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Jersey City Medical Center Creating a Vision for Hudson County Healthcare www.libertyhealth.org 1 WE’VE GOT YOU COVERED! Jersey City Medical Center accepts over 30 insurance plans, including: Aetna Focus Healthcare Horizon NJ Health University Health Plans AmeriChoice Galaxy Health Network Intergroup Services USA Managed Care AmeriGroup Great-West Health Magellan Health Organization AmeriHealth HCO Networks, Inc. MagnaCare WellChoice (Empire Health Anthem Health Insurance Co. Health Care Payers Coalition MultiPlan Care) of NY of NJ National Provider Network BeechStreet Corp. / Healthfirst NJ NJ Manufacturers MediChoice Healthnet Oxford Health Plans Cigna Health Payors Organization, PHCS - Private Healthcare Consumer Health Network Ltd. Systems Devon Health Horizon Blue Cross Blue PPO Next Family Choice Shield of NJ Qualcare First MCO Horizon BCBS United Healthcare www.libertyhealth.org Enhancing Life Through Nationally Recognized Care A Primary Teaching Affiliate of the Mount Sinai School of Medicine and your Quality Regional Healthcare Provider The only hospital in Hudson, Essex, and Union counties to be recognized with the prestigious Magnet Award for Nursing Excellence! *Rated #1 Overall NJ Hospital (fewer than 350 beds) by the Castle Connolly Medical Ltd.’s Survey of NJ Doctors. 2 It’s been a remarkable time for the Jersey City Medical Center. We were named by Castle Connolly and Inside New Jersey Magazine as the top hospital (under 350 beds) in New Jersey. We opened the Cristie Kerr Women’s Health Center. The Center is the first of its kind in Hudson County, providing state of the art digital mammography and complete breast cancer services under one roof. Our new Comprehensive Spine Center and our Balance, Stroke, Prostate Cancer, Epilepsy and GI centers complete the host of clinical services designed to provide the high quality care that every Hudson County resident deserves. We added more than 200 new doctors to our medical staff, and more of our doctors made the annual “Best Doctors” list than ever before. Financially, we’ve made great strides, reducing our dependency on extraordinary state support. This is particularly notable in light of shrinking state subsidies and the financial difficulties that many hospitals in New Jersey, and around the country, are facing. Much of the impetus for the hospital’s achievements began in January 2008, when we developed a strategic growth plan and a two-word mission statement: Enhancing Life. These two words demonstrate the hospital’s commitment to provide excellent medical treatment and preventive and educational services. At the same time, we also announced the four pillars we have since incorporated into all facets of our operation: Patient Safety, Satisfaction, Clinical Quality, and Economic Health. Our staff and our physicians have embraced our mission and, supported by their efforts, we have achieved many of our goals. In conjunction with our new mission, we have made great strides in many areas. We received the Magnet Award, nursing’s highest honor, which recognizes the top 6% of all hospitals in the United States. Our Trauma Services were recognized and re-accredited with the highest rating. Successful innovation is a hallmark of Jersey City Medical Center’s EMS and paramedic services, which received the 2010 NJBiz “Innovation Hero” Award. Awards are appreciated, but most important is our ability to make a difference in the lives of our patients. For example, we have dramatically improved our ambulance response time, and now have one of the nation’s best response times for urban hospitals. In addition, our EMS is the only triple-accredited EMS service in the nation. Jersey City Medical Center has spearheaded a number of community initiatives, including the formation of a community outreach committee, Enhancing Community Health Education through Outreach (ECHO). We have also conducted numerous health fairs, screenings, and a popular monthly community evening education series called “Dinner with the Doctor.” Within these pages you can review some of our accomplishments and services. We not resting on our laurels - our goal is to continually improve our services and thus expand our vision for the future. Many thanks to our great physicians, staff, and volunteers who work everyday to achieve our mission of Enhancing Life. Joseph F. Scott, FACHE President/Chief Executive Officer LibertyHealth 3 Physicians Name Jersey City Medical Center Best Hospital in New Jersey third for prostate cancer. It was also named by physicians as one of the top 10 hospitals in every other category. Joe Scott, who came to LibertyHealth in 2008 as its top administrator, has placed an emphasis with physicians and staff on the four pillars – patient safety, clinical quality, patient satisfaction and economic health. Signs of the effectiveness of this focus have been evident in terms of a significant increase in patient census, the attraction of many highly trained physicians, and enhanced profitability. “We are finding that the best-trained physicians from not only Hudson County but throughout northern New Jersey and Mayor Healy recognizes the nurses at Jersey City Medical New York City are now looking to bring their patients to Jersey Center for their service to the community. City Medical Center,” says Dr. Kenneth Garay, the hospital’s Chief Medical Officer. “During the past two years, over 200 To the employees, medical staff and Board of Trustees at Jersey physicians in primary care and various specialties have joined City Medical Center, there had been a growing belief for some the staff.” time that the hospital was on its way to becoming one of the leading acute care facilities in the state. The hospital has also added new centers of excellence in such areas as stroke, epilepsy, GI and prostate cancer, new This feeling was confirmed in March 2010 when the hospital outpatient rehab and balance centers, and the Cristie Kerr was selected by physicians throughout the state as the top Women’s Health Center. hospital in New Jersey (under 350 beds). A state-designated trauma center and a major teaching affiliate Inside New Jersey and Castle Connolly Medical Ltd., one of the of Mt. Sinai School of Medicine, Jersey City Medical Center has nation’s most respected health care research and information