Timothy Dombrowski, DO, MPHChief Medical Officer

Benehree important topics that members of Kennedy’s Medical Staff should be aware

of are featured below:

First, the 2016 data for the Acute Ischemic Stroke Program at Kennedy shows the

average time for door (arrival) to CT scan is 10 minutes and door to IV t-PA is 50

minutes. All patients (100%) who arrive at Kennedy EDs within 2 hours of symptom

onset are treated with IV t-PA within three hours of symptom onset, which meets orexceeds the standards for acute ischemic stroke protocols. The length of stay (LOS)

for stroke patients is now 4.6 days, a decrease of one day over prior LOS in 2015. Of

the 369 acute ischemic stroke patients at Kennedy’s EDs in 2016, 73 received t-PA.

The main cause for only 20% of patients receiving t-PA is patient arrival four hours

after symptom onset.

Secondly, when an inpatient case is challenging/complex, and the patient has

multiple chronic conditions, suffers from behavioral health issues, is frail or elderly,

or requires frequent re-admissions, a Complex Care Consultation can be requested

by contacting the Chief Medical Officer, Tim Dombrowski, DO, MPH, or the ChiefNurse Executive, Helene Burns, MSN, RN, NEA-BC. The CMO or CNE screens the

patients for appropriateness, identifies personnel involved in the consultation and

arranges for a meeting (or conference call) to discuss the issues. Those involved in

the consultation include medical staff, nursing, behavioral health staff, case managers,

social workers, and other appropriate individuals. The Complex Care Consultation

provides interprofessional expertise, care coordination and improved communication

early in the patient’s care to ensure effective communication and coordinated

care planning.

Lastly, the Accreditation Council for Graduate Medical Education (ACGME)announced on March 10th that residency programs can increase shift hours from

16 to 24 hours for first-year trainees, beginning in July 2017, to improve continuity

of care, clinical teamwork and the residents’ learning experiences. The maximum

number of hours any resident can log weekly remains at 80. Please see Dr. ChristopherBarone’s article on page 6 of this issue for more information about the upcoming

ACGME changes.

Thank you for your continued commitment to Kennedy.

S P R I N G 2 0 1 7

A P U B L I C A T I O N F O R T H E M E D I C A L S T A F F O F K E N N E D Y U N I V E R S I T Y H O S P I T A L

ImportantUpdates forKennedy’s

Medical Staff

NotaT

TAKE NOTE THISof

2

Dr. David Condoluci(Infectious Diseases)

has been named

Senior Vice President

and Chief Patient

Safety & Quality Officer

for Kennedy Health.

Previously, Dr. Condoluci served as Kennedy’s

Chief Patient Safety & Quality Officer. In

his new, expanded role, Dr. Condoluci is

responsible for overseeing the quality and

safety issues throughout the health care

system, including regulatory inspections

and clinical improvement initiatives.

Dr. Condoluci was also on a panel

representing Kennedy University Hospital

among New Jersey’s six other Leapfrog

Top Hospitals in February at the New Jersey

Health Care Quality Institute’s first 2017

“Quarterly Quality Breakfast.” These

gatherings bring stakeholders from diverse

health care industries together to discuss

timely health care quality issues, innovations

and improvements.

Dr. Cindy M. Hou (Infectious Diseases &

Internal Medicine) will represent Kennedy

Health and present “Everything You Ever

Wanted to Know About

Antibiotic Stewardship

in 60 Minutes” at

the 44th Annual

Association for

Professionals in

Infection Control and

Epidemiology (APIC)

Conference in Portland, OR, this June.

APIC’s annual conference brings together

nearly 5,000 health care professionals from

around the globe to network, learn, and

explore the newest products and technology

in infection prevention.

