progress may 2014 notes - lehigh valley health network

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

Inside This Issue:

A midst the “busy-ness” of our lives, it’s good to take time periodically to

celebrate milestone events and some of the things we do well. Whether it’s a birthday, an anniversary, a graduation, or an award for excellence over time, celebrations help us stop and think about the connections in our lives, the work that we try to do well and the need for periodic encouragement. One notable May tradition at LVHN is the Friends of Nursing Awards celebration. For many years now, we’ve taken a night to recognize excellence among the members of our clinical teams who care for patients at the bedside. You will certainly see more about these awards on Mission Central (LVHN intranet) and in other media distributed this month. Please take a minute to congratulate and thank these colleagues for their empathy with patients and their dedication to their professions.

From the President 1-2

Dr. Robert Barraco Named Interim Associate Dean for USF/LVHN SELECT Medical School Partnership

3

Epic Update 4

John Hart Named Senior Vice President of Medical Services

5

CMIO Update 6

Physician Documentation 7

The Retail Pharmacy View 7

Health Network to Terminate UpToDate Subscription

8

LVHN Digital Library 8

Congratulations 9

Ethics Corner 10

Advanced Practice Clinicians Update

11

Who’s New 15-19

Upcoming Seminars, Conferences and Meetings

12-13

Papers, Publications and Presentations

14

FROM THE PRESIDENT

Last month, several LVHN clinicians and programs were honored at the Lehigh Valley Business Journal’s “Hometown Heroes” awards break-fast. An independent panel judged 47 finalists and chose 10 winners for their impact on the quality of health care in the Greater Lehigh Valley. The AIDS Activities Office at LVHN was the winner of the Education Hero – Organization award. This office practice, located at the 17th Street campus, was recognized for improving the community’s understanding of HIV/AIDS and playing a prominent role in efforts to prevent the disease. Valley Preferred’s BeneFIT Corporate Wellness program that serves employers and not-for-profits was a finalist in this same category.

Continued on next page

Celebrations . . .

NotesProgressVolume 26, Number 5

May 2014

Continued from Page 1 LVHN patient care coordinator, Kimberly Bartman, RN, won the Nurse of the Year award. She was recognized for her acts of compassion and her leadership with a variety of community-based projects focused on helping patients. Among the finalists for Physician of the Year were Eric Gertner, MD, who was recognized for his work as medical director of the Patient-Centered Medical Home program, and physiatrist Wayne Dubov, MD, with OAA Orthopaedic Specialists. Wayne was honored for serving as a valuable resource to patients and colleagues, contributing to clinical knowledge through his publications and service, and volunteering for charitable community organizations. I also got a mention for our community-based project to improve diabetes care among Latinos. LVHN’s “flu crew” was a finalist for the Innovation Hero award, representing LVHN’s annual, free, drive-through flu shot program, happening since 1999. On April 23, Emeritus Chair of Pediatrics, John Van Brakle, MD, was presented with the Inez and Edward Donley Award for Children’s Advocacy, bestowed by Community Services for Children (CSC). This prestigious award, shared this year with State Senator Patrick Browne, acknowledges “public service at the local, state, and/or national levels which has significantly improved the quality of life for children.” Beyond guiding the growth of the Pediatric Clinic and Pediatric subspecialties during his tenure, Dr. Van Brakle “was also a driving force in establishing the Lehigh County Child Advocacy Center (CAC). He has been a long-time advocate, especially for children who have suffered abuse. Dr. Van Brakle has consulted for the CAC in Northampton County and served as Vice Chair of the Children’s Coalition of the Lehigh Valley. He is a current board member of the Pennsylvania Partnership for Children. He is the consummate child advocate and always dedicated to the health, education and wellbeing of children.” (Excerpts taken from the CSC website on April 23, 2014)

Many of our medical staff clinicians give their best every day – regardless of whether someone is watching. To all of you who serve our patients and our communities – THANK YOU! In addition to the other holidays and special events already scheduled for this month, take some time to celebrate with your teammates. Have a team breakfast or lunch. Send a thank you note to an “unsung hero.” In these dynamic (and frequently challenging) times in health care, a little recognition for what’s going well can help sustain the joy we need to continue. Have a good month. Enjoy getting outside for the long awaited Spring weather! Robert J. Motley, MD Medical Staff President

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

DR. ROBERT BARRACO NAMED INTERIM ASSOCIATE DEAN FOR USF/LVHN SELECT MEDICAL SCHOOL PARTNERSHIP

SELECT, the unique medical education program established by Lehigh Valley Health Network (LVHN) and the USF Health Morsani College of Medicine (USF MCOM), has selected a new interim associate dean. Robert D. Barraco, MD, MPH, currently Associate Professor of Surgery, and Chief, Section of Geriatric Trauma, has been appointed the Interim Associate Dean for Educational Affairs.

“It’s an exciting transition for me,” Dr. Barraco says. “As a lead-ing hospital for nursing and health care, LVHN offers a brand- new type of medical school in partnership with the University of South Florida that focuses not just on teaching our students about medicine, but on providing leadership experiences, developing professionalism and establishing interdisciplinary collaboration skills they will take into their careers.”

Dr. Barraco replaces J. Alan Otsuki, MD, the founding Associate Dean for Educational Affairs, who is taking a senior associate dean position with the Frank H. Netter, MD, School of Medicine at Quinnipiac University in Connecticut.

“Dr. Otsuki was an excellent associate dean for SELECT who brought a depth of experience from his previous position with Emory University School of Medicine,” says Tom Whalen, MD, LVHN’s Chief Medical Officer. “Dr. Barraco will bring his own expertise to the SELECT program, including academic research and medical teaching experiences, and importantly, a deep knowledge of our culture here at LVHN.”

Collaborative, interdisciplinary training is a hallmark of that culture. “We have trainees in many fields, from pharmacy to pastoral care, nursing to medical students,” Dr. Barraco says. “SELECT provides an opportunity for these trainees to work together and learn together while building a patient-centered team. This is an important aspect of training that will make a difference in the care all patients will receive.”

