Layout
Telestroke evaluation and treatment recommendations to
Daniel O'Leary, MD, Chief Medical Officer
28 patients in October and November alone.
In keeping with the season, today's Quality Corner begins
– In acute stroke, the Telestroke neurologist directly
with a gift from HealthAlliance Hospital to the community
examines the patient via high resolution video
of patients we serve. The package, long in the making and
technology, speaks directly with the patient and family,
really just arrived this season, is a newly advanced approach
makes recommendations as to appropriateness of tPA,
to stroke care. The story of its creation proceeds as follows:
obtains informed consent and recommends tPA whenindicated.
– UMass Memorial Medical Center (UMMMC) is
recognized as the highest volume provider of tPA to
– All of this, of course, is in collaboration with our own
stroke patients among all Massachusetts hospitals over
excellent ED physicians.
the past two years, by a wide margin.
– In 2011, three patients received tPA at HealthAlliance
– HealthAlliance Hospital, in collaboration with UMMMC,
has been working to adapt the UMMMC stroke
– So far in 2012, nine patients have received
protocol to suit the needs of our community.
tPA at HealthAlliance. Six of these patients
– Dr. Wiley Hall, head of the Telestroke program
were in October and November alone.
at UMMMC, which provides stroke patients
This is in addition to others who were
with direct video evaluation by expert stroke
emergently transferred and received tPA
neurologists, presented grand rounds in
at the receiving tertiary care hospital.
November detailing the benefits of this program.
– Several of these patients went on to
– HealthAlliance outfitted most rooms in the ED to
receive further brain-saving therapy at
be able to utilize Telestroke technology. The ICU
UMMMC after transfer, including
was also equipped, so that ICU patients and
thrombectomy and intra-arterial tPA.
emergent floor patients with strokes could be
– Several patients had dramatic improvement or
even complete resolution of stroke symptoms.
– A second Telestoke unit was added in the ED, because
– One recent young patient presented with two
we found there were times when more than one
different strokes, seven days apart, of thrombo-
patient was simultaneously in need of Telestroke
embolic origin and with documented arterial
occlusion. On both occasions, he received
– We went from a hospital that used Telestroke just
prompt tPA with complete or near complete
thirteen times in the past three years to providing
resolution of deficits.
Continued on next page
Pre-registration
Alternative Quality Contract
EXCEPTIONAL CARE FOR EVERYBODY
Quality Corner continued
– Seventy-two percent of
involvement of obstetrics, family medicine, the family
patients who receive Telestroke
medicine residency program, and the pediatric
consultation are able to remain
hospitalist program. Discussions are already interesting
at HealthAlliance for the
and productive.
remainder of their care. One
– Our look at what sort of response high pain scores
patient who received successful tPA treatment
should elicit, in the same way high readings for pulse
requested to stay here and did very well in our ICU.
and temperature elicit reconsideration of the diagnostic
I realize my enthusiasm is great, but in this instance, I
and therapeutic approach. Pain scale responses are seen
cannot be enthusiastic enough. We owe a debt of gratitude
in Soarian under vital signs.
to the providers and leaders in the ED, neurology,
– Upcoming news in the area of screening for Lung
radiology, nursing, and our collaborative partners at
Cancer – more to come soon.
UMMMC, including neurology and the quality department there as well as here at HealthAlliance.
Happy New Year to all of you!
We continue to refine our approach to stroke, working to optimize informed consent and speed theprocess of imaging and therapy. Perhaps mostimportantly, we begin to work with the
community on the modifiable risk factors thatcontribute to stroke, including delay in decidingto seek medical treatment for acute stroke.
Massachusetts recognizes those hospitals thatshow dramatic positive change such as this fromyear to year, and we hope to be on that short list in the coming year.
and help HealthAlliance Hospital's
2012 Honda
Cancer and Emergency Department programs.
Some topics to look forward to in Quality
Accord LX,
Tickets:
– An extraordinary patient story of survival
$50 each and $100 for 3
and complete recovery illustrating the value of our rapid transit from ED arrival to cardiac catheterization and angioplasty.