PHYSICIANnews PHYSICIAN KUDOS

Department of PsychiatryLeslie Madrak, DO Charles J. Trigiani, DO

Department of SurgeryAnesthesiologyBurhan Haleem, DOAmy R. Martz, APN-AMichelle Ann Medina, APN-A Catherine Y. Morse, APN-A Luis W. Torres Jr., APN-A Michael D. Van Fossen Jr., APN-A

Cardiothoracic Surgery Christopher C. Derivaux, MDDuane R. Monteith, MD

Cardiothoracic Vascular Surgery Joseph A. Kuchler, MD Pasquale A. Luciano, DO Clinton S. Pinkham, CRNFA

Colon Rectal Surgery William C. Cody, MD Miguel L. deLeon, MD

General DentistryKathryn M. Wooten, CDA, RDA

General Surgery Joseph P. Costabile, MD Eugene L. McEady, APN Justine Sullivan, CRNFA

Orthopedic SurgeryMark L. Wang, MD

OtorhinolaryngologyGurston G. Nyquist, MDDavid Rosen, MD

Plastics and ReconstructionMatthew P. Jenkins, MD

Vascular Surgery Constantine T. Andrew, MDYury Bak, DOCharles K. Field, MD

New Appointments

Department of Emergency Medicine Michael R. D'Ambrosio, DO Kevin T. Dwyer, DO James J. Flowers, DO

Department of Family Practice Han Nah Cho, APN Christina Mach, APN Scott Evan Spagnolo-Hye, DO (Osteopathic Sciences)

Department of Medical ImagingMohamed Sfaxi, MDDavid Shook, MD (Telemedicine)Douglas B. Tsai, MD

Department of MedicineCardiologyJohn J. Finley IV, MDJoanne D. Lyons, APN

General Internal MedicineTuba Ali, MD Lori J. Ciavaglia, APNMuhammad F. Ijaz, MDJinhee Jang, APNSoofia Kashif, MDAnne M. Pinto, APN Ana Prospero, APN Swathi Sanghi, MD

Radiation OncologyKeith Allen Meritz, MD

NephrologyMichael D. Yoslov, DO

Department of NeurosciencesNeurosurgerySonia Anand-Nichols, MD

Department of Obstetrics/Gynecology Suheil Guzman, APN, CNMSandy Nosseir, MD

Department of Pediatrics NeonatologyMichael A. Friedman, MD

Emergency MedicineInna Lee, MDSuzanne Pavlou, MD

Ruth M. Viray, MD

3

Dr. Ricardo Perez(Internal Medicine)

was recently named

Kennedy’s Chief

Clinical Officer for

Accountable Care.

In his new role, Dr.

Perez will lead a team of associates assigned to

develop new payment models and work closely

with Kennedy’s Chief Financial Officer, Glenn

Zirbser, to negotiate new payment models.

Dr. Brian Smeal (Wound

Care) was recently named

Medical Director of the

Center for Advanced

Wound Care & Hyperbaric

Oxygen Therapy at

Kennedy. Board certified

by the American Board

of Surgery, he is a Certified Wound Specialist

through the American Board of Wound

Management. Dr. Smeal has treated chronic

wounds for more than 11 years, most recently

serving as Medical Director at the Center for

Wound Healing & Hyperbaric Medicine at

Trinitas Medical Center in Elizabeth, NJ.

Kennedy Physicians Awarded Honorary Status

The following Kennedy physicians were recently recognized at the

Annual Medical Staff Meeting and were awarded Honorary Status.

Congratulations to:

Gary Agia, DO Pulmonary Medicine 36 years of service

Carl Mogil, DO Orthopedic Surgery 44 years of service

William Ranieri, DO Psychiatry 43 years of service

Richard Weiss, DO Family Practice 33 years of service

Geetha Kumar, MD Psychiatry 30 years of service

Carman Ciervo, DO, FACOFP, has been named Executive Vice

President with Kennedy Health. He will also retain his title as Chief

Physician Executive at Kennedy, which he has held since 2014.

In this expanded role, Dr. Ciervo will

work directly with President & CEO

Joseph W. Devine in providing over-

sight of the multi-hospital system’s

strategic growth and initiatives in several

key areas. He will also work closely

with other Kennedy leaders and staff to

advance the organization’s mission, expand services, and continue

to expand physician services for area community members.

As a member of Kennedy’s senior leadership team since 2010,

Dr. Ciervo has played a key role in Kennedy’s continued growth

and transformation, working directly on hospital and health system

initiatives related to the employed-physician model, population

health and clinical excellence. He has also overseen the progressive

growth of the Kennedy Health Alliance’s network of primary and

specialty medical practices. Additionally, Dr. Ciervo spearheaded

the recruitment and growth of many physician subspecialty

services, and developed a strong physician leadership team,

elevating the clinical care continuum for Kennedy patients.