Dr. Barraco received his Bachelor’s degree from Rutgers College, and earned his medical degree from the Robert Wood Johnson Medical School/UMDNJ in 1989. He completed his residency at Morristown Memorial Hospital in New Jersey, and followed that with a surgical critical care fellowship at the University of Maryland Medical Center in Baltimore. He is board certified in both surgery and surgical critical care, and also holds a Master’s degree in Public Health from the Bloomberg School of Public Health, Johns Hopkins University. Dr. Barraco also serves as President of the Lehigh County Medical Society.

Dr. Barraco has been a member of the LVHN Medical Staff since December, 2003, and has served in several leadership roles including Chief, Section of Geriatric Trauma; Chief, Section of Pediatric Trauma; and Medical Student Clerkship Director for the Department of Surgery.

As the Interim Associate Dean for Educational Affairs, Dr. Barraco will report to Dr. Whalen, as well as to the Vice Dean for Educational Affairs at USF MCOM, Bryan Bognar, MD. “Dr. Barraco will travel frequently to Tampa to meet with Dr. Bognar, as well as the other associate deans,” Dr. Whalen says. “He will also play a primary role when the next class of SELECT is welcomed to LVHN, and when our soon-to-be fourth-year students seek residencies to continue their graduate studies in medicine.”

“SELECT is a very unique medical school model,” Dr. Barraco says. “I’m excited to have a hands-on role helping create a group of learners who are equipped to embrace change, as well as serve as agents of change in the evolving landscape of health care.”

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

EPIC UPDATE

In the November, 2013 issue of Progress Notes, you were introduced to Epic, the new integrated electronic medical record (EMR) system coming to Lehigh Valley Health Network (LVHN). Epic will link all of LVHN together as one – one patient, one record, one system. When complete, a single and complete medical record for a patient will be available regardless of where the patient presents for care – in the Emergency Department, in the hospital, or at an LVPG ambulatory practice. Epic provides the opportunity to standardize care across the continuum. Epic EMR will replace dozens of other systems used by departments and offices across LVHN. A few of the new Epic applications which you may be interested in learning about include:

EpicCare Ambulatory EMR will replace Centricity Physician Office (CPO). EpicCare Ambulatory EMR is a clinical documentation and orders management system for ambulatory practices. Resolute Professional Billing (PB) and Cadence will replace Centricity Business (CB or IDX). PB is where the provider/service fees are billed in IDX. Cadence is the enterprise scheduling system.

Prelude will replace Centricity Enterprise (CE) for only LVPG. Prelude is the Epic registration system. This will focus on the demographics and insurance for Wave 1 areas only. An interface from Epic to CE is being implemented prior to Wave 2 Go-Live (August 1, 2015).

For a full list of the LVHN systems that will transition to the Epic EMR when Wave 1 areas go-live on February 18, 2015, click the following link - Epic EMR. The project is well on its way and is moving on track. In just nine short months, training for Wave 1 end users will begin. At that point, you and your colleagues will take part in hands-on, scenario-based training classes to learn new workflows and processes for some (or many) of the new Epic applications. Training will include opportunities to practice with the Epic applications, both in the training classroom as well as at your own work site. All of these learn-ing opportunities will help you and your colleagues prepare for a smooth go-live on February 18, 2015. If you have any questions regarding Epic, send an email to [email protected] or keep up-to-date about Epic on the LVHN Epic intranet site and Mission Central.

Charting a New Course: Wave 1 Applications for Epic Go-Live


JOHN HART NAMED SENIOR VICE PRESIDENT OF MEDICAL SERVICES

John W. Hart, who has served as Vice President of Medical Staff Services for the past 30 years, was recently named Senior Vice President of Medical Services, a new position at Lehigh Valley Health Network (LVHN). In this role, John will lead five departments that focus on providing

supportive services to LVHN’s clinicians. These departments include Medical Staff Services, Physician and Executive Recruiting, Health Information Management (commonly known as Medical Records), the Division of Education and the Network Office of Research and Innovation (NORI). As LVHN creates and supports new partnerships that require senior leaders to conduct business outside our health network, this new position will ensure an LVHN leader is present to address the needs of our clinicians. This position is a natural extension of what John has accomplished throughout his career at LVHN. During his tenure, John success-fully merged medical staffs on three occasions, managed LVHN’s first physician practices, authored a medical staff development plan that assures LVHN attracts and retains the highest-quality physicians, and established an organization that allows advanced practice clinicians to collaborate with members of the medical staff. In his new role, John’s experience will allow him to lead and support colleagues who are doing work integral to our health network’s success. For example, in Health Information Management, John will support the implementation of the Epic electronic medical record transformation, as well as LVHN’s transition to ICD-10.

Leaders in each of the five departments will report directly to John. They include:

Dana Hacker, Director, Medical Staff Services

Tammy Jamison, Director, Physician and Executive Recruiting

Zelda Greene, Administrator, Health Information Management

A.J. Lemheney, Administrator, Division of Education

Eric Mueller, Director of Research Administration, NORI, and Leslie Baga, Director of Research, NORI

John earned a Bachelor of Science degree in medical technology from the Pennsylvania State University, a Master of Education degree in biology from Kutztown University, and a Master of Science degree in administration from the University of Notre Dame. John’s record of success and proven commit-ment to LVHN and its clinicians make him uniquely qualified for this position.


CMIO UPDATE SalarTeamNotes: Impact of the ICD-10 Delay TeamNotes, the inpatient provider documentation tool, has been live at LVH-M since November, 2013. Hospital Medicine at Muhlenberg and the Medicine subspecialists have done an amazing job of acclimating to the new system. One of the primary reasons for implementing TeamNotes was to provide improved documentation and coding to support the transition to ICD-10, which was expected to begin October 1, 2014. However, embedded in the “SGR Fix” that was passed at the end of March was a change to the ICD-10 date, pushing it back to October, 2015 (at the earliest). The full ramifications of this change are still being investigated, both nationally and at LVHN. What it does mean is that the impetus to continue to implement Salar TeamNotes has been removed, as LVHN will be live on Epic Ambulatory (February, 2015) and In-Patient (August, 2015) before ICD-10 goes into effect. Consequently, Salar TeamNotes will not be implemented at LVH-Cedar Crest, and it will be limited to specific divisions at LVH-Muhlenberg. For the specialties that will continue to use TeamNotes, those notes will continue to be available in Centricity Enterprise under the DocDisplay tab.