– A report on Dr. Theo Meyer's Grand
Rounds presentation in November on approaches to the inpatient with CHF, withparticular attention to the factors that couldoptimize outcome and prevent readmission.
– Following up on this presentation, the
Medical Center's cardiology team's workwith the Transitions of Care Committee
Drawing to be held on May 18, 2013 at Ron Bouchard's in Lancaster. Proceeds will be
across the system that has produced a set of
used to benefit Simonds-Sinon Regional Cancer Center and the Emergency Department.
specific guidelines for acute therapy which
*Actual car on display at Ron Bouchard's in Lancaster. Winner responsible for all taxes and registration.
we hope to adapt, implement, and impact
Winner need not be present to win. Winner must be 18 years or older. Car value: $22,280.
No substitution of the offered prize may be made and no cash will be given in lieu of the prize.
our rate of readmissions at HealthAllianceHospital.
– Our obstetrics colleagues, who are
conducting combined M&M reviews with
For more information or to purchase tickets visit healthalliancefoundation.org
Development Office 60 Hospital Road, Leominster, MA 01453 978-466-4516
Spotlight on Services
Diabetes Education
Michelle Fitzgerald, BS, MBA,
Lynn Sullivan, BS, RRT-NPS
Director, Rehabilitative Services
Manager, Respiratory Care Services
The Diabetes Education Programs at HealthAlliance Hospital are accredited by the American Diabetes Association. Facilitated by a certified diabetes nurse educator and a certified diabetes dietitian educator, theseprograms help patients understand diabetes, the importance of daily blood glucose testing, how nutritionand exercise positively impact diabetes and other important topics.
The Diabetes Self-Management Education Program appliesa multidisciplinary approach to make certain participants'
Combivent is the next MDI coming off the market
needs are met. The six-week program includes:
(by July 2013) due to the change in requirements of
• Formulation of a meal plan by a registered dietitian
propellants under the FDA guidelines. The new product
• One-on-one visit with a certified diabetes nurse
is Combivent Respimat, available since October 2012.
The availability of Combivent MDI is currently limited
• Six 90-minute group classes taught by a team of
and your patients may be provided Respimat as a
substitution without notice. This new delivery device ispropellant free, has never been used in the United
• A booklet on diabetes management
States, and will require support and education to
• Follow up of progress after completion of the program
patients and providers alike.
The Gestational Diabetes Self-Management Education
Please see provider info at:
Program applies a multidisciplinary approach for the care
of mother and baby. The program includes:
• Formulation of a meal plan by a registered dietitian
• One-on-one visit with a certified diabetes nurse
• A booklet and handouts on pregnancy and diabetes
• A six-week program on preconception counseling
For information about our outpatient diabetes education
program, call 978-466-4580.
Recently, our diabetes educator, Nicole Parent, RN,
I would suggest contacting your Boehringer Ingelheim
passed her Certified Diabetes Education exam. Nicole is
rep for in-servicing for you and your staff.
available on Tuesdays, Wednesdays and Fridays.
From Our Departments
Continuing Medical Education
Chief of Medicine
Ralph Spada, MD, was
named co-director of medical education by
Edison Wong, MD, Co-Director of Medical Education
the Education and Library Committee inNovember.
This month, we have added a new program series to ourTuesday Morning Grand Rounds Schedule, "Morbidityand Mortality Rounds" (M + M Rounds) that will be
Beginning in January, Oncology Grand Rounds will move
presented every two months by
Daniel O'Leary, MD,
its specialty presentations from the fourth Tuesday of the
Chief Medical Officer.
month to the Third Tuesday of the month, with no presentations during the summer.
Our first program, "The Acute Abdomen" had excellentattendance and was enhanced by interactive presentations
Please note that all Education and Library Committee
by speakers from our departments of radiology and
members are required to annually submit a "Full Disclosure
pathology. Many post-conference survey comments were
Form for Faculty/CME Planners" to Coordinator of
received indicating a willingness to consider a change in
Medical Education Frank Landry. Under the Massachusetts
their office/hospital practice in this specific topic area.
