RESIDENT THE STURDY REPORT and CEO summer 2014 When you put your health in someone's hands, there's a sense of security you might get sitting in that doctor's office, seeing the diplomas and physician awards on the wall. The medical journals bookended by an MD-engraved desk plate. Other motifs symbolizing healing and wellness, like the exercise ball doubling as an office chair. Move these clinical undertones into the corner office at Sturdy Memorial Hospital, and that trust and reassurance has a much broader reach. Dr. Bruce Auerbach Dr. Bruce Auerbach, Sturdy’s new President and CEO, has an extensive background that’s both clinical and administrative, and has been rooted at the Hospital since 1987. Credibility At Sturdy, Dr. Auerbach’s previous role was Vice President and Medical Director and, before that, Vice President and Chief for Emergency and Ambulatory Services. An accomplished, board certified Emergency Medicine physician, he is also a past president of the Massachusetts Medical Society and the Massachusetts Chapter of ACEP (American College of Emergency Physicians). He received his undergraduate education and medical degree at Temple University in Philadelphia. “Dr. Auerbach’s wide variety of training gives him a unique, valuable medical perspective to the role of leading this Hospital,” says Timothy O’Neill, Chairman of the Board. “Clinical and leadership experiences exposed him to the workings of the Hospital and health care system at every level. His credibility comes from his profound insight and concern for what patients need as well as his strategic, bigger-picture vision for the entire organization.” continued on page 2... Sturdy Memorial Hospital | Amazing Medicine. Surprisingly Close. Dr. Auerbach candidly admits he misses treating and interacting one-on-one with patients. But he also loves the business side of things. “It was a difficult decision, but transitioning to this role was a natural progression in my career; one I’m very excited about. While I no longer directly help a handful of patients at a time, I’m indirectly helping thousands by continuing Sturdy’s tradition of putting in place strong, smart individuals and programs essential to our communities.” In this top post, what also stands him in good stead is his ability to juggle several responsibilities at once. “I’m not sure whether it was innate or developed during my emergency medicine training, but being able to multitask, to assess multiple situations and make decisions quickly in a fast-paced, ambiguous environment, prepared me well for this role,” says Dr. Auerbach. “Now I’m in a position where I can gauge changes within and outside the Hospital, and modify directions where the institution needs to go.” Outlook As President and CEO, Dr. Auerbach’s primary objective is to “ensure Sturdy continues to run as a topquality organization that provides services our patient base needs in an effective and fiscally responsible manner.” Safeguarding Sturdy’s future comes at a time when health care systems and providers across the State and nation face escalating challenges and deeper reimbursement cuts from the Federal government and private insurers. “But Sturdy is in a good position to deal with the turmoil facing health care delivery over the next few years,” says Dr. Auerbach. “We have a committed organization where everyone—our senior management team, medical staff, nurses, administrative staff, and others—collaborates, communicates, and removes any NEW Medical Believing that health care should remain a local phenomenon, it’s a priority of Dr. Auerbach’s to enhance our community partnerships with local YMCAs, emergency medical services, and the Community VNA, etc. as well as affiliations with subspecialty providers and tertiary care facilities, to continue to supplement what Sturdy offers. Having a robust assemblage of local services spanning the health care system—be it wellness or preventive care, hospital services, or long-term care— means residents don’t have to travel far for what they