News from and for
Holy Name Medical Center’s
Also available online at:
Medical Staff Officers rePOrT frOM The Chief MeDiCAL OffiCer
President: Patricia Burke, M.D.
Vice President: Thomas Birch, M.D.
Thanks to All
Secretary: Mihran Seferian, M.D.
Treasurer: Ronald White, M.D. It is great to be back in Jersey and working Today’s physicians struggle with the
with the excellent team of people at Holy apparent conflict between appropriate
M e d i c a l S ta f f
Medical Chiefs Representative: Joel Goldfarb, M.D.
Name Medical Center. I want to thank all of independence and the “restrictions” imposed
Surgical Chiefs Representative: Harris Sterman, M.D. you who have reached out to me and made by our current healthcare system. Reinertsen
Member At Large: Giuseppe Condemi, M.D. me feel truly welcome. In the short amount does an excellent job detailing why there is
Member At Large: Rosanna Modesto, M.D. of time I have been here it is easy to see why a need to retain physician autonomy, but
Holy Name is routinely reviewed as one of he also argues that unchecked autonomy
Medical Staff Department the best places to work in New Jersey and and a resistance to the use of such things as
Directors and Division Chiefs one of the best hospitals to work at in the evidence based guidelines has lead to our
Dept. of Anesthesiology: Alan Gwertzman, M.D.
country. I look forward to meeting those of current error-prone healthcare environment.
Dept. of Emergency Medicine: Richard Schwab, M.D.
you who I have not yet met, and working He concludes with the following statement:
Dept. of Family Practice: Joseph Cassotta, M.D.
closely with all of you over the coming years “The most effective approach, the
Dept. of Interventional Radiology: John Rundback, M.D. Location: Marian Hall
to make Holy Name Medical Center the first professional approach, would be to join
Dept. of Medicine: Joseph Schuster, M.D. Time: 9 - 10 a.m.
Allergy: Patrick Perin, M.D. choice in healthcare for our community of together with our colleagues, in venues large (unless otherwise noted)
Cardiology: Stephen Angeli, M.D. patients and providers. Please stop by my and small, to decide on and apply the best
Dermatology: Jeffrey Rapaport, M.D. office if you need to discuss anything with science together, as a profession. The Zen January 11
Endocrinology: Mark Wiesen, M.D. me, or just stop by to say hello and introduce paradox of clinical autonomy is that by giving “State of the Hospital”
Gastroenterology: Joel Goldfarb, M.D. yourself if our paths have not yet crossed. it away to our colleagues, we gain it as a Michael Maron, President/CEO
Infectious Disease: Thomas Birch, M.D. profession.”
Internal Medicine: Lewis Attas, M.D. Zen and The Art of Physician In the short time I have been at Holy January 18
Nephrology: David Levin, M.D. Autonomy Maintenance Name I sense that this Medical Center has
Neurology: David VanSlooten, M.D.
I recently read an article written by James done an excellent job balancing physician Mathew Varghese, MD, JFK Medical Center
Oncology: Beata Pieczara, M.D.
L. Reinertsen, MD, that hit home for me. I autonomy with the application of evidence Jersey City, NJ, Future HNMC Staff Member
Psychiatry: Sharad Wagle, M.D.
Pulmonary Medicine: Stuart Silberstein, M.D.
have heard Dr. Reinertsen speak to groups based medicine to best meet the needs of
Radiation Oncology: Charles Vialotti, M.D. of physicians and he has always impressed our patients. I hope that as your CMO, I January 25
Rehabilitative Medicine: George Gombas, M.D. me as a doctor who understood the struggle can continue to help you and Holy Name “Prostate Cancer Update”
Rheumatology: Ralph Marcus, M.D. that I, as an internist, have felt on the issue Medical Center balance this ongoing struggle Daniel Lowe, MD, HNMC, Urology Dept.
Dept. of Obstetrics & Gynecology: Christopher Englert, M.D. of autonomy, as it relates to daily practice between autonomy and independence, and
Dept. of Pathology: Drew Olsen, M.D. and decision-making. In the article entitled, that when all is said and done, we will be a FEbruary 1
Dept. of Pediatrics: Harry Banschick, M.D. “Zen and the Art of Physician Autonomy clinically and financially stronger institution “Healthy Heart Initiatives”
Dept. of Radiology: Jacqueline Brunetti, M.D. Maintenance,” he writes, “While some part if we strike the correct balance. If we get it Judith Kutzleb, DnP, HNMC, Vice President,
Dept. of Surgery: John Poole, M.D. of medicine is regulatable science, much right, Holy Name Medical Center, its medical Education
Dentistry: Steven Haber, D.D.S. of it is unregulatable art—an art which staff and most importantly, our patients, will
General Surgery: Joseph Manno, M.D.
depends on our ability to build relationships all benefit. I have Reinertsen’s full article if FEbruary 8
Neurosurgery: Patrick Roth, M.D.
with patients and families, to set answers to anyone is interested; stop by my office and I “An Update on MDR & XDR- Tuberculosis”
Ophthalmology: Christopher Brown, M.D.
Orthopedics: Jeffrey Steuer, M.D.
patients’ questions into the context of their will give you a copy. James brust, MD
Otolaryngology: John Poole, M.D. lives, and to heal, even when our science
Podiatry: Ritchard Rosen, D.P.M. cannot cure. Physicians’ fierce attachment FEbruary 22
to clinical autonomy has a basis in this truth: Adam Jarrett, MD, is
Plastic Surgery: Harris Sterman, M.D. TBA
no two patients, and no two doctors, are the Executive Vice President/
Thoracic Surgery: Ignatios Zairis, M.D. umesh Gidwani, MD, FCCP, FCCM, Chief,
Chief Medical Officer at
Urology: George Klafter, M.D. same, and that the art of medicine happens Cardiac Critical Care, Cardiovascular
Holy Name Medical Center.
Vascular Surgery: Kenneth Fried, M.D. somehow in the relationship between those He can be reached at Institute, Mount Sinai Hospital; Asst.
individuals.” 201-833-7273. Professor of Medicine, Mount Sinai School
frOM The PreSiDenT Of The MeDiCAL STAff MarCh 1
“Treatment Advances in Non-Small Cell
A Plea to Accept Others’ Beliefs
As a middle-aged Rolling Stone devotee, incorrect to opine on the theological Gregory riely, MD, Memorial Sloan-
I was excited to see Mick Jagger’s face on dictates of Buddhism, Hinduism, Islam, Kettering Cancer Center, Thoracic
the cover of The New York Times Style Judaism, or even Unitarianism (after all
section from this past weekend. Greedily, they theoretically pray to “to whom it may
I grabbed the magazine, flipping through concern”).
the pages of high-end fashion, expectantly Although this essay may sound similar
looking for the article with pictures of Mick. to a letter to the editor, it is not. It is rather Communicate with
Surprisingly, and instead, I happened upon a plea to accept other people’s beliefs and
pictures of the Blessed Virgin in an article faith in their religion. Your Colleagues:
by Holly Brubach entitled, “The Immaculate So, in this season of joy and happiness, Write an article for MD360.
718 Teaneck Road • Teaneck, NJ 07666
Perception.” let us all continue to respect one another’s
Share an exciting new
For those not of the Roman Catholic viewpoints and continue to work together
faith, today, December 8th, is the day of for the benefit of all. development in your specialty,
the Immaculate Conception, a day upon Peace, Joy and Happiness in the New give your opinion on a
which Mary was conceived without sin so Year! health-related issue or tell about
that she could be the Mother of God, the a recent achievement.
