2014 Annual Report - Cayuga Medical Center

Transcription

A Healthy Future
Annual Report 2014
Cayuga Medical Center / Schuyler HOSPITAL
Members of the Cayuga Health System
GROWTH:
Ushering in a New Era
Four years ago,
Schuyler Hospital was at a crossroads. Serving a declining and aging population, the 25-bed
rural hospital in Montour Falls had been forced to close its maternity ward. The facility needed
major renovations, and its president and CEO was retiring.
When Andrew Manzer was appointed as the hospital’s new administrator in 2011, the
board of directors gave him a clear mandate: identify a regional provider with which Schuyler
Hospital could affiliate to ensure residents had access to quality health care in the community.
After meeting with several hospitals and exploring the potential collaborations they offered, Manzer and his board of directors concluded that the best partner for Schuyler Hospital
would be Cayuga Medical Center. “It really stood out head and shoulders above all the
rest on several points: its willingness to work with us on clinical partnerships and its culture
and relationships,” Manzer says. “The culture and people are what make the difference in
whether these types of collaborations are successful long-term, and we just found pretty
quickly that we really matched up quite well.”
For Cayuga Medical Center, a 204-bed acute care hospital, the affiliation provided a critical
mass of patients that would help sustain its specialized clinical services, such as percutaneous
coronary intervention for heart attack patients and comprehensive cancer care. “To maintain
those services, you need a certain volume of patients,” says John Rudd, president and CEO of
On October 29, 2014, at press conferences held in Ithaca and Montour Falls, the leadership of Cayuga Medical Center
and Schuyler Hospital announced the creation of Cayuga Health System. This new affiliation is transforming health care
throughout the central Finger Lakes region.
Cayuga Medical Center and Cayuga Health System. “We were able
to create a sustainable model for providing those higher-level clinical
services by expanding our reach.”
The first medical service extended to Schuyler Hospital was introduced in 2012: a new orthopedic clinic staffed by Cayuga Medical
Center’s orthopedic surgeons and a sports medicine physician. A year
later, the strength of the partnership was tested when the cardiology
practice that had served Schuyler Hospital gave two weeks’ notice
that it was affiliating with another regional hospital. But within a matter of days, the cardiologists with the Cayuga Heart Institute stepped
in to close the gap.
“The two hospitals were able to work together and figure that out
in one week’s time, so that our patients with cardiac problems never
were in harm or in danger,” says Kyle Tuttle, chairman of the board of
Schuyler Hospital. “That is what’s really special when two organizations and cultures are aligned—they can make things happen that
might take another place six months.”
Over the next two years, Cayuga Medical Center launched other
key clinical services at Schuyler Hospital: anesthesia, pathology,
general surgery, oncology, and neurosurgery consults. Because of
the partnership, Schuyler Hospital was also able to secure a $6.5
million HEAL NY (Health Care Efficiency and Affordability Law) state
grant earmarked for hospitals that have formed new partnerships to
2 Cayuga HEALTH SYSTEM | Annual Report 2014
improve access to health-care services. Along with nearly $1 million from the Schuyler Health Foundation, the funding allowed the
hospital to expand its main entrance and lobby; renovate its operating
suite; and add waiting-room space, a convenient registration area for
outpatient services, and a new auxiliary gift shop.
What has helped the hospitals move forward in their partnership
is the close working relationship among the members of the new
Cayuga Health System Board of Directors, composed of community
volunteers who meet nearly every month. “If someone were to drop
into those meetings, you would not be able to tell who was from
Tompkins County and who was from Schuyler County,” says Larry
Baum, chairman of the board of Cayuga Medical Center and Cayuga
Health System. “We’ve worked that well together.”
As the partnership continues to evolve, both hospitals are confident their communities will realize the benefits of joining a larger
health-care system. “This is really much bigger than just two hospitals
coming together and forming a new system,” Manzer says. “It’s really
two communities coming together. Our communities are very much
at the forefront of how we built this, and ultimately our success will
depend, as it always has, on whether or not our communities have
bought into what we’re doing. We believe the results will show that
they will see us as their provider of choice.”
From Our Presidents and CEOs
I
n 2014, Cayuga Medical Center reached
a historic milestone when we completed a
three-year process to affiliate with Schuyler
Hospital. The creation of Cayuga Health
System, the new parent company overseeing
our hospitals, will strengthen medical care
in both our communities. Because of this
partnership, Schuyler Hospital is now able
to offer a range of important patient services
right in its community. For Cayuga Medical
F
or Schuyler Hospital, 2014 was a momentous year. After three years of planning,
Schuyler Hospital made a critical investment in its future when we finalized an
affiliation with Cayuga Medical Center in
October 2014. Our patients now have access
to the critical services they need—oncology,
cardiology, orthopedics, general surgery,
and much more. Physicians from Cayuga
Center, the collaboration means we will
be able to expand our geographic reach
to assure that we maintain our highly
specialized clinical care, from interventional cardiology to neurosurgery. In the
long run, this affiliation will position each
hospital to continue to grow and prosper in
the years to come.
Cayuga Medical Center made significant
progress on other key projects. Cayuga
Birthplace, our new state-of-the-art maternity and newborn care center, opened in
July 2014, nearly doubling the size of the
previous unit. The renovation and construction of new space in our Department of
Surgical Services also moved ahead toward
completion in 2015.
We have continued to attract top-notch
physicians to meet the needs of our community. A pulmonary and sleep medicine
specialist joined our staff this year, along
with two new radiology subspecialists,
a pediatric neurologist, and a second neonatologist. This spring, we welcomed another
interventional cardiologist to the Cayuga
Heart Institute.
I’m particularly proud of the community
effort we participated in to prepare for
the Ebola virus. Although the risk is low
that an Ebola patient would arrive in our
community, our staff and other providers in
the community need to be trained to handle
these patients and know how to avoid the
risk of contamination.
I’m also gratified by the improvements
in patient satisfaction at Cayuga Medical
Center. Based on your feedback, our
maternity services are now ranked in the
top 10 percent of more than 600 health-care
facilities in the United States. We’ve seen
outstanding patient satisfaction results
across the hospital in key areas, including
oncology and cardiology services, nutrition
and dining, and environmental services.
With a focus on exceeding our patients’
expectations, we will continue to strive to
provide the highest quality medical care
for the expanded community we serve.
Medical Center are now treating patients and
performing surgeries at our hospital, filling
in the gaps that often present challenges for
a small hospital like ours. I am confident that
this partnership will continue to grow and
provide tangible benefits to our community
in the years to come.
Last year also marked the completion of
the largest renovation ever undertaken since
the hospital was built in 1972. After eighteen
months of construction, Schuyler Hospital
now has a new main entrance and lobby,
a new operating suite, a new laboratory
station, much-needed waiting room space,
a family consultation room, and a new gift
shop. This $7.5 million project was made
possible because of our collaboration with
Cayuga Medical Center. It was funded by a
$6.5 million HEAL NY (Health Care Efficiency
and Affordability Law) state grant, designed
for hospitals that have formed new relationships to improve access to health-care
services in their communities. The remaining cost was funded by generous support
from the Schuyler Health Foundation.
The results of the transition in our Emergency Department to using our own staff,
after years of contracting with an outside
firm to provide these services, were also apparent in 2014. Our Emergency Department
is now staffed by eight physician assistants
and nurse practitioners, who are supervised
by our internal medicine physicians. The
community has responded very positively to
this change—in a recent survey, 84 percent
of patients gave the top score to our Emergency Department.
The common thread in 2014 was providing more access to quality medical care,
both through our partnership with Cayuga
Medical Center and through a locally based
emergency department staff. I am optimistic
that this is just the beginning for Schuyler
Hospital in expanding the high level of care
that will meet the needs of our community.
John B. Rudd, President and CEO
Cayuga Medical Center and
Cayuga Health System
Andrew Manzer, President and CEO
Schuyler Hospital
Cayuga HEALTH SYSTEM | Annual Report 2014 3
From Our Chairmen of the Boards of Directors
A
s a business owner in Tompkins County for
more than three decades, I believe that a strong
health-care system in our community is critical
to our local economy. An excellent local hospital helps businesses retain and attract employees to our area. It also serves as a magnet that
draws talented physicians and other professionals to our community.
This past year, we took a significant step
in strengthening our local health-care system by entering into a formal affiliation with
Schuyler Hospital. Growing bigger simply for
the sake of getting bigger doesn’t always make
sense. But this collaboration is very important
because it will increase the number of patients
Cayuga Medical Center can serve and allow us
to continue providing a broad range of clinical
services to the communities we serve.
Another accomplishment in 2014 was starting to implement a new state program that
will redesign the Medicaid reimbursement
system. This initiative is called the Delivery
System Reform Incentive Payment (DSRIP)
Program, and its purpose is to create reforms
in the Medicaid system that will reduce avoidable hospital use by 25 percent over five years.
In our region, Cayuga Medical Center is working with a number of hospitals and communi-
T
he heart of a community hospital is its
staff, the people who day in and day out greet
you at the door, take your vital signs, and bring
you back to wellness. At Schuyler Hospital,
we have a dynamic and talented group of employees who are not only dedicated to providing
the best medical care for our community, but
who also are committed to making the world a
better place.
There’s no question that the physicians from
Cayuga Medical Center are exceptional professionals who are providing critical services
our small hospital could not offer. Because of
their presence in Schuyler County, our patients
now can see a cardiologist, an oncologist, an
orthopedic or general surgeon right in our community. But what has kept us moving forward
over the years is the staff who have dedicated
their careers to Schuyler Hospital. Many of
them grew up in the area, left to earn their
college degrees, and then returned to serve
their community. Dr. Ben Saks, Dr. Jamie
Coleman, hospital controller Becky Gould,
and Michele Myers, director of Rehabilitation
Services, are some of our staff members who
ties in a ten-county area across the southern
tier to execute the program.
In the second half of 2014, a key focus was
preparing for Ebola. Although there have been
no Ebola cases in Tompkins County, it was
critical for our staff to test their emergency preparedness in collaboration with other community partners, such as the Tompkins County Department of Health, Cornell, and Ithaca College.
Handling a health-care emergency like Ebola
requires more than a written plan; it requires
an ability to communicate effectively with other
key health-care providers in the community.
Lastly, I am pleased that more people in
Tompkins County are choosing to receive their
medical care at Cayuga Medical Center. The
feedback we’ve received from patients shows
they recognize the exceptional level of service
we provide through our collaborations with
facilities like the University of Rochester Medical Center, Rochester Regional Health System,
and Roswell Park Cancer Institute, and through
the outstanding medical staff we’ve attracted
here in Ithaca.
Larry Baum, Chairman
Cayuga Medical Center Board of Directors and
Cayuga Health System Board of Directors
returned home to work for Schuyler Hospital.
Having a staff that is based in our community became the philosophy in our
Emergency Department. After using an
out-of-town firm to operate our Emergency
Department, we now have a capable group
of our own physician assistants and nurse
practitioners who are already becoming
familiar faces to our patients.
Our staff have distinguished themselves
through their volunteer work. They have
treated patients in rural communities of Haiti,
walked miles to raise money for the National
MS Society, and made quilts for wounded
veterans and infants at risk.
These are the people who have quietly
been giving their time for years in ways
that often go unnoticed. They deserve our
recognition and our heartfelt appreciation
for going above and beyond what is expected
while remaining outstanding employees of
Schuyler Hospital.
Kyle Tuttle, Chairman
Schuyler Hospital Board of Directors
“We were able to create a sustainable model for providing those
higher-level clinical services by expanding our reach.”
—John Rudd, president and CEO, Cayuga Medical Center and Cayuga Health System
GROWTH:
Expanding Our Capabilities
With the creation of the Cayuga Health System,
we continue to attract highly skilled specialists.
Advanced Imaging
“Interventional radiology is a graceful mix
of surgery and advanced imaging,” says
Dr. Roman Politi, describing his area of specialty in the Imaging Services Department at
Cayuga Medical Center. “I perform minimally
invasive surgical procedures using live X-ray,
ultrasound, CT scanning, and MRI to treat a
variety of problems.” Politi is board certified in diagnostic radiology and anticipates
receiving his Certificate of Added Qualifications in interventional radiology in May 2015.
He comes to Ithaca from Geisinger Health
System in Pennsylvania, where he was an
attending interventional radiologist.
