Littauer featured in “State of Health” Posted on April 28, 2014 by Dakota PikeState Of HealthNew budget well-received by area officials, though some uncertainty remainsApril 13, 2014By BRIAN McELHINEY , The Leader HeraldMost years, when the New York state budget is announced, Nathan Littauer Hospital expects to lose funding. That didn’t happen this year.“This budget’s different in that there’s usually all this negative, and there isn’t,” Nathan Littauer Hospital CEO Laurence Kelly said.The state’s 2014-15 budget will reinvest $8 billion from a federal Medicaid waiver announced in February for projects to improve the health care system, according to a release from the state Senate. There also were no cuts in hospital reimbursement for Medicaid patients, Kelly said.Article PhotosSenior technologist Elishiba Frasier, left, performs a Dexa-Scan to test for bone density on patient Kaytie Compani at Nathan Littauer Hospital in Gloversville on Thursday. Photo by Bill Trojan/The Leader-Herald“That just means that we can do everything that we usually do and not have to scramble to try to be forced to reduce expenses when we didn’t want to,” Kelly said. “We’re looking to do that all the time anyway, to provide more services. … Most years we’re getting a 1 percent, 2 percent cut, 3 percent cut.”The budget also includes funding for a number of health care programs, including $4.1 million to the Elderly Pharmaceutical Insurance Coverage program and other senior services; a $1.2 billion capital investment over seven years for restructuring health care facilities; and $163 million for early intervention programs, according to the Senate release. According to the release, along with funding for other health initiatives, including cancer services programs and the Nutritional Information for Women, Infants and Children program, the budget also includes the Safe Patient Handling Act, which requires hospitals to establish a program to prevent injuries to staff and patients during patient transport.However, at the moment it’s still too early to tell how most of these investments will affect local services, according to local officials.Fact BoxBudget numbersSome highlights from the New York state budget pertaining to health care and senior services:$8 billion in funds from the federal Medicaid waiver for transformative projects to improve the health care system.$1.2 billion capital investment over seven years for the restructuring of health care facilities.$95 million to create a statewide electronic medical record system.$4.1 million in increased funding to the New York’s Elderly Pharmaceutical Insurance Coverage program. Additionally, eligibility has been expanded, from $35,000 to $75,000 for singles, and from $50,000 to $100,000 for married seniors.$5 million for the Community Services for the Elderly Program.$25.3 million for cancer services programs.$26.3 million for Nutritional Information for Women, Infants and Children.$2.3 million for the Prenatal Care program.$4.5 million for maternal and child health.$550,000 for women’s health services.$533,300 for the Adelphi Breast Cancer Support program.$1.8 million for the Prenatal and Postpartum Home Visitation program.$34,700 for the Safe Motherhood Initiative.$10.6 million for adolescent pregnancy prevention.$1.8 million in increased funding for Rape Crisis Centers.$5 million in additional funding for the Spinal Cord Injury Research Board.$2.5 million in additional funding for the Doctors Across New York program.$2.45 million for addiction services, prevention and treatment.$500,000 for Lyme and tick-borne disease initiatives.$163 million for early intervention programs.Kelly said the state will need to come up with criteria for distributing the $1.2 billion for health care facilities as grants.“We don’t really know what they’re looking for yet,” he said. “Restructuring, on a global term, that kind of means what’s been happening for a long time now. There’s less of a need for people to be admitted to a hospital, and in place of that we take care of them as an outpatient, or they just come for a treatment, they come for a test or they come for therapy, or you go to their home versus them coming to a hospital.”Littauer already has a head start on the Safe Patient Handling Act. The hospital formed a safe patient handling committee about three years ago, and has invested “thousands and thousands of dollars” on lift systems to move overweight and obese patients, Kelly said. Some rooms in the hospital are equipped with stationary lifts, while other lifts are portable.“We all know that there are more people that weigh more than they did in the past,” Kelly said. “It’s so much more of a risk for our staff when you’re trying to move somebody who’s 400, 500 pounds, so we have to have this stuff to do it safely.”Representatives from New York Oncology-Hematology, which has an office in Amsterdam, were not sure how much of the $25.3 million set aside for cancer services in the budget would be coming directly to them.“We are pleased that this year’s state budget includes funding for cancer services,” Edwin T. Graham, Northeast regional senior vice president of the U.S. Oncology Network, said in an emailed statement. “It signals New York’s continued commitment to expanding access to vital screenings for early detection as well as continued cancer research.”“Typically the state will use some of that money to expand access for people not eligible [for cancer care],” said Sarah Bilofsky, NYOH’s marketing director. “Obviously, any money set aside for research benefits everybody as well.”According to Bilofsky, in late January NYOH announced a $3 million investment of its own money for the Amsterdam office to upgrade its radiation line.The budget also includes $26.3 million for the WIC program. However, Fulton County WIC Director Stella Zanella did not have information about the funding and would not comment.“I really haven’t heard anything about that,” she said.Dave Jordan, executive director of the Montgomery County Office for Aging, said he was pleased with the funding allocated to EPIC and other senior services, in particular the $5 million alloted for the Community Services for the Elderly program.“That’s a catch-all state program,” Jordan said. “That’s used for things like outreach.”He estimated that his office would receive anywhere from $10,000 to $20,000.“I think often senior issues don’t get on the front page, so they don’t get enough coverage, especially the EPIC program, where people don’t realize how much of someone’s income goes [to medication],” Jordan said.The Office for Aging in Fulton County did not return phone calls seeking comment on the EPIC and senior services funding. St. Mary’s Healthcare also did not return phone calls seeking comment.
