1044 Belmont AvePO Box 1790Youngstown, OH 44501-1790

St. Elizabeth Health Center

Issue 4, 2010 St. Elizabeth Health Center • St. Elizabeth Boardman Health Center HMpartners.org

medical staffU p d at e

medical staffUpdate

St. Elizabeth Medical Staff Update is a quarterly publication serving the medical staffs of St. Elizabeth and St. Elizabeth Boardman health centers.To submit an article, contact Sheila Donnadio, physician liaison, at sheila_donnadio@hmis.org or 330-480-8600.

Issue 4, 2010

• CarePATH Electronic Health Udate

•E-Prescribing Available atHMHP Pharmacies

•Radiology Services AddDigital Mammography

Nursing UpdateMagnet

In 2002 SJHC became a Magnethospital. SJHC, along with SEHC werethe first hospitals in Ohio to achieve thisprestigious award. Magnet statusrepresents excellence in nursing care basedon evidence based practice, nursinginnovation, strong, participative nursingleadership, and nursing research. Only372 hospitals across the country haveachieved Magnet status. In 2006, SJHCwas re-designated and currently we arein the process of seeking a secondre-designation. The nursing document thatsupports and provides evidence of meetingall of the Magnet standards was submittedon October 1st. The document is quiteextensive and is quite an accomplishment.We are awaiting word that our document“passed” and we can expect surveyors tovisit us in late December or January 2011.

MEWSOn November 1, nursing implemented

the Modified Early Warning System(MEWS). This scoring system identifiesadult patients at the earliest signs ofdeterioration so interventions can beimplemented. The scoring system is basedon heart rate, systolic BP, respiratory rate,temperature, and level of consciousness.The MEWS score is calculated beforepatients are transferred from the ED orIntensive Care, upon admission to thenursing units and every eight hours.(Exceptions include DNR, hospice, L & D,and pediatric patients.) You will be notifiedwhen the patient has a higher MEWSscore.

E-PrescribingAvailable at HMHPPharmacies

The St. Elizabeth and St. Josephemployee and ambulatory pharmacy staffencourage physicians to send patientprescriptions via the e-prescribing system.We are enrolled with Surescripts and can beidentified in the system as follows: SEHCEmployee Pharmacy, SEHC AmbulatoryPharmacy and SJHC AmbulatoryPharmacy. For more information, contactCoordinator Debra Schuller, RPh, at330-480-3804

Over the past 100 years of HMHP, theMedical Staff Offices of all three hospitalshave accepted physician staff credentialinginformation (State Licenses, CME, etc.) viaa manual process. Once a physicianprovides the Medical Staff Office(s) withtheir credentialing application orre-application information, the staffextracts the information and subsequentlyplaces it into our database called Cactus.As you can imagine, this is a timeconsuming and labor intensive process. Forthis reason, we have been exploring ways ofimproving the credentialing andre-credentialing process via an on-lineapplication platform which is an add-onapplication to the Cactus software. Thison-line credentialing and re-credentialingprocess is configured for our medical staffand allied health professionals. Theapplication is called AppCentral, and it isanalogous to the on-line application thatthe State Medical Board of Ohio uses for asimilar purpose.

AppCentral helps streamline theapplication process so that HMHP and itsmedical staff/allied health professionals canbe more productive with their time.

Physicians access a user-friendly webbrowser from any location (office, home,etc.) to submit their applications,documents, and copies of licensure(s).Common information is entered one timeto populate multiple documents, which inturn provides time savings for the applicantand the medical affairs staff. In addition,the re-appointment applications arepre-populated for quick on-line review andsubmission. The on-line application allowsfor drop-down pick lists, medical schoollook-ups, and automatic reminders.

AppCentral appears to be a completeon-line application solution that will allowour medical staff and allied healthprofessionals an easier way to submitdocuments accurately through the web.This will result in reduced turnaround timeand will speed up the approval process.We are planning to roll out AppCentral atall three HMHP facilities in the firstquarter of 2011, so please be attentive toany mailings from your respective hospital.

