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 this month Neeraj Bhatt, MD (PGY 5, Radiology) recently helped his 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 link to the page is www.gethealthyct.org/dev/healthy-food/diet-guidelines/. Kenneth Stone, MD Chairman Anesthesia Anesthesia Interim CEO Michael Ivy, MD Administration Your patients will fnd easy and useful tips for managing (ex-offcio) their health issues and diet plans to lose weight, lower Gloriann Albini, MD Guest Medicine cholesterol, be heart healthy, lower blood pressure and Mary Christoffensen Guest Patient care manage diabetes. Karen Hutchinson, MD Guest Medical Education Get Healthy CT is a coalition dedicated to preventing Mary Ellen Kosturko Guest CNO and reducing obesity by removing the barriers to healthy Performance Sheikh Mafuz, MD Guest eating and physical activity through collaboration with Management community partners. To request copies of Get Healthy CT Pam Scagliarini Guest COO materials to distribute to your patients, including small web cards with directions on how to access the website, email [email protected].
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Medical Staff Executive Committee January 7, 2019 December 3, 2018 Ryan O’Connell, MD, interim chief medical offcer: BH is doing better on C. diffcile, although other infections will be monitored as Michael Ivy, MD, interim president and CEO: October numbers are the frst of the new fscal year. They are affected by the Infor rollout, well. Corporate objectives are looking good. Mortality index is good. which impacts supplies, human resources and fnance. BH underwent Hospice patients are being appropriately identifed. a double Epic upgrade without a peep. The brand new radiology PACS Milford post integration will remain an acute care hospital, with ORs, system went live to universal acclaim. an ICU, med -surg beds. As the population is aging, a vision for the Operating margin was excellent, but non -operating margin was a site will be as a Geriatric Center of Excellence. Much work needs to negative $2.2 million due to a bit of turmoil in the stock markets, so be done regarding the integration of the medical staffs. the net was $1.2 million. Length of stay was less than fve days, case Kenneth Lipow, MD, president, Medical Staff: Roster of Committee mix index was up, and discharges were ahead of budget. Observations members was approved. Highlights of Excellence at Bridgeport and ED visits also are up. Labor and delivery are fat, but that is Hospital: BH recently performed its 100th TAVR, with zero mortality. compared to a drop in many other hospitals in the state. Overall, No other hospital in Connecticut can make that claim. The Hybrid outpatient visits are well exceeding targets. Cash is still strong, and OR has been essential for the expansion of the program. An exciting days in AR are at an excellent level. FY18 is off to a strong start. procedure is the Mitra -Clip for mitral regurgitation, and now MR associated with heart failure is an indication, dramatically expanding Ryan O’Connell, MD, interim chief medical offcer: The health system corporate objectives are: C. diff and other reportable infections – it is the pool of potential patients. staying on as an objective as last year did not show improvement over Pamela Scagliarini, executive vice president and COO: November the year prior; heart failure readmission; and opioid stewardship. The revenue was somewhat down, primarily due to the inpatient side. percentage of event reporting with RL solutions, including employee Outpatient was strong. Length of stay went up, ED visits dropped injuries, and C. diff. infections, was better than October of last year, below last year. Year-- to date operating margin was $5.7 million versus but a factor is that the rate last year was exceptionally high. Mortality a budget of $5.4 million, but non -operating results took a beating index is stable at less than 1.0. Throughput measures continue to from drops in the stock market, so net margin was $3.7 million versus refect how full the house is. The ED is running now at a rate of a budget of $6.4 million. 95,000 visits a year. The Milford Hospital acquisition is part of the plan to address the space crunch. Partially as a result of increased LOS, but also as fu starts spiking, the house is very full, and is in surge plan. In essence, there are 20 Dr. O’ Connell presented the status of CMS and DPH surveys of the more patients daily than BH is used to having. Adding beds with the BH lab, and there was an opportunity for the MSEC to have their Milford integration is a key part of a near term answer. Regarding the questions answered. The Nominating Committee for membership in Milford integration, currently we are still competitors and only limited the MSEC forwarded their recommendations for the coming year. contacts are proper. If regulatory reviews go well, the start date for integration is June 1.
