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Opportunities

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PAGE 2 April, 2013 Hospital Newspaper - NY

Hospital Newspaper - NY April, 2013 Page 3


internet address directory

associationsNYSNA

www.nysna.org

healthcare consultantsMedco Consultants, Inc.

www.medcoconsultants.com

hospitalsHealthAlliance of the Hudson Valley®

www.HAHV.org

North Shore LIJ

www.northshorelij.com

medical equipment & ProductsTSK Products

www.tskproducts.com

rehabilitationwww.stcharles.org

To list your business website contact:Jim Stankiewicz

Tel: 845-534-7500 ext.219 [email protected]

To meet the increasing needs of

patients requiring intensive brain

injury treatment, Glen Cove

Hospital recently opened a new $4

million, 10,000-square-foot Brain

Injury Unit (BIU).

Every year, about 1.7 million

Americans sustain a traumatic brain

injury, causing 52,000 deaths and

contributing to a substantial number

of cases of permanent disability, ac-

cording to the US Centers for Dis-

ease Control and Prevention. In

New York State alone, more than

12,000 people are hospitalized an-

nually with a traumatic brain injury.

In addition, acquired brain injuries,

such as stroke or brain aneurysm,

can also disrupt the normal brain

function causing mild to severe

symptoms.

The BIU is the only New York

State-designated, hospital-based,

adult brain injury rehabilitation

center in Nassau County. Rehabil-

itation specialists will treat patients

from age 17 to elderly patients with

a range of brain injuries, including

complex stroke, brain hemorrhage,

brain tumors and other brain injury-

related conditions, as well as trau-

matic brain injuries, such as those

caused by motor vehicle crashes,

falls, sports-related concussions

and violence.

“The goal of the program is to

help patients recover as optimally

as possible and facilitate their re-

turn to the most active and highest

level of their functioning after an

acquired or traumatic brain injury,”

said Barry Root, MD, Glen Cove

Hospital’s chair of physical medi-

cine and rehabilitation. “Patients

will benefit from a multidiscipli-

nary clinical team, including a

physiatrist with specialty training in

brain injury medicine; a neuropsy-

chologist; psychiatrists; physical,

speech, recreational and occupa-

tional therapists; rehabilitation

nurses and social workers.”

The 10-bed unit includes eight

single rooms furnished with sleep

sofas for overnight visitors and one

double room. The new facility in-

cludes a modern-designed physical

therapy gym, occupational therapy

treatment area and a studio apart-

ment, complete with kitchen and

laundry area, so patients are able to

practice activities of daily living.

Also included in the new unit are

private speech therapy treatment

rooms, a recreational therapy activ-

ity room and a restorative dining

room.

“Brain injury is a process; it is

not just a single event,” Adam B.

Stein, MD, chair of physical medi-

cine and rehabilitation at the North

Shore-LIJ Health System, said at a

special ribbon-cutting ceremony to

celebrate the facility’s opening.

“Achieving the best outcomes for

patients affected by brain injury re-

quires an integrated team of med-

ical and rehabilitation specialists.

We are fortunate to be part of a

comprehensive health system that

can provide the full continuum of

care, from acute management by

neurosurgeons, neurologists and

physiatrists to inpatient rehabilita-

tion to home and community-based

care.” The brain injury center staff

will work closely with neurovascu-

lar and trauma surgeons at North

Shore University Hospital, LIJ

Medical Center and other hospitals

to provide “seamless care and com-

munication,” as patients transition

from the acute hospital to rehabili-

tation and to home, said Dr. Stein.

“It is critically important for fam-

ily members to be part of the care

team, because brain injury can

cause ongoing disability in terms of

physical, emotional, cognitive and

personality changes,” explained

Dr. Root “The more we work with

patients and their families during

treatment, the smoother and safer

reintegration back to the commu-

nity will be.”

At Friday's opening, Zachary

Young, 23, of Plainview, shared his

story of recovery after sustaining a

brain injury and sudden cardiac ar-

rest in December 2011, which

caused him to lose oxygen to the

brain. After two hospitalizations

and getting implanted with a defib-

rillator to regulate his heart beat,

Mr. Young received treatment at

Glen Cove’s rehabilitation unit in

January 2012, noting that “having

New $4M Inpatient Brain Injury Unit opens at Glen Cove Hospital

Susan Kwiatek, RN, executive director of Glen Cove Hospital, and Zachary Young, a former patient ofthe hospital’s rehabilitation program, cut the ribbon to commemorate the opening of Glen Cove’s newBrain Injury Unit. Joining them for left to right, are: Gene Tangney, senior vice president and regionalexecutive director, North Shore-LIJ; Raj Narayan, MD, chair, neurosurgery, North Shore-LIJ; Adam B.Stein, chair, physical medicine and rehabilitation, North Shore-LIJ; and Ronald Kanner, MD, chair ofneurology, North Shore-LIJ.

my family and friends nearby to

visit made things a lot easier.” At

the time, he was a senior at Bing-

hamton University. “I feel like I got

a second chance,” said Mr. Young.

Due to his brain injury, he expe-

rienced physical and cognitive

challenges, including difficulty

walking, writing, talking and mem-

ory issues. He and his family were

not sure if he’d ever graduate col-

lege or drive a car again. After

three weeks of intensive rehabilita-

tion at Glen Cove, Mr. Young con-

tinued his recovery and graduated

from college in December 2012.

“Although I have slight physical

limitations, my life has gotten bet-

ter…I have more conviction in my

studying and my family has gotten

closer,” he said.

Mr. Young is fulfilling his dream

to become a lawyer and has been

accepted to several law schools.

“My family and I will soon be de-

ciding which school I’ll be attend-

ing in September,” he added.

North Shore-LIJ’s Southside

Hospital in Bay Shore also has an

inpatient brain injury unit, which

together with Glen Cove’s pro-

gram, provides a greater ability to

keep patients closer to their family

members and loved ones.

For more information about Glen

Cove’s Brain Injury Unit, please

contact the Rehabilitation admis-

sion’s office at 516-674-7692.

provided

The numbers are in: North Shore-LIJ hospitals have been recognized with 57 national and regional designations of

excellence by U.S. News and World Report. That’s more than any other health system in New York. For us, it’s an

important validation of the great work being done every day by our teams in specialty areas like cancer care, cardiology,

numerous pediatric specialities, and more. For our patients, it means the security of knowing they’ve made the right

choice for their health care provider. And if you aren’t one of our patients? Now you have 57 new reasons to choose us.

To fi nd a North Shore-LIJ physician, go to northshorelij.com/physician

Hospitals recognized: Cohen Children’s Medical Center – 7 Specialties; Forest Hills Hospital – Gastroenterology and Urology; Glen Cove Hospital – Orthopedics; Huntington Hospital – 11 Specialties; Lenox Hill Hospital – 12 Specialties; Long Island Jewish Medical Center – 7 Specialties; North Shore University Hospital – 11 Specialties; Southside Hospital – 5 Specialties; Staten Island University Hospital – Nephrology. For more information: northshorelij.com/usnews

How Many Prestigious Rankings Did We Receive?So Many That They Don’t All Fit on One Page.



PUBLISHERJoseph P. Belsito

([email protected])

• • •GENERAL MANAGER

James Stankiewicz([email protected])

• • •MANAGING EDITOR

Cathryn Burak([email protected])

• • •SENIOR CORRESPONDENT

Geraldine A. Collier• • •

SENIOR SALES CONSULTANT

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• • •BUSINESS DEVELOPMENT,

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If you are a Hospital employee looking for a mortgage or

refinancing contact Sun Home Loans about their

Hospital Employee Loan Program and you could WIN AN IPAD! See p13

PATIENT SATISFACTION

BUILDINGSee p8

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Senior Citizens have major concerns about Obamacare and for good reason!Most of the savings over the 10 initial years is to shave off an estimated $575 billion to the Medicare

program. Parts of the massive law are designed to appeal to seniors, yet Medicare is already burdened by anunfolded liability of $38 trillion.