It was also recently announced that South Jersey Biz magazine

selected Dr. Ciervo as one of its annual “Best of Health Care”

winners. He was featured in the magazine’s March cover story,

along with this year’s other winners.

Dr. Carman Ciervo Named ExecutiveVice President at Kennedy HealthReceives Special Honor from South Jersey Biz Magazine

FOUR-TIME WINNER!Thank you for believing in Kennedy.

t’s been one recognition after another for Kennedy’s life-saving Sepsis Program! On Friday, Jan. 20, the New Jersey

Hospital Association (NJHA) presented Kennedy with the prestigious 2017 Excellence in Quality ImprovementAward at its 98th annual meeting.

The NJHA, the state’s oldest and largest health care trade association, honored several individuals and organizations for

their commitment to the state’s health care system and the patients and communities they serve. Kennedy was the only

statewide winner in the Excellence in Quality Improvement category.

In 2016, Kennedy was also named a

national “Sepsis Hero” by the Sepsis

Alliance for its impressive efforts in the

early diagnosis and treatment of this

often-deadly medical condition.

Shown at the awards ceremony are,

from left:Dr. Kelly Schiers, Kennedy – WT

ICU Medical Director; Dr. David Condoluci,Kennedy's Senior Vice President and Chief

Patient Safety & Quality Officer; Dr. CindyHou, Kennedy's Infection Control Officer;

and Marianne Kraemer, Chief Nursing

Officer at Kennedy – ST.

Nikunj Vyas, PharmD, BCPS, a Kennedy Health Clinical Pharmacy Specialist (pictured

at right) presented before the New Jersey Hospital Association (NJHA) Antimicrobial

Stewardship Learning Action Collaborative in February about the importance of using

data to drive quality improvement.

Kennedy Infection Control Officer Dr. Cindy Hou serves as Physician Champion for the

collaborative, which launched in January for acute care hospitals and long-term care facilities.

The collaborative – which also has Kennedy representation on its leadership team from Senior Vice President and

Chief Patient Safety & Quality Officer Dr. David Condoluci and Stratford Director of Nursing Marianne Kraemer– promotes and measures use of the appropriate agent, dose, duration and route of administration of antimicrobial

agents, both in acute care and post-acute care settings.

The collaborative’s overall goal is to improve quality of patient care and patient safety, while reducing excessive

costs related to inappropriate antimicrobial use, as well as working to establish antibiotic stewardship in all

hospital and post-acute care settings.

Kennedy Proudly Leads NJHA Antimicrobial Stewardship Collaborative

Sepsis Program Wins NJHA Excellence in Quality Improvement Award

I

4

Kennedy Pediatricians Shine Among South Jersey’s Best!South Jersey Magazine recently asked its readers to nominate their favorite area pediatricians – ones they relyon in times of need. Published in the February 2017 issue, 27 Kennedy Health doctorsmade the magazine’s“Best Doctors for Children” list. Congratulations to the following Kennedy physicians:

General PediatricsDr. Christopher AmatoDr. Marc BackalDr. Wendy S. CookDr. Jacqueline M. KaariDr. Lee LerchDr. Jennifer L. McHughDr. Mahbod MohazzebiDr. Jared PasternakDr. Richard C. SimmersDr. Mary K. Stailey-Sims

Pediatric & AdolescentGynecologyDr. Roberta Felsenstein

Pediatric CardiologyDr. Katharine T. Levinson

Pediatric DermatologyDr. Jonathan Winter

Pediatric Emergency MedicineDr. George F. “Trey” Katzenbach IIIDr. Adam Richards

Pediatric NeurologyDr. Adel Amer

Pediatric OphthalmologyDr. Debra Prieto

Pediatric Orthopedic SurgeryDr. Pedro BeredjiklianDr. Theodore Conliffe Jr.Dr. Peter PizzutilloDr. John P. Salvo Jr.