With fellowship training in interventional radiology at Massachusetts General
Hospital (the largest teaching hospital of
Harvard Medical School), Politi brings new
capabilities to imaging services, particularly
in the areas of endovascular procedures and
Neuroradiologist Dr. Daniel Sasson, who
completed two fellowships at The Johns
Hopkins Hospital, brings considerable
experience in neuro-interventional radiology
and neurovascular conditions to his general
neuroradiology practice at Cayuga Medical
Center. “My goal is to ensure that our Imaging Services Department continues to offer
the same spectrum of services in clinical neuroradiology typically found at larger medical
centers. New ways of using imaging technology are always in development,” says Sasson.
interventional oncology. “I have a special
interest in women’s health,” says Politi. “We
treat symptomatic uterine fibroids, which are
benign masses that lead to heavy bleeding,
pain, and pressure. With imaging guidance
I enter the artery that supplies blood to the
fibroid and inject tiny beads through a catheter that block the blood flow to the fibroid
and essentially starve it. Patients typically
recuperate quickly and are restored to full
function in a matter of days.”
Politi works with oncologists in several
ways. He treats certain types of tumors by
simultaneously restricting blood flow and
flooding the tumor with beads soaked with
chemotherapy agents; inserts mediports for
systemic chemotherapy administration; and
performs advanced tumor biopsies. He also
treats patients with peripheral vascular disease and leg pain by opening blocked arteries
with stents to restore blood flow.
“I’m hoping to further explore advanced MRI
(magnetic resonance imaging) capabilities, as
different MR imaging methods become more
clinically established. For example, we are
finding that diffusion tensor imaging (DTI),
which is currently used in the diagnosis of
strokes, may also be used to differentiate between tumors and infections in the brain. We
want to be at the front edge of the curve.”
As an imaging specialist in problems relating to the brain and spine, Sasson emphasizes the importance of acting quickly in the
event of a stroke. “If you have any suspicion
that you or someone you are with is having
a stroke, get to the hospital immediately. We
can tell right away, using MRI or CT (computerized tomography) scanning, if there is
a stroke, how big it is, and which parts of the
brain aren’t getting blood,” says Sasson. “The
sooner this information is gathered the sooner
treatment can begin to save brain function.”
Advanced imaging techniques also enable
Sasson to visualize some causes of seizures
and tumors in the brain, as well as changes
from long-term conditions such as high blood
pressure and diabetes. “We can create 3-D
pictures of the brain to examine blood vessels, locate aneurysms, and identify vascular
malformations,” he explains. “We can see
and measure the flow of cerebrospinal fluid
through the brain and watch for changes.
This helps us diagnose conditions such
as normal pressure hydrocephalus (NPH),
which can cause dementia and which can
be successfully treated.”
Neurology
Neonatology
Since joining the medical staff in 2014,
neonatologist Dr. Ramesh Vidavalur
has been appointed to the faculty of the
biomedical engineering program at Cornell
University, where he is collaborating with
master’s degree candidates to develop lowcost technology for third world countries to
reduce infant morbidity and mortality. “The
students shadow me in the NICU (neonatal intensive care unit) at Cayuga Medical
Center to gain insight into how we provide
care here and how the technology works,”
explains Vidavalur. “The first student group
I sponsored developed a prototype for a
hypothermia device that can be used to treat
a condition called hypoxic ischemic encephalopathy (HIE), which occurs when an
infant is deprived of oxygen during delivery.
Cooling a baby who has HIE helps to prevent
brain damage.” He has also been appointed
to the faculty at Weill-Cornell Medical
School, in the field of clinical pediatrics.
Another of Vidavalur’s areas of special
interest lies in the diagnosis and treatment
of babies born with drug addiction. He is
presenting his research on the epidemiology of newborns with drug addiction in the
United States at the upcoming international
conference of Pediatric Academic Societies.
Dr. David Halpert, specializing in pediatric and
adult neurology, recently joined Cayuga Neurologic Services of CMA and the medical staff of
Cayuga Medical Center. He earned his undergraduate degree magna cum laude in biochemistry from Harvard University, followed by medical
school at Stanford Medical School, where he
stayed on to complete his neurology residency. He
then returned east to Yale to complete a second
residency in pediatrics. Halpert comes to Cayuga
Medical Center from Arnot Ogden Medical Center
in Elmira, where he was director of the departments of neurology and newborn neurology, and
the designated stroke center.
“I enjoy seeing both pediatric and adult patients. The pediatricians in Ithaca and I have been
working together for many years,” says Halpert.
“I have known Dr. Jody Stackman since I went
into practice twenty-five years ago and I know
his colleagues, Dr. Gaffney and Dr. Cowdery. I am
happy to be joining their practice.”
Neurosurgery
Neurosurgeons Dr. James Metcalf
and Dr. Barry Pollack of Progressive
Neurosurgery of Cayuga Medical
Associates (CMA) are now performing
lumbar fusion surgery at Cayuga Medical
Center employing stereotactic navigation.
This is a new capability in the medical
center’s neurosurgery program. “Patients
undergoing lumbar fusion surgery are
typically suffering from spondylolisthesis,
which occurs in older adults when the
discs and joints in the spine degenerate, slip out of place, and no longer line
up properly,” explains Metcalf. “These
patients usually have spinal stenosis, as
well. Stenosis develops over time when
the spaces in the spine begin to narrow
and compress the nerves. Previously,
patients requiring lumbar fusion surgery
were referred elsewhere but now we can
take care of both spinal stenosis and spondylolisthesis at Cayuga Medical Center.”
Metcalf has recently begun seeing
patients every other Friday at Schuyler
Hospital because a number of patients
currently in his practice come from that
region and there is clearly a need. He
and Pollack also see patients every week
in Cortland, in addition to their wellestablished practice in Ithaca.
Sports Medicine
Sports medicine specialist Dr. Fnu Seemant
received his fellowship training at the University of Buffalo, where the Buffalo Concussion
Treadmill Test (BCTT) was developed. This
new testing and treatment capability is available at Cayuga Sports Medicine, where he and
his colleagues help patients who are experiencing post-concussion syndrome.
“The majority of patients who have a
concussion recover in seven to ten days,”
says Seemant, “but ten to fifteen percent
have continued symptoms and are diagnosed
with post-concussion syndrome. Symptoms
include headaches, sleeping problems, dizziness, difficulty concentrating, and memory
problems. To arrive at the correct diagnosis
can be challenging, as the patient’s symptoms
may be due to the concussion not resolving
or they may be related to a secondary neck
injury, vestibular (balance) dysfunction, or a
subclinical migraine condition that surfaces
after the concussion.
“It’s of value to obtain a good medical
history and to do a thorough clinical exam,
including neuromuscular and balance testing,” explains Seemant. “We use the BCTT to
assess autonomic dysfunction and to confirm
that someone has continued symptoms of
concussion. Based on our findings, we can
develop an aerobic exercise regimen. By
following this protocol, we can re-establish
autonomic control that effectively allows
a safe return to sports. If you have had a
concussion, it is extremely important to have
a doctor’s consent before returning to your
sport,” he adds. “If you haven’t recovered
and suffer a second head injury, it can
lead to a bad outcome. My advice is: when
in doubt, sit them out!”
Pulmonology and Sleep Services
Dr. Lavanya Kodali, who was recruited
to meet specific community needs, serves
as the medical director of both pulmonary
medicine and the Sleep Disorders Center
at Cayuga Medical Center. Feedback from
colleagues on the medical staff has been
very positive since her arrival. “There are
changes under way in both departments,”
says Kodali. “The pulmonary department is purchasing new equipment for
advanced bronchoscopy with ultrasound
to scan the lymph nodes in the chest and
do a biopsy for diagnosis of lung cancer
and other conditions causing medical
problems in the chest.
“We are also building a new Sleep
Disorders Center at the medical center
that will improve the patient experience. Located on the third floor, the new
center has bigger rooms to better accom-
modate patients with handicaps and new,
more comfortable beds. We plan to make the
move to our new location in 2015,” Kodali
reports. “We are working more efficiently,
which means that patients do not have to
wait as long for an opening in our schedule.
We are also doing more home sleep studies,”
she adds, “for patients who have few, if any,
co-morbidities or risk factors. This patient
population is typically in their twenties and
thirties.
“Another interesting new development,
which is the direct result of the collaboration
with Schuyler Hospital, is that our patients
living in Schuyler County can choose to
have their sleep study performed at Schuyler
Hospital if that is more convenient for them.
We can interpret sleep studies here that have
been performed at Schuyler Hospital.”
Interventional Cardiology
Dr. Marcis Sodums brings new capabilities
Dr. Marcis Sodums, FACC, FSCAI, recently
joined the Cayuga Heart Institute at Cayuga
Medical Center, enhancing local capabilities
in two important areas: invasive and interventional cardiac care, and the percutaneous treatment of peripheral arterial disease,
including limb salvage.
An honors graduate of the University
of Chicago Pritzker School of Medicine,
Sodums completed his internship and residency in internal medicine at the University
of California at San Diego. He subsequently
did two years of fellowship training in clinical
cardiology at the University of Texas Health
Science Center at San Antonio, one year
of which included research funded by the
National Institutes of Health.
After his training, Sodums served for
three years as director of the Cardiac
Catheterization Laboratories at Stony Brook
Health Science Center and then joined
the Guthrie Clinic for eighteen years, where
he has served as chief of cardiology and
senior interventionalist. He comes to Cayuga
Medical Center from Raleigh General Hospital
in West Virginia.
Sodums has moved to Trumansburg with
his wife, Barb, who is a retired educator and
principal. Together they raise alpacas. “When
we visited Ithaca last September we were very
impressed,” he says. “I really enjoy program
development and one of the attractions here
was my ability to bring radial artery access
for catheterization and PCI to the Cayuga
Heart Institute.”
Percutaneous coronary intervention (PCI)
is a procedure performed by interventional
cardiologists to open blocked arteries and
restore blood flow to the heart. The standard
approach to performing PCI is to thread a
tiny catheter up the femoral artery from the
groin to reach the blocked coronary artery.
Once the blockage is located, the cardiologist
deploys a stent to open the artery. The groin
approach carries some risk for the patient of
bleeding at the groin site. Sodums employs
a radial approach to catheterization and PCI,
using the radial artery in the left or right arm
rather than the femoral artery.
“Radial access eliminates the risk of
bleeding in the groin and people can stand
up and move about much sooner after the
procedure. Overall, the outcomes with this
approach are better,” explains Sodums.
“However, there is a learning curve,” he
adds. “We have the equipment for radial
catheterization at the Cayuga Heart Institute
but because it is a new approach here, we’ll
start introducing it gradually and hone the
skills of our staff.” Interventional cardiologists
in Europe have been employing radial PCI
for quite a while; only recently has it become
more prevalent in America.
Sodums is also working collaboratively
with interventional radiologist Dr. Roman
Politi in the Imaging Services Department to
further develop percutaneous treatment of
peripheral arterial disease (PAD) at Cayuga
Medical Center. “Critical limb ischemia (CLI)
is a condition that occurs when PAD is
undiagnosed and the patient develops a
critical lack of blood flow to a limb,” explains
Sodums. “This is a big problem especially
among people with diabetes because diabetes accelerates vascular disease and peripheral
neuropathy may mask symptoms. By diagnosing peripheral arterial disease earlier and by
using catheter-based techniques to improve
blood flow, we can improve symptoms and
prevent limb amputations.
“No one should have a limb amputation
without a thorough vascular evaluation,”
Sodum adds, “as approximately 80 percent
of amputations for vascular disease can be
prevented with percutaneous techniques.”
Gone Fishin’
It’s only March, but Kenneth Theetge, age seventy-five, is looking forward to early May, when
he, his grandson, and his next-door neighbor will go fishing for muskies in Waneta Lake.
T
heetge lives in Cayuta, NY, with his wife and daughter and
three friendly geriatric dogs. Framed photos of their seven children,
fourteen grandchildren, and twelve great-grandchildren cover the
bookshelves in their house, which sits on a rise at the top of a hill.
“Muskies are fun to catch, they’re real fighters,” says Theetge grinning, “but then we release them back into the lake very carefully.”
Theetge is feeling good now, looking forward to tangling with a big
fish on the end of the line. But back in February he was completely
worn out. He recalls having no energy; he was easily winded—a walk
to the end of the driveway to fetch the mail was an ordeal. The day
after Valentine’s Day, he lay down on the couch in his living room to
take a nap. When his wife, Sherry, tried to rouse him a while later she
couldn’t wake him up. “I could hear her,” Theetge recalls, “but I just
couldn’t wake up. I was out of it!”