Unless Medicare savings are captured and reinvested back into the Medicare program, it will continue todecline.

Medicare drug coverage under Obamacare provides a $250 rebate for seniors who fall into the “donut hole”and requires drug companies to provide a 50 percent discount on brand name prescriptions filled in the hole.

Obamacare has imposed a tax (a “fee”) on the sale of these brand name drugs in Medicare and othergovernment health programs, ranging from $2.5 billion in 2011 to $4.1 billion in 2018. Meanwhile, the lawwill freeze payments to Medicare Advantage plans and restrict physicians from referring seniors in Medicareto specialty hospitals where physicians have an ownership interest. This year, the law eliminates the taxdeductibility of the generous federal subsidy for employers who provide drug coverage for retirees. This couldfurther undercut provision of employment-based prescription drug coverage for seniors.

Hospitals and Doctors are forced to comply with the new rules and sometimes are forced to reducereimbursement for treating senior citizens.

It is critical that the Obamacare savings planned from the Medicare program be reinvested back into theprogram or Medicare will not be there eight to 10 years from now. Our seniors deserve to feel more security.

Please let us know your opinion!Letter to the Editor: Hospital Newspaper, 1 Ardmore Street, New Windsor, NY 12553 or e-mail Jim at

[email protected]

Hospital Newspaper - NY April, 2013 PAgE 7

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If you’d like to reach the health and hospital communities

of New York each month, there is no more cost-effective

way than the Hospital Newspaper.

Call Jim Stankiewicz to place your advertisement:

845-534-7500 *219

Calvary Hospital recently hon-

ored Michael Cashin (Bronx) and

Lucy Tedesco (Nassau County) with

the 2013 Annual Meviar Smith Hu-

manitarian Award. The award,

which has been bestowed since

1988, was created to honor the

memory of 28-year Calvary veteran,

Meviar Smith. Until her death in

1987, Meviar was famous for her

loyalty, conscientious work ethic,

and dedication to the patients at Cal-

vary Hospital. This year’s selection

committee felt that Michael and

Lucy best demonstrated the qualities

for which Meviar was known.

Michael Cashin

Michael was born in the Bronx

and has resided here his entire life.

He completed public school and vo-

cational training and volunteered at

Jacobi Medical Center for a year be-

fore coming to Calvary Hospital.

Michael started in the Housekeep-

ing Department at Calvary in 1978

a few weeks before the new building

opened and helped prepare the

rooms for the arrival of the first pa-

tients. Michael’s dedication and

heartwarming smile is a reminder to

everyone to not let anything get in

the way of performing your job with

enthusiasm and optimism. Michael

resides in the Pelham Bay section of

the Bronx with his brother Bob and

has recently taken up golf as a

hobby.

Lucy Tedesco

Lucy was born and raised in the

Bronx and has resided in Long Is-

land since 1990. Lucy first joined

Calvary Hospital in 1972 and

Meviar Smith was one of her in-

structors. Lucy left Calvary for one

year in 1985 and returned in 1986.

In total, Lucy has been with Calvary

for 41 years.

Lucy enjoys sharing her sto ries

and the history of Calvary to the de-

light of the listener. She is known for

welcoming patients, family mem-

bers and visitors with open arms.

She has been a Cancer Care Techni-

cian (CCT-II) for 13 years, and

worked in the Brooklyn campus for

8 years. Lucy has one daughter, 3

grand children and 1 great grand-

child.

Calvary Hospital is the nation’s

only fully accredited acute care spe-

cialty hospital devoted exclusively to

providing palliative care to adult ad-

vanced cancer patients. A 225-bed

facility with locations in the Bronx

and Brooklyn, Calvary is the model

for the relief of cancer pain and

symptoms for more than a century.

More than 5,600 patients are cared

for annually by Calvary’s inpatient,

outpatient, homecare, hospice, nurs-

ing home hospice, and wound care

services. To learn more, support the

Calvary mission, or sign up for the

Hospital’s e-newsletter, please go to

www.calvaryhospital.org.

Calvary Hospital honors Michael Cashin and Lucy Tedesco, CCT-IIwith 2013 Meviar Smith Humanitarian Award

Michael J. Brescia, MD, Executive Medical Director, Calvary Hospital(center) is flanked by the 2013 Meviar Smith Humanitarian Awardhonorees, Michael Cashin (left) and Lucy Tedesco (right).

provided


It’s not just people that make a hospital. The environment—the infrastructure, architecture, and design—also plays

a key role in hospital viability. As the economy recovers, so does the will to invest in hospital facility upgrades and

construction projects, albeit cautiously and on a smaller scale. And with the potential increase in patient load, coupled

with the link between patient satisfaction, outcomes, and payments, facility investments present a long-term opportunity

to make a positive impact on your bottom line.

A 2011 survey found that patient satisfaction is one of the top three concerns of hospital executives. And in October of

last year, the patient satisfaction stakes rose even higher when the Affordable Care Act tied payment cuts to the Hospital

Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Poor HCAHPS scores will cost

hospitals 1% of their reimbursement, a penalty that will grow to 2% in FY 2017. Among other questions, the survey

asks patients to rate their hospital environment according to cleanliness and noise level—which should make facilities

an essential part of every hospital’s reimbursement strategy.

The 2012 Hospital Construction Survey by Health Facilities Management and the American Society of Healthcare

Engineering reported that the majority of hospitals plan to spend more on renovations than new construction, consistent

with the present climate of fiscal restraint. In this patient-centric, tight budget environment, hospitals need to make

prudent decisions and invest in the right projects at the right price.

Although not traditionally associated with facilities management, group purchasing organizations (GPOs), which provide

access to competitive pricing for a variety of contracts for everything from planning to plumbing and from floor mats to

roofing, make a perfect partner for facilities managers and other decision-makers before and during a renovation or

building project.

Hospitals that work with GNYHA Services from the inception of a construction project can present their proposed plan

and gain access to custom-made supply and other contracts. They can also consult a GPO subject matter expert—

who is armed with a background in construction and/or electrical, architecture, etc.—at any or every stage of the

process. In addition, GPO representatives are available to help facilities managers identify savings through suggested

contracts and can create contracts based on specific needs. GPOs are even equipped to become part of a hospital

emergency preparedness plan, helping to arrange access to medical and non-medical supplies and technology.

Hospitals are realizing that their facilities are fundamental to their overall success, affecting everyday but important

issues, such as patient satisfaction and workflow. With well thought out construction plans and a GPO to maximize

savings on supplies, equipment, and services, hospitals can ensure that they are providing an environment that allows

for the highest possible level of care and brings them to the optimal intersection of cost, quality, and outcomes.

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

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

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

Management (AHRMM).

Ask An ExpertAsk An Expert

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

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

Building Patient Satisfaction


Upgrade your bottom line.Facility upkeep is vital to the safety and satisfaction of your patients and employees. �e GNYHA Services facility maintenance portfolio is designed to help hospitals complete successful repair, renovation, and construction projects with reliable suppliers at signi�cant savings.

Repair and renovation don’t have to be DIY. Call GNYHA Services at (212) 246-7100.

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


Latestinfo fo

r

nurses and

students

By Alison Lazzaro

Valentines Day 2013 was not the usual couples retreat at Bally’s Hotel in Atlantic City

this year. Two-thousand nursing students chose to spend the day at the New Jersey Nursing

Students Inc. 61st Annual Convention. This networking opportunity was themed Kings

and Queens of Hearts: Ace Your Career in Nursing. The year-long diligent planning by a

student run board of nursing students was in full swing on Valentine’s Day.

Eager nursing students began their trip on Wednesday night if they were chosen to

represent their schools as Delegates. The enthusiastic group followed Roberts Rules of

Parliamentary Procedure to conduct business. Thursday was packed with forty-seven

focus sessions on topics from prenatal care to resume workshops, run by the New Jersey

Association of Healthcare Recruiters, to psychiatric-mental health concepts, caring for

the LGBTQ population, political action, and cardiac pharmacology. There was a topic

for every student's unique interest. Simultaneously, a blood drive hosted by the American

Red Cross enabled students to save lives even when they were away from clinical for a day.