Medical Society and the "AMA/ ACCME Standards for
Future M + M Rounds programs will carry peer review
Commercial Support," and the University of Massachusetts,
designation and qualify for Risk Management Credit.
anyone who is in a position to control the content of ANY
Our daily care of over 100,000 patients in our service area
educational activity MUST disclose ALL relevant financial
provides a rich curriculum of learning opportunities.
relationships with any commercial interest.
Monthly, numerous groups meet, including individual departments and the patient care management committee.
Here unusual and fascinating clinical challenges are presented, as well as uncommon presentations of commonclinical syndromes. The purpose of this Grand Rounds
Best of North Central
series is to bring these stories to a wider audience. Theaudience in turn, both learns from the experience of
The
Leominster Champion weekly newspaper held its
others and helps the hospital develop new strategies and
annual "Best of North Central." This year, four of
approaches to diagnostic and therapeutic challenges,
HealthAlliance Hospital's medical staff members were
drawing on their own clinical experience and insight. We
have found that individual patient stories are a powerful
tool to drive learning and improvement. Discussions have
Daniel O'Leary, MD, and
Eric Cotter, MD
been stimulating thus far, and we look forward to evenbroader attendance and involvement.
Best Pediatricians:
Charles Myers, MD, and
Theresa Callahan, MD
Edison Wong, MD, has moved his office
practice to Waltham, but will remain on
the HealthAlliance Hospital medical
staff, continue to staff the EMG Clinic
Pictured: Erin Johnson of the
at the Burbank Campus and serve as
Leominster Champion presents
Co-Director of Medical Education.
the awards to Dr. O'Leary, who
accepted all four awards on
behalf of the physicians.
From Our Departments
The Education and Library Committee
Improved Laboratory Speed and
welcomes
Mudita Mittal, MD.
Quality of Laboratory Testing
Connie White, MT (ASCP), Manager, Laboratory
The official members of the Education and Library
Of all the areas where speed of results can impact care,
acute myocardial infarction is high on the list. We are
Edison Wong, MD –
Chairman and Director of Medical
pleased to announce improvements in lab technology that
enhance the timing of results.
Ralph Spada, MD –
Co-Director of Medical Education
On November 6, the laboratory at the Leominster
Francis Landry,
Coordinator of Medical Education
Campus moved the new Siemens Vista 500 chemistry analyzers to production. Some of the improvements
Peter McConarty, MD
Stephen Child, MD
– A 10-minute troponin assay with increased sensitivity
Felix Chang, MD
in the low technical range
James Ledwith, MD
– A third generation, ultra sensitive TSH
Bailoo Rohatgi, MD
– Testing for both Total and Free PSA, Quantitative
Rheumatoid Factor, Total IgA, IgM and IgG. Extensive
Mudita Mittal, MD
correlation studies have been performed.
Julie MacGregor,
Cancer Registrar
We are very excited to be using these dynamic analyzers.
Michele Martin,
Manager, Medical Staff Office
There should be no delay in receiving your patient
Robin Morin, RN,
Associate Director, Quality, Risk
results. Please note there will be a change in a few
Management & Regulatory
If you have questions regarding this change, please call
Frank Landry recently presented a library outreach
Christopher Owens, MD, at Ext. 2520 or Connie White
program on consumer health to the local Spanish
at Ext. 2875.
community at the Spanish American Center in Leominster, with the assistance of Mercedes Urrea, manager of interpreter services. The program focused onthe databases of National Library of Medicine related toConsumer Health Information, Medline PLUS, and otherrelated governmental databases that have translated healthcare material in Spanish and other languages. Landry alsoused the international guidelines of "Healthcare on theNet" in developing a checklist of suggestions for evaluating quality Internet websites for health care information. This checklist was translated in Spanish byUrrea, as were parts of Landry's presentation and questions and answers from the audience.
