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2018 STEMI Brochure
5th Annual Western New England Regional STEMI Conference September 26, 2018 Acute Myocardial Infarction Network 8:25 AM - 4:30 PM Cardiovascular Conference Springfield Country Club 1375 Elm Street Jointly provided by Baystate Heart and Vascular Program and Baystate Health Continuing Interprofessional Education West Springfield, MA Goal: The goal of this educational activity is to support ideal care for our patients and the health of our community. Program Schedule Audience: This course is designed for cardiologists, hospitalists, 8:00 Registration, Continental Breakfast & Exhibits primary care physicians, physician assistants, emergency medicine physicians, EMTs, paramedics, nurse practitioners, 8:25 Opening Remarks nurses and cardiovascular technologists. Amir Lotfi, MD, FRCPC, FSCAI Associate Professor of Medicine Objectives: After participating in this educational activity, Tufts University School of Medicine attendees should be able to: Associate Chief, Cardiology Division Baystate Medical Center • Identify the profound impact of the social determinants of health on C-V 8:30 Slippery Slope of Cardiovascular Care risk and outcomes. Gray Ellrodt, MD* • Define some of the barriers in the community for Risk Factor Modification. Professor of Medicine • Recognize some of the ways that you can alleviate some of the barriers for University of Massachusetts Medical School Risk Factor Modification and steps to take to do this Chair, Department of Medicine Chief Quality Officer • Describe how early application of appropriate interventions for cardiogenic Berkshire Medical Center shock (including medical therapies, revascularization, temporary hemo- dynamic support devices, and durable mechanical circulatory support) may 9:05 Barriers in the Community for Risk Factor Modifications improve outcomes. Frank Robinson, PhD* Vice President, Public Health • Recognize the symptoms and causes of refractory cardiogenic shock due to Baystate Health myocardial infarction. -
Contact Place
Contact Place Title Contact First Contact Last Phone Number E-Mail Address Street Address 1 Street Address 2 City State Zip Action for Boston Community Development (ABCD) Elder ServicesNicci Meadow (617) 348-6340 [email protected] 178 Tremont Street Boston MA 02111 Alzheimer's Association of Springfield Marcia McKenzie (413) 787-1113 [email protected] 264 Cottage Street Springfield MA 01104 American Cancer Society Crystal Brown (413) 493-2100 [email protected] 59 Bobola Road Holyoke MA 01040 American Lung Association Ann Ottalagana (413) 505-5062 [email protected] 393 Maple Street Springfield MA 01105 Amherst Health Department Julie Federman [email protected] Bangs Center 70 Boltwood Walk Amherst MA 01002 Amherst Survival Center Tracey Levy (413) 549-3968 x202 [email protected] 1200 North Pleasant Street PO Box 9629 North Amherst MA 01059-9629 Angels Take Flight Tamara Blake (413) 426-8801 [email protected] PO Box 240 Chicopee MA 01001 Athol Board of Health Deb Karan (978) 249-7934 [email protected] Athol Town Hall 584 Main Street, SuiteAthol 1 MA 01331 Baystate Health - Office of Government & Community Relations Annamarie Golden (413) 794-7622 [email protected] 280 Chestnut Street Sixth Floor Springfield MA 01199 Baystate Medical Center Susan Dejoy [email protected] Baystate Medical Center Rebecca G. Feinberg [email protected] Baystate Medical Center Dr Sarah Goff (413) 794-1018 [email protected] 3300 Main Street 4th floor Springfield MA 01199 Baystate Medical Center Dr Ksenia Tonyushkina, MD (413) 794-3510 [email protected] 759 Chestnut Street Room 3592 Springfield MA 01199 Baystate Medical Center Paul Visintainer, Ph.D. -
Baystate Health, Inc. Attachments