Sherry Theetge called an ambulance for her husband. Emergency
medical technicians arrived quickly and immediately transported him
to the Emergency Department at Schuyler Hospital, where caregivers
did a swift assessment, confirmed that Theetge had a severely slow
heart rate and very high blood sugar, and called their colleagues at
Cayuga Medical Center to say that an urgent transfer was on the way.
Hospitalist Dr. Michael Berlin evaluated and admitted Theetge to
Cayuga Medical Center and called in cardiologist Dr. Amit Singh,
FACC, ASNC, for a consultation.
“Mr. Theetge had multisystem
problems. His pulse had been in
the thirties when he arrived at
Schuyler Hospital,” says Singh.
“He is a diabetic and has had prior
open-heart surgery. I told him that
having a pacemaker would make
him feel better and it would be
easier to manage his symptoms.
But before the pacemaker could be
inserted, we needed to get control
of his blood sugar and wait until the
Amit Singh, MD
level of blood-thinning medication
in his system was lower.”
Dr. Singh called his colleague Dr. Lynn Swisher, FACC, who has
extensive experience in pacemaker implantation. “Dr. Swisher came
into my room and explained everything to me about the pacemaker,”
says Theetge. “She was very sincere and is an excellent practitioner.
I liked her.”
“Dr. Swisher and Dr. Malcolm
Brand perform 120–140 pacemaker
insertions a year,” observes Singh.
“This is a very routine procedure here.”
The additional benefits of TLC
Kenneth Theetge was admitted on
February 15 and released five days
later. Typically, pacemaker patients
spend very little time in the hospital,
according to Singh, but Theetge’s care
team wanted to monitor him to ensure
that he was feeling tip-top before
Lynn Swisher, MD
going home. “We wanted to treat him
in a safe way; we wanted to make him
feel better so he’d have his best quality of life,” says Sandy Fuller, RN,
director of the Cayuga Heart Institute.
Having had open-heart surgery in the past, Theetge has had more
than his fair share of hospital stays. “I never realized until now that
there was such good care available out there. I’ve been to two other
hospitals in the region and the difference between them and Cayuga
Medical Center is like night and day,” he says. “Everyone was so
good-natured and friendly, and I really enjoyed Dr. Berlin. I’ve
never seen nurses respond so quickly when I needed them. I had
a bunch of blood tests and not one of them hurt—the needle sticks
were perfect. I can’t say enough about how clean the hospital was.
And it’s the first time I have ever enjoyed hospital food! I was so
happy to be at Cayuga Medical Center. Everything about my care
was just perfect.
“We have a wonderful family doctor here in Schuyler County,
Dr. Blanche Borzell. She’s like family to us; she even makes house
calls for my wife, who has COPD,” says Theetge, “and now I’ve asked
Dr. Singh to be my cardiologist from here on. He’s terrific.”
Seamless transition of care from Schuyler Hospital’s Emergency
Department to Cayuga Medical Center, board-certified cardiologists,
the most current technology and the latest cardiac procedures,
follow-up cardiology care close to home, a close, long-standing
relationship with the Sands Constellation Heart Institute in Rochester
—it’s all available to Mr. Theetge and his family through the Cayuga
Health System. “We are so glad that Schuyler Hospital is now associated with Cayuga Medical Center,” says Theetge. “I can’t say enough
good things about it!”
Mystery Solved,
Pain Resolved
Madison Lodge is an energetic 16-year-old who never stops moving. Her whirlwind sports
schedule starts each August with swim practice, shifts to basketball in November, and ends
with her favorite—softball—in March.
W
hile sports are her passion, competing hasn’t always been
easy. In the seventh grade, Madison began having constant pain
in her left knee that intensified when she swam the breaststroke,
when she raced down the basketball court, and when she pitched
softball. “It hurt all the time, but it really spiked up during sports,”
says Madison, a junior at Odessa Montour High School.
Her parents came to believe the pain was caused by her athletic
activity. Between 2011 and 2013, two different doctors evaluated
Madison but they were not able to discover the cause of her problem.
Still, the pain continued.
When surgeons from Orthopedic Services of Cayuga Medical
Associates began seeing patients at Schuyler Hospital, Madison’s
mother, Heather, decided that getting
one more opinion was worth a try. She took Madison to see Dr. Joseph
Mannino, who ordered an MRI of
her knee in January 2014.
This time, the tests showed
something different. Her pain
wasn’t due to a sports injury but to
a birth defect called a discoid lateral
meniscus, a condition that causes
an abnormal shape in the cartilage
covering the knee joint. Instead
Joseph Mannino, MD
of conforming to the femur as a flat
triangular structure, the cartilage
grows into a disk, which causes discomfort because it cannot act
as a shock absorber for the knee.
“We believe children are born with it, and when they are young
and little, they don’t put enough stress on it to generate symptoms,”
Mannino says. “As they hit the teenage years, that first growth
spurt in their early teens is when they first start to have symptoms
—knee pain.”
Because Madison couldn’t bear to give up the softball season
—“Fast Pitch Is Life” reads the slogan on her cell phone case—
Mannino postponed repairing her knee until the end of the school
year. Just after Madison’s Regents exams last June, Mannino performed the surgery in one of the new operating rooms at Schuyler
Hospital by sculpting out the excess cartilage and reforming the
meniscus into a more normal crescent shape. The arthroscopic
surgery required two small incisions to correct the problem.
After spending nearly seven hours in the hospital, Madison was
released the same afternoon on crutches. Three days later, she was
playing her saxophone at the high school commencement, and a
few weeks later, she was back on the basketball court for a one-week
sports camp. “I thought I was going to be on crutches for a lot longer,”
Madison says. “It was not bad at all.”
For Madison, what took the stress out of the ordeal of having
knee surgery was being able to have the procedure done at Schuyler
Hospital, just seven miles from her home in Alpine. Not only were
Madison and her mother born at the hospital, but the same obstetrical nurse provided their care. And over the years, Madison has
been hospitalized there eight times, primarily because of mesenteric
adenitis, an inflammation of the membrane that encircles the small
intestine and connects it to the abdominal wall.
“Growing up, I’ve been sick a lot,” Madison says. “Everything I’ve
always had done, I’ve had it done here. I just feel comfortable here,
and I like the staff.”
Mannino’s willingness to allow family members and Madison’s
best friend into the surgery-prep room also put her at ease. “I thought
he was wonderful with us as parents,” says Heather, who is the medical staff coordinator at Schuyler Hospital. “He’s very personable.”
After the surgery, Madison had physical therapy with Carrie
Schloerb at the hospital for about six weeks. Last October Madison,
who wants to study physical therapy in college, thought she had
reinjured herself when she fell off a table
at school, but it turned out to be a sprain
to a ligament in her leg, so she returned
for more physical therapy with Schloerb.
As she has worked her way through
another season of swimming, basketball, and softball, Madison has been
astounded at how her performance has
improved. In swimming, she used to
compete only in the 50-yard sprint, but
this year she was able to race in the
20-lap, 500-yard freestyle and shave off
more than a minute in her time. During
Carrie Schloerb, PT
basketball season, she wasn’t the last
player running down the basketball court, and once softball started,
she could throw much faster pitches because she could use her legs
as support.
Heather says she is thankful that patients like her daughter now
have access to specialized surgeons in Schuyler County. “It’s nice
for both communities to know that you have that resource so close
to home,” she says. “I don’t think Madison would have gotten any
better care in a larger facility. The outcome was the best it could be,
no matter where she went.”
“I’m doing all the things that I
thought I wasn’t going to do again.”
Moving
in the Right Direction
C
liff Kraft had no complaints about winter this year. Every weekend, he and his wife, Sue, would head to Hammond Hill in Dryden
to cross-country ski over the wooded trails on the pristine snow.
That he was able to take up skiing just six months after having
his right hip replaced at Cayuga Medical Center still amazes Kraft,
an associate professor of natural resources at Cornell. He’s also
surprised he’s been able to swim nearly five days a week on campus
at Teagle Pool—freestyle with kicking—which he wasn’t able to
before his surgery. “I’m doing all the things that I thought I wasn’t
going to do again,” says Kraft, 61.
For about six years, Kraft suffered from a growing pain in his
right hip but didn’t know what was causing it. Gradually, he started
having discomfort walking, climbing stairs, and kicking in the swimming pool. Finally in May 2013, he went to see Dr. Andrew Getzin,
a sports medicine specialist at Cayuga Medical Center. “He took an
X-ray and said, ‘You don’t have a hip,’ “ Kraft recalls.
Getzin advised him to see one of the new orthopedic surgeons in
Ithaca, Dr. Deidre Blake, and when Kraft called her office, he was
given an appointment a couple of days later. On the advice of his
brother, who is a doctor, Kraft also decided to get a second opinion
from a surgeon out of town and received an appointment about two
months later.
Kraft, however, never did get that second opinion after meeting
with Blake. “She is an impressive human being,” he says. “She’s
highly skilled, she’s nice, and she’s dedicated. And she communicates exceptionally well with other people.”
Blake, who joined Orthopedic Services of Cayuga Medical
Associates in 2013, had a fellowship at the Hospital for Special
Surgery in New York City, which is considered one of the top hospitals in the world for joint replacement. When she first met with
Kraft and began answering his questions, she understood his initial
reluctance to have her perform his surgery.
Deidre Blake, MD
“We have an educated population and they want top-notch,
trained doctors, and they’re willing to travel,” Blake says. “What
people in the community should know is that Cayuga Medical Associates is investing the time and energy to bring the best orthopedic
surgeons right to this community so people don’t have to travel. And
they receive more personal care at a smaller hospital.”
Blake diagnosed Kraft with a congenital disorder that causes
the formation of a shallow socket in the hip, which leads to early
arthritis. During the surgery on June 24, Blake used a newer generation prosthesis that makes the hip more stable and less susceptible to
dislocation. The artificial hip is made out of a blend of metal alloys.
After the surgery, Blake visited Kraft in the hospital for the
next two days, and two weeks later she removed the ends of his
sutures during an office visit. “If I had gone out of town for the
surgery, I would have met the surgeon once and never seen the
person again in my life,”
Kraft says. That was not the
case with Blake. “The amount
of time she spent with me was
extraordinary. I tell this to
everyone who wants to hear
about my hip replacement: I
can’t imagine getting better
care than I got from her.”
When Kraft scheduled
his surgery, he told Blake he
wanted to be able to attend
the wedding of his friend’s
daughter at the end of August.
After several weeks of physical
therapy with Karl Bergmann,
Karl Bergmann, PT, ScD
PT, ScD, at the Brentwood Drive
location of Cayuga Medical
Center Physical Therapy and Sports Medicine, Kraft drove to the
wedding in Nashua, NH. “There wasn’t a person there who would
have imagined that I had been incapacitated in the hospital on
June 24,” he says.
Within two months after his surgery, Kraft also drove to Québec
City to attend the American Fisheries Society annual meeting, as
his research at Cornell focuses on managing fisheries and aquatic
resources. And in October, he flew to San Francisco, where he and his
son, Ben, climbed the steep hills overlooking the city.
Kraft credits the care he received at Cayuga Medical Center and
specifically the skill of his surgeon for his successful recovery. “I’m
really grateful to Deidre Blake for being here in this community and
for wanting to make this her place of home and work,” he says. “I
think the community has really benefited from that.”
GROWTH:
New Construction
Supports Enhanced Services
Cayuga Medical Center:
Surgical Services
Grand Opening in 2015
Work continued throughout 2014 on
the new Department of Surgical Services, a
multimillion-dollar project that took two years
of planning and over three years of construction. Michele Burt, RN, director of Surgical
Services, says that working through the construction process has been a bit like watching
a butterfly slowly emerge from its cocoon.
“Six of the new operating rooms have
been completed and are in use, and we are
working on the seventh room right now. The
last room will be a hybrid procedures rooms,
making a total of eight,” says Burt. “Each operating room is between 502 and 610 square
feet, which is quite ample and makes it easier
for us to do big procedures like total joint
surgery. Technology is advancing and even
though equipment is getting smaller, there is
more of it now,” she adds. “Our large, new
operating rooms give us the space we need
for the additional equipment we require.”
Designed for comprehensive safety and
flexibility, each new operating room can accommodate various types of surgery. Boom
technology, which suspends equipment from
the ceiling on hydraulically controlled arms
or booms, keeps the floor space open. With
additional square footage and much of the
equipment now up off the floor, nurses can
move around sterile fields more easily and
the turnaround time between surgical cases
is faster. State-of-the-art anesthesia machines, leading-edge operating equipment
for minimally invasive laparoscopic surgery,
and advanced instrument sterile processing
equipment all enhance patient safety and
allow operating room nurses and technicians,
anesthesiologists, and surgeons to do their
finest work.