Message from Dr. Nick KreatsoulasOn-Line Credentialing

Dr. Nick Kreatsoulas, Vice President,Medical Affairs/Chief Medical Officer

"The application is called AppCentral,and it is analogous to the on-lineapplication that the State MedicalBoard of Ohio uses for a similar purpose."

Physicians, the New Year is one of thebest times for your patients to make acommitment to stop smoking. TheHumility of Mary Health Partners RegionalTobacco Treatment Center offers proventreatment results with no final cost topatients. Treatment includes medicationsand counseling. There are two locations:St. Joseph Minor Emergency andDiagnostic Center, 1296 Tod Place,Warren; and St. Elizabeth Health Center,1044 Belmont Ave., Youngstown. For your

convenience, you can use the Fast Fax formto expedite referrals. Tobacco treatmentcenter staff will do all follow up withpatients to get them motivated and startedin the program. For more information, callManager Terri Grimmett, R.N., at330-306-5010.

Tobacco Treatment Center Helps PatientsStart New Year off Right

Quality ScoresCore Measures

HMHP 10/12 12/12

SEHC 3/4 4/4

SEBHC 4/4 4/4

SJHC 3/4 4/4

Oct. 09 -Sept. 10

Sept.2010

CHP2010 Target

Appropriateness ofCare Bundle

Board ApprovalsSt. Elizabeth Health CenterRequest for Active ProvisionalStaff Status

Brent Altenhof, MD, Department ofAnesthesiology

Urwa Barakat, MD, Department ofInternal Medicine, Section of Cardiology

Julie M. Bourbonnais, MD, Departmentof Internal Medicine, Section ofPulmonary/Critical Care Medicine

Patrick Cestone, MD, Department ofRadiology

Steven D’Sa, MD, Department ofAnesthesiology

Matthew Gugliotti, MD, Department ofFamily Medicine

Jessica Handel, DO, Department ofFamily Medicine

Martin Hellman, MD, Department ofEmergency Medicine

Neville Irani, MD, Department ofRadiology

Samuel Jama, MD, Department ofInternal Medicine, Section of GeneralInternal Medicine

Therese Linnon, DO, Department ofPediatrics, Section of General Pediatrics

Kwon Miller, DO, Department of InternalMedicine, Section of Cardiology

Kendra Morrison, DO, Department ofEmergency Medicine

Kenneth J. Ransom, MD, Departmentof Surgery, Section of General/Trauma Surgery

Kene Ugokwe, MD, Department ofSurgery, Section of Neurosurgery

Pantelhs Varlas, MD, Department ofEmergency Medicine

Resignations

Daniel Brown, DO, Department ofFamily Medicine

Robert DeMarco, MD, Department ofInternal Medicine, Section of Pulmonary/Critical Care

Tera DePaoli, DMD, Department ofDentistry

David Fakier, MD, Department ofRadiology, Telemedicine

Mark Jablonski, MD, Department ofRadiology

Manish Joshi, MD, Department ofInternal Medicine

David Lee, MD, Department of Radiology

Philip Leone, DDS, Department ofDentistry

Leslie Murphy, MD, Department ofFamily Medicine

US Radiology Oncall, Department ofRadiology

Richard Simmons, DO, Department ofFamily Medicine

Philip C. Smith, MD, Department ofSurgery, Section of Cardiothoracic Surgery

Tina Swarm, DO, Department ofFamily Medicine

Kenneth Swanson, MD, Department ofRadiology

St. Elizabeth BoardmanHealth CenterRequest for Active ProvisionalStaff Status

Brent Altenhof, MD, Department ofHospital Based Specialists, Section ofAnesthesiology

Urwa Barakat, MD, Department ofMedical Specialist, Section of Cardiology

Julie M. Bourbonnais, MD, Departmentof Medical Specialists, Sections ofPulmonary/Critical Care Medicine

Patrick Cestone, MD, Department ofHospital Based Specialists, Sectionof Radiology

Steven D’Sa, MD, Department of HospitalBased Specialists, Section of Anesthesiology

Darrel Grace, DO, Department of PrimaryCare, Section of General Internal Medicine

