Medical Staff Bulletin
Medical Staff News
Newsletter for the Medical Staff of Bridgeport Hospital | May 2019
From the desk of the CMO Medical Staff Survey underway
We are growing. Tat’s a good thing! Te leadership teams of Yale New Haven Health (YNHHS) and Yale School of Medicine (YSM) invite members of the Bridgeport Hospital’s medical staf is larger than ever, medical staf and faculty to participate in the joint 2019 and we continue to expand. We have more primary care Engagement Pulse Survey, May 13 - June 3. Administered by physicians than ever before, new specialists, and we are Press Ganey Associates, Inc., the confdential survey consists made up of an incredibly diverse group of physicians and of a limited number of questions to help gauge engagement other practitioners representing solo practices as well as across the health system and School of Medicine. very large practices. To access the survey, follow the link included in an email All of that means that I may not cross paths with you in the sent directly from Press Ganey on May 13. All members parking garage or the medical staf lounge or the hallways of the YNHHS medical staf and YSM faculty are included or on the units as ofen as I’d like. I do hope you will in the survey, as are all clinicians, educators and researchers continue to join us at our forums, monthly breakfasts in the at YNHHS and YSM. New hires afer April 8, 2019, are medical staf lounge, receptions throughout the year and, not included. perhaps most importantly, Safety Rounds with medical staf. Note that medical staf members employed by NEMG But even if I haven’t seen you in person lately, I (and all and advanced practice providers employed by one of the of the leadership team) still need to hear from you! We hospitals or NEMG will be asked to take both the are conducting a brief survey (also referred to as a Medical Staf/Faculty Engagement Pulse Survey and the ‘pulse’ survey) designed to be completed quickly. It’s 15 YNHHS Employee Engagement Pulse Survey. questions and can easily be flled out on a smartphone— no exaggeration. I tested it on my phone. Te survey runs Survey results will be disseminated to leadership by late from mid-May through the very beginning of June. summer. Anyone with questions or problems with the survey should contact Alison Tighe ([email protected]) Finally, I want to give a shout-out to our residents and at 203-384-4790. fellows who are about to graduate. Our very talented trainees have come from around the world and I hope you’ll join me in wishing the best to those who will stay in the area (of course) but also those who are pursuing additional Facility and security emergency codes training or careers across the country and even farther. I change to “plain language” also want to thank all of you who have shaped their careers and lives. As preceptors and mentors, we may never realize On May 1, Yale New Haven Health hospitals converted the impact we have. facility and security emergency announcements from color codes to plain language. Te change provides clear and Ryan O’Connell, MD, Interim Chief Medical Ofcer consistent messages during emergency events throughout the health system.
Te plain-language changes do not apply to each hospital’s medical codes. Tese codes remain the same, but they’re
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now announced as medical codes, i.e., “Medical alert: YNHHS expands upon HRO safety efforts Code Blue, East Tower 9.” with “Just Culture” Te security and facility code plain-language changes are Yale New Haven Health embarked on its journey to become based on national best practice and a Connecticut Hospital a high reliability organization more than fve years ago. Association recommendation. Plain-language codes have been shown to reduce confusion and provide more accurate While HRO eforts have signifcantly reduced events of information for staf, patients and visitors. unintended harm, we have the opportunity to reduce events further. YNHHS’ ultimate goal is zero serious safety events Examples of facility and security code changes include: for patients and staf. - Previous fre alarm activation: Code Red New code example: “Facility alert: Fire alarm activation, YNHHS is committed to eliminating all events of harm, for North West 10.” the patients we care for and for our dedicated employees and physicians. - Previous disaster alert: Code D New code: “Facility alert: Bridgeport Hospital’s Achieving this important goal requires an environment Emergency Operations Plan has been activated due in which employees can receive coaching and support to fooding.” when reporting errors, or even near misses, without fear of retribution. Our next step on this journey is creation of a Other plain-language facility emergency codes cover fair and just culture. decontamination, evacuation/relocation, hazardous material release, mass casualty, utility/technology As a result, YNHHS is formally embracing the Just Culture interruption and weather. Security plain-language codes model, which has a successful track record in other high- cover active shooter/assailant, bomb threat, combative consequence, high-risk