“The PACU (post-anesthesia care unit) has
nine brand-new rooms and private bays, for a
total of twenty areas for preoperative patients
and postoperative recovery. We designed it
to enhance patient privacy,” says Burt. “The
PACU even has windows,” she adds. “I’ve
never seen a window in a PACU before—it’s
pretty amazing!” The waiting room for the
family members and friends of patients in surgery will also be expanded.
Ambient daylight pours into the new
operating room core through a wall of westfacing windows that run the entire length
of the new Department of Surgical Services.
That daylight is carried into each separate operating room through the sliding glass doors
that open automatically for efficient patient
transport. This extent of natural light is highly
unusual in the world of operating rooms and
it provides welcome respite from long days
in sterile environments that typically receive
artificial light only. Sunlight lifts the spirits
of patients and care providers alike while
holding down costs normally associated with
lighting spaces that typically have interior
walls and no windows.
An operating room nurse with twentytwo years of experience, Burt is pleased with
what she sees, as the Department of Surgical
Services puts the finishing touches on its
new space. “Florence Nightingale believed
that cleanliness and sunshine were required
to provide a healing environment,” she says.
“We’ve certainly got both here!”
Cayuga Medical Center:
The Inside Scope
T
he Cayuga Endoscopy Center, a collaboration of Cayuga Medical
Center and Gastroenterology Associates of Ithaca, opened in March
2015 after two years of planning and construction. The new center is
directly adjacent to the offices of Gastroenterology Associates, located
at the corner of North Triphammer Road and Craft Road in Ithaca.
Comprising 8,700 square feet of space with four procedure rooms
and nine spacious, private, pre- and post-operative patient rooms,
Cayuga Endoscopy Center is the largest dedicated endoscopy center
in the region. It is equipped with the finest endoscopy technology
and high definition video monitors on the market, affording caregivers the clearest possible visualization. Four experienced boardcertified gastroenterologists, assisted by seasoned, certified registered
nurses and technicians, staff the Cayuga Endoscopy Center, providing
this region with comprehensive management of all diseases of the
digestive tract and liver.
“We perform a wide array of gastrointestinal (GI) tract procedures,” explains Liz Bilinski, RN, director of endoscopy services,
during a recent tour of the new facility. This includes procedures
involving the upper GI tract (the esophagus and stomach), the small
intestine, and the lower GI tract (the large intestine, or colon, and
the rectum). The gastroenterologists perform liver biopsy and biliary
endoscopy (of the gall bladder and bile ducts), and they use argon
plasma coagulation and bipolar electrocoagulation to manage
lesions and acute bleeding in the GI tract.
“Because patient safety is our top priority, we’ve incorporated
sophisticated patient safety measures and quality control systems,”
Bilinski continues. “We designed the center to maximize efficiency,
which will help us meet the needs of the growing population base
we serve. Our patients also get the added benefits that come from
care provided by fellowship-trained gastroenterologists and certified
gastroenterology registered nurses.” The gastroenterologists on
staff at the Cayuga Endoscopy Center come from some of the finest
fellowship training programs in the nation—the Cleveland Clinic,
Medical College of Virginia, Harvard’s Massachusetts General
Hospital, and the University of California at San Diego.
HOLT Architects of Ithaca worked closely with physicians, nurses,
and support staff to design the Cayuga Endoscopy Center. Patients
will recognize the large and accommodating spaces, pleasing palette
of colors, natural light, and other sustainability features that characterize Cayuga Medical Center’s main campus and the Convenient
Care Campuses in Ithaca and Cortland, which were also projects of
HOLT Architects.
Cayuga Endoscopy Center, designed
by HOLT Architects of Ithaca
Cayuga Birthplace Highlights
l Individualized birth planning for expectant couples
l Advanced technology in spa-like comfort
l Large private rooms; partners welcome overnight
l Luxurious private bathrooms with whirlpool tubs
l Telemetry throughout the unit, so mothers can move about freely
l Operating room within the unit when Cesarean
section or surgery is required
l Neonatal Intensive Care Unit, Level 2B, for
premature and sick newborns
l Experienced, professional nursing staff
l Board-certified: obstetricians, nurse midwives,
neonatologists, pediatricians
l Lactation specialists to coach mothers on
breastfeeding
l Separate lounges where family members can gather
One Happy Family
M
arian and Ben Saks, DO, both grew up in Schuyler County.
Her parents live two miles down the road in Hector and several of
his family members live in the area as well, including his dad,
Dr. William Saks, a beloved ob-gyn physician recently retired from
Schuyler Hospital, where Ben now practices internal medicine.
“Ours was an arranged marriage,” Ben says, laughing. “My sister
and Marian’s cousins decided we should end up together.” And it
came to pass that Marian and Ben were married in 2010.
Three years later their daughter, Morgan, was born at Cayuga
Medical Center, delivered by certified nurse midwife Kate Pierce of
Ob-Gyn Associates of Ithaca. Just under two years later, on December
23, 2014, their son, Logan, came along, an early Christmas present
delivered by Dr. Dvorah Milner, a colleague of Pierce. Both Saks
babies arrived slightly before their due dates. One was born in the
previous maternity unit after a long, difficult labor and was delivered
by a certified nurse midwife. The other arrived in a big hurry in the
new Cayuga Birthplace and was delivered by an obstetrician.
“It was a great experience each time,” says Marian, “and the
nursing staff was wonderful. The new unit is beautiful and the rooms
are huge,” she adds. “I wish I’d had that whirlpool tub to relax in
during my first labor.” Ben, who slept in his wife’s room after each
delivery, agrees. “The new unit is nicer than most hotels,” he says.
“It’s pretty swanky!”
As outstanding as the new accommodations are, the Sakses agree
that the caregivers are the real stars. “We wanted the option of having
a nurse midwife, which Ob-Gyn Associates offers,” says Marian, “and
we went back to them during my second pregnancy. They are very
approachable and easy to talk to.” The couple also appreciated the
flexibility offered to expectant parents at Cayuga Medical Center.
“The nurses there talk to you about what your birth plan is and what
you want to do,” Marian says. “They’re really fantastic.”
Being in their thirties, Ben says many of his and Marian’s friends
are also having babies now. “Accessibility is important,” he says.
“A lot of people living in Schuyler County think that Elmira is closer
but for us Cayuga Medical Center is closer.” From their house to
Ithaca is twenty-one miles, whereas Elmira is thirty miles away. “Not
only is Cayuga Medical Center closer but it has grown in leaps and
bounds,” he adds. “They’ve got a new maternity unit and a brand-
new surgical floor. It’s very modern and easily accessible to people
living in Schuyler County.”
Ben Saks joined the medical staff at Schuyler Hospital just before
the affiliation process with Cayuga Medical Center began four years
ago. He appreciates the special challenges faced by small rural
hospitals such as Schuyler, whose ob-gyn unit closed a few years
ago. “It’s hard for hospitals like ours because the patient population
is small and it can become difficult to maintain services like a viable
ob-gyn department. That is a hard fact to accept.
“As a primary care physician I understand that accessibility to
needed services is important,” Saks continues, “and that’s why I
am a big proponent of affiliations. I think it’s terrific for Schuyler
Hospital to be involved with Cayuga Medical Center—the accessibility
is great. When you’re in a rural area like we are, some people assume
that all that’s available is rural medicine,” he adds, “but at Cayuga
Medical Center everything is new, state of the art, and right at your
fingertips. And when our patients need access to large interdisciplinary medical centers, we have it through their established relationships with places like Roswell Park Cancer Institute and University of
Rochester Medical Center. It’s exciting!”
The Cayuga Birthplace won the American Institute of
Architects (AIA) New York State Southern Tier Design
Excellence Award, which is the highest design award a
building or project can win in this region.
Smooth Operators
at Schuyler Hospital
T
he operating rooms (OR) at Schuyler
Hospital, which were new back in 1972, have
been completely redesigned and rebuilt over
the past three years with the help of a $6.5
million HEAL grant from New York State.
Working together, the medical and nursing
staff, designers, and architects accomplished
a truly impressive transformation.
Schuyler’s new surgical services department opened in June 2014 at nearly three
times the original footprint. There are eleven
admitting and PACU (post-anesthesia care
unit) beds where there were previously only
three beds, dedicated space for pre-op testing, a centrally located nurses’ station that
allows for close patient observation, a designated space where surgeons can enter notes
into patient medical records, and a small
kitchen and staff lounge in this modern,
thoughtfully designed OR.
Chris Brink, BSN, RN, is the outcomes
manager for Schuyler Hospital. “Every
patient who comes in is amazed at how
beautiful our OR is,” says Brink. “People are
much more comfortable now, we have room
for family members to sit with patients. We
chose the soothing colors of nature—light
blues, greens, and ivories—to create a peaceful environment. We share the new space
very nicely with endoscopy,” she adds, in
reference to gastroenterologist Dr. Carl West,
who has been providing services to Schuyler
residents for many years. “With this renovation, now we have the opportunity to expand
and grow.”
Renovating surgical services is always a
difficult proposition for hospitals because
surgery must continue uninterrupted during
the construction process. “We closed off
half of our OR space, completed renovations
there, and then moved into that brand-new
space so we could begin renovating the other
half,” explains Brink.
“There were lots of changes; the surgeons,
anesthesiologists, and nurses were all very
flexible and understanding during the whole
building process,” adds Deborah Bailey, BSN,
RN, executive director of patient care services
and outcomes. “Everyone was just great
about it all because they knew it would be
such a benefit to our community.”
The new space, which is generously
proportioned and beautifully appointed, has
important new safety features, including
state-of-the-art monitoring technology for
pre- and post-operative care. Also, a negative
pressure room was added for the admission
and recovery of surgical patients with infectious conditions. New OR beds provide increased comfort for patients, with the added
benefit of greater adaptability for surgeons as
they work. “We designed and built this space
to provide the best possible experience for
our patients and the physicians and nurses
who provide their care,” says Bailey. “Patient
safety was our top priority.”
“We treat people like royalty here,” adds
Brink. “That’s our goal.”
Seneca View
New Lobby and Gift
Shop Welcome Visitors
Renewed
Seneca View, the 120-bed skilled nursing
facility in Montour Falls, was gearing up for
a much-anticipated refurbishment when
its new administrator, Bill Kouwe, arrived
in 2012. Named for its spectacular location
overlooking the south end of Seneca Lake,
Seneca View looks very different today.
With generous community support to the
tune of $400,000, the project put a beautiful
new face on Seneca View for its residents
and made the working spaces more efficient
and user-friendly for caregivers.
New flooring, fresh paint and wall covering, and new curtains in patient rooms and
public spaces create a warm, welcoming
interior for residents, staff, and visitors. Better
lighting in the hallways, a new fire sprinkler
system, refurbished lounges, newly configured nurses’ stations, and a dedicated rehabilitation therapy gym address safety, ambience, and the special needs of the residents.
“We are about to go live with a new
electronic medical records (EMR) system,”
says Kouwe during a tour of Seneca View.
“Electronic tablets on our med carts for
medication administration are part of this
information technology update. We’re also
reworking nourishment rooms and our old
medication rooms to make enhanced resident
living areas.” All of these changes support
the organization’s goals of operating more
efficiently within spaces that are comfortable
and modern.
At any given time, approximately 10
percent of Seneca View’s residents are there
for short-stay rehabilitation following joint
replacement surgery or some other injury
from which they are expected to recover and
return home. The remaining 90 percent are
residents for whom Seneca View is home.
From their vantage point high above the
valley, most residents have a view of Seneca
Lake from their own rooms.
Kouwe, who is from Rochester, NY, says
he has been extremely impressed with the
community’s support. “Seneca View is well
known in the community—we have a good
reputation,” says Kouwe. “We have a great
staff; many of our providers are taking care
of their neighbors, sometimes their own
grandparents. We get lots of letters and positive feedback about the good care we provide,” he adds. “This renovation has helped
us put on a fresh face for our residents while
providing better work space for our staff.”
T
hey say it takes less than a second for us
to form a first impression and that once
made, those impressions can have a lasting
influence on subsequent interactions. With
that principle in mind, Schuyler Hospital’s
new main entrance and lobby were designed
to provide a warm and inviting welcome to
its patients, staff, and visitors.
Made possible with New York State HEAL
grant money, the new entrance and adjoining
spaces include a spacious lobby and comfortable waiting area, convenient centralized
registration for outpatient services (Laboratory, Radiology, Surgery, and the Pain Clinic),
the Office of Human Resources, a nondenominational chapel and meditation space,
and a private consultation area in which
physicians and family members can meet.
