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WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR MAY 2013 HOSPITAL H NEWSPAPER Looking for the right employee? Join our Career Guide! Online… PRESORT STANDARD U.S. POSTAGE PAID PERMIT 7246 PHILADELPHIA, PA 19143 CHANGE SERVICE REQUESTED Hospital Newspaper 1 Ardmore Street New Windsor NY 12553 The New York Edition If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their Hospital Employee Loan Program and you could WIN AN IPAD! See p16 National Nurses Week May 6-12, 2013 Congratulations New York Nurses! Pediatric Care Burke Rehabilitation Hospital p12 Hospital of the Month! Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals p4 Connecting Nurses, Supply Chain to Control Costs p8

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Hospitals will find this the place to recognize employees, tell their stories of patient care, market their new technology and promote upcoming events! No one tells the story of local hospitals like Hospital Newspaper!

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Page 1: hospital Newspaper May New York

WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR MAY 2013

HOSPITALH NEWSPAPER

Looking for the right employee?

Join our Career Guide!

Online…PRESORT STANDARDU.S. POSTAGE PAID

PERMIT 7246PHILADELPHIA, PA 19143

CHANGE SERVICE REQUESTED

Hospital Newspaper 1 Ardmore Street New Windsor NY 12553

The New York Edition

If you are a Hospital employee looking for a mortgage or refinancing contact Sun Home Loans about their

Hospital Employee Loan Program and you could WIN AN IPAD! See p16

National Nurses WeekMay 6-12, 2013

CongratulationsNew York Nurses!

PediatricCare

Burke Rehabilitation Hospital p12

Hospital of the Month!

Fund-Ex Provides

Customized Financing

Solutions to Healthcare

Professionals p4

Connecting Nurses,

Supply Chain

to Control Costs p8

Page 2: hospital Newspaper May New York

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

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CRAIG HJEMDAHL-MONSEN, MDKUMAR KALAPATAPU, MD

SRIRAMA KALAPATAPU, MDRICHARD KAY, MD

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JOYDEEP GHOSH, MDLAWRENCE GLASSBERG, MDEDUARDO GRANATO, MD

PAGE 2 May, 2013 Hospital Newspaper - NY

Page 3: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 Page 3

Page 4: hospital Newspaper May New York

In a time of extraordinary change within the industry, healthcare professionals face a list of challenges that seems to grow longer by the day. Providers are required to juggle priorities and effectively dele-gate responsibility in an effort to deliver high quality care. External pressures such as declining reimbursements, increasing compliance requirements and uncertainty surrounding the Affordable Care Act only add to the burden.

Additionally, healthcare providers must adapt to the changing dynamics of the doctor-patient relationship as patients take a more proactive approach in how they gather information and interact with care providers.

Despite these challenges, providers must make sure that operations continue to run smoothly while maintaining a steady

upgraded, additional staff may be needed to distribute the workload, and payroll or

burden can often be overwhelming, leaving bills unpaid and projects stalled.

In 2010, Fund-Ex, LLC was founded to provide healthcare professionals with the

grow a practice. As a lender that works exclusively with healthcare professionals,

-

and challenges. The funds can be used for a wide range of business purposes includ-ing working capital, debt consolidation,

a practice. Fund-Ex’s goal is to simplify and shorten the lending experience for healthcare providers, ensuring that time away from patients is minimized.

doesn’t run like your typical business. Every second that a doctor spends away from patients means lost revenue,” said Albert Crawford, Owner and CEO of Fund-Ex. “We launched Fund-Ex to give healthcare professionals access

keeping the disruption of their day-to-day routine to an absolute minimum.”

doors in 2010, principal owners Albert Crawford, Eric Castro and Robert Castro

-care providers for more than two decades. That extensive experience has helped them gain a deep understanding of healthcare business cycles. It also led them to the realization that healthcare professionals

“Our years of experience have helped

us to provide capital to our healthcare clientele with unparalleled speed, service

Owner and COO of Fund-Ex. “Combine that low-stress, no-pressure experience

solutions and you have winning combina-tion for healthcare professionals.”

In addition to being time consuming and tedious, healthcare professionals

fruitless. Traditional lenders are often

Fund-Ex Provides Customized Financing Solutions to Healthcare Professionals

unfamiliar with healthcare professionals and unwilling to look outside their credit matrix to understand the complete picture surrounding the borrower.

“Day after day we hear how challenging

healthcare professionals with healthy incomes and solid credit histories,” said April Brissette, Chief Lending

is rooted in a thorough understanding of their business process, and we take the time to understand the entire situation. This understanding allows Fund-Ex to say yes when other lenders are saying no.”

www.fund-ex.com | 877.851.9405

The Funding Expert for Healthcare Professionals

By Patrick Harrigan | Syracuse, NY

PAGE 4 May, 2013 Hospital Newspaper - NY

Page 5: hospital Newspaper May New York

* Express Program offers fund availability in as few as 5 days, Flex Program offers funds at interest rates as low as 6%.

Your healthy financial future is here.

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works exclusively with healthcare professionals, we take the time to

understand your needs and determine the best solution for you and

your business. Fund-Ex can help you improve operational cash flow,

expand or relocate, upgrade equipment or just simplify and save

by consolidating high interest debt.

Call 877.851.9405 or visit www.fund-ex.com/HNNY to connect with one of our funding experts.

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Hospital Newspaper - NY May, 2013 Page 5

Page 6: hospital Newspaper May New York

PAGE 6 may, 2013 Hospital Newspaper - NY

PUBLISHERJoseph P. Belsito

([email protected])

• • •GENERAL MANAGER

James Stankiewicz([email protected])

• • •MANAGING EDITOR

Cathryn Burak([email protected])

• • •SENIOR CORRESPONDENT

Geraldine A. Collier• • •

SENIOR SALES CONSULTANT

Maureen Rafferty Linell([email protected])

• • •MARKETING EXECUTIVE

Anthony Mairo([email protected])

• • •CIRCULATION

Michelle Belsito(845-534-7500 x220)

• • •BUSINESS DEVELOPMENT,

PUBLISHER'S REPRESENTATIVE

Jeff HortonField office; Mahopac, NY

cell- 845-729-2525

[email protected]

OUR VIEW

845-534-7500 • (fax) 845-534-0055

[email protected]

HOSPITALNEWSPAPERH

Hospital Newspaper - New York edition - Vol. 11 No. 5 -is published monthly, 12 times a year for $36 per year byBelsito Communications, Inc., 1 Ardmore Street, NewWindsor, NY 12553. Postage Paid at New Windsor, NYand additional mailing offices. Postmaster: Send addresschanges to Hospital Newspaper, 1 Ardmore Street, NewWindsor, NY 12553. No financial responsibility is assumedby this newspaper to publish a display, classified, or legalad or for typographical errors except of reprinting that partof the ad which was omitted or in error. Omissions or errorsmust be brought to the attention of the newspaper duringthe same month of publication.

845-534-7500 • (fax) 845-534-0055

[email protected]

No. 1 - is published monthly, 12 times a year for

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CORPORATE INFORMATION

Company Page

U.S. Air Force 11

AkrimAx / Nitromist 24

Bankers Healthcare Group, inc. 5

Burke rehabilitation Hospital 13

ColumbiaDoctors 2

EmA 7, 18

GNYHA Services 9

icare 21

Long island University 15

medExcel 3

North Shore-LiJ 23

NorthWest Seminars 19

Planetree 17

resource Directory 20, 22

Sun Home Loans 16

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___ NY ___ NJ ___ $36 for one year of Hospital Newspaper delivered to your hOME Or OffiCE!

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Go to www.hospitalnewspaper.com click on Online Newspaper Subscription Form

WWW.HOSPITALNEWSPAPER.COM HOME SUBSCRIPTION - $36/YEAR

MAY 2013

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If you are a Hospital employee looking for a mortgage or

refinancing contact Sun Home Loans about their

Hospital Employee Loan Program and you could WIN AN IPAD! See p16

National Nurses WeekMay 6-12, 2013CongratulationsNew York Nurses!

PediatricCare

Burke Rehabilitation Hospital p12

Hospital of the Month!

Fund-Ex �(&,"��)��+)*&$".����"%�%�"% ��&#+*"&%)�*&����#*!��(���(&��))"&%�#) p4�&%%��*"% Nurses��+''#-��!�"%�*&��&%*(&#��&)*) p8

Hospital Newspaper is proud to recognize nurses as part of National Nurse Week which is May 6-12.

Facing unknown health issues can be very stressful. Hospital stays can be made more comfortable

because of the gentle, encouraging care provided by nurses.

Around the clock, patients push the alert button to summon the nurses. What an immense sense of

relief when the kind and helpful face of a nurse appears.

Most nurses feel their services are not recognized. However, they should be. Nurses are a special

group, an important part of our communities. Many nurses expressed that a few encouraging words

would mean so much to them after a 24-hour work shift. In today's healthcare system, these special

men and women face ever changing challenges.

Please take the opportunity during national Nurse Week to put a smile on a valued nurse! Where we

would be without them?

Please share your stories with us: [email protected]

Jim can be reached at 845-534-7500 ext. 219 and via email at [email protected].

Hospital Newspaper salutes all Nurses during National Nurses WeekMay 6-12, 2013

Page 7: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 Page 7

Gerardi Hosts Webinar for theEmergency Medicine PatientSafety Foundation (EMPSF)

Michael Gerardi, MD, FACEP, pre-sented a webinar entitled, “Safetyin Pediatric Emergency Medicine”for the Emergency Medicine Pa-tient Safety Foundation (EMPSF)Oct. 30, 2012.

Dr. Gerardi is a member of the fac-ulty of the Department of Emer-gency Medicine at Morristown(N.J.) Medical Center; a senior vicepresident with Emergency MedicalAssociates; and a member of theBoard of Directors of the AmericanCollege of Emergency Physicians(ACEP).