Mother of Jesus. Holly Brubach’s article,
in essence, belittles Mary, placing doubt Email your submission to:
on her role in the Catholic Church and editorMD360@holyname.org.
even on the necessity for her existence. She Contributions are accompanied
castigates and peevishly mocks the Catholic
Patricia A. Burke, MD, PhD, by the author’s photograph,
faithful for their beliefs, while ignoring is President of the
the differences and mysteries of other Medical Staff and an
Holy Name title and practice
religions. Perhaps Ms. Brubach considers ophthalmologist on staff at contact information.
it open season on Catholics, but politically Holy Name Medical Center.
MeSSAGe frOM The Chief finAnCiAL OffiCer
improving Clinical Documentation
Holy Name Medical Center has role of the Clinical Clinical Documentation
contracted with JA Thomas and Documentation Specialist improvement
Associates (JATA) to implement a Clinical Our CDMP will be supported by During these challenging times in
Documentation Management Program Clinical Documentation Specialists healthcare, accurate documentation of
(CDMP) which will begin in January 2011. (CDS) who are registered nurses with a patient encounters is key to the economic
Spirit of healing,
JATA specializes in implementing a strong critical care or medical/surgical health and growth of hospitals. HNMC
CDMP for hospitals and their physicians background. The CDS will be assigned is committed to providing physicians
with the sole purpose of comprehensively
improving clinical documentation for
to specific units and become an integral
part of the interdisciplinary team to
with the tools to recognize incomplete
documentation in real time and provide Spirit of Giving
inpatient care at acute care facilities. With facilitate improvement in the overall specificity and compliant terminology.
the help of JATA, hospitals around quality, completeness and accuracy of As regulations evolve to reflect advances On November 13, 2010, I, along with
the country have improved their medical record documentation. They in medical care and to fulfill pay- Drs. Timothy Finley and Alan Gwertzman,
documentation, typically resulting in a will be responsible for concurrently for-performance requirements, the received the Spirit of Healing Awards at
4-8% improvement in Case Mix Index analyzing clinical information for accurate documentation process will continue to Holy Name’s Annual Founders Ball. I was
(CMI). representation of the severity of illness, become even more complex. honored to stand alongside my colleagues
which involves extensive medical record Join us as we strive to improve our as Mike Maron presented us with this
Program Benefits review, interaction with physicians, coding clinical documentation efforts to more profound recognition in front of our
HNMC will benefit from a specialists and nursing staff. This new accurately reflect our CMI and get friends, family, coworkers and Holy Name
comprehensive clinical documentation process will generate a comprehensive properly reimbursed for the services we donors. Needless to say, it was a special
program by establishing the following: picture of the patient’s clinical status and provide. If we improve the accuracy evening.
• Appropriate severity, complexity and risk care provided at Holy Name. of our documentation, we will also Drs. Finley, Gwertzman and I were
of morbidity and mortality profiling improve comparative performance reports, acknowledged for the time and effort we
• Case Mix Index that is more reflective of it Starts with Physician ensure compliance, and enhance patient gave and continue to give to our friends at
our patients’ severity of illness education care quality. the Hôpital Sacré Coeur in Milot, Haiti,
• Complete and accurate coding JATA’s CDMP promotes a clinical and especially this year following the earthquake
• Support for documentation of Hospital holistic approach to documentation that in January. While we were selected for this
Acquired Conditions (HAC) starts with physician education, which award, we share it with the entire Holy
• Increased readiness for dealing with will be delivered peer-to-peer through Name community for it was your goodwill
complex rules, regulations, and initiatives JATA physicians. Education on how and generosity that allowed us to respond
required by government and commercial to improve documentation will be Joseph M. Lemaire is so quickly to our Haitian friends in need.
payors provided prior to and during the hospital Executive Vice President/ During this holiday season, I am
implementation phases for both inpatient Chief Financial Officer at reminded of just how blessed I am and
and outpatient settings. Holy Name Medical Center.
how this spirit of giving touches all of us.
Whether we are the recipient of someone’s
generosity or we ourselves sacrifice to
HNMC Chooses Aprima for give, let us remember that giving is its own
Office Electronic Health Records
reward. I am proud to be part of the Holy
Name family and prouder still to give back
to an organization that provides so much to
We are pleased to announce that Holy Software (Aprima) to bring an ambulatory the government incentive, up to $44,000,
Name Medical Center has entered into electronic medical record to physician for use of an ambulatory EMR. In addition,
Supporting the Holy Name Health Care
an agreement with Aprima Medical offices. Aprima is a seamless solution for Holy Name Medical Center has negotiated
Foundation is an investment in ourselves
Practice Management and Electronic preferred pricing on Aprima, and is
and our work on behalf of Holy Name. Your
Health Records (EHR). planning to subsidize fees for licensure and
gift to Holy Name today is a promise of our
We selected Aprima, with input from implementation in physician offices.
sustainability and a commitment to the
Holy Name physicians, because of its ease We are excited to bring Aprima to our
healing mission founded by the Sisters of
of use, speed, integrated platform, and physician family. Further details on the
Saint Joseph of Peace. Happy holidays and
reputation for customer service. Physicians rollout of Aprima will be forthcoming in the
here’s to a healthy and happy 2011!
nationwide have chosen Aprima due to its New Year.
unique approach of Intelligent Navigation
and Adaptive Learning. Furthermore,
Aprima will integrate closely with the Holy
David Butler, MD, is an
Aprima is a fully certified “Complete Craig Hersh, MD, is obstetrician/gynecologist on
EHR” and meets Meaningful Use criteria. Assistant Vice President staff at Holy Name Medical
This means that physicians who utilize of Medical Affairs at Holy Center.
Aprima in their office are eligible to receive Name Medical Center.
Dying a Good Death
My friend and neighbor died last week. been able to see the soil… and the sky. I can’t www.villamarieclaire.org
This story is based on his story. In his imagine a better death for him. 201-833-3105
early eighties, wiry, opinionated, well read; We take great care to ensure that babies
he never tolerated schooling. He built enter this life in a good way with birthing
an excavating business with a perfected centers and home delivery. There is soft
aesthetic for contouring soil and also built a lighting and music, father present, trained
few homes in town, including mine. When staff, a warm blanket and mother’s milk.
he saw the architect’s lower pitched roof On the other end of life, there is too often a
framed on the garage, he had it torn off miserable wasteland of painful, denigrating
because “it just wasn’t right. It looks like therapies offered up as hopeful attempts to
a tiny bowler hat on a fat man.” His long- stave off the inevitable. spans, this is about the best that is seen longer useful. Never worry about death.
standing pastime was correcting the Town Fortunately, this doesn’t have to happen. with or without modern medical care. Even Give for life. We are not guaranteed as good
Council, to their consternation, because he Hospice and palliative care are bringing now, it is rare to meet someone over 90 a death as my friend but we will know how
was almost always right. dying back to life. Studies have shown that with a good quality of life. We can probably to try when the time comes.
He had died once before, 28 years ago patients receiving these services are not increase that estimate by a factor of 1.5 by Please join many of your colleagues and
when he was rescued from an arrest on the only more comfortable, calmer and more in living a simple, unpolluted lifestyle with life- me in supporting Villa
beach in Florida by a doctor from New Jersey. control; but they also live longer than those long moderate caloric restriction (getting Marie Claire Hospice.