News and Updates
Pre-registration
HealthAlliance Home Health &
Now Available On Line
Hospice Now Offering Telehealth
Sonia Azzi, PMP, Director, Patient Access Services
for Our Patients
For our patients' convenience and ease of access, pre-
Christine Dixon, Executive Director
registration for scheduled appointments only is now
Telehealth monitor is a clinical tool that monitors patients
available on the HealthAlliance Hospital website.
from their home, seven days a week. The Telehealth
Before a patient's date of service, the patient can go to
monitor checks the patient's vital sign readings each day
www.healthalliance.com and click on the blue "Pre-
and asks other patient-specific questions regarding
Registration" tab located in the right column. They
medications, diet, pain and clinical information.
simply need to complete the information requested and
The monitor is a clock-sized machine that prompts
submit the form. For questions about the form, call
patients each morning to take their vital signs. The clinical
978-466-4777, Option 1, Monday – Friday, 7 am – 5 pm.
information is transferred to our Telehealth nurse who receives the readings and will follow up with the physician
Please ask your staff to go through this process themselves
if there is information that requires an intervention.
to see how well it works. This will enable them to better
Patients and their families, their clinical team, physicians
explain it to patients, and they can provide feedback as to
and hospitals appreciate the benefits of the new Telehealth
any enhancements.
Note: New patients need to register by phone for their first date
For more information, contact HealthAlliance Home
of service only.
Health & Hospice at 978-728-0621.
Bed Expansion Update
Hematology/Oncology Retreat
Dave Duncan, Corporate Vice President, Facilities and Support Services
HealthAlliance Hospital is currently in the process ofPhase 1 Inpatient Bed Expansion on the Foster Wing, 2ndfloor. Four new private, contemporary inpatient rooms arebeing constructed, which will be used as "intermediate carebeds". If you have been on the 2nd floor near the FosterWing, you have seen or heard the construction activity. The renovation under way is providing a new home forDialysis and Respiratory Therapy to free up space in order
The cancer care team from UMass Memorial Medical
to construct the four new intermediate care beds.
Center and the Simonds-Sinon Regional Cancer Centerat HealthAlliance Hospital held their 6th Annual
The opening of the four new beds is anticipated to be in
Hematology/Oncology Retreat in November. The retreat
early April. Phase 2 Inpatient Bed Expansion will happen
provided an opportunity to celebrate the successes of
throughout the summer when major renovations to the
specialty cancer care, the new focus on disease groups, and
4th floor will take place, creating an additional 12 new
the milestones reached in research.
contemporary, private inpatient beds. The opening ofPhase 2 beds is anticipated to be in December 2013.
Alan Rosmarin, MD, chief of hematology/medical oncology and deputy director of the UMass Memorial
News and Updates continued
Two Minutes with…
Cancer Center, led the team of physicians, nurses and
John Robert Bogdasarian, MD, FACS
support staff in a discussion of the vision of cancer care at
Specialty: Otolaryngology (Head and Neck Surgery)
a system level and how to improve and address the
Medical School: Columbia University College of
changes in health care and challenges of the future. The
Physicians & Surgeons
group also focused on the introduction of complementary
Post Graduate Training: Boston University Medical
services and the benefit to the cancer patient, as
Center: Intern and Resident: General Surgery;
well as the roles of the community hospitals and the aca-
demic medical center, integrative care, and improving
Where did you grow up? I was born in New York City and grew up
(if I ever did) in Binghamton, New York.
processes and efficiencies.
Is there anything interesting about your family that you would like
to share? My wife, Sophia, is nurse manager of the Simonds-Sinon
The staff at the Simonds-Sinon Regional Cancer Center
Regional Cancer Center at the Burbank Campus. We have four sons –
gave a tour of their newly expanded and renovated center
one in physician assistant school in Worcester, one in broadcasting forFATV, one in medical school in Pennsylvania, and one in the Coast
including the new, state-of-the-art linear accelerator,
Guard in Galveston, Texas. My mother recently celebrated her 90th
which provides the most advanced radiation therapy in
birthday. I have two brothers who are physicians and a sister who is anurse who manages mobile health screening projects.
the region and the Simonds-Hurd Complementary Care
What are your favorite hobbies and leisure time activities? I am not
Center located in the lower level of the Cancer Center.
certain what "leisure time" is, but enjoy traveling, exercising, gourmetdining, spending time with family and friends, and reading (trying to educate myself).