Thoracentesis – You Want a Tube with That? The Diagnostic/Therapeutic Thoracentesis order set has been live for more than a year. There has been some confusion regarding how to order the procedure if a tube is to be left in (Pigtail vs. PleurX). The Thoracentesis order set contains orders for a procedure with no tube (done through Ultrasound), and orders for procedures in which a tube is left in place (done in Interventional Radiology). The order with tube now contains a required field to designate which type of tube is to be used (see screenshot). Using these orders appropriately should decrease confusion and potential errors.

If you have any questions or need more information, please contact Don Levick, MD, Chief Medical Information Officer, through email at [email protected].


PHYSICIAN DOCUMENTATION ICD-10 Intranet Site Now Available While lawmakers in Washington, D.C., have delayed compliance with ICD-10 until October, 2015, preparations continue here at Lehigh Valley Health Network. This article serves to introduce a valuable tool – a central-ized website for providers’ ICD-10 education divided into specialty-specific Powerpoint presentations, documenta-tion tip sheets, ICD-10 articles, and ICD-10 links.

Live Division ICD-10 provider presentations will begin again in early 2015. If you have any questions, please contact John Pettine, MD, FACP, CCDS, Director, LVHN Clinical Documentation Improvement Program, at [email protected]

To access the ICD-10 website, go to the LVHN Intranet (www.lvh.com), then click on Resources - Clinical - ICD-10 Resource Site.

THE RETAIL PHARMACY VIEW Continual Bad News for Acetaminophen (APAP) According to a report from UCLA based on mothers in a Danish National Cohort questionnaire, maternal use of Acetaminophen during pregnancy is associated with a higher risk for HKD and ADHD-like behaviors in children. The authors write: Because exposure and outcomes are frequent, these results are of public health relevance but further investigations are needed. This should not change the practice of APAP usage but raises questions and cautions. Some prescribers are still writing for APAP combination products containing 500mg or 750mg of the drug. While this is not illegal, the FDA has prohibited manufacturers from making these medications, so the availability will be diminishing quickly. In order to avoid phone calls from pharmacies or patients returning with the prescriptions, combo products should be written for 300mg or 325mg of APAP with Hydroco-done or 325mg with Oxycodone.

New Generics: Avelox: Moxifloxacin 400mg tablet: Antiobiotic Evista: Raloxifene 60mg tablet: Hormone Therapy Lovaza: Omega-3-acid1gm capsule: Cholesterol Control Xeloda: Capecitabine 150 & 500mg tablets: Chemo therapeutic Agent Coming Soon - Lunesta: Eszopiclone

New Drugs: Anoro Ellipta Inhaler: Umeclidium &Vilanterol: Once daily inhaler for COPD Aption 200 400 600 800mg Tablet: Eslicarbazepine: Adjunct therapy for partial onset seizure Farxiga 5 mg Tablet: Dapagliflozin: Adjunct to diet & exercise for glycemic control for Type 2 Diabetics Fycompa 2 4 6 8 10 12 mg Tablet: Perampanel: Adjunct therapy for partial onset seizure

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


LVHN DIGITAL LIBRARY

HEALTH NETWORK TO TERMINATE UPTODATE SUBSCRIPTION Following careful scrutiny and extensive discussion, Lehigh Valley Health Network has decided not to renew its subscription to the UpToDate Clinical Decision-Support System when it expires on June 30. Instead, providers are encouraged to utilize the DynaMed product, which is available throughout the organization. “It is our practice at the health network to approach everything we do with the goals of improving quality, access and cost to ensure that we are making the best decisions on behalf of our community and colleagues,” said Thomas V. Whalen, MD, Chief Medical Officer. “We feel DynaMed is superior in many aspects and will better serve us now and far into the future.” In a side-by-side comparison of key features and benefits of the two products, network officials concluded that it will be replaced by a better system:

Quality: DynaMed is fully evidence-based, provides direct links to original supporting evidentiary literature and includes both ICD-9 and ICD-10 codes. In contrast, UpToDate provides only partial levels of evidence. Access: DynaMed allows widespread network access on all campuses and office practices, including remote and mobile access. Epic integration, which is imminent and critical to our network’s future, will be available at no additional cost. However, UpToDate access is restricted to LVHN hospitals and select health centers, and the cost for mobile access is exorbitant.

Cost: DynaMed’s annual cost increase is expected to rise less than 10 percent over the next two years. The UpToDate subscription will increase by nearly 20 percent in 2015; over the coming three years, this price rise will approach 50 percent. Epic integration will further raise UpToDate’s cost significantly.

“I am aware this change will be challenging for some of our colleagues who have used UpToDate for many years and have come to depend on it,” Dr. Whalen continues. “I’m asking them to approach DynaMed with an open mind. If necessary, we will arrange free tutorials and other opportunities through the vendor to assist colleagues in learning how to use DynaMed.” Colleagues unable or unwilling to adapt to using DynaMed also will have the option of purchasing an individual subscription to UpToDate on their own. They can do this at http://www.uptodate.com/home/subscription-options. If you have any questions regarding the use of DynaMed, please contact Library Services at 610-402-8410.

NeoFax® NeoFax, a drug information tool for neonatal and pediatric populations, is designed to help clinicians improve outcomes and efficiencies with tools to:

Prescribe, calculate, order, formulate, and administer drug therapy and parenteral nutrition for full-term babies up to 28 days of age and preterm babies up to 44 weeks post-menstrual age (GA+PNA). Efficiently and safely manage complex scenarios for neonatal patients. Make accurate and informed treatment decisions while reducing medication errors.

This drug information tool includes: Age- and indication-specific drug dosing calculators, derived from evidence-based neonatal drug information for more than 180 substances.