Dr. Mark WangDr. Michael Wolf

Pediatric Pain Management &RehabilitationDr. Debora Cummings Reeh

Pediatric Specialist: AbusedChildrenDr. Martin A. Finkel

Pediatric Specialist: Neonatal-Perinatal MedicineDr. Jane Coleman

Pediatric SurgeryDr. Rajeev Prasad

SJ Magazine also asked area physicians and readers to tell them which doctor they would recommend if their

child (under 16 years old) needed medical attention. Included in the magazine’s March 2017 issue, 22 Kennedy

Health pediatriciansmade the “Top Docs for Kids” lists. Congratulations to:

Doctors’ PicksAdolescent MedicineDr. Lori Feldman-WinterDr. Jacqueline Kaari

CardiologyDr. Terry AndersonDr. Aaron Dorfman

Child AbuseDr. Martin Finkel

Ear/Nose/ThroatDr. Ryan Walker

Emergency MedicineDr. Autumn Lane

Family PracticeDr. Joshua CorenDr. Anthony DiBona Jr.

General PediatricsDr. Tanya Kadrmas-IannuzziDr. Lee LerchDr. Mahbod Mohazzebi

NeonatologyDr. Jane Coleman

OrthopedicsDr. Peter Pizzutillo

Plastic SurgeryDr. Brooke Burkey

PsychiatryDr. Nazli Gulab

Sports MedicineDr. R. Robert FranksDr. Michael Wolf

SurgeryDr. Rajeev Prasad

Readers’ PicksCardiologyDr. Guillermo Sanchez

Family PracticeDr. Karen Calabrese

General PediatricsDr. Christopher Amato

5

6

ince 1968, the residency programs at Kennedy

have been under the auspices of the American

Osteopathic Association (AOA). Our hospitals

and graduate medical education programs were all

accredited by the AOA. Beginning in 2015, the AOA,

the American Association of Colleges of Osteopathic

Medicine (AACOM) and the Accreditation Council

for Graduate Medical Education (ACGME) signed a

memorandum of understanding to have a single

accreditation system for all graduate medical

education programs under the ACGME. By 2020, theAOA will cease accrediting residency programs.

Kennedy has begun the path to single accreditation

by first gaining institutional accreditation for

Rowan University School of Osteopathic Medicine

(RowanSOM) and Kennedy University Hospital (KUH),

effective July 1, 2015. Since then, multiple programs

have completed their application and attained

pre-accredited status. By the end of 2017, all baseresidencies will be in pre-accredited status with

site visits completed or scheduled to obtain full initial

accreditation. This move is a “sea change” for our

hospitals, physicians and other clinical staff.

The biggest impact will be how we manage coverage

today versus how we will plan coverage beginning this

summer when we must comply with the ACGME rules.

One of the biggest differences will be for first-year

residents. The term “INTERN” can no longer be used; all

first-year house staff are considered residents under

ACGME. We can no longer use our pool of first-year

house staff (61) for general house coverage. Under

ACGME standards, first-year residents can only perform

“call” in their specialty. “House coverage” as we know it

today will go away. In real numbers, it means going from

seven “interns” available each night for house coverage

in our hospitals to no more than three Internal Medicine

first-year residents available for after-hours coverage, and

ONLY for medicine patients on medical teaching services.

First-year residents in other specialties will be integrated

into their specialty call schedule. The call for second-year and above residents will largely be unchangedfrom what we have today. To fill in this enormous gap

in the type of after-hours coverage we have now, KHA is

recruiting nocturnists, and perhaps mid-level providers,

to help cover their medical patients during off hours.

As I said, this is a significant change from how we have

practiced at Kennedy for many decades. Physician andnursing education on these changes is paramount.

Daytime service coverage will also be impacted, as each

first-year resident will spend on average only two months

on services outside of their specialty. Attendings, upper-

level residents and fellows will, by necessity, become much

more involved in the day-to-day care of their patients. As

we work through more details of what service coverage

and off-hours coverage will be like, we will share this

information with you. Full engagement and cooperationfrom our medical staff is one of the key factors in oursuccessful transition to a single accreditation system

under the ACGME. Thank you in advance for your

support and participation in this important initiative.

The Transition to ACGME AccreditationBy Dr. Christopher Barone, Vice President of Medical Affairs & Graduate Medical Education

Congratulations to Kennedy’s New Medical Staff Officers

Kennedy University Hospital’s new Medical Staff Officers were elected at

the recent Annual Medical Staff Meeting in March. Henry Schuitema, DO,FACOEP, has been elected Chief of Staff; Mark Schuster, DO, has been named

Vice Chief of Staff; and Daniel Tarditi, DO, FACC, has been elected Treasurer.