Student nurse speakers also discussed the resolutions they prepared in order to present them at the National Student Nurses

Association Convention. NCLEX preparation classes were even available to help students pass after graduation and land

their dream job!

The exhibit hall bustled with NCLEX test preparation organizations, colleges and universities, job opportunities,

uniform sales, and raffle baskets. Students came prepared with resumes and enthusiasm as they professionally greeted

exhibitors. Whether interested in applying to graduate school, ready to face the NCLEX, job searching, or just interested in

seeing what opportunities were available, students were busily networking

throughout the hall.

Thursday night allowed participants to unwind from the long day and

have fun with new acquaintances at the First Night Party. The theme was

"Rodeo Roundup: Lasso in Some Fun" and included Country line dancing

with the western theme. With “Watermelon Crawl” lessons, students came

dressed in cowboy boots to enjoy food and dancing.

Friday closed with the final House of Delegates meeting in which

students prepared speeches to run for a 2013-2014 board position.

Following delegate voting, students could choose to attend a NCLEX

review course or if the exam seemed far away as an underclassman, students could participate in a Disaster Health Services

Response Workshop held by the American Red Cross. The Convention was a huge success and a great way for students

to get more involved in their pre-professional nursing organization.

Nurse’s Viewpoint

Hospital Newspaper Correspondent

61st Annual Convention: Kings and Queens of Hearts: Ace Your Career in Nursing

SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?

In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If you re looking for professional growth and development through leadership experience, come practice in the Air Force. AIRFORCE.COM/HEALTHCARE

AIR FORCE HEALTH PROFESSIONS REGIONAL OFFICE NEW YORK, NY 212-349-2489 [email protected]



Unique RecruitmentOpportunity

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

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

This is your opportunity to displayopportunities for:

Faculty/PhysicianNursingAdministrativeSupport PositionsClinical Care

Medical AssistantsCounselorsMedical ImagingDieticians

Please contact Jim Stankiewicz for more [email protected]

tel: 845-534-7500 x219

Coming off another snowstorm, it’s nice to know that, soon, you can put away the shovel and snow blower.

The weather is about to break. Finally! Believe it or not, spring will soon have finally sprung.

The springtime serves as peak home-buying season. Even though buyers have a greater advantage than they’ve had in

awhile, it’s still easy to take a wrong, frustrating and – gasp – costly turn. But don’t worry: The Sun National Bank Hospital

Employee Loan Program (H.E.L.P). provides six ways to make sure buying a new home proves to be a success.

Hospital Newspaper and Sun Home Loans teamed up to create the H.E.L.P. Program. This exclusive mortgage opportunity

provides discounted fees and low interest rates for firefighters and other members of the emergency services community.

The program offers unmatched rates, minimal lender fees and promises to get clients in their new home by the contract date.

1Be prepared: You will need to do a little homework before you get started looking for a new home. Make sure that

you can locate all the documents necessary for you to be pre-approved for a mortgage. You will most likely need the

following: Your two most recent pay stubs, your last two years W2’s, all of your asset statements, (checking, savings,

401k, stocks, bonds, mutual funds) and last two tax returns. Sit down and work up your budget, know how much you want

to spend before you are told how much you can actually spend.

2Get pre-approved: Call the H.E.L.P. Program to be pre-approved for your new mortgage. Without pre-approval,

you will not know what you can afford to buy. This can get you into a very difficult situation. If you put an offer on a

house without being approved and you can’t afford it, you might be opening the door to some very expensive litigation.

Call the H.E.L.P. Program today and find out what you can afford to buy.

3Ensure you are working with a real estate professional: Ask your H.E.L.P. Program representative if they

can recommend a real estate professional to you. It is extremely important to have a real estate agent that is working

for you and your best interests. A real estate agent will look out for the best deals in your market and are there to

facilitate the negotiating process and the transition to your new home.

4Find a good real estate attorney: A lawyer can help you negotiate the real estate contract and renegotiate it if a

home inspection finds flaws - or an appraisal deems the house less valuable than the sales price. A lawyer also represents

your interests at the closing and does the lion’s share of paperwork and coordination associated with it.

continued on next page

Sun Hospital Employee Loan program provides six waysto make your home purchase a success

Hospital Newspaper - NY April, 2013 PaGe 13

Win an iPad!If you are a member of the hospital community, now is your chance to enter

Sun Home Loans and Hospital Newspaper's contest to win a free iPad.

Just to go our website at www.hospitalnewspaper.com and fill in the entry form.

Once you complete it, you will receive an email that requires you to confirm your

email address. Once you do that you are entered. Hospital Newspaper will also

be accepting applications at all conventions that it attends. A total of Five iPads will

be given away so your chances to win are excellent. Sign up today to win today!

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Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender. NMLS #429900

Sun Home Loans, a division of Sun National Bank,

is proud to serve the heroes in our community

who dedicate their lives to serving the rest of us:

doctors, nurses and other hospital employees.

That is why we teamed up with Hospital News to

create the Hospital Employee Loan Program (HELP).

With a competitive mortgage rate and discounted

fees, this program helps our community heroes

purchase new homes or refinance existing homes.

Plus, the program comes with our pledge to get

hospital employees in their new homes by their

contract dates.

Hospital Employee Loan Program

PROGRAM INFORMATION

We understand that the current economic environment has created

challenges to home ownership. Working with our own resources and

Federal government programs we will create a solution that opens

the path to home ownership.

The Hospital Employee Loan Program delivers these advantages:

» A competitive mortgage rate, available specifically for

hospital employees

» Discounted fees

» Personal service from program specialists

» Our pledge to have you in your home by the contract date

COMMUNITY FOCUS

Sun National Bank, a full-service provider of banking products and

services, is dedicated to playing an active part in the communities

we serve. We support a variety of organizations, events and programs

whose goals are to make our neighborhoods a better place to live and

work and improve the lives of those living around us. Hospital News is

the leading provider of local news and information for doctors, nurses

and other hospital staff.

Learn MoreTo find out more about our Hospital Employee Loan Program, email [email protected] or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.

5Make a firm offer: When you see a

house you want, you’ll make a verbal

offer. If the seller is interested, your

next step is to commit yourself in writing. The

written offer, or contract, is usually drawn up

by the seller’s agent, but if you choose to use

a buyer’s agent and real estate lawyer, they

can negotiate and review that contract on your

behalf. If you end up negotiating the price of

the property, make sure that you check in with

your H.E.L.P. Program representative. You do

not want to overbid the price of the property

and then not be able to qualify.

6Get the home inspected: No matter

how good a house looks and no matter

how much you love it, you want to be

sure it’s sound structurally and in every other

way. If it’s not, you want to know whether the

seller will address the issue before you seal

the deal. If not you have to decide whether

you want to back out of the deal or take care

of the repairs yourself.

H.E.L.P. Program clients enjoy unmatched

customer service and attentiveness throughout

the process - from their initial inquiry - to

closing. Working with its own resources and

Federal government programs, Sun National

Bank develops solutions that open the path to

home ownership.

Sun National Bank provides a full-range of

banking products and services, delivered by

experienced bankers. Personal attention

merges with world-class service and compet-

itive products that meet the needs of today’s

consumers and businesses. Sun National Bank

believes that doing business in the community

means being a part of it.

Whether purchasing a new home or refi-

nancing an existing one, the H.E.L.P. Program

is offered exclusively, providing personal

service, benefits and rates not normally avail-

able to the general public.

“The springtime is the perfect time to

buy a home and we make it even easier with

aggressive products and programs available

to the men and woman who are such an im-

portant part of the fabric of our community,”

said Steven Testa, an executive vice presi-

dent with Sun National Bank. “The H.E.L.P

Program really got off the ground running

and continues to be a success. We are ex-

cited about it and look forward in continuing

to build our relationship with the hospital

community.”