Dr. Gerardi is a partner of Emer-gency Medical Associates.

About Emergency Medical AssociatesEmergency Medical Associates(EMA), headquartered in Parsip-pany, N.J., is a physician-led,physician-owned medical practicethat specializes in emergency, hos-pitalist and urgent care medicine.Dedicated to providing exceptionalsolutions for the measurable suc-cess of our hospital partners, EMAis recognized for clinical excel-lence, quality service and sus-tained improved patientsatisfaction. For more information,visit www.ema.net, www.face-book.com/EMANews or www.twit-ter.com/EMANews.

Stuhlmiller Co-Authors Chaptersin Commission on Accreditationof Medical Transport SystemsTextbook

David Stuhlmiller, MD, FACEP,CMTE, co-authored two chaptersin the Commission on Accredita-tion of Medical Transport Systemstextbook. The first surroundedmeasurement and data titled“Safety and Quality in MedicalTransport Systems. Creating an Ef-fective Culture” and the secondchapter emphasized Essentials oflearning and improvement “Safetyand Quality in Medical TransportSystems. Creating an Effective Cul-ture.”

Dr. Stuhlmiller is a partner ofEmergency Medical Associatesand chairman of the department ofemergency medicine at NewtonMedical Center, Newton, N.J.

Weinberg Serves as Faculty atBase Camp 2013

Eric Weinberg, MD, served as amember of the faculty for BaseCamp, a multidisciplinary confer-ence for first-year pediatric emer-gency medicine fellows andpediatric emergency nurses. Theconference was held February 9-10, 2013, at Weill Cornell MedicalCollege in New York City.

Dr. Weinberg served as the facili-tator throughout the day. Throughsimulation, lectures and hands-onpracticals with cadavers and pro-cedural simulators, Weinbergtaught pediatric resuscitation tech-niques to pediatric emergencymedicine fellows and nurses.

Dr. Weinberg is an attending pedi-atric emergency physician and as-sistant professor of thedepartment of pediatric emer-gency medicine at Maria FareriChildren's Hospital at WestchesterMedical Center in Valhalla, N.Y.Dr. Weinberg is a partner of Emer-gency Medical Associates.

News in Emergency Medicine

(877) 692-4665 [email protected] www.EMA.net

The Sign of Excellence in Emergency Medicine® for More Than Three Decades

35 years of expertise

Serving patients in New York, New Jersey and Pennsylvania, as well as North Carolina and Rhode Island

Dedicated board-certi�ed emergency physicians integrate into your hospital’s culture

Recognized for clinical excellence, quality service and high patient satisfaction

2012 Best Places to Work in Healthcare

2012 Top 10 Emergency Department Contractors

The Sign of Excellence in Emergency Medicinefor More Than Three Decades

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Page 8: hospital Newspaper May New York

PAGE 8 May, 2013 Hospital Newspaper - NY

All too often, conversations about product quality, costs, and nursing take place separately. While the relationship

between nurses and the quality of hospital care has been a frequent topic of discussion and research (with much of it

linking nursing care to safety, patient satisfaction, and outcomes), the same cannot be said about nurses and their

impact on costs. The celebration of National Nurses Week (May 6-12) provides a good time to recognize the vital role

nurses play in helping to control hospital costs, specifically in the supply chain.

As supply chain management rightly takes ownership of the intersection of cost, quality, and outcomes in response to

the integrated care delivery model, the once deeply siloed supply chain will need to become more collaborative.

Nurses—with their hands-on experience using the majority of hospital products, their expanding professional duties,

and their clinical backgrounds—are indispensable supply chain allies in helping to select the right product and technology

at the right price.

The disconnect between nurses and the supply chain does not work in today’s collaborative supply chain, which, more

than ever before, has a big-picture focus that goes beyond costs. According to an American Society of Health-System

Pharmacists survey, nurses administer medications in 99.7% of hospitals. And for many patients, nurses, who have

the most patient contact, are the face of the hospital, delivering life-saving care and advice, and making valuable patient

care decisions. Nurses comprise most of hospital staff. Therefore, hospitals that relegate nurses solely to the role of

supply users who have little or no input on products, tools, or equipment choices—and who are left out of training on

product purchasing and cost savings—are bypassing a critical resource that could facilitate major improvements that

lead to a better bottom line.

In order to evaluate a new product or technology, or fix supply chain issues by prioritizing patient care over process

approach, supply chain professionals need to go beyond the numbers and learn about care practices and how products

are used on the hospital floor. Nurses, in turn, should be aware of how their work with patients connects to hospital

costs. Nurses who are engaged with their supply chain department can positively affect the product decision-making

process by adding valuable product usage insight, such as the long-term expense of a low-cost but inefficient product.

Supply chain educated nurses can also serve as partners in promoting cost consciousness and product use efficiencies

to hospital physicians and other clinicians who are often more responsive to colleagues who understand their job

firsthand. In addition, nurses can add a perspective based on experience rather than supplier claims.

The value of nurses’ unique skill set—patient care, clinical expertise, and supply and equipment knowledge—cannot

be ignored. Involving nurses early and often in the supply chain process (especially during value analysis) should be

a fundamental requisite of any optimized, strategic, clinically integrated supply chain.

Christopher J. O’Connor is Executive Vice President of GNYHA Ventures, Inc., the for-profit arm of the Greater New York Hospital

Association, and President of two GNYHA Ventures companies: GNYHA Services, Inc., an acute care group purchasing organization,

and Nexera, Inc., a healthcare consulting firm. Mr. O’Connor is Chair-Elect of the Association for Healthcare Resource & Materials

Management (AHRMM).

Ask An ExpertAsk An Expert

Christopher J. O’ConnorExecutive Vice President, GNYHA Ventures, Inc.,

President, GNYHA Services, Inc. and President, Nexera, Inc.

Connecting Nurses, Supply Chain to Control Costs

Page 9: hospital Newspaper May New York

GNYHA Services provides support to both clinicians and non-clinicians in the acute care se�ing. Our physician preference, product evaluation, continuing education, and communication services help bring clinicians together with supply chain executives to implement innovative processes that bene�t your bo�om line as well as your patients.

Join forces today. Call GNYHA Services at (212) 246-7100.

555 West 57th St. I New York, NY 10019

Collaborate to Innovate CELEBRATING NATIONAL

NURSES WEEKMay 6−12, 2013

GNYHA Services thanks nurses everywhere for the extraordinary work they do

to support our communities and improve the lives of the

patients they serve.

Hospital Newspaper - NY May, 2013 Page 9

Page 10: hospital Newspaper May New York

PAGE 10 May, 2013 Hospital Newspaper - NY

Latestinfo fo

r

nurses and

students

By Alison Lazzaro

National Nurses Week allows nurses to be recognized for their around

the clock diligence and caring. The week actually ends on May 12 to

celebrate Florence Nightingale's birthday. National School Nurse Day is

incorporated into the Wednesday of the weeklong holiday. In February

of 1974, President Nixon designated National Nurse Week through a

proclamation. Later in 1982, the American Nurses Association formally acknowledged May 6th as National

Nurses Day, which helped pass a joint resolution of the United States Congress to recognize the day for

nurses.

During this week, nurses can take some time to show each other their appreciation, reflect on growth, and

cherish unique nursing friendships. Whether the individual is a co-worker on your unit, professor, or preceptor,

show a special nurse how much he or she meant to you and helped your career.

College chapters of Student Nurses Associations are a great avenue for student nurses to show their

appreciation to mentors and friends in nursing who have aided in their success. The American Nurses

Association Board of Directors actually designated May 8th as National Student Nurses Day. Candy grams

are an easy fundraiser that allows students to purchase a piece of candy for a fellow nursing student or

professor in order to show their appreciation. All profits from the candy sale can go directly to the organization

or contribute to a small award honoring a nurse or teacher. Nursing friendships are bonded through countless

hours of studying, group projects, and long hours at clinical.

College chapters can also honor the nursing profession and their peers through a health

fair or preventative screening in their student center. This promotes the positive influence

nurses can have and brings awareness to all organizations throughout campus. Using

promotional pins, tee-shirts and posters can help to make it an inspirational event and

raise awareness.

Nurses working in hospitals or facilities after graduation can recognize other nurses

on their unit through awards, honorary breakfasts or a simple card. Think about the

nurses who are always willing to go out of her way to switch hours with you so you can

make it to an appointment, the nurse who brought you a coffee to help jump start your night shift, or the

nurse who got out late but helped you review a procedure so you would feel more comfortable. Do not let

these special people who work days, nights, weekends, and holidays go unnoticed.

Nurse’s Viewpoint

Hospital Newspaper Correspondent

Celebrating Caring, Commitment, and Compassion

Page 11: hospital Newspaper May New York

SHOULD A NURTURING PERSONALITY AND LEADERSHIP ABILITY BE MUTUALLY EXCLUSIVE?

In the U.S. Air Force, we never forget that Doctors, Dentists, Nurses and Allied Health Specialists, professionals known for caring and compassion, also have the knowledge and character to lead the team. The same passion that makes a great healer also makes a great leader. If you re looking for professional growth and development through leadership experience, come practice in the Air Force. AIRFORCE.COM/HEALTHCARE

AIR FORCE HEALTH PROFESSIONS REGIONAL OFFICE NEW YORK, NY 212-349-2489 [email protected]

Hospital Newspaper - NY May, 2013 Page 11

Page 12: hospital Newspaper May New York

BURKEPAGE 12 May, 2013 Hospital Newspaper - NY

When she was a 1-year-old, Kathleen Friel was diagnosed

with cerebral palsy, and given a poor prognosis for becoming

an independently-functioning adult.

