A Quarterly Newsletter published by the St. Joseph Hospital Medical Staff This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: This Issue: ! Website Information ! HIPAA Regulations Update ! Marketing News ! CME Schedule ! Colleague News Physician Portal Update Physician Portal Update Physician Portal Update The Physician Portal rollout continues for the St. Joseph Hospital Medical Staff and their offices. To date, over 100 physicians and 115 office staff have been trained and are using the Physician Portal on a regular basis. The portal system has many benefits. It is easy to learn and use because it builds on the knowledge people already have about using the Internet. Portal visually integrates patient information from multiple vendor applications - Patient Demographics and Facesheets from STAR, Sunquest Laboratory and Cerner Radiology results through Care Manager, as well as Transcription from Softmed. Another benefit is that Portal supports secured access requirements for the Medical Staff – whether it be at the hospital, at their offices, or at their home. If you have not been contacted as of yet, you may reach Lisa Rawnsley at ext. 63519 or Carolyn Gatchell at ext. 63520 to schedule your training. If you have been contacted, but have postponed training, please review some of the feedback from your peers of the advantages they are already experiencing: “Physician Portal has proven to be an effective tool, assisting our medical staff in the care and management of their patients.” ~ William Stephan, M.D., Vice President of Medical Affairs ~ William Stephan, M.D., Vice President of Medical Affairs ~ William Stephan, M.D., Vice President of Medical Affairs ~ William Stephan, M.D., Vice President of Medical Affairs (cont. page 2) Medical Staff Newsletter Clinical Trials: Clinical Trials: Clinical Trials: The Way We Make Progress Against Cancer The Way We Make Progress Against Cancer The Way We Make Progress Against Cancer What Are Clinical Trials? What Are Clinical Trials? What Are Clinical Trials? What Are Clinical Trials? Clinical trials for new cancer therapies are a necessary step in the process of translating scientific discovery and technical advancement into procedures and products that offer us all the prospect of a better life. “ A clinical trial is one of the final stages of a long and careful cancer research process. Many people being treated for cancer are now living longer because of progress made through clinical trials,” said Roseann Barrett PhD, RN, Research Nurse at The Oncology Center. In the United States today, however, only 2% - 4% of all adult patients diagnosed with cancer participate in National Cancer Institute clinical trials annually. Working With Dana Farber/Partners Cancer Care Working With Dana Farber/Partners Cancer Care Working With Dana Farber/Partners Cancer Care Working With Dana Farber/Partners Cancer Care The Oncology Center at St. Joseph Hospital works closely with Dana Farber/Partners Cancer Care, which represents the combined resources of Dana Farber Cancer Institute, Brigham and Women’s Hospital, and Massachusetts General Hospital, to bring the latest clinical trials to our cancer patients. In addition, The Oncology Center also has a research affiliation with the Cancer and Leukemia Group B (CALGB). “By blending the research strength of Dana Farber, with the family–centered, easily accessible environment of The Oncology Center, we enhance our cancer care,” said Peter B. Davis FACHE, President/CEO of St. Joseph Hospital. (cont. page 2) 172 Kinsley Street Nashua, NH 03060 Does My Patient Need Does My Patient Need Does My Patient Need a Case Manager or a a Case Manager or a a Case Manager or a Social Worker? Social Worker? Social Worker? Case Managers are Case Managers are Case Managers are Case Managers are Registered Nurses Registered Nurses Registered Nurses Registered Nurses who review every admission for appropriate level of care: inpatient vs. observation according to Medicare guidelines. They also arrange for post-hospital needs such as a visiting nurse, physical therapy, or medical equipment such as oxygen or hospital beds. Case Managers also facili- tate transfers to less acute settings such as skilled nursing or inpatient reha- bilitation facilities. Case Managers provide clinical information to insurance companies to insure appro- priate reimbursement to the hospital and will often ask the attending physi- cian to advocate for the patient if needed. Case Managers work closely with physicians, patient care staff, and patients to determine the most appro- priate setting that will safely meet the patient’s health care needs. (cont. page 2) Summer 2003 Summer 2003 Summer 2003 Summer 2003
Transcript
A Q u a r t e r l y N e w s l e t t e r p u b l i s h e d b y t h e S t . J o s e p h H o s p i t a l M e d i c a l S t a f f
This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue:This Issue: ! Website Information ! HIPAA Regulations
Physician Portal UpdatePhysician Portal UpdatePhysician Portal Update The Physician Portal rollout continues for the St. Joseph Hospital Medical Staff and their offices. To date, over 100 physicians and 115 office staff have
been trained and are using the Physician Portal on a regular basis.