In a sunny spot just down the hall visitors
can enjoy the new gift shop, operated by the
hospital auxiliary. The gift shop carries goods
for patients, visitors, employees, and Seneca
View residents, and includes unique gift
items, many from local artisans and vendors.
While the renovations at Schuyler Hospital were funded primarily by the HEAL NY
grant, the $7.5 million building project also
received generous support from the local
community. Donations to the Schuyler Health
Foundation’s Family of Friends Campaign
helped cover the construction costs above
and beyond the HEAL NY grant funds.
Bill Kouwe, administrator
GROWTH:
Expanding our response to protect our
communities in a health-care emergency
Gears Up for
Ebola
One morning in early January, a woman
approached the front desk at Gannett Health
Services at Cornell University, complaining
of a fever and abdominal pain. When she
reported that she had just returned from West
Africa, a chain of events was immediately set
into motion that would test the community’s
ability to handle a possible Ebola patient.
The woman was moved to an isolation
room where a team of responders, wearing
special full-body protective gear, took her
temperature. The director of the Tompkins
County Health Department was notified, and
Bangs Ambulance was called. The patient
was then transported to Cayuga Medical
Center, where she was examined in the Emergency Department by staff members wearing
fluid-resistant Tyvek suits.
As it turned out, the “patient” in this
case was actually an employee of the county
health department, and the emergency plan
unfolding that morning was a drill. Although
medical staff throughout the community
knew the woman did not have Ebola, the
two-hour exercise was a critical step in the
preparation for dealing with this deadly
infectious disease in Tompkins County.
“It reaffirmed that we are well prepared
to identify and safely transfer a patient with
Ebola,” says Dr. Janet Corson-Rikert, executive director of Gannett Health Services. “It
helped us think through some of the issues
relating to the efficiency and comfort of
patients and personnel that we incorporated
into our protocols.”
Since last summer, when the first American to contract the disease was treated in
a U.S. hospital, Cayuga Medical Center and
Schuyler Hospital have been preparing for a
possible Ebola patient to arrive at their emergency room doors. While the risk is low that
someone infected with Ebola would emerge
in either community, the hospitals have instituted new procedures—from asking patients
about their travel history to training staff
on how to use newly purchased personal
protective equipment.
“Cornell and Ithaca College both have a
certain number of international students,”
says Dr. David Evelyn, vice president of
medical affairs at Cayuga Medical Center.
“Cornell—and potentially Ithaca College—
students and faculty could be going to Africa
to do research. So while we have a low risk,
there is still some risk.”
Yet there is also the potential for visitors
from West Africa to travel to the Finger Lakes,
stop at a winery, or watch a race at the Watkins Glen International. That scenario has
raised concern among staff at Schuyler Hospital, which has been preparing for Ebola by
holding monthly drills, training medical staff
to use personal protective equipment, and
creating protocols for transferring lab specimens. “As a vacation destination, we knew
that we would very easily be susceptible to
having people travel into the area and come
into our hospital,” says Chris Brink, BSN, RN,
outcomes manager at Schuyler Hospital.
One of the most challenging aspects of
preparing for Ebola is training staff on how
to don and doff the multi-layered protective
suits with boots and hoods that are now
federally required for health-care workers.
Because Ebola is spread by contact with the
blood or bodily fluid of an infected patient,
hospital workers must remove their protective gear in a specific sequence so that they
do not contaminate themselves after treating
a potential Ebola patient.
“That’s where most of the risk has
been—through health-care workers,”
says Dr. Douglas MacQueen, a specialist in
infectious diseases with Cayuga Medical
Center. “From there, it could potentially
spread to the community.”
If an Ebola patient arrived at Cayuga
Medical Center or Schuyler Hospital, the
patient would likely be transferred to one of
eight state-designated hospitals that have
isolation units, says Frank Kruppa, public
health director of Tompkins County. The
closest regional hospital equipped to treat an
Ebola patient is Upstate University Hospital
in Syracuse.
Local hospitals, however, still need to be
prepared to handle an Ebola patient in case
the regional hospitals are full, which is why
monthly training to treat patients with the
disease is ongoing. “The Ebola situation in
Africa still continues, and until that’s under
control, there will still be risk and concern,”
Kruppa says. “We have developed our emergency plans and executed them. We are more
prepared than we were prior to the first case
in the U.S., and we’re now in the process of
maintaining those skills if another case does
present itself.”
For Cayuga Medical Center, the successful preparation for Ebola stems from the
many partnerships the hospital has worked
with in the past when outbreaks of infectious
diseases have emerged, such as the H1N1
pandemic in 2009. “We do much better
when we proactively talk to the health
department and the colleges and universities
about these kinds of issues that may impact
us,” Evelyn says. “The influenza outbreaks
over the years have been a model for us in
terms of cooperation and collaboration.
We’ve found that when we all work together,
each organization can convey a unified message to the community.”
The Cayuga Center for Wound Healing moves
into its new space, providing advanced therapies
for healing complex chronic wounds, including
hyperbaric oxygen therapy. Adjacent to the wound
healing center just inside the medical center’s main
entrance, the Cayuga Medical Center Auxiliary
opens a beautiful, new gift shop.
Healogics, the nation’s largest
provider of advanced wound-care
services and our wound-care
partner, recognizes the Cayuga
Center for Wound Healing with
the Center of Distinction Award
for outstanding clinical outcomes.
Cayuga Medical Center becomes
one of the first hospitals in
the world to adopt the smallest,
long-term, implantable heartmonitoring device for patients
with recurring fainting, heart
palpitations, unexpected stroke,
or atrial fibrillation. The implant
surgery is performed by Lynn
Swisher, MD, FACC, of the
Cayuga Heart Institute.
HIGHLIGHTS
Schuyler Hospital opens its new main
entrance in January, part of a $7.5 million
renovation project. The renovation includes
several new spaces to enhance the comfort and
privacy of patients and visitors and to make it
easier to register for outpatient services.
Schuyler Hospital
launches an online
patient portal designed
to help patients access
their health-care information easily and securely,
with the goal of improving
the overall patient experience. Patients of Schuyler
Hospital and its affiliated
primary care offices can
view their own medical information at their
convenience from their
computer, tablet, or smart
phone.
Seneca View Skilled Nursing
in Montour Falls completes an
interior refurbishment in patient units and nurses’ stations.
Seneca View Rehabilitation
Services opens a dedicated space
with new equipment, benefitting both long- and short-term
rehabilitation residents.
Cayuga Medical Center and Schuyler Hospital announce the
establishment of the Cayuga Health System, serving
the central Finger Lakes area.
Under the direction
of Dr. Ashraf Sabahat,
the Schuyler Hospital
Pain Clinic now has
office hours in Corning and Bath, as well
as at the hospital.
Dr. Viola Monaghan
of the Vein and
Aesthetic Center in
Ithaca begins offering
new services in vein
and laser surgery at
Schuyler Hospital.
Physicians from Oncology Services
of Cayuga Medical Associates
(CMA) begin seeing patients this
summer in the Montour Falls office
of Dr. James Winkler. Dr. Charles
Garbo, Dr. Timothy Bael, and Dr.
Julie Campbell are now providing
Schuyler patients with a comprehensive approach to treating
cancer close to home.
In response to recommendations from the United
States Preventative
Services Task Force,
the Cayuga Cancer Center
works closely with the
Department of Imaging
Services to develop new
lung-cancer screening
for early detection
of patients at higher
risk for developing
lung cancer.
The Cayuga Cancer Center
and radiation oncologist John
Powell, MD, introduce two
significant advancements in
radiation oncology. Stereotactic body radiation therapy
(SBRT) makes it possible to administer pinpoint radiation with
such precision that a whole
new set of treatment options
is now available locally. “Rapid
arc” or volumetric modulated
arc therapy (VMAT) is used to
administer intensity modulated
radiation therapy (IMRT) in half
the time it previously required.
of 2014
Cayuga Birthplace
opens its doors in June,
offering state-of-the-art
maternal and newborn
care. This project won
the American Institute
of Architects New York
State Southern Tier
Design Excellence
Award.
For the eleventh year,
Schuyler Hospital’s
Cardiopulmonary Services
Department earned
the Quality Respiratory
Care Recognition Award
(QRCR) from the American
Association for Respiratory
Care (AARC).
Schuyler Hospital’s
largest fund-raising
event, November
Splendor, brings in
200 people and raises
over $21,000 for the
hospital and Seneca
View. The event is
cosponsored by the
Schuyler Health Foundation and the Schuyler
Hospital Auxiliary.
The Cayuga Medical Center
Foundation Gala breaks all
previous records for funds
raised ($110,800) and attendance (425 attendees), with
proceeds earmarked for the
new Department of Surgical
Services.
Community Support
Through Philanthropy and Community Events
The staff and physicians of Cayuga Health System are actively involved in the life of
Tompkins, Schuyler, and Cortland counties. In 2014 our participation was varied and meaningful and often centered on health and well-being, in addition to philanthropic activities
that support our mission. Our caregivers are altruistic volunteers and generous donors.
These pages represent just a few of the ways in which we connect with our communities.
If you would like to learn more about ways in which you can create your own community connection by volunteering at Cayuga Medical Center or Schuyler Hospital, please
visit our web sites at cayugamed.org and schuylerhospital.org.
Financial Report 2014 - Cayuga Medical Center
Net Revenue by Clinical Service Area
3+6+2341421751615
3+6+23414217516
(years ending December 31)
2014
3%
15%
6%
2%
3%
4%
16%
14%
4%
2014
2013
5%
21%
7%
2013
3%
16%
6%
2%
3%
4%
16%
14%
3%
5%
7%
21%
nMedical
n Surgical and Endoscopy
n Obstetrical and Newborn
nPsychiatric
nRehabilitation
nLaboratory
nImaging
n Emergency andUrgent Care
nOncology
n Cardiac Services
nPharmacy
n Other Outpatient
Net Revenue by Financial Class
Expenses by Classification
25+10+402113 52+21+13671
23+8+422223 52++1367121
2014
1%
2014
3%
25%
7%
1%
6%
21%
13%
52%
10%
21%
40%
n Employee Related
(Salaries and Benefits)
nMedicare
nMedicaid
nSupplies
n Blue Cross
nProfessional and Contracted
nCommercial
2013
n Worker Comp and No Fault
2%
3%
n Fixed and Other Direct
2013
n Depreciation and
Amortization
n Self Pay
7%
1%
nInterest
6%
23%
22%
13%
8%
52%
21%
42%
Your Support Means So Much!
Thank you to our many donors for your generous support of the Cayuga Medical Center
Foundation in 2014. Gifts from our grateful patients and families, loyal supporters, physicians,
employees, area businesses and organizations, and new donors help sustain the work of
Cayuga Medical Center. Knowing that you share our passion for meeting the health-care
needs of our community and the surrounding area we serve is very important to our institution and to the many talented people who work here.
The following pages show the donations, bequests, pledges, and grants made to the
Cayuga Medical Center Foundation and its 2014 Gala, as well as gifts received directly by
Cayuga Medical Center during the period of January 1, 2014, through January 15, 2015.
Thank you so much for giving!
$10,000 to $100,000
Cayuga Anesthesia Assoc. of Ithaca, LLP
Dr. Donald Bluh
Dr. Mattison Burt
Dr. Joseph Bylebyl
Dr. David G. Fellows
Dr. Christina I. Klufas
Dr. Stephen Meyer
Dr. Robert Mitchell
Dr. J. Russell Norton
Dr. Anthony Sanito
Dr. Jacob Smith
Dr. John Tashman
Dr. Thomas M. Toal
Dr. Qi Zhang
Cayuga Medical Center Auxiliary
Estate of John and Mayfred Hirshfeld
Maguire Family of Dealerships
Dr. Joseph and Cynthia Mannino
Marvin and Annette Lee Foundation, Inc.
Medical Staff of Cayuga Medical Center
Triad Foundation, Inc.
$4,000 to $9,999
Cayuga Emergency Physicians
CFCU Community Credit Union
Flynn Memorial Tournament
Estate of Barbara M. Hall
Dr. Kim Hwang and Debora Huber-Hwang
Irene King
LPCiminelli, Inc.
John Rudd and Beverly Chin
Francis J. and Dorothy G. Van Bortel Fund
$2,000 to $3,999
Robert Abrams
Aetna
Bill Frisbie Memorial Golf Tournament
David and Lisa Burns
Buttermilk Falls Pediatrics
Dr. John Lambert III
Dr. Janusz Sendek
Dr. Amit Shrivastava
Dr. Jessica Casey
Amy Castle
The Computing Center
Conway Construction
Cornell Business & Technology Park
Dryden Mutual Insurance Co.