also been successful in making itself less dependent on the companies, announced the hospital ranking and explained the shrinking state charity care dollar. process where licensed physicians were asked to name the top hospitals in the state for various medical conditions, as well “We’re enormously proud of this recognition and the trust put in as overall care. Specifically, they were asked to vote for the five our hospital by physicians and patients,” says Scott. leading hospitals among the state’s 73 acute care facilities for Last year, the hospital was recognized for national nursing care treatment of the following conditions: breast cancer, prostate with the Magnet Award, making it the only hospital in Hudson, cancer, pediatric cancers, coronary artery bypass surgery, hip Union and Essex counties to receive this designation. and knee replacement, congestive heart failure, stroke, high risk pregnancy and birth, and neurological disorders. Additionally, through IPRO (Improving Healthcare for the Common Good), post-discharge ratings of New Jersey LibertyHealth hospitals were determined by having patients rate the values its hospitals overall, as well as on how often doctors and nurses dedicated and communicate well with patients, and the cleanliness of patient tenured employees. rooms and bathrooms. Many events are held to recognize In addition to being named top hospital, the Medical Center our employees, was also recognized first for stroke care, high-risk pregnancy including an and neurological disorders; second for treatment of pediatric annual employee cancers, congestive heart failure and coronary bypass; and recognition dinner. 4 Nationally Recognized Quality is just a Light Rail trip away! HOBOKEN BAYONNE Conveniently located at the Hudson-Bergen Light Rail’s Jersey Avenue Station – Jersey City Medical Center is the leading quality healthcare provider for the entire region. Our state-of-the-art facilities include a state-designated Regional Trauma Center and the Regional Perinatal Center for Diagnosis and Treatment. Recently recognized as the only hospital in Hudson, Essex, and Union counties with the prestigious Magnet Award for Nursing Excellence – Jersey City Medical Center is here to meet all of your healthcare needs, with 330 beds and a full range of services available. Jersey City Medical Center 355 Grand Street Jersey City, NJ 07302 (201) 915-2000 www.libertyhealth.org Enhancing Life Through Nationally Recognized Care A Primary Teaching Affiliate of the Mount Sinai School of Medicine and your Quality Regional Healthcare Provider The only hospital in Hudson, Essex, and Union counties to be recognized with the prestigious Magnet Award for Nursing Excellence! *Rated #1 Overall NJ Hospital (fewer than 350 beds) by the Castle Connolly Medical Ltd.’s Survey of NJ Doctors. 5 Enhancing Life… Through Award-Winning Care • 2010 “#1 Overall NJ Hospital” • NJBIZ’s 2010 Innovation (with fewer than 350 beds)* Organization Hero ® Jersey City Medical Center Jersey City Medical Center EMS • Magnet Award for Nursing Excellence • Independent Recognition Jersey City Medical Center and Certification from CAAS Jersey City Medical Center EMS • Joint Commission Gold Standard • ACR Accredited Facility Jersey City Medical Center Jersey City Medical Center In addition, many of our dedicated Physicians have also been recognized as: 2010 NJ Best Doctors by Castle Connolly Ltd.’s recent survey of New Jersey Physicians. Congratulations to the following LibertyHealth Physicians who have been recognized by their peers in their chosen specialty: • Wayne Altman, MD • Arno Fried, MD – Neurosurgery • Jeffrey Politsky, MD – Neurology – Orthopaedic Surgery • Kenneth Garay, MD – ENT • Joseph Popovich, MD – Surgery • Gregory Anselmi, MD – Neurology • Glen Gejerman, MD • Anaka Prakash, MD – Gastroenterology • Yatinder Bains, MD – Gastroenterology – Radiation Oncology • David Principe, MD • Azzam Baker, MD – Pediatrics • MarieAnne Giardina-Beckett, MD – Maternal-Fetal Medicine • Manuel Banzon, MD – Dermatology – Obstetrics & Gynecology • Rick Pumill, MD • Michael Grasso, MD – Nephrology – Cardiovascular Disease • Mitchell Brown, MD – Internal Medicine • John Hahn, MD – Gastroenterology • Michelle Reisner, MD • Jenny Cam, MD – Endocrinology, • Robert Heary, MD – Neurosurgery – Geriatric Medicine Diabetes & Metabolism • Herbert Katz, MD – Urology • Hooshang Sadeghi, MD – Neurology • Gary Cardiello, MD – Internal Medicine • Maryann Colenda, MD – Pediatric • Martin Levine, DO – Family Practice • Yale Shulman, MD – Urology Allergy & Immunology • Lalitha Masson, MD • Floyd Tanzer, MD – Dermatology • Dominick Condo, MD – Obstetrics and Gynecology • Stephen Thomsen, MD – Nephrology – Internal Medicine • Kirk McMurtry, MD – Cardiac Surgery • William Constad, MD – Ophthalmology • Ghias Moussa, MD – Cardiology • Vena Uy, MD – Obstetrics and Gynecology • John Dedousis, MD – Internal Medicine • Mitchell Mutterperl, MD • Julia DiGioia, MD – Breast Surgery – Internal Medicine • Mazhar Elamir, MD • Donald Perlman, MD – Pulmonary Diseases – Allergy and Immunology We would like to thank the doctors throughout New Jersey who recommended our Physicians for this honor. www.libertyhealth.org Jersey City Medical Center is a Primary Teaching Affiliate of the Mount Sinai School of Medicine and your Quality Regional Healthcare Provider *By the Castle Connolly Medical Ltd.’s Survey of NJ Doctors 6 Cristie Kerr Women’s Health development of the area’s leading breast cancer facility. This center furthers our mission of ‘enhancing life’ for those who live Center Opens and work throughout Hudson County and northern New Jersey.” Cristie Kerr is a passionate breast cancer activist, having Both the Cristie Kerr witnessed her mother, aunt and godmother battle the disease. Women’s Health Center In 2004, she founded the non-profit organization Birdies for and the new outpatient Breast Cancer with a mission to raise funds and awareness. Radiology Center have The Radiology Department at Jersey City Medical Center opened their doors on was recently awarded a three-year term of accreditation from the Jersey City Medical the American College of Radiology (ACR). The ACR peer- Center campus reviewed evaluation recognized Jersey City Medical Center (377 Jersey Avenue at for its outstanding commitment to high quality patient care