However, through her determination, she began developing

compensatory motor strategies to make up for her significant

deficits with movement. Being unable to grasp Cheerios,

her favorite cereal, she developed a strategy of licking her

fingertip, inserting them into the center of the O and bringing

the snack to her mouth.

Indeed, Kathleen Friel has come a long way, and she serves

as an inspiration to – among others – the patients she now

treats. Kathleen Friel, Ph. D., joined Burke Medical Research

Institute’s Early Brain Injury Recovery Program earlier this

year. Being part of this program lends itself to her mission

of helping others who suffer from the same disease she has

battled throughout her life.

Approximately one million people in the U.S. suffer from

cerebral palsy, a disorder of movement and posture caused

by injury to the developing brain.

“In neurology, anatomy is considered destiny, with the

pattern of brain injury determining which neurological functions

are lost,” explains Dr. Friel, the director of the Clinical

Laboratory for the Early Brain Injury Recovery at Burke, “but

we believe that for children with early brain injury, anatomy is

not destiny and we can improve their neurological outcomes.”

photo provided

Rehabilitation HospitalSecond, the laboratory will enroll qualified children in

clinical trials to test newer treatment methods including

high-intensity training programs and non-invasive brain

stimulation. Both have been proven as safe and practical

treatments to restore neurological function based on research

that previously has been conducted at the Institute.

“The addition of Dr. Friel to the Early Brain Injury Recovery

Program is a great stride in our quest to restore motor function

and improve neurological outcomes in children with injury to

their developing nervous systems,” says Dr. Carmel, who

initiated the program and also heads Burke’s Motor Recovery

Laboratory. “Her deep understanding of the use of intensive

hand rehabilitative training on children will help us better

understand brain structure and function in children with

cerebral palsy and be able to devise new therapies for them.”

Dr. Friel, who was recruited from Columbia University in

New York City where she was an assistant professor in the

Division of Experimental Therapeutics, has spent more than

a decade studying various aspects of brain injury and repair.

Her research uses sophisticated techniques to non-invasively

study the anatomy and function of the brain and spinal cord

as well as how brain structure and function may change as

children receive rehabilitative training. Her studies show the

utility of activity-based therapies for restoring motor function.

She brings these insights and understanding to the Early Brain

Injury Program where she will focus on improving hand

function in children with cerebral palsy.

According to Rajiv R. Ratan, M.D., Ph.D., executive director

of the Burke Medical Research Institute and professor of

neurology and neuroscience at Weill Cornell Medical College,

“The goal of the Burke Medical Research Institute is to

provide the tools necessary to reduce neurological disabilities,

the number one causes of disability in the United States.

The addition of Dr. Friel to our research staff and the opening

of the Early Brain Injury Recovery Program bring us another

step closer to achieving this goal.”

Dr. Friel is a resident of White Plains, New York. She received

her doctorate in neurophysiology from the University of Kansas

Medical Center and conducted her post-doctoral studies at

Columbia University. These studies were seminal in demon-

strating the importance of motor activity in neurorehabilitation.

Founded in 1978 as the medical research affiliate of the

Burke Rehabilitation Hospital, the Burke Medical Research

Institute is one of the only free-standing rehabilitation

research facilities with dedicated programs in basic research

(understanding how the normal brain functions and how it is

affected by disease), translational research (understanding

how to bring basic research to the patient bedside), and clinical

research (testing of new therapies in patients). These research

endeavors are funded by private donations and through highly

competitive grants awarded by the National Institutes of

Health (NIH) and private and public foundations.

Just as Dr. Friel figured out how to compensate for her

lack of motor function during her childhood, Dr. Friel and

Jason B. Carmel, M.D., Ph.D., who will direct the clinic

portion of the Early Brain Injury Recovery Program, have

found that the uninjured regions of the developing brain

also have the ability to take over and compensate for the

injured portions, when trained properly.

The Early Brain Injury Recovery Program, which

consists of a clinic and a laboratory, will be the first of

its kind in New York and the Northeast, and will serve

as an important new resource for parents of children

with cerebral palsy or who have experienced a trau-

matic brain injury. To date, scientific efforts have fo-

cused largely on protecting brain cells at the time of

injury and there are currently no FDA-approved treat-

ments for improving neurological function in children

with brain injuries. This program is one of the few in

the nation that aims to restore function in children with

chronic injuries.

The program’s approach will be two-fold. First, the

clinic will evaluate the neurological function of children,

set goals for rehabilitation and monitor progress to pro-

vide insight into brain regions and connections affected

by injury. This will help determine which alternative

brain pathways might be used to restore lost motor function.

All share the Burke mission

t

EXCEL LENCE IN R EHAB I L I TAT ION FOR NEARLY 100 Y EARS

7

HOSPITAL OF THE MONTHH

Page 13: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 Page 13

THE WIN

IFRE

D M

ASTE

RSON BURKE REHABILITATION HOSPITAL

PROGRAMS:• Amputee• Joint Replacement• Brain Injury• Cardiopulmonary• Neurological• Orthopedic• Spinal Cord Injury• Stroke Recovery

Rehab + Research = Results

B U R K E

Founded in 1915, Burke Rehabilitation Hospital is

the only hospital in Westchester County dedicated

to rehabilitation medicine. Burke offers inpatient

and outpatient programs for those who have

experienced a disabling illness, traumatic injury or

surgery. Burke is both a rehabilitation hospital and

medical research institute. Burke's doctors and

therapists provide the highest quality treatment,

while its research scientists explore the frontiers of

rehabilitation medicine. All share the Burke mission

to ensure that every patient makes the fullest

possible recovery.

Where You GoFor Rehab Matters

EXCELLENCE IN R EHAB I L I TAT ION FOR NEARLY 100 Y EARS

785 Mamaroneck Ave.White Plans, NY 10605888.99.BURKEwww. Burke.org

Page 14: hospital Newspaper May New York

PAGE 14 May, 2013 Hospital Newspaper - NY

Hospital Association offers $2,000 Scholarship

The Nassau-Suffolk Hospital Council (NSHC) announces a $2,000

scholarship with optional internship for college juniors/seniors or post

graduate students who are studying Journalism, Marketing/Communication,

or Healthcare Administration. The Ann Marie Brown Memorial Scholarship

honors the late Ann Marie Brown, who served as vice president for gov-

ernment and public relations for the Hospital Council from 1983 to 1993.

The scholarship is administered by the Hospital Council’s Communications

Committee. Filing deadline is May 17, 2013.

Recipient is expected to attend the award luncheon on June 12, 2013. For more

information and an application go to www.nshc.org and click on programs or

call 631-963-4156.

The NSHC represents the not-for-profit and public hospitals on Long Island.

Its goal is to enhance health care for all Long Islanders through its advocacy

with lawmakers, regulatory agencies, the media, and the public.

NUMC Emergency Department Nursesraise funds for children in Haiti

NUMC staff save lives in many ways.The staff of the Emergency Department took the time amidst

the commotion of their work days to share Dr. Rosarion’s passion for education and service to benefit

women and children in Haiti.

A five hundred and thirty dollars gift was raised on behalf of Eye of a Dream.This sum will pay in

full a year tuition for one of the children in secondary school in Gonaives, Haiti.Dr. Rosarion thanks

the emergency department nurses, especially Irene Sheehan, RN, who spearheaded the fundraising.

NUMC’s emergency department nurses and Dr. Rosarion commemorate their donation toEye of a Dream. Liz, Irene, Dr. Rosarion, Jody and Jane

education & careers

NationalNurses Week May 6-12, 2013

Salutes all Nurses during

internet address directory

associationsNYSNA

www.nysna.org

healthcare consultantsMedco Consultants, Inc.

www.medcoconsultants.com

hospitalsHealthAlliance of the Hudson Valley®

www.HAHV.org

North Shore LIJ

www.northshorelij.com

medical equipment & ProductsTSK Products

www.tskproducts.com

rehabilitationwww.stcharles.org

To list your business website contact:Jim Stankiewicz

Tel: 845-534-7500 ext.219 [email protected]

HOSPITALNEWSPAPERH

pro

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Page 15: hospital Newspaper May New York

LIU Hudson’s M.B.A. in Healthcare Management Gives Executives an Edge in a Growing Field

When Donna McGregor completed her M.B.A. in healthcaremanagement at LIU Hudson in 2001, little did she know it wouldhelp her become Co-CEO of Health Quest, the Mid-Hudson Valley’slargest healthcare system.

“I decided to get my M.B.A. to expand my career opportunitiesbeyond finance into administration,” McGregor said. My passionwas to grow and expand my career in healthcare administration.”

Demand for healthcare administrators and managers has neverbeen greater. The $2-trillion U.S. hospital industry continues toexpand, making healthcare sector management one of the fastestgrowing and in-demand career fields in the U.S. today. Accordingto the Bureau of Labor Statistics, approximately 12% of the USworkforce — one out of 10 people — is in healthcare. Projectedgrowth in this decade is considerably above all other occupations.

According to Dr. Lynn Gunnar Johnson, director of the M.B.A.Program, “Medical and health services manager jobs are expectedto grow more than 22% over the next five years. Hospitals andother healthcare-related organizations are looking for people withmanagerial and financial expertise.”

LIU Hudson at Westchester now offers two options for graduatestudy in healthcare sector management. Designed to meet the

management and business needs of individuals in healthcare andrelated industries, the program provides individuals who are seekingto secure or advance in middle- and upper-management positionsin the healthcare industry with the knowledge and specializedskills they need to compete in this growing market sector, including competencies in finance, management, organizationaldynamics, information systems management and other matterscritical to the rapidly changing healthcare environment.

For McGregor, LIU’s program was attractive for a number of reasons, not the least of which was its “interesting and relevantcurriculum,” she said. The 48-credit curriculum includes six general business core courses and five advanced core courses.Students in the program also complete a capstone course consistingof practical application of relevant principles and theories throughan individual study project based on a current issue in a healthcare sector organization.

