Health Matters The latest news on the health and wellness issues that matter most • March 2021
NCH Hospitals Named as One of America’s 250 Best for the Fourth Year in a Row
In February, the NCH Healthcare System announced that it had achieved the Healthgrades 2021 America’s 250 Best Hospitals Award™ for the fourth year in a row. The distinction places NCH in the top five percent of nearly 4,500 hospitals assessed nationwide for its superior clinical performance as measured by Healthgrades, the leading resource that connects consumers, physicians and health systems. Annually, over 350 million visitors access Healthgrades’ online tools in search of high quality healthcare providers, such as NCH. “Hospital quality varies significantly from hospital to hospital, so it’s important for consumers to do their research and select a hospital that provides the best level of care for their specific needs,” said Brad Bowman, MD, Chief Medical Officer, Healthgrades. “We congratulate the recipients of Healthgrades America’s 250 Best Hospitals Award for their commitment to improving clinical outcomes for patients.”
According to Healthgrades’ analysis, NCH hospitals and others like it named one of America’s 250 best, deliver better outcomes than 95% of all other hospitals in the nation. From 2017-2019, if all hospitals as a group performed similarly to NCH and other hospitals that were recognized with the Healthgrades America’s 250 Best Hospitals Award, on average 167,235 lives could potentially have been saved.* Additionally, patients treated in hospitals achieving Healthgrades America’s 250 Best Hospitals Award have on average a 27.4% lower risk of dying than if they were treated in hospitals that did not receive the award.* These are real numbers that make a real difference to patients.
The Healthgrades America’s Best Hospital achievements are based on an objective review of clinical outcomes across multiple conditions and procedures and focus on the performance of 4,500 hospitals nationwide. They use three years of Medicare data, focusing on two key factors, mortality rates and complication rates, so ratings and awards better represent true superior performance by clinicians and staff. “The latest Healthgrades rankings place NCH in the top 5% of all hospitals in the nation,” said Paul Hiltz, President & CEO, NCH Healthcare System. “For the fourth year in a row, NCH has been recognized for the quality care that our providers and clinical team offer our community. I’m proud of this recognition and the quality patient care our team delivers.”
NCH also outperformed other hospitals in the nation in multiple service areas and, as a result, was recognized late last year with an impressive list of these Healthgrades Awards:
• America’s 100 Best Hospitals for Cardiac Care for 6 years in a row (2016-2021)
• America’s 100 Best Hospitals for Spine Surgery™ for 4 Years in a Row (2018-2021)
• America’s 100 Best Hospitals for Stroke Care™ for 3 Years in a Row (2019-2021)
• America’s 100 Best Hospitals for Pulmonary Care™ for 2 years in a Row (2020-2021)
• America’s 100 Best Hospitals for Prostate Surgeries™ for 2 years in a Row (2020-2021)
• America’s 100 Best Hospitals for Gastrointestinal Care™ for 2 years in a Row (2020-2021)
• America’s 100 Best Hospitals for Critical Care™ for 2 years in a Row (2020-2021)
• America’s 100 Best Hospitals for General Surgery™ in 2021
The Healthgrades achievement is our most recent accolade and joins a long list of other awards NCH has received from other quality-care rating agencies who assess the high level of treatment at hospitals across the country. U.S. News & World Report ranked NCH 11th in the state out of more than 250 hospitals in Florida, and most recently, Leapfrog awarded the NCH Baker Hospital with a “B” safety grade, while NCH North Naples Hospital received the top “A” grade.
*statistics based on Healthgrades’ analysis of MedPAR data for 2017-2019
Practice Makes Perfect at NCH’s Judith and Marvin Family Herb Simulation Center You’ve no doubt seen medical simulation taking place on your favorite medical television show; the newly-minted surgeons adjourning to a special room where they can practice their procedure over and over again – until they get it right.
At the simulation center, two or three learners participate in an exact mock-up of an ICU room, an emergency room, or a hospital room with either a high- definition mannequin or standardized patient. The mannequins can simulate coughing, talking, crying, and even track you with their eyes. Learners are immersed in the scenario while other students watch them perform.