need. This teamwork mentality is something Dr. Auerbach finds invaluable at Sturdy. “It doesn’t exist everywhere, and it’s one of the reasons why I’ve stayed here so long. Collaborating to provide what’s best for our patients and communities is the foundation of Sturdy’s continued success.” Leading by example, Dr. Auerbach stands for an open leadership style and encourages, considers, and credits others’ input. Time and again he has proven himself an approachable and trustworthy leader, a genuine team player, and a sound decision-maker. Qualities that bode well for Sturdy’s future. Dr. Carlos Rueda In June, Dr. Carlos Alberto Rueda became Sturdy’s new Vice President, Medical Director & Chief Medical Officer. Board certified in Psychiatry and Neurology, Dr. Rueda joins us from the Greater Hudson Valley Healthcare System in Middletown, NY, where he was the Chairman and Medical Director, Department of Psychiatry. He received his medical degree from the Universidad el Bosque in Columbia and completed his residency and fellowship training at St.Vincent’s Hospital and Medical Center in New York City. Dr. Rueda also holds a Master of Business Administration from the Massachusetts Institute of Technology. In his role as Medical Director, Dr. Rueda provides management support to the medical staff; is a member of the senior management team; and is responsible for the supervision of the Medical Staff Office, Hospitalist Program, the Risk Management Department, several outpatient specialty services, and the Attleboro High SchoolBased Health Center. DIRECTOR 2 waste from the system that doesn’t improve care. All so we can continue to provide optimum-quality care as cost-effectively as possible.” Whereas some hospitals have been acquired by larger, for-profit entities to stay afloat, Sturdy has the fiscal discipline to maintain its independence as a locally controlled, not-for-profit organization. “Being locally controlled allows us to make decisions in the best interest of our own communities and workforce, versus letting someone far-removed, based out of perhaps Boston or New York, even California, call the shots,” says Dr. Auerbach. “I don’t see any scenario in which this would change.” Values AND OLONOSCOPY ...continued from page 1 cancer Prevention Colonoscopy involves a physician looking through the entire length of the rectum and colon with a scope to detect and remove polyps and other abnormalities. With that image in mind, it might be easy to postpone getting a colonoscopy. But colonoscopy is the gold standard test for colorectal cancer (cancer of the large intestine). According to the American Cancer Society (ACS), the lifetime risk of getting colorectal cancer is one in 20, and it is the third most common cancer excluding skin cancers. There is some good news, however: since more people have been getting colonoscopies, the incidence of colorectal cancer has plunged 30 percent in the last decade among those ages 50 years or older. Still, not enough people are getting screened. Screening Recommendations Approximately 25 percent of Massachusetts residents don’t get colonoscopies as frequently or early as they should, if at all. More people need to follow the ACS screening guidelines: men and women over 50 should get a colonoscopy every 10 years; the start time earlier and the frequency higher for people with a family history of cancer. According to Dr. Mark Robbin, board certified Gastroenterologist, “Most forms of colorectal cancer are slow-growing. By testing every 10 years, colorectal cancer can be detected and diagnosed in its early and most treatable stages.” By the time symptoms—changes in stool, rectal bleeding, abdominal pain, or unexplained weight loss—develop, the disease is often in a more advanced and life-threatening stage. Healthy lifestyle behaviors help prevent cancer. “But colorectal cancer has many unmodifiable risk factors, making regular screening necessary,” says Karen Messier, MSN, RN, AOCN, Oncology Program & Clinical Manager. The risk is higher among