Medical Staff News Newsletter for the Medical Staff of Bridgeport Hospital | January 2018
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Medical Staff News Newsletter for the Medical Staff of Bridgeport Hospital | January 2018 From the Medical Staff Office that was due in large part to receiving the Medicaid funds that were in doubt for much of the year. Happy New Year! If you have seen the new Newborn ICU, you know how I thought I would start off with good news. I have started important the infrastructure updates are to our patients to talk about our performance on what I consider to be the and staff. It is magnificent! best quality measures: the Centers for Medicare & Medicaid I also wanted to let everyone know that Robert Folman, Services’ 30-day mortality measures. MD, is retiring from the medical staff. Bob has been the We are statistically better than the national average in three driving force behind the growth and development of the of six categories: acute myocardial infarction, heart failure cancer services we have provided at Bridgeport Hospital. and pneumonia. We are average for stroke, coronary artery In addition to that, he also stepped up for the hospital in bypass grafting and chronic obstructive pulmonary disease. a time of need and assumed the presidency of the Medical Only 10 percent of hospitals are better than average on Staff Executive Committee. Bob has improved not just the one measure. Only 48 hospitals nationwide, or 1.2 percent, lives of his patients, but also the lives of all the patients are better than average in three or more categories. Our who came here with cancer. His efforts didn’t just improve peer group includes Massachusetts General Hospital, the cancer care, they made us a better hospital! He is going to Cleveland Clinic and the Mayo Clinic in Scottsdale. Good be missed. company to keep. Michael Ivy, MD, Chief Medical Officer While there are no perfect measures and no perfect risk- adjustment calculations, I believe these statistics are the best at assessing the overall quality of an acute care hospital. The measures are rolling three-year, risk-adjusted Alert: IV Fluids Shortage calculations. The methodology is rigorous and fair and it is There continues to be critical shortages of IV solutions nearly impossible to game the system. I view them as overall and IV bags and connection devices, largely driven by the hospital measures, because so many people at the hospital devastation in Puerto Rico. This just adds to the national are involved in the care of these patients. From the ED to shortage of numerous medications, including some of the the cath lab, to the OR, to the ICUs and the floors. most commonly used in our hospital. While it probably goes without saying, performance relies We have been sharing in many directions with the other on the medical staff, nursing staff, respiratory therapists System hospitals, but now, we are all challenged by limited as well as PT, OT and speech therapists. The care of these supplies of medications and fluids. Due to this unfortunate patients requires the lab, radiology, facilities, environmental national crisis, we have to change how and when certain services, food and nutrition, blood bank, patient transport products are ordered. We regularly send out messaging and IT to all be working at a high level. so you are aware, and often use Epic screenshots to We are also happy about the new state of Connecticut communicate and educate on alternative medications and budget. As I write this, the improved Medicaid alternative methods of ordering. Many of these supplies reimbursement included in the budget will mean millions will not be readily available for several months. If you of dollars to Bridgeport Hospital that can be spent updating have specific questions, please call our Pharmacy team at and improving our aging infrastructure. We ended up 203-384-3252. having a successful year as a hospital in fiscal year 2017, but 1 Clinical redesign in inpatient therapy Primary Care Center earns As mentioned in December’s Medical Staff News, the Patient-Centered Medical Home status inpatient therapy department has received increased The Bridgeport Hospital Primary Care Center has been staffing as part of a clinical redesign titled the Optimal recognized as a Patient-Centered Medical Home (PCMH) Utilization of Therapy (OUT). The goal of this redesign is by the National Committee for Quality Assurance to decrease length of stay and increase patient outcomes (NCQA), a leading national healthcare accreditation at Bridgeport Hospital. The redesign is divided into three organization. The Primary Care Center is a cornerstone of components that include timely evaluation of the patient by Bridgeport Hospital’s safety net services for underserved therapy, early mobility of the patient by non-therapy staff, and underinsured