Why did you choose this specialty? My father was an otolaryngologist,
and one of my brothers is an otolaryngologist. They both loved the
Thomas Scornavacca, DO, was appointed associate
specialty, and let me know it. In the midst of my general surgery residency,I realized that I enjoyed head and neck surgery more than abdominal
medical director for the Office of Clinical Integration
surgery, and decided to pursue that interest through an otolaryngology
(OCI) in October. Dr. Scornavacca is board certified in
residency and career.
family medicine and practices at Harvard Primary Care,
Do you have any particular areas of clinical interest? I enjoy most of
a UMass Memorial Community Medical Group practice.
otolaryngology, especially pediatrics and thyroid surgery, but have throughmy career done pretty much "all of it."
He brings nearly 13 years of primary care clinical
What is something that your patients and colleagues would be
experience and 10 years of administrative experience,
surprised to know about you? That I'm back at work after a medical
including leadership roles at Central Massachusetts
"bump in the road;" that I've completed 21 marathons (but have won
Association of Physicians and his recent designation as a
none); that I've done missionary work in Thailand, Haiti and the Dominican Republic as a primary care physician, and that I've traveled
POD leader for UMass Memorial primary care practices.
completely around the world.
In his new OCI role, Dr. Scornavacca's principal
If you weren't a doctor what would you be? A journalist covering
international crisis areas.
responsibility will be to support UMass Memorial
What do you find unique or different about practicing at
Medical Group and other Managed Care Network
HealthAlliance Hospital? In my 35 years of practice at HealthAlliance
primary care physicians' transition from volume- to value-
and its predecessors, I have always felt wanted, needed and appreciated –
based delivery of care under risk-based payer contracts. In
feelings that have been reinforced by the support of the administration(s),medical staff, patients, and community. I think that these feelings are
addition to his OCI role, he will continue to see patients.
unique to HealthAlliance and are rare elsewhere.
What are your pet peeves, professional and otherwise? Reading robotic,
Kelton Burbank, MD, has been appointed President of
templated electronic medical records that are without personality and that
the New England Society of Orthopaedics. Dr. Burbank
imply completed evaluations that were not in fact done; the substitutionof technology for listening to our patients (listening usually gives us the
is board certified in orthopedics and is fellowship-trained
answers we seek); unnecessary care interventions and surgery.
in sports medicine and practices at North County
Is there anything else you would like to share? I would like to
Orthopedics along with
Brittany Boisvert, MD, also
thank my friends, patients, and the medical and hospital staff (who are
board certified in orthopedics and fellowship-trained in
also my friends) for the overwhelming support that they gave to my family and to me during my recent encounter with the business end of
sports medicine,
Steve Manalan, MD, and Christopher
the scalpel. I was deeply touched by the sincere well-wishes and prayers
Brooks, PA. North County Orthopedics is located on the
that were conveyed to us, and it has made me believe that I could not
Leominster Campus.
have chosen a better or more fulfilling community in which to havemade my career.
Welcome New Providers
Kristen McCarthy, DO
CHC Family Health Center
Jean Louis (Lalou) Begue
275 Nichols Road, 4th Floor
Simonds-Hurd Complementary Care Center
Fei Gu, MD, PhD
Simonds-Hurd Complementary Care Center
Simonds-Sinon Regional Cancer Center
Margarita Castro-Zarraga, MD
Rachel Robbins, MD
CHC Family Health Center
D'Ambrosio Eye Care
275 Nichols Road, 4th Floor
479 Old Union Turnpike
Katherine Fitzgerald, DO
Seeking Medical Staff Directory Updates
Family Medical and Maternity Care, PC
87 North Main Street
Please review the latest copy of HealthAlliance
Hospital's Medical Staff Directory and send correctionsand updates to:
Mary Lourdes Burke, Marketing & CommunicationsDepartment, at
[email protected] or 978-466-2214.