men, adults over 50, people with a family history of the disease, African Americans, and people with type 2 diabetes. What makes people most reluctant about colonoscopy is the purgative part; preparations involve taking laxatives to cleanse the colon and rectum. “All things considered, brief and slight unpleasantness every 10 years after age 50 is really the only drawback to colonoscopy, while its capacity for saving lives certainly outrivals that,” says Dr. Sonia Uchman, board certified Gastroenterologist. Colonoscopy at Sturdy In its commitment to providing area residents with the most sophisticated diagnostics and treatments available for colorectal cancer, Sturdy has a state-of-the-art Endoscopy Suite in which nearly 3,000 colonoscopies are performed each year. And recently, Attleboro Gastroenterology Associates (AGA), formerly Attleboro Gastroenterology, P.C., was added to Sturdy Memorial Associates. AGA, which provides evaluation of gastrointestinal function and treatment for disorders, is comprised of board certified Gastroenterologists Drs. Cohen, Robbin, and Uchman. The Practice is located at 150 Emory Street in Attleboro and can be reached by calling 508-222-2021. 3 2013 Members Chairman’s Circle ($25,000+) Covidien Ernest H. Augat Charitable Foundation President’s Circle ($10,000-$24,999) Demoulas Foundation Fred M. Roddy Foundation, Inc. Mr. and Mrs. Andrew Kelson Roddy-Holden Foundation Blackstone Orthopedics & Sports Medicine Milford E. Bliss* Mr. and Mrs. Charles H. Boehm The Boston Foundation Brewster Ambulance Service Bristol County Savings Bank Buck Global Investments Advisors Cammack LaRhette Consulting Joe and Buffy Casey Walter and Lynda Cekala Coca-Cola Enterprises Inc. Collins, Smith & O'Connor THE Sturdy SOCIETY Donald McGinty and Catherine White Medline Industries, Inc NewCorr Packaging The Norking Company, Inc. Northeast Electronics, Inc. Park Anesthesia, Inc. Dr. Bruce Phillips Purity Linen Services Radiation Therapy of Southeastern MA, LLC Rockland Federal Credit Union Samsonite Corporation Mr. and Mrs. Paul F. Cochrane Virginia M. Coppola Dean Foods Company William J. Florentino and Timothy Allard Holman Insurance Agency Mr. and Mrs. Greg Kayata Donna N. Kimmel Dan and Betty Larson Marcam Associates Carolyn and John Medgyesy Mercer Human Resource Consulting ( The Sturdy Society was created in 2013 to commemorate Sturdy Memorial Hospital during its 100th Anniversary and to recognize the generosity of its staff, community members, and its philanthropic partners. Following are members of The Sturdy Society from calendar year 2013. Donations and commitments made as of June 23, 2014 to the Amazing Medicine, Surprisingly Close Fund Amazing Medicine fund Surprisingly Close Sturdy Memorial Hospital, evermindful of the needs of its patients and area residents, continually works to enhance health care services that are vital to our communities. Introduced earlier this year, the Amazing Medicine, Surprisingly Close Fund is a source of unrestricted support for Sturdy’s mission of maintaining clinical excellence and outstanding service. Funds raised supplement our already successful way of delivering top-notch, costeffective health care, and are appropriated when and where they are of best use. Jonah Abrams and Sara Chung Carol Hamblet Adams Robin Allard Connie M. Andresen Marco and Ines Arismendi Charyn J. Armstrong Joan and Alan Ashley Bruce Auerbach, MD and Robin S. Richman, MD Michele A. Auerbach Janet Benson Judy K. Benson Janet and Fred Bianchini Dr. and Mrs. John F. Biernacki Leona Bizier Kathleen and Robert Blackledge Claudia Bliss Mr. and Mrs. Thomas K. Bliss, Jr. Karen A. Bodell Sandra and Erick Boehmler Russ Bogdan Dane Bonin Timothy and Barbara Bonin Cynthia A. Bonollo Robert M. and Carol Brandon Suzanne J. Delpape David and Mary Denneno Joseph DiCola, MD Eugene DiGiovanni, MD The Honorable John J. and Mrs. Susan G. Dolan Kim Donohue Tara Lyn Erwin Ana and John Faria Susan Ferrari Peter Fischer, MD Donna Fitzpatrick Margaret and Joseph Flocco William