The portal system has many benefits. It is easy to learn and use because it builds on the knowledge people already have about using the Internet. Portal
visually integrates patient information from multiple vendor applications - Patient Demographics and Facesheets from STAR, Sunquest Laboratory and Cerner Radiology results through Care Manager, as well as Transcription from Softmed. Another benefit is that Portal supports secured access requirements for the Medical Staff – whether it be at the hospital, at their offices, or at their home.
If you have not been contacted as of yet, you may reach Lisa Rawnsley at ext. 63519 or Carolyn Gatchell at ext. 63520 to schedule your training. If you have been contacted, but have postponed training, please review some of the feedback from your peers of the advantages they are already experiencing:
“Physician Portal has proven to be an effective tool, assisting our medical staff in the care and management of their patients.” ~ William Stephan, M.D., Vice President of Medical Affairs~ William Stephan, M.D., Vice President of Medical Affairs~ William Stephan, M.D., Vice President of Medical Affairs~ William Stephan, M.D., Vice President of Medical Affairs
(cont. page 2)
Medical Staff Newsletter
Clinical Trials: Clinical Trials: Clinical Trials: The Way We Make Progress Against CancerThe Way We Make Progress Against CancerThe Way We Make Progress Against Cancer What Are Clinical Trials?What Are Clinical Trials?What Are Clinical Trials?What Are Clinical Trials? Clinical trials for new cancer therapies are a necessary step in the process of translating scientific discovery and technical advancement into procedures and products that offer us all the prospect of a better life. “ A clinical trial is one of the final stages of a long and careful cancer research process. Many people being treated for cancer are now living longer because of progress made through clinical trials,” said Roseann Barrett PhD, RN, Research Nurse at The Oncology Center. In the United States today, however, only 2% - 4% of all adult patients diagnosed with cancer participate in National Cancer Institute clinical trials annually.
Working With Dana Farber/Partners Cancer CareWorking With Dana Farber/Partners Cancer CareWorking With Dana Farber/Partners Cancer CareWorking With Dana Farber/Partners Cancer Care The Oncology Center at St. Joseph Hospital works closely with Dana Farber/Partners Cancer Care, which represents the combined resources of Dana Farber Cancer Institute, Brigham and Women’s Hospital, and Massachusetts General Hospital, to bring the latest clinical trials to our cancer patients. In addition, The Oncology Center also has a research affiliation with the Cancer and Leukemia Group B (CALGB). “By blending the research strength of Dana Farber, with the family–centered, easily accessible environment of The Oncology Center, we enhance our cancer care,” said Peter B. Davis FACHE, President/CEO of St. Joseph Hospital.
(cont. page 2)
172 Kinsley Street Nashua, NH 03060
Does My Patient Need Does My Patient Need Does My Patient Need a Case Manager or a a Case Manager or a a Case Manager or a
Social Worker?Social Worker?Social Worker?
Case Managers are Case Managers are Case Managers are Case Managers are Registered Nurses Registered Nurses Registered Nurses Registered Nurses who review every admission for appropriate level of care: inpatient vs. observation according to Medicare guidelines. They also arrange for post-hospital needs such as a visiting nurse, physical therapy, or medical equipment such as oxygen or hospital beds. Case Managers also facili-tate transfers to less acute settings such as skilled nursing or inpatient reha-bilitation facilities. Case Managers provide clinical information to insurance companies to insure appro-priate reimbursement to the hospital and will often ask the attending physi-cian to advocate for the patient if needed. Case Managers work closely with physicians, patient care staff, and patients to determine the most appro-priate setting that will safely meet the patient’s health care needs.