Well, medical simulation isn’t just for TV – it exists right here, right now at NCH’s Baker Campus – with a temporary, 8,000 square-foot facility dedicated to training healthcare professionals. A brand-new state-of-the-art facility that will expand floor space to 10,000 square feet and feature the best in simulation equipment and technology is currently in the planning and fundraising stages. The simulation center was initiated about five years ago by educator Judith Herb and her husband, Marvin Herb, in discussions with NCH administrators. Along with their altruism and the gifts of other generous donors, the goal of $15 million will make the center a reality. With a projected completion date in Spring 2021, NCH’s Herb Simulation Center will be the only fully multidisciplinary simulation center between Miami and Tampa. “Medical simulation is an experiential teaching technique in which the learner practices in a situation that mimics a real-life event, including complexities and distractions that are present in the real clinical setting,” said Douglas W. Harrington, DO, FCCP, Pulmonary and Critical Care, Medical Director of the Herb Simulation Center. Mayo Clinic mentor, Dr. Leslie Simon, noted Dr. Harrington’s teaching abilities through his work with the Internal Medicine Residency program and suggested he undertake a simulation fellowship. For one year, after fulfilling his regular ICU physician duties, he completed a fellowship at Mayo Clinic. “I was logging 80 plus hours a week, but it gave me the tools to teach, open, manage and run a simulation center,” said Dr. Harrington. “The center uses an experiential learning method that immerses learners into a simulated scenario that mimics a real-life event, that is tied to an emotional component.” While only 15% of information is retained through traditional classroom teaching, 90% is retained through experiential learning, he added.
Educators sit behind one-way frosted glass and manipulate the mannequins, using an earbud to direct the experience. Most processes take about 10 to 20 minutes. Afterward, the learners debrief, and the class discusses the experience with the educator. Eventually, the Herb Sim Center will open to ancillary medical staff, first responders, police and firefighters, and businesses. For more information about sponsorship opportunities or ways to donate, contact Monica Biondo, NCH Center for Philanthropy at (239) 624-2000 or philanthropy@nchmd.org . Additional information is available at this YouTube video link: https://youtu.be/Uxwg05ZlnQU
Douglas W. Harrington, DO, FCCP, Pulmonary and Critical Care, Associate Program Director Internal Medicine Residency Program, Medical Director NCH Multidisciplinary Simulation Center, Adjunct Assistant Professor Medicine Mayo Clinic School of Medicine and Science.
NCH Multidisciplinary Simulation Center
NCH Multidisciplinary Simulation Center
Newly Issued Dietary Guidelines Feature Early Childhood Choices We have long known that healthy food choices promote good health by maintaining a healthy body weight while avoiding chronic disease. The USDA’s Dietary Guidelines for Americans have been updated to include, for the first time, unique recommendations for each stage of the lifespan; infants and toddlers, children and adolescents, adults, pregnant women and adults over the age of 60. The Dietary Guidelines have been reissued every five years since 1980 based on the most recent scientific findings.
Key Recommendations according to Life Stage:
Infants to Toddlers: Encourage infants and toddlers to consume a variety of complementary foods and beverages to meet energy and nutrient needs. Introduce peanut- containing foods (with a pediatrician’s blessing) along with other potential allergenic foods at about 4 to 6 months of age. Evidence suggests that children introduced to these potential allergens at these early ages are less likely to develop life-threatening allergies. Avoid foods with added sugar before age 2.
Children to Adolescents: With 41 percent of American children considered overweight, the guideline emphasizes the importance of nutrient-rich foods that nourish the body’s fuel requirements without adding excess calories. Adults: The report stresses the importance of changing unhealthy eating habits and behaviors to prevent disease, thereby extending physical and social independence into old age.
Pregnant and Lactating Women: The increased calorie and nutrient needs for these life stages should be met by consuming nutrient-dense food choices as part of a healthy dietary pattern. Seniors: Older adults can improve dietary intake by increasing consumption of fruit, vegetables, whole grains and dairy, while also ensuring protein intake meets recommendations. Calorie needs are generally lower.
All age groups are urged to restrict the intake of added sugars, saturated fats and alcoholic beverages. Individuals 12 months through older adulthood should follow a healthy dietary pattern across the lifespan to meet nutrient needs, help achieve a healthy body weight and reduce the risk of chronic disease.