J. Florentino and Timothy Allard Deborah Flynn Felicia Fontaine Roger Forman Anthony Forntino Elizabeth Gaulin Emilio G. Gautieri, Jr. Marcy Gittle Maureen Gorman Steven and Rebecca Gousie STURDY MEMORIAL FOUNDATION report annual Innovator ($5,000-$9,999) Coverys Thomas H. and Eleanor M. Cuddy CVS Caremark Dr. Joseph DiCola EasCare Farrell Backlund Insurance Agency, LLC Curt and Mary Ellen Fauth Advocate ($2,500-$4,999) Fidelity Investments Kevin and Kim Cryan Roger Forman Janney Montgomery Scott LLC Franklin Templeton Institutional, LLC Pathology Associates of Sturdy HarborOne Bank Memorial Hospital Inc. Harvard Pilgrim Health Care Rich A. Smith, MD Income Research & Management, Inc. Johnny's Produce, Inc. Sustainer ($1,000-$2,499) Bob and Linda Kearney AA Medical Equipment Co. Brian Kelly, MD and Pamela Kelly A.I.M. Mutual Insurance Companies Laborers International Union of North Arden Engineering Constructors, LLC America Attleboro Medical Associates Larson Tool & Stamping Company Atwill & Conroy Dental Associates LeachGarner Bruce Auerbach, MD and Leaders For Today Robin S. Richman, MD Liberty Mutual Foundation Match Bank of America, N.A. Lord, Abbett & Co. LLC Barrow, Hanley, MeWhinney & David C. Manoogian, Esq. Strauss, LLC Mansfield Bank Marathon Company Anonymous Greenwood Emergency Vehicles New England Patriots Foundation Mr. and Mrs. Timothy J. O'Neill Mr. and Mrs. Ralph P. Schlenker 4 Schneider Electric Seix Investment Advisors Sensata Technologies Linda J. Shyavitz Starkweather & Shepley Insurance Brokers, Inc. Stericycle Sturdy Employee Giving Mr. and Mrs. Robert E. Thresher ThyssenKrupp Elevator T.R. Miller Company Tufts Health Plan Wasatch Advisors Mr. and Mrs. F. Thomas Westcott Willow Tree Poultry Farm Michael C. Wright Friend ($500-$999) The Allied Group Anonymous James M. Barry Boston's Best Coffee Roasters Bristow Electric Company, Inc. Mr. and Mrs. Armand J. Brunelle, III John and Mike at Carroll Advertising Delphia Moscartolo Northeast Data Destruction, LLC Donald A. Pierce, DDS Jay Poirier Mr. and Mrs. Michael J. Poissant Prime Laminating, Inc Mark Robbin, MD and Lois Robbin Rick Salmonsen W. B. Mason Co., Inc. * Deceased (Names appear as requested by The Sturdy Society Members) According to Bill Florentino, Director of Development, “The Amazing Medicine, Surprisingly Close Fund was created to give our community members an opportunity to donate to the Hospital, with confidence that their support is directly used to maintain exceptional patient care. Through the generosity of many individuals and a few charitable foundations, the Amazing Medicine, Surprising Close Fund has already received over $309,000 in support.” These funds further ensure Sturdy will continue to provide top-quality medical care. “We are grateful to all our supporters for joining the Sturdy family,” says Florentino. “Together we will continue to keep Sturdy a strong, locally controlled, independent community hospital that provides the quality and breadth of services and care that our patients deserve.” Kathleen Brastow Barbara Brigham Jennifer Bryant Elizabeth Cadle Karen Campbell Rita Canuel Ann Marie Carberry Carol A. Carignan Joe and Buffy Casey Kimberly and Angelo Cavalieri Mr. and Mrs. Walter J. Cekala Alice Chamberlain Patricia A. and Paul F. Cochrane David A. Cohen, MD Collins, Smith & O’Connor Donald and Patricia E. Conaway Jerry Coogan Virginia M. Coppola Kasey Costa Ronald Crutcher Tom and Ellie Cuddy Denise M. Cuneo Timothy and Lisa Daggett Richard and Jane Davis Marianne Dawson Lewis R. DeCesare Anayda DeJesus-Cruz, MD Ruth C. Gower Lawrence Greb, MD and Marcia Greb Kathleen Grieder Janice Grochmal Dianne Gustafson Kathi and Ray Hague Hazard Family Foundation Maureen and James Herget Rebecca M. Heroux-LeBeau Geoffrey and Nancy Holczer Edward and Kimberly Holt Mary Hourigan and Dr. Philip A. Hourigan Ed Hurley Susan Johnson Mr. and Mrs. Phillip R. Jones Colleen and Robert Jost Kenneth Kaplan, MD Linda Katibian Mardi and Jerry Katz Greg Kayata Barbara Kelley Brian Kelly, MD and Pamela Kelly Dennis and Michelle Kelly Donna Kimmel Frederick and Debra King continued on page 6... 