To receive more information about the

program and its benefits, contact Steven

Testa at [email protected] or call 973-615-

9745. Sun National Bank Home Loans and

Hospital Newspaper are not affiliated. All

loans subject to approval. Certain conditions

and fees may apply. Mortgage financing

provided by Sun National Bank Loans, Equal

Housing Lender.

H.E.L.P. Programcontinued from previous page


education & careers

Orange Regional Medical Center was awarded a grant through the New York State Depart-

ment of Labor’s (NYSDOL) Registered Nurse Upgrade Project. The grant supports continued

education of employed Licensed Practical Nurses (LPN) interested in enhancing their aca-

demic credentials to become Registered Nurses (RN) and further strengthen Orange Regional’s

nursing workforce.

Orange Regional’s grant application focused on tuition funding for a select group of cur-

rently employed LPNs to pursue their RN degrees. Orange Regional is proud to support twelve

employees of the LPN to RN Pathway to Excellence Program who are attending programs

offered through local higher educational institutions including Excelsior College, SUNY Or-

ange, SUNY Rockland and SUNY Sullivan. These academic institutions, along with the

1199SEIU health workers union, provided Orange Regional with the support needed to launch

this program.

“This grant reflects a strong support for continued education and training of nurses who

have a critical role within our healthcare system,” says Vice President and Chief Nursing Of-

ficer, Joanne Ritter-Teitel. “Orange Regional has an ongoing commitment to retain highly-

skilled nurses to provide excellent care to those in our community.”

Each nursing scholar has been paired with an Orange Regional mentor that will provide

support and assistance throughout their course of studies. The training is expected to last 18

months and upon completion and RN licensure, graduates will be promoted to carrying out

roles and responsibilities of an RN throughout various units at the Hospital.

To learn about the nursing opportunities available at Orange Regional Medical Center visit

www.ormccareers.org.

Orange Regional Medical Center is a member of the Greater Hudson Valley Health

System.

Orange Regional Medical Center Recipient of Registered Nurse GrantHospital establishes LPN to RN Pathway to Excellence Program

Orange Regional honored its Licensed Practical Nurses and their commitment to lifelong learning. Those who will utilize the LPN to RN Pathway to Excellence Programinclude Heather Sheehan-Essig, Mary Sandvik, Laurie Reina, Jeanette Babcock, Krista Esposito, Christina Fitzula, Gerri Hughes, Mary Gardner, Ingrid Betancur, SuzanneBaker, Rammel Hemmings-Love and Kristy Perini.

Hoper School of Nursing schedules Open HouseHopfer School of Nursing at Mount Vernon Hospital

will host Open House on April 18 at 1:00 PM and 6:00

PM – pre-registration not required - at the school, located

at 53 Valentine Street, Mount Vernon, NY.

Hopfer Administrators and Instructors will provide in-

formational sessions on admission requirements as well

as an overview of the two-year Registered Nursing pro-

gram. In addition to a tour of the School, there will be an

informal question and answer session at both times. Cur-

rent students will be available to provide insight into their

experiences and give helpful advice. Individuals looking

for a nursing program incorporating a high-tech, hands-

on, hospital-based approach in a fast-paced healthcare

system will find what they’re looking for at Hopfer.

Hopfer School of Nursing not only offers its highly re-

garded Associate Degree in Science (Nursing) Program,

but also has established an innovative Dual Degree Part-

nership with Mercy College. Graduating high school sen-

iors with 85% or higher grade point average can now

apply directly to Mercy College for a BS in Nursing Dual

Degree Program with Hopfer School of Nursing. Ac-

cepted students attend Mercy for their freshman year,

where they will fulfill requirements in liberal arts and the

sciences. Then year two and three is accomplished

through classroom instruction at Hopfer, including hands-

on clinical education within the Sound Shore Health Sys-

tem (Sound Shore Medical Center, Mount Vernon

Hospital and Schaffer Extended Care Center). With the

successful completion of the Hopfer requirements, stu-

dents receive an Associate Degree in Science (Nursing)

and are prepared to take the National Council Licensing

Examination. Upon passing the exam, they are qualified

to work as Registered Nurses while they complete their

senior year at Mercy, or students can postpone employ-

ment until they graduate with their Bachelor of Science

in Nursing degrees. This is the only program of its kind

in Westchester County – and one of only a few in New

York State.

Understanding the needs of its students, who are often

balancing personal as well as professional goals, Hopfer

is one of the few nursing schools in Westchester offering

Weekend/Evening Programs. Upon completion of their

Associate Degree requirements, Hopfer students are well

prepared to take the licensing exam for Registered Nurse

(Hopfer graduates had a first-time pass rate in 2012 of

95.65%). If graduates desire to continue their education

after successful completion of the two-year program,

Hopfer has articulation agreements with a number of four-

year Bachelor of Science in Nursing Degree programs.

These educational partners provide a seamless transition

for Hopfer graduates.

To learn more about Hopfer’s century-long tradition of

providing strong academic preparation and hands-on

learning – in a hospital-based setting – please contact Sandra

Farrior, Coordinator of Student Services at 914.361.6472

or by email at [email protected]. To view

Hopfer’s program catalog, visit www.Hopfer.org today.

provided

Hospital Newspaper - NY April, 2013 PAGE 15

Planetree’s Patient-Centered Lean® is a unique methodologythat helps health care organizations balance the

competing demands of efficiency and cost reductionwith the mission of providing personalized and

highly-responsive care to patients and creatinga nurturing work environment for staff.

Its distinctive approach integrates Planetree’swell-established patient-centered care modelwith Lean and Six Sigma methods and best

practices, creating a method of aligning organizational strategic planning with value

stream management to enhance the patient,resident, family and staff experience through

improved operational efficiency and effectiveness.

ResultsA 371- bed teaching hospital has significantly improved patients understandingof their medication regimen. Data shows that patients’ recall of new medicationsincreased from 64% to 92% and explanation of side effects climbed from 18%to 58%.

A 160-bed community hospital is projected to save $400,000/year while maximizing time at the bedside, significantly cut down on ED wait times, and

reallocate 700 nurse hours/year to value added direct patient care time.

Who should attend?All health care practitioners who want to change their workplace through process improvement in order to spend more time caring for patients and families, especiallyQuality Directors, Chief Nursing Officers, Directors of Operations, CEOs, Quality Managers, ED Managers, and Patient Safety Directors.

REGISTRATION—$2,500Register before March 15 and two colleagues from the same organization can attend for the price of one registrationTo register, please email Denise Samartano, [email protected] or call 203-732-1378. For more information about Planetree, visit www.planetree.org.

Northern Westchester Hospital400 East Main Street, Mt. Kisco, New York

April 8-11, 2013

Harnessing the Power of Patient-Centered Lean® to Transform the Patient Experience and Your Bottom Line

Patient-Centered Lean® Practitioner Training

Be the change agent at your organization!Increase time at the bedside with patients and families

Engage and educate patientsReduce wait times

Minimize discharge delaysEnhance staff satisfaction

Cut costs

Sound Shore Health System joins Mid-Atlantic Consortium

Sound Shore Health System

(SSHS) is pleased to announce its

participation in an innovative, non-

profit consortium, through Health

Science Library Association of

New Jersey (HSLANJ). Not only

does HSLANJ encourage profes-

sional development and advance-

ment of librarianship, it is

dedicated to improving the quality

of library services provided by

healthcare organizations. Through

this group licensing initiative,

SSHS is harnessing the consor-

tium’s purchasing power to pro-

vide the latest electronic medical

information, research, journals and

databases for the benefit of its pa-

tients.

Joining more than 100 hospitals

throughout the Mid-Atlantic, in-

cluding Robert Wood Johnson

University Hospital at Rahway,

Long Island Jewish Medical Cen-

ter and Lenox Hill Hospital, SSHS

is ensuring its physicians, medical

and surgical residents, nurses and

allied professionals have up-to-the

minute, interactive, medical infor-

mation at their fingertips 24/7.

