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Bridgeport Hospital Medical Staff News Medical Staff News Newsletter for the Medical Staff of Bridgeport Hospital | January / February 2019 From the desk of the CMO GI Surgery, Geriatrics, Gynecology, Nephrology, Neurology/Neurosurgery, Ophthalmology, Orthopedics, Change is what happens to you. Transition is how you Psychiatry, Pulmonology, Rehabilitation, Rheumatology manage it. Tis framework (not mine originally) can help and Urology) should receive a request to vote in the us to frame what it feels like to go from an old place to a new U.S. News reputation ranking either via email or as a place, sometimes fguratively, sometimes literally. Change prompt when logging in to Doximity. is hard because it makes us transition. Moving from a very familiar place to an unfamiliar place takes energy. Tis is your opportunity to make your voice heard about the exceptional care that is provided across Yale New Haven But is it really necessary to transition? We’ve come a long Health. Our System hospitals and ambulatory practices are way—transitioned—in so many ways in the past decade or home to exceptional physicians who continually advance so at Bridgeport Hospital, and I can’t imagine going back. medicine through safe, high quality and compassionate To me, the hard part of transitioning is letting go. We work care provided to our patients. We believe that the reputation hard to make things right in our environments, and we of the entire health system would be greatly enhanced if don’t want anyone messing that up. Yale New Haven Hospital is voted onto the Honor Roll. One barrier to this historically has been the reputational score It’s easy to feel like a victim of change sometimes, but I which is determined by your vote. We would urge you to have never met anyone who called himself or herself a consider this as you cast your vote during the voting period. perpetrator of change. Instead, we have change ‘agents’ Tank you for your participation. shepherding us through changes. In turn, if we manage transitions well, this can be a very positive experience, but that doesn’t mean it’s ever easy. Graduate Medical Education presents At a time when we are discussing how to integrate Milford Hospital and Bridgeport Hospital, we are going to need a Quality Moment awards LOT of transitions. I’m looking forward to the journey Shabnam Kashani, MD (Attending, Ob-Gyn) was with you. recognized for her continued dedication to resident Ryan O’Connell, MD, Interim Chief Medical Ofcer education. She not only made a fnancial contribution to the new simulation lab but she funded a simulation laparoscopic box trainer for each resident to practice their suture techniques at home. U.S. News & World Report opens Neeraj Bhatt, MD (PGY 5, Radiology) recently helped his this month junior colleagues review body CT scans on a busy afernoon. U.S. News & World Report, working with Doximity, opens Although not assigned to this responsibility, his eforts voting for the news magazine’s annual “Best Hospitals” improved patient care by ensuring timely study dictations issue soon. All board-certifed physicians within each of the were completed and allowed all residents to attend an applicable specialties surveyed (i.e., Cancer, Cardiology/CT educational conference. Surgery, Diabetes/Endocrinology, ENT, Gastroenterology/ 1 Caregivers honored by patients Legal and Risk Services shares reminder: Cautionary tale for inappropriate release Te Bridgeport Hospital Foundation announced the following clinical staf members were recognized by of medical records patients in December and January with a gif to the Honor In 2004, afer a patient terminated a personal relationship Your Caregiver program: Michele Attard, LMT (fve gifs with her then boyfriend, she instructed Avery Center in her honor); Leigh Basta, RN; Rebecca Bonetti, RD; for Obstetrics and Gynecology PC (the “Avery Center,” Bridgeport Hospital Emergency Department Staf; Westport) not to release her medical records to him. Bridgeport Hospital West Tower 10 Staf; Angie Brown, Sometime later, the Avery Center received a subpoena PA-C; Jairo Castillo, MD (two gifs in his honor); Andrew to send the patient’s medical records to the New Haven Cutney, MD; Robert Doody, MD; Neal Fischbach, MD; Probate Court. An authorization, permitting the release Shareef Jandali, MD; Andrew Kenler, MD; Bruce of the medical records, was not signed by the patient. In McGibbon, MD; Mary Michelin, RN; Tamara Petrazzi, PT; response to the subpoena, the Avery Center mailed the Ed Pinto, MD (two gifs in his honor); Jodi Schaschl, SR, medical records to the New Haven Probate Court. Te PA-C; Trumbull Radiation Oncology Terapists; Stephanie Avery Center did not notify the patient that her records Velotti; and Jen Yaggi, LMT (two gifs in her honor). were subpoenaed