(cont. page 2)
Summer 2003 Summer 2003 Summer 2003 Summer 2003
Medical Staff Newsletter - St. Joseph Hospital, Nashua NH
Summer 2003
Page 2
“Being able to access clinical information from any connected computer at home at any time greatly enhances patient care.” ~ Stewart Blackwood, M.D., St. Joseph Family Medical Center, Merrimack~ Stewart Blackwood, M.D., St. Joseph Family Medical Center, Merrimack~ Stewart Blackwood, M.D., St. Joseph Family Medical Center, Merrimack~ Stewart Blackwood, M.D., St. Joseph Family Medical Center, Merrimack “The Physician Portal has been very helpful in facilitating my access to clinical data and made my medical practice more efficient.” ~ Gregory Fanaras, M.D., Pulmonary Associates~ Gregory Fanaras, M.D., Pulmonary Associates~ Gregory Fanaras, M.D., Pulmonary Associates~ Gregory Fanaras, M.D., Pulmonary Associates “Since our office will be ten minutes away from the hospital, this service is very valuable to accessing our patients, particularly inpatients. We now can follow them from the office and anticipate upcoming potential problems.” ~ Mark Dubay, M.D., OB/GYN Associates of Southern New Hampshire~ Mark Dubay, M.D., OB/GYN Associates of Southern New Hampshire~ Mark Dubay, M.D., OB/GYN Associates of Southern New Hampshire~ Mark Dubay, M.D., OB/GYN Associates of Southern New Hampshire “As a physician who sees patients in consultation, the ability to access records prior to actually meeting the patient is a huge plus. In the past we had been embarrassed by having to say that we had yet to receive any of the labs or ultrasounds that have been ordered by the referring physician. It gives a patient a sense of reassurance that they are being well cared for and that we communicate with each other.” ~ Kelly Macmillan, M.D., OB/GYN Associates of Southern New Hampshire~ Kelly Macmillan, M.D., OB/GYN Associates of Southern New Hampshire~ Kelly Macmillan, M.D., OB/GYN Associates of Southern New Hampshire~ Kelly Macmillan, M.D., OB/GYN Associates of Southern New Hampshire “The system allows instant, convenient access to laboratory data from anywhere in the hospital and even from my home. This is a tremendous boost to productivity and quality patient care.” ~ Michael D. McGee, M.D., Medical Director, Senior Adult Mental Health Unit at ~ Michael D. McGee, M.D., Medical Director, Senior Adult Mental Health Unit at ~ Michael D. McGee, M.D., Medical Director, Senior Adult Mental Health Unit at ~ Michael D. McGee, M.D., Medical Director, Senior Adult Mental Health Unit at St. Joseph Hospital St. Joseph Hospital St. Joseph Hospital St. Joseph Hospital
As the hospital continues future implementations of clinical systems, such as documentation and Meds/IVs, this information will also become available to our
Medical Staff through the Portal, so please keep an eye out for more information . ..
Physician Por tal Update Physician Por tal Update Physician Por tal Update (continued from page1)
Clinical Trials (continued from page1)
The Oncology Center currently has nine clinical trials open for patient enrollment. They include treatment and prevention trials for lung cancer, breast cancer, prostate cancer, and colon cancer.
An Institutional Review Board, with legal, ethical, and clinical expertise oversees The Oncology Center’s clinical trial program. Patient’s considering trial participation are carefully selected and screened based on each trial’s criteria.
If you would like to know more about the clinical trials available at The Oncology Center, or if you would like to refer a patient for clinical trial eligibility screening, contact Roseann Barrett PhD, RN, at 595595595595----3608.3608.3608.3608.
Case Manager/ Social Worker (cont.)
Social Workers at St. Joseph Hospital are Master’s prepared and can help patients locate resources within the community to help meet basic needs such as food or shelter. They can help facilitate prescription assistance or transportation for medical care. Social Workers help patients with the application process for disability or Medicaid. Our social workers are trained to provide brief crisis counseling and can make referrals to providers for mental health or substance abuse concerns. They offer support with abuse or neglect issues plus assist both in-patients and out-patients who are diagnosed with an illness. In addition to patients, social workers can assist a patient’s family and loved ones. Please contact our office at extension 63850 anytime we can be of help to you or your patients. We are here to support Physicians by assuring that our patients receive quality care in the most appropriate setting.