Grand, Skinner Memorial in its radiology department in the field of Magnet Resonance Drive in Jersey City). Imaging (MRI). Named after the world’s Patients for either the Cristie Kerr Women’s Health Center number one women’s golfer (according to 2010 rankings), or Radiology Department can call a centralized, toll free the Cristie Kerr Women’s Health Center offers breast cancer scheduling number to make appointments at 877-393-5374. screening programs including free mammograms and education to women with or without insurance. The official ribbon cutting was held September 15, with many dignitaries in attendance. Equipped with state-of-the-art digital mammography equipment, the Cristie Kerr Women’s Health Center marks the first full-service facility in the Hudson County area providing detection, healing, support and recovery services. “I am truly proud to be a part of something that so many women and their families will benefit from in the years to come,” says Cristie Kerr. “I am proud to be collaborating with LibertyHealth, which already plays such a crucial role in the Hudson County Joe Scott, President/CEO at LibertyHealth; designer Thom community, to accomplish our shared aspirations.” Filicia; County Executive Tom DeGise; Cristie Kerr and County According to Joseph F. Scott, President and Chief Executive Clerk Barbara Netchert pose during ribbon cutting ceremony Officer of LibertyHealth, “We are very excited about at the Cristie Kerr Women’s Health Center. the partnership we have formed with Cristie Kerr in the Jersey City Medical Center Becomes Smoke-Free Jersey City Medical Center has officially become a “smoke free,” 100% tobacco free campus. To encourage and support its employees to think and live healthy, the hospital has instituted the policy as part of its overall wellness campaign. “We want to take care of the people who take care of our patients,” says Mary Cataudella, Vice President, Human Resources. “It begins with providing strategies to employees who smoke to help them stop smoking.” 7 The Balance Center • feeling dizzy or light-headed • needing to lean on something when walking Offers Testing, Treatment • dizziness when turning over in bed • dizziness when watching a moving object People should not take for granted that any of these symptoms are a natural part of getting older,” says Dr. Kenneth Garay, Chief Medical Officer, LibertyHealth. “In most cases, there is a treatable condition that has not been properly diagnosed.” “The highly skilled, multidisciplinary staff at The Balance Center provides clinical expertise and makes use of advanced technology to diagnose the balance disorder and then develops an effective treatment plan for it,” says Dr. Ernesto Tolentino, an orthopedic surgeon and medical director of The Balance Center. “It’s important to get a handle on a problem like this as soon as possible before it leads to a potentially serious outcome.” The Balance Center at Jersey City Medical Center, opened The new center is located on the Jersey City Medical Center this spring, providing state-of-the-art diagnostic testing campus at 377 Grand Street (Skinner Drive) in Jersey City. For and treatment to patients with a range of different medical more information, call 1-800-632-6807. conditions that cause balance problems. Balance problems can occur for any one of a number of different Balance disorders are one reasons, including head injury, stroke, orthopedic injuries, of the most common causes osteoarthritis, neurological problems, viral or bacterial infection, visual deficits, conditions that result in problems with blood of injury and hospitalization supply to the inner ear, or adverse reactions to medication. The new center is the first of its kind in Hudson County. in the U.S. “When you consider that more than 11 million physician visits involve a complaint of imbalance or dizziness and one in every three senior citizens experiences a fall every year, the opening of a center dedicated to diagnosing and treating balance problems in this area is long overdue,” says Joseph F. Scott, President and CEO of LibertyHealth. Balance disorders are one of the most common causes of injury and hospitalization in America, especially among the elderly with falls being the leading cause of accidental death and hospital admissions for people over 65. The Balance Center uses a series of sophisticated and painless tests, most taking no more than an hour, to diagnose the reasons for dizziness and/or falls. Testing is recommended for those who have experienced any of the following: • difficulty getting up from a chair or out of bed The new Serenity Rose Garden, created by the hospital’s • numbness or loss of sensation in your legs new Auxiliary and completed on the campus of Jersey City Medical Center this spring, gives physicians, patients and • loss of balance or unsteadiness when walking or their families a chance to take a breather from the hospital by standing still sitting on the new park benches amid flowers. 8 Epilepsy Program Reaches have another seizure even when the medication is stopped. Over 50 percent of children with epilepsy will eventually outgrow Diverse Patient Groups their condition. Most adults also do well with medication: 50 – 60 percent “Epilepsy is not a case of ‘one size fits all,’” says Dr. Evan Fertig, will be seizure-free after taking their first seizure medication. co-director of the recently opened Epilepsy Center at Jersey Conversely, 20 to 30 percent will still suffer from seizures even City Medical Center, and a board certified neurologist and after multiple medications are prescribed. epileptologist. “It affects people differently from young children Temporal lobe epilepsy, the most common form of epilepsy that to middle aged adults to seniors, can be caused by a number of does not respond to medication, is highly amenable to surgery. different factors, and occurs far more commonly than people think.” About 70 percent of these patients will be rendered free of According to the American Epilepsy Society, epilepsy is the disabling seizures after surgery. most common neurological disorder found in children living in Diet is also used to treat epilepsy. Other the U.S. and the third most common neurological condition treatments include steroid therapies affecting adults (after Alzheimer’s disease and stroke). and the implantation of