BAYSTATE HEALTH, INC. AMENDMENT TO DoN PROJECT #1-3B36 TABLE OF EXHIBITS JULY 31, 2018 Attachment 10.5.a Describe the Proposed Change Attachment 10.5.b Describe the Associated Cost Implications to the Holder Attachment 10.5.d Provide a Detailed Narrative, Comparing the Approved Project to the Proposed Significant Change, and the Rationale for Such Change A. Staff Summary for Approved DoN Original Decision Letter Amendments to Approved DoN 1. Staff Summary 2. Original DoN Approval Letter 3. Amendment Approval Letters (6) B. Project GSF C. Plans D. Historic Volume and Projections E. Articles of Organization and Amendments F. Notice ofintent G. Affidavit of Truthfulness and Compliance 578496.1 Baystate Medical Center Amendment to DoN Project #1-3B36 Attachment 10.5.a Describe the Proposed Change 1 Baystate Medical Center Amendment to DoN Project #1-3B36 10.5.a Describe the proposed change. Background Baystate Medical Center, Inc. (“Holder” or “Hospital”) received approval from the Department of Public Health on November 14, 2007 for new construction of a seven (7)-story addition for the replacement of medical/surgical beds, the addition of eighteen (18) medical/surgical beds and thirty (30) critical care beds, and other ancillary and support service replacements, improvements, and additions. In addition, the original DoN approval authorized the construction of a new building known as the "Hospital of the Future" ("HOF"). As part of a long-term strategic plan, the HOF was designed to include shell space that could be built out as required to meet the Hospital's service needs. The inclusion of shell space was intended to provide design flexibility that met identified future service and patient needs. -
Emergency Behavioral Health Services
ALERT #24 ___________________ October 5, 2007 EMERGENCY BEHAVIORAL HEALTH SERVICES POLICIES AND PROCEDURES FOR EMERGENCY SERVICES PROGRAMS AND HOSPITAL EMERGENCY DEPARTMENTS FOR MBHP MEMBERS AND UNINSURED CONSUMERS The following information should be communicated immediately to other appropriate staff in your organization. The Massachusetts Behavioral Health Partnership (MBHP) is the company that manages behavioral health (mental health and substance abuse) services for MassHealth’s Primary Care Clinician (PCC) Plan Members*. Additionally, MBHP is contracted with the Department of Mental Health to manage most of the Emergency Services Programs (ESPs) across the Commonwealth. In that role, MBHP is issuing this Alert to hospital Emergency Departments (EDs), MBHP network providers, and other interested stakeholders in order to provide clarification and guidance relative to the management of behavioral health emergencies in the ED setting. More specifically, this Alert delineates the roles and responsibilities of the Emergency Services Programs (ESPs) and describes an individual’s progression through this system, with a goal of expediting his or her movement through the hospital ED and into acute behavioral health services, as medically necessary. ESPs function as a “safety net” for all citizens of the Commonwealth regardless of age, payer, or ability to pay. It is important to note that the policies and procedures in this Alert applies to those populations for whom the ESPs are contracted with MBHP to serve, which includes MBHP members, MassHealth (non-MCO enrolled) Members, uninsured consumers, and DMH consumers. However, it is also important to note that MassHealth also requires the four Managed Care Organizations (MCOs) contracted with MassHealth to utilize the ESP system for emergency behavioral health services for MassHealth MCO enrolled Members. -
Annual Report of the Massachusetts Commission on Mental Diseases Of
TH** •O0«-»iA Public Document No. 117 SECOND ANNUAL EEPOET Massachusetts Commission on Mental Diseases THE COMMONWEALTH OF MASSACHUSETTS Year ending November 30, 1917. BOSTON: WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 32 DERNE street. 1918. Publication of this Document approved by the Supervisor of Administration. TABLE OF CONTENTS. * PAGE Members of the Commission and List of Officers, 5 Letter of Transmission to Governor and Council, 7 Duties of the Commission, ..... 9,10 Activities of the Commission, ..... 10-15 Review of the Year: — All Classes under Care, ..... 16,17 The Insane, ....... 17-23 The Feeble-minded, . 23,24 The Epileptic, ....... 24,25 Report of the Pathologist, ..... 25-54 Reports of Committees on Nursing Service, . 54-61 Out-patient Departments, ..... 61-71 Commitments for Observation and Temporary Care, 71-73 Stability of Service, ...... 74,75 Capacity for Patients, ..... 76-78 Institutions : — Public 79-127 Private, . 127-130 Unlicensed Homes, . 131 Family Care of the Insane, .... 