Through the partnership with

HSLANJ, Sound Shore Health

System has the most current med-

ical information possible, includ-

ing access to research, journals and

databases.

Since hospital libraries are mov-

ing away from traditional hard-

copy and toward electronic

resources that use audio, video and

interactive applications and links

to bring medical material to life,

participation in the Association is

timely and vital. SSHS’s library

now provides electronic access to

the latest medical information any-

where and anytime it’s needed.

Leading edge technology at cost-

effective prices is the future, and

the future is now at Sound Shore

Health System.

To learn more about Sound

Shore Health System, visit us at

www.soundshore.org.

Good Samaritan Hospital Med-

ical Center’s Pharmacy Department

has scheduled a drug “take back”

day on Saturday, April 27, from

10:00 am to 2:00 pm, in partnership

with the federal Drug Enforcement

Administration. Members of the

community may safely dispose of

unused or expired medications

rather than discarding them in the

garbage or flushing them down the

toilet which could lead to environ-

mental contamination. There will

be bins in the hospital’s main lobby

for the collection of these items.

Good Samaritan successfully

collected more than 300 pounds

of unused medications in 2012.

Unused or expired pharmaceuticals

can pose unnecessary risk to indi-

viduals and the community. Drug

“take back” days offer a safe and

environmentally friendly disposal

program that proactively ad-

dresses potential hazards associ-

ated with improper management.

The program helps protect the nat-

ural environment, avoid accidental

poisoning and helps prevent

against prescription drug abuse.

For further information on the

proper disposal of unused or

expired drugs, please call (631)

376-4444.

Safely dispose of unused/expired drugs

provided


By Stuart Koman, Ph.D.

Although it is the most common

eating disorder, binge-eating disorder

(BED) has not been officially rec-

ognized as a legitimate eating dis-

order – until now.

This spring, when the American

Psychiatric Association (APA)

publishes the fifth edition of The Di-

agnostic and Statistical Manual of Mental Disorders, widely known as DSM-5, binge-

eating disorder will be among the new additions.

The fourth edition, DSM-IV, included binge-eating disorder in its appendix

“for further study.” The addition of binge-eating disorder to the manual legitimizes

the disorder and gives new hope to those who have it. This is a big deal because:

• Nearly half of all states have parity laws that require insurers to cover officially

recognized disorders. While insurers have generally covered BED, they may now

provide more comprehensive coverage.

• DSM is used as a reference for psychiatrists and other healthcare professionals

worldwide. Now, they will have common criteria for diagnosing BED.

• DSM provides healthcare professionals with the language they need to commu-

nicate effectively with patients, their families and insurance companies. Everyone

affected by the disorder will now have consistent, shared language to use when

discussing BED.

• By making BED a legitimate diagnosis, it helps those who have the disorder

from a psychiatric perspective, because they are more likely to accept it and to

seek treatment.

• It should improve research funding. More research would lead to a better

understanding of BED, and hopefully to improvements in treatment and recovery.

• The extensive research behind DSM-5 gives the manual a great deal of credi-

bility. DSM-5 took more than a decade to produce and includes contributions from

more than 1,500 mental health experts.

Identifying Binge-Eating Disorder

Until now, individuals with binge-eating disorder were typically diagnosed as

having EDNOS, which stands for “eating disorders not otherwise specified.”

While insurance companies have generally shown flexibility in covering EDNOS

patients, the failure to meet medical criteria for a disorder puts coverage in question

and may have dissuaded some from seeking treatment.

In addition, being categorize with EDNOS can be distressing to many patients.

They may have a life-threatening disorder, but the medical limbo of EDNOS makes

it not seem like a real eating disorder.

Now, those who meet specific criteria will be diagnosed as having binge-eating

disorder. While DSM-5 will not officially be published until May, publication

available online during a comment period included the following criteria. To be

diagnosed with BED, a patient would:

• Eat, in a discrete period of time (e.g., within a two-hour period), an amount

that is definitely larger than most people would eat in a similar period under sim-

ilar circumstances.

• Feel loss of control over eating during the binge. Those with BED believe they

cannot stop eating; they cannot control what or how much they eat.

Also, they must have three or more of the following symptoms:

• Eat an unusually large amount at one time. It’s difficult to define how much is

typically consumed during a binge, but studies show that consumption in the

average binge ranges from 2,000 to 5,000 calories.

• Eat much more quickly during binges than during normal eating episodes.

• Eat until physically uncomfortable and nauseated due to the amount of food

consumed.

• Eat when depressed or bored.

• Eat large amounts of food even when not hungry.

• Often eat alone during periods of normal eating, because of feelings of embar-

rassment about food.

• Feel disgusted, depressed or guilty after binging.

• Binge, on average, at least once a week for three months.

• Binge in a manner not associated with the recurrent use of inappropriate com-

pensatory behavior.

Like others with eating disorders, binge eaters almost always suffer from one or

more additional disorders, such as depression.

Binge eaters typically become obese over time, but not everyone who is obese

has binge-eating disorder. BED has a cognitive aspect lacking in those who are obese

and do not have binge-eating disorder. When those who have BED binge, they think

about it to the point where it ruins their day. They feel guilty and either do not eat

or restrict their eating for the rest of the day.

It is important to diagnose BED in those who are obese, because unless it is treated

and the patient recovers, any treatment for obesity has the potential to fail over time.

If a patient with BED has weight-loss surgery, for example, he or she may continue

to struggle with loss of control over eating, especially once the post-operative period

of severely limited eating passes.

The first step for medical professionals who want to determine if their patients

have BED should be to use a screening questionnaire, such as the SCOFF Ques-

tionnaire, which is similar to the CAGE Questionnaire used by medical profes-

sionals to evaluate alcohol use. There is also a Binge Scale and Night Eating

Questionnaire.

Combining Therapies

As with other eating disorders, successful treatment of binge eating typically

requires a combination of therapies. Using these therapies, the prognosis for recovery

is usually good.

Treatment typically begins by educating patients about their condition, so they

are more aware of their eating patterns and can identify triggers that influence how

and what they eat.

Typically, cognitive-behavioral therapy (CBT) is the most effective treatment.

CBT integrates behavior therapy with cognitive psychology and is based on the idea

that changing maladaptive thinking can change behavior.

The therapist provides information, guidance, support and encouragement. Goals

include normalized eating, the reduction or elimination of binging and a reduction

in eating behavior triggered by mood and events. Cognitive goals include improving

the patient’s self-esteem and weight-related concerns.

When patients fail to respond to CBT combined with interpersonal therapy,

dialectical behavioral therapy (DBT) is typically used. DBT combines cognitive

behavioral techniques for regulation of emotion, and reality testing with distress

tolerance, acceptance and mindful awareness. DBT seeks to reduce binging by

improving adaptive emotion-regulation skills.

Behavioral weight-loss therapy is another option, but many believe that it is best

for the patient to recover from BED before addressing weight loss.

What works for one individual does not necessarily work for another, so treatment

should be based on an in-depth diagnosis and a plan developed by a team, covering

medical, behavioral and nutritional care, while also considering co-occurring disorders.

Depending on how far the disorder has advanced, in-patient care or residential

care may be necessary to help the patient become medically stable and to begin

intensive therapy. Insurers have often been resistant to that level of care, but they

may be more flexible because of DSM-5.

When there are co-occurring disorders – and there are more often than not – it is

critical to treat them concurrently. Otherwise, another disorder will likely become

more advanced as the patient makes progress with BED. Many in the industry are

hopeful insurers will be increasingly supportive of treating co-occurring disorders

concurrently because of DSM-5.

With the publication of DSM-5, the APA is acknowledging that BED is a real dis-

order. That’s something that those who have BED have long known. Now that pro-

fessionals in the field have acknowledged the reality of BED, it should get the

attention it warrants as America’s most common eating disorder.