Newsletter submissions Save the Date – Hot Topics
Deadline for submission for the March 2019 issue of Te next Hot Topics breakfast forum will be Monday, Medical Staf News is Friday, March 1. Please submit March 11, 7:30 - 9 am in the Medical Staf lounge. Te items for consideration to Ryan O’Connell, MD at speaker will be Richard Goldstein, MD, chief medical ryan.o’[email protected], 203-384-3760 or ofcer, Northeast Medical Group. Myra Stanley, Yale New Haven Health at 203-688-1531
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Bridgeport, Connecticut 06610 06610 Connecticut Bridgeport, 267 Grant Street Street Grant 267 New Physicians Anne Marie Boustani, MD Laura R. Hatch, MD Radiology Department Surgery/Ophthalmology YUSM Department of Radiology and Biomedical Imaging Ophthalmic Associates, PC 35 Park St., New Haven, CT 06511 160 Hawley Lane, Trumbull, CT 06611 Phone: 203-200-2328 Phone: 203-378-3224 Medical School: University of Toledo, Toledo, OH Medical School: George Washington University, Internship: Internal Medicine: University of Toledo, Toledo, OH Washington, DC Residency: Diagnostic Radiology: Norwalk Hospital, Norwalk, CT; Internship: Emergency Medicine: Beth Israel Deaconness Medical Nuclear Medicine: Yale School of Medicine, New Haven, CT Center, Boston, MA Board -certified: American Board of Radiology, American Board Residency: Ophthalmology: Westchester Medical Center, Valhalla, NY of Nuclear Medicine
Gary Israel, MD Ming- Kai Chen, MD Radiology Department Radiology Department YUSM Department of Radiology and Biomedical Imaging YUSM Department of Radiology and Biomedical Imaging 35 Park St., New Haven, CT 06511 35 Park St., New Haven, CT 06511 Phone: 203-200-2328 Phone: 203-200-2328 Medical School: New York Medical College, Valhalla, NY Medical School: National Taiwan University, Taipei, Taiwan Internship: Internal Medicine: Lenox Hill Hospital, New York, NY Internship: Internal Medicine: Greater Baltimore Medical Center, Residency: Diagnostic Radiology: Montefore Medical Center/Albert Baltimore, MD Einstein, Bronx, NY Research/Student: John Hopkins University Bloomberg School of Fellowship: Abdominal Imaging: New York Medical College, Valhalla, NY Public Health Board -certified: American Board of Radiology Residency: Nuclear Medicine: Yale School of Medicine, New Haven, CT
Chanakya Kumar Jandhyala, MD Luciano Del Priore, MD Surgery/Orthopedic Surgery/Ophthalmology Valley Orthopedic Specialist YUSM Department of Ophthalmology 2 Trap Falls Road, Shelton, CT 06484 40 Temple St., New Haven, CT 06510 Phone: 203-734-7900 Phone: 203 --785 2020 Medical School: Tulane University. New Orleans, LA Medical School: University of Rochester School of Residency: Orthopedic Surgery: Baylor College of Medicine, Houston, TX Medicine and Dentistry, Rochester, NY Fellowship: Spine Surgery: Mount Sinai School of Medicine, New York, NY Internship: Internal Medicine: Greater Baltimore Medical Center, Baltimore, MD Residency: Ophthalmology: Wilmer Ophthalmology Institute, Baltimore, MD Kevin Johnson, MD Fellowship: Wilmer Ophthalmology Institute, Baltimore, MD Radiology Department Board -certified: American Board of Ophthalmology Yale New Haven Hospital 20 York St., New Haven, CT 06520 Phone: 203 --432 9497 Neil C. Dunleavy, MD Medical School: Temple University School of Medicine, Surgery/Orthopedic Philadelphia, PA Orthopaedic Specialty Group Residency: Yale New Haven Hospital, New Haven, CT 305 Black Rock Turnpike, Fairfeld, CT 06825 Fellowship: Radiology: North Carolina Memorial Hospital, Chapel Hill, NC Phone: 203 --337 2600 x1176 Board -certified: American Board of Radiology Medical School: Georgetown University School of Medicine, Washington, DC Residency: Orthopaedic Surgery: St. Luke’- s Roosevelt Hospital Center, Jonathan Killam, MD New York, NY Radiology Department Fellowship: Orthopaedic Sports Medicine: University of Chicago Medical YUSM Department of Radiology and Biomedical Imaging Center, Chicago, IL 35 Park St., New Haven, CT 06511 Board -certified: American Board of Orthopaedic Surgery Phone: 203-200-2328 Medical School: SUNY Downstate Medical Center, Brooklyn, NY Lauren Ehrlich, MD Residency: St. Luke’- s Roosevelt Hospital Center, New York, NY Radiology Department Fellowship: University of Maryland Medical System, Baltimore, MD YUSM Department of Radiology and Biomedical Imaging Board -certified: American Board of Radiology 333 Cedar St./P.O. Box 208042, New Haven, CT 06510 Phone: 203-785 -5102 Medical School: University of Pennsylvania School Jonathan Kirsch, MD of Medicine, Philadelphia, PA Radiology Department Internship: General Internal Medicine: Albert Einstein College YUSM Department of Radiology and Biomedical Imaging of Medicine, New York, NY 35 Park St., New Haven, CT 06511 Residency: Diagnostic Radiology: Hospital of the University Phone: 203-200-2328 of Pennsylvania, Philadelphia, PA Medical School: Vanderbilt University School of Medicine, Fellowship: Pediatric Radiology: Duke University Medical Center, Nashville, TN Durham, NC Fellowship: Body Imaging/MSK Mayo Clinic Graduate School of Board -certified: American Board of Radiology, American Board Medicine, Rochester, MN of Pediatric Radiology Residency: General Surgery: Georgetown University Hospital, Washington, DC; Diagnostic Radiology: New York Medical College, Valhalla, NY Board -certified: American Board of Radiology