Medical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical QuotesMedical Quotes “It is common sense to take a method and try it: If it fails, admit it frankly and try another. But above all, try something.” ~ Franklin D. Roosevelt “It is more important to know the patient who has the disease, than to know the disease that has the patient.” ~ Sir William Osler “Virus is a Latin word used by doctors to mean “your guess is as good as mine.” ~ Bob Hope
Page 3
Medical Staff Newsletter - St. Joseph Hospital, Nashua NH
Summer 2003
What You Need to Know About HIPAA Regulations...
All Medical Staff Members:All Medical Staff Members:All Medical Staff Members:All Medical Staff Members:All Medical Staff Members:All Medical Staff Members:All Medical Staff Members:All Medical Staff Members: As a member of our medical staff, you can stay updated and connected by a click of the mouse at home, in the office or at the hospital. Just log on to www.stjosephhospital.com www.stjosephhospital.com www.stjosephhospital.com www.stjosephhospital.com and gather all the information you need. Some of the valuable information located on our website includes: # Schedules for continuing medical education and
department meetings. # Committee calendar and assignments. # Application and forms # Policies # By-laws # Credentials procedure manual # Rules and Regulations # Expectations for Medical Staff membership # Bulletin Board
InstructionsInstructionsInstructionsInstructionsInstructionsInstructionsInstructionsInstructions………… 1. Go to www.stjosephhospital.comwww.stjosephhospital.comwww.stjosephhospital.comwww.stjosephhospital.com 2. Click on “Medical Staff Affairs” thumbnail 3. Click Login 4. User name - Member 5. Password - MemberPass (Note: these fields are case
sensitive - type as shown) If you should have any questions or suggestions for information you could use, please do not hesitate to
contact the Medical Staff Affairs Office at ext. 63854.
Healthcare privacy and data security has become one of the major policy, technology, and operations issues in the American healthcare arena. The Healthcare Insurance Portability and Accountability Act The Healthcare Insurance Portability and Accountability Act The Healthcare Insurance Portability and Accountability Act The Healthcare Insurance Portability and Accountability Act (HIPAA), privacy rule compliance date was April 14, 2003. At this time, all covered entities should have a Privacy Officer to oversee compliance of this privacy regulation. Employees should attend a HIPAA training session. Patients should be receiving a Notice of Privacy Practice from your office, and there should be a posting of the notice in your office. Authorization to use and disclose Protected Health Information (PHI) forms should meet the HIPAA requirements. All practices should make a reasonable effort to limit PHI to the minimum necessary need to accomplish the intended purpose. This would also include using caution when discussing patient information in a public area. Business Association Agreements should be developed for outside services you may use such as, billing, data analysis, legal and accounting services. HIPAA’s transaction and code sets standards compliance date is October 16, 2003. This regulation covers only those healthcare providers who transmit any health information in electronic form in connection with a transaction governed by HIPAA. For example, with health care claims, CMS urges all covered entities to conduct outreach with their trading partners, engage in test-ing of their electronic transactions, and document their efforts towards compliance. Lastly, the HIPAA security rule becomes effective on April 20, 2005. This rule will provide requirements in the following five categories: Administrative Safeguards, Physician Safeguards, Technical Safeguards, Organizational Requirements, Policies, Procedures and Documentation. The Security Rule will be covered in more detail at a later date. If you have any questions, feel free to contact Bob Demers, (Privacy Office) at the hospital, ext. 67001.
Marketing News You are invited to participate in Healthy Choices, Healthy Choices, Healthy Choices, Healthy Choices, News for Healthy News for Healthy News for Healthy News for Healthy Living, Living, Living, Living, an informational column published every Tuesday on page three in the Telegraph. Drs. Remar, Block, Janeiro, and Martin have been featured in the column. If you wish to participate, please contact Mary Carbonneau at 882-3000 ext. 63205 or [email protected].