Drug monographs with neonatal-specific information for administration, uses, black box warning, precautions, adverse effects, monitoring, pharmacology, special considerations/preparation, and drug and solution compatibilities. Infant Formula Database with nutrient information for more than 65 infant formulas and human milk fortifiers. Allows for comparison of up to three different infant formulas for side-by-side review of nutrient components to determine the best formula choice for the patient.

To access NeoFax from the Digital Library’s Homepage, go to LVHN Intranet > FIND FAST > Library Services and click on NeoFax. For more information or if you have any questions, contact Library Services at 610-402-8410 or by email at [email protected].


CONGRATULATIONS Stefano Camici, MD, Division of Neurological Surgery/Spine Surgery, Section of Neuro Trauma, was recently recertified in Neuro-logical Surgery by the American Board of Neurological Surgery. Dr. Camici has been a member of the Medical Staff since September, 2003. He is in practice with Neurosurgical Associates of LVPG. Daniel M. Kraus, MD, Division of Maternal-Fetal Medicine/Obstetrics, was recently certified in Obstetrics and Gynecology by the American Board of Obstetrics and Gynecology. Dr. Kraus has been a member of the Medical Staff since September, 2012. He is in practice with LVPG-Maternal Fetal Medicine. Nicholas E. Lamparella, DO, Division of Hematology-Medical Oncology, was recently certified in both Hematology and Medical Oncology by the American Board of Internal Medicine (ABIM). He is also board certified in Internal Medicine by the ABIM. Dr. Lamparella has been a member of the Medical Staff since July, 2013. He is in practice with Hematology-Oncology Associates.

P. Mark Li, MD, PhD, Chief, Division of Neurological Surgery, was recently recertified in Neuro-logical Surgery by the American Board of Neurological Surgery. Dr. Li has been a member of the Medical Staff since November, 2001. He is in practice with Neurosurgical Associates of LVPG. Niral N. Parikh, DDS, Division of Oral and Maxillofacial Surgery, was recently certified in Oral and Maxillofacial Surgery by the American Board of Oral and Maxillofacial Surgery. Dr. Parikh has been a member of the Medical Staff since September, 2012. He is in practice with Valley Oral Surgery, PC. Kevin A. Vrablik, MD, Section of Occupational Medicine, was recently recertified as a certified Medical Review Officer by the Medical Review Officer Certifica-tion Council (MROCC). MROCC certification is intended to ensure the public of quality services and the maintenance of ethical conduct by qualified physicians involved in drug and alcohol testing review. Dr. Vrablik has been a member of the Medical Staff since July, 2008. He is in practice with HealthWorks.


Another Ethics Week and symposium have come and gone. Expanding beyond the confines of a seven-day period, Ethics “Week” actually began in March with the Emerging Health Professionals Program in Ethics for local high school seniors. The topic was about hazing and resulted in a great interactive case discussion among the over 50 attendees. The week prior to Ethics Week, Dr. Robert Barraco gave Grand Rounds to the Department of Medicine. On Tuesday of Ethics Week, a joint Family Medicine-Surgery Grand Rounds began the day. The topic was “Conflicts of Interest,” delivered and moderated by Dr. Steve Lammers and Dr. Robert Barraco. The session stimulated lively discussion. Pediatrics Grand Rounds followed on “Professionalism: Lost…and Found.” On Wednesday, April 16, the 7th Annual Ethics Symposium was held at DeSales University. Their support for the program and the venue were again outstanding. The focus of the day was ethical decision-making. Over 150 attendees were present, including nursing students from area nursing schools, physician assistant students from DeSales and, for the first time, our own SELECT medical students. What a tremendous learning environment! The keynote speaker was Dr. Karen Brasel from the Medical College of Wisconsin, well known as a pioneer in palliative care and ethics education for surgical students and residents. Her lecture concerned challenging cases in ethical decision-making. Interactive breakouts were held on brain death, never competent patients and patient centered decision-making in the context of family. This was followed by a session on advance directives. Special thanks to all of our speakers who enlightened those in attendance. Also, a big thank you to the planning committee who helped to make the day a great success. The day-long offering received excellent on-site reviews and positive comments for future topics.

The interdisciplinary attendance was apparent and fed stimulating discussion, including participants from social work, pastoral care, respiratory therapy, nursing, legal, advanced practice clinicians and physicians. This year, more physicians attended than in year’s past, which was quite encouraging. So make sure to look for a “Save the Date” for next April and the 8th Annual Ethics Symposium. Please let us know if you have any topics that you would like to have presented. Let’s make next year’s Ethics Week even bigger and better! If you have any topic suggestions for next year’s symposium or if you have any questions regarding Ethics, please contact Robert D. Barraco, MD, MPH, Chair, Institutional Ethics Committee, at [email protected].

Ethics Week 2014 and the 7th Annual Ethics Symposium Epilogue

ETHICS CORNER

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ADVANCED PRACTICE CLINICIANS UPDATE Meet the APC Staff A member of the LVHN Allied Health Professional Staff since November, 2006, Justin F. Cooper, PA-C, is this month’s featured Advanced Practice Clinician. As a physician assistant with Diseases Specialists for almost eight years, Justin

cares for a wide variety of patient populations and diseases. The ability to care for patients in all areas of the hospital is an aspect that has always attracted Justin to the field. He rotates through several areas of LVHN including LVH-Cedar Crest and LVH-Muhlenberg. When Justin rotates through LVH-Muhlenberg, he also completes rounding at the Good Shepherd Long Term Acute Care Hospital. As he rounds, Justin completes follow-up evaluations for patients who have consultations from the infectious disease service. Justin enjoys the team aspect of infectious disease. He works closely not only with his attendings, but also with other specialists, case managers, and nurses to provide patients with the best care experience possible. He takes pride in ensuring that the hospital staff and, most importantly, his patients find him approach-able. Communication is key, and Justin places great focus on explaining complicated conditions to patients in a way they can understand. The most common conditions the infectious diseases specialists care for include bacteremia, septicemia, urinary tract infections, pneumonia, and wound infections. In many of these situations, they must address the challenges of antibiotic selection, especially in patients with multi-drug resistant bacteria. In addition, infectious diseases specialists also address the challenges of evaluating the patient with fevers after returning from foreign travel. Sometimes these evaluations reveal the diagnosis of malaria or other tropical illnesses. To prevent such illnesses associated with foreign travel, Justin along with several physicians in his group, provide outpatient pre-travel consultation appointments to discuss vaccinations that are required or recommended for their patient’s trip. Additionally, at these appointments, they will counsel patients regarding malaria prophylaxis, if necessary, or other prophylactic treatment and education. Justin is a graduate of DeSales University where he earned a Bachelor of Science in Medical Studies and a Master of Science in Physician Assistant Studies. To give back to the program, Justin introduces first year students to the clinical world, and he periodically presents infectious disease and travel medicine lectures to DeSales University physician assistant students as part of their didactic training. In a leadership role, Justin serves as the medicine subspecialty representative on the LVPG Advanced Practice Clinician Advisory Committee.