David Bebinger, MD, Chair, Infection Control
exposure and mask up for coughing/sneezing patients. It's not too late to get the flu vaccine for protection from
We are fully into the flu season. Recommendations for
the next wave which usually follows in 3-6 weeks.
patient care are posted on the hospital's Intranet.
Oh, and wash those hands!
Remember that each patient contact could be an
For additional information, contact me at 978-466-4212.
Across the System
Blue Cross AQC: What's in a name?
Robert A. Klugman, MD, Associate Professor of Medicine and Quantitative Health Sciences, Senior Vice President; Chief Quality Officer; Medical Director, Managed Care
As the United States grapples with escalating health costs, Blue
Is the AQC working? Blue Cross recently published results
Cross Blue Shield of Massachusetts, the largest provider of
showing that both their quality scores improved and their level
medical insurance in the state other than the government,
of spending was reduced relative to other spending as a result
developed a new model called the Alternative Quality Contract
of this program.
(AQC). The primary objective was to slow the rise of the cost of health care while preserving quality.
What does this mean for our providers?
The AQC has two primary components. The first is that a group
Coupled with federal programs like the Accountable Care
of providers (doctors, hospitals, etc., who work together), agree to
Organization (ACO) and the recently passed Massachusetts
a fixed annual budget for the total medical expense (TME) for
legislation signed by Governor Patrick strongly directing
the Blue Cross Blue Shield HMO members that they care for.
providers and payers into more of these so called "risk"-type
This budget is calculated by looking back on two to three years
contracts, the landscape will very rapidly change over the next
of prior cost that is then adjusted for any fluctuation in the
few years from the long-standing fee for service, pay as you go,
number of actively enrolled members that year. A risk adjustment
to these "bundled" payments. This will require both focused
for a level of severity of illness of those subscribers is also made.
attention on the various quality metrics as well as new programs to manage more complex patients and those with
Once this budget is set, the provider group needs to live within
chronic diseases to keep them at home and healthy rather
that budget for the following 12 months. In the event that at
than in the higher cost setting, like the emergency room or
the end of the year they have spent less money than the allotted
hospital – a win for all concerned.
budget, they share in the dollars that are leftover. In the eventthey have spent more than the budgeted amount, they share in
What does this mean for patients?
paying for the overage. The idea is both to incentivize the
They need to be active and engaged in their care. We have an
providers to use health care dollars more wisely, as well as give
epidemic of obesity, smoking and diabetes. Patients need to
them some flexibility in how they pay their physicians and other
work at improving their own health both in terms of healthy
providers in the group to allow for investment in new models,
habits as well as participating in preventative care and
such as medical home or patient care managers. These models
management of their chronic diseases.
help keep people home and healthy rather than in high-cost settings like the emergency room or the hospital.
In sum, AQCs, ACOs and like programs are a step toward promoting health care provider groups to focus more on
The second piece of the AQC is the quality component. In order
efficient use of health care dollars, as well as improving quality.
to assure that the quality does not suffer while providers are
They provide flexibility as to how those dollars are spent to
focusing on cost, Blue Cross has devised 26 measures upon which
allow for a new, innovative program.
provider groups are monitored. These include care metrics suchas the provision of mammography, necessary immunizations and
One of the biggest challenges we face is the transition period
testing, as well as the management of common medical
when providers are in both the fee- for-service world and this
conditions like bronchitis, diabetes, heart disease and others. In
new risk world, were incentives are competing.
addition, patient experience scores for primary care practitionersare included. Primary care practitioners are responsible for moni-
UMass Memorial Health Care is addressing all of these issues
toring and improving the performance on these measures.
through our newly created Office for Clinical Integration
Depending on the overall level of performance of the provider
as well as the work going on across the system. This work
group, a score is calculated and more dollars are paid in addition
includes programs like improving transition of care between
to the TME dollars. Importantly, the level of the quality score
hospital, home, and home care and extended care facilities and
also impacts the TME. If a group saves money on the TME, the
more intensive management for patients with chronic diseases.
higher your quality score is and the more you share in those saveddollars. Likewise, if you overspend on TME, the better your qualityscore, the less you are required to pay back for that overage.