Matthew Gugliotti, MD, Department ofPrimary Care, Section of Family Medicine

Martin Hellman, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

Neville Irani, MD, Department ofHospital Based Specialists, Sectionof Radiology

11/12PossibleBundles

Daniel Miller, MD, Department ofPrimary Care, Section of Family Medicine

Kwon Miller, DO, Department ofMedical Specialists, Section of Cardiology

David Montanaro, DO, Department ofHospital Based Specialists, Section ofEmergency Medicine

Kendra Morrison, DO, Department ofHospital Based Specialists, Section ofEmergency Medicine

Kene Ugokwe, MD, Department ofSurgery, Section of Neurosurgery

Pantelhs Varlas, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

Resignations

Robert Beight, DO, Hospital BasedSpecialists, Section of Emergency Medicine

Robert DeMarco, MD, Department ofMedical Specialists, Section ofPulmonary/Critical Care

David Fakier, MD, Department ofHospital Based Specialists, Section ofRadiology, Telemedicine

Mark Jablonski, MD, Department ofHospital Based Specialists, Section ofRadiology

Manish Joshi, MD, Department ofPrimary Care, Section of General InternalMedicine

David Lee, MD, Department of HospitalBased Specialists

Michael J. Scolieri, MD, Departmentof Surgery, Section of Urology

Dean W. Varian, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

US Radiology Oncall, Department ofRadiology

St. Elizabeth Acute RehabilitationUnit is a 30-bed unit with the goal to havepatients regain as much independence aspossible. Acceptable diagnoses to beadmitted to the unit are: stroke,amputation, orthopedic, brain injury,burns, spinal cord injury, pain, multipletrauma, neurological disorders andarthritis. An Interdisciplinary Teamconsisting of physician, rehabilitationnurse, physical therapist, occupationaltherapist, speech therapist, social servicespecialist, case management, psychologist,recreational therapist and dietary specialistcollaborate to organize a plan of carespecific to each patient.

The team, headed by the physician,meets weekly to discuss the goals, progress,current treatment and discharge plan foreach patient. The patient’s family isscheduled for family education sessions andactually participates in therapy so that theyunderstand the patient’s therapy programand challenges.

Two requirements for admission to theunit are that the medical condition of thepatient is reasonable and necessary forrehabilitation services and that the patienttolerates 3 hours of therapy at least 5 daysper week. Patients actually receive therapy7 days per week.

2010 Year to Date QualityData Includes:

• 78% of patients are dischargedhome

• ALOS is 14 days• Patient satisfaction is 92.9%

The Population of Patientsin 2010 YTD:

• Orthopedic 27%• Stroke 32%• Multiple Trauma 6%• Head injury 10%• Neurological Dysfunction 8%• Spinal Cord 13%• Amputation 2%• Other 2%

The Unit is accredited by theCommission for Accreditation ofRehabilitation Facilities.

A referral to the Acute RehabilitationUnit can be made to the referral pager(330) 613-0567 or the Pre-Screener’s officeat (330) 480-3720. The patientinformation will be reviewed by theRehabilitation Physician who will make thedecision for admission.

Acute Rehabilitation Unit Lynn Mikolich, M.D.Medical Director, Acute Rehabilitation Unit

Worthy of NoteCongratulations to Robert Lewis, MD.

Dr. Lewis achieved Maintenance ofCertification (MOC) in Plastic Surgery.Dr. Lewis is the first plastic surgeon in ourarea to complete the MOC.

The St. Elizabeth and St. JosephSurgical Weight Loss Center welcomesMohammad Rashid, MD. A boardcertified general surgeon, Dr. Rashid comesto the program with a wealth of experiencein caring for bariatric patients.

Michael Obeng, MD has been chosenas one of the 2010 “40 Under 40” honoreesby The Mahoning Valley YoungProfessionals and Community Foundationof Mahoning Valley. Each year theprogram honors community leaders aged40 years or younger for their impact in theirprofession and their commitment to publicservice. This is the second time Dr. Obenghas been chosen, the first being in 2008.