Leading these courses is a faculty comprised of business andhealthcare practitioners who are leaders in their field.

“We are extremely proud of our faculty in the program,” said Dr.Johnson. “The CEO of Nyack Hospital is teaching the capstonecourse; the EVP of Greenwich Hospital teaches healthcare management; the comptroller of Burke Hospital teaches finance.In this M.B.A. program, the faculty is made up of people with advanced academic credentials with extensive leadership experience in business or healthcare.”

McGregor also cites the faculty as a key element of her successin the program. “The faculty was very supportive of a workingstudent’s schedule,” McGregor said. “I also appreciated the flexibility to apply work-related projects to my graduate studies.” McGregor’s group thesis project focused on a “real life” business plan that she developed and was able to bring to life at Health Quest.

“Donna exemplifies in many ways the kind of person that benefitsfrom this M.B.A. program,” said Dr. Johnson. “She brought previous experience with her into the program, and learned howto apply the business concepts to the work that she is doing in the workplace in an ongoing basis.”

In McGregor’s case, what she learned in the M.B.A. program enabled her to move upwards in the healthcare field. Accordingto Dr. Johnson, the healthcare management component that recently has been added to the program will benefit many others

like McGregor who have leadership potential in the healthcarefield but need the business discipline and competencies.

“I wouldn’t be where I am without my LIU M.B.A.,” McGregor said.

Learn about our M.B.A. Concentrations• Finance • Management • Cyber Security• Healthcare Sector Management

Rockland Information SessionTuesday, May 7 • 5 - 7:30 p.m.70 Route 340 • Orangeburg, [email protected]*845-359-7200

Westchester Information SessionThursday, May 9 • 4 - 8 p.m.735 Anderson Hill Road • Purchase, [email protected] • 914-3831-2700

liu.edu/hudson

Hospital Newspaper - NY May, 2013 PAge 15

education & careersTeen “teachers” educate classmates about dangers of smoking

More than 150 students from Saint Aidan’s

School in Williston Park joined over 1,000

schools and youth groups across the country

on National Kicks Butt Day to take a stand

against smoking and educate their peers

about the dangers of tobacco.

With the help of nurses and smoking

cessation experts from the North Shore-LIJ

Health System’s Center for Tobacco Control

(CTC), students in six through eighth grade

transformed their gym into a health class-

room and theatre, complete with information

booths, educational games, a gigantic ciga-

rette filled with toxic substances found in

real cigarettes and a “tobacco store” showing

how much cigarettes cost. Trained as teachers

for the day by CTC staff, eighth graders

teamed up to write and produce short videos,

or public service announcements, about

the health dangers of smoking and tobacco

advertising.

While the event had a carnival-like atmos-

phere, the messages to students and teachers

were hard-hitting. Boys and girls are vulner-

able to smoking through advertising targeted

to them, and second-hand smoke poses a

health risk to children.

According to the US Center for Disease

Control and Prevention, smoking is still a

major problem among middle-school stu-

dents. In the US, more than three million

adolescents smoke cigarettes. Each day,

3,550 kids try their first cigarette; another

1,000 kids under age 18 become new, daily

smokers. That’s approximately 400,000 new

underage daily smokers in this country each

year. Another startling statistic: tobacco use

kills more than 400,000 Americans each year.

“We hope that students discover for them-

selves that the best way to stop smoking is to

never start in the first place,” said Patricia

Folan, DPN, director of the Center for

Tobacco Control.

“Approximately 90 percent of all adult

smokers started smoking as adolescents,”

said Dr. Folan. “Our goal is to reach kids

when they’re at the age where they’re going

to be more vulnerable to peer pressure and

smoking. Middle school is the perfect time

to emphasize prevention.”

Students from Saint Aidan’s School compare healthy pig lungs to black diseasedlungs, which were simulated to 20 years of tobacco use. Dan Jacobsen, NP, of NorthShore-LIJ’s Center for Tobacco Control emphasized the health benefits of stayingsmoke-free.

provided

Page 16: hospital Newspaper May New York

PAGE 16 May, 2013 Hospital Newspaper - NY

www.sunnb.com

Sun Home Loans, Sun National Bank, and Hospital News are not affiliated. All loans subject to approval. Certain conditions and fees may apply. Mortgage financing provided by Sun Home Loans, a division of Sun National Bank, member FDIC. Equal Housing Lender. NMLS #429900

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Sun Home Loans, a division of Sun National Bank,

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and other hospital staff.

Learn MoreTo find out more about our Hospital Employee Loan Program, email [email protected] or call 973-615-9745 to talk with our program specialist, Steve Testa (NMLS #460176), who will discuss your need and explain how the program could benefit you.

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During the process of getting his mortgage,

Dr. Anil Narula had questions.

Some even came to Narula on the weekends.

However, no broker is available unless it’s

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Sun National Bank Hospital Employee Loan

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all of Narula’s questions, all the time.

“My interaction with Steve was outstanding,”

Narula said. “Whenever I had any questions,

he never hesitated to get back to me. He was very

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Sun Home Loans and Hospital Newspaper

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Whether purchasing a new home or refinancing

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Dr. Narula is a general surgeon who practices

in the Bronx. His wife, Dr. Anita Narula, is a

physican at Bronx Lebanon Hospital.

The H.E.L.P. program provides discounted

mortgage rates designed for hospital employees

and pre-qualifications to shop for your next

home. Refinancing can save you hundreds, even

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A H.E.L.P. program representative will assist

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Whether purchasing a new home or refinancing

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To receive more information about the program

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Mortgage financing provided by Sun National

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Sun National Bank Hospital Employee Loan program helps local Physiciangain mortgage with outstanding service

Page 17: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 PAGE 17

October 6-9, 2013

You are Invited to the Longest Running,

International Conference on

Patient-Centered Care!

Join the longest running, most successful educational event for healthcare professionals who strive

to create culture change and deliver health care that puts the needs of the patients first.

Participate in a variety of breakout sessions that appeal to different learning styles

Enter the no power point zone and immerse in “Planetree Live”

Engage with the best minds in health care and be inspired and re-invigorated by our world

renowned keynotes

Experience patient-centered care real time by touring premier Planetree facilities

Connect with more than 1,200 attendees from across the continuum of care from large urban

systems to small critical access hospitals and long-term care communities

Collaborate with conference participants from around the globe. Our global presence, with

countries ranging from Canada, Denmark, France, Belgium Italy, The Netherlands and Brazil,

as well as some of the largest and innovative health care systems in the U.S., come together as a

true collaborative community

Gain vital information, innovative tools, and the support needed to transform your health care

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LocationMontreal, a cosmopolitan city enriched by the diverse cultures of its people embodies the personality

of this a one-of-a-kind educational event for health care professionals who strive to create culture

change and deliver health care that puts the needs of the patients and residents first. 

Keynote PresentersLyn Heward, Montreal's Cirque du Soleil Director of Creation

David Nash, MD, Founder of the Jefferson School of Population Health

Regina Holliday, Trailblazing patient rights arts advocate

Polly LaBarre, Best-selling author, original team member of

Fast Company magazine

Rosalind W. Picard, ScD, Founder and Director of the Affective

Computing research group at MIT Media Lab

Richard Kogan, MD, Distinguished concert pianist and psychiatrist

To learn more and sign up now while space is available:

www.patient-centeredcareconference.com

Orange Regional Medical Center Foundation names Golf Classic Co-Chairs

Orange Regional Medical Center

Foundation is pleased to announce

Frank Giordano III, CPA and

Jonathan Nasser, MD as Co-Chairs

of its 2013 Annual Golf Classic to

take place on Monday, June 17,

2013. The tournament will be held

at West Hills Country Club and

Wallkill Golf Course, both located

in Middletown. The event will con-

clude with a celebratory dinner and

awards ceremony at West Hills

Country Club.

Mr. Frank Giordano III, CPA is a

shareholder of Judelson, Giordano

& Siegel, CPA, PC and has been

with the firm since 1991. Mr. Gior-

dano is an expert in management

advisory services and information

technology. He has assisted new

clients and startup businesses in

implementing complete accounting

packages including both hardware

and software. Mr. Giordano has be-

come an outsourced controller to

companies that have experienced

changes in personnel – to retrain

new employees and keep the ac-

counting department functioning

without interruption. His specialty

consists of organizations within the

beverage distribution industry and

he also advises manufacturers,

wholesalers and professional serv-

ice providers. Mr. Giordano re-

ceived his Bachelors of Science

degree in accounting and finance

from Pace University. He is a mem-

ber of the New York State Society

of Certified Public Accountants and

the American Institute of Certified

Public Accountants.

Dr. Jonathan Nasser is an Internist

and Pediatrician at Crystal Run

Healthcare, where he has been in

practice since 2002. At Crystal Run,

Dr. Nasser is the Division Leader for

Pediatrics and the Co-Chief Clinical

Transformation Officer, helping to

lead the organization’s transition to

accountable care. Dr. Nasser has

been a member of Orange Re-

gional’s medical staff since 2002.

He received his medical degree

from the University of Virginia and

completed his residency training at

the University of Rochester. Dr.

Nasser is a fellow of the American

Academy of Pediatrics and a mem-

ber of the American College of

Physicians.

Proceeds raised from the tourna-

ment will benefit Orange Re-

gional’s new Pediatric Center,

aimed to bring exceptional pedi-

atric services to our community.

Various levels of sponsorship

packages are available. With their

round of golf, golfers receive

breakfast, golf cart, lunch and

appreciation gift as well as golfers’

hour and buffet dinner at our

awards ceremony.

To learn more about the sponsor-

ship opportunities available,

please call the Orange Regional

Medical Center Foundation at

845-333-2333 or please visit

www.ormc.org/foundation.