industries such as aviation and patient and suspicious package. nuclear power. Tis model provides an environment where employees feel safe, and it is the frst step toward reducing Check your department for fyers listing the new codes. workplace stress. When stress is reduced, resilience increases. Flyers can also be downloaded from the YNHHS Marketing and Communications intranet site: Te Just Culture model is consistent with YNHHS’ vision, http://intranet.ynhh.org/hsc/marketing_communications/. mission and values because it emphasizes patient-centered In addition, a brochure listing new codes is available for care in collaboration with staf who share our values. It free on the Yale New Haven Print Center underscores our commitment to shared accountability. http://marketplace.ynhhs.org/. Te Just Culture model does more than ensure fairness in the workplace. It focuses on aligning employee and organizational values and expectations; learning from Professionalism award winners named error; helping staf make better behavioral choices; and during Resident and Fellow continually auditing and improving our systems through Appreciation Week human factors engineering – all with the ultimate goal of producing better outcomes. During Resident and Fellow Appreciation Week, hosted by the GME ofce in April, program directors recognized Te model is a powerful driver to encourage high reliability residents with the Professionalism Award for their sustained behaviors and a catalyst to a robust, open, reporting and exemplary communication skills and interpersonal behavior. learning culture. It holds all staf accountable in a fair Winners had been nominated by students, peers, faculty manner, but in an environment that promotes resilience and others. Te Professionalism Award winners: and learning over punishment. Medicine: Giorgio Mottola, MD, PGY 2; Anton Stolear, MD, Watch for more information about YNHHS’ eforts to create PGY 2; and Tiberiu Mogu, MD, PGY 3 a Just Culture, including training that will be provided to Ob/Gyn: Rodrigo Fernandez, MD, PGY 2; and leaders from across the system over the next few months. Joel Messom, MD, PGY 4 Radiology: Neeraj Bhatt, MD, PGY V Podiatry: Scott Bastian, DPM, PGY 2
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15393_BH_Medical_Staff_News_May.indd 3 5/16/19 11:43 AM New Physicians Residency: Internal Medicine, Montefiore New Rochelle, New Rochelle, NY Board Certification: American Board of Internal Medicine Ichiro Ikuta, MD Radiology Department Rajat Virmani, MD YUSM Department of Radiology and Biomedical Imaging Internal Medicine/Hospitalist 35 Park St., New Haven, CT 06511 NEMG – YNHH Hospitalists Phone: 203 --200 2328 20 York St., New Haven, CT 06510 Medical School: SUNY Upstate Medical University, Phone: 203 --688 4748 Syracuse, NY Medical School: Ross University School of Medicine, Internship: Transitional Year, Mary Imogene Bassett Hospital, Roseau, Dominica Cooperstown, NY Residency: Internal Medicine Montefiore Medical Wakefield Campus Residency: Radiology, Norwalk Hospital, Norwalk, CT Division, Bronx, NY Fellowship: Neuroradiology, Yale New Haven Hospital, New Haven, CT Ang Zhang, DO Lawrence Saperstein, MD Internal Medicine/Hospitalist Radiology Department Northeast Medial Group -Bridgeport Hospital YUSM Department of Radiology and Biomedical Imaging 267 Grant St., Bridgeport, CT 06610 35 Park St., New Haven, CT 06511 Phone: 203-384 -4677 Phone: 203 --200 2328 Medical School: Lake Erie College of Osteopathic Medicine, Medical School: Duke University School of Medicine, Erie, PA Durham, NC Residency: Internal Medicine, Jersey City Medical Center, Jersey City, NJ Internship: General Surgery, Stanford University School of Medicine, Board Certification: American Board of Internal Medicine Palo Alto, CA Fellowship: Interventional Research, Stanford University Medical Center, Cheyenne Beach, MD Stanford, CA Pediatric Department/Cardiology Residency: Diagnostic Radiology, Columbia University of Physicians YNHH Pediatric Cardiology and Surgeons, NY; Nuclear Medicine, Columbia University, New York, NY 1 Park St., New Haven, CT 06510 Board Certification: American Board of Radiology, American Board of Phone: 203 --785 4081 Nuclear Radiology Medical School: University of Connecticut School of Medicine, Farmington, CT Christopher Faludi, MD Residency: Pediatrics, Children’ s Hospital of Pittsburgh, Pittsburgh, PA Internal Medicine/Hospitalist Fellowship: Pediatric Cardiology, Children’ s Hospital of Pittsburgh, Gaylord Specialty Healthcare Pittsburgh, PA 50 Gaylord Farm Road, Wallingford, CT 06492 Board Certification: American Board of Pediatrics Phone: 203 --284 2800 Medical School: St. George’ s School of Medicine, Nada Ghoneim, MD West Indies, Grenada Pediatric/Neonatology Residency: Internal Medicine, RWJ Barnabas Health JCMC, Jersey City, NJ YUSM Section of Neonatology Board Certification: American Board of Internal Medicine 20 York St., New Haven, CT 06511 Phone: 203 --688 2320 Mark Mauriello, MD Medical School: University of Texas, Dallas, TX Internal Medicine/Hospitalist Residency: Pediatrics, Baylor College of Medicine, Houston, TX Gaylord Hospital Fellowship: Neonatal -Perinatal Medicine, Baylor College of Medicine, 50 Gaylord Farm Road, Wallingford, CT 06492 Houston, TX; Yale New Haven Hospital, New Haven, CT Phone: 203 --284 2800 Board Certification: American Board of Pediatric Medical School: St. Christopher College of Medicine, Ross University School of Medicine, Roseau, Dominica Sandra Mattison, MD Residency: Baton Rouge General Medical Center, Baton Rouge, LA Obstetrics/Gynecology Women’ s Obstetrics and Gynecology, P.C. Dione Mbame, MD 115 Technology Drive, Trumbull, CT 06611 Hospitalist Medicine Phone: 203 --269 2239 Bridgeport Hospital Services (NEMG) Medical School: Loma Linda University, Loma Linda, CA 267 Grant St., Bridgeport, CT 06610 Residency: Ob/Gyn, Geisinger Medical Center, Danville, PA Phone: 203-384 -4677 Board Certification: American Board of Obstetrics and Gynecology Medical School: Eastern Virginia Medical School, Norfolk, VA Kelly Olino, MD Residency: Internal Medicine, SUNY Health Center, Brooklyn, NY Surgery/General Surgery Board Certification: American Board of Internal Medicine Yale Division of Surgical Oncology 330 Cedar St., New Haven, CT 06520 Suparna Saha, MD Phone: 203 --785 3577 Internal Medicine/Hospitalist Medical School: The Johns Hopkins School of Medicine, NEMG – YNHH Hospitalists Baltimore, MD 20 York St., New Haven, CT 06510 Residency: General Surgery, The Johns Hopkins Hospital, Baltimore, MD Phone: 203 --688 4748 Fellowship: Surgical Oncology, Memorial Sloan Kettering Cancer Center, Medical School: St. George’ s University School of Medicine, New York, NY St. George, Grenada Board Certification: American Board of Surgery Residency: Internal Medicine, Mount Sinai School of Medicine, Elmhurst, NY; Internal Medicine, Stony Brook University School of Saurabh Malhotra, MD Medicine, Stony Brook, NY Pathology Department Milford Hospital Leomerto Somera, MD 300 Seaside Ave., Milford, CT Internal Medicine/Hospitalist Phone: 203 --876 4257 Bridgeport Hospital (NEMG -Hospitalist) Medical School: Kasturba Medical College, Manipal, India 267 Grant St., Bridgeport, CT 06610 Residency: Pathology, SUNY Downstate Medical Center, Brooklyn, NY Phone: 203-384 -4677 Fellowship: Hematopathology, Dartmouth Hitchcock Medical Center, Medical School: University of the City of Manila, Lebanon, NH Manila, Philippines Board Certification: American Board of Pathology
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15393_BH_Medical_Staff_News_May.indd 5 5/16/19 11:43 AM 2019 Doctors’ Day
Hospital leaders joined physicians from across the delivery network to recognize and thank them for their contributions to high quality patient- and family-centered care during the Doctors’ Day reception and breakfast held in March.
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15393_BH_Medical_Staff_News_May.indd 6 5/16/19 11:43 AM Creating a Culture of Mobility Medical Staff Executive Committee By Jim Shea and Sandy Fillion, co-chairs March 4, 2019 System Falls and Mobility Process Improvement Michael Ivy, MD, interim president and CEO: February operating Committee margin was better than budget. Non -operating margin was also good. Discharges were above last year. With the movement to How many times in the past 10 years have you spent three more outpatient care, patient days are up. The ED was a bit down. There is an unusual number of patients who are long stay. consecutive entire days in bed when you were capable of Overall, outpatient is strong. Deliveries are up a bit. There was a getting up? In bed for the entire day means not even out of slight drop in the length of stay. Accounts receivable remains at bed to use the bathroom, walk to the refrigerator or stand to benchmark, and cash on hand is 116 days. look out the window. Tis is the state that too many of our A significant factor to the high length of stay at 5.47 is the fact that at the >95 percent occupancy the hospital is experiencing, inpatients experience. inefficiency is inevitable. Problems at St. Vincent ’s have contributed to the increased volume at BH. Hartford HealthCare is reportedly We all know intuitively that getting up and moving around going to invest $100 million in St. Vincent ’s over seven years.
as much as possible, even when we are not feeling well, Ryan O’Connell, MD, interim chief medical officer: The hearing is a good thing. Numerous studies have been published (regarding the Milford Hospital merger) went very well. Either that validate the rapid decline in functioning that occurs June 9 or June 23 are target start dates. Acute care surgeons are in the process of getting privileges now. The goal is for Milford to with each day of bedrest. Across the health system, there continue to serve as an acute care hospital on day one. Milford is growing concern that we have created a culture of will propose associate chairs for the Milford Campus, and will have unnecessary and prolonged bedrest that is working against one seat on the Medical Staff Executive Committee. our ultimate goal, to move patients towards an improved A brief engagement survey of the medical staff is coming soon. state of health. Results of the Wellness survey will be reported out soon.