This time he was in his garden on a warm, who choose some forms of heroic medical beyond ingestion as gratification) and a
sunny, early autumn day. He didn’t die right technology. psyche detached from anxiety over the
away because his tools were laid down neatly The nominal normal human life span in fruits of our actions. Thomas Birch, MD, is Chief
and he had written something in the dirt. every era has been about 1,000 months. If Every minute of life is sacred. Our Spirit of Infectious Disease at Holy
In the left lateral position, he would have you read history and pay attention to life sheds its physical sheath when it is no Name Medical Center.
rePOrT frOM The Chief nurSinG OffiCer
Patient Satisfaction now a Government initiative
In Nursing, we’ve engaged staff at every
hospitals with better clinical and
patient satisfaction results will SurVEy QuESTIOnS level to generate a dialogue and take action
steps toward this goal. Initiatives such
receive greater reimbursement The HCAHPS survey consists of questions related to 10 areas. Those that involve physicians
directly are below: as scripting, hourly rounding, call-bell
education, creating Wong-Baker Pain Scale
Communication communications, and leaving a pad and
If you don’t yet know what HCAHPS During this hospital stay…
• How often did doctors treat you with courtesy and respect? (Q5) pen at the bedside will enhance patients’
stands for, you will soon…
• How often did doctors listen carefully to you? (Q6) perceptions of personal control, engage
HCAHPS, or Hospital Consumer • How often did doctors explain things in a way you could understand? (Q7) them in discussion and ensure that they
Assessment of Health Providers and
will remember various aspects of their
Systems, is a U.S. government survey that Pain control
During this hospital stay… experience when it comes time to answer
measures patient satisfaction at hospitals
• How often was your pain well controlled? (Q13) those satisfaction survey questions.
across the country. While it resembles • How often did the hospital staff do everything they could to help you with your pain? (Q14)
Holy Name’s own patient satisfaction
how physicians can help
surveys conducted by our benchmarking Medications
Before giving you any new medicine… The question is: How do we continually
organization of choice, HealthStream, the
• How often did hospital staff tell you what the medicine was for? (Q16) delight patients? Not just satisfy them, but
HCAHPS tool measures patient satisfaction
• How often did hospital staff describe possible side effects in a way you could understand? delight them? Explain to your patients what
differently and provides a national standard (Q17) you are doing and be sure they understand.
for collecting and publicly reporting the data.
Encourage them to ask questions. Explore
Why is the survey important? While Discharge instructions
During this hospital stay… their post-discharge needs. Don’t hesitate
patient satisfaction has always been at the
• Did hospital staff talk with you about whether you would have the help you needed when you to write reminder notes for them. They
crux of Holy Name’s mission, HCAHPS left the hospital? (Q19) will remember you and this satisfying
survey results can have a direct impact on • Did you get information in writing about what symptoms or health problems to look out for interaction, casting a positive light on their
the Medical Center’s bottom line. Starting after you left the hospital? (Q20)
entire experience at Holy Name. It’s a team
in 2011, the Centers for Medicare and
effort and you can help immensely.
Medicaid Services (CMS) will use the
As always, thank you for your outstanding
HCAHPS patient experience data the hospital environment, and instructions the survey has the potential to reflect the
care of our patients and for your continued
to determine the level of funding it about medications and discharge. The survey patient’s experience more accurately, helping
support of our nursing staff.
will reimburse hospitals for services also asks for an overall 1 to 10 rating of the hospitals to better decipher opportunities for
we provide to our Medicare patients. hospital and whether or not the patient improvement.
Hospitals with better clinical and patient would recommend it to friends and family.
satisfaction results will receive higher Unlike surveys that use a rating system of Where does hnMC stand?
reimbursements. “poor” to “excellent” to measure the patient While Holy Name’s scores are respectable,
experience, the HCAHPS tool measures the they don’t accurately reflect the high quality
The survey and how it works frequency of various aspects of care, using a of care we give. Why the disparity? It appears Sheryl Slonim, DNP, RN-BC,
HCAHPS survey categories focus on scale of “always,” “usually,” “sometimes” and that what we do for patients is not always NEA-BC is Executive Vice
President for Patient Care
communication with doctors and nurses, “never.” The results represent the percentage evident to them. It’s not enough to be more Services and Chief Nursing
responsiveness of hospital staff, pain of patients who responded “always.” By attentive to patient needs; we must educate Officer at Holy Name
management, cleanliness and quietness of using a rating scale based on frequency, patients about what we do for them. Medical Center.
Medical Leadership Sought to Champion
hnMC’s national Patient Safety Goal initiatives
The Joint Commission established the the survey process, failure to demonstrate
National Patient Safety Goal (NPSG) program compliance with a single NPSG will result national Patient Safety Goals
in 2002, with the first set of guidelines directly in a Requirement for Improvement Effective July 1, 2010
effective January 1, 2003. As outlined in the – a deficiency which needs to be adequately
www.jointcommission.org web site, “the addressed and corrected in order for the .01.01.01 Use at least two patient identifiers when providing care, treatment, and services.
Goals [seek to] highlight problematic areas organization to retain its accreditation status. HNMC Team Leaders: Linda Masincup & Jan Terlizzi
in health care and [to] describe evidence and The 2010 National Patient Safety Goals are .01.03.01 Eliminate transfusion errors related to patient misidentification.
expert-based solutions to these problems. delineated at right, along with the name(s) HNMC Team Leader: Ed Torres
Recognizing that sound system design is of the Holy Name Medical Center Team .02.03.01 Report critical results of tests and diagnostic procedures on a timely basis.
intrinsic to the delivery of safe, high quality Leader(s) responsible for coordinating HNMC Team Leader: Mary Ellen Kilgallen
health care, the Goals focus on system-wide compliance efforts. Each team has thoroughly
.03.04.01 Label all medications, medication containers, and other solutions on and off the sterile field in
solutions, wherever possible.” evaluated clinical and operational system
perioperative and other procedural settings.
The development and annual updating of designs contributing to successfully meeting HNMC Team Leader: Donna Vaglio
the NPSGs is overseen by a national panel of the expectations of their respective Goal. Data
widely recognized patient safety experts as demonstrating compliance has been compiled .03.05.01 Reduce the likelihood of patient harm associated with the use of anticoagulant therapy.
HNMC Team Leader: Michelle Acito
well as nurses, physicians, pharmacists, and and performance improvement initiatives
risk managers who scrutinize an aggregate have been implemented where warranted. .07.01.01 Comply with current CDC hand hygiene guidelines or the current World Health Organization
of sentinel events reported to The Joint Critical to not only a successful triennial hand hygiene guidelines.
HNMC Team Leader: Rosemary Perry
Commission. From this data base and an accreditation survey but in establishing
exhaustive review of current patient safety awareness and ongoing attention to these .07.03.01 Implement evidence-based practices to prevent healthcare-associated infections due to multi-
literature, the panel recommends revisions evidence-based parameters for patient safety, drug-resistant organisms in acute care hospitals.
to current goals or establishment of new is enhanced medical staff involvement. HNMC Team Leader: Rosemary Perry
Goals. Revisions may include “clarifying Medical staff members with an interest in .07.04.01 Implement evidence-based practices to prevent central line-associated bloodstream infections.
and streamlining certain elements of promoting and maintaining patient safety HNMC Team Leader: Mary Jo Tracy
performance,” or retiring Goals – moving initiatives are encouraged to participate in .07.05.01 Implement evidence-based practices for preventing surgical site infections.
them completely, or in part, to accreditation our NPSG Program. Make your interest HNMC Team Leader: Rebecca Rigolosi
standards. known to the Medical Staff Office or .15.01.01 Identify patients at risk for suicide.