Orange Regional Medical Center

is a member of the Greater Hudson

Valley Health System.

About the Orange Regional’s Pediatric Center

The Pediatric Center will be

phased in over three years. The

plan will include construction of a

designated Pediatric Emergency

Unit within Orange Regional's cur-

rent Emergency Department, the

hiring of Pediatric Hospitalists, Pe-

diatric Unit staff and a Child Life

Specialist, the addition of Pediatric

sub-specialty services for outpa-

tients and inpatients, enhancements

to the existing Pediatric Inpatient

Unit, as well as the addition of a

Pediatric Intensive Care Unit

(PICU) plus community outreach

and education programs focusing

on children's health and wellness.

All this will be done with the goal

of creating a child-friendly envi-

ronment and experience suited for

children from birth to 18 years.

Frank Giordano III Jonathan Nasser, MD

Proceeds raised from the tournament will benefit Orange Regional’s new Pediatric Center

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s p

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ed

Page 18: hospital Newspaper May New York

PAGE 18 May, 2013 Hospital Newspaper - NY

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New $130M Pavilion dedicated at Cohen Children’s Medical Center

Good Samaritan Hospital Medical Center

was recently the recipient of a $250,000 grant

secured with the assistance of New York State

Senator Owen Johnson. The Senator has been

a long-time supporter of Good Samaritan

Hospital services and programs. The grant

funding went towards a Central Monitoring

System for the hospital’s Pediatric Unit.

“Having a state-of-the-art monitoring

system for children in Good Samaritan’s

Pediatric Unit offers a significant advantage

in caring for patients,” said Good Samaritan

Hospital’s Chair of Pediatric Services Catherine

Caronia, MD.

New York State Senator Phil Boyle,

members of the Hospital Foundation

Board and physicians shared in the cele-

bration on the Good Samaritan pediatric

roof top garden, a beautiful and soothing

outdoor space, available for patients and

their families to help speed the recovery

and minimize the stress associated with a

hospital stay.

“It was an honor to join Senator Johnson

and my friends at Good Samaritan Hospital

in celebrating this grant. The funding will

help the hospital’s Pediatric Unit continue to

provide innovative, quality health care to

children in our community,” said Senator

Boyle.

Good Samaritan’s commitment to chil-

dren’s health begins at birth and continues

throughout childhood. By offering a seamless

network of pediatric subspecialties, Good

Samaritan provides families with the ad-

vanced medical care they require.

For more information on Good Samaritan’s

pediatric services, please call (631) 376-4444

or visit www.good-samaritan-hospital.org.

Pictured (L-R): The Good Samaritan Foundation board memberKelly Daniele-Crosman, Chair, Department of Pediatrics CatherineCaronia, MD, The Good Samaritan Foundation board memberDaniel O’Donnell, New York State Senator Owen Johnson(Former), New York State Senator Phil Boyle, The Good SamaritanFoundation Vice Chairperson Aileen Eppig, Good SamaritanExecutive Vice President and CAO Nancy Simmons and GoodSamaritan Department of Medicine and Senior Vice President ofMedical Affairs Jerome Weiner, MD.

Good Samaritan Pediatric Services receives grant from New York State Senator

Hundreds of supporters of Cohen

Children’s Medical Center recently

celebrated the upcoming opening of

a new $130 million pavilion that will

house the region’s largest, dedicated

pediatric emergency department and

50 additional beds, further enhanc-

ing the hospital’s reputation as the

leading provider of children’s health

services in the metropolitan area.

The six-story, 120,000-square-

foot facility doubles the size of

Cohen’s Emergency Department to

30 beds and two trauma bays, and

expands the number of beds in its

pediatric intensive care unit to a ca-

pacity of 37. The new pavilion also

contains shell space for pediatric

operating rooms. The expansion

was especially important in meeting

community needs, considering that

Cohen is one of only two pediatric

trauma centers in the New York

area and the number of emergency

visits has jumped by more than 20

percent in the past five years to over

60,000 children annually.

The new facility, also includes

the lowest radiation dose computed

tomography (CT) scanner, a dedi-

cated pediatric-only pharmacy and

25 additional medical-surgical beds

-- all private rooms to accom-

modate parents and loved ones.

Alexandra and Steven Cohen, third and fourth from left, front, joinrepresentatives from Cohen Children’s Medical Center and theNorth Shore-LIJ Health System in cutting the ribbon on a new $130pavilion that features a dedicated pediatric emergency departmentand 50 additional single-bed rooms.

In total, the expansion increases

the bed capacity of the children’s

hospital to more than 190.

“Alex and I are committed to

helping sick children get well and

we are very pleased that the

Cohen Pediatric Center will help

innumerable Long Island families

and their children heal,” said

benefactor Steven Cohen. The

children’s hospital was named in

honor of his wife Alexandra and

him in 2010, after their $50 mil-

lion pledge enabled the new pavil-

ion to be built.

“This pavilion is an exciting

new chapter in the illustrious 30-

year history of what is truly be-

coming a world-class children’s

hospital,” said Michael Dowling,

president and chief executive of-

ficer of the North Shore-LIJ

Health System, of which Cohen

Children’s is a member.

“We stand as a beacon of hope for

the communities in the New York

Metropolitan area and beyond,” said

Kevin McGeachy, executive direc-

tor of Cohen Children’s. “Last year

alone we received transfers of more

than 2,500 patients from more than

100 hospitals throughout the New

York metropolitan region.”

Charles Schleien, MD, chair of

pediatrics, said the expansion of the

hospital’s emergency department

and pediatric ICU (PICU) will have

a dramatic impact on the delivery

of pediatric care in the community.

“Obviously, the idea of bringing

their child to an emergency room or

intensive care unit is traumatic for

the parents as well as the patients,”

he said. ”Great care was placed in

the design of this new facility.” For

example, the new PICU has been

designed as a forest, with custom

floor patterns, mosaic murals of

wildlife and unique staff stations.

To add to their comfort while visit-

ing, each private patient room con-

tains a dedicated parent area.

The expanded medical-surgical

unit has been designed as a moun-

tain ecosystem. Tracks of mountain

animals crisscross the floor, encour-

aging discovery and play. Rooms

designed with families in mind have

a sleeper sofa and two televisions in

each patient room (one for the pa-

tient, one for family) and a gaming

system for the child. Each unit will

provide family focused amenities

such as shower facilities, free WiFi,

a parent/family lounge and a dedi-

cated playroom for patients.

This modern facility would not

have been possible without the gen-

erosity and vision of Steven and

Alexandra Cohen, who have en-

joyed a 17-year-relationship with the

North Shore-LIJ Health System.

Prior to the $50 million gift that led

to the renaming of the Children’s

Hospital in March 2010, the Cohen

Foundation donated $7 million to

North Shore-LIJ to build a new am-

bulatory pediatric chemotherapy

unit at the children’s hospital and to

establish an endowment called the

Philip Lanzkowsky, MD, Professor-

ship in Pediatrics. Dr. Lanzkowsky,

the long-time executive director of

the hospital, was one of more than

200 supporters to attend the dedica-

tion of the new facility.

The opening of this new facility

marks a crowning achievement in

the history of the hospital, which

celebrates its 30th anniversary of

service to the community since its

official opening in 1983.

provided

provided

Page 19: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 PagE 19

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First-of-its-kind natural gas-powered ambulance debuts on Long Island

The North Shore-LIJ Health System has recently

added a new cleaner, greener and quieter ambulance to

its ambulance fleet. Powered by compressed natural

gas (CNG) and built to the health system’s specifica-

tions, it is the first ambulance of its kind operating in

the US.

According to Paul Power, assistant director of opera-

tions for the health system’s Center for Emergency Med-

ical Services (CEMS), the CNG-powered ambulance hit

the streets at the end of 2012 as a pilot project, mainly

servicing the Village of Rockville Centre. Mr. Power,

who researched the CNG ambulance over the last two

years with vehicle manufacturers and the West Nyack,

NY-based Clean Vehicle Solutions, a leader in the CNG

vehicle industry, said that using compressed natural gas

offers many advantages over diesel or gasoline fuel.

“We have a goal to green our fleet of ambulances

and emergency vehicles to protect the environment,

and reduce pollutants and noise in the neighborhoods

we serve,” said Mr. Power. “The CNG-ambulance

reduces greenhouse gas emissions by about 30 percent,

improves air quality and decreases fueling costs.”

Running on natural gas is about about $2 cheaper

per gallon than diesel or gasoline prices. The CNG-

ambulance, which runs 60 hours a week, would see

about an annual fuel savings over $6,000, said Mr. Power.

Alternate fuel vehicles are one way that North Shore-

LIJ is working toward reducing green house gas

emissions, as part of its comprehensive sustainability

plan, said Lisa Burch, the health system’s director of

sustainability and social responsibility.

“It’s also important to diversify our fueling op-

tions for our fleets, especially after the crippling gas

shortage during superstorm Sandy, said Mr. Power.

“After the hurricane all CNG stations were open.”

North Shore-LIJ’s CEMS owns over 100 emergency

vehicles and consumes the majority of the health

system’s diesel and gasoline, costing over $1.1 million

annually.

While equipping ambulances for CNG adds about

$20,000 to cost of the $115,000 vehicle, Mr. Power

says the additional investment is recouped over the

life of the ambulance in terms of fuel savings and

decreased maintenance costs. The health system is

working on acquiring another CNG-fueled ambulance

in the coming months.

Compressed natural gas is delivered to the ambu-

lance in cylinders that are encased in a metal box

behind the driver’s seat and underneath the vehicle.

CNG fueling stations are readily available in the tri-

state area and close to CEMS headquarters and other

service areas.

