Medical Staff Updates - Kaleida Health

Below are the October Medical Staff Updates. As a reminder, all providers must complete the attestation at the bottom of this page by October 31.

Message from the President of the Medical/Dental Staff

As I write this near the end of September, an attempt by Senate Republicans to end health care as we know it has thankfully failed. This attempt was the latest, and perhaps the worst, in a series of attacks on insurance coverage for Americans. It brought together a remarkable group of advocacy organizations in opposition, including the American Medical Association and the American Hospital Association (https://www.ahip.org/wp-content/uploads/2017/09/Joint-statement-AMA-AAFP-AHA-FAH-AHIP-BCBSA-9.23.17.pdf).

As I have followed these events, it seems to me that the central theme of these attacks is to reduce spending, which means reducing coverage, under Medicaid. It may be that many people think of Medicaid as primarily providing coverage for the poor, but in fact Medicaid is also critical to how we fund elder care, provide opiate treatment and take care of catastrophic illnesses, among many others. It is foundational to our entire system of health care.

In a thoughtful article (https://www.nytimes.com/2017/05/26/opinion/sunday/safety-net-hospitals-health-care.html), Dr. Ricardo Nuila, a physician in Houston, Texas, reminds us that Federal law requires hospitals to provide all patients with emergency care, regardless of their ability to pay. By cutting Medicaid and increasing the number of uninsured, Republicans would effectively impose drastic cost increases on hospitals.

As I have said here before, the Kaleida Health Medical/Dental Staff, administration and Board of Directors must be aligned around a shared vision that provides for the triad of good patient care, hospital success and provider success. Each one of those elements is critical; no one thrives if any one element is missing. I hope you will all continue to work with me to fight for access to and coverage for health care for all.

Peter Winkelstein, MD, MS, MBA, FAAP
Medical/Dental Staff President
Kaleida Health

Quality Update – Another Successful DNV GL Visit

“The energy in this organization is palpable. It’s clear that you are focused on quality and continuous improvement…” – DNV GL surveyor

As you know, Kaleida Health recently completed the annual accreditation visit with DNV GL Healthcare Inc. DNV GL was here for several days to survey Kaleida Health’s hospitals and certify compliance with the ISO 9001:2015 Quality Management System (QMS) standards.

The visit could not have gone any better. DNV GL closed out all of the non-conformities from last year. Kaleida Health was cited with only minor areas of improvement for this year, a remarkable achievement. DNV GL also noted that Kaleida Health is “the best we have ever seen” when it comes to the ISO 9001:2015 transition.

Tentative non-conformances identified during this year’s survey:

Physical Environment – Life Safety
- Lapse in fire pump testing documentation
- Missing protective covers on fire sprinkler cabinets
Nursing Services – Assessment and Plan of Care
-Ensuring care plan is updated when patient change of condition occurs
-Titration of high-risk medications and ensuring monitoring of sedation levels are documented
-Pain intervention with central nervous system pharmacologic medications to ensure monitoring of sedation level is done
Medication Management
-Nurses follow orders or clarify orders so they are written as expected (i.e. physician order for Levophed continuous IV rate vs. titrate for MAP > 65 mm Hg)
-Physician communication in orders for nurses to follow instructions/parameters (multiple orders for pain medications PRN – need to clarify “x” given for moderate pain, “y” given for severe pain)
Patient Rights
-Delivery of Important Message for Medicate (IMM) patients – admission IMM missing Spanish IMM
-Missing discharge IMM
Patient Rights – Provision of Rights
-Suicide patient did not have a sitter for several hours after transfer from ICU to floor

“You guys are changing the culture – faster than most hospitals. The pride in Kaleida Health is evident.”

DNV GL lauded the workforce for its commitment to patient care and how they represent Kaleida Health. They felt the pride, the care and the culture. “It is evident that it is more than a job here – it’s a way of life,” is what the DNV GL stated.

Remember, the DNV GL visit is an independent and third party validation that Kaleida Health is delivering for this community.

Because of you, Kaleida Health once again sits in its rightful place as the employer of choice, the place where the greatest talent comes to work. And the place where you will always get the very best care.

Last Chance to Register: Gates Vascular Institute Symposium

There are only a few days left until the Gates Vascular Institute Symposium: Updates in Cardiac, Vascular & Neuroendovascular Medicine.

This year's event will take place on Friday, October 13, 2017 and Saturday, October 14, 2017 at:

The Grapevine Banquets
333 Dick Road
Depew, NY 14043

Visit the Gates Vascular Institute Symposium website to register.

Oishei Children’s Hospital Open House on October 17

Celebrate with the Kaleida Health family during an Open House at the new John R. Oishei Children's Hospital.

Tuesday, October 17, 2017
4-8 p.m.
818 Ellicott Street
Buffalo, NY 14203

RSVP by Tuesday, October 10, 2017 at https://och-open-house.eventbrite.com.

All Kaleida Health providers and their families are welcome to attend for a self-guided tour through the new hospital. Light refreshments will be served.