Organizational compliance with NPSGs contact a Team Leader directly. HNMC Team Leader: Robert Baker
and the ability to demonstrate a history of
UP .01.01.01 Conduct a pre-procedure verification process.
compliance are transparent components
HNMC Team Leader: Donna Vaglio
of the triennial survey process with Goal-
specific scores available for each accredited UP .01.02.01 Mark the procedure site.
John Grangeia is Vice HNMC Team Leader: Donna Vaglio
hospital on the “Quality Check” link at President of Professional
www.jointcommission.org. Additionally, Services at Holy Name UP .01.03.01 A time-out is performed before the procedure.
unlike accreditation standards, which are Medical Center. He can be HNMC Team Leader: Donna Vaglio
afforded varying levels of significance during reached at 201-833-7251.
Palliative and hospice Services:
Assuring a Seamless Continuum of Care Call
for a copy of
understanding hospice and encourages the attending physician to be a our informative
Palliative Care part of the patient’s journey at the end of life. brochure
Palliative services focus on pain and While the role of the attending physician
symptom management for individuals may change, involvement should not stop if
facing chronic, progressive, incurable the attending chooses to stay involved.
illnesses that may or may not be eligible In a March 2009 study published in
for hospice. Holy Name Medical Center’s Archives of Internal Medicine, researchers
interdisciplinary palliative care team offers found that “patients and families can suffer
a broad range of services designed to instill from feelings of abandonment when a
physical, mental, emotional and spiritual physician who had been actively involved
well-being in conjunction with clinical pain in care is no longer involved.” Continuity of
and symptom management. care and ongoing communication between
Hospice is a care philosophy that the attending physician and the hospice team
emphasizes quality of life, rather than length is essential to insure that families, as well
of life, for individuals coping with advanced as physicians and their staff, feel a sense of attempt to accommodate you by taking over
illnesses. Hospice is appropriate when an closure following a patient’s death. “referral to hospice the primary day-to-day management of the
individual can no longer benefit from curative patient, and communicate the patient’s status
treatment and life expectancy is six months Attending Physicians: What You should not wait until to you on a regular basis. Please note that it
or less, if the illness follows its “normal” need to Know the final weeks or remains your responsibility to be involved in
progression. Hospice recognizes death as For patients with an attending physician,
a natural part of life. It is life-affirming and the physician’s role is integral to the overall
days of life.” managing your patient’s plan of care if you
choose to remain as the Attending Physician.
advocates living the journey by providing provision and management of care. If there is
resources, tools, palliative interventions, hope no attending, the Hospice Medical Director Payment for Physician Services
and compassionate presences. It fosters an can assume responsibility as both Attending patient’s plan of care. We will consult with The attending physician continues to bill
environment that ensures that this part of the and Hospice Medical Director. you on a regular basis. Your patient’s plan of Medicare Part B or the patient’s insurance
journey is spent with dignity and comfort. Following is a brief summary of Medicare care must be agreed upon by the patient, the as the Attending. In addition, you may bill
Referral to hospice should not wait until the regulations and rules concerning the role of patient’s family, Hospice’s interdisciplinary Medicare Part B for care plan oversight. I
final weeks or days of life. Studies show that attending physicians: team and you. We will provide you with will be preparing a summary of guidelines
when patients are referred earlier, they can written patient summaries on a regular basis. that can be utilized by Attending Physicians,
access palliative interventions and experience Certification of the Terminal Illness: Diagnostic studies and invasive as well as those who Hospice may seek
improved quality of life. Upon a patient’s admission to Hospice, procedures will only be considered as they as consultants. In addition, I will prepare
or no more than two calendar days after a relate to your patient’s illness and when it is guidelines that may assist each of you when
The role and importance of the patient’s admission to Hospice, you must believed that they will improve your patient’s your patients require a palliative consult
Attending Physician certify that, based upon your clinical expertise, symptoms or quality of life. from our Palliative Team.
In the Center for Medicare and Medicaid your patient has a life-expectancy (prognosis)
Services’ Conditions of Participation (COPs) of six months or less if the terminal illness Day-to-Day Management of Your I am confident that we are making a
for Medicare-certified hospice providers, runs its normal course. If you provide Patients difference. If you have questions, please do
involvement of the attending physician is verbal certification, we require that written It is critical that you are readily available to not hesitate to call and speak directly to me
indicated. The Conditions of Participation certification be received no later than seven consult with members of Hospice’s team in or a member of our interdisciplinary team.
require that the hospice interdisciplinary calendar days after the patient’s admission. order for us to care for your patient’s day-to- Jean A. Leone, RN, BS, MS,
team complete the patient’s initial day needs, in the event that changes in your is Executive Director and
comprehensive assessment and initiate the Initial Plan of Care and Ongoing Plan patient’s plan of care arise. Clinical Administrator
plan of care in consultation with the patient’s of Care of Hospice and Palliative
If you would like to lessen your daily
Services and Villa Marie
attending physician, if any. (“The Medicare As the attending physician, you will share involvement with a patient, please inform the Claire, Holy Name Medical
Conditions of Participation for Hospice responsibility with Hospice’s physician team and contact Hospice to discuss changes Center. She can be reached at
Care,” Dec. 2008) and interdisciplinary team for establishing, to your role. The medical director and the 201-833-3293, or via cell at
Holy Name Medical Center’s hospice team maintaining and, if necessary, updating your interdisciplinary team will make every 201-359-5154.
erectile Dysfunction and
neWS frOM The MeDiCAL LiBrArY
In a study published in JaMa in 2005, men with ED had a
45% increased risk of developing CVD during the five-
need an article
Cardiovascular Disease year study period when compared to men without ED.
Erectile dysfunction (ED) affects 140 period when compared to men without indicator of overall cardiovascular health. HNMC’s Medical Library can tap the
million men worldwide, with a prevalence ED. This percentage was similar to the risk Addressing cardiovascular risk early after collections and services of the 3,000+ libraries
of 52% in men aged 40 to 70 years, and 70% associated with smoking or a family history the presentation of ED, and aggressive in the US (including US territories), Canada,
over age 70. Historically, ED was thought of myocardial infarction. ED has also been intervention to reduce risk, may have long- and Mexico, and provides free expert
to have been predominantly a condition associated with higher rates of death from term symptomatic and prognostic cardiac searching of medical literature.