All three terms are for two years. The Medical Staff Officers represent the

interests of Kennedy physicians, and work closely with administration in

strategic planning, quality improvement and other health care delivery issues.

S

Shown, from left to right, are: Dr. Schuitema, Dr. Schuster and Dr. Tarditi.

7

The Kennedy University Hospital Diabetes Health & Nutrition Wellness Centers have joined with theKennedy Health Alliance’s (KHA) Nutrition Services to form the Kennedy Nutrition Center.

This comprehensive program provides both individual and group consultation with a Registered Dietitian for children/adolescents andadults who are either referred by their physician ortaking steps on their own to improve their health.

Services at the Kennedy Nutrition Center are offered by appointment at four ambulatory hospital-based locations in Cherry Hill, Somerdale,Voorhees and Washington Township, NJ, and also on a rotating basis throughout KHA primary care, surgical, and endocrinology practices.

Administrative/operations oversight of the programis provided by Dr. Anthony Wehbe and AmandaKimmel, Kennedy’s Corporate Director of ClinicalIntegration. Clinical oversight is provided by Dr. Greg Barone and Cheri Leahy, RD, RDN, KHA’sDirector of Nutrition and Culinary Counseling.

The program promotes teamwork between the center’s physician and staff of Certified DiabetesEducators, Registered Nurses, Registered Dietitians,and Health Coaches. The entire Kennedy NutritionCenter team is committed to ensuring referring medical providers are always kept up-to-date onpatient progress.

The program provides patient support for: • Weight Loss and Maintenance• Diabetes and Pre-Diabetes• Heart Disease• Pregnancy and Nutrition• Sports Nutrition• Gastrointestinal Disorders• Eating Disorders• Oncology• Eating Disorders• Food Allergies• Healthier Eating• Bariatric Surgery

Since each client’s health needs and concerns are different, Kennedy’s Nutritional CounselingProgram provides an individual, highly personalizedplan. Nutrition instruction and recommended lifestylechanges include:• Analysis of Current Diet• Assessment of Nutritional Needs• Identification of Achievable Goals• Development of a Personalized Nutrition Plan

Kennedy's Comprehensive Diabetes EducationProgram, a component of the Kennedy NutritionCenter, has been awarded recognition by theAmerican Diabetes Association for following theNational Standards for Diabetes Self-ManagementEducation Programs.

The Kennedy Nutrition Center accepts self andphysician referrals. The program’s services are alsocovered by most health insurance plans.

For more information, please contact AmandaKimmel at (609) 238-8549.

Introducing the NewKennedy Nutrition Center

8

Nearly 1,000 Kennedy Health supporters enjoyed an evening of dancing and dining at the organization’s annual fundraisinggala, held at Atlantic City’s BorgataHotel Casino & Spa on Feb. 25. The black-tie event was Kennedy’smost successful of the 21 galaevents held, raising more than $1 million for Kennedy’sNeuroscience Center, a member ofthe Jefferson Neuroscience Network.

CBS3 TV anchorman UkeeWashington served as emcee for the evening’s festivities, and entertainment was provided by pop-rock band Huey Lewis & The News. The gala’s presentingsponsor was Parsippany, NJ-basedMed-Metrix.

Huey Lewis & The News Serenades Hundreds of Guests at Kennedy’s 21st Annual Record-breaking Gala

Grammy Award-winning pop-rock bandHuey Lewis & The News performs atKennedy’s 21st annual gala, held atAtlantic City’s Borgata Hotel Casino & Spa.

Bruce Paparone, Chair of theKennedy Health Care Foundation,looks on as Michelle Gollapalli,Kennedy Health’s Vice Presidentof Development & ExecutiveDirector of the Kennedy HealthCare Foundation, addresses nearly1,000 gala audience members.

Shown, from left, are: Joseph W. Devine; Danielle Davi; Huey Lewis; and Joseph Davi,President & CEO of Med-Metrix, the 2017 gala’s presenting sponsor.

