category: Pediatrics

Julie Fitzgerald, Ramapo College of NJ/ Partnership for Maternal/Child Health

of Northern NJ

Category: Public Health/ Occupational Health & Ambulatory Care

Iris Vascos, Virtua

Category: Student Nurse of the Year

Robin Taylor, South Jersey Healthcare

Category: Women’s Health

provided

Page 20: Hosptal Newspaper New Jersey May edition

Four children who are enrolled in the Children’s Hospital of NewJersey’s Pediatric Daycare Center showed off their new RinglingBros. and Barnum Bailey yellow hard hats.

PAGE 20 May, 2013 Hospital Newspaper - NJ

Pediatric Waiting Area at Children’s Hospital of New Jersey has a new look thanks toRingling Bros. & Barnum Bailey Circus and Prudential Center give

The Greatest Show on Earth is displayed at Children’s Hospital of New Jersey

(L-R) Chairman, Devils Arena Entertainment Jeff Vanderbeek; Vice President Event Marketing & Sales FELD Entertainment Stephen C.Yaros; President and Chief Executive Officer of Barnabas Health Barry H. Ostrowsky; Chief Operating Officer of Newark Beth IsraelMedical Center and Children’s Hospital of New Jersey Darrell K. Terry, Sr. MHA, FACHE; and Assistant Vice President of Children'sHospital of New Jersey Jennifer K. Mendrzycki, JD, MHA, are joined by pre-school children who are enrolled in the Children’s Hospitalof New Jersey’s Pediatric Daycare Center and the world famous clowns of Ringling Bros. and Barnum & Bailey Circus. The group unveiledthe newly redesigned waiting room at the Pediatric Health Pediatric Health Center of the Children’s Hospital of New Jersey at NewarkBeth Israel Medical Center on Wednesday. Based on this year’s show theme of Built to Amaze!, the waiting room was transformed intoa first-of-its-kind, circus theme with children in mind.

Children in the Pediatric Health

Center’s waiting area at Newark

Beth Israel Medical Center and

Children’s Hospital of New Jersey

witnessed the unveiling of a fes-

tive interior design transformation

thanks to the generosity of Rin-

gling Bros. and Barnum & Bailey

Circus and Prudential Center.

Bright yellow and cobalt blue

paint lined the walls along with

floor-to-ceiling pictures of a few

featured acts from the “Built to

Amaze!” show, which recently

kicked off at Prudential Center. A

chalk board is now embedded into

the wall for the enjoyment of pe-

diatric patients, who can also par-

ticipate in the new “Reading with

Ringling” program that was intro-

duced. Pre-school children who

are enrolled in the Children’s Hos-

pital of New Jersey’s Pediatric

Daycare Center stopped by the

health center, located at 166 Lyons

Avenue, and donned yellow con-

struction hats and red clown noses.

Five clowns, from Ringling Bros.

and Barnum & Bailey Circus, en-

tertained the children and the

adults before bringing cheer to

children and staff on the pediatric

in-patient units.

"Barnabas Health is excited

and proud that Prudential Center

and Ringling Bros. teamed up to

design the waiting room at the

Pediatric Health Center in Chil-

dren’s Hospital of New Jersey at

Newark Beth Israel Medical Cen-

ter,” stated Barry H. Ostrowsky,

President and Chief Executive

Officer of Barnabas Health. “We

are consistently creating ways to

make our patients - of all ages -

as comfortable and relaxed as

possible. We believe the bright

colors, circus theme and new toys

will bring cheer and joy to the

thousands of children who come

to the hospital each year and help

make their experience as enjoy-

able as possible.”

“The patient experience, includ-

ing safety and quality, are most

important to us at The Beth, re-

gardless of your age,” said John A.

Brennan, MD, MPH, President

and Chief Executive Officer of

Newark Beth Israel Medical Cen-

ter and Children’s Hospital of

New Jersey. “I want to thank Jeff

Vanderbeek and the Prudential

Center, and Feld Entertainment

and Ringling Bros. and Barnum &

Bailey Circus for selecting our

Children’s Hospital as the first re-

cipient of their “Built to Amaze”

redesign initiative for 2013.”

“We want to create the best experience possible for children to receive

quality healthcare and to encourage them as they grow to practice preven-

tative health and wellness,” said Darrell K. Terry, Sr., MHA, FACHE, Chief

Operating Officer of Newark Beth Israel Medical Center and Children’s

Hospital of New Jersey. “I want to thank Jeff Vanderbeek, of the Prudential

Center, and Feld Entertainment and Ringling Brothers and Barnum & Bailey

circus for selecting Children’s Hospital of New Jersey and redesigning

the Pediatric Waiting Room. The enhancements make it a great space to

welcome children of all ages.”

About Children’s Hospital of New Jersey (CHoNJ):Children's Hospital of New Jersey, located at Newark Beth Israel

Medical Center and part of the Saint Barnabas Health Care System, is the

state's premier hospital caring for children, with specialized services to treat

ill and injured children from newborn to adolescent years and has the most

comprehensive pediatric cardiac care program in the region as well as

preventive programs that promote wellness in the community. For a referral

to a pediatrician or pediatric specialist, please call 1-888-724-7123.

Ringling Bros. and Barnum & Bailey Circus clowns pose with apediatric patient at Children’s Hospital of New Jersey, which islocated at Newark Beth Israel Medical Center.

photos provided

Page 21: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 PAge 21

The Matheny Medical and Edu-

cational Center has established sev-

eral training programs to make sure

that students entering such health-

care fields as medicine, nursing and

the various therapies are ready to un-

dertake and meet the special health-

care needs of people with

developmental disabilities. Recently

students from the new Associate of

Science degree program in Occupa-

tional Therapy Assistance (OTA)

from UMDNJ School of Health Re-

lated Professions took part in a spe-

cial training day at Matheny, a spe-

cial hospital and educational facility

in Peapack, NJ, for children and

adults with medically complex de-

velopmental disabilities.

Matheny’s OT department set up

four informational rotations that in-

cluded instruction in seating and

mobility (power and manual wheel-

chair access); switch, computer and

activities of daily living (ADL) ac-

cess, focusing on adaptive feeding

and bathing equipment to improve

accessibility; augmentative commu-

nications; and the collaborative role

of OTs and speech-language pathol-

ogists in enabling a student or adult

to access speech and computer

needs.

UMDNJ academic fieldwork co-

ordinator Karen Kowalski accom-

panied the nine students through the

rotations and ensuing discussion.

The next day she reported that, “the

students couldn’t stop talking about

the wonderful experience they had

at Matheny.”

Future Occupational Therapists trained at Matheny

UMDNJ student Christine Pappas of Wanaque, NJ,learns experiences power wheelchair access,assisted by Matheny OT Veronica Armellino.

UMDNJ student Lisa Burke of Bridgewater, NJ,learns about switch access from Matheny OTWendell Lumapas.

ph

oto

s p

rovid

ed

Pediatric Palliative Care Room to open at Goryeb Children's HospitalLiam’s Room, a New Jersey-

based non-profit organization that

provides inpatient comprehensive

care rooms and support to families

whose child is faced with complex

medical and life-limiting condi-

tions, and Atlantic Health System,

one of the largest non-profit health

care systems in New Jersey, an-

nounced today the construction of a

Liam’s Room at Goryeb Children’s

Hospital in Morristown.

The redesigned inpatient hospital

room creates a home-like environ-

ment and addresses the needs of

families whose children spend

countless hours in and out of the

hospital. Families using Liam’s

Room are treated by the hospital’s

pediatric palliative care team,

which incorporates the total care

of a child’s mind and spirit and

provides support to the entire family.