Ranked #1 in MA for Patient Safety
New Safety II Campaign Launches in 2013
Mary Lourdes Burke, Chief Communications Officer
After a successful new safety campaign this fall, which leveraged HealthAlliance Hospital's #1 ranking in Massachusettsfor patient safety by Consumer Reports, the hospital is launching phase II of its safety campaign. Coinciding with UMassMemorial and HealthAlliance Hospital's goals for fiscal year 2013, this phase focuses on targeted service lines. Throughprint, radio, online banners and search engine marketing, the new campaign highlights the hospital's commitment to providing the safest, highest quality:
• Heart attack care
in Massachusetts
• Care through technology
for patient safety
Although this campaign is scaled back from a budgetary standpoint, the ads are specifically designed to measure their effectiveness in the
Dedicated patient-centered car
e programs, including patient navigator
, survivorship and wellness pr
navigator
, survivorship an
, survivorship and wellness pr
edited by the American College of Surgeons Commission on Cancer
Check out the new print ads and radio spots
posted on our Intranet.
about patient safety and quality at HealthAlliance Hospital, visit www
about patient safety and quality at HealthAllian
about patient safety and quality at HealthAlliance Hospital, visit www
ce Hospital, visit www
2 7 5 N I C H O L S R O A D , F I T C H B U RG , MA 01420 s 978-343-5000
WWW.HEALTHA
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in Massachusetts
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Alliance Hospital, visit www
For more information about patient safety and quality at HealthAlliance Hospital, visit www
For more information about patient safety and quality at Health
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Committed to pr
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for patient safety
Ranked as the 4th leading hospital in the state for surviving a heart attack – 2 years in a row
Ranked as the 4th leading hospital in the state for surviving a heart attack – 2 years in a r
Recognized for rapid emergency diagnosis and transfer of heart attack patients
Partnership with UMass Memorial Medical Center – ranked #1 in Massachusetts for heart attack care
Partnership with UMass Memorial Medical Center – ranked #1 in Massachusetts for heart attack car
At HealthAlliance Hospital, we believe that everyone deserves safe, af
fordable, high-quality health care and are
At HealthAlliance Hospital, we believe that everyone deserves safe, af
t HealthAlliance Hospital, we believe that everyone deserves safe, af
committed to bringing that level of care to everyone in North Central Massachusetts and Southern New Hampshire.
committed to bringing that level of care to everyone in North Central Massachusetts and Southern New Hampshire.
For more information about patient safety and quality at HealthAlliance Hospital, visit www
about patient safety and quality at HealthAlliance Hospital, visit www
Patient Satisfaction at
Medical Grand Rounds Schedule
HealthAlliance Home Health
Note: Grand Rounds are held on Tuesdays at 7:30 am
& Hospice Ranks High
in the Guild Conference Room, Simonds Building, Entrance G, Leominster Campus.
Christine Dixon, Executive Director
Schwartz Center Rounds*
Recent trends in HHCAHPS scores at HealthAlliance HomeHealth & Hospice show HAHHH ranks higher than the state
Dr. Raymond Wolejko, Program Moderator
and the nation. HAHHH has made a focused effort on
– HealthAlliance Hospital
improving patient's and families' perceptions of the care theyreceive. In making quality of care a priority, the staff have
focused on delivering care in a manner that is individualized,
comprehensive, and compassionate. Home health patients are
Dr. Daniel O' Leary, Chief Medical Officer
asked specific questions about how they were treated; the
– HealthAlliance Hospital
sensitivity of that treatment; if their requests were met, andhow well issues such as medications and home safety were addressed. The results show remarkable improvement over the
February 12, 2013
months in how well our care is delivered.