With the work being coordinated through the newly established System Falls and Mobility Committee, Registration open for the 2019 Safety, strategies will be rolled out in the coming months to create Quality and Experience Conference a culture of mobility, where patients will be consistently assisted in mobilizing throughout the day, within their Register today for the 2019 Safety, Quality and Experience individual capabilities. As we begin this journey, there are a Conference slated for June 5 at the Oakdale Teatre, three important things that the medical staf can do to help: Wallingford. Te doors open at 7:30 am and the conference 1. Enter accurate activity orders and use bedrest orders concludes at 3:30 pm. Medical staf and employees across only when indicated. YNHHS, Yale School of Medicine and Yale Medicine can register online at http://sqe.ynhh.org/ 2. Set the expectation for patients that getting out of bed is important. Te conference aligns the Joseph A. Zaccagnino Patient 3. Each time you meet with the patient, follow up by asking Safety and Clinical Quality Conference with the Yale about how much time they are spending out of bed. Medicine Quality and Safety Symposium and the YNHHS Patient Experience Conference to create one dynamic day Te process to create this culture of mobility will require of learning and collaboration. Tis year focuses on the the eforts of everyone. Te foundation of these eforts is in power of stories as listening to them empowers us to make the medical staf establishing the expectation that mobility a positive diference in the lives of the patients we serve as is important for all patients who are capable of getting out well as our providers. of bed.
Newsletter submissions Hot Topics Deadline for submission for the June 2019 issue of Te next Hot Topics breakfast will be Monday, June 10, Medical Staf News is Tursday, May 30. Please submit 7:30 - 9 am in the Medical Staf Lounge. Te speaker will be items for consideration to Ryan O’Connell, MD, at Marna Borgstrom, CEO, Yale New Haven Health System ryan.o’[email protected], 203-384-3760 or and Yale New Haven Hospital. Myra Stanley, Yale New Haven Health at 203-688-1531 or [email protected].
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Know Your Numbers Plus 2019 launches wonderful care through a donation of any amount to the this month Bridgeport Hospital Foundation. If your ofce needs to replenish the supply of Honor Your Caregiver brochures Te Know Your Numbers Plus wellness rewards program for display in your waiting rooms, please contact launches in May. In its seventh year, the program gives Melissa Silver, manager, Donor Engagement and Events, YNHHS employees, including employed physicians, the Bridgeport Hospital Foundation at 203-384-3700 or opportunity to earn up to $500 credit toward the cost of [email protected]. their 2020 YNHHS medical premium—and be healthier at the same time. Benefts-eligible employees received a brochure at home with details about this year’s program. YNHHS employees: Here’s your invitation Completion of a basic health screening, the core of the program, earns $350 in credit and screenings may be to join the innovation nation scheduled at an onsite location. Employees can earn up to Yale New Haven Health, Yale Medicine and Yale University $150 in additional credit by completing a resiliency survey. recently launched the Center for Health Care Innovation to All program details are outlined in the brochure. For more encourage ideas and support initiatives that will transform information, visit the intranet or HRConnect. All Know health care. Your Numbers Plus elements must be completed by August 30, 2019. Now, the Center is inviting YNHHS employees and physicians, along with those from the other organizations, to submit innovation proposals. Tese may involve novel Grateful patients show appreciation advancements in areas such as digital health/health information technology, artifcial intelligence and data through the Honor Your Caregiver program analytics, medical devices, diagnostics, drug-delivery platforms and fnance/operations/management tools. Te Bridgeport Hospital Foundation announced the following clinical staf members were recognized by Te Center for Health Care Innovation has already received patients in April with a gif to the Honor Your Caregiver proposals to address antibiotic resistance and heart failure. program: Michele Attard, LMT (two gifs in her honor); Approved proposals may receive research support, stafng, David Bindelglass, MD; Bridgeport Hospital Center for mentorship and funding. Geriatrics Staf; Tina Keating, LPN; Jen Yaggi, LMT (three gifs in her honor). YNHHS’ Ofce of Strategy Management is providing project management for the new Center for Health Care Te Honor Your Caregiver program gives grateful patients Innovation, which includes Sparq culture-building
the opportunity to express their appreciation for your initiatives that launched last year.
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