Stuart Koman, Ph.D. is President and CEO of Walden Behavioral Care in

Waltham, Mass. He can be reached at [email protected].

Binge-Eating Disorder gets real

Consultants Corner


northwestS E M I N A R S

(800) 222-6927www.northwestseminars.com

EMERGENCY MEDICINE UPDATE CME

2013May 6-9

Monterey, CaliforniaSeptember 23-26

Las Vegas, NevadaNovember 4-8Maui, Hawaii

2014January 20-23

Duck Key, FloridaFebruary 2-7

Providenciales, Turks and CaicosFebruary 10-14

Telluride, Colorado

March 17-20Las Vegas, Nevada

April 12-19Western Caribbean Cruise

May 19-22New Orleans, Louisiana

July 21-25Yosemite, California

September 15-18Las Vegas, Nevada

December 9-12Paradise Island, Bahamas

Franklin Hospital ranks among Top US Hospitals, Best on Long Island for Orthopedics

Franklin Hospital executives and heads of the orthopedics department with the2013 Healthgrades award.

Franklin Hospital recently an-

nounced that it has been ranked the

best on Long Island for overall or-

thopedics and among the top 10

percent of all hospitals in the US for

its orthopedic surgery outcomes in

2013, according to Healthgrades, a

leading national independent rat-

ings group.

Franklin has received a five-star

rating from Healthgrades in total

joint replacements for three con-

secutive years (2011 – 2013) and

the following designations this

year:

• Healthgrades Orthopedic

Surgery Excellence Award

(2013);

• Ranked ninth in New York

State for overall orthopedic

services (2013);

• Ranked best on Long Island

for overall orthopedic services

for the last three years (2011 –

2013);

• Five-star recipient for overall

orthopedic services (2013);

• Five-star recipient for total

knee replacement for the last

three years (2011 - 2013); and

• Five-star recipient for hip

fracture treatment for the last

two years (2012 - 2013).

“Healthgrades’ recognition of our

orthopedic achievements under-

scores the clinical excellence of our

orthopedic staff and their extraordi-

nary teamwork,” said Catherine Hot-

tendorf, RN, Franklin’s executive

director. “Franklin Hospital has dis-

tinguished itself throughout Long Is-

land and the entire metropolitan area

for the quality orthopedic services it

provides to its patients. We are grate-

ful to our dedicated and talented staff

for all of their hard work as well as

the community for its support.”

Giles Scuderi, MD, vice presi-

dent of the North Shore-LIJ Health

System orthopedic service line,

said, “Once again achieving a five-

star rating from Healthgrades,

Franklin Hospital orthopedics has

shown that the ability of everyone

to work together as a team toward a

common goal is key to success and

national recognization.”

“It is very rewarding to have our

talented orthopedic team help hun-

dreds of patients continue their

every-day activities and have a bet-

ter quality of life with the help of

our services,” said Gus Katsigior-

gis, DO, chief of orthopedics at

Franklin Hospital.

Franklin’s rankings can be found

in the American Hospital Quality

Outcomes 2013: Healthgrades Re-

port to the Nation. Healthgrades an-

alyzed approximately 4,500 hospitals

across the country for procedures

performed between 2009 and 2011.

Patients who are treated in Health-

grades’ five-star-rated hospitals have

about a 61 percent lower risk of hav-

ing a complication from their treat-

ment than those patients in hospitals

that received one-star ratings.

For more information about

Franklin’s orthopedic services, call

516-256-6606.

provided


Hailey’s Hope Foundation supports Orange Regional Medical Center’sRowley Family Birthing Center

Organization donates NICU equipment

From L to R: Nursing Director of Rowley Family Birthing Center; Cindy Chapman, Neonatologist;Dr. Manuel DeCastro, Orange Regional Medical Center Foundation President; Christine Maraia, Hai-ley’s Hope Foundation Board Members; Dawn Singer, Debra Randazzo and Ann Siegel.

Hailey’s Hope Foundation, a

Goshen-based nonprofit organiza-

tion dedicated to helping meet the

special needs of families with pre-

mature babies in New York area

Neonatal Intensive Care Units

(NICUs), has donated equipment to

Orange Regional Medical Center’s

NICU located in the Rowley Fam-

ily Birthing Center.

Hailey’s Hope Foundation donated

a digital infant scale, breast pumps as

well as a digital camera outfitted with

a printer so new parents may have

photos of their newborn. In addition,

the organization often provides fam-

ilies of NICU patients with financial

support including lodging, gas cards

and assistance with breast pump

rental fees, if needed.

“The support provided by Hai-

ley’s Hope Foundation is invalu-

able to the families and babies we

care for,” says Orange Regional

Medical Center’s Nursing Service

Administrator of Women and Chil-

dren, Theresa Fay Conte, RN-C,

MSN. “We look forward to contin-

uing our partnership with Hailey’s

Hope Foundation and our ability to

assist families in need.”

For more information about Or-

ange Regional Medical Center’s

Neonatal Intensive Care Unit, visit

www.ormc.org/nicu. To learn more

about Hailey’s Hope Foundation,

please visit www.haileyshopefoun-

dation.org.

About Orange Regional’sRowley Family Birthing

CenterThe Rowley Family Birthing

Center, located on the sixth floor of

the Hospital, is a state-of-the-art fa-

cility where moms deliver in a nur-

turing, safe and comfortable

environment. The Birthing Center

includes a high-tech security sys-

tem, 12 private labor/delivery and

recovery rooms, 23 private post-

partum rooms, private triage rooms

and two operating rooms for cae-

sarean delivery. Each room has a

bathroom with a soothing shower,

scenic views, HDTV, an individual

thermostat and sleeper sofa for

birthing partners. The Level II

Neonatal Intensive Care Unit

(NICU) provides specialized care

for newborns in need. The 10-bed

unit complements current perinatal

provided

services and provides a full array

of specialized equipment and de-

livery room coverage along with

all required support services

around the clock. Full-time neona-

tologists affiliated with Maria

Fareri Children’s Hospital at

Westchester Medical Center and

specially trained neonatal nurses

and nurse practitioners will provide

expertise and support to you and

your infant.

Hospital Newspaper highlights

one hospital per month as

the centerfold feature.

Great way to get

information about

your facility

to interested readers.

Hospital of the Month!

For more details contact:Jim Stankiewicz at

845-534-7500 ext. [email protected]

Scan this barcode with your smart mobile device to see Hospital of the Month examples on www.hospitalnewspaper.com


TTHHEE WWIINN

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AASSTTEE

RRSSOONN BBUURRKKEE RREEHHAABBIILLIITTAATTIIOONN HHOOSSPPIITTAALL

EXCEL LENCE IN R EHAB I L I TAT ION FOR NEARLY 100 Y EARS

PROGRAMS:• Amputee• Joint Replacement• Brain Injury• Cardiopulmonary• Neurological• Orthopedic• Spinal Cord Injury• Stroke Recovery

785 Mamaroneck AveWhite Plans, NY 10605888.99.BURKEwww. Burke.org

Founded in 1915, Burke Rehabilitation Hospital is the

only hospital in Westchester County dedicated to

rehabilitation medicine. Burke offers inpatient and

outpatient programs for those who have experienced a

disabling illness, traumatic injury or surgery. Burke is

both a rehabilitation hospital and medical research

institute. Burke's doctors and therapists provide the

highest quality treatment, while its research scientists

explore the frontiers of rehabilitation medicine. All share

the Burke mission to ensure that every patient makes the

fullest possible recovery.

Where You GoFor Rehab Matters

Rehab + Research = Results

B U R K E

Burke Rehabilitation Hospital’s Dr. Barry Jordan named to NCAA Concussion Task Force and Pop Warner Advisory Committee

Barry Jordan MD, MPH,

assistant medical director of

Burke Rehabilitation Hospital

in White Plains has been

selected to be part of the

National Collegiate Athletic

Association (NCAA) Con-

cussion Task Force that will

begin meeting in April to

study the issues surrounding

sports concussions in student

athletes.