The new room is scheduled to open

in spring 2013.

Goryeb Children’s Hospital is

part of the Atlantic Health System

family, which also includes Morris-

town Medical Center, Overlook

Medical Center and Newton Med-

ical Center. Goryeb shares the Mor-

ristown Medical Center campus,

and also includes an inpatient unit

and outpatient services at Overlook

Medical Center in Summit, NJ.

“Spending countless hours in a

cold, sterile hospital room just mag-

nifies the reality of having a sick

child,” said Lisa McNamara, co-

founder of Liam’s Room. “Liam’s

Room provides the amenities to

function as a family within the hos-

pital – more space, a comfortable

bed for parents, desk, refrigerator, a

private bathroom and entertainment

for children. While some doctors

and caregivers are taught to treat

the symptoms of a child’s illness, it

is the treatment of the entire family

that defines good care. This is the

benefit of pediatric palliative care.”

The first Liam’s Room opened in

2009 at Overlook Medical Center.

At that time, Liam’s Room also

funded Colin O’Reilly, DO, and Sh-

eryl Vassallo, MD, as they attended

a training program at the Harvard

Medical School Center for Pallia-

tive Care. They now both serve as

pediatric palliative care physicians

at Goryeb Children’s Hospital. In

addition, O’Reilly also practices pe-

diatric critical care.

“The need for pediatric palliative

care is growing,” O’Reilly said.

“Having an additional Liam’s Room

in Morristown will allow our pro-

gram to benefit more patients and

their families as they navigate the

challenges of potentially life-limit-

ing illnesses. In addition to the

comfort the room provides, its pres-

ence helps to remind our staff of the

needs of families who are living

through disease and the impact of

illness.”

“We are excited about the

progress being made with Goryeb

Children’s Hospital,” said Peter

McNamara, Co-Founder of Liam’s

Room. “We look forward to con-

tinuing to provide resources to

families and children who benefit

from pediatric palliative care, to the

development of more rooms, and

to inspiring more hospitals to

adopt the pediatric palliative care

approach.”

About Liam’s RoomLiam’s Room provides a “home

away from home” for children with

chronic, potentially life-limiting ill-

nesses and their families in hospitals

by building rooms that are comfort-

able, peaceful and equipped with all

the amenities that a child’s room

should offer. Additionally, Liam’s

Room is committed to facilitating

the education of hospital staff treat-

ing these families in the field of pe-

diatric palliative care – an approach

to treatment that focuses on enhanc-

ing the quality of life for patients

who suffer from serious illness. The

NJ based non-for-profit organiza-

tion was created by Lisa and Peter

McNamara in loving memory of

their son, Liam Hayden McNamara.

For additional information, please

visit www.liamsroom.org.

Page 22: Hosptal Newspaper New Jersey May edition

PAGE 22 May, 2013 Hospital Newspaper - NJ

Trinitas Comprehensive Cancer Center joins Jefferson Kimmel Cancer Center Network

New affiliation will bring national research trials to the region

The Trinitas Comprehensive

Cancer Center has joined the

Philadelphia-based Jefferson Kim-

mel Cancer Center Network, an-

nounced officials from both

institutions recently.

“The Trinitas Comprehensive

Cancer Center is an outstanding ad-

dition to the Kimmel Cancer Center

Network,” says Leonard Gomella,

MD, Chair of the Department of

Urology at Thomas Jefferson Uni-

versity and clinical director of the

Jefferson Kimmel Cancer Center

Network. “Trinitas has a proven

commitment to a high quality mul-

tidisciplinary approach to cancer

care.”

“We are pleased to become part

of the Kimmel Cancer Center

Network,” states Trinitas Regional

Medical Center’s President and

Chief Executive Officer, Gary S.

Horan, FACHE, adding, “Partnering

with such a prestigious academic

medical center and cancer care net-

work allows us access to top-notch

expertise and research that will di-

rectly benefit our patients.”

Those benefits to patients served

by Trinitas are many, notes Barry

Levinson, MD, Medical Director of

the Cancer Center. “Through this

affiliation, we’ll have access to all

of Jefferson’s treatment studies and

we will be able to choose to open

those studies that best match our pa-

tient population. In addition, Trini-

tas will become a member of the

National Surgical Adjuvant Breast

and Bowel Project (NSABP)

through Jefferson. We’ll have ac-

cess to all of their studies as well,”

he adds. Trinitas oncologists plan

to open four new treatment trials

this year, according to Dr. Levinson.

The interdisciplinary team of

highly skilled professionals at

Trinitas Comprehensive Cancer

Center works with each patient to

develop a comprehensive approach

to care that encompasses the latest

diagnostic and treatment options,

medical technology, clinical trials

and integrative therapy. Approved

by the American College of Sur-

geons Commission on Cancer,

Trinitas was the first cancer center

in New Jersey to offer patients the

advanced Varian RapidArc radia-

tion system, which significantly re-

duces radiation treatment time.

Trinitas was also the first in the

state to offer the new AccuBoost ra-

diation treatment for breast cancer

patients.

Trinitas’ cancer care team consists

of all-board certified hematologists,

surgeons, and medical and radiation

oncologists, who work together with

highly-skilled physician assistants,

nurse practitioners, dosimetrists,

physicists, radiation therapy technol-

ogists, and registered nurses. This

team specializes in all aspects of

cancer treatment, including prostate,

breast, lung, colorectal, head and

neck, gynecological, multiple

myeloma, leukemia and other hema-

tological disorders. Since 2007,

Trinitas has participated in a Radia-

tion Therapy Oncology Group re-

search affiliation through the

Jefferson Kimmel Cancer Center.

The Jefferson Kimmel Cancer

Center Network is a consortium of

institutions dedicated to improving

cancer care and increasing clinical

research. It supports the cancer

programs of its members through

education, information, research,

and cancer program development.

Thomas Jefferson University Hospital in Center City Philadelphiashares a 13-acre campus with Thomas Jefferson University.

The Trinitas Comprehensive Cancer Center is housed in theAndrew H. Campbell Pavilion on the main campus of TrinitasRegional Medical Center in Elizabeth, New Jersey.

(GOG) and the National Surgical

Adjuvant Breast and Bowel Project

(NSABP).

For more information on this

affiliation or about Trinitas Com-

prehensive Cancer Center, please

call (908) 994-8000 or visit

www.TrinitasCancerCenter.org.

About Trinitas Regional Medical Center

Trinitas Regional Medical Cen-

ter (TRMC), a major center for

comprehensive health services for

those who live and work in Central

New Jersey, is a Catholic teaching

medical center sponsored by the

Sisters of Charity of Saint Eliza-

beth in partnership with Elizabeth-

town Healthcare Foundation. With

10 Centers of Excellence across the

continuum of care, Trinitas has dis-

tinguished itself in cardiology, can-

cer care, behavioral health, renal

care, nursing education, diabetes

management, wound healing and

sleep medicine.

For more information on Trinitas

Regional Medical Center, visit:

w w w . T r i n i t a s R M C . o r g

<http://www.TrinitasRMC.org or

call (908) 994-5138.

Kimmel Cancer Center is an NCI-

designated clinical cancer center

and was ranked 20th in the 2012

U.S. News and World Report rank-

ing of top cancer hospitals in the

United States. The Kimmel Cancer

Center is the cornerstone of the net-

work, which operates the Jefferson

Oncology Group (JOG). JOG is a

cooperative program to enhance

clinical and translational cancer re-

search, including clinical trial de-

velopment.