a device called Epilepsy is marked by seizures, or sudden alterations of a vagus nerve stimulator into the chest behavior due to temporary changes in the electrical functioning like a pacemaker. of the brain. A person is said to have epilepsy if he or she has “Accurate diagnosis is critical for had two or more seizures that are not provoked (for example by treatment, which is why patients need drugs or alcohol or extremely low blood sugar). to be seen by experts as soon Seizures rarely last for 30 minutes or longer and strike as they begin to present with unpredictably, disrupting whatever activity the person is seizures, or if they continue engaged in. For this reason, uncontrollable epilepsy can render to have seizures despite an individual unable to work, and may also cause significant treatment,” says Dr. Fertig. injury and even death due to falls, drowning, or motor vehicle “With proper care, the crashes. A long-lasting convulsive seizure can by itself cause majority of people with permanent injury or death. epilepsy can live fulfilling About half of the patients seen at the Epilepsy Center are and productive lives.” children. Among those who are young when their epilepsy is diagnosed, about 20 percent who start on medication will never ORGAN DONARS’ WALL OF HONOR The new Wall of Honor at Jersey City Medical Center was created in partnership with the Sharing Network of New Jersey to honor those individuals who donated their organs to help others. Mary DiNardo, wife of slain Jersey City police officer, is shown at the wall with Joe Scott, President/CEO LibertyHealth, Jersey City Emergency Services Unit Officer, Frank Molina, Jr, and Jersey City Police Chief Thomas Comey. 9 New Technology at JCMC CuStOmizEd KNEE SurgErY Offers Patient Benefits Within an hour of her total knee Here’s a look at some of the new technologies replacement and modalities now available at Jersey City surgery, Henrietta Medical Center: Bradley was BRACHYTHERAPY FOR PROSTATE CANCER receiving physical Doctors at Jersey City Medical Center are now offering a therapy and after form of radiotherapy called prostate seed implantation or two days walking brachytherapy for prostate cancer. and feeling very little discomfort. According to Dr. Yale Shulman, “With brachytherapy, we place radioactive pellets or seeds under precise ultrasound control Bradley was one into the prostate to eradicate the cancer. The treatment is well of the first patients tolerated and is performed on an outpatient basis.” in the New York metro area to undergo a new customized knee replacement Needles containing the seeds are inserted through the skin of procedure, which works on the premise that personalized the perineum (the area between the scrotum and anus) using positioning guides created especially for the patient will provide ultrasound guidance. for a more comfortable, longer lasting implant solution. “The seeds remain in the prostate, where the radioactive “The difference is that we use 3-dimensional software and an material gives off localized radiation for a number of months MRI of the patient’s knee to determine size and placement of to destroy the prostate cancer,” says Dr. Shulman, a board the implants prior to surgery,” says Dr. Ernesto Tolentino, who certified urologist. ”No surgical incision is required and there is performed the surgery. “This allows us to make very precise a short recovery time. Patients can usually return to work and and accurate bone cuts that are specific to the individual normal activities within several days.” patient. Before, we were forced to rely on our experience and Brachytherapy is an option for patients with localized prostate intra-operative judgment to correctly size and place the implant. cancer. New advances in seed technology allow doctors to Now, patients spend considerably less time on the operating securely place seeds at the border of and adjacent to the table, require less replacement blood and benefit from prostate to treat cancer that might have extended to the everything fitting together perfectly.” surrounding tissue. “We now have access to a far greater level of detail and “Brachytherapy gives our patients a minimally invasive and precision for implant positioning and alignment, long before effective option to surgery,” says Dr. Williams, a radiation we go into the OR,” says Dr. Clay Irving, chair of the hospital’s oncologist. “Published 12-year data show disease-free survival orthopedic department. “This greatly enhances surgical rates with brachytherapy to be as high as 93%.” efficiency and the lives of the patients we treat.” PREvENTiNG DEHYDRATiON iN CHiLDREN Emergency department doctors and nurses at Jersey City Medical Center are rehydrating sick children by administering fluids subcutaneously (under the skin) with the use of Hylenex, the first and only human recombinant approved by the Food & continued on page 11 10 New Technology at JCMC gallstones, was prepared to have the traditional laparoscopic surgery to remove her gallbladder. Offers Patient Benefits “My boss had the laparoscopic procedure and told me to continued from page 10 prepare myself for the scars and pain,” she says. “Fortunately, with the new procedure, I have no scars and experienced a Drug Administration for infants and young children with mild to fraction of the discomfort. You can’t even tell that I had surgery.” moderate dehydration. Dr. Ottley is one of a small, but growing number of surgeons Hylenex is a purified preparation of the enzyme hyaluronidase, around the country and the first surgeon in Hudson County which breaks down hyaluronic acid, a space-filling gel that to use the SILS™ procedure for gallbladder removal (or exists in the subcutaneous tissue. Hylenex temporarily makes cholecystectomy). The procedure uses a single 15 mm incision the tissue beneath the skin more permeable and able to absorb (made “invisibly” in the belly button), thereby avoiding the four fluid, thus allowing fluids to be more readily absorbed into the ½ inch or smaller incisions typically required with traditional blood vessels. laparoscopic techniques. The new procedure is also available “For many children, the worst part of the hospital experience is for appendix removal (when the appendix is not ruptured), and the placement of the IV,” says Dr. Michael Bessette, Director certain urologic and