Justin recently married the love of his life, Annie, who is a nurse at LVH-Cedar Crest. The couple recently purchased a house in Lower Macungie, and Justin is thrilled with his quick five minute commute to the LVH-Cedar Crest site. He enjoys bike riding and hanging out with his friends, and he also enjoys shooting sporting clays at Lehigh Valley Sporting Clays.

APC Elections At the quarterly meeting of the Advanced Practice Clinicians (APC) held on Thursday, March 27, members of the APC staff elected Wendy J. Prutsman, CRNP, as President-elect of the Advanced Practice Clinicians. In addition, Matthew J. Ottinger, PA-C, was appointed by the Chair of the Department of Surgery to serve as a departmental representative on the APC Executive Council.

Wendy J. Prutsman, CRNP, a nurse practitioner with LVPG-Maternal Fetal Medicine, has served as Secretary/Treasurer of the APC Executive Council since May, 2010. Wendy is a graduate of Pennsylvania State University where she earned her Bachelor of

Science degree in Nursing. She also received her Master of Science degree in Nursing from the University of Pennsylvania. Wendy has been a member of the APC staff since November, 1997.

Matthew J. Ottinger, PA-C, is a physician assistant with VSAS Orthopaedics. He earned a Bachelor of Science degree in Medical Studies and a Master of Science in Physician Assistant Studies from DeSales University. Matt has been a member of the APC staff since November, 2008.

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UPCOMING SEMINARS, CONFERENCES AND MEETINGS General Medical Staff Meeting Due to the overwhelming success of last year’s presentation ceremony of the educational teaching awards at the June General Medical Staff meeting, this year’s teaching awards will again be presented at the General Medical Staff meeting. The quarterly meeting of the General Medical Staff will be held on Monday, June 9, beginning at 6 p.m., in the Auditorium at LVH-Cedar Crest. The meeting will be videoconferenced to the Educational Conference Center, Rooms C and D, at LVH-Muhlenberg.

Please mark your calendar and plan to attend the meeting to support the recipients of these awards. Additional agenda items will be listed in the June issue of Progress Notes.

Stroke Symposium 2014: New Frontiers in Stroke Care – The Future is Today This year’s Stroke Symposium will be held on Thursday, May 15, from 4 to 8 p.m., and on Friday, May 16, from 7 a.m. to 3:30 p.m., at LVH-Cedar Crest. “Update on Current Stroke Guidelines” will be presented by guest speaker William S. Burgin, MD, Director, Comprehensive Stroke Center, Tampa General Hospital, Tampa, Fla.

For more information about the symposium and registra-tion, click on the following link: Stroke Symposium 2014

Cardiology Grand Rounds Cardiology Grand Rounds will be presented on Friday, May 2, at Noon in the Auditorium at LVH-Cedar Crest and videoconferenced to ECC Room D at LVH-Muhlenberg.

“Percutaneous Repair of Paravalvular Prosthetic Regurgitation” will be presented by Paul Sorajja, MD, Director, Center for Valve and Structural Heart Disease, Minneapolis Heart Institute, Abbott Northwestern Hospital.

For more information, contact Kathy Gaspari in the Department of Medicine at 610-402-8024.

Medical Grand Rounds Medical Grand Rounds are held on Tuesdays, from Noon to 1 p.m., in the hospital Auditorium at LVH-Cedar Crest. Topics for May include:

May 6 – ANNUAL FEATHER LECTURE – “Population Health: Is it the Secret Sauce?” – David B. Nash, MD, MBA, Dean, Jefferson School of Population Health – For more information about Dr. Nash, click on the following link: David B. Nash, MD, MBA May 13 – “Department of Medicine – Year in Review” – Debbie Salas-Lopez, MD, MPH, Chair, Department of Medicine

For more information, contact Kathy Gaspari in the Department of Medicine at 610-402-8024.

Neurology Conferences The Division of Neurology conferences will be held on Thursdays from Noon to 1 p.m., in the Lehigh Neurology Conference Room, 1250 S. Cedar Crest Blvd., Fourth Floor, and videoconferenced to Lehigh Neurology’s Bathgate Office as well as Kasych ECC Room 4 (unless otherwise noted). Topics for May include:

May 1 – “What Does a Hand Surgeon Do?” – Jay S. Talsania, MD, Division of Orthopedic Surgery/Hand Surgery May 8 – “Quality Initiative in Neurology” – Lorraine J. Spikol, MD, Division of Neurology, and Sarah Cruz, Practice Director – Videoconfer-enced to Kasych ECC Room 3 May 22 – Multiple Sclerosis Topic – Jean Bakke Cain, CRNP May 29 – Stroke Topic – Hussam A. Yacoub, DO, Division of Neurology

For more information, contact Angeline Regis, Coordinator, Comprehensive Stroke Center and Neuroscience, at 610-402-9008.