Drs. David Evelyn and Jennifer Weinraub
Excellus Health Plan, Inc.
Dr. Henry and Suokmee Gerson
Fred and Fairfax Gouldin
Harris Beach PLLC
HOLT Architects, P.C.
Ed Kirker
LeChase Construction
David and Priscilla Lundeen
Martin’s Point – US Family Health Plan
Dr. Anthony and Amelia Massi
Susan and Jim Nohelty
Alan and Nancy Pedersen
Scott and Janet Russell
Ryan-Biggs Associates, P.C.
Sack & Associates
Sciarabba Walker & Co, LLP
Arthur and Charlotte Shull
T.G. Miller, P.C.
Tompkins Insurance Agency
Tompkins Trust Company
Frost and Kate Travis
Trowbridge Wolf Michaels
Landscape Architects LLP
Vector Magnetics Fund of
Community Foundation
Tony and Polly Votaw
Eugene and Jeanne Yarussi
$900 to $1,999
Anonymous
Phyllis Allen
J. Lee and Elizabeth Ambrose
Richard and Maryanne Banks
David and Joy Barr
Dr. Malcolm Brand
James and Terry Byrnes
Alice Colby-Hall
John and Kelly Collett
Barbara Collyer
Communiqué Design & Marketing, Inc.
Nellie Corson
Jonathan and Dr. Janet Corson-Rikert
Dr. Dirk Dugan and Wendy Kimble-Dugan
Ellen and Patrick Dugan
Anton and Joan Egner
Donald and Iris Greenberg
Drs. Sami Husseini and Catherine Husa
International Brotherhood of Electrical Workers
Island Health and Fitness
Brett Mello
Dr. James and Holly Metcalf
Joseph and Emily Metz
Jon Minikes and Susan Backstrom
Margaret Munchmeyer
Brett and Mindy Oakes
Ed and Linda Pasto
Jane S. Peck
Precision Filters
Dr. Elliott and P.A. Rubinstein
Andrew and Rosemary Sciarabba
Russell and Eiron Smith
Dr. Martin and Ami Stallone
Lauren and Julia Stiles
John W. Turner
Welliver McGuire, Inc.
$500 to $899
American College of Radiation Oncology
Natalie Baker
Ewan and Jacki Barr
Larry and Trudy Baum
Thomas and Ellen Bonn
Dr. Peter and Beth Brennan
Liese Bronfenbrenner
James and Karen Brown
Anntoinette Burger
Cannon Design
Carpenters Local Union #277
Heather Choi
G. Walton and Jean Cottrell
Dr. Susan Cowdery
Robert and Vanne Cowie
Linda Crumb
Dr. Srisatish Devapatla and Madhavi Lekkala
Kristina Gambitta
Dr. Charles and Linda Garbo
Drs. Andrew Getzin and Karen LaFace
Graham Gillespie
James Haight
Janice and John Hertel
Dr. Lucia Jander
Michael Judd
Carol Kammen
Rick Kidwell
Dr. Drew and Sandy Koch
Tom and Lisa LiVigne
Brian McAree and Kris Corda
Dr. Viola and Gerry Monaghan
Richard and Kay Moore
Dr. Andrew Morpurgo
Patterson’s Service Station of Ithaca
Loretta Ramstad
Dr. Stephanie Roach
Deb Siegert
Dr. Walter Silbert
Gary Sloan
Smith Allergy and Asthma Associates
Cecile Spero
David Stinson
Robert and Pamela Swieringa
Amy Thomas
Mr. and Mrs. William H. Toth
Kyle and Ann Tuttle
$100 to $499
Brittany Acker
Richard Allmendinger and Teresa Jordan
Warren Allmon and Jennifer Tegan
Karen Ames
Robert and Sherry Andree
Neil and Judith Ashcroft
Drs. Timothy Bael and Sandra Thananart
Robert Balluffi
Jacqueline Bangs
Bangs Ambulance Service
J. Robert and Nancy Barlow
Eugene and Carolyn Bartell
Marilyn Baurle
Bernard and Linda Beins
William and Nancy Bellamy
Mary Besemer
Randa Best
James and Deborah Bilinski
Brad and Elizabeth Bilinski
Louis and Jeanne Billera
Black Diamond Construction
Wendy Blanchard
Joyce and Marty Bleiweiss
Arthur and Donna Bloom
James Bold and Allison Hogue
Frank Bonamie
Julia Bonney and Greg Bostwick
Dr. Timothy and Lisa Bonniwell
Ronald and Linda Bors
Amy and Michael Brand
Adam Brickey
Sue Brower
Daniel and Eve Brown
Percy Browning
Roxann Buck
Jill Burlington and Martin Lasskorn
Robert Camp
Dr. Julie Campbell
Barbara Cappucci
Carman and Sandra Brink Hill Fund of
the Community Foundation
John Carson
Susan Cary
Cayuga Medical Center
Dr. and Mrs. Eric Chanko
Jeanne Chapple
Tony and Roberta Chiesa
Charles and Diane Childs
Alton and Donna Clark
Richard Clink
Shaun Cobb
Tom and Loren Colbert
Jennifer Cole
John and Joan Conners
Lori Cornell
Mary Ellen Cummings
Morgan Stanley Charitable Spending
Account for William Currie
Dr. Lloyd Darlow
David Long Appraisal Co., Inc.
Murray Deathe
Julie Delill
Noel and Janet Desch
Pete and Joanne DeStefano
Roy and Frances Dexheimer
Rudiger and Christine Dieckmann
Angelo and Molly DiGiacomo
Frank and Barbara DiSalvo
Ted and Loretta Dodds
Doug’s Fish Fry
Clover Drinkwater
Dryden Family Medicine
David and Barbara Dubow
David and Peggy Dunlop
Katherine D. Durant
James Durkee
Clifford and Lisa Earle
Ronald and Randy Ann Ehrenberg
Ehrhart Propane
Eric and Christine Eisenhut
Tony and Juliana Eisenhut
Howard and Erica Evans
Alan Falk and Laura Winter Falk
Richard and Lisa Farr
Paul Feeny and Mary Berens
Dr. Howard and Rosalind Feinstein
Dr. David Feldshuh and Martha Frommelt
Finger Lakes Lunachicks
First National Bank of Dryden
William Fischbach
Marvin and Jean Fisher
Megan Fisher
Joseph and Sherry Fitzgerald
Dr. James and Judith Fogel
Alyssa Fontaine
Steve and Carla Fontana
Kathy Forbes
Connie Frank
Frisbee Motor Sports
Craig and Nina Fuehrer
William Gage
Constance Ged and Pete Akins
Dr. Steven A. Gelber
William and Patricia Gombash
Barbara Goodwin
Daniel and Karen Governanti
Charles and Margery Grace
Fred and Alice Graves
Bradley and Juanita Griffin
William Griffin
Sally Guido
Sandra Hagin
Dave Hardie
Marie E. Harkins
Theresa Harris
Dr. Shern Hart
Gregory and Beverly Hartz
Esther Heichel
John and Holly Heitzman
Claude Hewitt
Matthew Hill
Dr. Roald and Eva Hoffmann
Carol Hoke
Terrance Holmes
Mary Honcharik
Joan Horn
Allison Howe
Stephen Hoyt
Lorraine L. Hufford
Rachael Hutchinson
Chris and Elsa Hyde
Incodema, Inc.
Dr. Philip and Barbara Iorio
Ralph and Rhoda Janis
David Jensen
J.M. Management
Dale and Jennifer Johnson
Jennifer Johnson
Andrew Jordan
Stevan Knapp
Carol and Charles Korbel
David Kraskow
Paul Krol
Dr. Oo Hyon and Song Kyong
Carol LaBorie
Dr. John Lambert and Robin Rogers
Lansing Market
Brenda Lapierre
Steven and Diane Lauzun
Angela Leonard
Peter LePage and Deborah O’Connor
Paul and Laurie Levesque
Jack and Barbara Lewis
Stuart and Ruth Lewis
Michael and Bonita Lindberg
David and Nancy Lippert
Perry LoPinto
Lou LoVecchio
Julianna Lower
Michael and Mary Lucas
Terri Sue MacCheyne
Richard MacDonald
Dr. Rob and Maggie Mackenzie
Dr. L.A. and Beatrice Magre
Joel and Nancy Malina
Emily Mallar and Philip Aubin
Virginia Maloney
Peter and Ann Martin
Edward Marx
Amy Mathews
Dr. Jonathan and Ivy Mauser
Ann Mayer
Phyllis Mazurski
Alan and Ann McAdams
William and Shirley McAneny
B.B. and Ruth McCaa
Mary McGinnis
Susan McKeon-Schaerr
Dr. Julie and Adrian McNairn
Daniel and Jean McPheeters
Carolyn J. McPherson
Drs. Robert and Margaret Meyer
Susan Milewski
Nina Miller
E. Kimball Milling and Joyce Barney
Moore Tree Farm, LLC
Richard and Patricia Moran
Susan Morgan
Christina Morse
John and Linda Muckstadt
Susan Murphy
Anna Murray-Bartels
Holly Naughton
Benjamin and Maria Negley
Everett Nelson
John and Carolyn Neuman
Janet Nevinger
Newman Development Group, LLC
Shawn Newvine
Northside Liquor & Wine, Inc.
Melanie Novick
Michelle O’Connor
William and Mary Opperman
Cal and Joan Organ
Janet Palmer
Dr. H.J. Patrick and Patricia Patrick
Robert and Lisa Patz
Linda Petak
Victoria Pierce
Robert Pietila
Dr. Francis and Susan Piliero
Lisa Proctor
Frank Proto
Anthony and Beth Prudence
Richard and Donna Prybyl
Ann Quigley
Thomas Richardson
Michael and Allison Riley
Donald and Nancy Robbins
Tammy Rochford
Beverly Rollins
Michelle Rosato
Jean F. and Elizabeth E. Rowley
Anthony and Norma Russo
Peter and Paulette Salmon
Carolyn Sampson
Peter and Deborah Sarkus
Helen Saunders
Carol Scheele
Raymond and Kathleen Schlather
George and Bobbie Schneider
Teresa Scholtisek
Peter and Kimberly Schug
Arnie Schwartz
Beatrice Schwoerer
Debra Scott
Richard Shaff
Michael and Janet Shay
Sydney and Molly Shoemaker
Michael Sigler
Dr. Phaelon Silva
Dr. Amit and Kimberly Singh
Daniel and Carol Sisler
Marjorie Smart
Dr. Christopher and Lisa Smith
Thomas and Elfriede Smith
Thomas and Donna Sokol
Suzanne Spitz
Robert R. Sprole II
David Squires and Rachel Lampert
Michael and Julie Stamm
Bernard and Lara Stanton
William Starr
Brent and Susan Stephans
Marice and Shirlee Stith
Sue Ellen Stuart
Dr. and Mrs. John Suen
Jan Suwinski
Drs. Lynn Swisher and
John Hermanson
Neil and Paula Tarallo
Dr. John and Cindi Tashman
David and Marisue Taube
Steven Taylor
Claire Teeter
Temple Beth-El
Terry Marcus Design
Joe and Margaret Thomas
Dr. John Thomas
Frank and Melanie Towner
Charles and Nancy Trautmann
Triphammer Wines & Spirits
Barbara Tucker
Curtis and Amanda Ufford
Valley Manor, LLC
C.C. Van Deusen
Henrietta VanDeWeert
Kristen Verrill
Herbert and Jean Voelcker
Gregg Volles
Sue Vrzal
Lisa Walters
Kuo-King and Cindy Wang
Judith Warren
James and Louise Watson
Frank and Judith Wayno, Jr.