gynecologic procedures. of the Emergency Department at Jersey City Medical Center. With the SILS procedure, surgeons insert three hollow tubes “This can mean screaming children, anguished parents and a or cannulae through a single rubberized port – rather than the team of doctors and nurses needed to hold the child down in four separate ports used with the conventional laparoscopic order to insert the IV.” procedure. It features a valve that allows them to inflate the With Hylenex, while abdomen for optimal instrument access and provides stability the parent hugs and support for hand instruments with maximum movement. the child, an ER DiAGNOSTiC TOOL doctor or nurse Physicians at Jersey City Medical Center are using an places a catheter innovative web-based diagnostic tool to help them solve difficult in the child’s upper patient diagnoses. back – a part of the body where they The “Isabel” system assists doctors in those 10 to 15 percent are less likely to feel pain – without the need to secure a vein for of cases which are more difficult to diagnose. The system treatment initiation. complements the physician’s expertise by producing a differential diagnosis checklist of those diagnoses most closely Placing the catheter and injecting the fluid takes minutes, related to the patient’s clinical features. Physicians enter a whereas it takes an average of 45 minutes with an IV. Hydration patient’s vital signs and symptoms into the system and instantly is normally completed within about three hours, compared to receive a checklist of likely diagnoses and more information five hours with an IV. from medical journals and textbooks, hospital protocols, and ‘NO STiTCH’ SURGERY online sources. To Dr. Anroy Ottley, a general surgeon at Jersey City Medical The Isabel system was conceived 10 years ago as a direct Center, the new “no incision” laparoscopic gallbladder surgery response to the near-fatal misdiagnosis of a three year-old girl represents a new frontier in minimally invasive surgery. in London named Isabel Maude, who developed necrotizing “The ability to operate now on a patient with minimal visible fasciitis, a complication of chicken pox. The girl’s father later scarring is as remarkable an evolution as the first laparoscopic founded the technology, which is now incorporated at hospitals surgeries were 20 years ago,” he says. “This not only is a around the world. benefit from a cosmetic perspective, but it means less post- operative pain and risk of infection for the patient.” According to Maria Thaxton, a 41-year-old Bayonne resident who had the surgery, even that one incision is hard to find. Thaxton, who had been experiencing severe pain from 11 Spine Center Offers it’s About Acting F.A.S.T. Minimally invasive When it Comes to Strokes Procedures Clinicians at the new Stroke Center at Jersey City Medical Center, which is the regional trauma center and a designated The Comprehensive state-certified primary stroke center, emphasize the importance Spine Institute of New of a F.A.S.t. response to strokes. Jersey, a comprehensive, Nearly 800,000 Americans each year suffer a new or recurrent multi-disciplinary stroke, about 20% of which are fatal. While most strokes affect approach to the older people, they can occur at any age. diagnosis and treatment “Most strokes do affect seniors, but the triad of risk factors of back and neck pain we see in our population – high blood pressure, diabetes and and loss of function, obesity, along with a non-compliance in taking the medication opened this summer. prescribed for them – results in us also seeing many younger Dr. Gbolahan Okubadejo, Director stroke patients,” says Michele Lopez, an RN and coordinator of the Stroke Center. The new spine center emphasizes the use of minimally invasive and motion-preserving procedures once more conservative “The acronym F.A.S.t. is a good way for people to remember treatments – medication, exercise, injections, physical and the signs and symptoms of stroke,” adds Dr. Kenneth Garay, occupational therapy, stress management, acupuncture – have the hospital’s Chief Medical Officer. “With stroke, every minute been fully explored. counts.” “Back or neck pain strikes four out of every five people sometime The initials stand for Face, which will appear to droop and show in their lives, and the pain can at times be debilitating and life an uneven smile during a stroke; Arms, which often will become changing,” says Dr. Gbolahan Okubadejo, director of the new numb and/or weak; Speech, which can be slurred or difficult to center and a fellowship trained surgeon. “Our mission is to offer understand; and Time, which is key, with 9-1-1 needing to be a customized approach to alleviating the patient’s pain and called at the first sign. returning him or her to normal activities as soon as possible. The risk factors for stroke include high blood pressure, high According to Dr. Okubadejo, minimally invasive spine surgery cholesterol, heart disease, diabetes, smoking, heavy alcohol is “performed with the aid of specially designed technologies use, physical inactivity, obesity, atrial fibrillation and a family which assist in better visualization of the surgical field, resulting history of stroke. in less scarring, less pain and less blood loss, expediting the recovery process.” The center will treat such disorders as low back pain, neck pain, spinal stenosis, herniated disks, spine compression fractures, degenerative spine disease, congenital spine disorders, metastatic disorders, spondylolisthesis, sciatica, and problems stemming from earlier bouts with childhood scoliosis. For more information, the toll free number is 877-854-8CSi (8274). 