Searches are performed by the medical
of psychogenic origin, leading to shame cardiovascular disease. benefits.
librarian, who has a master’s degree in library
and underreporting by male patients. The The leading explanation attributes the Any asymptomatic man who presents
science and is skilled in the dissemination
introduction of oral medications to treat ED correlation between ED and CVD to their with ED that does not have an obvious of medical information, literature searching
has lead to greater awareness of the problem mutual cause of endothelial dysfunction and cause (e.g., trauma) should be screened and database selection. I know how to get the
of ED, and an increase in the number of the formation of atherosclerotic plaques. for vascular disease, and undergo “good stuff” quickly and efficiently, saving you
men seeking treatment. With this increased Atherosclerosis is a systemic disease affecting measurements of blood glucose, lipids, time and effort.
awareness has come a greater understanding all vascular beds within the body. However, and blood pressure. Patients at risk but Simply call or email the library with
of the mechanisms responsible for ED, the varying sizes of arteries throughout the asymptomatic for coronary disease should information about the search and the delivery
specifically its physiologic causes (most vascular system result in the presentation consider elective stress testing. While method you prefer (mail, fax or email). Within
importantly, endothelial dysfunction), of symptoms at different time points, with whether cardiac risk reduction will prevent one to two business days, you will receive your
resulting in a large number of diagnoses of smaller arteries occluding before larger ones. subsequent events in patients with ED results. Urgent requests with a turnaround
organic ED. Given the small diameter of the cavernosal continues to remain an area for further time of 30 minutes to an hour are available for
Many studies have identified the most arteries in the penis, the inability to achieve study, our current knowledge suggests
significant risk factors for ED, including an erection may be a sensitive indicator of that early intervention is key to preventing Did You Know?
hypertension, diabetes, smoking, obesity, systemic vascular disease. morbidity from cardiac disease. • Only 30% of medical literature and less than
hyperlipidemia, and coronary artery Despite the potential of ED to serve one-quarter of medical and biomedical journals are
disease. These are also common risk factors as an early warning sign of CVD, a freely available on the Web.
for cardiovascular disease (CVD). It has significant number of patients evaluated Daniel R. Simon, MD, is a • Only 60% of the article content published since
therefore been hypothesized that erectile by primary care physicians report ED that urologist on staff at Holy 1992 is available electronically.
dysfunction may be a sentinel symptom was unaddressed by their doctor, despite Name Medical Center. He
practices with The Urology Keydi Boss O’Hagan is HNMC’s Medical Librarian.
in patients with undiagnosed CVD. In a the patient’s desire to discuss treatment Mrs. O’Hagan’s office is located in the Marian
Center, 222 Cedar Lane,
study published in JAMA in 2005, men options and causes of the condition. ED Suite 204, Teaneck, NJ, Conference Center. She can be reached by phone
with ED had a 45% increased risk of should no longer be thought of as simply a and can be reached at at 201-833-3395, by fax at 201-530-7919 or
developing CVD during the five-year study quality-of-life diagnosis, but as a potential 201-457-1500 and at by email at firstname.lastname@example.org or
Pharmacy & Therapeutics newsletter now appears in MD360
The article below is reprinted from a previous
issue of MD360, based on a recommendation Table 1. Seven Position Side Chains of Penicillins and Cephalosporins
from the Antimicrobial Subcommittee after
the issue of PCN allergies was discussed at Similar Side Chain Similar Side Chain Similar Side Chain Dissimilar Side Chain Dissimilar Side Chain
length. Penicillin allergies continue to pose Cross Rx Possible Cross Rx Possible Cross Rx Possible Unlikely Cross Rx Unlikely Cross Rx
obstacles for physicians when prescribing
Penicillin G Ampicillin Ceftriaxone (Rocephin) Cefazolin (Ancef) Cefoxitin (Mefoxin)
Cephalothin Amoxicillin Cefotaxime (Claforan) Cefotetan (Cefotan) Cefprozil (Cefzil)
Cephaloridine Cephalexin (Keflex) Cefpodoxime (Vantin) Cefuroxime(Zinacef, Ceftin) Cefmetazole
Bacterial resistance continues to be an
Cephradine (Velosef) Ceftizoxime (Cefizox) Cefdinir (Omnicef) Cefixime (Suprax)
ongoing problem nationwide and at Holy Cefadroxil (Duricef) Cefpirome (Cedixin) Cefoperazone Ceftibuten (Cedax)
Name Medical Center. We continue to face Cefaclor (Ceclor) Cefepime (Maxipime) Cefditoren (Spectracef) Ceftazidime (Fortaz)
daily challenges when prescribing antibiotics.
Our biggest challenge has become patients
with penicillin (PCN) allergies! Patients with manifestations. Occurs within 24-48 cephaloridine (Keflodin) (first generation similar 7-position side chain compared with
PCN allergies can have delays in therapy and, hours of contact. Idiopathic immunological cephalosporins) and cefamandole (Mandole) penicillin or ampicillin and would be unlikely
many times, are administered second line reactions are believed to be immune (second-generation cephalosporin) did have to produce an allergic reaction.
agents for their infection. mediated but the mechanism of action is an increased frequency of allergic responses Sastre evaluated the clinical cross-
The true incidence of allergic reactions unknown. Exfoliative dermatitis, erythema in patients with previous allergic reactions to reactivity of amoxicillin and cefadroxil, both
to penicillin is unknown, but such reactions multiforme eruptions and maculopapular penicillin. However, increased reactions were having a similar side chain. Two (12%) of
are estimated to involve 0.7% to 10% of the rash are indicatiors of PCN hypersensitivity. not observed with other second-generation 16 amoxicillin-allergic patients with good
population. Nearly 10% of allergic reactions cephalosporins or any third-generation tolerance to penicillin developed an allergic
are life-threatening and 1% are fatal. cephalosporin. reaction to cefadroxil (Duricef). In another
PCN is known to cause types I, II, III, It is imperative to identify the reaction and
Apter et al evaluated allergic reactions from study, 8 of 21 patients (38%) allergic to
IV and idiopathic reactions. In order for assess if the patient can take a penicillin-based
cephalosporins among penicillin-allergic amoxicillin were also allergic to cefadroxil,
those reactions to occur, the patient must antibiotic. As of January 2010, skin testing is
patients. They found a 1.1% increased risk but none were allergic to cefamandole which
be sensitized to the drug. The reactions are now an option, as Pre-Pen, a skin determinant,
of reactions but also found there was a 1.6% had dissimilar side chains. Therefore, in
defined as follows: has been brought back to the market. It is
increased risk of reactions when these patients patients allergic to penicillin, cross-reactivity
important to remember that test results do not
Type i – Anaphylactic and mediated were challenged with sulfonamide antibiotics. is unlikely with selective cephalosporins.
apply to other classes of antibiotics. The test
by IgE. Generally occurring within 30 These findings argue against cross-reactivity
assesses only allergic reactions caused by IgE
minutes of exposure to the allergen. Some as the mechanism of reported increases When a PCn or cephalosporin type antibiotic
antibodies. Such adverse effects as serum
manifestations include bronchial asthma, in allergic responses in these patients, as it is prescribed for a patient with a PCn allergy,
sickness (most commonly, hives, pain and
allergic rhinitis, urticaria, angioedema and appears that penicillin-allergic patients tend to the Pharmacy will continue to call Prescribers;
swelling) and drug fever (a high temperature
anaphylactic shock. be allergic to multiple antibiotics, in addition however, we are encouraging all Pharmacists to
due to a drug reaction) may still occur, even if
to a few cephalosporins. discuss the PCn allergy and, when appropriate,
Type ii – Antibody mediated cytotoxic a penicillin skin test is negative. An alternative
Cross-reactivity of cephalosporins and educate Prescribers on the risks of cross
reaction. This occurs within 5-12 hours. is the prescription of a cephalosporin, as
penicillins due to similarity of side chains: sensitivities among the cephalosporins.