Scott and Catherine Weissmann
Joseph and Betty Weneser
William and Barbara White
Fred and Mary Widding
Brian and Christine Wilbur
Karen Wilkins
Frederic Williams
Patricia Williams
Dr. Donald Wilson
Dr. Michael and Donna Wilson
Edward and Marlene Wolf
Timothy Wood
Heather Woodard
Ione Worth
Madison and Mary Wright
Rachel A. Wright
Bettie Yerka
YMCA of Ithaca and
Tompkins County
Cameron Young
Victor and Paula Younger
Matthew Zaccardo
Joel and Cathy Zumoff
Up to $99
Anonymous
Karen Adams
Thomas Adams
Lewis and Mary Adesso
Stephanie Agurkis
Teri Jo Aho
Amy Aittama
Candis Alfano
Constance Allen
Richard and Patricia Angerer
Adam Armstrong
Rachel Ayers
Ellen Backman
Lisa M. Baker
Pat Baker
Brenda Lee Barber
Gladys L. Barber
Dale and Marie Bauman
Amy Bean
Cheryl Bean
Jimm Becker
Karen Bedell
Tim and Michelle Benjamin
Tricia Bennett
Mary Berry
Darlene Bickham
Wendy Bickham
Patrick Blauvelt
Alicia Bleck
Ronna Blum
Heather Bordoni-Jacobsen
Sabrina Bower
Cinda Bowers
Joyce Boyer
Kimberlee Boylan
Dr. Patsy Brannon and
George Buchanan
Lisa Brehm
Dorothy Brooks
Rosalie Brooks
Cindy Brown
Lynn and Beverly Brown
Phoebe Brown
Mary Burley
Joan Carlson
Vicki Caron
Jennifer Carroll
Dr. William and Therese Carroll
Barbara A. Chase
Larry and Arlene Chase
Andrew Chien
Melissa Clary
Wanda Clements
Louise Clink
Patricia Cloyes
Maureen Coats
Lisa Colledge
Betsey Conner
Mary Coon
Lynda Corcoran
Donna Courtright
Holly Covert
Demetruis Cox
Karen Elizabeth Cummings
Shannon Curkendall
Joseph D. Curran Jr.
Erik Cymara
Jodi Mae Cymara
Nicholas and Sophia Dalring
Noel Daniel
Richard Dann
Elizabeth Davis
David Delchamps
Dan and Pam DeLucia
Gary Divell
Ronald and Mary Lou Dodson
David Dresser
David Drew
Tracy Durrani
Tina Eastman
Laurie Edger-Mead
Deborah Edwards
Judith K. Eger
James and Karin Eisenberg
Kathryn Eliason
Nancy Emerson and Roy Luft
Ann-Marie Esposito
Bonnie Everts
Marie S. Everts
Lawrence Fallon
Christine Feely
Gary and Lisa Ferguson
Maureen Ferrentino
Diane Ferretti
Joseph and Mary Fetcho
Caitlin Fields
Rebecca Fiore
Scott Fiore
David and Patricia Flaccus
Lauren Free
Michelle Fullagar
Sandra Fuller
Nathan Gatch
Renee Gaylord
Amy Gecan
Margaret Gerlach
Michael Gilmore
Martha Goehner
Carol Grassi
Robert and Eileen Gravani
Kelly Gray
Emily Green
Julie Griffin
Brian Grimes
Annette Griswold
Lori Grover
Alethea Hall
Leslie Hammond
Margaret Hampson
Martha Hannah
Hillary Hargett
Thomas Harris
Mary-Kay Hasenjager
Christina Hayes
Elizabeth Heath
Gina Heffernan
Linda M. Hendricks
Jennifer Henriquez
Joseph Heptig
Diana Hewitt
Roger and Suzanne Hindlerliter
Cindy Hoke
Rebecca Holland
Marian E. Holt
Daniel House
Donald House
Amanda Howe
Chelse Howells
Cathy Howell-Seeley
Abby Hubbell
Sondra Hull
Timothy Hull
Jeff Humphrey
Phillip Humphries
Lorryann K. Hurd
Lynn Ink
Clair Irvin
Hunter Irvin
Teena Irvin
Kelly Jackson
Michelle Jacot
Sean Jenkins
Cheryl Johnson
Danielle Joseph
Jenny Jursick
Sarah Kager
Jane Kaplan
Marc and Phyllis Kaplan
Sarah Karius
Joan Kearney
Jennifer M. Kellogg
David A. Keyser
Kathleen Keyser
Dr. Jud and Suzanne Kilgore
Gregory and Margaret Kimbell
William Kleitz and Patricia Alessi
Denise Knapp
Rebecca Knapp
Ruthann Knapp
Wynter Knight
Cheryl Kramer
Jeffrey Lamb
Nancy Leach
Corrine Leblanc
Jewia Leckey
Brian Lee
Christine Leskovec
Kathleen Lester
Deborah Levin
Winifred Lisenby
Caroline Louey
Garrit and Gretchen Lugthart
Christine Mackey
Deborah Mahoney
Lois Mahoney
Lorrie Mahoney
Shannon Mahoney
Jennifer Maine
Linda Mancil
Dale Marcy
Brian and Jo Marion
Lucina Martak
John Matuszak
Lynne McClure
Betty McEver
Thomas McGrath
Christina McMahon
Philip and Mary Lu McPheron
Anne Meltzer
David Mensa
Miles Merwin
Brenda Michaud
Eileen Miller
Karen Miller
Patricia Miller
Tamara Moliviatis
Michele Morehouse
David and Helen Morey
George Morse, Jr.
Penny Mount
Laurie Mras
Brenda Mullenix
Robert Munch
Tina Murphy
Steven Murtha
Giselle Nelson
Julie Noe
Kimberly Ann Nolan
Patricia Oates
Paul Olcott
Stephanie Oplinger
Mary Park
Sharon Parker
Brandi Parlett
Deborah Pitcher Parmalee
Karen Penney
Zachary Percey
Brian Phillips
Michele Phillips
Alan P. Pierce
Cheryl Pike
Lawrence and Pamela Postle
Grace Poyer
Richard Prokop
Wendy Proshold
Teresa Ramsey
MaryBeth Rapone
Josh Rappleye
Tina Rappleye
Paula Raymond
Barbara Reed
Heather Reed
Robert Renzetti
Michael Reynolds
Marcia Rice
Tina Richmond
Julie Riley
Bryan and Rebecca Roberts
Chris and Tanya Roberts
James Rothenberg and
Mariana Wolfner
Corrina and Mernell Rouff
Linda Rozelle
John and Doreen Rudan
Bonnie Rumsey
Thomas Rumsey
Constance Runyon
Shannon Saville
Kathryn Scheer
Nathan Scheer
Alicia Schmidt-Winder
Sarah Searles
Deborah Seligmann-Kratil
Sharey Selover
Laura Senese
Nicole Serrano
Steven S. Sexton
Linda Shaff
Melanie Sharp
Lisa Shurtleff
Brian Simkin
Leroy Simko
Donald Simons
Kelly Skinner
Eric Slocum
Cormac Smith
Jennifer Smith
Kimberly Smith
Scott and Marie Smith
Kelly Spaulding
Pamela Stanton
Marianne Stebbins
Vickie Stebbins
Sheila Stein
Marguerite Sterling
Billie Stilwell
Liebe Meier Swain and Julie Swain
Marsha Sundman
Kayla Taft
Janine Tappen-Woodrome
Dawn Thompson
Robin Tilton
Lori Toolan
Michael Toolan
Chad Trimm
TST BOCES
Yohko Tsuji
Melissa Vanderhoof
Deborah Vandyke
Kandace and Don Van Gorder
Joseph Vellake
Jeffrey Wagner
Brenda Walker
Kathleen J. Ward
Brenda Warren-Fitch
Sharon Washburn
Diana Weaver
Anne Welliver-Hartsing
Kelly Wendt
Carrie Westlake
Mary Wheaton
Devan Whitaker
Donald and Nonie White
Jessica White
Sandra L. Wilkinson
Kathy Willett
Curtis Williams
Carolyn Wiltsie
Wendy Wolf-Durso
Sue Yaniello
Margo A. Yntema
Bonnie Young
Andrew Youngman
Joseph and Mary Zichettella
Bernice Zupancic
While we strive to ensure the
accuracy of our donor list, it is
possible that a name may have
been mistakenly omitted or
incorrectly listed. If you notice
an error, please contact the
foundation office at (607)
274-4284 and we will correct it.
Cayuga Medical Center Medical and Dental Staff
Allergy and Immunology
Anatomical Pathology and
Clinical Pathology
Steven Feick, MD
Corey Golding, MD
Ruth Holliday, DO
David Jacobs, MD
Stanley Litvak, MD
David Milikow, MD
Mykola Mohuchy, MD
Kenneth Nalaboff, MD
John C. Quintas, MD
Glenn R. Richard, DO
Armando Saltiel, MD
David Vanson, MD
Elizabeth F. Plocharczyk, MD
Daniel Sudilovsky, MD
Emergency Medicine
Stella M. Castro, MD
Joseph W. Flanagan, MD
Rizwan H. Khan, MD
Julie McNairn, MD
Mariah Pieretti, MD
Elliot Rubinstein, MD
Donna R. Sandidge, MD
Christopher A. Smith, MD
Anesthesiology and
Pain Medicine
Donald Bluh, MD
Mattison Burt III, MD
Joseph Bylebyl, MD
David G. Fellows, MD
Christina I. Klufas, MD
Stephen J. Meyer, DO
Robert L. Mitchell, MD
J. Russell Norton, MD
Anthony Sanito, MD
Jacob W. Smith, MD
John Tashman, MD
Thomas M. Toal, MD
Qi Zhang, MD
Cardiology
Malcolm Brand, MD
Qutaybeh S. Maghaydah, MD
Jonathan Mauser, MD
Amit K. Singh, MD
David J. Skorton, MD
Lynn Swisher, MD
Critical Care Medicine
Peter Hannon, DO
David M. Landsberg, MD
Francis Michael Maguire, DO
Paul L. Marino, MD, PhD
Dermatology
Josephine Chu McAllister, MD
Kimberly J. Silvers, MD
Diagnostic Radiology
William Carroll, MD, PhD
Robert M. Domke, MD
Kim Hwang, MD
Anthony F. Massi, MD
Roman G. Politi, MD
Aaron Daniel Sasson, MD
Walter C. Silbert, MD
Diagnostic Radiology –
Telemedicine
Janet Amundson, MD
Lesly Benodin, MD
John E. Ditzenberger, MD
Macarthur Drake, MD
Richard Allen, MD
John A. Alley, MD
Shawn M. Borich, MD, MPH
Angela Hei-Ning Chang, MD
Barbara J. Connor, MD
Risa Dubin Cyr, MD
James L. Darling, MD
Steven J. Elliott, MD
Justin P. Fedor, DO
David Feldshuh, MD
Scott M. Glick, DO
Raymond A. Jannetti, MD
Laura J. Johnson, MD
Walter J. Kantor, MD
Drew A. Koch, DO
Monica VanEvery Morgan, MD
Richard Murray, MD
Valerie H. Ross, MD
Wajeeh Sana, MD
Farzad Sarmast, MD
Christopher R. Scianna, DO
David S. Shenker, MD
William C. Shepherd, MD
J. Esther Steinberg, MD
Michelle A. Teves, DO
Justine Waldman, MD
David D. Williams, MD
Hossein Zarrini, MD
Endocrinology
Adam Law, MD
Family Medicine
Suzanne Anderson, MD
Carol Berlin, MD
Michelle Blegen, MD
Robert Breiman, MD
Kent W. Bullis, MD
Mike J. Choi, MD
Peter Clark, MD
John Cooke, MD
Carol Dao, MD
Lloyd A. Darlow, MD
Valentina Galyanova, MD
Mary F. Howson, MD
William A. Klepack, MD
Bruce Kuntz, MD
Karen M. LaFace, MD
Eric Lessinger, MD
James Loehr, MD
Christine V. Lorenzo, MD
Maura C. McCauley, MD
Ahmad Mehdi, MD
Alan Midura, MD
Viola Peachey Monaghan, MD
Ralph Ortiz, DO
Marne O’Shae, MD
Elizabeth B. Ryan, MD
Ellyn Sellers Selin, MD
Neil Shallish, MD
Howard Silcoff, MD
Mason M. Sopchak, DO
Nancy Stewart, MD
Jennifer F. Weinraub, MD
David Wentzel, DO
James F. Winkler, MD
Sharon L. Ziegler, MD
Family Medicine –
Hospitalist
Fred W. Frankenberg, MD
Gastroenterology
Peter T. Brennan, MD
Brent D. Lemberg, MD
Steven A. Rogers, MD
Carl G. West, MD
General Surgery
Walter E. Margie III, MD
John-Paul D. Mead, MD
Ronald Merino, MD
Aliasghar Mohyuddin, MD
Samson Pachikara, MD
Earl Robinson, MD
Jacob Skezas, MD
Radomir D. Stevanovic, MD
Muhammad A. Wattoo, MD
Serena H. Yoon, MD