12 Therapeutic Hypothermia According to Jessica Walsh, medical and surgical ICU nurse manager, “We follow a specific protocol to induce hypothermia, Saves Patient’s Life which includes sedatives, analgesia and often intravenous paralytics, which requires intensive nursing care and Lorenzo Rivera Jr. credits his father’s survival to the hospital’s continuous monitoring.” use of therapeutic hypothermia, which he says saved the After three days, Rivera was up and speaking again and, Jersey City man’s life after he suffered a sudden cardiac arrest according to his son, back to being a somewhat cranky while he was undergoing rehabilitation. patient. Rivera’s story was covered on television and in the “He wasn’t himself that day,” remembers Rivera, who took local newspapers, providing the Medical Center with another his father to the facility that afternoon to rehab his weakened example of our success in “enhancing life.” legs. “He wasn’t talking much, and he was breathing hard, he seemed to be gasping for air. Then he collapsed on the floor Capsule Endoscopy and he stopped breathing.” Rivera ran to get help from a nurse, who immediately started Now Available CPR. EMTs from Jersey City Medical Center soon arrived to Patients at Jersey City Medical Center suffering from such rush the unconscious former truck mechanic to the hospital. recurrent or persistent symptoms as abdominal pain, diarrhea, In the meantime, Emergency Medical Services alerted the bleeding or anemia, may now be able to avoid a same day hospital’s Emergency Department that a patient meeting the endoscopy procedure – which necessitates anesthesia – by inclusion criteria for therapeutic hypothermia – “down” less swallowing a small pill. than 30 minutes due to sudden cardiac arrest; with no bleeding The pill, weighing less than four grams and containing a digital problems, signs of head trauma or stroke, or known cardiac camera, battery, radio transmitter and light source, is now history; over the age of 17 – was on his way. This allowed being used by gastroenterologists at Jersey City Medical Center physicians and nurses to prepare the chilled catheter that, to transmit images as it journeys through the GI tract. This once the patient arrived, would be inserted into his femoral vein procedure, known as capsule endoscopy, allows the doctor with the intent of dropping his body temperature over the next to examine the three areas of the small intestine – duodenum, 18 to 24 hours from 98.6 degrees Fahrenheit to between 90 jejunum and ileum – which are often difficult to visualize through and 93 degrees. conventional endoscopy because of its 30-foot long length and Doctors told the younger Rivera that his father’s prognosis was complex configuration. poor. Even if he survived, they said, his father could very likely have significant neurologic problems. “Therapeutic hypothermia involves lowering a cardiac arrest patient’s body temperature for 24 hours to prevent brain damage and improve neurological function,” says Dr. Michael Bessette, medical director of the Emergency Department at Jersey City Medical Center. “It gives the patient a better chance of being ‘neurologically intact,’ after a cardiac event.” The American Heart Association advises doctors to induce hypothermia in patients in cardiac arrest who remain unconscious once Return of Spontaneous Circulation (ROSC) is achieved after defibrillation. This protects against the body compensating by shunting blood away from the brain and other organs to the heart. Once the catheter was inserted, the senior Rivera was brought upstairs to the hospital’s critical care unit. 13 EMS Recognized as can take an average of 50 seconds or up to 90 seconds. EMS changed protocol to dispatch an ambulance as soon as the ‘innovation Hero’ location of the emergency was determined, reducing average time to 30 seconds. • Shift Change – Calls can be delayed around shift changes but by spreading the shift change over a greater time period, EMS reduced delays. This minimized the number of units that Jersey City Medical Center is the first EMS agency in the were out-of-service due to shift change. country to have been accredited with these 3 accreditations. • Stocking of vehicles – All ambulance cabinets were refitted Emergency Medical Services (EMS) at Jersey City Medical with transparent doors and break away seals that allow staff to see Center has been named the statewide winner of NJBiz’s what equipment is present without having to check each cabinet. Healthcare Heroes awards program in the category of Additionally, EMS now uses First Watch, a state-of-the-art “Innovation Hero.” computer software program that allows it to identify trends “This is a tremendous honor and it speaks to the excellence of ahead of time so First Responders can take appropriate our 250-person team,” says Christopher Rinn, Executive actions to help both staff and patients. The surveillance tool Director of EMS. continually monitors the underlying data once certain key words are marked as triggers. In the case of swine flu, for example, Due to its innovations, the Jersey City Medical Center EMS it documents cases of infection and sends notifications to routinely provides the seamless integration of basic and handheld devices giving EMS management the ability to make advanced life support service, management of the medical 911 crucial decisions regarding flu surge for the benefit of both system, and economical infusion of technology to save lives. emergency personnel and patients. Most importantly, these innovations have helped EMS set a new standard for saving lives - response time. Using new technology and training, EMS restructured its deployment plan and reduced average response time to 5 minutes 20 seconds. As a result with patients who experience cardiac arrest, there has been a 73% improvement in Return to Spontaneous Circulation rate – which indicates circulation is regained – resulting in an improvement in the mortality rate of 66%. To make this remarkable improvement, the EMS Department made dramatic changes in its system, adding such new technologies as: • System Status management – This strategically positions ambulances throughout the communities served. It allows the management team to analyze past chronological demand (both the time of day and the day of week when calls are received) and geographical demand (the physical location where ambulances are needed) to determine where and when ambulances will be needed. • dynamic Asset deployment – Intelligent routing, live graphical display of current and required resources, and on-demand Students at Liberty High School received a demonstration innovative analysis are just a few of the ways the EMS Department on the dangers of drinking and driving from the Jersey City is using technology to reduce response time and save lives. Medical Center Emergency Medical Service and the Jersey City Police Department. A fatal accident was staged and • Call Screening Process - Usually an ambulance is students were made up to drive home the point as prom and dispatched after verifying the nature of the emergency, which graduation season approached. 