5 Amazing Medicine, Surprisingly Close Fund Donors, Continued David Kirshner and Betsy Frauenthal William D. Kirsner Barbara A. Langan Betty and Daniel Larson Mr. and Mrs. William Larson George Lauro, MD and Sylvia Lauro, MD Jennifer F. LeBlanc Mark Lebovits, MD and Susan Lebovits John and Joan Lepper Jeanine and Michael Levinson Carol and John Levis Curt and Patricia Ley Lloyd G. Balfour Foundation Matthew J. Loew, MD David and Toby London Lucy G. Lukoff Dr. and Mrs. Kenkre G. Mahesh Nina Malekio Dianne Marshall Mariah Marshall Mimi and Hugh Mason Lorraine and Michael McCarthy Lisa and Rick McCluskie Albert and Katherine McCreery Cathy-Ann L. McGovern Sandra McGowan Paula J. Mercier Anne Messier Karen and Ernest Messier Kimberly Messier Andy and Maureen Metters Mr. and Mrs. Leo O. Michaud Barbara Miele Christina Mikal Lea T. Moitoso Eduarda Moniz Bruce Montgomery Lynn and Kenneth Moore Lisa and John Morais Robin Morris Eva Morrison Delphia Moscartolo Sharon Mullane, MD Karla Nardelli Mario Nazare Karin and Paul Nerney Suzanne and Paul Nordstrom Edmond and Nicole Nunes Mary Lee Nunes Ashley O’Brien Charles W. Oliver Timothy and Jeanne O’Neill Janice and Ronald Pacheco Alain Paré Elizabeth Paré 6 Jordyn Paré Cheryl Patrice Beverly A. Paulhus Debbie Pereira Diana Perretta Dawna J. Perry Raymond D. Petit, MD Venessa Petit Amy and Jim Pfeffer Dr. Bruce Phillips Dr. and Mrs. Rudolph W. Pierce Elizabeth and Kevin Poirier Alice Polley Lillian and Tony Pospisil Marita Prater Bruce A. Provencal Christopher Quinn, MD Mark Robbin, MD and Lois Robbin Sandra and Bill Roberts Susan Rogala Loretta M. Romero Susan Rounds Mary C. Roy Michael D. Sacco Andrew Samel, MD Paul W. Scanlon Elise and Christopher Servant Francis Shirley Linda J. Shyavitz Debbie Silva Mr. and Mrs. James J. Silva Jay and Cathy Silva Jonathan J. Smith Julia and Eric Smookler Sam Solomon David A. Spoor Thomas M. Sprague Staples Foundation Michele Sullivan Susan Therien Christina Thomas Jennifer Thomson, MD Mr. and Mrs. Robert E. Thresher Kathy Trier Deborah A.Valente-Gildea Barbara Vieira Gloria Vignone Jane Walsh Anne and Philip Weiner Jimmy Whelan Catherine White and Donald McGinty Betsy H. Whitfield Helaine Dietz Wolpert, MD Michael Wright Rachel Wulf-Silver, MD and Brian Silver, MD Mark Zullo, MD and Dorothy Zullo (Names appear as requested by Donors) The medicine cabinet. Intended to hold things that treat and heal, it’s becoming a receptacle for ways of getting high, getting in the zone, and getting into serious trouble. Prescription abuse and misuse as well as use of illegal drugs such as heroin are raising alarms across the country—according to the Centers for Disease Control and Prevention (CDC), overdose death rates have tripled since 1990. The CDC and the Massachusetts Department of Public Health (MDPH) consider abuse of drugs that sharpen thoughts or take the edge off, even cloud reality altogether, a public health epidemic. And we’re working to treat it at the local level. Off-Label Uses toDRUG ABUSE ANTIDOTES “When people abuse or misuse prescriptions,” says Dr. Matthew Plosker, board eligible Family Medicine physician, “they’re intentionally using these medications in ways other than prescribed.” This means taking medications prescribed for someone else, taking a larger dose than prescribed, taking medications in a different way than prescribed (crushing tablets and snorting or injecting them), or experimenting with them for recreational or mind-altering purposes. The drugs of choice involved in prescription abuse fall into three categories: • stimulants or “uppers” that treat issues like attention deficit disorder (e.g. Ritalin and Adderall) • sedatives/tranquilizers or “downers” that treat anxiety and sleep disorders (e.g. Valium, Xanax, and Ativan) • narcotics or opioids that relieve pain (e.g. Vicodin, OxyContin, Percocet, and Morphine) While these prescription medications effectively treat