The Kimmel Cancer Center is a

member of several national re-

search groups, including the Radi-

ation Therapy Oncology Group

(RTOG), the Eastern Cooperative

Oncology Group (ECOG), the

Gynecologic Oncology Group

For more details contact:Jim Stankiewicz at

845-534-7500 ext. [email protected]

Hospital Newspaper features one hospital per month as the centerfold.

Great way to get information about your facility to interested readers.

Would you like to be

Hospitalof the Month?

photos provided

Page 23: Hosptal Newspaper New Jersey May edition

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Hospital Newspaper - NJ May, 2013 PaGe 23

The Dr’s Office, LLC, of Wood-

bridge, NJ, and founder Dr. Richard

Goldstein, recently joined the Rar-

itan Bay Physicians’ Group, PC.

The group also added Nisheet

Prasad, MD, board certified in in-

ternal and geriatric medicine, as

part of this partnership. Drs. Gold-

stein and Prasad accept most major

medical insurances, are currently

accepting new patients and main-

tain Saturday hours at their office

located at One Woodbridge Center,

Suite 900, Woodbridge, NJ. To

schedule an appointment, call 732-

965-1050 or Raritan Bay Medical

Center’s free physician referral

service 1-800-DOCTORS.

Internal medicine practitioners

are trained in a broad range of dis-

ciplines enabling them to diagnose

and treat most illnesses and medical

conditions, including chronic dis-

eases such as asthma, diabetes and

high blood pressure. Geriatric med-

icine practitioners promote health

by preventing and treating diseases

and disabilities in older adults and

identifying diseases from the ef-

fects of normal aging.

Dr. Goldstein has been practicing

in Woodbridge since 1997. He

received his Doctorate of Medicine

in 1994 from Albert Einstein

College of Medicine,Bronx, NY.

Dr. Goldstein completed his resi-

dency in internal medicine at Mon-

tefiore Hospital Medical Center,

Bronx, NY, in 1997. He is also

Senior Director, Clinical Product

Internists Dr. Goldstein and Dr. Prasadjoin Physicians’ Group

-The Dr’s Office Physician Practice located in Woodbridge, NJ,

Joins Raritan Bay Physicians’ Group, PC-

Development, for MD On-Line,

Inc., of Parsippany, NJ, overseeing

all clinical product development.

Dr. Prasad completed his inter-

nal medicine residency at the Uni-

versity of Medicine and Dentistry

of New Jersey Medical School –

University Hospital, Newark, NJ,

in 2005. He completed his fellow-

ship in geriatrics at the Maine

Medical Center, Portland, Maine,

in 2010. He previously practiced

as a hospitalist at Togus VA Med-

ical Center in Togus, Maine, and

as a hospitalist and geriatrician at

Southern Maine Medical Center,

Biddeford, Maine.

Raritan Bay Medical Center,

with locations in Old Bridge and

Perth Amboy, established the Rari-

tan Bay Physicians’ Group, PC,

(RBPG) in early 2012 as a for-

profit entity providing employment

opportunities for local physicians.

As healthcare continues to evolve,

RBPG works to improve quality

through enhanced clinical integra-

tion and care coordination while

providing physicians effective

practice management and better

work-life balance. With local com-

munities inmind, the group ensures

that patients receive high-quality

care and are satisfied with their

healthcare services. Longtime Mid-

dlesex County, NJ, internist and

cardiologist Majid K. Khan, MD,

and family medicine physician

Alexandra C. Caracitas, DO, are

also part of the RBPG.

peopleonthemove

Please send your People on the Move editorial [email protected]

Dr. Nisheet PrasadDr. Richard Goldstein

pro

vid

ed

pro

vid

ed

Page 24: Hosptal Newspaper New Jersey May edition

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PAGE 24 May, 2013 Hospital Newspaper - NJ

Saint Peter’s University Hospital

has achieved “Senior Friendly” sta-

tus for its NICHE (Nurses Improv-

ing Care for Healthsystem Elders)

program. NICHE hospitals such as

Saint Peter’s commit to excellence

in the care of patients 65 years and

older.

The “Senior Friendly” status

recognizes that Saint Peter’s has

put in place a variety of programs

such as “Care Companions” and

“Silver Spoons” to assist senior

patients. The first program calls

for volunteers to keep elder pa-

tients company. The second pro-

gram provides assistance during

meals. Additionally, the hospital

has invested time and resources

to:

• implement the NICHE Geriatric

Resource Nurse (GRN) model,

• develop aging-sensitive policies

and

• obtain input of patients, families

and community-based providers in

planning and implementation of

NICHE initiatives.

Seniors can be at risk for certain

conditions including anxiety,

dementia, depression, falls, incon-

tinence, osteoporosis, and pain.

In addition to NICHE initiatives,

Saint Peter’s integrated outpatient

geriatric medicine program spe-

cializes in the diagnosis and

treatment of disease and the main-

tenance of good health and quality

of life.

Saint Peter’s is also designated

as a primary stroke center. The hos-

pital is staffed by a specialized

stroke team that includes emer-

gency physicians, neurologists and

nurses with special training in

acute stroke management who are

available 24-hours-a-day, seven-

days-a-week.

Programs and Services The vision of NICHE is for all

patients 65 and older to be given

sensitive and exemplary care. The

Geriatric Resource Nurse model,

an educational and clinical inter-

vention initiative, calls for NICHE

hospitals to train staff nurses as

clinical resource persons on geri-

atric issues for other nurses on their

unit. Based at New York Univer-

sity Hospital, NICHE is an interna-

tional program designed to help

hospitals improve the care of older

adults.

“The NICHE designation and

the ‘Senior Friendly’ status are

proof of our commitment to qual-

ity, patient-centered care for older

adults,” says Linda Carroll, MSN,

RN-BC, director of professional

practice and clinical education and

nursing research education at Saint

Peter’s University Hospital. “Our

participation in the NICHE pro-

gram allows us to continually

maintain the high standard of care

that has always been available at

Saint Peter’s. This leads to greater

satisfaction rates for our patients,

their families and our staff.”

Hospital achieves “Senior Friendly” status– Focuses on improving care for older adult patients –

Shira Goldberg, M.D., left, a Saint Peter’s Healthcare System geriatrician, shares a laugh with MaryNotaro, 83, of Monroe during a physical exam at the Saint Peter’s Comprehensive Care Group in Monroe.

In the United States, 8,000 people

turn 65 every day. By the end of 2011,

the senior population of America

reached nearly 49 million. By 2025, it is

expected to grow to nearly 72 million,

according to the U.S. Department of

Health and Human Services and the

State Department.

As people age, their medical issues

tend to become more complex, explains

Saint Peter’s geriatrician Shira Gold-

berg, M.D. “When developing a care

plan for geriatric patients, physicians

must use an interdisciplinary approach

that incorporates not only medical but

also the patient’s social and psychologi-

cal needs. A patient’s values and

preferences need to be investigated

and integrated into their individu-

alized treatment plan.”

An interdisciplinary team of

board-certified physicians and

health care professionals, all of

whom are trained in geriatric med-

icine, works with patients and their

families to develop a comprehen-

sive plan of care for improved

overall quality of life.

Areas of specialty at Saint

Peter’s include: diabetes; diagnosis

and treatment of depression and

anxiety; diagnosis and treatment of

memory loss; hormone replace-

ment therapy; minimally invasive

surgery; nutrition; orthopedic serv-

ices including hip resurfacing and

knee replacement; pain manage-

ment; promoting and maintaining

health, strength and functional

abilities, and wound care and hy-

perbaric oxygen therapy (HBOT)

for non-healing chronic wounds.