Internal Medicine –
Hospitalist
Nisar Alvi, MD
Michael Berlin, MD
Eric H. Chanko, MD
Andreia deLima, MD
Magdalena D. Hohn, MD
Fredric M. Kardon, MD
Charbel Moussallem, MD
Candice M. Oliver, DO
Kathryn M. Rooth, DO
Martin Stallone, MD
Interventional Cardiology
Gerald M. Gacioch, MD
Edward M. Kreps, MD
Ling S. Ong, MD
Chatla V. Ramana Reddy, MD
Marcis T. Sodums, MD
Paul Stefek, MD
Thomas P. Stuver, MD
Wade S. Bollinger, MD
Brian P. Bollo, MD
Guillermo E. Ferrer, MD
Cora L. Foster, MD
John A. Mecenas, MD
David A. Schwed, MD
Neonatal-perinatal
Medicine
Hematology/Oncology
Srisatish Devapatla, MD
Ramesh Vidavalur, MD
Timothy E. Bael, MD
Julie L. Campbell, MD
Charles L. Garbo, MD
Hyperbaric Medicine and
Outpatient Wound Care
Polly Cator, MD
Infectious Disease
Douglas D. MacQueen, MD
Internal Medicine
Timothy Cardina, MD
Reilly W. Coch, MD
Ann Costello, MD
John E. Costello, MD
Elisabeth M. Cotton, MD
Ruth Crepet, MD
Matthew Estill, MD
Cindy Gordon, MD
Humaira Hassan, MD
Lucia Jander, MD
Cynthia B. Jones, MD
Robert B. Kaplan, MD
C.J. Kilgore, MD
Edward Koppel, MD
Heather MacAdam, MD
Nephrology
Robert A. Hesson, MD
Neurology
Susan R. Cowdery, MD
James S. Gaffney, MD
David Halpert, MD
Shahram Izadyar, MD
Julius Gene S. Latorre, MD
Peyman Shirani, MD
Jody Stackman, MD
Michael L. Vertino, MD
Neurosurgery
James C. Metcalf, Jr., MD
Barry J. Pollack, MD
Andrew M. Wensel, MD
Obstetrics and Gynecology
Lisa M. Baclawski, MD
Lisa Benedetto, CNM
Kathleen E. Gardner, MD
Steven A. Gelber, MD
Dvorah Milner, MD
Mahrie A. Moore, CNM
Schuyler Hospital Partner Practitioners
Physicians & Allied Health Professionals
Podiatry
Anesthesiology
Jeffrey Kadlecik, DPM
Mary Ellen Smoolca, DPM
Victor E. Villagonzalo, DPM
Oral Surgery
John Bezirganian, MD
Colin Dauria, MD
Anthony P. DiGiovanni, MD
Auguste L. Duplan, MD
Henry D. Gerson, MD
Khris Lampon-Torres, MD
Robert Mendola, MD
Mahfuzur Rahman, MD
Donald Bluh, MD
Mattison Burt III, MD
Joseph Bylebyl, MD
David G. Fellows, MD
Christina I. Klufas, MD
Stephen J. Meyer, DO
Robert L. Mitchell, MD
J. Russell Norton, MD
Anthony Sanito, MD
Jacob W. Smith, MD
John Tashman, MD
Thomas M. Toal, MD
Qi Zhang, MD
Timothy Bonniwell, DMD
Francis Piliero, MD, DDS
Psychology
Cardiology
Kathryn Pierce, CNM
Phaelon Silva, MD
Jose A. Torrado, MD
Ophthalmology
Robert J. Arleo, MD
Peter S. Schwartz, MD
Oral and Maxillofacial
Surgery and Facial
Plastic Surgery
Jeffrey S. Lewis, MD, DMD
Orthopedic Surgery
Eldridge Anderson, MD
Deidre M. Blake, MD
Kimberly Carney Young, MD
Dirk H. Dugan, MD
Bruce L. Greene, MD
Joseph A. Mannino, MD
Shawn P. Mills, MD
Stephanie Roach, MD
Michael G. Wilson, MD
Brett H. Young, MD
Otolaryngology
Jonathan E. Cryer, MD
Ashutosh H. Ruparelia, MD
Robert N. Strominger, MD
Pediatrics
John A. Bradshaw, MD
Suzanne M. Bradshaw, MD
Jessica Casey, DO
Janet Corson-Rikert, MD
Audrey DeSilva, MD
Melissa Dhundale, MD
Timothy C. Harris, MD
John Y. Lambert, MD
Rajaram Rao, MD
Janusz Sendek, MD
Amit Shrivastava, MD
Jeffrey D. Snedeker, MD
Andrea Torrado, MD
Marguerite Uphoff, MD
Pediatrics/Cardiology
Nader H. Atallah-Yunes, MD
Craig J. Byrum, MD
Matthew J. Egan, MD
Daniel A. Kveselis, MD
Frank C. Smith, MD
Physiatry
Andrew Morpurgo, MD
Melissa W. Thibault, MD
Plastic Surgery
David Monacelli, MD
Psychiatry
Matthew D’Ortona, PsyD
Kevin Field, PhD
Robert Laurentz, PsyD, PhD
Jed H. Weitzen, PhD
Pulmonary Medicine and
Sleep Medicine
Lavanya Kodali, MD
Rajesh S.K. Rao, MD
John Suen, MD
Radiation Oncology
Jorge A. Gomez, MD
Gregory B. Hare, MD
Michael Kuettel, MD
David M. Mattson, MD
John W. Powell, MD
Dheerendra Prasad, MD
Kilian Salerno, MD
Anurag K. Singh, MD
Rheumatology
Lawrence P. Endo, MD
Sports Medicine
Andrew R. Getzin, MD
Amy MacQueen, MD
Fnu Seemant, MD
Urology
Sami T. Husseini, MD
Sanjeev Vohra, MD
Vascular Surgery
Kwame S. Amankwah, MD
Palma M. Shaw, MD
Vallerie Franzese Lynch, NP
Benjamin Saks, DO
Jagmohan Singh, MD
Neurosurgery
James C. Metcalf, Jr., MD
Oncology
Timothy E. Bael, MD
Julie L. Campbell, MD
Charles L. Garbo, MD
Orthopedics
Malcolm Brand, MD
Qutaybeh S. Maghaydah, MD
Jonathan Mauser, MD
Amit K. Singh, MD
Paul Stefek, MD
Lynn Swisher, MD
Emergency Medicine
Laura R. Connor, PA
Karen M. Dumont, PA
Adrian M. Gonzalez, PA
Patricia J. Nelson, RPA-C
Michael Ronald, FNP
Noreen Ruff, PA
Kara Timmins, PA
Caitlin M. Wright, PA
Family Medicine
Blanche Borzell, MD
James P. Coleman, MD
Kristina Cummings, DO
Joseph Hinterberger, MD
Patrick Schamel, PA
Donald Session, RPA-C
Sarra Solomon, MD
Stephen A. Spaulding, MD
Theresa Spaulding, MD
Jenna Wilkins, PA
Gastroenterology
Peter T. Brennan, MD
Brent D. Lemberg, MD
Carl G. West, MD
General Surgery
Wade S. Bollinger, MD
Brian P. Bollo, MD
Cora L. Foster, MD
John A. Mecenas, MD
David A. Schwed, MD
Gynecology
Deidre M. Blake, MD
Dirk H. Dugan, MD
Joseph A. Mannino, MD
Shawn P. Mills, MD
Brett H. Young, MD
Pain Management
Ashraf Sabahat, MD
Michele Stewart, NP
Pathology
Elizabeth F. Plocharczyk, MD
Daniel Sudilovsky, MD
Pediatrics
Eunice E. Nayo, MD
Podiatry
David B. Arkin, MD
Chad A. Batzing, MD
Devin J. Hull, MD
Pulmonology
Mark J. Ivanick, MD
S. Thomas Jennings, MD
Lavanya Kodali, MD
Asad Nasir, MD
Rajesh S.K. Rao, MD
Earl P. Robinson, MD
John Suen, MD
Radiology
Edwin Acosta, MD
David Chung, MD
James Ferretti, DO
Edwin Hutsal, MD
Brian J. McVey, MD
David Rayne, MD
Joseph Ronsivalle, DO
Elizabeth M. Sobieraj, MD
Voytek Sobieraj, MD
Thomas Taylor, MD
Sports Medicine
Andrew R. Getzin, MD
Amy MacQueen, MD
Jay Mehta, MD
Faith T. Reimers, NP
Vein and Laser
Internal Medicine
Wound Care
Michael H. Eisman, MD
Paula Fitzsimmons, PA
Viola Monaghan, MD
James F. Winkler, MD
Board of Directors 2015
Schuyler Hospital
Brian McAree, Vice Chairman
Greg Hartz, Treasurer
Sami T. Husseini, MD, Secretary
Rev. Kenneth Clark
Joanne DeStefano
Tony Eisenhut
Henry D. Gerson, MD
John Y. Lambert, MD
John Neuman
John B. Rudd
Paula E.F. Younger
Kyle Tuttle, Chairman
Carl Sgrecci, Vice Chairman
Jerry Mickelson, CPA, Treasurer
Holly Mosher, Secretary
Mark Clark
Wendy Field
Joseph Hinterberger, MD
Andrew Manzer
Chris Missick
John B. Rudd
Benjamin Saks, DO
Fred Tanneberger
Richard Weakland
Fred Wickham
Kyle Tuttle, Vice Chairman
Greg Hartz, Treasurer
Tom LiVigne, Secretary
Peter Bardaglio
Suzanne Blowers
James Brown
Noel Desch
Gary Ferguson
Sami T. Husseini, MD
Jean McPheeters
John Neuman
John B. Rudd
Benjamin Saks, DO
Fred Tanneberger
Richard Weakland
Paula E.F. Younger
Ex Officio
Jim Rohan
Lynn Swisher, MD
Senior Leadership Team
John B. Rudd, President and CEO
John Collett, Vice President and
Chief Financial Officer
Lloyd A. Darlow, MD, Vice President,
Clinical Integration
Ellen Dugan, Vice President, Service Lines
David Evelyn, MD, Vice President, Medical Affairs
Susan Nohelty, RN, Vice President, Patient Services
Alan Pedersen, Vice President, Human Resources
John Turner, Vice President, Public Relations
Tony Votaw, Vice President
Medical Staff Officers 2015
Ex Officio
Carol Bower
Kristina Cummings, DO
Ashraf Sabahat, MD
Schuyler Hospital Executive Team
Andrew Manzer, President and CEO
Jann Cady, CNO/COO
Amy Castle, Chief Financial Officer,
Vice President of Finance
Michael Eisman, MD, Director, Medical Staff Deb Bailey, Executive Director, Clinical Operations
& Outcomes, Compliance Officer Michelle Benjamin, Executive Director,
Schuyler Health Foundation
& Community Relations
Bill Kouwe, Administrator, Seneca View
Kim Nagle, Director, Human Resources
Henry D. Gerson, MD, President
Lynn Swisher, MD, President-elect
Joseph A. Mannino, MD, Second Vice President
Drew Koch, DO, Past President
Joseph Bylebyl, MD, Secretary and Treasurer
Schuyler Hospital
Medical Staff Officers 2015
Cayuga Medical Center Foundation
Board Members 2015
Schuyler Health Foundation
Board 2015
Jennifer Whittaker, President
Brian Wilber, Vice President
Percy Browning, Secretary
Nathaniel Wright, Treasurer
Julie Crowley
Kathleen Gardner, MD
Richard Moran
Andrew Sciarabba
Kim Sharpe, RN
Kristina Cummings, MD, President
Ashraf Sabahat, MD, Vice President
Ben Saks, DO, Secretary and Treasurer
Mathew Hayden, Esq., Chairman
Kathleen Fragola, Vice Chairwoman
Jerry Mickelson, Secretary and Treasurer
Joan Argetsinger
Linda Confer
Helen Dunlap
Sandra Forrest
Esther Heichel
James Howell
Marian Saks
John Terry
Brenda Warren-Fitch Senior Leadership Team
John B. Rudd
Andrew Manzer
John Collett
Growing in the right direction.
Published by the Offices of Public Relations at
Cayuga Medical Center and Schuyler Hospital
John Turner, Vice President, Public Relations
Carol Grassi, Graphic Designer
Elizabeth Heath, Public Relations Specialist
Tanya Roberts, Administrative Assistant
Schuyler Hospital
Michelle Benjamin, Executive Director,
Schuyler Health Foundation and Community Relations
Production Management: Julia C. Bonney, Terry Marcus
Writing: Julia C. Bonney, Sherrie Negrea
Principal Photography: Dede Hatch
Design: Terry Marcus Design
cayugamed.org

2014 Annual Report - Cayuga Medical Center

Transcription

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