131-134 The Commission: — Proceedings of, . 135 Plans and Specifications, ..... 135 Estimates of State Expenses for 1918: — The Commission, 135, 136 Maintenance Appropriations, 136-138 Special Appropriations, .... 139-142 Financial Statement of Commission, 143, 144 Support Department, ..... 145-148 Deportations, ....... 148, 149 Transfers, ....... 150 Financial Department, . 150 General Matters : — New Legislation, ...... 151-160 Nineteen-year Statement as to Special Appropriations, 160-162 Financial Statistics, ....... 163-201 General Statistics, ....... 203-265 Directors^ of Institutions, ...... 266-278 Index, ......... 279-286 Digitized by the Internet Archive in 2010 with funding from Boston Library Consortium IVIember Libraries http://www.archive.org/details/annualreportofma1917mass2 Members of the Massachusetts Commission on Mental Diseases. -
Community Choice Acute Care Hospital Listing Effective July 1, 2017 When You Use a Community Choice Hospital, You Pay a $275 Inpatient Copay Per Calendar Quarter
UNICARE STATE INDEMNITY PLAN Community Choice Acute Care Hospital Listing Effective July 1, 2017 When you use a Community Choice hospital, you pay a $275 inpatient copay per calendar quarter. Community Choice members can also use additional hospitals for the same $275 copay for certain complex procedures and neonatal ICUs. To look for hospitals, go to unicarestateplan.com and, under the Quick Links tab on the Members page, select Look for health care providers. When you use non-Community Choice hospitals, your out-of-pocket costs are higher. Addison Gilbert Hospital Lawrence Memorial Hospital Anna Jaques Hospital Leominster Hospital (UMass Memorial) Athol Memorial Hospital Leonard Morse Hospital Baystate Franklin Medical Center Lowell General Hospital Baystate Medical Center Mary Lane Hospital (Baystate) Berkshire Medical Center Massachusetts Eye and Ear Beth Israel Deaconess Medical Center – Boston Melrose-Wakefield Hospital Beverly Hospital Mercy Medical Center Brockton Hospital Merrimack Valley Hospital Burbank Hospital (UMass Memorial) Milford Regional Medical Center Cambridge Hospital Milton Hospital (Beth Israel Deaconess) Cape Cod Hospital Morton Hospital Carney Hospital Mount Auburn Hospital Charlton Memorial Hospital Nashoba Valley Medical Center Children’s Hospital Boston Needham Hospital (Beth Israel Deaconess) Cooley Dickinson Hospital New England Baptist Hospital *Dana-Farber Cancer Institute (Boston location only) Noble Hospital (Baystate) Emerson Hospital Norwood Hospital Everett Hospital (formerly Whidden Hospital) Plymouth -
Berkshire Medical Center Community Benefits Report –Fiscal 2005
Community Benefits Report Fiscal Year 2005 Berkshire Medical Center Pittsfield, Massachusetts Berkshire Health Systems 1 BERKSHIRE MEDICAL CENTER COMMUNITY BENEFITS REPORT –FISCAL 2005 Table of Contents I. INTRODUCTION Berkshire Medical Center Overview Medical Center Mission Statement Medical Center Value Statement II. COMMUNITY BENEFITS MISSION STATEMENT III. COMMUNITY BENEFITS PLANNING Historical Perspective Community Benefits Planning Process Needs Assessment and Data Sources Identification of Priority Areas Review, Evaluation and Plan Update IV. COMMUNITY BENEFITS PLAN AND IMPLEMENTATION Priority Areas: • Cardiovascular Disease/Diabetes/Cancer • Health Risk Factors/Prevention • Access to Physicians • Supply of Health Professionals • Access to Healthcare • Injury Prevention • Parenting Skills • Sexually Transmitted Diseases • Depression • Substance Abuse • Youth Risk Issues • ADHD • Dental Health • Asthma • Coordination of Care • Education for Family Providing Care • Bilingual Issues V. COMMUNITY BENEFITS PROGRAMS • School Partnerships • Operation Better Start • Advocacy for Access • Physician and Clinician Recruitment Program • Women’s Imaging Center Program 2 • Emergency Preparedness • Accent on Health and Worksite Wellness • Cardiovascular Disease/Diabetes Education/Stroke Prevention • Healthier Berkshires Initiative • Injury Prevention • Dental Sealant Program • Cancer Care • Walk with Me in the Berkshires • Sprout Environmental Initiative • Substance Abuse Leadership Program • Depression Screenings • Health Information Center -
Lawrence General Hospital