IgM or IgG are involved in this type of evidence now suggests cross-reactivity was
Cephalosporins and penicillins both possess
hypersensitivity reaction. Manifestations over-estimated.
a beta-lactam ring. Several cephalosporins To reduce the phone calls, if you are aware
include hemolytic anemia, agranulocytosis, have side chains of the beta-lactam ring that a patient is able to tolerate a PCn or
leucopenia and thrombocytopenia. With regard to cephalosporins, early work at the 7-position similar to the side chain cephalosporin, please indicate on the Physician
Type iii – Mediated by an immune on cross-sensitivity cited rates of 7% and of penicillin (see Table 1). Therefore, Order Form that you are aware of the allergy.
complex. The complex is formed between 8.1%, which were often rounded up to 10% these antibiotics would be expected to be If you would like the allergy removed from the
the allergen and IgG or IgM, causing drug- in medical journals. It was later discovered associated with increased cross-reactivity. database, please indicate that on the Physician
induced fever and allergic vasculitis. This that first-generation cephalosporins were Several cephalosporins have 7-position side Order Form and the Pharmacy will do so.
occurs within 3-8 hours. Serum sickness produced by the cephalosporium mold and chains similar to ampicillin and amoxicillin
often contained trace amounts of penicillin. (see Table 1). These antibiotics would have Published by Holy Name Medical Center’s
syndrome is also categorized as Type III and Pharmacy Department. If you have any
can take 7-14 days to appear. Also, analyses of earlier studies were a greater probability of allergic reactions in
questions or concerns regarding the content of
found to contain a significant proportion patients allergic to ampicillin. On the other the Pharmacy & Therapeutics Newsletter, call
Type iV – Delayed reaction mediated by of reported reactions that were not true hand, cefdinir (endorsed by the AAP for the Pharmacy at 201-833-3055 or ext. 3773.
T-lymphocytes, often with dermatologic allergic responses. Cephalothin (Keflin) and penicillin-allergic patients) does not have a References are available upon request
2011 firSt Quarter MEETING SCHEDULE for departments & divisions
anesthesiology Department Obstetrics/Gynecology Department Podiatry Division Medical Executive Committee
Meets semi-monthly (2nd and 4th Friday) Meets monthly (1st Wednesday) Meets quarterly (2nd Thursday) Meets monthly (1st Tuesday)
Executive Board Room, 7-8:30 a.m. Medical Affairs Conference Room, 8-9 a.m. 3 West Conference Room, 8-9 a.m. Medical Affairs Conference Room, 6 – 8:30 p.m.
Jan. 14 Jan. 28 Jan. 5 Feb. 2 March 2 March 10 Jan. 4 Feb. 1 March 1
Feb. 25 Feb. 11 Confirm with Medical Staff Office, 201-833-3352
March 11 March 25 Ophthalmology Division Operating room Committee
Meets quarterly (2nd Wednesday) urology Division Meets monthly (3rd Wednesday)
Dentistry Division 3 West Conference Room, 7:30 – 8 a.m. Meets quarterly (1st Wednesday) 5 West Board Room, 8-9 a.m.
Meets bimonthly (3rd Wednesday) March 9 3 West Conference Room, 8-9 a.m. Jan. 19 Feb. 16 March 16
Medical Affairs Conference Room, 8-9 a.m. March 2
Jan. 19 March 16 Orthopedic Division Patient Care Committee
Meets monthly (1st Monday) COMMITTEES Meets monthly (3rd Tuesday)
Emergency Medicine Department 5 West Conference Room, 8-9 a.m. Executive Board Room, 8 - 9 a.m.
Meets monthly (1st Wednesday) Jan 3, (moved to Jan 11) ICCr Committee
Meets monthly (1st Monday) Jan. 18 Feb. 15 March 15
Marian Hall Conference Room. #1, 7:30-9:30 a.m. Feb. 7 March 7
Jan. 5 Feb. 2 March 2 Executive Board Room, Convent, 2nd fl.
Pediatrics Department 2:30 – 1:30 p.m. Pharmacy and Therapeutics Committee
Meets monthly (3rd Wednesday)
General/Thoracic/Vascular Surgery Division Meets monthly (2nd Friday) Jan. 3 Feb. 7 March 7
Medical Affairs Conference Room, 8:30 – 9:30 a.m. 5 West Board Room, 12 – 1 p.m.
Meets quarterly (4th Thursday)
Jan. 14 Feb. 11 March 11 Infection Control Committee Jan. 19
5 West Board Room, 7:30 – 8:30 a.m.
Meets bi-monthly (2nd Thursday) Feb. 16 (Marian Conf. Rm. #1)
Plastic Surgery Division Medical Affairs Conference Room., 12-1 p.m. March 16
Meets quarterly (2nd Wednesday) Jan. 13 March 10
Medical Affairs Conference Room, 7-8 a.m.
WebNOTES: Welcome Service Anniversaries
The Holy Name family extends its
Get on Board
to the congratulations and gratitude to the following
members of the medical staff for their
association with our Medical Center. This list
When it comes to the Electronic Medical
Medical Staff recognizes anniversaries during September,
October, November and December, 2010.
Record, it’s a very exciting time at Holy 45 Years
Name. We have trained hundreds of Holy George Azzariti, MD, Pediatrics
Name physicians on WebNOTES and are Appointments to the Medical Staff during September, 35 Years
seeing more and more notes completed Roberto Singer, MD, Internal Medicine
electronically every day. Our Information
October and November 2010
Technology team gets great feedback from Joel Abramowitz, MD Associates, 718 Teaneck Rd., Practice: 718 Teaneck Rd., George Ajjan, DO, Obstetrics/Gynecology
Holy Name physicians and continues to Surgery/Urology Teaneck NJ 07666 Teaneck, NJ 07666 Mark Pascal, MD, Internal Medicine
implement changes as a result of your Medical School: Autonomos Phone: 201-833-7149 Phone: 201-833-3210 25 Years
suggestions. Nearly everyone can agree: University of Guadalajara, MD Stephen Angeli, MD, Internal Medicine
Internship: Queens General Andrew Hirsch, MD Maria Seo, NP
The use of WebNOTES is easy and helps Surgery/Urology Medicine/Internal Joseph Cassotta, MD, Family Practice
Hospital, Fifth Pathway Program Susan Goldfarb, DMD, General Dentistry
generate legible, comprehensive notes. Residency: Long Island Jewish Medical School: SUNY, Stony Brook, Medicine
Medical School Education: University of Medicine Mark Gurland, MD, Orthopedics
In 2011, use of WebNOTES becomes part Medical Center, Surgery Joseph N. Lauricella, MD, Internal Medicine
Residency: Montefiore Medical Internship: NewYork-Presbyterian & Dentistry
of the eligibility criteria for the Gainsharing Hospital-Columbia Campus, Practice: 22 Maple Street, Arnold Rabinowitz, MD, Pediatrics
Center, Surgery Melba Vittal, MD, Anesthesia