Accessing your medical records in an emergency Posted on April 7, 2014April 7, 2014 by Dakota PikeKen was out hiking with his daughter in Gloversville, when he fell and injured his head. While he normally receives care in Albany and Troy, his complete medical history was available to healthcare professionals when he was rushed to Nathan Littauer in Gloversville.Nathan Littauer Hospital participates in HIXNY, the Health Information Exchange system of NY. It is a great way to make sure your medical history follows you as your travel.https://www.youtube.com/watch?v=qrqIQAeRuDE&feature=youtu.be
Nathan Littauer in the news: Plan ahead to reduce stress Posted on April 7, 2014April 7, 2014 by Dakota PikePublished in the Daily Gazette April 5, 2014Q & A: Plan ahead to reduce stress, health educator says Community health educator Wendy Chirieleison says one way to reduce stress is to stay away from computer screens. (Courtesy Healthlink Littauer)Relax — that’s one word of advice that community health educator Wendy Chirieleison can offer to reduce stress.Chirieleison will offer other advice to free people from personal pressure cookers on Tuesday, April 15, as she presents “50 Ways to Reduce Stress.” Two one-hour lectures, sponsored by HealthLink Littauer — Nathan Littauer’s Hospital’s wellness education and resource center — will be held at the Fulton County YWCA at 11:30 a.m. and 6:30 p.m. The YWCA is at 213 Harrison St. Extension, Johnstown.People interested in attending either of the lectures are asked to call HealthLink at 736-1120.Q: Can you tell that people in our community are under assorted stresses these days?A: I think you can see people are looking tired, looking a little bit frantic when they’re working and carrying out daily activities. People can be a little short-tempered at times . . . I think it’s a combination of family, not having enough time, high demands at work, not getting enough sleep, not getting enough exercise, not eating well, not getting the fruits and vegetables and water that we need to maintain a healthy balance.Q: How can people dampen their daily stresses?A: Here are some of the ways to help minimize or prevent stress — one would be improving time management, making a schedule and sticking to it. Getting ready ahead of time, prepping things ahead of time and leaving yourself enough time to arrive early. So leave a little earlier for appointments. When you don’t plan for enough time, people start rushing — especially in the car, when you may not have planned to be behind a slow-moving vehicle. Your blood pressure goes up, you need to get to your appointment on time and you didn’t factor in this travel time.Q: How can people reduce their stress in their workplaces?A: Technology has placed an expectation on workers they will be available 24-7. If you’re working on a project, and your team has a question, they may feel they can text you or email you with questions when you’re home trying to have a relaxing evening with your family. Turn off, unplug your devices so you can connect with your family and have a clear division of work time and personal time.Q: How about some other ways to minimize stress at the office?A: Being organized is one great way to minimize stress at work. That means everything from organizing your work space to your schedule and really giving yourself either 30 minutes or 60 minutes to de-stress from what you were doing at work, have a healthy lunch, get in some exercise. I think people would really feel better if they did that. They would feel a lot more energized.Q: How can people on the job beat stress when so many of us have extra duties these days?A: It’s OK to say no. If you are being asked by the PTA to run an event but your plate is full, know that it’s OK to respectfully decline helping out . . . you can ask your supervisor to put that project on hold until you can have finished some of the other things you’re working on. It would give you some time to finish working before starting something new.I think supervisors also have to be mindful of realistic expectations, take into consideration how much time employees are spending working on projects and be a little bit more flexible with the demands they’re placing on their workers and their staffs.Q: How does healthy eating figure into stress?A: Unhealthy eating connects to stress because our bodies need nutrients in order to help us cope with the stress that we experience all day. So healthy eating would make sure you’ve gotten the proper servings of proteins, whole grains, fruits and vegetables and avoid things that add to stress such as caffeine, excess sugar and alcohol.Q: How does exercise help chase stress?A: Exercise creates endorphins that make us feel happy, so that kind of balances our stress as well. If people were getting 30 minutes of activity every day, even if they divided that 30 minutes into two 15-minute increments or three 10-minute increments, they’d feel more energized and much less stressed.Q: How much sleep do we need to relieve stress?A: You need at least seven to eight hours of sleep every night. That really helps maintain balance. If people have trouble sleeping at night, they might try putting their devices away early because the light from the screens really triggers the brain and doesn’t allow the brain to relax. You might think reading a tablet a half hour before you go to bed is helpful, but really, it isn’t. TV is another thing you would want to avoid in bed.Q: How does positive thinking figure into the de-stress equation?A: Sometimes we tend to be more negative in thinking about ourselves and what we have done. Replace those thoughts with something more positive. So if you made a mistake or, for example, you’re on a diet and you eat something you shouldn’t have eaten and didn’t want to eat. Tell yourself “Tomorrow starts another day . . . I’m not going to beat me up over this one mistake.” Recognize all the good efforts you have made.Reach Gazette reporter Jeff Wilkin at 395-3124 or at wilkin@dailygazette.com.