Outpatient services at Saint

Peter’s include geriatric evaluation

and management services (GEMS),

a comprehensive assessment pro-

gram that helps health care profes-

sionals diagnose and develop a plan

of care for patients who suffer from

Alzheimer’s disease and other

forms of dementia. The Wound

Care Center® and Hyperbaric

Services at Saint Peter’s University

Hospital counts among the spe-

cialty services provided for seniors.

With locations in Saint Peter’s Cen-

ter for Ambulatory Resources in

New Brunswick and in a new facil-

ity in Monroe Township, the center

is a leader in the surgical and non-

surgical treatment of chronic non-

healing wounds. Patients are

treated by a multidisciplinary team

of board-certified physicians that

includes general surgeons, vascular

surgeons, plastic surgeons, in-

ternists, geriatricians, infectious

disease specialists, physiatrists, and

clinical wound specialists.

The hospital’s three Comprehen-

sive Care Group medical practices –

in New Brunswick, Piscataway, and

at the new Monroe Township facil-

ity – focus on providing primary and

specialty care for seniors as well as

resources for their caregivers. With

a focus on quality of life, the goal is

to provide patients with services and

programs that help to maintain their

health, and independence, and en-

hance their daily living.

Other outpatient resourcesinclude:

• Saint Peter’s Adult Day Center at

Monroe Township

• Margaret McLaughlin McCar-

rick Care Center, a not-for-profit

skilled nursing facility in Somerset

• Community Nursing Services

such as onsite nursing, blood pres-

sure checks and educational pro-

grams at a number of adult

communities in Monroe Township

Visit SaintPetersHCS.com/geri-

atric/ to learn more about our

geriatric services. To find a doctor

affiliated with Saint Peter’s visit

SaintPetersHCS.com/findaphysi-

cian/ For more information about

Saint Peter’s Healthcare System,

visit www.saintpetershcs.com or

call 732-745-8600.

provided

Page 25: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 PAGE 25

Trinitas’ Long Term Care Facility secures Five Star Quality rating from Centersfor Medicare and Medicaid Services (CMS)

Brother Bonaventure Extended Care

Center, the long-term care facility of

Trinitas Regional Medical Center, has

received a Five Star Quality rating

from the federal government’s Centers

for Medicare and Medicaid Services

(CMS). The facility, located at 655 W.

Jersey Street in Elizabeth, is a 130-bed

facility that has also recently under-

gone a renovation and beautification

project.

The Five Star Rating System is de-

signed to help consumers, their fami-

lies and caregivers compare nursing

homes more easily and help them to

identify areas about which they might

want to ask questions. Together, the

ratings are then combined to calculate

an overall rating that is designed to

give consumers a “snap shot” of the

care that individual nursing homes

give.

CMS uses its own database, Health

Inspection, and a national database

known as Minimum Data Set (MDS)

to compile its ratings. CMS’s database

includes information obtained from

state inspections of nursing homes and

staffing levels at facilities. The MDS

is an assessment done at regular inter-

vals on every resident in Medicare- or

Medicaid-certified nursing homes.

Information is collected about the res-

ident’s health, physical functioning,

mental status, and general well-being

which is then used to assess each resi-

dent’s needs and develop a plan of

care. CMS publishes information on

its webpage about every Medicare-

and Medicaid-certified nursing home

in the country, including over 15,000

nationwide, to encourage consumer

comparison of nursing homes.

Brother Bonaventure’s CMS “above

average” quality rating and the reno-

vation of the facility were celebrated

recently at an Open House at Brother

Bonaventure. Mayor J. Christian

Bollwage of the City of Elizabeth was

among those who expressed congratu-

lations to the Center for its new rating

and its commitment to the care it

provides to its many residents. Also

on the brief speaking program were:

Gary S. Horan, Trintias’ President and

CEO: James Lape, FACHE, Senior

Vice President for Long Term Care;

Karim J. Khimani, MD, Medical

Director of Brother Bonaventure;

Krishna Garlic, Elizabeth Department

of Health, and Debby Hall, Adminis-

trator of Brother Bonaventure.

Photographed at the Brother Bonaventure Extended Care Center Open House were, from left,J. Christian Bollwage, Mayor of Elizabeth; Krishna Garlic, Elizabeth Department of Health;Debby Hall, Administrator of Brother Bonaventure; Gary S. Horan, President and CEO of TrinitasRegional Medical Center; Karim J. Khimani, MD, Medical Director of Brother Bonaventure, andJames Lape, FACHE, Senior Vice President for Long Term Care, Trinitas Regional Medical Center.

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Page 26: Hosptal Newspaper New Jersey May edition

PAGE 26 May, 2013 Hospital Newspaper - NJ

Holy Name Medical Center receives accreditation for Bariatric Surgery program

After completing a comprehen-

sive review of Holy Name Medical

Center and the services and facili-

ties associated with its surgical

weight loss program, the American

Society for Metabolic & Bariatric

Surgery (ASMBS) has approved

Holy Name as an American Society

for Metabolic & Bariatric Surgery

Center of Excellence® (BSCOE).

BSCOE accreditation ensures the

quality, safety and efficacy of

bariatric patient care. Facilities with

BSCOE approval support best

practices for the treatment of mor-

bid obesity and its associated con-

ditions, by offering a broad

spectrum of treatment, education

and support services.

The American Society for Meta-

bolic & Bariatric Surgery’s inspec-

tion is comprehensive and rigorous.

It encompasses meetings with man-

agement from a variety of disci-

plines within the hospital, a review

of required documentation and

medical charts, an operating room

tour, and interviews with staff.

Facilities that achieve accredita-

tion must demonstrate compliance

across a broad spectrum:

• Institutional commitment to

maintaining excellence in

bariatric surgery, including such

aspects as administrative support

andboard-certified bariatric sur-

geons

• Satisfactory levels of surgical

experience and patient volume

• A dedicated bariatric surgery

medical director and an organ-

ized bariatric team, including a

bariatric program coordinator

• Appropriate equipment, instru-

ments and furnituresuitable for

the morbidly obese patient, al-

lowing for appropriate treatment,

personal comfort and a sense of

dignity

• Bariatric policies and clinical

pathways to provide standards of

care and positive outcomes

• Facility-wide in-services to en-

sure a basic understanding of

bariatric surgery and appropriate

management and care

• Patient support groups

• Long-term patient follow-up

According to Holy Name’s Sh-

eryl Slonim, DNP, RN-BC, NEA-

BC, Executive Vice President,

Patient Care Services, and Chief

Nursing Officer.the success of

bariatric surgery has as much to do

with education, support and follow-

up, as it does with the actual surgi-

cal procedure. “Holy Name holds

free monthly seminars about surgi-

cal options, risks and benefits,” she

Walsh Presents at American Academy of Emergency Medicine 19th Annual Scientific Assembly (AAEM)

Brian Walsh, MD, MBA, presented two projects at the American Academy of Emergency Medicine 19thAnnual Scientific Assembly held Feb. 11-13 in Las Vegas.

The first research abstract presented was titled “Utility of Ultrasound to Diagnose Appendicitis inCommunity Hospitals” – the main objective was to determine the diagnostic rate and incidence of follow-up CT scans for pediatric patients who had appendix ultrasound in a community hospital. Theconclusion found the utility of ultrasound to diagnose appendicitis at a community hospital seems tobe limited by a high rate of non-diagnostic studies.

The second presentation was a case report regarding a patient with a wrist injury. The final presentationWalsh gave was a mock scenario of a patient experiencing scrotal pain. The case was presented to theaudience then followed with a discussion about diagnosis and other complications post-management.