For more information on nutrition, contact the Von Arx Diabetes & Nutrition Health Center at (239) 624-3450 .
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MARCH 2021
Patient Safety and Care During the Pandemic Number One Concern for Award-Winning NCH Orthopedic Program Despite the ongoing pandemic, the NCH Orthopedic Program continues to deliver top-quality services reflecting their uncompromising commitment to patient safety. The unit has been certified since 2014 by the Joint Commission as a Center of Excellence for their Total Hip and Total Knee Replacement programs. Joint Commission scores are based on patient feedback for meeting or exceeding the highest standards in the delivery of patient care. In December, the unit also received the People’s Choice Award. Staffed by board-certified orthopedic surgeons, and caring nursing, administrative and rehab staff, the 5 South Orthopedic team provides comprehensive multidisciplinary care for total joint replacements, fracture repairs, shoulder reconstructions, and muscle and soft tissue repairs for patients – many of which have co-morbidities such as cardiac or pulmonary diseases, diabetes or renal disease.
While the team has adapted to the new norms presented by the ongoing pandemic, they continue to operate at top levels.
“Our staff wears personal protective equipment and surgical masks, and we continue to stress key elements like patient education and instruction, which have changed,” explained Suzanne Graziano, MSN, RN, ONC, NE-BC, CNAT, NCH Director Orthopedics – 5 South.
During pre-surgical testing, patients are screened for COVID-19. If a patient tests positive, the surgery is canceled and rescheduled, and they are quarantined at home with medical guidance. For those cleared for surgery, they are advised to stay away from anyone with cold or flu-like symptoms. “We also provide important pre-op advice about building the immune system,” said Graziano. “While each patient is different, we recommend that they should supplement with vitamin D and zinc to help strengthen the immune system before surgery and after surgery if they don’t already do so. Surgeons also advise patients to take a protein drink, pre-op.”
Patient education has also changed for the better. Jennifer Miller, MSN, RN, CMSRN, ONC, System Total Joint Coordinator, teaches pre-op classes that are now conducted one-on-one. At pre-admission, patients relay their information; then Miller follows up by phone or email with needed materials relative to their procedure. In pre-op conversations, Miller reviews items such as how to best prepare for surgery, understand expectations for their hospital stay, and ensure a safety-based, solid, and reasonable discharge plan. “We discuss rehab facility options, which are authorized by their insurance plans, the exercises required by their condition and how to perform them safely. We also discuss what they will need post-procedure, how to modify their home for success and identify who, if anyone, will be needed for at-home support,” Miller explained. “It is very multifactorial between the nutrition and exercise while being ready mentally, emotionally and physically. You can’t go from zero to 60 in a weekend; it is a marathon, not a sprint. So, we make sure that patients are well-prepared,” said Miller.
For more information about the NCH Orthopedic Program, contact Jennifer Miller, System Total Joint RN Coordinator at (239) 624-3998 .