Natural gas powers about 120,000 vehicles in this

country, mainly fleets of taxicabs, transit and school

buses, construction vehicles, garbage trucks and other

trucks due to lower fuel costs, cleaner emissions and

easier maintenance. This represents less than one

percent of all vehicles powered by natural gas world-

wide. According to Clean Vehicle Solutions, convert-

ing one truck from diesel to natural gas is the

equivalent of taking as many as 325 cars off the road

in terms of pollution reduction.Paul Power, CEMS assistant director of operations, refuels thespecially-equipped ambulance with compressed natural gas.

provided

Page 20: hospital Newspaper May New York

PAgE 20 May, 2013 Hospital Newspaper - NY

ARCHITECTURE

Bernstein & Associates, ArchitectsFounded in 1990, Bernstein & Associates, Architects,

specializes in the design and construction of hospital andhealthcare facilities. Our focus: high-quality design, excellentservice, and client satisfaction.

We have worked for over 100 hospitals and another 200private healthcare facilities, across the United States.Our project types have included all hospital and healthcareservice groups, including:

Adult Day Care, Alcoholism Treatment Facilities, AmbulatorySurgery Centers, Assisted Living, Cancer Centers, Cardiac Cath,Cardiology, CCU/ICU, Clinics, Coronary Care, Dental, Derma-tology, Dialysis Clinics, Doctors Offices, Drug Treatment Fa-cilities, Elder Care, Employee and Student Health SupportServices, Emergency Departments, Emergency Preparedness,Endoscopy, ENT, Expert Witness, Group Practices, Hospices,Hospitals, Infectious Disease, Information Systems, IntensiveCare, JCAHO Survey, Joint Commission Survey, Laboratories,Master Plans, Medical Offices, Medical Equipment, MedicalLibraries, Medical Records, Neurology, Nursing Homes, Oph-thalmology/Eye Center, OB/Gyn, Orthopedic, Pain Care Facil-ities, Pathology, Patient Safety Consulting Services, Pediatric,Pharmacy, Physical Fitness and Sports, PT/OT, Primary CarePrograms, Psychiatric, Radiology, Rehabilitation, Senior CitizenFacilities, Sleep Centers, Social Services, Statement of Condi-tions, Surgical Suites and Ambulatory Surgery Centers, UrgentCare Centers, and USP 797 Consulting Services.

The firm's projects have won design awards from Progres-sive Architecture, Architectural Record, and the ArchitecturalWoodworking Institute, and have been published in Advance,Health Facilities Management, Medical Technology Today,Bio/Technology, Progressive Architecture, ArchitecturalRecord, Design Solutions, Hospitality Design, Sound andCommunication, Contract Design and Hospital Newspaper.

Architectural Services include: programming, planning,design, construction documents, bidding and negotiation, andconstruction administration.

The firm also offers sustainable or “green” healthcare design.The firm has a number of LEED-accredited professionals, hassuccessfully completed numerous green healthcare projects, andhas published articles on “Greening the Healthcare Environment”.

Project Management (or Owner’s Representative Services)is offered as a stand-alone service through our affiliated projectmanagement company, Empire Projects, Inc. (www.empire-projects.com).

Bernstein & Associates, Architects - PLLC 51201 Broadway - #803, New York, NY 10001

Contact: William N. Bernstein, AIAManaging Principal

Tel: 212.463.8200 • Fax: [email protected]

NEW YORK - HARTFORD - PRINCETON

BARIATRIC EQUIPMENT& PRODUCTSTSK PRODUCTS

FAST & COMFORTABLE PELVIC EXAMSThe Wedgie Pelvic Exam Wedge provides fast, comfortablepelvic exams in the ER, Radiology, and Women's Health.

It is a much more comfortable than using a hard bedpan.The 6" height of the Wedgie lifts the patient's pelvis significantlyhigher then a bedpan, thus allowing physicians to perform abetter exam. The Wedgie's unique cutout design allows thephysicians to maneuver their speculum in all directions withoutinterference.

The Wedgie can support patients weighing up to 350 lb. It ismade of a medical grade foam and an anti-microbial, anti-bacte-rial, tear resistant, and stain resistant medical grade vinyl cover.It can be cleaned with standard disinfectant products. Optionaldisposable protective covers and wall holders are available.

12 Windsor Drive, Eatontown, NJ 07724www.tskproducts.com

Phone: (732) 982-1090 • Fax: (732) 389-9044

CAREER MANAgEMENT

Connect with Leading

Healthcare Recruiters

Join BlueSteps, the executive career management service of the Association of

Executive Search Consultants

Healthcare executives are in demand. Are you being con-sidered for the top leadership jobs? Join BlueSteps today toput your resume and confidential careerprofile at the fingertips of over 8,000 of the world’s top executive recruiters,including hundreds who specialize in healthcare and lifesciences recruiting. In addition to a unique connection to theexecutive search community, BlueSteps also provides a suiteof proactive career management tools including:

• a free resume review and career consultation• access to the International Executive Search

Firm Directory• exclusive information on hundreds of active

executive searches• online brand management tools• career management content and events

specifically for senior-level executives

As a service of the Association of Executive SearchConsultants, you can rest assured that your career detailswill be confidentially and securely managed withinBlueSteps. Unlike other mass job boards, only the highestcaliber executive search consultants (all members of theAESC) will have access to your BlueSteps profile. Eachyear, AESC members recruit for over 70,000 of the highestlevel executive positions globally, many of which are neveradvertised publically.

Join BlueSteps today and receive 15% OFF your membership!

Visit www.BlueSteps.com and enter Healthcare15% at checkout to get this

exclusive discount.

Contact [email protected] to learnmore or for assistance getting started!

CONTRACT/PRACTICE MANAgEMENT SERVICES

MED�EXCEL USA

Providing Emergency Medicine Excellence for over 20 years

EMERgENCY MEDICINE

CONTRACT MANAgEMENT

Physician Owned and Managed

Award winning Customer Relations Program

Continuous Quality Improvement

Risk Management Innovations

Cost Containment

Measurable Outcomes

EMERgENCY MEDICINE SERVICES

CONSULTATION SERVICES

Customer Satisfaction

TeamBuilding/Staff Development

Conflict Mediation

ED Systems Analysis

PRACTICE MANAgEMENT SERVICES

Hospital and Physician

Billing/Coding/Auditing/Consultation

NEW YORK BASED OFFICEMED�EXCEL USA

Please contact Marie Buchanan at 800.563.6384 Ext. 249

[email protected] inquiries are confidential

EDUCATION

Prepare for a Career in Healthcare Sector Management at Long Island University.

Earn an advanced certificate or an M.B.A. degree in thegrowing field of healthcare management at Long IslandUniversity’s Hudson Graduate Center at Westchester.

Demand for healthcare managers with business skills hasnever been greater. Responding to this need, Long IslandUniversity has launched a new Healthcare Sector Managementprogram, offering two graduate study options in the field ofhealthcare administration.

After completing your advanced certificate or your M.B.A. atthe University’s Hudson Graduate Center at Westchester, youwill be prepared to advance in middle and upper managementpositions in the healthcare industry.

Option A: The Advanced Certificate in HealthcareSector Management

Enhance your credentials by enrolling in the advancedcertificate program. Certificate candidates will complete fourhealthcare sector management courses for a total of 12graduate credits on a part-time basis in just two semesters.

Option B:The M.B.A. Degree with a Healthcare Sector Management Concentration

Students in the M.B.A. program follow the standard 48-creditcurriculum, normally completed by part-time students over a24-month period, with a focus on leadership in healthcareorganizations.

The Healthcare Sector Management Program will be offeredat Long Island University’s Hudson Graduate Center atWestchester, located on the grounds of Purchase College, 735Anderson Hill Rd., Purchase, N.Y. Courses are offered onweekday evenings and on Saturdays.

“The healthcare management field is one of the few sectors of oureconomy we know will continue to grow significantly over thenext five years,” according to Dr. Lynn Gunnar Johnson, directorof the M.B.A. Healthcare Sector Management program.

For information, contact Dr. Johnson at 914-931-2711 [email protected].

Long Island UniversityHudson Graduate Center at Westchester

735 Anderson Hill Rd.Purchase, NY 10577

RESOURCE DIRECTORY

Contact Jim Stankiewicz

to find out how

your organization can be

featured in our

Resource Directory.

845-534-7500 ext.219

Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com

Page 21: hospital Newspaper May New York

Hospital Newspaper - NY May, 2013 PaGe 21

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular Pressure (IOP) with unique, patented rebound technology which enables quick and painless measurement with no drops or air.

Quick, easy to use and patient friendly.

The technology requires no calibration.

From beginning to end the test takes under 60 seconds.

Icare® has over 32,000 satisfied users in over 50 countries.

Contact: Bob Goldbacher (609) 412-2134 [email protected]

Page 22: hospital Newspaper May New York

PAGE 22 May, 2013 Hospital Newspaper - NY

HOSPITALS

Calvary HospitalFounded in 1899, Calvary Hospital is the nation’s only

accredited acute care hospital devoted to palliative care foradult advanced cancer patients. Its mission is to address thephysical, psychological, and spiritual needs of patients andtheir families. Calvary’s continuum of care includes inpatient,outpatient, home hospice, nursing home hospice, home care,and the care of complex wounds. Press Ganey has consistentlyranked Calvary among the top one percent in patient satisfactionamong 7,000 hospitals in the country.

Each year, Calvary cares for more than 6,000 patients andtheir families. It cares for inpatients at its 200-bed hospitalin the Bronx and at its 25-bed Brooklyn satellite at LutheranMedical Center.

Calvary@Home offers home care, hospice, and nursinghome hospice for patients suffering from advanced cancer andother chronic and acute terminal illnesses.

• Home care is available in the Bronx, Queens, Manhattan,and lower Westchester.