Dr. Walsh is an active researcher in the fields of pre-hospital and emergency medicine. He is a frequent regional and national lecturer on topics pertaining to emergency medicine. He is an attendingphysician at Morristown (N.J.) Memorial Hospital and a partner of Emergency Medical Associates.

About Emergency Medical AssociatesEmergency Medical Associates (EMA), headquartered in Parsippany, N.J., is a physician-led, physician-owned medical practice that specializes in emergency, hospitalist and urgent care medicine. Dedicatedto providing exceptional solutions for the measurable success of our hospital partners, EMA is recog-nized for clinical excellence, quality service and sustained improved patient satisfaction. For more information, visit www.ema.net, www.facebook.com/EMANews or www.twitter.com/EMANews.

says, “and we conduct an extensive

screening process with a bariatric

surgeon, registered dietitian and a

psychologist to determine eligibil-

ity for bariatric surgery.”

Dr. Slonim notes that pre- and

postoperative support is essential to

patient well-being and recovery.

She says that by emphasizing post-

op healing, lap-band adjustments,

individualized nutrition and psy-

chotherapeutic sessions, “we help

to prevent side effects and compli-

cations, and promote successful

long-term outcomes. “

“Holy Name Medical Center’s

efforts help support a culture where

we are prepared to manage mor-

bidly obese patients with under-

standing and compassion,” says

Dr. Slonim, “and with appreciation

for the burdens presented by dis-

ease comorbidities.”

For hospitals, benefits of accred-

itationinclude recognition by The

Joint Commission’s quality check

web site, participation in accredita-

tion-based quality improvement

initiatives, and the opportunity to

contribute to health systems im-

provement and the advancement of

field knowledge with surgical out-

comes and patient trends.

Bariatric surgery is a treatment

option for people living with mor-

bid obesity—especially for those

who have not experienced long-

term weight loss success through

other means. Obesity is a chronic

disease with symptoms that build

slowly over an extended period of

time.

The National Institutes of Health

(NIH) defines morbid obesity as:

• 100 or more pounds over ideal

body weight, or

• Body mass index (BMI) of 40

or greater, or

• BMI of 35 or greater and an

obesity-related condition, such as

type 2 diabetes, acid reflux/GERD,

heart disease, osteoarthritis and

joint pain, high blood pressure,

or obstructive sleep apnea

According to data from The

Centers for Disease Control and

Prevention, 35.7% of Americans

are obese.The National Center for

Biotechnology Information, a divi-

sion of the National Institutes of

Health, reports that about 113,000

people in the US have bariatric sur-

gery every year.

Often referred to as weight loss

surgery, bariatric surgery has trans-

formed the health and lives of many.

At Holy Name Medical Center,

patients benefit from services that

treat the whole person, encouraging

lifestyle improvements and giving

support before and after surgery.

The program is composed of a ded-

icated multidisciplinary team that

provides the highest level of patient

care to deliver positive outcomes,

with bariatric surgeons who have

specialized expertise in obesity and

related diseases, and in performing

advanced surgical techniques.

Types of Bariatric Surgery

A patient must meet the NIHcri-

teria for obesity to qualify as a sur-

gical candidate, and have at least

one related comorbid conditionor,

for the adjustable gastric band, a

body mass index (BMI) > 30.

HolyNameMedicalCenter offers

three surgical approaches to weight

loss:

Gastric banding is a restrictive

surgical procedure. Aband is

placed around the upper part of the

stomach to create a small pouch,

about the size of an egg. The ad-

justable gastric band limits the

amount a patient can eat at one

time to about half a cup. By slow-

ing the flow of food out of the

stomach, patients feel full sooner

and stay satisfied longer. Over

time, surgeons adjust the tightness

of the band to help patients meet

weight loss goals.

Gastric bypass (Roux en-Y)

surgery uses a combination of re-

striction and malabsorption. The

surgeon creates a smaller stom-

ach pouch. The surgeon then at-

taches a Y-shaped section of the

small intestine directly to the

pouch, causing food to bypass a

large portion of the small intes-

tine.The smaller stomach pouch

causes patients to feel fuller

sooner and eat less food.

Sleeve gastrectomy is a restric-

tivesurgical procedure. The sur-

geon removes approximately 75%

of the stomach, leaving a narrow

sleeve-like stomach that limits the

amount of food a patient can eat at

one time, while producing a

fullfeeling that lasts longer. Food

passes through the digestive tract in

the usual order, allowing it to be

fully absorbed.

To sign up for a patient informa-

tion seminar or for a referral to a

Holy Name bariatric surgeon, call

1-877-HOLY-NAME (1-877-465-

9526). For general information

about the Bariatric Surgery

Program at Holy Name Medical

Center, call 201-833-7043.

Page 27: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 Page 27

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During the process of getting his mortgage,

Dr. Anil Narula had questions.

Some even came to Narula on the weekends.

However, no broker is available unless it’s

Monday through Friday – between 9 a.m. to 5

p.m. At least, unless, you are working with the

Sun National Bank Hospital Employee Loan

Program (H.E.L.P). Steven Testa, an executive

vice president with Sun National Bank, answered

all of Narula’s questions, all the time.

“My interaction with Steve was outstanding,”

Narula said. “Whenever I had any questions,

he never hesitated to get back to me. He was very

honest and fair. I have the highest praise for

Steve and his staff. I wouldn’t expect anyone to

get back to me 24/7, but Steve always was

available. He was outstanding.”

Sun Home Loans and Hospital Newspaper

came together to bring the emergency services

community a special mortgage opportunity.

Whether purchasing a new home or refinancing

an existing one, the Sun Home Loans H.E.L.P.

program is offered to members of the hospital

community and their families.

Dr. Narula is a general surgeon who practices

in the Bronx. His wife, Dr. Anita Narula, is a

physican at Bronx Lebanon Hospital.

The H.E.L.P. program provides discounted

mortgage rates designed for hospital employees

and pre-qualifications to shop for your next

home. Refinancing can save you hundreds, even

thousands, of dollars per year. But, remember,

your home may be your most valuable financial

asset.

A H.E.L.P. program representative will assist

you in making sure refinancing is cost-effective

and works for you and your family. H.E.L.P.

Program clients enjoy unmatched customer

service and attentiveness throughout the process

- from their initial inquiry - to closing. Working

with its own resources and Federal government

programs, Sun National Bank develops solutions

that open the path to home ownership.

Sun National Bank provides a full-range

of banking products and services, delivered by

experienced bankers. Personal attention merges

with world-class service and competitive

products that meet the needs of today’s consumers

and businesses. Sun National Bank believes that

doing business in the community means being a

part of it.

Whether purchasing a new home or refinancing

an existing one, the H.E.L.P. Program is offered

exclusively, providing personal service, benefits

and rates not normally available to the general

public.

“Our rates and customer service are some of

the things that set our program apart,” Testa said.

“To hear Dr. Narula compliment us like that

really means a lot. We are committed to providing

the best rates for our clients with products and

promotions that make sense for them. It was our

pleasure working with Dr. Anil Narula and

Dr. Anita Narula. They are great people.”

To receive more information about the program

and its benefits, contact Steven Testa at

[email protected] or call 973-615-9745. Sun

National Bank Home Loans and 1st Responder

Newspaper are not affiliated. All loans subject to

approval. Certain conditions and fees may apply.

Mortgage financing provided by Sun National

Bank Loans, Equal Housing Lender.