Hospital has his back Posted on March 27, 2014 by Dakota PikeFirst printed in the Albany Times Union October 19, 2013Dr. Jian Shen has a vision.He has chosen Fulton and Montgomery counties to make it a reality.“Even though it’s a small area, I feel I can really do something big,” Shen said.Although the 42-year-old former molecular biologist has been a surgeon for less than three years, he is building a reputation for cutting-edge minimally invasive operations at Nathan Littauer Hospital in Gloversville and St. Mary’s Hospital in Amsterdam. He has performed several surgical “firsts” in the region, including the first robotic-assisted spine surgery, at Nathan Littauer, this summer.And that’s the beginning. Shen’s goal is to create a “minimally invasive spine surgery destination” here, he said. He envisions patients from around the nation traveling to the region for the highest level of surgical care.Sound far-fetched? Maybe. Medical “destinations” are typically large, long-established institutions with national reputations, like Minnesota’s Mayo Clinic, said Alwyn Cassil of the Washington, D.C.-based Center for Studying Health System Change.But it’s also tough to discount Shen. In two and a half years, he has brought patients in from New York City, Florida, Texas and Tennessee. He is among fewer than 100 surgeons in the nation, he said, who do endoscopic surgery of the spine — correcting problems with tiny incisions and a camera that projects the body’s interior onto a screen.After 1,300 minimally invasive spine surgeries, Shen said his patients have had no resulting serious complications, such as infections or spinal cord injuries.“We did not make anybody worse,” Shen said. “We made lots of people better. We made lots of people pain-free.”About 15 percent of people who come to Shen’s practice, Mohawk Valley Orthopedics, for back pain end up having surgery, Shen said. One of his best-known local patients is Alan Chartock, president and CEO of WAMC Northeast Public Radio.After a year of incessant, debilitating back pain, Chartock traveled to the Hospital for Special Surgery in Manhattan, but left unconvinced about having a procedure there. He’d had Shen as a guest on WAMC’s call-in program, Vox Pop. Chartock says he liked the doctor because he spoke to him as an equal. Shen had also performed a successful surgery on Chartock’s friend. So Chartock decided to have his back surgery performed at Nathan Littauer.Given a couple of surgical options, Chartock chose the less aggressive one, Shen said. It didn’t help him; soon afterward, Chartock was in pain again. So he returned for a second, more intensive operation.“When I left, I had no pain, and I have had no pain since that time,” Chartock said. “I’m very grateful to Dr. Shen.”But he recalled friends’ responses when he said he would have spine surgery in Gloversville.“Each of them had said, ‘What, are you crazy?”’ Chartock said.So why did Shen, who lives in Loudonville, choose to work in Fulton and Montgomery counties? His decision was fueled in part by interest in treating patients in an underserved community — and in part as a strategic career move.“At a major medical center, I would be nobody,” Shen said. “I would say, ‘Get me a robot.’ It would take longer to approve. Here, I get it in a week.”Nathan Littauer and St. Mary’s hospitals have each invested about $1.75 million in robotic equipment, microscopes and other technology to support Shen’s surgeries, the institutions’ CEOs said.Nathan Littauer administrators believed the investment was necessary to attract a highly trained specialist to the area, where there was tremendous need for a back surgeon, said hospital President and CEO Laurence E. Kelly. Shen has had patients waiting to see him every week since he arrived.“We took a big risk, and it’s worked out fine,” Kelly said.Now the question is whether more spine surgeons can be lured to the region to work with the surgeon.“I’m looking for partners right now,” Shen said, “because it’s getting so busy, I cannot handle it myself.”chughes@timesunion.com • 518-454-5417 • @hughesclaireVitalsDr. Jian Shen , 42Born near BeijingLives in LoudonvilleMarried to Wencui Shen, father of 7-year-old IvyannMedical degree from Weill Cornell University Medical CollegeSpine surgery fellowship: University of California at San FranciscoMoved to the Capital Region in 2011 ProfileDr. Jian Shen, 42Born near BeijingLives in LoudonvilleMarried to Wencui Shen, father of 7-year-old IvyannMedical degree from Weill Cornell University Medical CollegeSpine surgery fellowship: University of California at San Francisco
Reflections of 2012 Posted on March 20, 2014 by Dakota PikeAs we get ready to release 2013’s summary, watch what we accomplished in 2012.