14 Newborns Get Fighting • Intravenous nutrition and a variety of medications that may help with heart function, blood pressure, pain relief or other Chance to Lead Healthy Lives desired functions; • Phototherapy, a special light therapy that eliminates jaundice, Advances in care at Jersey City Medical Center’s Neonatal a common condition seen among preemies. Intensive Care Unit (NICU) have given newborns, some as small According to Dr. Alsheikh, “A combination of advanced as 500 kilograms (about one pounds), a fighting chance not technology and a trained staff can make a huge difference in only to survive but to lead normal and healthy lives. treating these tiny patients successfully and getting their lives off According to Dr. Suhail Alsheikh, who has practiced Neonatal- on the right foot.” Perinatal Medicine and Pediatrics at the medical center since first arriving in the 1970s, survival rates were once poor for babies born prematurely, and those who did survive often faced long-term health consequences. Dr. Alsheikh and his team of specialists today have the technology to provide better ventilation for babies with poorly developed lungs. They are more aggressive in making sure these fragile newborns receive better nutrition. They have the ability to monitor for brain damage or bleeding in the brain, and treat a variety of afflicting infections. They know now to treat these tiny babies with optimum oxygen exposure, which in the past was the primary culprit in causing blindness and Former patients in the NICU and family attend a Halloween other eye problems. And, they know the importance of closely party with staff. following these patients for months and even years after they leave the hospital. “We’re able to do so much more for these babies today, even for the very smallest ones,” says Dr. Alsheikh, the hospital’s senior ‘Dinner with the Doctor’ staff neonatologist. “Babies are brought here from throughout Proves to be a Winner the county, some of whom have been delivered after only 20 Jersey City Medical Center has been running an enormously weeks of gestation (or more than five months prematurely).” popular monthly program called “Dinner with the Doctor,” Jersey City Medical Center serves as the county’s only where area residents get the chance to enjoy a light dinner and designated Regional Perinatal Center. Its’ Antenatal Center listen to leading physicians discuss their specialty and answer offers comprehensive diagnostic and treatment services questions. There is no cost for the hour-long program, which for patients with high-risk pregnancies. These services are has focused in recent months on topics ranging from breathing provided by a full-time maternal fetal medicine specialist, problems to strokes, spine surgery, epilepsy, heart problems in geneticist, and specialized technicians. women, and colon and rectal cancer. Babies may stay several days or as long as several months in “Our mission is ‘enhancing life’ and, with our ‘Dinner with NICU, and benefit from such advances as: the Doctor’ series, we do it through fostering education and • Endotracheal introduction of “Surfactant” to improve infants awareness,” says Joseph F. Scott, President and CEO of underdeveloped lungs; LibertyHealth. “We strongly encourage those people who live • Special ventilators and other respiratory support devices that and work in the communities we serve to meet some of the offer extra help for infants to breath; area’s best doctors and get answers to questions they many • Feeding tubes that are either placed in the stomach or have on various health and medical topics.” through the nose to deliver breast milk or formula; • Incubators and beds with radiant heaters that maintain steady temperatures; 15 Hospital Draws 200+ Dr. Digioia grew up in Jersey City. Her father, John, an internist, trained at the hospital in the 1940s and was a fixture in the New Physicians city for many years, working as a physician for the police and fire departments and the railroad. The younger Dr. Digioia Jersey City Medical Center has added over 200 new physicians (her brother and sister are also doctors) later did her surgical over the last year. Adding these doctors, who represent virtually residency at Jersey City Medical Center after completing every specialty, has not happened by chance. medical school. “The hospital has focused on four pillars – patient safety, patient “It’s great to see nurses who trained with me in the ‘80s now in satisfaction, clinical quality and economic health,” says Joseph leadership positions at the hospital,” she says. “Together, we’re Scott, President and CEO of LibertyHealth. “This has made looking to accomplish great things.” the hospital strong and healthy, in helping us attract leading Dr. John Dedousis is another Jersey City native – who trained physicians from throughout Hudson County and northern New at Jersey City Medical Center and only chose to return to the Jersey.” hospital last year. A one-time President of the medical staff The hospital’s transformation was recently substantiated by and chief of medicine at Bayonne Medical Center, he initially Castle Connolly, which named Jersey City Medical Center the came to Jersey City Medical Center because of the insurance best in New Jersey (with fewer than 350 beds) based on the problems his patients faced in Bayonne. opinions of physicians throughout the state. “My patients were upset and I needed another facility,” he says. “The hospital has new leadership and a new attitude, which “Once I started coming here though I recognized the high quality makes it an exciting place to be,” says Dr. Julie Digioia, a of care. My patients have had a very positive experience. I like well-respected breast surgeon, who has taken a position with how quickly and efficiently things get done here. Tests are the hospital’s new Cristie Kerr Women’s Health Center. “The ordered quickly and results are back fast, which helps me. fact that so many of my colleagues who trained with me – in Plus, it’s nice that my patients are no longer complaining about different specialties like internal medicine, OB, pediatrics – are getting a bill.” all coming back, is very special.” Marissa Fisher, RN, Injury Prevention Coordinator