“It is an honor to be se-

lected to be part of a group of

people dedicated to protect-

ing our young athletes from

this serious trauma,” said Dr.

Jordan, who is also director

of Burke’s Brain Injury Re-

habilitation program.

Over the last eight years,

the NCAA’s Injury Surveil-

lance Program found that the

rate of concussions for the

NCAA overall is 1.9 concus-

sions per 1,000 game-related

exposures when injuries can

occur. This has remained

steady even as efforts have

been made to better recog-

nize and treat this injury.

During the 2011 NCAA foot-

ball season, 2.5 concussions

were reported for every 1,000

periods of athletic activity.

"We need to get a better

idea of the epidemiology of

the situation and see what

we're dealing with," Dr. Jor-

dan said. And that is exactly

what the task force will at-

tempt to do. According to

NCAA Chief Medical Offi-

cer Brian Hainline, M.D., the

goal of the dozen physicians

and scientists on the task

force is to try to make sense

out of everything—to come

to a consensus about what is

known, unknown and how to

move forward. The task force

will also look at concussions

from what is causative versus

correlative, and determine a

management plan. The re-

sults will then be submitted

to the NCAA Board that

will evaluate the findings

and determine the next

course of action.

The NCAA says this

process will take place

over the next few years

and that there is no time-

line for the completion of the study.

In addition to the NCAA Task

Force, Dr. Jordan has also been in-

vited to join the Pop Warner Foot-

ball Medical Advisory Committee.

The committee is led by physicians

with expertise in neuro-medicine

and sports safety. It focuses on the

prevention, proper identification

and treatment of concussions; and

increasing awareness regarding hy-

dration, proper nutrition, and health

and safety issues, especially for

those involved in football and

cheerleading.

The committee was formed in

2010 by Pop Warner Little Schol-

ars, Inc., a non-profit organization

that provides youth football and

cheer and dance programs for about

425,000 participants aged 5 to 16

years old, in 42 states and several

countries around the world, to en-

sure Pop Warner remains proactive

on all medical issues that affect

youth sports.

“As a former Pop Warner Foot-

ball player, I am delighted to be part

of the committee and look forward

to helping keep our young athletes

playing and, most importantly,

playing safely,” Dr. Jordan said.

Dr. Jordan is committed to the

safety of athletes at all levels. Along

with the NCAA and Pop Warner,

Dr. Jordan serves as the chief med-

ical officer of the New York State

Athletic Commission, team physi-

cian for U.S.A. Boxing, and a mem-

ber of both the National Football

League (NFL) Players Association

Mackey-White Traumatic Brain In-

jury Committee and the NFL

Neuro-Cognitive Disability Com-

mittee.

provided

PAgE 20 April, 2013 Hospital Newspaper - NY

ARCHITECTURE

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

specializes in the design and construction of hospital andhealthcare facilities. Our focus: high-quality design, excellentservice, and client satisfaction.

We have worked for over 100 hospitals and another 200private healthcare facilities, across the United States.Our project types have included all hospital and healthcareservice groups, including:

Adult Day Care, Alcoholism Treatment Facilities, AmbulatorySurgery Centers, Assisted Living, Cancer Centers, Cardiac Cath,Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Derma-tology, Dialysis Clinics, Doctors Offices, Drug Treatment Fa-cilities, Elder Care, Employee and Student Health SupportServices, Emergency Departments, Emergency Preparedness,Endoscopy, ENT, Expert Witness, Group Practices, Hospices,Hospitals, Infectious Disease, Information Systems, IntensiveCare, JCAHO Survey, Joint Commission Survey, Laboratories,Master Plans, Medical Offices, Medical Equipment, MedicalLibraries, Medical Records, Neurology, Nursing Homes, Oph-thalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facil-ities, Pathology, Patient Safety Consulting Services, Pediatric,Pharmacy, Physical Fitness and Sports, PT/OT, Primary CarePrograms, Psychiatric, Radiology, Rehabilitation, Senior CitizenFacilities, Sleep Centers, Social Services, Statement of Condi-tions, Surgical Suites and Ambulatory Surgery Centers, UrgentCare Centers, and USP 797 Consulting Services.

The firm's projects have won design awards from Progres-sive Architecture, Architectural Record, and the ArchitecturalWoodworking Institute, and have been published in Advance,Health Facilities Management, Medical Technology Today,Bio/Technology, Progressive Architecture, ArchitecturalRecord, Design Solutions, Hospitality Design, Sound andCommunication, Contract Design and Hospital Newspaper.

Architectural Services include: programming, planning,design, construction documents, bidding and negotiation, andconstruction administration.

The firm also offers sustainable or “green” healthcare design.The firm has a number of LEED-accredited professionals, hassuccessfully completed numerous green healthcare projects, andhas published articles on “Greening the Healthcare Environment”.

Project Management (or Owner’s Representative Services)is offered as a stand-alone service through our affiliated projectmanagement company, Empire Projects, Inc. (www.empire-projects.com).

Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001

Contact: William N. Bernstein, AIAManaging Principal

Tel: 212.463.8200 • Fax: [email protected]

NEW YORK - HARTFORD - PRINCETON

BARIATRIC EQUIPMENT& PRODUCTSTSK PRODUCTS

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

It is a much more comfortable than using a hard bedpan.The 6" height of the Wedgie lifts the patient's pelvis significantlyhigher then a bedpan, thus allowing physicians to perform abetter exam. The Wedgie's unique cutout design allows thephysicians to maneuver their speculum in all directions withoutinterference.

The Wedgie can support patients weighing up to 350 lb. It ismade of a medical grade foam and an anti-microbial, anti-bacte-rial, tear resistant, and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectant products. Optionaldisposable protective covers and wall holders are available.

12 Windsor Drive, Eatontown, NJ 07724www.tskproducts.com

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

CAREER MANAgEMENT

Connect with Leading

Healthcare Recruiters

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

Executive Search Consultants

Healthcare executives are in demand. Are you being con-sidered for the top leadership jobs? Join BlueSteps today toput your resume and confidential careerprofile at the fingertips of over 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcare and lifesciences recruiting. In addition to a unique connection to theexecutive search community, BlueSteps also provides a suiteof proactive career management tools including:

• a free resume review and career consultation• access to the International Executive Search

Firm Directory• exclusive information on hundreds of active

executive searches• online brand management tools• career management content and events

specifically for senior-level executives

As a service of the Association of Executive SearchConsultants, you can rest assured that your career detailswill be confidentially and securely managed withinBlueSteps. Unlike other mass job boards, only the highestcaliber executive search consultants (all members of theAESC) will have access to your BlueSteps profile. Eachyear, AESC members recruit for over 70,000 of the highestlevel executive positions globally, many of which are neveradvertised publically.

Join BlueSteps today and receive 15% OFF your membership!

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

exclusive discount.

Contact [email protected] to learnmore or for assistance getting started!

CONTRACT/PRACTICE MANAgEMENT SERVICES

MED�EXCEL USA

Providing Emergency Medicine Excellence for over 20 years

EMERgENCY MEDICINE

CONTRACT MANAgEMENT

Physician Owned and Managed

Award winning Customer Relations Program

Continuous Quality Improvement

Risk Management Innovations

Cost Containment

Measurable Outcomes

EMERgENCY MEDICINE SERVICES

CONSULTATION SERVICES

Customer Satisfaction

TeamBuilding/Staff Development

Conflict Mediation

ED Systems Analysis

PRACTICE MANAgEMENT SERVICES

Hospital and Physician

Billing/Coding/Auditing/Consultation

NEW YORK BASED OFFICEMED�EXCEL USA

Please contact Marie Buchanan at 800.563.6384 Ext. 249

[email protected] inquiries are confidential

EDUCATION

Prepare for a Career in Healthcare Sector Management at Long Island University.

Earn an advanced certificate or an M.B.A. degree in thegrowing field of healthcare management at Long IslandUniversity’s Hudson Graduate Center at Westchester.