NCH Orthopedic Unit Services includes comprehensive multidisciplinary care for:
NCH Orthopedic Unit People’s Choice Award in December 2020 • Most favorable patient comments regarding care • The award underscores the lasting impact that 5 South has on patients • Confirms exceptional care provided by staff • Dozens and dozens of comments received from pleased patients
Joint Commission Disease-Specific Certification in Total Knee Replacement since 2014
• Total joint replacements • Fracture repairs • Shoulder reconstructions • Muscle and soft tissue repairs
• Based on the use of evidence-based clinical guidelines and tracking and reporting of performance measures • Certification validates a framework of standardized care that reduces risk and leads to improved patient outcomes • Of the 38 organizations in Florida with certification in hip/knee replacement by the Joint Commission, NCH is the only organization in the Southwest Florida region
NCH Orthopedic team members: (back, l to r): Robert Yoshida, RN, Eileen McMahon, PT, Ananda Pamankada, CT; (middle, l to r): Kristin Mascotti, MD, Chief Medical Officer, Susan Riviere, RN, Claire Rich, RN, Jennifer Arca, RN, Jennifer Miller, RN, Total Joint RN Coordinator, Athena Custodio, RN, Taryn Flynn, Discharge Planning Assistant; Yuri Mykoo, Administrative Director Inpatient Services; Sabine Camil, CT; (bottom kneeling, l to r): Widline Gourdet, US, Wendy Hahn, RN, Suzanne Graziano, RN, Director Orthopedics, Katherine Carbo, RN
Suzanne Graziano, MSN, RN, ONC, NE-BC, CNAT, NCH Healthcare System, Director, Orthopedics 5 South
Jennifer Miller, MSN, RN, CMSRN, ONC, System Total Joint Coordinator
MARCH 2021
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NCH Honors 2020 Physician of the Year Taking the lead on the COVID-19 Task Force at NCH was no small matter. But David Lindner, D.O., MBA, FCCP, FACOI was up to the task, advising the Collier County School Department as well as the Collier County Board of Commissioners, on matters regarding school safety and mask mandates. He also has written about the potentially deadly disease since it was first found in the United States last winter. For his efforts, Dr. Lindner captured the prestigious NCH Healthcare System 2020 Physician of the Year title – awarded by a majority vote of the entire NCH medical staff. Dr. Lindner was one of nine distinguished and highly skilled finalists. His triumph was announced at the January online meeting of the NCH general medical staff, with more than 140 medical personnel and staff present. In addition to his duties as task force leader, Dr. Lindner also serves as the Medical Director of NCH Healthcare Intensive Care Units, Respiratory Care and Pulmonary Rehab and is board-certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine. Medical Staff President Todd Bethel, MD, Medical Director of the Emergency Department, and a practicing emergency physician, said the award’s announcement is typically presented at the annual NCH Hospital Ball but was rescheduled to the NCH holiday party. Since both events had to be cancelled due to the ongoing threat from COVID-19, the decision was made to announce the winner at the next gathering, which was the online general medical staff meeting.
“Anyone on the medical staff can make a nomination,” explained Dr. Bethel. “The nominees are brought before the executive medical committee for a vote, and the top eight nominees are named finalists.” This year, there were nine nominees due to a tie. The nominees are then presented to the entire medical staff for a vote. The award is an internal recognition of the excellence of the position of physician, says Dr. Bethel, who has known Dr. Lindner for 15 years. “As the physician-lead for the COVID task force, he has been involved with at least three publications, and probably more, just relating to COVID-19,” he said. “His communication skills are evident by his regular speaking engagements to the community. He was involved with the recommendations and guidance to the school system and was an advocate with the County Commissioners regarding mask mandates.”
Actively caring for his patients, Dr. Lindner displays a personal touch, showing concern for their welfare outside the limits of the treatment provided in his specialty. He has actively called his patients to advise them on COVID vaccinations, Dr. Bethel said. NCH would like to congratulate Dr. Lindner on being named 2020 Physician of the Year and all the other nominees for being recognized. To locate an NCH physician, visit www.FindanNCHdoctor.org today.
The NCH Healthcare System’s 2020 Physician of the Year is graciously underwritten by Herb and Mary Ehlers.
NCH Healthcare System 2020 Physician of the Year Nominees: Mazen AbuAwad, MD Specialty: Neurointerventional Radiology Years on staff: 7 Tamara Camina, MD Specialty: Emergency Medicine Years on staff: 16 George Ferguson, MD Specialty: Internal Medicine Years on staff: 29 Michael Flynn, MD Specialty: Cardiovascular Disease Years on staff: 26 David Lindner, D.O. Specialty: Critical Care/Pulmonary Years on staff: 25 Bryan Murphey, MD Specialty: Family Medicine Years on staff: 5 Nicole Patterson, MD Specialty: Emergency Medicine Years on staff: 6 James Ray, MD Specialty: Orthopedic Surgery Years on staff: 3 Viktoria Totoraitis, MD Specialty: Neurology Years on staff: 5
Award criteria include: The physician demonstrates the highest standards of moral and ethical behavior. The physician is a medical expert and adheres to high standards of clinical care. The physician is committed to the active pursuit of medical research. The physician uses effective communications skills. The physician demonstrates empathy, care and concern for patients and staff. The physician demonstrates respect for colleagues and works cooperatively. The physician is involved in hospital committees and medical staff leadership. The physician is involved in activities that benefit the community. The physician demonstrates a genuine concern for humanity through charitable concerns that raise awareness or provide support for those in need.