Physicians, the New Year is one of thebest times for your patients to make acommitment to stop smoking. TheHumility of Mary Health Partners RegionalTobacco Treatment Center offers proventreatment results with no final cost topatients. Treatment includes medicationsand counseling. There are two locations:St. Joseph Minor Emergency andDiagnostic Center, 1296 Tod Place,Warren; and St. Elizabeth Health Center,1044 Belmont Ave., Youngstown. For your

convenience, you can use the Fast Fax formto expedite referrals. Tobacco treatmentcenter staff will do all follow up withpatients to get them motivated and startedin the program. For more information, callManager Terri Grimmett, R.N., at330-306-5010.

Tobacco Treatment Center Helps PatientsStart New Year off Right

Quality ScoresCore Measures

HMHP 10/12 12/12

SEHC 3/4 4/4

SEBHC 4/4 4/4

SJHC 3/4 4/4

Oct. 09 -Sept. 10

Sept.2010

CHP2010 Target

Appropriateness ofCare Bundle

Board ApprovalsSt. Elizabeth Health CenterRequest for Active ProvisionalStaff Status

Brent Altenhof, MD, Department ofAnesthesiology

Urwa Barakat, MD, Department ofInternal Medicine, Section of Cardiology

Julie M. Bourbonnais, MD, Departmentof Internal Medicine, Section ofPulmonary/Critical Care Medicine

Patrick Cestone, MD, Department ofRadiology

Steven D’Sa, MD, Department ofAnesthesiology

Matthew Gugliotti, MD, Department ofFamily Medicine

Jessica Handel, DO, Department ofFamily Medicine

Martin Hellman, MD, Department ofEmergency Medicine

Neville Irani, MD, Department ofRadiology

Samuel Jama, MD, Department ofInternal Medicine, Section of GeneralInternal Medicine

Therese Linnon, DO, Department ofPediatrics, Section of General Pediatrics

Kwon Miller, DO, Department of InternalMedicine, Section of Cardiology

Kendra Morrison, DO, Department ofEmergency Medicine

Kenneth J. Ransom, MD, Departmentof Surgery, Section of General/Trauma Surgery

Kene Ugokwe, MD, Department ofSurgery, Section of Neurosurgery

Pantelhs Varlas, MD, Department ofEmergency Medicine

Resignations

Daniel Brown, DO, Department ofFamily Medicine

Robert DeMarco, MD, Department ofInternal Medicine, Section of Pulmonary/Critical Care

Tera DePaoli, DMD, Department ofDentistry

David Fakier, MD, Department ofRadiology, Telemedicine

Mark Jablonski, MD, Department ofRadiology

Manish Joshi, MD, Department ofInternal Medicine

David Lee, MD, Department of Radiology

Philip Leone, DDS, Department ofDentistry

Leslie Murphy, MD, Department ofFamily Medicine

US Radiology Oncall, Department ofRadiology

Richard Simmons, DO, Department ofFamily Medicine

Philip C. Smith, MD, Department ofSurgery, Section of Cardiothoracic Surgery

Tina Swarm, DO, Department ofFamily Medicine

Kenneth Swanson, MD, Department ofRadiology

St. Elizabeth BoardmanHealth CenterRequest for Active ProvisionalStaff Status

Brent Altenhof, MD, Department ofHospital Based Specialists, Section ofAnesthesiology

Urwa Barakat, MD, Department ofMedical Specialist, Section of Cardiology

Julie M. Bourbonnais, MD, Departmentof Medical Specialists, Sections ofPulmonary/Critical Care Medicine

Patrick Cestone, MD, Department ofHospital Based Specialists, Sectionof Radiology

Steven D’Sa, MD, Department of HospitalBased Specialists, Section of Anesthesiology

Darrel Grace, DO, Department of PrimaryCare, Section of General Internal Medicine

Matthew Gugliotti, MD, Department ofPrimary Care, Section of Family Medicine

Martin Hellman, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

Neville Irani, MD, Department ofHospital Based Specialists, Sectionof Radiology

11/12PossibleBundles

Daniel Miller, MD, Department ofPrimary Care, Section of Family Medicine

Kwon Miller, DO, Department ofMedical Specialists, Section of Cardiology

David Montanaro, DO, Department ofHospital Based Specialists, Section ofEmergency Medicine