3 New Physicians Michal Kulon, MD Ami Rubinowitz, MD Radiology Department Radiology Department YUSM Department of Radiology and Biomedical Imaging YUSM Department of Radiology and Biomedical Imaging 35 Park St., New Haven, CT 06511 35 Park St., New Haven, CT 06511 Phone: 203-200-2328 Phone: 203-200-2328 Medical School: Poznan University of Medical Sciences, Medical School: New York Medical College, Valhalla, NY Poznan, Poland Internship: Internal Medicine: North Shore -LIJ School of Medicine Internship: General Surgery: St. Vincent ’s Hospital and Medical Center, at Lenox Hill Hospital, New York, NY New York, NY Residency: Radiology: New York University Langone Medical Center, Residency: Nuclear Medicine: Columbia University College of Physicians New York, NY and Surgeons, New York, NY; Radiology: University of Virginia Health Fellowship: Thoracic Imaging: New York University Langone Medical System, Charlottesville, VA Center, New York, NY Board -certified: American Board of Nuclear Medicine Board -certified: American Board of Radiology
Leslie Scoutt, MD Paul Levesque, MD Radiology Department Radiology Department YUSM Department of Radiology and Biomedical Imaging YUSM Department of Radiology and Biomedical Imaging 333 Cedar St./P.O. Box 208042, New Haven, CT 06510 35 Park St., New Haven, CT 06511 Phone: 203-785 -5102 Phone: 203-200-2328 Medical School: University of Rochester School of Medical School: Georgetown University School of Medicine, Medicine and Dentistry, Rochester, NY Washington, DC Internship: Boston University Center- University Hospital, Boston, MA Internship: Family Medicine: Malcolm Grow USAF Medical Center, Residency: Boston University Center- University Hospital, Boston, MA Joint Base Andrews, MD Beth Israel Deaconess Medical Center, Boston, MA Residency: David Grant USAF Medical Center, Fairfeld, CA Fellowship: Computed Tomography and Ultrasound: Yale School Fellowship: Interventional Procedures/Cross Sectional Imaging: of Medicine, New Haven, CT Wilford Hall USAF Medical Center, Lackland AFB, TX Board -certified: American Board of Radiology, American Board Board -certified: American Board of Radiology of Internal Medicine
Farinaz Seif, MD Margarita Munoz, MD Obstetrics and Gynecology Psychiatry Department Yale New Haven Hospital NICU Reach Program Bridgeport Hospital 20 York St./P.O. Box 208064 1558 Barnum Ave., Bridgeport, CT 06610 New Haven, CT 06520 -8064 Phone: 203 -281-4463 Phone: 203 --688 2320 Medical School: New York Medical College, Valhalla, NY Medical School: Tehran University of Medical Sciences, Tehran, Iran Residency: Psychiatry: Columbia University/NYSPI, New York, NY Residency: Icahn School of Medicine at Mount Sinai, Queens, NY Fellowship: Child and Adolescent: Columbia University/NYSPI, Fellowship: Yale New Haven Hospital, New Haven, CT New York, NY Board -certified: American Board of Obstetrics and Gynecology Board -certified: American Board of Psychiatry and Neurology; Child and Adolescent Psychiatry Kristan Thomas, DMD Surgery/Dentistry All Kids Dental Jay Pahade, MD 2566 Main St., Bridgeport, CT 06606 Radiology Department Phone: 203 --330 9900 YUSM Department of Radiology and Biomedical Imaging Medical School: UCONN School of Dental Medicine, 35 Park St., New Haven, CT 06511 Farmington, CT Phone: 203-200-2328 Residency: General Dentistry: New York Medical College, School of Medical School: State University of New York at Buffalo Medicine, Valhalla NY; Pediatric Dentistry: Bronx- Care Health System, School of Medicine, Buffalo, NY Bronx, NY Internship: General Internal Medicine: Cabrini Medical Center, New York, NY Jeffrey Weinreb, MD Residency: Diagnostic Radiology: Beth Israel Deaconess Medical Center, Radiology Department Boston, MA YUSM Department of Radiology and Biomedical Imaging Fellowship: Abdominal Imaging: Beth Israel Deaconess Medical Center, 333 Cedar St./P.O. Box 208042, New Haven, CT 06510 Boston, MA Phone: 203-785 -5102 Board -certified: American Board of Nuclear Medicine Medical School: Mount Sinai School of Medicine, New York, NY Residency: Diagnostic Radiology: Long Island Jewish Medical Center, Margarita Revzin, MD New Hyde Park, NY Radiology Department Fellowship: Ultrasound and CT: Pennsylvania Hospital, Philadelphia, PA YUSM Department of Radiology and Biomedical Imaging Board -certified: American Board of Radiology 35 Park St., New Haven, CT 06511 Phone: 203-200-2328 Medical School: Penn State Hershey College of Medicine, Hershey, PA Internship: Internal Medicine: Westchester County Medical Center, Valhalla, NY Residency: Diagnostic Radiology: North Shore University Hospital, Manhasset, NY Fellowship: Abdominal and Interventional Imaging: Brigham and Women’ s Hospital, Boston, MA Board -certified: American Board of Radiology
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