for the Trauma Division at Jersey City Medical Center, educates parents and caregivers in Jersey City about restraining their children safety seats properly. “Taking the time to learn more about how to protect our children in a vehicle can be a lifesaving lesson,” she says. 16 Hospital Opens Therapeutic million seeking help for constipation and about 16 million who complain of abdominal pain, cramps and spasm. Nursery Program The new center is geared towards diagnosing and treating Upon receipt of a state grant for more than $400,000, the adults with such disorders as colon and rectal cancer, Department of Child and Adolescent Behavioral Health incontinence, gastroesophageal reflux disease (GERD), Irritable Services at Jersey City Medical Center created a therapeutic Bowel Syndrome, Crohn’s and Celiac diseases, constipation, nursery program for children ages three to five years in Hudson and pelvic pain syndrome. The Center uses state-of-the-art County who are in need of intensive therapeutic intervention equipment and procedures as a Pelvic Floor Lab for urinary and due to emotional, behavioral and/or psychiatric problems. digestive problems, fluoroscopy technology, biofeedback, and endo-rectal ultrasound. The grant from the New Jersey Department of Child and Family Services supports programs, supplies, clinical salaries For more information on the new GI Center of Excellence at and transportation for children who are at risk of losing Jersey City Medical Center, go to www.libertyhealth.org. daycare, school and/or home placement or are in jeopardy of requiring hospitalization. Many of these children demonstrate Outpatient Therapy developmental delays that also contribute to difficulties in their ability to attend a typical daycare or nursery school program. Center Opens “The therapeutic nursery, which greatly expanded on and Outpatients recovering enhanced our existing program, provides a structured, from the pain and supportive environment that allows for a corrective discomfort of trauma, experience that will increase the child’s ability to function in a surgery, geriatric- and developmentally appropriate manner in school, at home and sports-related injuries within their community,” says Marli Vogel Gelfand, Director of can now take advantage the hospital’s Department of Child and Adolescent Behavioral of the new state-of- Health Services. the-art LibertyHealth The program offers family support and education, and provides Outpatient Physical daily group therapy sessions, individual play therapy, behavioral Rehabilitation Center. modification, medication therapy, family services, and case The new facility is on management and community outreach. the second floor of the Medical Office Building on the campus of the Jersey City Children who demonstrate severely impaired social and Medical Center. emotional functioning, inappropriate behavior, sleep and eating disorders, extreme anxiety and/or depression, problems The 25,000 square foot center serves outpatients needing interacting with adults and other children, and inappropriate rehabilitation following fractures, sprains/strains, bursitis, aggressive behaviors are accepted as self-referrals or referrals tendonitis, sciatica, painful joints, arthritis, strokes, from DYFS, schools, physicians, hospitals and other groups. radiculopathies, joint replacements and other conditions. The estimated length of stay is four to six months. “We are using the most advanced modalities and providing personalized one-to-one physical rehabilitation for outpatients Gi Center Opens at Hospital suffering from conditions of the neuromuscular system, Jersey City Medical Center recently opened a Gastrointestinal including hand, elbow, shoulder, neck, back, hip and knee Disorders (GI) Center on its campus. problems,” says Norman Resurreccion, the hospital’s manager The new center, located on the hospital’s second floor, offers of physical therapy. outpatients extensive screening, diagnostic and treatment To make an appointment, or for more information, call options for digestive diseases and other problems relating to (201) 309-2425. the urinary or gastrointestinal tract. Digestive system symptoms are responsible for an estimated 35.9 million office visits annually, and include approximately 14.5 million American adults diagnosed with ulcers, 7.95 17 Members of the Jersey City Medical Center EMS received Christine Wade, Nurse Manager in the Emergency the police department’s Special Recognition Award in Department at Jersey City Medical Center, was an connection with their work at the Reed Street shootout last honoree of the city’s Cinco de Mayo Festival. Honored for summer. her work as near as Jersey City and as far away as Haiti, where she helped out following the country’s devastating earthquake, Christine poses here with Jersey City Medical Center colleagues Heather Montas-Paulo (left) and Erica Kurtenbach. Care to make a difference in people’s lives? Making a donation to the LibertyHealth Foundation helps improve and enhance the health of people living and working in Jersey City and Hudson County. Please feel free to call the Foundation Office at 201-377-6057 with any questions regarding various charitable gift opportunities and naming opportunities. www.libertyhealth.org/foundation 18 19 Enhancing Life… Through Physician Recommended Care Congratulations to our dedicated Physicians, Nurses, EMTs, and hospital staff for making Jersey City Medical Center the: Jersey City Medical Center was the only hospital to be recognized #1 Overall NJ Hospital in the “Top 10” in all categories, including the following: #1 High-Risk Pregnancy according to Castle Connolly Medical Ltd.’s recent survey of New Jersey physicians for Hospitals with “fewer than 350 beds.” #1 Neurological Disorders #1 Stroke #2 Congestive Heart Failure #2 Coronary Bypass We would like to thank all of the doctors and patients #3 Prostate throughout New Jersey who recommended us for Cancer these honors. (201) 915 -2000 Become A Fan On Follow Us On www.libertyhealth.org FACEBOOK TWITTER A Primary Teaching Affiliate of the Mount Sinai School of Medicine and your Quality Regional Healthcare Provider 20 The only hospital in Hudson, Essex, and Union counties to be recognized with the prestigious Magnet Award for Nursing Excellence!
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