Kendra Morrison, DO, Department ofHospital Based Specialists, Section ofEmergency Medicine

Kene Ugokwe, MD, Department ofSurgery, Section of Neurosurgery

Pantelhs Varlas, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

Resignations

Robert Beight, DO, Hospital BasedSpecialists, Section of Emergency Medicine

Robert DeMarco, MD, Department ofMedical Specialists, Section ofPulmonary/Critical Care

David Fakier, MD, Department ofHospital Based Specialists, Section ofRadiology, Telemedicine

Mark Jablonski, MD, Department ofHospital Based Specialists, Section ofRadiology

Manish Joshi, MD, Department ofPrimary Care, Section of General InternalMedicine

David Lee, MD, Department of HospitalBased Specialists

Michael J. Scolieri, MD, Departmentof Surgery, Section of Urology

Dean W. Varian, MD, Department ofHospital Based Specialists, Section ofEmergency Medicine

US Radiology Oncall, Department ofRadiology

St. Elizabeth Acute RehabilitationUnit is a 30-bed unit with the goal to havepatients regain as much independence aspossible. Acceptable diagnoses to beadmitted to the unit are: stroke,amputation, orthopedic, brain injury,burns, spinal cord injury, pain, multipletrauma, neurological disorders andarthritis. An Interdisciplinary Teamconsisting of physician, rehabilitationnurse, physical therapist, occupationaltherapist, speech therapist, social servicespecialist, case management, psychologist,recreational therapist and dietary specialistcollaborate to organize a plan of carespecific to each patient.

The team, headed by the physician,meets weekly to discuss the goals, progress,current treatment and discharge plan foreach patient. The patient’s family isscheduled for family education sessions andactually participates in therapy so that theyunderstand the patient’s therapy programand challenges.

Two requirements for admission to theunit are that the medical condition of thepatient is reasonable and necessary forrehabilitation services and that the patienttolerates 3 hours of therapy at least 5 daysper week. Patients actually receive therapy7 days per week.

2010 Year to Date QualityData Includes:

• 78% of patients are dischargedhome

• ALOS is 14 days• Patient satisfaction is 92.9%

The Population of Patientsin 2010 YTD:

• Orthopedic 27%• Stroke 32%• Multiple Trauma 6%• Head injury 10%• Neurological Dysfunction 8%• Spinal Cord 13%• Amputation 2%• Other 2%

The Unit is accredited by theCommission for Accreditation ofRehabilitation Facilities.

A referral to the Acute RehabilitationUnit can be made to the referral pager(330) 613-0567 or the Pre-Screener’s officeat (330) 480-3720. The patientinformation will be reviewed by theRehabilitation Physician who will make thedecision for admission.

Acute Rehabilitation Unit Lynn Mikolich, M.D.Medical Director, Acute Rehabilitation Unit

Worthy of NoteCongratulations to Robert Lewis, MD.

Dr. Lewis achieved Maintenance ofCertification (MOC) in Plastic Surgery.Dr. Lewis is the first plastic surgeon in ourarea to complete the MOC.

The St. Elizabeth and St. JosephSurgical Weight Loss Center welcomesMohammad Rashid, MD. A boardcertified general surgeon, Dr. Rashid comesto the program with a wealth of experiencein caring for bariatric patients.

Michael Obeng, MD has been chosenas one of the 2010 “40 Under 40” honoreesby The Mahoning Valley YoungProfessionals and Community Foundationof Mahoning Valley. Each year theprogram honors community leaders aged40 years or younger for their impact in theirprofession and their commitment to publicservice. This is the second time Dr. Obenghas been chosen, the first being in 2008.