program. That means, effective January Fellowship: University of Illinois Surgery Englewood Cliffs, NJ 07632
1, 2011, it will be necessary for all Medical Center, Urology Residency: NewYork-Presbyterian Phone: 551-587-3252 20 Years
physicians in the Gainsharing program Practice: 142 Palisades Ave., Hospital-Columbia Campus, Ronald Strobel, MD, Internal Medicine
Urology Daniel Simon, MD
to use WebNOTES in order to receive Suite 101, Jersey City, NJ 07306 Surgery/Urology
Phone: 201-656-4104 Fellowship: NewYork-Presbyterian 15 Years
distributions. If a Gainsharing participant Hospital-Columbia Campus, Medical School: University of Nalini Bethala, MD, Physical Medicine & Rehab
physician does not use WebNOTES in 2011, Maureen Beck, NP Urology Medicine and Dentistry David N. Feldman, MD, Orthopedics
Surgery/Neurosurgery Practice: 15-01 Broadway, Suites Internship: Mount Sinai Medical Jerald S. Friedman, DDS, Oral & Maxillofacial Surgery
s/he will not receive any compensation from
Education: Fairleigh Dickinson 1 & 3, Fair Lawn, NJ 07410 Center, Surgery Peter G. Illowite, DO, Dermatology
the program. Residency: Mount Sinai Medical
University Phone: 201-791-4544 Heidi Nativo, PA, Emergency Medicine
For all physicians (regardless of Practice: 309 Engle Street, Suite 6, Center, Urology Rafael C. Ramos, MD, Internal Medicine
involvement in Gainsharing), the use of Englewood, NJ 07631 Dianna James, MD Practice: 75 South Dean Street, Thomas L. Salazar, MD, Internal Medicine
WebNOTES will become mandatory by Phone: 201-569-7737 Obstetrics/Gynecology Englewood, NJ 07631 Richard L. Salzer, MD, Orthopedics
Medical School: Drexel University, Phone: 201-816-1900 Steven M. Sherman, MD, Internal Medicine
March 1, 2011. Any physicians not using Joseph Daoko, MD College of Medicine Leonidas Zapiach, MD, Internal Medicine
WebNOTES at that time will have their Medicine/Cardiology Internship: Saint Joseph’s Mercy Daniel H. Smith, MD
non-compliant status recorded in their Medical School: Aleppo Faculty of Hospital, Ob/Gyn Ob/Gyn – Gynecologic 10 Years
Medicine Residency: Saint Joseph’s Mercy Oncology Thomas Y. Chun, MD, Urology
physician profile and may also be subject to Medical School: Harvard Medical
Internship: St. Michaels Medical Hospital, Ob/Gyn Samyadev Datta, MD, Anesthesia
suspension—similar to having incomplete Center, Medicine Practice: 870 Palisades Ave., School Larry W. Gingold, PsyD, Psychiatry
medical records. Residency: St. Michaels Medical Teaneck, NJ 07666 Internship: Massachusetts Rosy E. Joseph, MD, Internal Medicine
For those of you who haven’t yet made Center, Medicine Phone: 201-907-0900 General Hospital, Surgery David E. Konigsberg, MD, Orthopedics
Fellowship: St. Michaels Medical Residency: Massachusetts Geeta L. Kumar, DO, Pediatrics
the transition to WebNOTES, we strongly Gary Kline, MD General Hospital, Surgery
Center, Cardiology Lorraine Lira, MD, Internal Medicine
encourage you to do so at this time. We will Practice: 230 East Ridgewood Ave., Surgery/Thoracic Surgery Fellowship: University of Southern Roberto V. Nachajon, MD, Pediatrics
be announcing another series of training Suite 6-2, Paramus, NJ 07652 Medical School: Wayne State California-LA County, Ob/Gyn Viswanathan Rajaraman, MD, Neurosurgery
sessions soon. If you have any questions in Phone: 973-928-2566 University, School of Medicine Residency: Massachusetts Ephraim E. Resnik, MD, Obstetrics/Gynecology
Residency: Wayne State University, General Hospital, Surgery Luba Stein, MD, Pediatrics
the interim please contact Dr. Craig Hersh,
Wojciech Franzl, MD Surgery Fellowship: Memorial Sloan- Michael A. Stein, PA, Emergency Medicine
201-541-5947, Dr. Adam Jarrett, 201-833- Anesthesia Internship: Wayne State University, Kettering Cancer Center, Natasha M. Steinman, MD, Dermatology
7273 or Deb Ross, IT, 201-833-7114. Medical School: SUNY Health Surgery Gyn Oncology Paul X. Wang, MD, Internal Medicine
Science Center, Brooklyn Fellowship: University of Pennsylvania, Practice: HNMC Regional Cancer Melissa A. Weinstein, DO, Obstetrics/Gynecology
Internship: North Shore University Cardiothoracic Surgery Center, 718 Teaneck Rd.,
Hospital, Medicine Practice: 332 Summit Ave., Teaneck, NJ 07666 5 Years
Residency: SUNY Downstate Hackensack, NJ 07601 Phone: 201-227-6065 Baback Adibi, MD, Internal Medicine
Medical Center, Anesthesia Phone: 201-488-6445 Charles Asta, MD, Neurology
Practice: 718 Teaneck Rd., Avani Trivedi, DO Cataldo Cacace, MD, Urology
Teaneck, NJ 07666 Inna Lee, MD Anesthesia Santiago A. Centurion, MD, Dermatology
Phone: 201-833-7149 Emergency Medicine Medical School: UMDNJ School of Rakesh K. Chaubey, MD, Anesthesia
Medical School: Novosibirsky Osteopathic Medicine Monica Cisneros, RNFA, General Surgery
Nancy Fremed, NP State Medical Institute Internship: St. Vincent’s Midtown Raida Dovlatyan, MD, Physical Medicine & Rehab
Family Practice Residency: Newark Beth Israel Hospital, Rotating Syeda S. Farooqui, MD, Internal Medicine
Education: University of Medicine Medical Center, Pediatrics Residency: Nassau County Olgica Laban, MD, Neurology
and Dentistry Practice: HNMC Emergency Dept., Medical Center, Anesthesia Sean L. Lager, MD, Orthopedics
Practice: HNMC Clinic, 718 Teaneck 718 Teaneck Rd., Teaneck , NJ Practice: 718 Teaneck Rd., Marcelo E. Lancman, MD, Neurology
Drs. George Ajjan, Costa Sousou, Jacinto Fernandez, Rd., Teaneck, NJ 07666 07666 Teaneck, NJ 07666 Joel Lupatkin, MD, Anesthesia
John Frattarola and Payal Shah. Phone: 201-833-7183 Phone: 201-833-3210 Phone: 201-833-7149 Donna McNamara, MD, Internal Medicine
John H. Rundback, MD, Interventional Radiology
Raimonda Goldman, DO John Lincoln, MD Shawn Trokhan, MD Kamalesh R. Shah, MD, Internal Medicine
Medical School: New York College
Medical School: Texas Tech
Medical School: Case Western
David E. Solowiejczyk, MD, Pediatrics
Labrini D. Stathopoulos, MD, Pediatrics
of Osteopathic Medicine University Reserve University Catherine Torres, MD, Internal Medicine
To My Patients and Colleagues:
Internship: Lenox Hill Hospital, Internship: Texas Tech University, Internship: Mount Sinai Medical Sherry Zapata, PA, Emergency Medicine
Over the past 15 years, I have had the privilege Medicine School of Medicine; Medicine Center, Orthopedics
Residency: Lenox Hill Hospital, Residency: Herman Hospital, Residency: Mount Sinai Medical
to care for you and work with you in a profession
that I love.