or fle a motion with the Court to preclude the release of her medical records. Te former boyfriend easily gained access to the patient’s medical records at the App helps patients share personal, Probate Court and then began harassing her. Te patient health information with care providers sued the Avery Center for the unauthorized release of her medical records. Fourteen years later, afer a series of lengthy court proceedings, a jury awarded the patient $853,000 in damages. With interest, this verdict may balloon to $1.6 million. Key takeaways: Before responding to a subpoena: − Only the hospital’s Health Information Management (HIM) department may release patient medical records, even when a medical records request is attached to a subpoena. − HIM will ensure that the following procedures are followed in response to a medical records request: PatientWisdom electronic patient summary − Check for a signed authorization from the patient. YNHHS has launched PatientWisdom, a digital platform − If there is an authorization, confrm that the that makes it easy for patients to share information about authorization is signed by the patient or proper themselves, their health and their care that could support legal representative. treatment and improve the patient experience. − Carefully review the authorization and only produce PatientWisdom questions address what is most important records permitted to be disclosed by the authorization. to patients, how they feel about their health, who helps with their healthcare decisions, what barriers they face in − If there is no authorization, the records can still be staying healthy and other topics. Patients can access and produced if a court order or qualifed protective order complete the PatientWisdom questionnaire via MyChart is attached to the subpoena. (under Health, PatientWisdom) or the secure YNHHS PatientWisdom web page, ynhhs.patientwisdom.com. − If there is no authorization, court order or qualifed protective, contact the requestor for an authorization. PatientWisdom then creates an easy-to-read inSIGHT summary that can be viewed in Epic via the Sidebar report. 2 − If the requestor refuses to provide an authorization Proposed Medical Staff Executive or produce a court order or qualifed protective order, Committee 2019 contact the Legal and Risk Services department to discuss next steps. Te following slate of proposed members to the Medical Staf Executive Committee (MSEC) was recently approved − Consider whether exceptions to above rules apply, by 23 of the MSEC’s voting members (12 community-based such as: Records can be produced in a worker’s and 11 hospital-based). compensation matter without an authorization, court order or qualifed protective order. Additionally, Name Title Department patient records can be provided to government Immediate Past Jairo Castillo, MD Anesthesia agencies like DPH, who are authorized by statute to President monitor healthcare institutions. Kennith Lipow, MD President Surgery While this decision does not require YNHHS to change Tito Vasquez, MD Vice-President Surgery any existing practice, it is a strict reminder to follow our Radhika Datar, MD Member-at-large OB/GYN internal policies and procedures in protecting patient James Miranti, MD Member-at-large Anesthesia information, including in particular that only the HIM Edward Paraiso, MD Member-at-large Urology department may release patient medical records. Murali Chiravuri, MD Member-at-large Cardiology Arnold Peterson, MD Member-at-large Medicine Monique Misra, MD Member-at-large Medicine Get Healthy CT Lauren Fabian, MD Member-at-large Orthopedics Do your patients sufer from obesity, Lee Goldstein, MD Member-at-large Vascular high blood pressure, high cholesterol, Adil Salam, MD Member-at-large Pulmonary heart disease or diabetes? Have you Amy Weinrib, MD Member-at-large Pediatrics wanted to recommend your patients Nabil Atweh, MD Chairman Surgery Surgery to follow a certain diet but need easy-to-follow resources to ofer them? Gregory Butler, MD Chairman Medicine Medicine Paul Cohen, MD Chairman Pathology Pathology To help you recommend some diet options to your patients, Emergency Rockman Ferrigno, MD Chairman Emergency Get Healthy CT has worked with local healthcare providers Medicine to develop a new page on their website to assist patients in Ryan O’Connell, MD Vice President Interim CMO learning about specifc diets for managing health issues. Harris Jacobs, MD Chairman Pediatrics Pediatrics Direct your patients to GetHealthyCT.org. Ten, under Ian Karol, MD Chairman Radiology Radiology the red Healthy Food tab, below the Get Healthy Charles Morgan, MD Chairman Psychiatry Psychiatry Resources section, they will fnd “Diets to Manage Harold Sauer, MD Chairman OB-GYN OB-GYN Specifc Health Issues”. Te direct
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