Medical Staff Update • Issue 4, 2010

HMHP Ambulatory Go LiveOn Monday, Nov. 1, 2010, CarePATH

went live in 29 Humility of Mary HealthPartners (HMHP) physician practices at 15different ambulatory sites in Youngstown,Warren, and Boardman. There was a fullystaffed command center at the HMHPFinance Building in downtownYoungstown as well as onsite support staffat each location. The support staffincluded individuals from Epic, CatholicHealth Partners (CHP) CarePATH andPower Users from our region, as well asother CHP regions. As with theimplementation of any major system, therewere glitches that came up; however, thesewere identified and handled quickly. Thecommand center closed at the end ofbusiness Friday, Nov. 12. Ongoing supportwill be available through the CHP HelpDesk and our local clinical and IT supportsystems. Work to improve and optimizethe system will be an ongoing process.

Affiliated Physician OfferingHMHP is continuing to work on

offering affiliated physicians theopportunity to purchase CarePATHambulatory for their own offices. HMHPwill subsidize the system to the maximalextent allowable by law. The advantage tothe affiliated physicians is that theirpatients will be truly “one patient, onerecord.” Anything that happens in theiroffice will be available to the health careteam caring for their patient in the hospitaland vice versa.

Site assessments will be available forphysicians interested in determining if theCarePATH ambulatory EHR would fittheir office operations. The assessment isfree and enables members of theCHP/HMHP affiliated physicianCarePATH team to understand theequipment and infrastructure needs of thepractice. Following the assessment, atentative contract is developed andprovided to the physician for review and to

CarePATH Electronic Health Record UpdateFrom Vince Vanek, MD

decide if they want to proceed withimplementation. Site assessments areexpected to begin in mid to late Dec. 2010.It is anticipated that the first affiliatedphysician practice installations will start inthe first quarter of 2011.

Physicians interested in learningmore about the CarePATH AmbulatoryEHR are encouraged to contactHMHP physician liaisonsAlyson Moorhead (330-841-4992),Sheila Donnadio (330-480-8600) orChristine Rhoades (330-480-7863),director, physician networkdevelopment for additional information.

Inpatient Roll-outsCHP went live with the CarePATH

inpatient product on Feb. 21 at MercyFairfield in Cincinnati. On Nov. 6, MercyAnderson and Mercy Clermont hospitals inCincinnati went live. Jewish Hospital inCincinnati will be the fourth CHP hospitalto Go Live with the inpatient system inmid June 2011.

The HMHP CarePATH steeringcommittee is continuing to work onpreparations for Go Live of CarePATH atall three HMHP hospitals. Our officialinpatient kickoff will be in Jan. 2011 andour tentative Go Live date for all threeHMHP hospitals is in Aug. 2011. Following the kickoff, there will benumerous opportunities for the staff andphysicians to learn more about theCarePATH inpatient system.

Please contact me if you have anyquestions. Thanks!!

Vince Vanek, MD CHP Eastern Division and HMHP Chief Medical Information Officevince_vanek@hmis.org

Humility of Mary Health Partners ispleased to announce the addition of theSelenia™ digital mammography system tothe radiology departments at St. Elizabeth,St Joseph and St. Elizabeth Boardman.

HMHP strives to deliver the highestquality care to patients by using the mostadvanced technologies available. The Sele-nia digital mammography system:

• Uses an amorphous selenium,direct conversion detector. Thistechnology produces incrediblysharp digital images by completelyeliminating the image-degradingeffects of light diffusion found onother digital mammographysystems.

• Offers exceptional diagnostic toolsfor the radiologists that supportmore confident diagnoses andsaves valuable time, allowingphysicians to get answers to theirpatients faster.

In addition to digital mammography,HMHP radiology continues to utilize theMammoPad® breast cushion, whichdramatically decreases the pain manywomen experience and provides a softer,warmer mammogram.

By combining digital mammographywith MammoPad, women get a high-tech,soft touch mammography experience.

To schedule your patients for a digitalmammogram, callSt. Elizabeth, 330-480-2609;St. Joseph, 330-841-4230; orSt. Elizabeth Boardman, 330-729-1450.

All three hospitals will be fullyoperational by mid December.