Continued from Page 12 Pediatric Grand Rounds The Department of Pediatrics will hold Grand Rounds on Tuesdays at 8 a.m., at the location noted. Topics for May include:

May 6 – Endocrinology Topic – Ranita E. Kuryan, MD, Division of Pediatric Subspecialties, Section of Endocrinology – Location – Kasych ECC Room 8 May 13 – Pediatric and Adolescent Gynecology: Presentation of Cases – Eunice Lee, MD, Obstet-rics and Gynecology Resident; Andrea Waxman, MD, Division of Gynecology; Tonasha Johnson, MD, Pediatric Resident; Valerie J. Lewis, MD, MPH, Division of Pediatric Subspecialties, Section of Adolescent Medicine; and Sarah L. Stevens, MD, MPH, Division of Pediatric Subspecialties, Section of Adolescent Medicine May 20 – PICU Topic – Scott M. Wheatley, MD, Department of Pediatrics, Division of Critical Care Medicine

For more information, contact Cari Coelho in the Department of Pediatrics at 610-969-2540.

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

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

Advanced Cardiac Life Support (ACLS) ACLS renewal classes will be held from 8 a.m. to Noon, at the Emergency Medicine Institute located at 2166 S. 12th Street, Allentown, on the following dates:

June 2, 12, 13, 30 August 25 September 5, 8, 15

In addition, two-day provider courses will be held on September 22 and 23, and November 5 and 6, from 8 a.m. to 4 p.m., at the Emergency Medicine Institute.

Pediatric Advanced Life Support (PALS) PALS renewal classes will be held from 8 a.m. to 4 p.m., at the Emergency Medicine Institute on the following dates:

May 30 June 10, 16, 17 August 5, 28

In addition, two-day provider courses will be held on June 5 and 6, and September 3 and 4, from 8 a.m. to 4 p.m., at the Emergency Medicine Institute. Registration information and a list of additional classes are available on the EMI website - EMERGENCY MEDICINE INSTITUTE

For more information regarding these classes, contact Christine Ash at the Emergency Medicine Institute at 610-969-0299.


PAPERS, PUBLICATIONS AND PRESENTATIONS Members of the Department of Emergency Medicine presented nine posters and three oral presentations of their research projects at the Pennsylvania Chapter of the

American College of Emergency Physicians Scientific Assembly on April 8 in Harrisburg, Pa. Their work competed against many others across the state. First place (oral presentation) was won by Mark Lundquist, MD, Emergency Medicine Resident, on behalf of the study team for the following abstract: “Gender Differences in Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia.” First place (poster presentation) was won by Marna R. Greenberg, DO, MPH, Director of Emergency Medicine Research, on behalf of the study team for the following abstract: “Management of Benign Paroxysmal Positional Vertigo: A Randomized Control Trial.” Second place (poster presentation) was won by Shaheen Shamji, DO, Emergency Medicine Resident, on behalf of the study team for the following abstract: “Implementation of a Rapid Assessment Unit (Intake Team): Impact on Emergency Department Length of Stay.”

Members of the Department of Emergency Medicine and the Division of Cardiology authored an article – “Sex Differences in Cardiac Arrest Survivors Who Receive

Therapeutic Hypothermia” – which was published on-line in the American Journal of Emergency Medicine. Authors of the article include: Marna R. Greenberg, DO, MPH, Director of Emergency Medicine Research; Amy M. Ahnert, MD, Nainesh C. Patel, MD, and Ellina C. Feiner, MD, Division of Cardiology; Courtney E. Bennett, DO, Cardiology Fellow; Nicole Elliott, DO, and Mark Lundquist, MD, Emergency Medicine Residents; Andrew C. Miller, DO, Chief, Division of Pediatric Emergency Medicine; Anita Kurt, PhD, RN, Emergency Medicine Research Manager; Bernadette Glenn-Porter, Emergency Medicine Scholarly Activities Coordinator; Mercedes Scott, Cardiology Data Manager; and David B. Burmeister, DO, Chair, Department of Emergency Medicine.

Robert D. Cannon, DO, Division of Emergency Medicine, Section of Medical Toxicology; Michael Wagner, DO, Emergency Medicine Resident; and

Jeanne L. Jacoby, MD, Division of Emergency Medicine, authored the article – “Troponin Leak Associated with Drug-Induced Methemoglobinemia” – which was published on-line in the American Journal of Emergency Medicine in March.

Members of the Department of Obstetrics and Gynecology and the Division of Cardiology authored two poster presenta-tions which were on display at the Third

International Congress of Cardiac Problems in Pregnancy held February 21-23, in Venice, Italy. The first poster – “Experience at the Center for Heart and Pregnancy: A Collaborative Cardiology and Maternal Fetal Medicine Practice” – was authored by Joanne N. Quinones, MD, Division of Maternal-Fetal Medicine/Obstetrics; Irena Cabrera, MD, and Adetola Louis-Jacques, MD, Obstetrics and Gynecology Residents; John C. Smulian, MD, MPH, Vice Chair, Department of Obstetrics and Gynecology; and Ronald S. Freudenberger, MD, Chief, Division of Cardiology. The second poster – “Is There a Role for Cardiac Magnetic Resonance Imaging during Pregnancy? Experience at Lehigh Valley Health Network” – was authored by Drs. Quinones, Louis-Jacques, Freudenberger, Smulian, and Matthew W. Martinez, MD, Division of Cardiology.

Members of the Department of Family Medicine gave presentations at the Pennsylvania Academy of Family Practice CME Conference held March 7-9, in

Hershey, Pa. Sweety Jain, MD, presented “How Do You Sleep In That Thing? A Guide to Working with Patients with Disabilities.” Drew M. Keister, MD, presented “Update on Hyperlipidemia Guidelines” and “Information Mastery Open Workshop.”