John R. Oishei Children’s Hospital Updates

Tune in to KISS 98.5 every Wednesday at 8:45 a.m. for the weekly Oishei Children’s Hospital (OCH) update
Federal Aviation Administration (FAA) conducted a successful test landing on the new OCH helipad on September 15
The mock move held on September 22 was a huge success, with many lessons learned and valuable feedback that will be applied on move day. An additional mock move date is being finalized
Phase III of outpatient clinic moves from the current Women & Children’s Hospital of Buffalo (WCHOB) to the new Oishei Children’s Outpatient Center at Conventus continues in time for opening on October 2
The hospital is on schedule to open this November. Stay tuned for details

Medical/Dental Staff Semiannual Meeting on October 19

All Kaleida Health physicians and advanced practice providers are invited to the Medical/Dental Staff Semiannual Meeting on Thursday, October 19, 2017, at Templeton Landing in Buffalo.

Cocktails and hors d'oeuvres begin at 5:45 p.m.

Business meeting and dinner will begin at 6:30 p.m.

Open bar following meeting

Guest speakers Michael E. Cain, MD, Vice President for Health Sciences and Dean, Jacobs School of Medicine and Biomedical Sciences and Stephen Turkovich, MD, Chief Medical Officer of Women & Children’s Hospital of Buffalo, will discuss the exciting growth and changes happening on the Buffalo Niagara Medical Campus, which will be the new home of the Jacobs School of Medicine and Biomedical Sciences and John R. Oishei Children's Hospital.

Flu shots will also be available.

Due to limited space, this event is first-come, first-served, and RSVP is required by Friday, October 6, 2017. To RSVP, visit https://www.surveymonkey.com/r/MedicalStaffDinnerOctober2017.

If you are attending, please be sure to add the meeting to your own calendar as there will not be an invitation sent via Microsoft Outlook.

For questions, call the Kaleida Health Medical Staff Office at 859-5501.

Flu Vaccination Status Required by November 30

Kaleida Health will continue to follow the New York State Department of Health directive titled, “Regulation and Prevention of Influenza Transmission by Healthcare and Residential Facility and Agency Personnel” to document the vaccination status of healthcare personnel.

Following the practice of other Western New York facilities and clinical best practice, this year, the influenza vaccination status of all healthcare personnel must be documented no later than November 30, 2017. Once influenza is declared prevalent in the region, all unvaccinated personnel must wear a surgical mask at all times while in areas where patients or residents are typically present during the entire influenza season.

Masks will be available at all main entrances of Kaleida Health’s hospitals throughout influenza season.

To obtain your vaccine:

Attend an Employee Health flu clinic at a Kaleida Health facility (clinic schedule is available on Employee Health’s KaleidaScope page)

Visit your site’s Employee Health office during scheduled hours (vaccines available in limited supply)

Visit one of Kaleida Health’s outpatient pharmacies

Providers must have their Kaleida Health ID badge to receive the vaccine from Employee Health. At the time of vaccination, a Kaleida Health Employee Health nurse will apply a flu sticker on the right lower corner of the Kaleida Health ID badge to provide visual verification of vaccination.

Providers vaccinated by a facility or provider other than Kaleida Health will need to bring official proof of vaccination to Kaleida Health’s Employee Health Department in order to receive their sticker of verification.

Those who decline the influenza vaccine must complete a “Declination of Influenza Vaccine” form. Anyone who declines the vaccine due to a medical condition will also need to complete the “DOH Medical Exemption Statement” form. Details for both forms are available on Employee Health’s website on KaleidaScope.

Employee Health or a site designee will apply a yellow sticker on the right lower corner of the Kaleida Health ID badge of those who decline vaccination.

Kaleida Health’s Medical Staff Office will be tracking providers’ vaccination status. All providers must submit a copy of their proof of vaccination or declination of vaccination to the Medical Staff Office. Please scan and email documentation to Rosie Light at RLight@KaleidaHealth.org or fax to 859-5592.

Clinical Research: UB Dermatology Clinical Trials Unit

UB Dermatology Clinical Trials Unit is thriving with new and exciting drug studies that are designed to help our community’s patients with various skin conditions.

Atopic dermatitis (AD) is an inflammatory skin disease in which the skin is dry, itchy, red, cracked, thickened, and decreased quality of life. AD can be associated with allergies and asthma. There are both topical and systemic treatments available that can have serious side effects. Our Unit has participated in multiple AD clinical trials, including the one that brought Dupixent (Dupilumab), the first biologic injectable specific for AD, into FDA approval. We will soon begin recruitment for a new AD injectable biologic.

Psoriasis is an inflammatory skin condition in which patients develop thick, red, scaly plaques, particularly on the scalp, elbows and knees. Psoriasis can present with or without joint manifestations. Psoriasis can be associated with increased risk of heart disease, as well as decreased quality of life. We currently are recruiting patients for our psoriasis clinical trials.