Radiology Services Add Digital Mammography

WebsiteThe Department of Surgery at

St. Elizabeth Health Center takes pride inthe surgical expertise and compassionatequality of health care provided by itssurgeons and would like to publicize thateffort to the community so that they areaware of the experience and effectiveness ofsurgical care right here in Youngstown,Ohio. With the assistance of TinaCreighton and HMHP Public Relations,the department has developed a websitethat will be an accessible site not only forthe community to view, but also for staff,personnel, and future students andresidents. The website will containinformation about surgical procedures andtechniques, the environment and dynamicsof the operating room, the surgical sectionsand faculty, and our surgical facilities. Weare proud of our heritage and history inYoungstown, Ohio, and include the detailsof our historical beginnings of the surgerydepartment and its evolution from 1911 topresent day operations. Surgical faculty willbe highlighted to recognize our governingbody, national association and committeeleadership, and department news andevents that are noteworthy and exceptional.

Richard A. Memo, MDDepartment of Surgery

Physician Licensure RenewalForm Redesigned

On October 4, 2010, the MedicalBoard launched a redesign of the on-linephysician renewal application form. Inaddition to the standard questions, the newform includes a series of mandatorydemographic questions to provide dataupon which policy makers can makedecisions based on a more accurateillustration of the Ohio physicianworkforce than has ever before beenavailable.

The demographic questions ask thenumber of hours per week a physicianspends in direct patient care and otheractivities; the clinical setting of suchactivities; the county and zip code ofthe location(s) the physician provides themost patient care; whether the physician isa solo practitioner, part of a group practice,or employed by a clinical facility orhospital; whether languages other thanspoken English are available at the primarypractice location; and board certificationstatus. All of the demographic questions on

the on-line renewal form can be answeredby choosing the correct response from adrop down box. Answers must be providedto the questions in order to continue therenewal process. The average time tocomplete the on-line renewal remains 15minutes or less. Licensees are responsiblefor assuring that the information providedto the Medical Board is complete andaccurate.

License renewal notices are sent by theMedical Board six months before thelicense expiration date. Licensees with lastnames beginning with C-D will be the firstgroup to use the redesigned renewal form.

Questions regarding licensure renewalare handled by the Medical Board’sRecords Department at (614) 728-3113.

State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127Richard A. Whitehouse, Esq. (614) 466-3934Executive Director med.ohio.gov

Each surgical section is individualizedwith information about the latestprocedures and technology, along with thenames and biographies of section members.Each section will have a list of theprocedures performed by their surgeons.

The Education Department will be aseparate site that will include an overview,the requirements, curriculum, and goalsand objectives of the residency program,the clinical research and publication fromthe department, as well as informationabout the surgical skills laboratory and thesurgery CME programs. This site will beaccessible to future applicants who canextract the information of the departmentand health center and view the advantagesof furthering their education here inYoungstown.

With our close association as acomponent hospital of the NortheasternOhio Universities College of Medicine andPharmacy, we strengthen our presentresidency program and recruit futurephysicians for undergraduate education.Our surgical teaching faculty has andalways will be committed to thedevelopment of strong surgical educationprograms.

Updates will be made on a regularbasis; new diagnostic and therapeuticopportunities are expanding constantly;i.e., robotics, endovascular surgery,reconstructive surgery, etc. We hope thatthe patients in our community view ourwebsite as a primary source to explore ourresources to diagnose and treat conditionsthat are of concern to them. View the siteat HMpartners.org/surgery.

Surgery BrochureMany times, people are grateful for

their surgical outcomes and service andwould like the opportunity to be thankfulthrough donations. We will have thatavailability for the community to donate tothe Surgical Education Fund through theefforts of the HMHP DevelopmentFoundation and the resulting brochure thatwill be placed in the surgical lobby. TheDepartment of Surgery follows the missionand guidelines of HMHP in thedistribution of funds for furthering theeducation of our surgical residents as wellas attending surgeons and to enhance ourresearch efforts in the biomedical,community health and behavioral sciences.

