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Healing. Reimagined. 2016 Clinical Annual Report Photograph: © Anton Grassl/Esto Dear Colleagues

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Healing. Reimagined. 2016 Clinical Annual Report Photograph: © Anton Grassl/Esto Dear Colleagues Healing. Reimagined. 2016 Clinical Annual Report Photograph: © Anton Grassl/Esto Dear Colleagues, As we approach the end of the calendar year and enter the holiday season, it is time to reflect on our achievements of the past year and look to the excitement of 2017. I am pleased to share the 2016 Clinical Annual Report, which has been carefully prepared by each of your Department Chairs. 2016 will forever be defined by the opening of the long-awaited new Stamford Hospital. The opening reception for the Medical Staff, held in the lobby of the new hospital, was intentionally the first of many celebrations and a recognized tribute to the importance of our physicians. The number of physicians in attendance was a new record for any single event in the history of Stamford Hospital. In this Annual Report, you will see the continued focus on safety and quality from each of the departments and now, with the opening of our new hospital, an incomparable level of service. As a result of this, our medical staff continues to grow and we consistently see an increase in the number of physicians joining our impressive, loyal and experienced staff. The 2015 and 2016 Engagement Surveys show the level of engaged and aligned physicians increasing, especially in the largest group, the independent physicians. And finally, our Physician Participation Campaign has almost reached the anticipated goal of an unprecedented $4 million in contribution to the Stamford Hospital Foundation. So with gratitude, appreciation and pride, I prepare this letter for the third and final time, as I reflect on what a privilege and a pleasure it has been to serve this extraordinary medical staff. I look forward to a continued partnership with the physicians of our medical staff, Department Chairs, Hospital administrators and executive leaders of Stamford Hospital. I wish you and your families a happy and healthy holiday season and an exciting 2017! Josh Herbert, MD President, Medical Staff Dear Colleagues, It is that time of year again and I am pleased to share with you the 2016 Clinical Department Annual Report, prepared by your respective Chairs. This year, our focus was on our journey of Healing. Reimagined. changing the way patients think about their health. The Chairs begin with a year in review, which provides a sense of the scope of the departmental efforts and strategy. The overarching theme that emerges is one of multidisciplinary collaboration for the purpose of providing high-quality patient-centered care. This is exemplified in the development of new programs and the expansion of others; recruitment of new talent – adding 70 members to the medical staff; medical education and research; and many accreditations and accolades. This work would not have been possible without a dedicated medical staff committed to improving the health of our patients and community. In the past year, there have been many remarkable achievements and growth. We opened a new hospital, expanded our ambulatory footprint and significantly expanded our physician practice network; steps towards solidifying our vision to be the recognized regional center of health. We announced several strategic collaborations: the Bennett Cancer Center joined the Dana-Farber/Brigham and Women’s Cancer Care Collaborative and became the first member in Connecticut; we partnered with Hospital for Special Surgery to develop a premier center for specialty orthopedic care in New England; and we joined forces with Sacred Heart University to serve as the primary clinical rotation placement site for the Physician Assistant training program. Additionally, in May we had our 1st Annual Research Day, which was very successful. To date, 232 patients have been enrolled in clinical research trials. Also, we exceeded our goal to decrease preventable harm to patients by 50% in two years, with a decrease of 64%. Our mission, “Together with our physicians, we provide a broad range of high-quality health and wellness services focused on the needs of our patients,” comes to life on the pages that follow. Towards this end, physician engagement is at an all-time high, with improvements in all physician categories. Attendance at both the Doctor’s Day and the new hospital physicians’ opening reception set historical records for physician attendance. I want to personally thank the Chairs, medical staff and all the Hospital departments for this incredible body of work and for all that you do for our patients. Together we move forward faster, and I look forward to our continued collaboration and sharing this journey with each of you. I wish you and your families a happy holiday season and a healthy and prosperous New Year. Sharon C. Kiely, MD, MPM Senior Vice President, Medical Affairs Chief Medical Officer Patient Safety Officer Stamford Health: Annual Report 2016 Table of Contents Anesthesiology 04 Emergency Medicine 10 Family Medicine 18 Medicine 26 Obstetrics & Gynecology 58 Pathology 66 Pediatrics 74 Psychiatry 84 Radiology 92 Surgery 104 2016 Clinical Annual Report 3 Recovery. Enhanced. Anesthesiology We have extended our regional anesthesia service to include a broad range of surgical subspecialities, thereby decreasing intra-op anesthetic requirements, reducing narcotic usage and greatly enhancing a patient’s post-operative comfort. 