Brochures about St. Joseph Hospital’s gastric bypass (bariatric) procedure are now available. These brochures are targeted to patients who may be interested in undergoing this procedure.
Call Mary Beth Testagrossa, RN, BSN, Program Director, at 598598598598----3337 3337 3337 3337 for brochure copies or e-mail, bariatricprogram@sjhbariatricprogram@sjhbariatricprogram@[email protected].
Col league NewsCol league NewsCol league News
A Q U A R T E R L Y N E W S L E T T E R P U B L I S H E D B Y
T H E S T . J O S E P H H O S P I T A L M E D I C A L S T A F F
St. Joseph Hospital Medical Staff Newsletter is published by Medical Staff Affairs. Please submit ideas, comments, and suggestions to
Dr. William Stephan, Vice President, Medical Affairs at 882-3000 extension 67046 or
Access the Medical Staff Pages on the St. Joseph Hospital
Website: User: Member Password: MemberPass
Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, Leonard Block, MD, has relocated his practice to the Breast Care Center. Dr. Block can be reached at 595-3126.
In July, Jack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack FaraciJack Faraci, , , MD, MD, MD, MD, MD, MD, MD, MD, MD, MD, MD, MD, joined OB/GYN Associates of Southern NH at its new location at Harris Pond in Merrimack.
Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, Linda Sheldon, MD, relocated her practice to SJ Internal Medicine at Sky Meadow in August. She looks forward to continue providing her patients with quality health care in her new setting.
Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, Roger Cayer, MD, relocated to Oklahoma in early June where he will be the Director of OB/GYN services for the Chotaw Nation of Oklahoma. He is excited about this opportunity and looks forward to making a difference in the lives of many underserved women.
Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, Brian Fradette, DPM, FACFAS, has been elected as one of the New Hampshire podiatrists of the year for 2002. He was chosen by a panel of their peers on the basis of excellence in service to their patients, their communities, and their colleagues.
Dr. Fradette has been in practice for 21 years. He maintains offices in Hudson and Derry. Dr. Fradette is a past president of the New Hampshire Podiatric Medical Society. He was a 12-year member of the state Board of Registration for podiatry. He is currently on St. Joseph Hospital’s diabetic advisory committee. Dr. Fradette has been married for 25 years and is the father of four children.
Continuing Medical Education Programs 2003Continuing Medical Education Programs 2003 Lipids, September 3, 12-1:00 p.m. (Carl Amelio Room) Department of Pediatrics: Dermatology, September 4, 12:30-1:30 p.m. (CAR) Clinical Pearls in Pain Management, September 10, 12-1:00 p.m. (CAR), Aaron Geller, M.D. - Member, Department of Medicine St. Joseph Hospital Acute Coronary Syndromes, September 17, 12-1:00 p.m. (CAR) Department of Psychiatry, September 19, 12-1:00 p.m. (CAR) Asthma, September 24, 12-1:00 p.m. (CAR) Department of Pediatrics, Lipid Disorders in Children, October 2, 12:30-1:30 p.m. (CAR) Depression, October 8, 12-1:00 p.m. (CAR) Respiratory Topic, October 15, 12-1:00 p.m. (CAR) Tumor Conferences Tumor Conferences – August 22, Arthur Skarin, MD, Dana Farber Cancer Institute; September 12, Karen Krag, MD, North Shore Cancer Center; September 26, Richard Penson, MD, Dana Farber Cancer Institute; October 10, Karen Krag, MD, North Shore Cancer Center Institute; October 24, D. C. Fisher, MD, Dana Farber Cancer Institute - (all held from 7:30-8:30 a.m. in the SJH Board Room)
Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, Kelly Shine, MD, accepted another position in Maryland and said goodbye to St. Joseph Hospital on May 19. St. Joe’s wishes her all the best in her future endeavors.
Front Row: Antonia Winefield, ARNP; Jack Faraci, MD; Kelly MacMillan, MD; Leonard Wasserman, MD. Back Row: Mark Dubay, MD; Mark Conway, MD;
Jeffrey Nathan, MD.
OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH OB/GYN Associates of Southern NH relocated its offices on July 14 to