Sun National Bank Hospital Employee Loan program helps local Physiciangain mortgage with outstanding service

Page 28: Hosptal Newspaper New Jersey May edition

Online Directory available at www.hospitalnewspaper.com

ARCHITECTURE

Bernstein & Associates, ArchitectsFounded in 1990, Bernstein & Associates,

Architects, specializes in the design and con-struction of hospital and healthcare facilities.Our focus: high-quality design, excellent serv-ice, and client satisfaction.

We have worked for over 100 hospitals andanother 200 private healthcare facilities, acrossthe United States. Our project types have in-cluded all hospital and healthcare servicegroups, including:

Adult Day Care, Alcoholism Treatment Facil-ities, Ambulatory Surgery Centers, Assisted Liv-ing, Cancer Centers, Cardiac Cath, Cardiology,CCU/ICU, Clinics, Coronary Care, Dental, Der-matology, Dialysis Clinics, Doctors Offices,Drug Treatment Facilities, Elder Care, Employeeand Student Health Support Services, EmergencyDepartments, Emergency Preparedness, En-doscopy, ENT, Expert Witness, Group Practices,Hospices, Hospitals, Infectious Disease, Infor-mation Systems, Intensive Care, JCAHO Survey,Joint Commission Survey, Laboratories, MasterPlans, Medical Offices, Medical Equipment,Medical Libraries, Medical Records, Neurology,Nursing Homes, Ophthalmology/Eye Center,OB/Gyn, Orthopedic, Pain Care Facilities,Pathology, Patient Safety Consulting Services,Pediatric, Pharmacy, Physical Fitness and Sports,PT/OT, Primary Care Programs, Psychiatric, Ra-diology, Rehabilitation, Senior Citizen Facilities,Sleep Centers, Social Services, Statement ofConditions, Surgical Suites and Ambulatory Sur-gery Centers, Urgent Care Centers, and USP 797Consulting Services.

The firm's projects have won design awardsfrom Progressive Architecture, ArchitecturalRecord, and the Architectural Woodworking In-stitute, and have been published in Advance,Health Facilities Management, Medical Technol-ogy Today, Bio/Technology, Progressive Archi-tecture, Architectural Record, Design Solutions,Hospitality Design, Sound and Communication,Contract Design and Hospital Newspaper.

Architectural Services include: program-ming, planning, design, construction docu-ments, bidding and negotiation, andconstruction administration.

The firm also offers sustainable or “green”healthcare design. The firm has a number ofLEED-accredited professionals, has success-fully completed numerous green healthcareprojects, and has published articles on “Green-ing the Healthcare Environment”.

Project Management (or Owner’s Represen-tative Services) is offered as a stand-alone serv-ice through our affiliated project managementcompany, Empire Projects, Inc. (www.empire-projects.com).

Bernstein & Associates, Architects - PLLC

1201 Broadway - #803,

New York, NY 10001

Contact: William N. Bernstein, AIA

Managing Principal

Tel: 609-309-7005

Fax: 609-309-7006

[email protected]

NEW YORK - HARTFORD - PRINCETON

BARIATRIC EQUIPMENT& PRODUCTSTSk PRODUCTS

FAST & COMFORTABLE PELVIC EXAMSThe Wedgie Pelvic Exam Wedge provides fast,comfortable pelvic exams in the ER, Radiology,and Women's Health.

It is a much more comfortable than using ahard bedpan. The 6" height of the Wedgie liftsthe patient's pelvis significantly higher then abedpan, thus allowing physicians to perform abetter exam. The Wedgie's unique cutout designallows the physicians to maneuver their specu-lum in all directions without interference.

The Wedgie can support patients weighing upto 350 lb. It is made of a medical grade foamand an anti-microbial, anti-bacterial, tear resistant,and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectantproducts. Optional disposable protective coversand wall holders are available.

12 Windsor DriveEatontown, NJ 07724www.tskproducts.com

Phone: (732) 982-1090Fax: (732) 389-9044

Email: [email protected]

CAREER MANAGEMENT

Connect with Leading Healthcare Recruiters

Join BlueSteps, the executive career management service of the Association of

Executive Search ConsultantsHealthcare executives are in demand. Are

you being considered for the top leadership jobs?Join BlueSteps today to put your resume andconfidential careerprofile at the finger tips ofover 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcareand life sciences recruiting. In addition to aunique connection to the executive searchcommunity, BlueSteps also provides a suite ofproactive career management tools including:

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As a service of the Association of ExecutiveSearch Consultants, you can rest assured thatyour career details will be confidentially and se-curely managed within BlueSteps. Unlike othermass job boards, only the highest caliber executivesearch consultants (all members of the AESC) willhave access to your BlueSteps profile. Each year,AESC members recruit for over 70,000 of thehighest level executive positions globally, manyof which are never advertised publically.

Join BlueSteps today and receive 15% OFF your membership!

Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this

exclusive discount.Contact [email protected] to learn more

or for assistance getting started!

RESOURCE DIRECTORY

Contact Jim Stankiewicz

to find out how

your organization can be

featured in our

Resource Directory.

845-534-7500 ext.219

Fax: 845-534-0055

COMMUNICATION SkILLS

“Removing language and cultural barriers

to effective communication”

Aspirin for Your Language Headache!

When nurses, administrative staff and

technicians speak a different language

than patients and their families:

• Patients may not be able to understand

simple questions or directions.

• Hospital staff may not be able to give

or get important information from

caregivers or family members.

• Employees may not understand proper

protocol and procedures.

On your site on your schedule:

• Spanish for Healthcare

• Accent Reduction

(Pronunciation Improvement)

• Communicating Across Cultures

• Business Writing Skills

• Sign Language

• ESL (Basic/Advanced)

...and more

Language Directions can help doctors, nurses, technical, and administrative staff

to communicate more effectively between each other, patients,

and their families

www.languagedirections.com

Contact Donna Clark

1-888-554-8848

[email protected]

rectLanguageD LLCons

CONTRACT/PRACTICEMANAGEMENT SERVICES

MED�EXCEL USA

Providing Emergency Medicine

Excellence for over 20 years

EMERGENCY MEDICINE

CONTRACT MANAGEMENT

Physician Owned and Managed

Award winning Customer Relations Program

Continuous Quality Improvement

Risk Management Innovations

Cost Containment

Measurable Outcomes

EMERGENCY MEDICINE SERVICES

CONSULTATION SERVICES

Customer Satisfaction

TeamBuilding/Staff Development

Conflict Mediation

ED Systems Analysis

PRACTICE MANAGEMENT SERVICES

Hospital and Physician

Billing/Coding/Auditing/Consultation

MED�EXCEL USA

Please contact Marie Buchanan at 800.563.6384 Ext. 249

[email protected] all inquiries are confidential

HOME MORTGAGES

Gateway Funding

specializes in mortgage options to the

healthcare industry.

We understand the nuances involved

with obtaining mortgages for physicians,

nursing staff, residents,

or general staffing.

You’re busy, we know it. Your unique, we

get it. You need financing for a home,

we provide it.

One call or email to our experienced,

licensed and fully trained loan officers,

will put your mind at ease.

We can provide No Cost Pre-Approvals

prior to looking for a home, and highly

competitive rates and fee’s once you do

find your dream home!

Frank Mancino, Branch Manager

NMLS#133472

3564 Quakerbridge Rd

Hamilton, NJ 08620

877-583-3562

[email protected]

www.TheMancinoTeam.com

PAGE 28 May, 2013 Hospital Newspaper - NJ

Page 29: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 PAgE 29

‘Donate Life’ flag raised throughout Barnabas HealthHeartfelt ceremony honors donors; marks Donate Life Month

Seven Barnabas Health facilities

across the state simultaneously

raised the Donate Life flag today at

10 am to pay tribute to organ and

tissue donors and to raise awareness

of the life-saving and life-restoring

value of organ and tissue donation.