4 2016 Clinical Annual Report Department of Anesthesiology: Annual Report 2016 Betty Ann Robustelli, MD Chair, Department of Anesthesia A Message From The Chair The Year in Review This is a momentous year for Stamford Hospital with the opening Every anesthetizing location is equipped with an iPad that is used of the beautiful new hospital. Stamford Anesthesiology Services strictly for the iPro EMR system. Eric Jankelovits, MD has dedicated (SAS) is proud to be a part of the Stamford Hospital team and the countless hours in preparation for launching this system, and extraordinary effort, time, planning and preparation by all involved we thank him for all of his hard work. to ensure a seamless transition to the new hospital. With all new things come change, and I am proud to say that SAS has made The iPro EMR has enhanced the Department’s quality measures advancements and growth of its own. reporting and compliance. The Quality Measures Reporting portal is a clinical data repository used for automatic registry reporting Stamford Anesthesiology’s ever-growing Department continues of clinical outcomes and quality measures data required by to recruit highly qualified anesthesia providers. This year, the pay-for-performance metrics. The application collects the required SAS Cardiac Anesthesia team welcomed Devon Jeffers, MD, after measures for AQI. Stamford Anesthesiology reports on the following completing his training in cardiothoracic anesthesia at Johns Hopkins PQRS and non-PQRS measures: Preoperative Beta-Blocker in and working at Suburban Hospital for two years. We also welcomed Patients with Isolated CABG Surgery; Prevention of Central Venous Kanishka Rajput, MD, who completed her fellowship in Interventional Catheter-Related Bloodstream Infections; Documentation of Pain at Medical College of Wisconsin in 2013. Dr. Rajput is board Current Medications; Post-Anesthesia Transfer of Care Measure; certified in both anesthesia and pain management and has proven to Anesthesiology Smoking Abstinence; Prevention of Post-Op be a great resource for our team. Suhaib Chaudry, MD joins us after Nausea and Vomiting; Composite Anesthesia Safety; Perioperative finishing his residency at the University of Connecticut this summer. Mortality Rate; Injury from Central Line; Perioperative Temperature SAS has also added five CRNAs to the group: Yana Krmic, Holly Thiel, Management; Overall Anesthesia Safety; Dental Injury; Corneal John Martinez, Jillian Davis and Vince Brunelli, who bring years of Abrasions; and Care Plan. experience to our practice. The nerve block program remains strong and SAS maintains an Thanks to the support of Stamford Hospital, SAS has implemented extraordinary number of providers who maintain clinical proficiency an electronic medical records system in partnership with iProcedures. in regional anesthesia. This is highlighted by a core team who, It is a cost-effective, comprehensive end-to-end mobile perioperative through fellowship training or demonstration of clinical excellence, information management solution designed and perfected serve as leaders. Although our number of regional anesthetics by practicing anesthesiologists. This anesthesia information has declined slightly, our percentage of patients receiving nerve management system supports fast, accurate clinical documentation blocks continues to increase. Regional anesthesia has always been and helps reduce medical errors, resulting in complete, compliant, a mainstay for orthopedic surgery, but SAS has extended this type legible anesthesia records. It will now streamline the preoperative, of service to include a broad range of surgical subspecialties. These intraoperative and postoperative anesthesia workflow. include: obstetrics and gynecology, general surgery, breast, colon 2016 Clinical Annual Report 5 Department of Anesthesiology: Annual Report 2016 and rectal, bariatric, thoracic, trauma, urology and gynecologic • Jay Freilich, MD • Richard Morgulis, MD oncology. These adjuncts decrease intra-op anesthetic requirements, • Ronald Giannotto, MD • Benjamin Unger, MD reduce narcotic usage and greatly enhance a patient’s post-operative • Ewelina Gibek, CRNA • Shiry Weisberg, MD comfort. We anticipate, with the addition of the HSS/Stamford
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