Demand for healthcare managers with business skills hasnever been greater. Responding to this need, Long IslandUniversity has launched a new Healthcare Sector Managementprogram, offering two graduate study options in the field ofhealthcare administration.

After completing your advanced certificate or your M.B.A. atthe University’s Hudson Graduate Center at Westchester, youwill be prepared to advance in middle and upper managementpositions in the healthcare industry.

Option A: The Advanced Certificate in HealthcareSector Management

Enhance your credentials by enrolling in the advancedcertificate program. Certificate candidates will complete fourhealthcare sector management courses for a total of 12graduate credits on a part-time basis in just two semesters.

Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration

Students in the M.B.A. program follow the standard 48-creditcurriculum, normally completed by part-time students over a24-month period, with a focus on leadership in healthcareorganizations.

The Healthcare Sector Management Program will be offeredat Long Island University’s Hudson Graduate Center atWestchester, located on the grounds of Purchase College, 735Anderson Hill Rd., Purchase, N.Y. Courses are offered onweekday evenings and on Saturdays.

“The healthcare management field is one of the few sectors of oureconomy we know will continue to grow significantly over thenext five years,” according to Dr. Lynn Gunnar Johnson, directorof the M.B.A. Healthcare Sector Management program.

For information, contact Dr. Johnson at 914-931-2711 [email protected].

Long Island UniversityHudson Graduate Center at Westchester

735 Anderson Hill Rd.Purchase, NY 10577

RESOURCE DIRECTORY

Contact Jim Stankiewicz

to find out how

your organization can be

featured in our

Resource Directory.

845-534-7500 ext.219

Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com

Hospital Newspaper - NY April, 2013 PaGe 21

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

Quick, easy to use and patient friendly.

The technology requires no calibration.

From beginning to end the test takes under 60 seconds.

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

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


HOSPITALS

Calvary HospitalFounded in 1899, Calvary Hospital is the nation’s only

accredited acute care hospital devoted to palliative care foradult advanced cancer patients. Its mission is to address thephysical, psychological, and spiritual needs of patients andtheir families. Calvary’s continuum of care includes inpatient,outpatient, home hospice, nursing home hospice, home care,and the care of complex wounds. Press Ganey has consistentlyranked Calvary among the top one percent in patient satisfactionamong 7,000 hospitals in the country.

Each year, Calvary cares for more than 6,000 patients andtheir families. It cares for inpatients at its 200-bed hospitalin the Bronx and at its 25-bed Brooklyn satellite at LutheranMedical Center.

Calvary@Home offers home care, hospice, and nursinghome hospice for patients suffering from advanced cancer andother chronic and acute terminal illnesses.

• Home care is available in the Bronx, Queens, Manhattan,and lower Westchester.

• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.

• Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.

In 2004, Calvary opened the Center for Curative andPalliative Wound Care at its Bronx facility. Since then, ateam of experienced physicians, surgeons, and certified woundcare nurses has helped more than 800 patients to date withcomplex chronic wounds caused by complications of diabetes,cancer, venous and arterial disease, and other illnesses.

For more information, visit www.calvaryhospital.org orcall the following numbers: Calvary Hospital (718) 518-2300,Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.

NURSING HOMEJewish Home Lifecare is one of the premier non-profit

geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily

through traditional long term care, subacute care, rehabilitation services, community services and seniorhousing programs. These services are offered on theHome's three campuses in Manhattan, the Bronx, andWestchester at the Sarah Neuman Center for Healthcareand Rehabilitation, as well as through our Lifecare Serv-ices Division, which provides programs throughout themetropolitan area.

Many levels of care are provided by the Home's healthsystem so that as needs change, individuals can transferfrom one level of care to another. Skilled nursing andmedical care are provided 24 hours a day by on-site clin-ical staff as well as a complement of physicians represent-ing a full range of medical specialties.

The Home also educates and trains physicians andmedical professionals in geriatrics. In an unprecedentedteaching program with Mt. Sinai School of Medicine, over2400 fourth year Mt. Sinai Medical School students haveparticipated in a mandatory rotation program at the Home.

A strong component of the Home's activities includeconducting research to improve the quality of life of olderadults. Jewish Home Lifecare is the home of the LesterEisner, Jr. Center for Geriatric Education, the SaulAlzheimer's Disease Special Care Unit (Bronx), theGreenberg Center on Ethics in Geriatrics and Long TermCare and the Center on Pharmacology for the Elderly(COPE).

The Home has added a new service titled, CONNEC-TIONS, an information and referral service for the profes-sional and lay communities, connecting people toprograms.

Jewish Home Lifecare - Manhattan - Bronx - Sarah Neuman Center

120 West 106th Street, New York, New York, 10025

Call Connections Information and Referral at 212- 870-5919 or 800-544-0304

SENIOR LIVING

Getting better…. just got better.

We are proud to announce that our stunning new nursingcenter has opened and has private and semi-private roomswith magnificent views of Long Island Sound.

United Hebrew is a not-for-profit, non-sectarian, multi-servicesenior living campus serving the Westchester metropolitan areasince 1919. Our dedicated short-term rehabilitation suite is staffedby Burke Rehabilitation professionals. The exemplary clinicalteam of professionals will design a personalized treatmentplan for care in our nurturing environment. Features includecountry kitchens, recreation rooms on each floor, a courtyardgarden for recreational use, private dining and family roomsand wireless internet access.

United Hebrew Family of Services:

• Nursing Home Care

• Burke Rehabilitation at United Hebrew

• Willow Towers Assisted Living Residence

• Soundview Apartments for Independent Seniors

• Long Term Home Health Care Program

• Azor Home Health Agency

For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff [email protected].

United Hebrew 391 Pelham Road, New Rochelle, NY 10805

914.632.2804www.uhgc.org

RESOURCE DIRECTORYWORKERS’ COMPENSATION

HOSPITAL WORKERS HAVE YOU BEEN INJURED

ON THE JOB?

Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits

1.You must report the accident or injury as soon as possible, even ifyou might not lose time from work or need immediate medical care.

2. Report all injuries to all body parts, no matter how minorthey may seem. If you do not report it and the injury getsworse over time, the job may deny benefits.

3. Remember, you are entitled to treatment and benefits evenif you have previously injured the same body part in a prioraccident. Do not let the job tell you different.

4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the expe-rienced attorneys at BAGOLIE FRIEDMAN can fight to getit approved at no cost to you.

5.When you are released from treatment, you may be entitledto money for your injury and disability. You may also collectfor repetitive stress, cumulative trauma, cancer, hearing loss &hepatitis.

6.Contact Attorneys Ricky Bagolie or Alan Friedman now fora confidential and free consultation and to discuss your workers'compensation and disability rights. There is no fee if there is norecovery.

BAGOLIE FRIEDMAN, LLCWorkers' Compensation & Disability Attorneys

CALL TOLL fREE 1-866-333-3529(After Hours / Emergency Number - 201-618-0508)

The Five Corners Building - 660 Newark Ave Jersey City, NJ07306 • (201) 656-8500

790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

BF

www.bagoliefriedman.com

NEW PRODUCT TECHNOLOGY

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular

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

PLACEYOUR AD HERE!

Contact Jim Stankiewicz

to find out how

your organization can be

featured in our

Resource Directory.

845-534-7500 ext.219

Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com

Contact:Bob Goldbacher

(609) [email protected]


Calling All Emergency Responders

When everysecond counts...Count on NitroMist®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

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

Available in 90 & 230 spray bottles.

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

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

Not Actual Size

Count on NitroMist

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

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

Available in 90 & 230 spray bottles.

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

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

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

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

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

212.481.5777 x51668 | AlliedBarton.com/HCReform2014

Preparing for Change: The Impact of Healthcare Reform

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If the full measures of healthcare reform legislation go into effect as planned in 2014, it could have a major impact on your vendors. Featuring the security industry as an example, learn how Healthcare Reform will impact your service providers and therefore, you. Learn about your options.

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Documents

Hospital Newspaper New York April edition