Donor families, organ recipients,

community leaders and health care

professionals gathered with team

members of NJ Sharing Network in

the series of heartfelt ceremonies,

which marked April as Donate Life

Month.

“Barnabas Health is extremely

proud to participate in Donate Life

Month at each of our facilities to

raise awareness of the importance

of organ donation and to honor our

donors, recipients and their fami-

lies,” said Barry Ostrowsky, Presi-

dent and Chief Executive Officer of

Barnabas Health. “These donor

families responded to personal

tragedy with life-saving generosity.”

Barnabas Health facilities: Saint

Barnabas Medical Center, Liv-

ingston; Clara Maass Medical Cen-

ter, Belleville; Newark Beth Israel

Medical Center, Newark; Commu-

nity Medical Center, Toms River;

Monmouth Medical Center, Long

Branch, Barnabas Health Ambula-

tory Care Center, Livingston; Kim-

ball Medical Center, Lakewood.

At each facility, dozens gathered

to raise awareness. They heard from

organ recipients able to live fully

again because of a transplant. They

also heard from donor families who

said the decision to donate organs

that saved others provided a meas-

ure of solace and comfort. Local of-

ficials also attended several of the

events.

Joe Roth, President & CEO, NJ

Sharing Network, thanked health

care professionals throughout the

Barnabas Health system for their

hard work and dedication to organ

and tissue donation.

“Without our hospital partners,

without our donor families and

without the commitment of so many

people we do not exist,” Roth said.

“We are able to continue with our

life-saving and life-restoring work

because so many people — many of

them gathered today throughout

Barnabas Health — believe and

support our mission.”

Nearly 5,000 people currently are

awaiting life-saving organs in New

Jersey. In 2012, over 370 heart,

lung, kidney and pancreas trans-

plant surgeries were performed at

Barnabas Health facilities, Saint

Barnabas Medical Center in Liv-

ingston and Newark Beth Israel

Medical Center in Newark.

Employees at the Barnabas Health Ambulatory Care Center (ACC) along with representatives fromthe New Jersey Sharing Network gathered recently in the Atrium of the ACC to raise the NJ SharingNetwork flag in support of Donate Life Month.

Anyone, regardless of age or

medical history, can sign up to be a

donor. In-person organ donor reg-

istration is available at local Motor

Vehicle Commission agencies.

Visit www.NJSharingNetwork.org

to register online.

To learn more about organ and

tissue donation or to get involved

with NJ Sharing Network please

call 1-800-742-7365 or visit

www.NJSharingNetwork.org to

register as an organ and tissue

donor.

For further information about

the Barnabas Health Transplant

Programs, please visit www.Barn-

abasHealth.org.

provided

NationalNurses Week May 6-12, 2013

Salutes all Nurses during

HOSPITALNEWSPAPERH

Page 30: Hosptal Newspaper New Jersey May edition

RESOURCE DIRECTORY

www.bagoliefriedman.com

WoRKERS’ coMPEnSAtion

HoSPitAl WoRKERS HAvE YoU

BEEn inJUREd on tHE JoB?

Learn What You Must Do To Protect Your Workers' Compensation

And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits

1.You must report the accident or injury as soonas possible, even if you might not lose time fromwork or need immediate medical care.

2. Report all injuries to all body parts, nomatter how minor they may seem. If you donot report it and the injury gets worse overtime, the job may deny benefits.

3. Remember, you are entitled to treatmentand benefits even if you have previously in-jured the same body part in a prior accident.Do not let the job tell you different.

4. Your doctor controls the treatment, notrisk management. If you need an MRI andthe job will not approve it, the experiencedattorneys at BAGOLIE FRIEDMAN canfight to get it approved at no cost to you.

5.When you are released from treatment, youmay be entitled to money for your injury anddisability. You may also collect for repetitivestress, cumulative trauma, cancer, hearing loss& hepatitis.

6. Contact Attorneys Ricky Bagolie or AlanFriedman now for a confidential and freeconsultation and to discuss your workers'compensation and disability rights. There is nofee if there is no recovery

cAll toll FREE 1-866-333-3529(After Hours / Emergency Number -

201-618-0508)

BAGoliE FRiEdMAn, llcWorkers' compensation &

disability Attorneys

The Five Corners Building -660 Newark Avenue - Jersey City, NJ

07306 (201) 656-8500

790 Bloomfield Avenue - Clifton, NJ07012

(973) 546-5414

ExtEndEd cARE & ASSiStEd livinG

dAUGHtERS oF iSRAEl

Daughters of Israel is a multi-faceted, state-of-the-art skilled nursing facility offering themost modern and comprehensive servicesavailable including:

• Sub-Acute Rehabilitation • Long-Term, Skilled Nursing Care • Alzheimer’s Care • Hospice & Palliative Care • Respite Stays • The Charles Bierman Home -

Senior Housing with Assistance • The Sarah & Aaron Franzblau Institute

for Continuing Education

Our team of skilled and dedicated profes-sional staff deliver the highest quality of care forour 300+ residents. Services provided include:round-the-clock professional nursing care; 24-hour medical coverage by board-certified geria-tricians; on-site synagogue with full-timerabbinical services; a full range of stimulatingand innovative recreational activities; on-sitebeauty salon, barber shop, work activity center,gift shop and coffee shop; spacious dining rooms,auditoriums, lounges and outdoor patio areas.

Our sub-acute rehabilitation facility, whichfunctions as a separate unit within the Home,features a spacious gym with state-of-the-artequipment and comfortable recovery suiteswith luxury amenities.

Semi-private and private rooms are availableat Daughters of Israel. The facility is coveredby Medicare, Medicaid, commercial insurancesand private payment. Daughters of Israel is abeneficiary agency of United Jewish Communitiesof MetroWest, N.J.

1155 Pleasant Valley Way, West Orange, NJ 07052

www.doigc.org

Contact: Adena Twersky, Director of Admissions

Tel: 973-400-3307 Fax: 973-731-8364

[email protected]

nEW PRodUct tEcHnoloGY

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular

Pressure (IOP) with unique, patented reboundtechnology which enables quick and painlessmeasurement with no drops or air. Quick, easy touse and patient friendly. The technology requiresno calibration. From beginning to end the testtakes under 60 seconds. Icare® has over 32,000satisfied users in over 50 countries.

HoSPitAlS

BERGEn REGionAlMEdicAl cEntER, l.P.

Located in Paramus, Bergen RegionalMedical Center is the largest hospital inNew Jersey dedicated to serving the residentsof Bergen County and surrounding communi-ties. With 1000+ beds and 1,500 staff mem-bers, the hospital specializes in BehavioralHealth Services, which include child and ado-lescent, adult and geriatric psychiatric treat-ment. Long Term Care Services provides ascope of services, which far exceeds that of-fered in a standard nursing home. As a fullservice accredited medical center, we providewound care, surgical care, cardiac care, re-habilitation services, respiratory care unitwhich includes ventilator dependent resi-dents, Korean care services and an acute careunit all under one roof for our residents. Thehospital excels in the treatment of substanceabuse.