patients. It received nearly 35,000 and improved plan of care compliance. patient visits during the past year. Physicians can contribute to the success of this clinical Physicians linked to the recognition include Yaw redesign in three important ways: Amoateng-Adjepong, MD; Adiba Geeti, MD; Mahfuz Hoq, 1. Place therapy orders for OT/PT evaluations on patients MD; Kevin Panzer, MD; Michael Smith, MD; and who have a skilled need Wei-Teng Yang, MD. 2. Place therapy orders for OT/PT at as soon as the patient While 54 Northeast Medical Group (NEMG) practices is stable and can benefit from therapy have been certified as PCMHs, Bridgeport Hospital is the first hospital in Yale New Haven Health to earn 3. Emphasize with all patients who do not have bedrest the designation. orders the importance of getting out of bed each day. In a PCMH, patient treatment is coordinated by a 4. The therapy team would like to thank the Medical Staff primary care physician to ensure that necessary care is in advance for assistance with the Optimal Utilization of provided when and where needed, in a manner patients Therapy efforts as well as Drs. Mahfouz Hoq, Shea Gregg can understand. and Manisha Gupta for their involvement and support throughout this process. According to NCQA, a PCMH puts patients at the forefront of care, builds better relationships between patients and caregivers, and improves quality and patient experience while reducing healthcare costs by avoiding unnecessary Caregivers honored by patients hospital and emergency department visits, mitigating The Bridgeport Hospital Foundation announced the health disparities and improving patient outcomes. following clinical staff members were recognized by patients in November with a gift to the Honor Your Caregiver program: Rebecca Bonetti, RD; Bridgeport Milford Rehab and Wellness Center Hospital Labor & Delivery Room Staff; Bridgeport Hospital earns award Women’s Care Center Staff; Marc D’Amato, PA-C; Neal Fischbach, MD; Renee Moye, RN; Kim O’Neill, LMT (4 The Yale New Haven Hospital Rehabilitation and Wellness gifts in her honor). Center at Milford Hospital, which consolidated the former inpatient rehabilitation units at Bridgeport and Yale New Haven hospitals, has earned the Press Ganey Guardian of Save the Date Excellence Award. Under the leadership of former Patient Services Manager Patti Strasburger, who led the former The Physician Leadership Retreat will be held at Tashua Bridgeport Hospital unit, patient satisfaction scores have Knolls Country Club on Feb. 8, 2018. consistently achieved at the 95th percentile. 2 New physicians Jessica Kenemuth, DMD Melvin Thornton, MD Surgery/Dentistry Obstetrics / Gynecology Commerce Park Dental Group CT Fertility Associates 4702 Main St 100 Technology Dr., Suite 210 Bridgeport, CT 06606 Trumbull, CT 06611 Phone: 203-371-8282 Phone: 203-373-1200 Fax: 203-371-8498 Fax: 203-416-5445 Medical School: University of Pennsylvania School of Dental Medical School: Washington University, St. Louis, MO Medicine, Philadelphia, PA Residency: Ob/Gyn, LAC+USC Medical Center, Los Angeles, CA Residency: General Practice Dentistry, Jamaica Hospital, Queens, NY; Fellowship: Pelvic Surgery, Cleveland Clinic, Cleveland, CA; Pediatric Dentistry, Montefiore Medical Center, Bronx, NY Reproductive Endocrinology, LAC+USC Medical Center, Board-Certified: American Board of Pediatric Dentistry Los Angeles, CA Board-Certified: American Board of Obstetrics & Gynecology; Eric Nelson, MD American Board of Reproductive Endocrinology/Infertility Surgery / Urology Pediatric Urology Associates Nathan Douglass, MD 1200 High Ridge Road Surgery / Orthopedics Stamford, CT 06905 Orthopaedic & Sports Medicine Center Phone: 203-359-4211 888 White Plains Road Fax: 203-327-4211 Trumbull, CT 06611 Medical School: Tufts University School of Medicine, Boston, MA Phone: 203-268-2882 Residency: Surgery / Urology, Thomas Jefferson University Hospital, Fax: 203-452-3099 Philadelphia, PA Medical School: Columbia University, New York, NY Fellowship: Pediatric Urology, Texas Children’s Hospital, Houston, TX Residency: Orthopedic Surgery, Stanford University Medical Center, Board-Certified: American Board of Urology, American Board of Stanford, CA Pediatric Urology Fellowship: Hand Surgery, Stanford University Medical Center, Stanford, CA Sarah Rosasco, MD Radiology Marina Polskaya, MD Advanced Radiology Consultants Hospital Medicine / Medicine 3 Enterprise Dr., Suite 220 Yale New Haven Hospital Rehabilitation and Wellness Center Shelton, CT 06484 at Milford Hospital Phone: 203-384-3876 300 Seaside Ave. Fax: 203-364-1156 Milford, CT 06460 Medical School: University of Connecticut School of Medicine, Phone: 203-876-4000 Farmington, CT Fax: 203-876-4198 Residency: Radiology, Yale New Haven Hospital Medical School: Russian State Medical University, Moscow, Russia