Pemphigus vulgaris (PV) and bullous pemphigoid (BP) that present with extensive areas of painful blisters on the skin and/or mouth. There are few centers in the country devoted to these rare, but potentially fatal diseases. Dr. Animesh Sinha, the head of the UB Dermatology Clinical Trials Unit, is a world-renowned dermatologist and scientist who specializes in skin autoimmune and inflammatory conditions. We are currently enrolling patients for several clinical trials in both PV and BP.

For further information, please contact Dr. Alba Posligua at 716-645-8990 or albaposl@buffalo.edu.

New Providers

Please welcome the following new appointments to Kaleida Health:

Name	Clinical Service	Category or Coll/Super
Abdelmalik, Peter A., MD	Neurology	Associate
Abdelsayed, Sarah, MD	Family Medicine	Associate
Aguirre, Priscilla, CRNA	Anesthesia	APP – Robert Ramsdell, MD
Aswani, Vijay, MD	Internal Medicine/Pediatrics	Associate
Auth, Regina, MD	Obstetrics & Gynecolog	Associate
Bodkin, John J., MD	Urology	Associate
Calabro, Kristen A., MD	Internal Medicine/Nephrology	Associate
Chemaly, Elie R., MD PhD	Internal Medicine/Nephrology	Associate
Dandona, Paresh, MBBS	Internal Medicine/Endocrinology	Associate
Dunay, Chelsea N., PA-C	Orthopaedic Surgery	APP – David Pochatko, MD
Farelli, Joseph, CRNA	Anesthesia	APP – George Toufexis, MD
Farmer, Amy F., PA	Neurosurgery	APP – Jason Davies, MD
Folan, Thomas N., MD	Radiology	Teleradiologist
Graziano, Anthony S., PA	Orthopaedic Surgery	APP – Timothy McGrath, MD
Gutierrez, Karen L., FNP	Surgery	APP – Meeghan Lautner, MD
Hemme, Joanne K., FNP	Family Medicine	APP – Stephen Evans, MD
Hoegsberg, Bente, MD	Obstetrics & Gynecology/M	Associate
Jacobson, Sig-Linda, MD	Obstetrics & Gynecology	Associate
Jones, Taylor P., PA-C	Neurosurgery	APP – Kenneth Snyder, M
Kreminski, Halley, PA-C	Neurosurgery	APP – James Egnatchik, M
Lampkin, Stacie, PharmD	Pediatrics	APP – Lucy Holmes, MD
Lesh, Caitlyn D., MD	Surgery	Fellow – Unaccredited
Lillvis, John H., MD	Ophthalmology	Associate
Lis, Tracy L., Anp	Surgery/Internal Medicine	APP – Donald Hickey, MD and James Lampasso, MD
Mills, Joseph D., MD	Surgery/Colon-Rectal Surgery	Associate
Miori, Daniel J., PA-C	Neurosurgery	APP – John Pollina, MD
Myers, Michelle M., MD	Pediatrics	Associate
Nwankwo, John I., MD	Radiology	Teleradiologist
Ortolani, John B., MD	Surgery	Associate
Padgett, Christina L., MD	Internal Medicine/Pediatrics	Associate
Pittman, Martin, PA-C	Internal Medicine	APP – James Corasanti, MD
Plucinski, Matthew J., MD	Internal Medicine	Associate
Rainville, Michelle E., MD	Emergency Medicine	Associate
Rinehart, Katherine, PA-C	Neurosurgery	APP – John Pollina, MD
Salehi, Mashal, MD	Internal Medicine	Associate
Schiller, Maria A., PA-C	Orthopaedic Surgery	APP – Ross Sherban, MD
Starr, Edward M., PA-C	Internal Medicine/Cardiology	APP – Vijay Iyer, MD
Strode, Matthew A., DO	Surgery	Associate
Trehy, Jillian A., FNP	Internal Medicine	APP – Mahmoud Fenire, MD
Waltz, Erik, P., PA-C	Emergency Medicine	APP – Alexander Ljungberg, MD
Weiner, Asher, MD	Ophthalmology	Associate
Westerholt, Kyle, MD	Emergency Medicine	Associate
Winkler, Maura, CNM	Obstetrics & Gynecology	APP – Katharine Morrison, MD
Wolniewicz, Patricia, FNP	Internal Medicine	APP – Lucy Campbell, MD
Kreminski, Halley, PA-C	Internal Medicine	Associate

Policy Updates for Providers

Below is a revised policy that affects providers at Kaleida Health. Please take a moment to review this month's updates. The policy link below ia accessible from a Kaleida Health computer only. For additional assistance, please contact Amy Palombo at apalombo@kaleidahealth.org or 716-859-8447.

Revised Policy:

MED.6 – Impaired Physicians – “Or at reappointment” added at B

Medical Staff Attestation - October 2017

By submitting this attestation, I confirm that as a member of the medical staff I have read and understand the information included in this email from Kaleida Health in accordance with Kaleida Health policy MED.41 as approved by the Medical Executive Committee.

Fields marked with an asterisk (*) are required.

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