disorders or pain, some people are taking advantage of their off-label use. Stimulants like Adderall (nicknamed “Addy”) are popular among teenagers and college students because of their cognitive- and motivationenhancing properties, helping them focus, study, pull “all-nighters,” and enhance academic and athletic performance. Those same stimulant-abusers, among other people, can then become dependent on sedatives to relax and sleep. “As for opioids,” says Dr. Plosker, “these drugs work by blocking the transmission of pain messages to the brain. Because opioids also affect the brain regions that mediate pleasure, they have strong euphoric properties, creating a detachment from not only pain but also stress, desires, and activity.” Heroin, an illegal drug derived from Morphine, is an opioid with strong euphoric, analgesic (pain relief), and anxiolytic (antianxiety) effects and is also highly addictive. Accessibility Over the last few years, the accessibility of stimulants, sedatives, and opioids has surged. “Nationwide, physicians have increased their prescribing, particularly of opioids for chronic noncancer pain, focusing more on patients’ right to pain management and less on consequences or safer alternatives such as physical therapy or anti-inflammatories,” says Dr. Plosker. According to Dr. Brian Patel, Associate Chief of the Emergency Care Center (ECC) and board certified Emergency Medicine physician, “Patients could present to multiple physicians, specialists, and emergency departments with pain-related complaints like back or dental pain, or to refill controlled substance prescriptions with histories or explanations that can’t be confirmed such as ‘my medications were stolen’ or ‘I lost my pill bottles.’” Nicknamed “doctor shopping,” this method of obtaining controlled substances from multiple practitioners increases drug accessibility, as does “drug diversion,” wherein people accept, buy, or steal medications from friends or relatives who were prescribed the drugs. In many cases, unfortunately, the allure of the feelgood high outweighs the risk of addiction or death. Even stigma isn’t an effective deterrent. Prescriptions are legal, so misusing them can seem irreprehensible, and though heroin is illegal, its attraction is its potency and low cost. What we’re doing, then, is building more imposing obstacles. Surveillance and Treatment To help prevent drug abuse at Sturdy, “physicians and pharmacists utilize a state online resource called the Massachusetts Online Prescription Monitoring Program, which allows us to see what controlled substances patients have filled anywhere in Massachusetts,” says Dr. Patel. When patients ask for prescriptions from multiple providers, this raises red flags, leading the providers to reassess patients’ prescriptions and appropriate dosages. “And we limit the amount of controlled substances that patients are given in the ECC. If, for example, patients are given a prescription for pain management of a back injury, they receive enough to last a couple days until they can get to their primary care physician for further management of their condition.” “Our primary care physicians also follow best practices for monitoring chronic opioid compliance, including conducting random requests for pill counts and spot urine checks to test drug levels,” says Dr. Plosker. Absence or low levels of prescribed medications could indicate drug diversion, or raised levels could imply drug abuse. “And we urge our patients on controlled substances to sign contracts agreeing to only go through us—their primary care physicians—for these prescriptions.” Staff in the ECC can reference these contracts. As for immediate treatment of overdosing, “we provide supportive care in the ECC until the effects of the drugs wear off,” says Dr. Patel. Some of the symptoms that could result are respiratory distress, sudden cardiac arrest, unconsciousness, seizures, hallucinations, and death. “Overdose treatments include use of ventilators; antidotes like Narcan, which reverses the