From the Offices of Elliot Joseph and Jeffry Nestler, MD
July 10, 2011 Edition

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"A leader takes people where they want to go. A great leader takes people where they don’t necessarily want to go, but ought to be." - Rosalynn Carter


This Week

Experts in Residence: Non-Small Cell Lung Cancer - Toward Personalized Therapy

Roy Herbst, MD, PhD, chief of medical oncology and associate director for translational research, Yale Cancer Center. Thursday, July 14, 5-7 p.m. Dinner provided. Gilman Auditorium. Physicians are encouraged to bring actual cases with them to discuss with Dr. Herbst. Two hours of CE credit. For more information, call Susan Wright, cancer program information coordinator, at 860-545-5700.

Excellence

Flaks and Roche Present H3W Program to National Audience in Nashville

On June 15, Jeffrey Flaks, EVP and COO, and Dr. Jamie Roche, VP for patient safety and quality, presented the development of H3W, from its origins at MidState Medical Center to its adoption in Hartford HealthCare, to a national audience at the annual Premier Breakthroughs conference in Nashville, Tenn. Flaks spoke of the core functions of H3W – communication, idea generation, recognition and celebration, and measurement – and how Hartford Hospital staff members have generated more than 1,000 closed ideas aimed at taking our organization to the highest level of performance. A copy of the presentation and an H3W Toolkit can be viewed and downloaded from our website at www.harthosp.org/premier.

Full Circle Award Presented for Developing Interactive Patient Journal

Staff from nursing, patient relations, and planning and marketing have received a Full Circle Award for their work developing an interactive health care guide and journal for patients. This booklet encourages patients to be more actively involved in their own care, which improves patient safety and creates a stronger partnership with the staff. Click here for the full story.

Innovative & Complex Care

Hepatitis C Clinic To Open Aug. 1

Hartford Hospital’s new Hepatitis C clinic will open Aug. 1 in the Medical Office Building. It will be directed by Dr. Rolland Dickson, director of hepatology and medical director of liver transplant services; Dr. Colin Swales, assistant medical director of transplant services; and Dr. Jonathan Israel, associate director of transplant services. The clinic will provide new antiviral therapy treatment for patients with hepatitis C.

Research & Academics

Joint Commission Perspectives Now Available on Library Intranet

Joint Commission Perspectives, the major ongoing and up-to-date publication of the Joint Commission, is now available on the Library intranet site. Look in the document collection under Joint Commission Resources. You may download one copy of each article for individual use. http://intranet.harthosp.org/hh/dept/93?route=2

Operational Update

Update on Search Committees for Transplantation and Cardiovascular Positions

National searches are currently underway for two important medical staff positions: director of transplantation and chief of cardiovascular surgery. Several good candidates have already been on campus for interviews for the transplantation position, and interviewing will continue through July. Interviews will begin soon for the cardiovascular surgery position.

Deadline to Fill Out Physician Survey is Tuesday; We Want To Hear From You

Tuesday, July 12 is the deadline to complete the physician survey via email. Every member of the medical staff received a final email notice Friday with a specific pin number to use to take the survey online. Respondents will be entered into a drawing, and gift certificates for Max Restaurants and an iPad will be awarded as prizes next week. The survey began on June 8, and to date we have had a 34% response. We want to hear from everyone. Results will be analyzed and distributed to the medical staff in August.

Sunrise Update: Look at the Banner

Admitting attending physicians’ names are no longer on a sticker in the medical record. You can find it in SCM, on the banner. You can also find information on the patient’s primary care doctor and other consultants by clicking on the Patient Info icon. Providers can electronically change a patient’s attending provider in both SMS and SCM by submitting an order: CHANGE ATTENDING PHYSICIAN entered in SCM will automatically be transmitted to SMS, which will then update clinical applications. A required field on the order form allows easy look-up of provider names and will auto-populate the information.

Meet the Hartford Hospital Board of Directors

These 13 people make up the Hartford Hospital Board of Directors. There are currently two seats vacant on the board. (Click here for more detailed biographical information on these board members)

  • Greg Deavens, senior vice president and chief financial officer of USIG Finance with MassMutual Financial Group.
  • Douglas Elliot (chairman of the board), president of commercial markets with The Hartford Financial Services Group.
  • Mary C. Fox, former senior vice president of Aetna Health.
  • Joseph C. Henry, executive vice president and chief financial officer for XL Insurance.
  • Gregory M. Jones, managing principal of Divestiture Partners.
  • Elliot Joseph (Ex-Officio), president and CEO of Hartford Hospital and Hartford HealthCare. 
  • Roger Klene, president and CEO at Mott Corporation. 
  • Stuart K. Markowitz, MD, (Ex-Officio), chairman of the Department of Radiology at Hartford Hospital, vice president of the Hartford Hospital medical staff; and partner with Jefferson Radiology. 
  • David R. McHale, executive vice president and chief financial officer of the Hartford-based Northeast Utilities system. 
  • Jeffry Nestler, MD, (Ex-Officio), president of the Hartford Hospital medical staff; director of the Division of Gastroenterology at Hartford Hospital; president of Connecticut GI.
  • Jarrod B. Post, MD, a Hartford Hospital-affiliated nephrologist and internal medicine practitioner with Connecticut Multispecialty Group. 
  • Magdalena (Lena) Rodriguez, president and CEO of Community Renewal Team Inc. in Hartford. 
  • Andrew Salner, MD, director, Helen & Harry Gray Cancer Center.