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NCH HEALTHCARE SYSTEM | Helping everyone live a longer, happier, and healthier life.
MARCH 2021
Weight Loss for a Healthier You
Perhaps you have been told by a physician or healthcare provider: “You should lose some weight.”
Suppose you have tried numerous diet and exercise regimens only to “yo-yo” and regain the weight all over again. In that case, you may owe it to yourself to discover a non-invasive, highly effective weight loss procedure called the Orbera Intragastric Balloon procedure. The procedure is a comprehensive, non-invasive approach to weight loss that is easy on the patient and has proven highly effective in helping people lose weight and keep it off, said Dr. Mazen Albeldawi. Dr. Mazen Albeldawi is board-certified in Gastroenterology and Hepatology and serves as Section Head of Gastroenterology, as well as Medical Director of Endoscopy at NCH. “This procedure is the perfect solution for patients who are not eligible for or simply do not want to undergo gastric surgery, or perhaps they have failed to lose weight with diet and exercise,” said Dr. Albeldawi. The Orbera procedure, he said, “allows patients to lose weight successfully with minimal recovery and no scars. It’s not just about weight loss; it’s about your overall health and wellness. We’ve also seen vast improvements in patient’s blood pressure, lipids and sugar.” After losing weight with the Orbera procedure, patients have been able to markedly decrease, and in some cases, completely eliminate blood pressure, diabetes and cholesterol medications. At NCH, the Orbera experience is a fully integrated six-month program, complete with consultations from the Nutrition and Psychology departments to maximize success and ensure those who undergo the procedure will benefit from it. Dr. Albeldawi has guided hundreds of patients through the Orbera procedure.
Dr. Albeldawi is the only Orbera “super user” in Southwest Florida. While insurance does not cover the cost, “this is a forward investment in yourself” and can pay for itself in a couple of years – even apart from the health and lifestyle benefits of losing 40 to 50 pounds, which is typical for Orbera patients.
“Because it’s a comprehensive program, many patients continue to lose weight after the balloon is removed. That’s what sets us apart,” said Dr. Albeldawi.
For more information or a consultation on the Orbera procedure, call (239) 624-8070 .
The Orbera procedure:
• Promotes long-term, comprehensive weight loss
• Eliminates persistent feelings of hunger
• Is outpatient and a minimally invasive procedure
Colorectal Cancer is Preventable, With Early Testing As you get older, you may want to give a thought to preventing colorectal cancer. The second deadliest cancer in the United States, colorectal cancer, or CRC, is particularly insidious, as it has no visible signs or symptoms until it is well advanced in the body. March is Colorectal Cancer Awareness Month, but if you are age 50 or older, every month is a month when you should be aware of the danger. For African Americans, the age to begin screening is 45, said Kunal Suryawala, MD. Board-certified in gastroenterology and hepatology, Dr. Suryawala added that anyone with risk factors, such as a family history of colon cancer or intestinal polyps, should consider being screened even younger. Dr. Suryawala met his wife, Kinjal, in medical school, and she is also a gastroenterologist, specializing in pediatric cases, so you could say the work runs in the family. He is passionate about the need for everyone in a risk group to be checked in order to rule out the presence of colorectal cancer. The most comprehensive and thorough screening is done via a colonoscopy, but if people don’t want to do that procedure, they can still get screened, said Dr. Suryawala. “Any screening test is better than nothing. The best screening is the one that actually gets done,” he said, so for those who prefer it, the NCH Gastroenterology Department will order stool-based sampling. The caveat is that if any positive test results are found, the next step is to get the colonoscopy after all. But early detection is key. “The best time to find CRC is when it’s asymptomatic,” said Dr. Suryawala. “If you wait too long, you have poorer outcomes, and it may be too late. When you find polyps early, you have a much better chance.” Don’t think that when you test once, you are done. It’s important to retest, at minimum, every ten years, and sooner, in one, three, or five years if polyps or pre-cancerous tissues are found. “CRC is a preventable cancer, but preventing it requires testing and retesting,” said Dr. Suryawala. “The tissue is the issue.”