effects of opiates; medications to stop seizures; and sedatives to prevent agitated or aggressive patients from hurting themselves or others.” Bottom Line The effects of drug abuse range in severity and can worsen over time. Drug abuse can impair relationships, work, daily duties, and properly caring for children as well as long-term health, causing problems like liver damage and heart disease. The effects can segue into more acute and life-threatening ones, such as driving under the influence and overdosing. Helping patients overcome their addiction early on is critical. If you’re worried about your own or a friend’s or family member’s drug use, talk to your doctor or visit the MDPH website at www.mass.gov/dph for substance abuse resources and services. 7 NON-PROFIT ORG. U.S. POSTAGE PAID PROVIDENCE, RI PERMIT NO. 880 WHAT’S WHAT’S happening happening atSTURDY STURDY at End-of-Life End-of-Life Planning Planning Conversations about Conversations about end-of-life and long-term end-of-life treatmentand for long-term chronic treatment for never chronic illnesses are easy. But illnesses are never easy. But it’s better to make and communicate decisions it’s to so make communicate decisions in better advance, thatand treatment preferences can inbeadvance, so Sturdy that treatment preferences honored. is working to educatecan staff, bepatients, honored. is workingof tothe educate staff, of andSturdy the community importance patients, theand community the importance of palliativeand care end-of-lifeofplanning. For more palliative care visit and end-of-life planning. For more information, www.sturdymemorial.org. information, visit www.sturdymemorial.org. New Patient Patient Portal Portal New Sturdy recently upgraded its online patient ® SturdyThe recently upgraded itsisonline patient portal “comprehensible portal. PtAccess ® portal is “comprehensible portal. The PtAccess and engaging, as it breaks down patient and engaging, into as it pages breaksthat down information canpatient be navigated with information pages cansays be navigated with interactive into menus andthat tools,” Brian Churchill, interactive menus and Information tools,” says Brian Churchill, Director of Hospital Systems. It allows Director of Hospital Information Systems. It allows Sturdy patients to electronically and securely: Sturdy patients to electronically and securely: • reference, manage, and print medical records and information • • • • • • • reference, manage, and printwith medical records information share medical information clinicians andand other people they authorize share medical information with clinicians and people authorize receive reminders for appointments as well as other preventive andthey follow-up care receive appointments well as preventive andpersonalized follow-up care accessreminders discharge for instructions and as educational resources to access discharge individual needsinstructions and educational resources personalized to individual needs Quiet Initiative Initiative Quiet Another key initiative at Sturdy is to reduce noise Another key initiative at Sturdy is to reducecan noise throughout the Hospital so that patients rest throughout the Hospital so that patients can rest and recover in a calm, quiet atmosphere. Methods andtorecover a calm, quietstaff atmosphere. Methods reduceinnoise among and visitors include: to reduce“quiet” noise among and visitors include: displaying posters;staff limiting use of overhead displaying “quiet” posters; limiting use of overhead paging; providing patients with earplugs; piloting quiet paging; earplugs; piloting quiet hours;providing dimming patients lights onwith inpatient floors at night; and hours; dimmingstaff lightsthrough on inpatient floors and at night; and reminding newsletters meetings. reminding staff through newsletters and meetings. Look for us in the community this summer. Learn more at www.sturdymemorial.org/events_community.html. Look for us in the community this summer. Learn more at www.sturdymemorial.org/events_community.html..