Medical Staff New Appointments

Melissa S. Auer, DO LVH Department of Medicine Lehigh Valley Health Network Lehigh Valley Physician Practice 17th & Chew, P.O. Box 7017 Allentown, PA 18105-7017 Phone: 610-402-5200 Fax: 610-402-1675 Department of Medicine Division of General Internal Medicine Provisional Limited Duty

Brian C. Friel, DO LVH Department of Medicine Lehigh Valley Health Network Lehigh Valley Physician Practice 17th & Chew, P.O. Box 7017 Allentown, PA 18105-7017 Phone: 610-402-5200 Fax: 610-402-1675 Department of Medicine Division of General Internal Medicine Provisional Limited Duty

Ann T. Holmes, DO Lehigh Valley Family Health Center Lehigh Valley Physician Group 1730 Chew Street Allentown, PA 18104-5595 Phone: 610-969-3500 Fax: 610-969-3605 Department of Family Medicine Provisional Active

Liana T. Joa, MD LVH Department of Medicine Lehigh Valley Health Network Lehigh Valley Physician Practice 17th & Chew, P.O. Box 7017 Allentown, PA 18105-7017 Phone: 610-402-5200 Fax: 610-402-1675 Department of Medicine Division of General Internal Medicine Provisional Limited Duty

Jesus R. Sanchez Ocasio, DMD Oral Dynamics, Inc. 2610 Moravian Avenue Allentown, PA 18103-5521 Phone: 610-453-5707 Fax: 610-453-5143 Department of Dental Medicine Division of General Dentistry Provisional Active

Medical Staff Leadership Appointments Medical Directors of Patient Care Units, Laboratories and Programs Eric W. Bean, DO Medical Director ExpressCARE – LVH-Tilghman Richard C. Boorse, MD Medical Director Bariatric Surgery John F. Wheary, DO Medical Director ExpressCARE – Health Center at Bangor


WHO’S NEW

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


Continued from Page 15 Address Changes Coordinated Health Lori A. Barnett, DPM Michael F. Busch, MD Brian K. Goldberg, MD Randy Jaeger, MD Mary E. Loftus, DPM Thomas D. Meade, MD Charles C. Norelli, MD Gerald-John M. Rossini, MD Leo J. Scarpino, MD Michael J. Joyce, CST/CSFA James J. Perez, RN Elaine D. Polaski, RNFA Ronald W. Ritchie, Jr., PA-C Robert E. Rush, RN Thomas K. Witter, PA-C 1621 N. Cedar Crest Blvd. Allentown, PA 18104-2312 Phone: 610-861-8080 Fax: 610-821-1129 Ravindra Kandula, MD Integrated Physicians Group, LLC 2045 Westgate Drive Suite 205 Bethlehem, PA 18017-7475 Phone: 610-861-0470 Fax: 610-861-0208 Sarah Nicklin, MD Lehigh Valley Hospice Lehigh Valley Health Network 2166 S. 12th Street Suite 401 Allentown, PA 18103-4792 Phone: 610-969-0300 Fax: 610-969-0326 Primary Office Address Change Stephen P. Alvarado, MD From: ABC Family Pediatricians-Center Valley To: ABC Family Pediatricians 325 W. Broad Street Second Floor Bethlehem, PA 18018-5526 Phone: 484-626-9222 Fax: 484-626-9220

Nicole C. Chiappetta, DO Coordinated Health 2775 Schoenersville Road Bethlehem, PA 18017-7307 Phone: 610-861-8080 Fax: 610-861-2989 Mahim Shah, MD From: ABC Family Pediatricians-Center Valley To: ABC Family Pediatricians 1611 Pond Road, Suite 400 Allentown, PA 18104-2256 Phone: 610-395-4300 Fax: 610-530-9372

Practice Name Change Adam C. Miller, DMD From: Asen & Associates To: Allentown Dental Associates 3420 Walbert Avenue, Suite 200 Allentown, PA 18104-1797 Phone: 610-366-9096 Fax: 610-366-3868

Practice Name Change/Address Change Wael Yacoub, MD Whitehall Medical Associates 525 Fifth Street Whitehall, PA 18052-6447 Phone: 610-434-6678 Fax: 610-434-6671

Change of Practice Patricia A. deAngelis, DO From: Moselem Springs Primary Care To: LVPG Family and Internal Medicine – Bath Lehigh Valley Physician Group 6649 Chrisphalt Drive, Suite 103 Bath, PA 18014-8500 Phone: 484-287-1111 Fax: 484-287-1117 Kristin C. Reihman, MD From: Vida Nueva at Case Guadalupe To: Lehigh Valley Family Health Center Lehigh Valley Physician Group 1730 Chew Street Allentown, PA 18104-5595 Phone: 610-969-3500 Fax: 610-969-3605



Continued from Page 16 Fax Number Change Ofer J. Shustik, MD Coordinated Health 3101 Emrick Blvd. Suite 112 Bethlehem, PA 18020-8037 Phone: 610-861-8080 Fax: 610-868-1784 Status Changes James E. Kintzel, MD Department of Medicine Division of Nephrology (Valley Kidney Specialists, PC) From: Active To: Honorary Status George A. Kirchner, DDS Department of Dental Medicine Division of Prosthodontics (LVH Department of Dental Medicine) From: Active To: Emeritus Brian A. Nester, DO Department of Emergency Medicine Division of Emergency Medicine (LVPG-Emergency Medicine) From: Active To: Medical Administrative James R. Wall, MD Department of Medicine Division of Dermatology (James R. Wall, MD, PC) From: Active To: Honorary Status Concepcion T. Yen, MD Department of Obstetrics and Gynecology Division of Gynecology (Concepcion Tan Yen, MD, PC) From: Active To: Honorary Status

Resignations Stephanie A. Klassner, DMD Department of Dental Medicine Division of General Dentistry (Patricia A. Ludwig, DMD) Active Marnie P. O’Brien, DO Department of Surgery Division of Ophthalmology (Lehigh Valley Eye Center, PC) Active J. Alan Otsuki, MD, MBA Department of Emergency Medicine Division of Emergency Medicine (Associate Dean, University of South Florida) Active Mira V. Slizovsky, MD Department of Pediatrics Division of General Pediatrics (Palmerton Pediatrics) Active

Allied Health Staff New Appointments

Deanna A. Buhay, PA-C Physician Assistant-Certified Lehigh Valley Urology Specialty Care Lehigh Valley Physician Group 2597 Schoenersville Road, Suite 201 Bethlehem, PA 18017-7325 Phone: 484-884-3600 Fax: 484-884-3610

Virginia K. Butler, RRT Registered Respiratory Therapist American Home Medical Equipment & Services Inc. 3325 Hamilton Blvd. Allentown, PA 18103-4536 Phone: 610-841-4986 Fax: 610-841-4987 Supervising Physician – Richard J. Strobel, MD