Physician Health Program
Dr. Luis Sanchez
The hospice team has also worked hard on improving the
– Physician Health Massachusetts Medical Society
perception of care they provide. Based on previous surveyfeedback, the team has focused on improving written
educational materials that are available to patients, families,
These programs satisfy the Massachusetts Board of
Registration in Medicine's requirements for awarding of
and physicians. In addressing the often difficult aspects that
risk management credit.management credit.
are faced at end of life, the team has been able to improvethe overall confidence level of families who are involved inthe care of their loved ones. The results of these efforts arenoted in HAHHH's Family Evaluation of Hospice Care(FEHC) scores that also exceed state and national numbers.
Joint Replacement School
7th Annual Cat's Meow Speakeasy Tasting Gala
Saturday, January 12, February 16, March 16
Thursday, March 7, 5:30 – 8:30 pm • $50
9-10 am • FREE
Four Points by Sheraton, Leominster
HealthAlliance Hospital – Leominster
99 Erdman Way, Leominster, MA
Campus, Entrance D, Surgical Services
Lobby, 100 Hospital Road, Leominster.
To register or for more information, call 978-466-2258.
For more information or to register, call 978-466-2550.
President & CEO Lunch Dates
Thursday, March 21, 6 pm • FREE
Wednesday, January 16, February 20, March 20 at Noon
HealthAlliance Hospital – Leominster Campus
Medical Staff Conference Rooms A and B –
Guild Conference Room
Leominster Campus
Physical Therapy Lecture
Wednesday, January 23, 6 pm • FREE
Interested in presenting a Community
HealthAlliance Hospital – Leominster Campus
Health & Educational Program?
Guild Conference Room
Contact Kelli Rooney, Marketing and PR Specialist,
To register or for more information, call 978-466-2191.
at [email protected] or 978-466-4094.
Guild Ale & Wine Social
Wednesday, January 16, 4 – 6 pm • $10
14 Monument Square, Leominster, MA 01453
Share Your Ideas
To register or for more information, call 978-466-2778.
National Go Red for Women Day
We want to hear from you!
Friday, February 1, 10 am - 2 pm • FREE
Please share your ideas, feedback,
HealthAlliance Hospital – Leominster Campus, Lobby D
and patient testimonials for future
Stop by the Go Red for Women table for important
publications and YouTube videos!
information, giveaways and free blood pressure
Email Mary Lourdes Burke at
[email protected] or call at 978-466-2214.
Heart Health Lecture
Tuesday, February 12, 6 pm • FREE
HealthAlliance Hospital – Leominster Campus
Guild Conference Room
To register or for more information, call 978-466-2191.
The Auricle is the medical staff newsletter of HealthAlliance Hospital, a Member of UMass Memorial Health Care.
Daniel O'Leary, MD, Medical EditorChief Medical Officer • [email protected] • Tel: 978-466-2005
Mary Lourdes Burke, Managing EditorChief Communications Officer • [email protected] • Tel: 978-466-2214 • Fax: 978-466-2271
Source: http://www.hahhh.org/wp-content/uploads/2013/01/Auricle_January13_01-10.pdf
PRESCHOOL PROGRAM Michael Sheppard, Superintendent Pupil Services Director, Lisa Bruening 390 Fair Street Berea, Ohio 44017 Preschool Mary Ellen Butler, Office Assistant 16900 Holland Road Brook Park, Ohio 44142 Krista Dickens, Preschool Coordinator 1-216-898-8840 x7675 Preschool Intervention Services Bethany Baker, Preschool Psychologist 1-216-898-8840 x7694
f AQ The American College of Obstetricians and Gynecologists FREQUENTLY ASKED QUESTIONSFAQ146PREGNANCY Reducing Risks of Birth Defects • What is a birth defect?• What causes birth defects?• What can I do before or during pregnancy to decrease my risk of having a baby with certain birth defects?• Why should I see my health care provider before becoming pregnant?• What factors increase the risk of having a baby with a birth defect?• Why is taking a multivitamin important before and during pregnancy?• What do I need to know about taking medications during pregnancy?• How can obesity have an impact on my pregnancy?