Massachusetts Hospital Payment Variation 2015 2016 Share of # Hospital Relative Relative Commercial MA Acute Hospital Commercial Relative Price (Weighted Average 2016) Price Price Payments Statewide Results Published By CHIA February 2018 1 Baystate Noble 0.681 0.682 0.2% Baystate Noble Hospital 2 Holyoke Medical Center 0.722 0.728 0.2% Holyoke Medical Center 3 Lawrence General 0.754 0.736 0.4% Lawrence General Hospital 4 Anna Jaques 0.756 0.743 0.5% Anna Jaques Hospital 5 Baystate Wing 0.749 0.752 0.2% Baystate Wing Hospital 6 Cambridge Health Alliance 0.797 0.754 0.6% Cambridge Health Alliance 7 BIDH - Milton 0.760 0.757 0.4% Beth Israel Deaconess- Milton 8 Massachusetts Eye & Ear 0.833 0.760 Massachusetts Eye & Ear 9 Heywood Hospital 0.752 0.763 0.4% Heywood Hospital 10 Signature Brockton 0.785 0.787 0.7% Signature Brockton Hospital 11 Mercy Medical Center 0.806 0.796 0.6% Mercy Medical Center 12 HealthAlliance 0.781 0.804 0.4% HealthAlliance Hospital 80% of Average 13 Emerson 0.846 0.824 1.1% Emerson Hospital 14 Steward Morton 0.855 0.837 0.4% Steward Morton Hospital 15 Milford Regional 0.840 0.840 1.1% Milford Regional Medical Center 16 Lowell General 0.822 0.850 1.6% Lowell General Hospital 85% of Average 17 Northeast Beverly 0.867 0.851 1.3% Northeast Hospital 18 MetroWest 0.856 0.853 1.0% MetroWest Medical Center 19 Steward Holy Family 0.859 0.857 0.7% Steward Holy Family Hospital 20 Winchester Hospital 0.892 0.865 1.6% Beth Israel Deaconess - Plymouth 21 BIDH - Plymouth 0.861 0.865 0.8% Winchester Hospital Underpaid Hospitals -
Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System
COMMONWEALTH OF MASSACHUSETTS HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System March 2016 About the Health Policy Commission The Health Policy Commission (HPC) is an independent state agency established through Chapter 224 of the Acts of 2012, the Commonwealth’s landmark cost-containment law. The HPC, led by an 11-member board with diverse experience in health care, is charged with developing health policy to reduce overall cost growth while improving the quality of care, and monitoring the health care delivery and payment systems in Massachusetts. The HPC's mission is to advance a more transparent, accountable, and innovative health care system through independent policy leadership and investment programs. The HPC’s goal is better health and better care at a lower cost across the Commonwealth. II | HEALTH POLICY COMMISSION Community Hospitals at a Crossroads: Findings from an Examination of the Massachusetts Health Care System Introduction 2 Executive Summary 5 Section I. Definitions, Data Sources, and Methods 11 Section II. Background: Community Hospitals in Massachusetts 14 Section III. The Value of Community Hospitals to the Massachusetts Health Care System 22 Section IV. Challenges Facing Community Hospitals 35 Section V. From Community Hospitals to Community Health: Building a Path to a Thriving Community-Based Care System 68 COMMUNITY HOSPITALS AT A CROSSROADS | 1 Introduction Massachusetts has been a national leader in ensuring access to high quality health care for its residents and, with the passage of the Commonwealth’s landmark 2012 health care cost containment law, Massachusetts took significant steps to again lead the nation in efforts to slow the growth of health care costs. -
Massachusetts Hospital Profiles Technical Appendix Data Through Fiscal Year 2014
CENTER FOR HEALTH INFORMATION AND ANALYSIS MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX DATA THROUGH FISCAL YEAR 2014 NOVEMBER 2015 CHIA center for health information and analysis Technical Appendix Overview Acute and non-acute hospitals included in Massachusetts Hospital Profiles- Data through Fiscal Year 2014 were profiled on service, payer mix, quality, utilization, revenue, and financial performance. Multi- acute hospital systems were profiled based on financial performance and utilization metrics. Details for each of these metrics are included in this technical appendix. The Center for Health Information and Analysis (CHIA) relied on the following primary data sources to present financial information: the DHCFP-403 Annual Hospital Cost Report (403 Cost Report), the Hospital Discharge Database (HDD), the Hospital Standardized