The hospital offers detoxification, 21-day re-habilitation program, outpatient services, andtreatment for the mentally ill and chemicallyaddicted. Our Acute and Ambulatory Servicesoffers same day surgery, medical and specialtyclinics and state-of -the-art operating suites.

www.bergenregional.com

Tel. 201-967-4000

apparatusCampbell Supply companywww.campbellsupplyco.com

expositionsAbilities Expowww.abilitiesexpo.com

financial InstitutionsHealthcare Employees Federal Credit Unionwww.hefcu.com

home care specialistsComprehensive Home Carewww.homecarenj.com

hospitalsChildren’s Specialized Hospitalwww.childrens-specialized.org

Matheny Medical & Educational Centerwww.matheny.org

contact Jim Stankiewicz to find out how

your organization can be featured in our

Resource directory.

845-534-7500 ext.219 Fax: 845-534-0055

Cape Medical Billing (CMB) is your singlesource billing provider for curing undetected“revenue leakage” that plagues today's healthcarepractices. CMB has been in business for 22 yearsand is uniquely qualified to help your medicalpractice reverse “revenue leakage” with fast, effi-cient, innovative and customized billing programs.We offer personalized and cost effective servicewith 92.9% of charges paid upon the firstsubmission! We accomplish this everyday byutilizing our “state of the art” billing software andpaying close attention to critical detail used tomatch and process data. We also pride ourselves onsignificantly reducing days in accounts receivableby deploying aggressive and consistent follow-upprocedures. Our technology, expertise andpersonal approach drive our billing practicesand produce unparalleled results for our clients.

Are you currently doing billing in house andconsidering outsourcing? No problem, we canintegrate our technology with your current EMRsoftware package and help you convert yourmedical services to consistent cash flow! Ourbilling specialties: Cardiology, Internal Medicine,Podiatry, Family Practice, General Surgery,Pathology, Infectious Disease, Gastroenterology,OB/GYN, Neurosurgery, Urology, TraumaSurgery, PT/OT, Mental Health and Ambulance.We're the experts...STOP risking your money andprofit by collecting it yourself, or utilizing a billingcompany with less experience. We collect theHARD Stuff and we do it every day!

Call for a FREE Billing Analysis to detectand solve your revenue leakage!

Contact:Richard Papperman,

CEO/President of Cape Medical BillingOffice: [email protected]

orSherrii Brentari

Director of Sales and MarketingCape Medical Billing

[email protected]

HQ Location:Cape Medical Billing

5 Locust LaneP.O. Box 670

Cape May Court House, NJ 08210Office: 609-465-8900Fax: 609-463-8106

www.capebilling.com

MEdicAl BillinG

Online Directoryavailable at

www.hospitalnewspaper.com

Contact:Bob Goldbacher

(609) [email protected]

Meridian Healthwww.meridianhealth.com

medical equipment & productsTSK Products, Inc.www.tskproducts.com

internet address directory

PAGE 30 May, 2013 Hospital Newspaper - NJ

Page 31: Hosptal Newspaper New Jersey May edition

Hospital Newspaper - NJ May, 2013 PaGe 31

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air.

Quick, easy to use and patient friendly.

The technology requires no calibration.

From beginning to end the test takes under 60 seconds.

Icare® has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher (609) 412-2134 [email protected]

Page 32: Hosptal Newspaper New Jersey May edition

PAGE 32 May, 2013 Hospital Newspaper - NJ

Calling All Emergency Responders

When everysecond counts...Count on NitroMist®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.†

Available in 90 & 230 spray bottles.

©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T

NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.

Not Actual Size

Count on NitroMist

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.

Available in 90 & 230 spray bottles.

For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.comNow covered on UnitedHealthcare.Check with your GPO for low contract pricing. For additional information, please contact us at [email protected]

BRIEF SUMMARYNitroMist® (nitroglycerin) lingual aerosol Rx OnlyINDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guano-sine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARN-INGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefi ts of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported. DRUG INTERACTIONS– PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myo-cardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the refl ex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministra-tion of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissue-type Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the fi rst-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability. Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossifi cation were seen. The latter fi nding probably refl ects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include suffi cient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

orted clinical experience has not identifi ed differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, refl ecting the greater frequencyof decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamiceffects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and evenbloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either fl ushedor cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specifi c antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerinoverdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fl uid volume. Passive elevation of the patient’s legs may be suffi cient, but intravenous infusion of normal saline or similar fl uid may also be necessary. The use of epinephrineor other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and diffi cult, and invasive monitoring may berequired. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color changeon exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fi brotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity inan in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and bodyweight gain in both sexes at all matings. No specifi c effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafi l, vardenafi l, and tadalafi l. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructedthat prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness ordizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly fl ammable propellant (butane),do not have the container burned after use and do not spray directly towards fl ames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.Manufactured for Akrimax Pharmaceuticals, LLC Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USANitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012

* Priming NitroMist: After receiving a new prescription or refi ll, patients should remove the plastic cap, place forefi nger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays.

† Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).

Page 33: Hosptal Newspaper New Jersey May edition

October 6-9, 2013

The Planetree Annual Conference is the longest running, international conference about patient-centered care.

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Change your organizational culture by providing care that puts patients firstMontreal, a cosmopolitan city enriched by the diverse cultures of its people,embodies the personality of this a one-of-a-kind educational event forhealth care professionals who strive to create culture change and deliverhealth care that puts the needs of the patients first.

Montreal is easily accessible with hundreds of flights per day, many that are less than two hours from the U.S., and half-day trip in the car from thenortheast.

Be a part of an international learning communityAttendees across the continuum of care from large urban systems to small critical access hospitals and long term care communities attend the Planetree Conference. Our global presence, with countries ranging fromCanada, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., comes together as a true collaborative community to obtain the expertise, tools, and support needed to transform their healthcare organizations.

Gain Innovative ideas and field-tested approaches that get resultsThis unique conference offers innovative tutorials, educational breakouts,noteworthy keynote speakers, and networking time withkey leaders in the field. This is where healthcare professionals who do this work every day come toshare their field-tested approaches, forge new relationships, and gain vital information from theircolleagues—the best and brightest minds in theindustry. This event reignites caregivers’ passionfor healthcare, and motivates them to put theirnewly acquired knowledge to work.

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You are Invited to the Longest Running, International Conference on Patient-Centered Care! Join the longest running, most successful educational event for healthcare professionals who strive to create culture change and deliver health care that puts the needs of the patients first. Attractions Participate in a variety of breakout sessions that appeal to different learning styles Enter the no power point zone and immerse in “Planetree Live” Engage with the best minds in health care and be inspired and re-invigorated by our world renowned keynotes Experience patient-centered care real time by touring premier Planetree facilities Connect with more than 1,200 attendees from across the continuum of care from large urban systems to small critical access hospitals and long-term care communities Collaborate with conference participants from around the globe. Our global presence, with countries ranging from Canada, Denmark, France, Belgium Italy, The Netherlands and Brazil, as well as some of the largest and innovative health care systems in the U.S., come together as a true collaborative community Gain vital information, innovative tools, and the support needed to transform your health care organization Location Montreal, a cosmopolitan city enriched by the diverse cultures of its people embodies the personality of this a one-of-a-kind educational event for health care professionals who strive to create culture change and deliver health care that puts the needs of the patients and residents first. Keynote Presenters Lyn Heward, Montreal's Cirque du Soleil Director of CreationDavid Nash, MD, Founder of the Jefferson School of Population Health Regina Holliday, Trailblazing patient rights arts advocate Polly LaBarre, Best-selling author, original team member of Fast Company magazine Rosalind W. Picard, ScD, Founder and Director of the Affective Computing research group at MIT Media Lab Richard Kogan, MD, Distinguished concert pianist and psychiatrist To learn more and sign up now while space is available: HYPERLINK "http://www.patient-centeredcareconference.com" www.patient-centeredcareconference.com