Continued from Page 17

Sandra M. Carwell, RN Registered Nurse Lehigh Valley Bariatric Medicine Lehigh Valley Physician Group The Weight Management Center 1243 S. Cedar Crest Blvd., Suite 2200 Allentown, PA 18103-6268 Phone: 610-402-2500 Fax: 610-402-2506

Joseph F. Kleca, CRNA Certified Registered Nurse Anesthetist Northeastern Anesthesia Physicians, PC 24 S. 18th Street Allentown, PA 18104-5622 Phone: 610-628-8372 Fax: 610-628-8648

Karen A. Landis, CRNP Certified Registered Nurse Practitioner AMC Medical Associates Medical Associates of the Lehigh Valley Allentown Medical Center 401 N. 17th Street, Suite 201 Allentown, PA 18104-5085 Phone: 610-432-6862 Fax: 610-432-9705

Malyher C. Mian, CRNA Certified Registered Nurse Anesthetist Northeastern Anesthesia Physicians, PC 24 S. 18th Street Allentown, PA 18104-5622 Phone: 610-628-8372 Fax: 610-628-8648

Onyedikachukwu K. Momah, PA-C Physician Assistant-Certified OAA Orthopaedic Specialists 250 Cetronia Road, Second Floor Allentown, PA 18104-9168 Phone: 610-973-6200 Fax: 610-973-6546

John D. Page, PA-C Physician Assistant-Certified Lehigh Valley Urology Specialty Care Lehigh Valley Physician Group Center for Advanced Health Care 1250 S. Cedar Crest Blvd. Suite 215 Allentown, PA 18103-6271 Phone: 610-402-6986 Fax: 610-402-4460 Supervising Physician – Angelo A. Baccala, Jr., MD

Carmen M. Rodriguez, LPN Licensed Practical Nurse Neighborhood Health Center 333 W. Union Street Second Floor Allentown, PA 18102-5401 Phone: 610-820-7605

Theresa M. Shelhamer, CRNP Certified Registered Nurse Practitioner HealthWorks Lehigh Valley Physician Group 1243 S. Cedar Crest Blvd. Allentown, PA 18103-7982 Phone: 610-402-9230 Fax: 610-402-9293 Supervising Physician – Basil Dolphin, MD, MPH Chad P. Svaranowic, CCP Perfusionist Perfusion Care Associates, Inc. P.O. Box 3447 Allentown, PA 18106-0447 Phone: 610-402-1278 Fax: 610-402-0013

Name Change From: Sheryle D. Lufkin, CRNP To: Sheryle D. Wellen, CRNP Nazareth Primary Care Department of Family Medicine



Continued from Page 18 Change of Practice Brenda B. Martin, CRNP From: Moorestown Family Medicine To: LVPG Primary Care – Lehighton 38 Mahoning Drive, East Lehighton, PA 18235-9622 Phone: 610-377-9000 Fax: 610-377-5194 Janelle M. Sharma, CRNP From: Lehigh Valley Physicians Practice To: LVPG Family and Internal Medicine – Bath 6649 Christphalt Drive Suite 103 Bath, PA 18014-8500 Phone: 484-287-1111 Fax: 484-287-1117 Change of Supervising Physician Barbara A. Nissenbaum, CRNP Certified Registered Nurse Practitioner (LVPG-Neonatology) From: Lorraine A. Dickey, MD To: Wendy J. Kowalski, MD Khyatiben B. Patel, CRNP Certified Registered Nurse Practitioner (Moselem Springs Primary Care) From: Patricia A. deAngelis, DO To: W. William Shay, DO Melissa Schaefer, CRNP Certified Registered Nurse Practitioner (LVPG-Neonatology) From: Lorraine A. Dickey, MD To: Wendy J. Kowalski, MD Change of Supervising Physician and Group Courtney L. Smith, CRNP Certified Registered Nurse Practitioner From: Internal Medicine of the Lehigh Valley – Matthew J. Winas, DO To: Careworks – Wendy Rush-Spinosa, MD

Change of Supervising Physician and Group/Removal of Supervising Physicians and Group Janelle M. Sharma, CRNP Certified Registered Nurse Practitioner From: Lehigh Valley Physicians Practice – Maria L. Jones, MD, Linda L. Lapos, MD, and Anthony G. Auteri, MD To: LVPG Family and Internal Medicine – Bath – Patricia A. deAngelis, DO Removal of: Hematology-Oncology Associates – Nicole M. Agostino, DO

Resignations Karen L. Amelang, CRLT Certified Renal Lithotripsy Technologist (Keystone Mobile Partners) Sharon A. Nachesty, CRNA Certified Registered Nurse Anesthetist (Lehigh Valley Anesthesia Services, PC) Kelly Rexford-Hudson, CRNP Certified Registered Nurse Practitioner (LVPG-Pediatrics)


Medical Staff Services Office

Robert J. Motley, MD President, Medical Staff

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

Matthew M. McCambridge, MD Past President, Medical Staff

John W. Hart Vice President, Medical Staff Services

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

Charles F. Andrews, MD Anthony J. Ardire, MD Anthony G. Auteri, MD Holly L. Binnig, MD Ravindra Bollu, MD Daniel F. Brown, MD, MBA David B. Burmeister, DO Debra L. Carter, MD J. John Collins, MD Ronald S. Freudenberger, MD J. Nathan Hagstrom, MD T. Daniel Harrison, DO Thomas A. Hutchinson, MD Michael W. Kaufmann, MD Robert Kricun, MD Michael J. La Rock, MD Matthew M. McCambridge, MD Thomas M. McLoughlin, Jr., MD Kevin A. McNeill, MD Andrew C. Miller, DO William L. Miller, MD Robert J. Motley, MD Michael D. Pasquale, MD Joseph E. Patruno, MD Jarret R. Patton, MD Carmine J. Pellosie, DO, MPH, MBA Debbie Salas-Lopez, MD, MPH Ronald W. Swinfard, MD Pat Toselli, DO Thomas V. Whalen, MD S. Clarke Woodruff, DMD James K. Wu, MD

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

Access the Medical Staff Services website via the link below:

Medical Staff Services


progress may 2014 notes - lehigh valley health network

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