Financial Statement Database, and Audited Financial Statements. Unless otherwise noted, metrics included in this report are based on financial data reported by acute and non-acute hospitals from Fiscal Year (FY) 2010 to FY14. Discharge data from FY14 included in the acute hospital analysis was reported by acute hospitals in the Hospital Discharge Database, unless otherwise noted. Descriptive acute and non-acute hospital information is from FY14. Hospital 403 Cost Report: The 403 Cost Report is submitted each year by acute and non-acute hospitals and it contains data on costs, revenues, and utilization statistics. Acute hospitals are required to complete the 403 Cost Report based on a fiscal year end of September 30 regardless of their actual fiscal year end. Non-acute hospitals complete the 403 Cost Report based on their actual year end. Hospital Discharge Database (HDD): HDD data is submitted quarterly by acute hospitals and it contains patient-level data identifying charges, days, and diagnostic information for all acute inpatient discharges. -
Wayfair Preferred (Narrow) Network Plan Hospitals
Wayfair Preferred (Narrow) Network Hospitals Hospital Name City State Addison Gilbert Hospital Gloucester MA Anna Jaques Hospital Newburyport MA BayRidge Hospital (acute psychiatric hospital) Lynn MA Beth Israel Deaconess Medical Center—Boston Boston MA Beth Israel Deaconess Hospital—Milton Milton MA Beth Israel Deaconess Hospital—Needham Campus Needham MA Beth Israel Deaconess Hospital—Plymouth Plymouth MA Beverly Hospital Beverly MA Boston Children’s Hospital Boston MA Boston Medical Center Boston MA Brigham and Women’s/Mass General Health Care Center at Patriot Place Foxborough MA Cambridge Health Alliance—Cambridge Campus Cambridge MA Cambridge Health Alliance—Somerville Campus Somerville MA Cambridge Health Alliance—Whidden Campus Everett MA Carney Hospital Dorchester MA Clinton Hospital Clinton MA Cooley Dickinson Hospital Northampton MA Emerson Hospital Concord MA Faulkner Hospital Jamaica Plain MA Good Samaritan Medical Center Brockton MA HealthAlliance Hospitals—Burbank Campus Fitchburg MA HealthAlliance Hospitals—Leominster Campus Leominster MA Heywood Hospital Gardner MA Holyoke Medical Center Holyoke MA Lahey Hospital and Medical Center Burlington MA Hospital Name City State Lahey Medical Center Peabody MA Lawrence General Hospital Lawrence MA Lawrence Memorial Hospital Medford MA Lowell General Hospital (includes the campus Lowell MA formerly known as Saints Medical Center) Massachusetts Eye and Ear®´ Infirmary Boston MA Mass General/North Shore Center for Outpatient Care Danvers MA Melrose-Wakefield Hospital Melrose MA Mercy -
Boston Stroke Scale
Boston Stroke Scale Facial Droop Patient shows teeth ⁂ One side of face moves less well Arm Drift Patient closes eyes and extends both arms straight forward for 10 seconds ⁂ One arm drifts, drops, or is weaker Speech Patient repeats short phrase ⁂ First attempt is slurred, wrong, or mute All local ERs are stroke centers except BMC E. Newton, Children's Hospital Boston, and West Roxbury VA Glasgow Coma Scale Adult Burn Estimation Eye Opening Spontaneous (A) · 4 To voice (V) · 3 To pain (P) · 2 Eyes do not open (U) · 1 Verbal Response Oriented · 5 Confused or disoriented · 4 Inappropriate words · 3 Meaningless sounds · 2 No speech · 1 Motor Response Obeys commands · 6 Localizes pain · 5 Withdraws from pain · 4 Decorticate flexion · 3 Decerebrate extension · 2 Burn Centers No movement · 1 ⁂ Brigham and Womens ⁂ Children's Hospital Boston ⁂ Massachusetts General Hospital Pediatric Burn Estimation APGAR Appearance Entire body pink · 2 Torso pink with limbs cyanotic · 1 Entire body cyanotic · 0 Pulse Over 100 · 2 Under 100 · 1 Pulseless · 0 Grimace Coughs/withdraws/sneezes · 2 when stimulated Facial response only · 1 when stimulated No response to stimulation · 0 Activity Active movement · 2 Some muscle flexion · 1 Muscles completely flaccid · 0 Respiration Strong, normal cry · 2 Weak, slow, or irregular cry · 1 Apneic · 0 Pediatric Vitals Trauma Centers RR HR BP KG Adult Trauma Centers Newborn 30–60 100–160 60–80 3–5 ⁂ Beth Israel Deaconess • I 6 mos 25–40 90–120 80–100 7 ⁂ BMC Menino • I 1 yr 20–30 90–120 80–100 10 ⁂ Brigham and Women's •