• Hospice services are offered in the Bronx, Brooklyn, Queens, Manhattan, as well as Nassau, Westchester, and Rockland counties.

• Calvary also offers hospice services in more than 30 nursing homes in Brooklyn, Manhattan, Queens, the Bronx, and Westchester, Rockland and Nassau counties.

In 2004, Calvary opened the Center for Curative andPalliative Wound Care at its Bronx facility. Since then, ateam of experienced physicians, surgeons, and certified woundcare nurses has helped more than 800 patients to date withcomplex chronic wounds caused by complications of diabetes,cancer, venous and arterial disease, and other illnesses.

For more information, visit www.calvaryhospital.org orcall the following numbers: Calvary Hospital (718) 518-2300,Calvary@Home (718) 518-2465, Wound Care (718) 518-2577.

NURSING HOMEJewish Home Lifecare is one of the premier non-profit

geriatric and rehabilitation institutions in the country. The Home serves more than 9,000 older adults daily

through traditional long term care, subacute care, rehabilitation services, community services and seniorhousing programs. These services are offered on theHome's three campuses in Manhattan, the Bronx, andWestchester at the Sarah Neuman Center for Healthcareand Rehabilitation, as well as through our Lifecare Serv-ices Division, which provides programs throughout themetropolitan area.

Many levels of care are provided by the Home's healthsystem so that as needs change, individuals can transferfrom one level of care to another. Skilled nursing andmedical care are provided 24 hours a day by on-site clin-ical staff as well as a complement of physicians represent-ing a full range of medical specialties.

The Home also educates and trains physicians andmedical professionals in geriatrics. In an unprecedentedteaching program with Mt. Sinai School of Medicine, over2400 fourth year Mt. Sinai Medical School students haveparticipated in a mandatory rotation program at the Home.

A strong component of the Home's activities includeconducting research to improve the quality of life of olderadults. Jewish Home Lifecare is the home of the LesterEisner, Jr. Center for Geriatric Education, the SaulAlzheimer's Disease Special Care Unit (Bronx), theGreenberg Center on Ethics in Geriatrics and Long TermCare and the Center on Pharmacology for the Elderly(COPE).

The Home has added a new service titled, CONNEC-TIONS, an information and referral service for the profes-sional and lay communities, connecting people toprograms.

Jewish Home Lifecare - Manhattan - Bronx - Sarah Neuman Center

120 West 106th Street, New York, New York, 10025

Call Connections Information and Referral at 212- 870-5919 or 800-544-0304

SENIOR LIVING

Getting better…. just got better.

We are proud to announce that our stunning new nursingcenter has opened and has private and semi-private roomswith magnificent views of Long Island Sound.

United Hebrew is a not-for-profit, non-sectarian, multi-servicesenior living campus serving the Westchester metropolitan areasince 1919. Our dedicated short-term rehabilitation suite is staffedby Burke Rehabilitation professionals. The exemplary clinicalteam of professionals will design a personalized treatmentplan for care in our nurturing environment. Features includecountry kitchens, recreation rooms on each floor, a courtyardgarden for recreational use, private dining and family roomsand wireless internet access.

United Hebrew Family of Services:

• Nursing Home Care

• Burke Rehabilitation at United Hebrew

• Willow Towers Assisted Living Residence

• Soundview Apartments for Independent Seniors

• Long Term Home Health Care Program

• Azor Home Health Agency

For more information or to schedule a tour please call Admissions at 914-632-2804 x1148 or email Karen Nodiff [email protected].

United Hebrew 391 Pelham Road, New Rochelle, NY 10805

914.632.2804www.uhgc.org

RESOURCE DIRECTORYWORKERS’ COMPENSATION

HOSPITAL WORKERS HAVE YOU BEEN INJURED

ON THE JOB?

Learn What You Must Do To Protect Your Workers' Compensation And Disability Rights!

Do Not Make These Mistakes That Can Cost You Benefits

1.You must report the accident or injury as soon as possible, even ifyou might not lose time from work or need immediate medical care.

2. Report all injuries to all body parts, no matter how minorthey may seem. If you do not report it and the injury getsworse over time, the job may deny benefits.

3. Remember, you are entitled to treatment and benefits evenif you have previously injured the same body part in a prioraccident. Do not let the job tell you different.

4. Your doctor controls the treatment, not risk management. If you need an MRI and the job will not approve it, the expe-rienced attorneys at BAGOLIE FRIEDMAN can fight to getit approved at no cost to you.

5.When you are released from treatment, you may be entitledto money for your injury and disability. You may also collectfor repetitive stress, cumulative trauma, cancer, hearing loss &hepatitis.

6.Contact Attorneys Ricky Bagolie or Alan Friedman now fora confidential and free consultation and to discuss your workers'compensation and disability rights. There is no fee if there is norecovery.

BAGOLIE FRIEDMAN, LLCWorkers' Compensation & Disability Attorneys

CALL TOLL fREE 1-866-333-3529(After Hours / Emergency Number - 201-618-0508)

The Five Corners Building - 660 Newark Ave Jersey City, NJ07306 • (201) 656-8500

790 Bloomfield Avenue - Clifton, NJ 07012 (973) 546-5414

BF

www.bagoliefriedman.com

NEW PRODUCT TECHNOLOGY

NO Calibration & NO DropsIcare® Tonometers for measuring Intraocular

Pressure (IOP) with unique, patented reboundtechnology which enables quick and painlessmeasurement with no drops or air. Quick, easy touse and patient friendly. The technology requiresno calibration. From beginning to end the testtakes under 60 seconds. Icare® has over 32,000satisfied users in over 50 countries.

PLACEYOUR AD HERE!

Contact Jim Stankiewicz

to find out how

your organization can be

featured in our

Resource Directory.

845-534-7500 ext.219

Fax: 845-534-0055Online Directory available atwww.hospitalnewspaper.com

Contact:Bob Goldbacher

(609) [email protected]

Page 23: hospital Newspaper May New York

The numbers are in: North Shore-LIJ hospitals have been recognized with 57 national and regional designations of

excellence by U.S. News and World Report. That’s more than any other health system in New York. For us, it’s an

important validation of the great work being done every day by our teams in specialty areas like cancer care, cardiology,

numerous pediatric specialities, and more. For our patients, it means the security of knowing they’ve made the right

choice for their health care provider. And if you aren’t one of our patients? Now you have 57 new reasons to choose us.

To fi nd a North Shore-LIJ physician, go to northshorelij.com/physician

Hospitals recognized: Cohen Children’s Medical Center – 7 Specialties; Forest Hills Hospital – Gastroenterology and Urology; Glen Cove Hospital – Orthopedics; Huntington Hospital – 11 Specialties; Lenox Hill Hospital – 12 Specialties; Long Island Jewish Medical Center – 7 Specialties; North Shore University Hospital – 11 Specialties; Southside Hospital – 5 Specialties; Staten Island University Hospital – Nephrology. For more information: northshorelij.com/usnews

How Many Prestigious Rankings Did We Receive?So Many That They Don’t All Fit on One Page.

Hospital Newspaper - NY May, 2013 Page 23

Page 24: hospital Newspaper May New York

PAGE 24 May, 2013 Hospital Newspaper - NY

Calling All Emergency Responders

When everysecond counts...Count on NitroMist®

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.†

Available in 90 & 230 spray bottles.

©2012 Akrimax Pharmaceuticals, LLC., Cranford, NJ 07016 October 2012 NTR-145T

NitroMist is a registered trademark of NovaDel Pharmaceuticals, LLC., used by permission.

Not Actual Size

Count on NitroMist

NitroMist provides fast, effective symptom relief.

NitroMist provides a consistent dose with each metered spray.*

NitroMist offers secure storage, ensuring potency for up to 36 months from date of manufacture.

Available in 90 & 230 spray bottles.

For product samples, patient educational material, and the NitroMist ER Box (Shown), Go to: www.NitroMistPro.comNow covered on UnitedHealthcare.Check with your GPO for low contract pricing. For additional information, please contact us at [email protected]