1044 Belmont AvePO Box 1790Youngstown, OH 44501-1790

St. Elizabeth Health Center

Issue 4, 2010 St. Elizabeth Health Center • St. Elizabeth Boardman Health Center HMpartners.org

medical staffU p d at e

medical staffUpdate

St. Elizabeth Medical Staff Update is a quarterly publication serving the medical staffs of St. Elizabeth and St. Elizabeth Boardman health centers.To submit an article, contact Sheila Donnadio, physician liaison, at sheila_donnadio@hmis.org or 330-480-8600.

Issue 4, 2010

• CarePATH Electronic Health Udate

•E-Prescribing Available atHMHP Pharmacies

•Radiology Services AddDigital Mammography

Nursing UpdateMagnet

In 2002 SJHC became a Magnethospital. SJHC, along with SEHC werethe first hospitals in Ohio to achieve thisprestigious award. Magnet statusrepresents excellence in nursing care basedon evidence based practice, nursinginnovation, strong, participative nursingleadership, and nursing research. Only372 hospitals across the country haveachieved Magnet status. In 2006, SJHCwas re-designated and currently we arein the process of seeking a secondre-designation. The nursing document thatsupports and provides evidence of meetingall of the Magnet standards was submittedon October 1st. The document is quiteextensive and is quite an accomplishment.We are awaiting word that our document“passed” and we can expect surveyors tovisit us in late December or January 2011.

MEWSOn November 1, nursing implemented

the Modified Early Warning System(MEWS). This scoring system identifiesadult patients at the earliest signs ofdeterioration so interventions can beimplemented. The scoring system is basedon heart rate, systolic BP, respiratory rate,temperature, and level of consciousness.The MEWS score is calculated beforepatients are transferred from the ED orIntensive Care, upon admission to thenursing units and every eight hours.(Exceptions include DNR, hospice, L & D,and pediatric patients.) You will be notifiedwhen the patient has a higher MEWSscore.

E-PrescribingAvailable at HMHPPharmacies

The St. Elizabeth and St. Josephemployee and ambulatory pharmacy staffencourage physicians to send patientprescriptions via the e-prescribing system.We are enrolled with Surescripts and can beidentified in the system as follows: SEHCEmployee Pharmacy, SEHC AmbulatoryPharmacy and SJHC AmbulatoryPharmacy. For more information, contactCoordinator Debra Schuller, RPh, at330-480-3804

Over the past 100 years of HMHP, theMedical Staff Offices of all three hospitalshave accepted physician staff credentialinginformation (State Licenses, CME, etc.) viaa manual process. Once a physicianprovides the Medical Staff Office(s) withtheir credentialing application orre-application information, the staffextracts the information and subsequentlyplaces it into our database called Cactus.As you can imagine, this is a timeconsuming and labor intensive process. Forthis reason, we have been exploring ways ofimproving the credentialing andre-credentialing process via an on-lineapplication platform which is an add-onapplication to the Cactus software. Thison-line credentialing and re-credentialingprocess is configured for our medical staffand allied health professionals. Theapplication is called AppCentral, and it isanalogous to the on-line application thatthe State Medical Board of Ohio uses for asimilar purpose.

AppCentral helps streamline theapplication process so that HMHP and itsmedical staff/allied health professionals canbe more productive with their time.

Physicians access a user-friendly webbrowser from any location (office, home,etc.) to submit their applications,documents, and copies of licensure(s).Common information is entered one timeto populate multiple documents, which inturn provides time savings for the applicantand the medical affairs staff. In addition,the re-appointment applications arepre-populated for quick on-line review andsubmission. The on-line application allowsfor drop-down pick lists, medical schoollook-ups, and automatic reminders.

AppCentral appears to be a completeon-line application solution that will allowour medical staff and allied healthprofessionals an easier way to submitdocuments accurately through the web.This will result in reduced turnaround timeand will speed up the approval process.We are planning to roll out AppCentral atall three HMHP facilities in the firstquarter of 2011, so please be attentive toany mailings from your respective hospital.

Message from Dr. Nick KreatsoulasOn-Line Credentialing

Dr. Nick Kreatsoulas, Vice President,Medical Affairs/Chief Medical Officer

"The application is called AppCentral,and it is analogous to the on-lineapplication that the State MedicalBoard of Ohio uses for a similar purpose."