Fellowship: University of Medicine
Practice: 235 Closter Dock Road,
Life is dynamic and change is the norm rather Practice: HNMC Regional Cancer and Dentistry of NJ Closter, NJ 07624 Nicholas J. Bevilacqua, DPM, was
than the exception. While I could easily envision a Center, 718 Teaneck Rd., Practice: HNMC MS Center, 718 Phone: 201-767-1908 recently involved in an historic dual
Teaneck, NJ 07666 Teaneck Rd., Teaneck, NJ publication in which he was co-author
lifetime in practice here in New Jersey, I have been Phone: 201-227-6008 07666 Wei Wang, MD of the manuscript titled, “Surgical
offered an opportunity that my family and I feel Phone: 201-833-3770 Medicine/Psychiatry
Offloading of the Diabetic Foot.”
we cannot refuse. Therefore, I am relocating out of Yijun Guo, MD Medical School: Tongji Medical
Pathology Rekha Miryala, MD University Dr. Bevilacqua writes to MD360:
state. Medicine/Internal Internship: Pennsylvania Hospital, “As you are well aware, diabetes
Medical School: Peking University
In anticipation of my Medical School Medicine Medicine (and its associated complications) Nicholas J. Bevilacqua
leaving, our group welcomed Residency: Drexel University, Medical School: Gandhi Medical Residency: Albert Einstein College is common, disabling, and deadly. The
a new physician, Dr. Dianna School of Medicine; Anatomic College of Medicine, Psychiatry CDC estimates that 23.6 million people in the United States
& Clinical Pathology Residency: Mountainside Hospital, Fellowship: Cornell Medical Center, (7.8% of the total population) have diabetes. Diabetes is the
Jones, into the practice. She
Fellowship: Albert Einstein College Medicine Child & Adolescent Psychiatry leading cause of non-traumatic lower-extremity amputations
is vibrant, caring and well- of Medicine, Surgical Pathology Practice: 718 Teaneck Rd., Practice: 163 Engle St., Bldg. 4A, among adults—it’s estimated that there are 80,000 lower-
trained, and I know she will Fellowship: Armed Forces Institute Teaneck, NJ 07666 Englewood, NJ 07631 limb amputations performed annually on people with diabetes.
perform up to the standards of Pathology, Nephropathology Phone: 201-530-7931 Phone: 201-408-4487
Dr. Dianna Jones “In response to these frightening statistics, the
of our group. Practice: HNMC Pathology Dept.,
718 Teaneck Rd., Teaneck, NJ Marjan Rahmanian, MD Ronald Weiss, MD Society for Vascular Surgeons (SVS) and the American
My professional relationship with The Women’s 07666 Medicine/Internal Medicine/Internal Podiatric Medical Association (APMA) partnered on a
Health Care Group has been productive and Phone: 201-833-3246 Medicine Medicine major publication focusing on amputation prevention. This
satisfying, and I have the utmost respect and Medical School: Shahid Beheshti Medical School: University of unprecedented joint effort assembled a select group of
Vijay Gupta, MD University of Medicine Medicine and Dentistry thought leaders on the subject of amputation prevention
appreciation for my partners. We all have built a Anesthesia Residency: Mountainside Hospital, Internship: George Washington and the dual issue was recently published in both the
practice that enjoys an excellent reputation in the Medical School: All India Institute Medicine University Hospital, Medicine September 2010 issue of Journal of Vascular Surgery
medical community, so I heartily recommend to of Medical Sciences Practice: 718 Teaneck, Rd., Residency: George Washington
(JVS) and the September/ October 2010 issue of Journal of
all my patients that they continue to receive their Internship: Long Island Jewish Teaneck NJ 07666 University Hospital, Medicine
Medical Center, Surgery Phone: 201-530-7931 Practice: 6701 Bergenline Ave., Podiatric Medical Association (JAPMA).”
obstetric and gynecologic care with the Women’s Residency: Jackson Memorial West New York, NJ 07093 Nicholas J. Bevilacqua, DPM, FACFAS is on staff at Holy Name
Health Care Group. Hospital, Anesthesia Christine Salazar, PA Phone: 201-738-9100 Medical Center and a member of the North Jersey Orthopaedic
Practice: Bergen Anesthesia Emergency Medicine Specialists, PA, at 730 Palisade Ave., Teaneck, NJ. He can be
Dr. Costa Sousou Education: Touro College reached at 201-353-9000 and email@example.com.
Photos by Mark Cap
Annual founders Ball raises record $668,000
Holy Name Medical Center’s Annual Founders Ball, presented physicians and to thank Holy Name for its continued partnership.
by the Holy Name Health Care Foundation, took place on “This year’s Founders Ball was truly an exceptional evening
Saturday, November 13 at Cipriani Wall Street in New York like no other,” said Michael Maron, President /CEO, Holy Name
City. With close to 700 guests, the event drew unprecedented Medical Center. “In honoring Drs. Butler, Finley and Gwertzman,
participation and raised a record $668,000. we also recognized the countless lives lost or injured in the
The elegant evening honored three physicians—David Butler, MD, Haiti earthquake, and renewed our commitment to providing
Timothy Finley, DO and Alan Gwertzman, MD with Spirit of Healing healthcare excellence to our community and beyond the walls
Awards for their medical relief efforts following the Haiti earthquake. of Holy Name. It is in the same spirit that the Sisters of Saint
During the program, guests viewed a moving video about the Joseph of Peace founded Holy Name 85 years ago and we are
desperate conditions in Haiti and the doctors’ humanitarian work there. extraordinarily proud to sustain their healing mission today.”
Drs. Butler, Finley and Gwertzman’s time in Haiti and their drive to save “It has been a remarkable year for Holy Name Medical Center,”
more lives led to a fundraising campaign with the goal of purchasing a said Joseph Parisi, Jr., Chairman of the Holy Name Health
lifesaving oxygen processor for the Hôpital Sacre Coeur in Milot. Care Foundation. “Drs. Butler, Finley and Gwertzman embody
Special guests from the Hôpital Sacre Coeur included Dr. compassion, sacrifice and commitment to serving those in need.
Harold Previl, Chief Medical Officer; Dr. Bernes Chalumeau, Through the financial support of so many in our community, we
CEO; and Timothy Traynor, Head of Operations. The three are able to continue efforts like this and will better serve all those
representatives attended the Ball to congratulate the three in need of stellar health care.”
Honoring Physician Leadership at
Holy Name Medical Center
Saturday, October 2, 2010
Photos by Mark Cap
Magnet Recognition Beacon Award J.D. Power and Associates Accredited Chest Pain Primary Stroke Care Center HealthGrades® Specialty HealthGrades® Modern Healthcare NJBIZ magazine Data Advantage, LLC
From the American Nurses From the American Association Distinguished Hospital Center Certification Excellence Award for Distinguished Hospital magazine Cited Holy Name among the Awarded for quality, affordability,
Credentialing Center. Places us of Critical Care Nurses for Awards From the Society of Chest From The Joint Commission, Stroke Care™ Awards for Clinical Ranked fourth in the nation on “Best Places to Work in efficiency, patient safety and
among the top 5% of hospitals exceptional acute and critical For Emergency, Inpatient, Pain Centers for our ability to the nation’s leading health care Ranked in the top 10% of Excellence™ Among the top the “100 Best Places to Work in New Jersey.” overall experience.
nationwide for excellence in care nursing. Outpatient diagnose chest pain evaluation and accreditation hospitals nationally for stroke 5% of hospitals in the nation for Healthcare” list.
patient care. and Maternity Service Excellence. and acute coronary symptoms. organization. services. clinical excellence.
Sept./Oct./Nov. 2010 Adam Jarrett, MD, Executive Vice President/Chief Medical Officer
Patricia A. Burke, MD, PhD, President of the Medical Staff
MD360º is published bimonthly by Holy Jane F. Ellis, Vice President, Marketing and Public Relations
Name Medical Center’s Department of editor:
Marketing/Public Relations and is intended Barbara Franzese Cron, Manager, Marketing Communications
for use by the medical staff of Holy Name
Medical Center. Please e-mail all comments and contributions to: editor MD360@holyname.org
or call Jane Ellis, 201-833-3129 or Barbara Cron, 201-530-7904.