Shown, from left, are: John F. Durante, Chairman of Kennedy University Hospital’s Board of Trustees;Dr. Steven K. Klasko, President & CEO of Thomas Jefferson University and Jefferson Health; JosephW. Devine, President & CEO of Kennedy Health; Albert E. Smith, Chairman of Kennedy Health’sBoard of Directors; and Colleen Wyse, Vice President of Visit Philadelphia and Dr. Klasko’s wife.

Practicing Mindfulness Can Help Decrease PhysicianBurnout & Improve Relationships with Patients

9

By Todd Levin, DO

p to 60 percent of practicing physicians report symptoms of burnout, which can be defined as emotionalexhaustion, treating patients as objects instead of people, and a low sense of accomplishment. Burnout

can be associated with poorer quality of care, patient dissatisfaction, increased medical errors, lawsuits, and

decreased ability to express empathy. The practice of mindfulness has been shown to decrease physician

burnout. Mindfulness can be defined as paying attention, on purpose, in the present moment non-judgmentally.Nearly half of all third-year medical students report burnout and there are strong associations between burnout

and suicidal ideation.

As physicians and medical students, we need to place more emphasis on taking care of ourselves, both physically

and mentally. Mindfulness is a way we can learn to focus our mind, which results in better care of ourselves and

our patients. A 2009 study published in JAMA looked at physicians’ well-being, psychological distress, burnout,

and capacity for relating to patients,

before and after a course including

mindfulness meditation, self-awareness

exercises, narratives about meaningful

clinical experiences, appreciative

interviews, didactic material, and

discussion. Physicians demonstrated

improvements in mindfulness, burnout,

depersonalization, personal accomplish-

ment, empathy, and emotional stability

after participating in the program.1

Another study published in Annals of

Family Medicine in 2013 looked at 45

clinicians who practiced different levels

of mindfulness and correlated that with

patient-clinician communication quality

when caring for patients with HIV. High-

mindfulness clinicians were more likely to

be characterized by a patient-centered pattern of communication, displayed a more positive emotional tone

with patients, and engaged in more rapport building and discussion of psychosocial issues. Patients were more

likely to give high ratings on clinician communication and overall satisfaction with high mindfulness clinicians.2

Over the past year, we have started offering weekly group mindfulness sessions to all Kennedy associates –

including physicians and medical students – at the Washington Township campus. Each Thursday at 1 p.m.,

the 20-minute sessions are led by Lesley Williams, MSN, RN, and held in the First Floor Classroom. Please

make an effort to attend so we can all benefit from the practice of mindfulness.

1 Krasner et al. Association of an Educational Program in Mindful Communication with Burnout, Empathy, and Attitudes Among Primary Care Physicians. JAMA. 2009; 302(12): 1284.2 Beach et al. A Multicenter Study of Physician Mindfulness and Health Care Quality. Ann Fam Med 2013; 421.

U

Dr. Larry Cohen is Dancing with Cherry Hill’s Stars

Joseph W. DevinePresident & Chief Executive Officer

Carman A. Ciervo, DOExecutive Vice President & Chief

Physician ExecutiveTimothy Dombrowski, DO, MPH

Chief Medical Officer

Nota Bene is published for the Medical Staff

of Kennedy University Hospital

Medical Staff Officers:Henry Schuitema, DO

Chief of Staff

Mark Schuster, DOVice Chief of Staff

Daniel Tarditi, DOTreasurer

Michael BarattaManaging Editor(856) 566-2033

Dana EarleyConsulting Editor

Nicole PensieroConsulting Editor

1099 White Horse RoadVoorhees, NJ 08043

Tickets are on sale now to see Dr. Larry Cohen and his partner

Diane Alcavage (“Dances by Diane”) put on their dancing shoes for

the 9th Annual Dancing with the Cherry Hill Stars event!

When: Sunday, April 30Time: 7 p.m.Place: Cherry Hill High School West Auditorium

Presented by the Cherry Hill Education Foundation, proceeds from the

show support curricular and extra-curricular initiatives for the more than

11,350 children in Cherry Hill’s public schools.

Since the foundation’s 2007 launch, more than $1 million in grants and donations

have been made to fund district initiatives, with last year’s show raising $50,000.

To purchase tickets, vote for Dr. Cohen, or donate, visit:

cherryhilleducationfoundation.com/events/dancing-with-the-cherry-hill-stars

Email info@cherryhilleducationfoundation.com for more information.