BRIEF SUMMARYNitroMist® (nitroglycerin) lingual aerosol Rx OnlyINDICATIONS AND USAGE– NitroMist is indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease. CONTRAINDICATIONS– PDE5 Inhibitor Use: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guano-sine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5), as PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. Severe Anemia: NitroMist is contraindicated in patients with severe anemia. Increased Intracranial Pressure: NitroMist is contraindicated in patients with increased intracranial pressure. Hypersensitivity: NitroMist is contraindicated in patients who have shown hypersensitivity to it or to other nitrates or nitrites. Skin reactions consistent with hypersensitivity have been observed with organic nitrates. WARN-INGS AND PRECAUTIONS– Tolerance: Excessive use may lead to the development of tolerance. Only the smallest number of doses required for effective relief of the acute anginal attack should be used. As tolerance to other forms of nitroglycerin develops, the effect of sublingual nitroglycerin on exercise tolerance, although still observable, is reduced. Hypotension: Severe hypotension, particularly with upright posture, may occur even with small doses of nitroglycerin. The drug should therefore be used with caution in patients who may be volume-depleted or who, for whatever reason, are already hypotensive. Hypotension induced by nitroglycerin may be accompanied by paradoxical bradycardia and increased angina pectoris. The benefi ts of NitroMist in patients with acute myocardial infarction or congestive heart failure have not been established. If one elects to use NitroMist in these conditions, careful clinical or hemodynamic monitoring must be used because of the possibility of hypotension and tachycardia. Hypertrophic Cardiomyopathy: Nitrate therapy may aggravate the angina caused by hypertrophic cardiomyopathy. Headache: Nitroglycerin produces dose-related headaches, which may be severe. Tolerance to headaches occurs. ADVERSE REACTIONS– Headache, which may be severe and persistent, may occur immediately after nitroglycerin use. Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Postural hypotension, as manifest by vertigo, weakness, palpitation, and other symptoms, may develop occasionally, particularly in erect, immobile patients. Marked sensitivity to the hypotensive effects of nitrates (manifested by nausea, vomiting, weakness, diaphoresis, pallor, and collapse) may occur at therapeutic doses. Syncope due to nitrate vasodilatation has been reported. DRUG INTERACTIONS– PDE5 Inhibitors: Administration of NitroMist is contraindicated in patients who are using a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specifi c phosphodiesterase type 5 (PDE5). PDE5 inhibitors such as sildenafi l, vardenafi l, and tadalafi l have been shown to potentiate the hypotensive effects of organic nitrates. The time course and dose dependence of this interaction have not been studied, and use within a few days of one another cannot be recommended. Appropriate supportive care for the severe hypotension has not been studied, but it seems reasonable to treat this as a nitrate overdose, with elevation of the extremities and with central volume expansion. The use of any form of nitroglycerin during the early days of acute myo-cardial infarction requires particular attention to hemodynamic monitoring and clinical status. Antihypertensives: Patients receiving antihypertensive drugs, beta-adrenergic blockers, and nitrates should be observed for possible additive hypotensive effects. Marked orthostatic hypotension has been reported when calcium channel blockers and organic nitrates were used concomitantly. Labetolol blunts the refl ex tachycardia produced by nitroglycerin without preventing its hypotensive effects. If labetolol is used with nitroglycerin in patients with angina pectoris, additional hypotensive effects may occur. Aspirin: Coadministra-tion of aspirin and nitroglycerin has been reported to result in increased nitroglycerin maximum concentrations by as much as 67% and AUC by 73% when administered as a single dose. The vasodilatory and hemodynamic effects of nitroglycerin may be enhanced by concomitant administration of aspirin. Tissue-type Plasminogen Activator (t-PA): Intravenous administration of nitroglycerin decreases the thrombolytic effect of tissue-type plasminogen activator (t-PA). Plasma levels of t-PA are reduced when coadministered with nitroglycerin. Therefore, caution should be observed in patients receiving nitroglycerin during t-PA therapy. Heparin: Intravenous nitroglycerin reduces the anticoagulant effect of heparin. Activated partial thromboplastin times (APTT) should be monitored in patients receiving heparin and intravenous nitroglycerin. It is not known if this effect occurs following single nitroglycerin doses. Ergotamine: Oral administration of nitroglycerin markedly decreases the fi rst-pass metabolism of dihydroergotamine and subsequently increases its oral bioavailability. Ergotamine is known to precipitate angina pectoris. Therefore, patients receiving sublingual nitroglycerin should avoid ergotamine and related drugs or be monitored for symptoms of ergotism if this is not possible. USE IN SPECIFIC POPULATIONS– Pregnancy: Pregnancy category C: Animal reproduction and teratogenicity studies have not been conducted with NitroMist or nitroglycerin sublingual tablets. It is also not known whether NitroMist can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. A teratogenicity study was conducted in the third mating of F0 generation female rats administered dietary nitroglycerin for gestation day 6 to day 15 at dose levels used in the 3-generation reproduction study. In offspring of the high-dose nitroglycerin group, increased incidence of diaphragmatic hernias and decreased hyoid bone ossifi cation were seen. The latter fi nding probably refl ects delayed development rather than a potential teratogenic effect, thus indicating no clear evidence of teratogenicity of nitroglycerin. There are no adequate and well controlled studies in pregnant women. NitroMist should be given to a pregnant woman only if clearly needed. Nursing Mothers: It is not known whether nitroglycerin is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when NitroMist is administered to a nursing woman. Pediatric Use: The safety and effectiveness of nitroglycerin in pediatric patients have not been established. Geriatric Use: Clinical studies of NitroMist did not include suffi cient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other rep-

orted clinical experience has not identifi ed differences in responses between elderly (greater than or equal to 65 years) and younger (less than 65 years) patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, refl ecting the greater frequencyof decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. OVERDOSAGE– Signs and symptoms of hemodynamiceffects: The effects of nitroglycerin overdose are generally the results of nitroglycerin’s capacity to induce vasodilatation, venous pooling, reduced cardiac output, and hypotension. These hemodynamic changes may have protean manifestations, including increased intracranial pressure with any or all of persistent throbbing headache, confusion, and moderate fever; vertigo; palpitations; tachycardia; visual disturbances; nausea and vomiting (possibly with colic and evenbloody diarrhea); syncope (especially in the upright posture); dyspnea, later followed by reduced ventilatory effort, diaphoresis, with the skin either fl ushedor cold and clammy; heart block and bradycardia; paralysis; coma; seizures; and death. No specifi c antagonist to the vasodilator effects of nitroglycerin is known, and no intervention has been subject to controlled study as a therapy of nitroglycerin overdose. Because the hypotension associated with nitroglycerinoverdose is the result of venodilatation and arterial hypovolemia, prudent therapy in this situation should be directed toward increase in central fl uid volume. Passive elevation of the patient’s legs may be suffi cient, but intravenous infusion of normal saline or similar fl uid may also be necessary. The use of epinephrineor other arterial vasoconstrictors in this setting is not recommended. In patients with renal disease or congestive heart failure, therapy resulting in central volume expansion is not without hazard. Treatment of nitroglycerin overdose in these patients may be subtle and diffi cult, and invasive monitoring may berequired. Methemoglobinemia: Methemoglobinemia has been rarely reported with organic nitrates. The diagnosis should be suspected in patients who exhibit signs of impaired oxygen delivery despite adequate arterial PO2. Classically, methemoglobinemic blood is described as chocolate brown, without color changeon exposure to air. If methemoglobinemia is present, intravenous administration of methylene blue, 1 mg/kg to 2 mg/kg of body weight, may be required.NONCLINICAL TOXICOLOGY– Carcinogenesis, Mutagenesis, Impairment of Fertility: Animal carcinogenicity studies with sublingually administered or lingual spray nitroglycerin have not been performed. Rats receiving up to 434 mg/kg/day of dietary nitroglycerin for 2 years developed dose-related fi brotic and neoplastic changes in liver, including carcinomas, and interstitial cell tumors in testes. At the highest dose, the incidences of hepatocellular carcinomas was 52% compared to 0% in untreated controls. Incidences of testicular tumors were 52% vs 8% in controls. Lifetime dietary administration of up to 1058 mg/kg/day of nitroglycerin was not tumorigenic in mice. Nitroglycerin was found to have reverse mutation activity in the Salmonella typhimurium strain TA1535 (Ames assay). A similar mutation in S. typhimurium strain was also reported for other NO donors. Nevertheless, there was no evidence of mutagenicity inan in vivo dominant lethal assay with male rats treated with oral doses of up to about 363 mg/kg/day or in ex vitro cytogenic tests in rat and dog tissues. In vitro cytogenetic assay using Chinese hamster ovary cells showed no chromosomal aberrations. In a 3-generation reproduction study, rats received dietary nitroglycerin at doses up to about 408 mg/kg/day (males) to 452 mg/kg/day (females) for 5 months (females) or 6 months (males) prior to mating of the F0 generation with treatment continuing through successive F1 and F2 generations. The highest dose was associated with decreased feed intake and bodyweight gain in both sexes at all matings. No specifi c effect on the fertility of the F0 generation was seen. Infertility noted in subsequent generations, however, was attributed to increased interstitial cell tissue and aspermatogenesis in the high-dose males. PATIENT COUNSELING INFORMATION– Interaction with PDE5 Inhibitors - NitroMist should not be used in patients who are using medications for erectile dysfunction such as sildenafi l, vardenafi l, and tadalafi l. These products have been shown to increase the hypotensive effects of nitrate drugs such as NitroMist. Administration - Patients should be instructedthat prior to initial use of NitroMist Lingual aerosol, the pump must be primed by pressing the actuator button 10 times to ensure proper dose priming. If the product is not used for more than 6 weeks, the bottle can be adequately re-primed with 2 sprays. NitroMist is meant to be sprayed on or under the tongue at the beginning of angina or to prevent an angina attack. Treatment with nitroglycerin products such as NitroMist may be associated with lightheadedness on standing, especially just after rising from a laying or seated position. This effect may be more frequent in patients who have consumed alcohol, since alcohol use contributes to hypotension. If possible, patients should be seated when taking NitroMist. This reduces the likelihood of falling due to lightheadedness ordizziness. Headache - Headaches can sometimes accompany treatment with nitroglycerin. In patients who get these headaches, the headaches may indicate activity of the drug. Tolerance to headaches develops. Flushing - Flushing, drug rash and exfoliative dermatitis have been reported in patients receiving nitrate therapy. Container information - The NitroMist bottle should not be forcefully opened. Because NitroMist contains a highly fl ammable propellant (butane),do not have the container burned after use and do not spray directly towards fl ames. While the container is in the upright position, if the liquid reaches the top to middle of the hole on the side of the container, a new supply should be obtained. When the liquid reaches the bottom of the hole, the remaining doses will have less than label content.Manufactured for Akrimax Pharmaceuticals, LLC Cranford, NJ 07016 by Dynamit Nobel GmbH, Leverkusen, Germany Marketed and Distributed by: Akrimax Pharmaceuticals, LLC, Cranford, NJ 07016 USANitroMist is a registered trademark of NovaDel Pharma Inc., used by permission. 141B002 10/2012

* Priming NitroMist: After receiving a new prescription or refi ll, patients should remove the plastic cap, place forefi nger on actuator button, and press 10 times. NitroMist is now primed for 6 weeks and ready to use. If not used for more than 6 weeks, the NitroMist bottle can be adequately reprimed with 2 sprays.

† Store at room temperature (25°C, 77°F); excursions permitted to 15-30°C (59-85°F).