To schedule an appointment for your screening, please call (239) 624-8070 .
Colorectal Cancer – CRC:
• Has no visible symptoms until it is advanced
• Requires periodic retesting
• Is preventable or treatable with early detection
MARCH 2021
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NCH and the NCH Physician Group
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Dinesh Sharma, MD Hillary Tassin, MD
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Silvio C. Travalia, MD Shona Velamakanni, MD Tara Louka, PA-C Caroline Shaw, PA-C
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Cardiovascular Surgeons Stephen D’Orazio, MD
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Center for Breast Health Tran Ho, DO Sharla Gayle Patterson, MD
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Pulmonary, Critical Care & Sleep Medicine Brenda Juan, MD
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Pedro Martin, MD Bryan Murphey, MD Mark Speake, MD
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NCH HEALTHCARE SYSTEM | Helping everyone live a longer, happier, and healthier life. For an appointment with a physician, please call Access Healthline at (239) 624-7777 Consult with a healthcare provider 24/7 from anywhere in Florida for only $45, visit NCHmd.org/VirtualCare to start your treatment. MARCH 2021
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NCH Baker Hospital Downtown NCH Downtown Naples Hospital: 624-5000 Academic Internal Medicine Clinic: 624-0940 Business/Occupational Health: 624-4630 Community Blood Center: 624-4120 Dr. John N. Briggs Wellness Center: 624-2750 Emergency Department: 624-2700 NCH Heart Institute: 624-4200 NCH Imaging: 624-4443 Outpatient Cardiac Rehabilitation: 624-1680 Outpatient Infusion Services: 624-4370 Outpatient Oncology Navigator: 624-4988 Outpatient Rehabilitation Center: 624-1600 Palliative Care Clinic: 624-8490 vonArx Diabetes & Nutrition Health Center: 624-3450 NCH North Naples Hospital Campus NCH North Naples Hospital: 624-5000 Emergency Department: 624-9199 Center For Breast Health: 624-8120 NCH Imaging: 624-4443 NCHWound Healing Center: 624-0630 Outpatient Pulmonary Rehabilitation: 624-6800 Pediatric Emergency Department: 624-5000 e BirthPlace: 642-6110 e Brookdale Center: 624-5722 NCH Marco Island Campus Marco Urgent Care Center: 624-8540 Outpatient Cardiac Rehabilitation: 624-8590 Outpatient Pulmonary Rehabilitation: 624-8595 Outpatient Rehabilitation Center: 624-8580
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NCH Healthcare Bonita Emergency Department: 624-6900 NCH Imaging: 624-4443 NCH Healthcare Northeast Emergency Department: 624-8700 NCH Imaging: 624-4443 NCH Healthcare Southeast NCH Immediate Care: 624-8220 NCH Sleep Center: 624-8220 Outpatient Rehabilitation Center: 624-1900 NCH Imaging: 624-4443
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NCH Central Campus: 513-7144 White Elephant rift Store: 624-6690 Outpatient Rehabilitation Center: 624-6820 WhitakerWellness Center: 624-6870
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Outpatient Rehabilitation Center: 624-0970
NCHWound Healing Center: 642-0900 Bonita Community Health Center
NCH Immediate Care: 624-8220
NCH I magin g: 624-4443
NCHWound Healing Center: 642-0630 Outpatient Rehabilitation Center: 624-0380 NCHHeart Institute: 624-1000 Outpatient Cardiac Rehabilitation: 624-1080 NCH Immediate Care: 624-1050
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For information on any of the NCH Healthcare System services, please call Access Healthline at 624-7777 or visit us online at www.NCHmd.org
MARCH 2021 The NCH Health Matters is a bi-monthly publication of the NCH Healthcare System. Every effort is made to ensure information published is accurate and current. NCH cannot be held responsible for any consequences resulting from omissions or errors. NCH Healthcare System, 350 7th Street North, Naples, FL 34102, Telephone: (239) 624-5000, www.nchmd.org 7 NCH HEALTHCARE SYSTEM | Helping everyone live a longer, happier, and healthier life.
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