Coming Events

July 12, 19 (Tuesdays)
Hospital Incident Command System Classes

FEMA and Connecticut Department of Public Health recommend that specific courses be completed by hospital personnel who have a role in emergency preparedness planning, incident management, and/or emergency response to an incident. Three courses will be held in July: "Introduction to the Incident Command System," July 5; "Incident Command System for Healthcare Organizations," July 12; "NIMS An Introduction," July 19. Following each course students will receive an email link to FEMA’s online site where they will complete an open-book quiz on their own time. Students with a grade of 75% or higher will receive a certificate awarded by FEMA. CEUs are available. To register, email CEMP-training@HartHosp.org.

July 21 (Thursday)
Red Cross Blood Drive

Appointments available; walk-ins welcome. 7 a.m. to 12 noon, ERC Hublein Hall. For information, call Erin at 860-545-2079 or 1-800-RED-CROSS.

July 21 (Thursday)
Trauma & Emergency Grand Rounds: Evidence Based Approach to Vasopressor Use

Alan E. Jones, MD, professor of emergency medicine and research director in the Department of Emergency Medicine, University of Mississippi School of Medicine. 12 noon, Gilman Auditorium.

Click here for more events

Hartford Hospital In The News

Getting Patients In and Out of Bed

Los Angeles Times, June 29:
Next Health, a Norwalk, Connecticut company, has introduced a $45,000 patient mobility system called AgileLife. Carolyn Kelly, a physical therapist who supervises the rehabilitation department at Hartford Hospital, is quoted in the article as saying it takes some analysis to determine which system is best for a patient.
www.latimes.com/health/hc-hospital-bed-technology-20110629,0,708360.story

UConn – Connecticut’s Cambridge?

West Hartford Patch, July 4:
In this story about the expansion of the UConn Health Center, Dr. Rocco Orlando comments on the UConn residents working at Hartford Hospital.
http://westhartford.patch.com/articles/capitol-dispatch-uconn-connecticuts-cambridge

Final Public Hearing Scheduled for Yale-New Haven Hospital Facility

North Haven Patch, June 30:
Officials from Connecticut's Office of Health Care Access will be conducting a final forum in North Haven concerning the Yale-New Haven Hospital development. Meriden's MidState Medical Center will oppose the construction of a YNHH branch in North Haven, citing an abundance of emergency medical care in the region. "We expect that the Yale site will cost MidState millions in revenue and result in jobs moving from Meriden to North Haven,” wrote Meriden Mayor Michael Rohde.
http://northhaven.patch.com/articles/final-public-hearing-scheduled-for-yale-new-haven-hospital-facility

Study: Women Who Exercise Cut Cardiac Risk

Christian Broadcast Network News, July 6:
Dr. Paul Thompson, director of cardiology, is quoted in this story about the effects of exercise in women.
www.cbn.com/cbnnews/healthscience/2011/July/Study-Women-Who-Exercise-Cut-Cardiac-Risk-/

Living the Life of a Hoarder

NBC Connecticut, July 7:
Dr. David Tolin, director of the Anxiety Disorders Center at the IOL, is quoted in this television news story about hoarders.
www.nbcconnecticut.com/news/local/Living-the-Life-of-a-Hoarder-125160919.html

Hot Topics in Healthcare

New FDA Regulation to Improve Safety Reporting in Clinical Trials

NEJM, June 8:
The FDA recently published a regulation establishing a new safety-reporting paradigm for drugs being studied under investigational new drug applications. This rule —effective on March 28, 2011 — is one of the steps the FDA is taking to enhance the protection of human subjects and improve trial conduct.
http://healthpolicyandreform.nejm.org/?p=14665&query=TOC

Doctors in U.S. Turning Away Insured Patients on Low Payments, Study Finds

Bloomberg, June 27:
U.S. doctors are turning away an increasing number of patients, including those with private insurance, according to a study in the Archives of Internal Medicine.
www.bloomberg.com/news/2011-06-27/doctors-turn-away-insured-on-low-payments.html

One in 10 Electronic Prescriptions Contains An Error: Study

ModernHealthcare.com, June 30:
Electronic prescriptions are as likely as handwritten ones to contain errors, according to a study from a group of Boston-based researchers.
www.modernphysician.com/article/20110630/NEWS/306309988

Becoming a Physician: Level IV Evidence – Adverse Anecdote and Clinical Practice

NEJM, July 6:
The author speaks about the power and value of adverse anecdotes.
http://healthpolicyandreform.nejm.org/?p=14876&query=TOC

Medicare Unveils Plan to Cut Doctor Pay by 30%

MedPage Today, July 6:
The Centers for Medicare and Medicaid Services has issued its proposed changes to the 2012 Medicare Physician Fee Schedule, including a long anticipated -- and long-feared -- plan to cut Medicare pay to physicians by 30%.
www.medpagetoday.com/PublicHealthPolicy/Medicare/27430


The Seymour Street Journal (SSJ) has been developed to communicate key messages pertinent to our hospital’s physicians. It will keep you informed and up-to-date on hospital, network, and health care news in a concise, convenient format. The SSJ will be sent to your preferred e-mail address every other Sunday. Back issues can be viewed here. For any questions or suggestions, please contact Dr. Jeffry Nestler, Medical Staff President, at (860) 836-7313.