You will need the Flash plugin to view this publication

Download the Flash plugin for free here. Just refresh this page after installing Flash.
Also make sure that javascript is enabled in your browser.

Alternatively, you can download this publication in PDF-format - Click here.

Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
AperiodicpublicationabouthealthierlivingREACHINGOUTFEATURESTORYALSOINTHISISSUECrozer-KeystoneHealthSystemawardednationalhonorforitscommitmenttogivingbacktothecommunity.ACROSSTHESPECTRUMEffectivelungcancercaredemandsavarietyofapproachesHEALTHYBEGINNINGArangeofcareforexpectingmothersandtheirnewbornsPEACEOFMINDCrozer-KeystoneHospicehelpsyouandthoseyoulove FosterMcGawsvaluesdovetailperectlywithCKHSmission.Sinceouroundingover20yearsagoCrozer-KeystonehasoperatedonthebeliethatallresidentsoDelawareCountymusthavetheopportunitytolivehealthierlivesphysicallymentallysociallyateverystageolienomatterwhattheirbackgroundorzipcodesaysJoanRichardspresidentandCEO.Communityinvolvementispartowhoweareandthatmakeswinningtheprizesomeaningultous.CKHSoersawiderangeoprogramsthroughsuchdepartmentsasWomensandChildrensHealthServicesCancerServicesCommunityHealthEducationSeniorHealthServicesandtheWellnessCenteramongothers.WhilesomeinitiativessuchastheKidsAsthmaManagementProgramhavebeeninplaceormorethanadecadeotherprogramsarenewersaysGwenSmithvicepresidentoCommunityHealthandpresidentoSpringfeldHospitalanditstakentimetogathertheresultsandoutcomestodemonstratetheirimpacttothePrizeCommittee.Crozer-KeystoneHealthSystemhasalwaysbeencommittedtogivingbacktothecommunityandnowaprestigiousnationalhonorthe2013FosterG.McGawPrizehasmadeitofcial.SponsoredbytheAmericanHospitalAssociationAHATheBaxterInternationalFoundationandtheHealthResearchEducationalTrusttheMcGawPrizewascreatedin1986torecognizehospitalsthathavedistinguishedthemselvesthrougheortstoimprovethehealthandwell-beingoeveryoneintheircommunities.REACHINGOUT2ANATIONALAWARDRECOGNIZESCROZER-KEYSTONESTRADITIONOFCOMMUNITYENGAGEMENTCrozer-KeystoneHealthSystemisdedicatedtopayingitforwardwithawiderangeofhealth-promotinginitiatives.FormoreinformationaboutCrozerKeystonescommunityoutreachprogramsvisithttp4ourcommunity.crozerkeystone.org. EectivelungcancercaredemandsavarietyoapproachesandCrozer-KeystoneHealthSystemhascommittedtotacklingthisdeadlydiseasewithabroadarrayoservicesrominitialdiagnosisthroughmedicalandevenpsychologicaltreatment.Lungcancercanbecomplicated.WeoerthemultidisciplinarycarethatpatientsrequiresaysStaceySuM.D.FoxChaseCancerCentersurgeonanddirectoroThoracicSurgicalOncologyatDelawareCountyMemorialHospital.AtDCMHourgroupconsistsopulmonologistsmedicaloncologistsradiationoncologistssurgeonsradio-logistsandpathologistsallowhommeeteveryFridaytodiscusspatientcasesandhelpcoordinatetheirtreatment.Asmokeror30yearsTinaBuchananwasfrstdiagnosedwithlungcancerateracaseoshinglescontractedromherhusbandandsubsequentarmpainbroughthertotheTaylorHospitalemergencyroom.ShethenwascaredoratDCMHbymedicaloncologistRajeshThisiswhyweexisttohelpthepeoplelivingaroundus.Wehavetokeeppeoplewellkeepthemoutofthehospitalkeepthemsafeandimprovetheirsituationandqualityoflifebecausethishelpsthembecomeproductivecitizens.EveninleanertimesJoanRichardsandtheentireexecutiveteamhaveremainedcommittedtotheseprogramstheyknowtheyreanimportantpartofwhyCKHSexists.Crozer-KeystoneMedicineWinter2014ThewrittenapplicationasksorganizationstodocumenthowtheymeettheMcGawPrizecriteriaorexcellenceinfveareasleadershipcommitmentpartnershipsbreadthanddepthoinitiativesandcommunityinvolvement.InSeptember2013Crozer-Keystonecommunityhealthadministratorspartnersandsomeclientspresentedanoverviewoprogramstothecommitteewhichincludedtopleadersinhealthpolicyplanningefciencyandaccess.TheMcGawPrizebringsnationalrecognitionanda100000awardtosupportCrozer-Keystonesongoingeorts.ItalsogivesCKHSthechancetoengagewithotherhealthsystemstryingtomakeadierenceintheircommunitiesandorgelastingpartnershipswithoutsideorganizations.OverthepastewmonthstheAHAhasflmedmanyCKHScommunityhealthprogramsinactionandwilleaturethemonitswebsiteandinAHApublicationssothattheymightbereplicatedelsewhere.InMay2014Crozer-KeystonewillbehonoredastheFosterG.McGawPrizewinnerattheAHAannualmeetinginWashingtonD.C.InthemeantimeitsbusinessasusualorCKHScommunityserviceinitiatives.Ialwaystellpeoplethisisnota9to5job.Beinginvolvedintheworldaroundyoumeansyouworkater-hoursSmithsays.ACROSSTHESPECTRUMLUNGCANCERCAREFROMEVERYANGLEcontinuedonnextpage3FormoreinformationaboutCrozerKeystonescommunityoutreachprogramsvisithttp4ourcommunity.crozerkeystone.org.ThirumaranM.D.andDr.Suwhoperormedsurgeryonherlungtoremovetheaectedtissue.Buchananoundthatwiththesetwospecialistslookingoutorhersheeltespeciallysecure.Theywereverygood.TheytooktheirtimewithmeandtookmycallswheneverIreachedouttothem.Nothingwastoomuchtoask.ThoughBuchanancreditsherlatehusbandandgoodluckorhelpingherdetecthercancermanypatientsfrstcometothehealthsystemsspecialiststhroughtheLungCancerScreeningProgramwhichwasstartedinNovember2012andisavailableatsixlocations.Withaphysiciansordereligiblepatientsarescreenedwithalow-doseCTscanorasmalleeo125.StaceySuM.D.GwenSmithVPCommunityHealthandpresidentofSpringeldHospital. herdoctoraterlearningaboutitthroughanoutreachprogramprovidedbyCrozer-Keystone.Theygavemegoodnewsbutthatwasaturningpoint.AterspeakingabouttobaccocessationwithDebbieSimondirectoroHealthlineServicesatDCMHIwasabletoquitcoldturkeyandhaventsmokedinoversixmonths.GamberwasparticularlyimpressedwithPatriciaHollenbeckthenursenavigatorwhohelpedherthroughtheprocess.DelawareCountyhasthethird-highestrateolungcancerincidenceinthestateoPennsylvaniamakingthisscreeningprograminvaluabletothecommunity.LungcanceristreatableinitsearlystageswhichiswhysomanymainstreamproessionalorganizationsareadvocatingorroutinelungscreeningsaysCrozer-KeystoneradiologistEricRubinM.D.Thisisamongthebestdetectionmethodswehaveandwevebroughtalotorelietothelargemajorityopatientswhenweareabletotellthemthattheresnothinginacttoworryabout.BethGamberisonesuchluckypatient.Asmokeror40yearsshesueredromchronicobstructivepulmonarydiseaseandwasreerredtothescreeningprogrambyACROSSTHESPECTRUMcontinuedfrompreviouspageForaphysicianreferralorformoreinformationaboutlungscreeningcall1-800-CK-HEALTH1-800-254-3258orvisithttplungscreening.crozerkeystone.org.4AseverycancerpatienthasuniqueneedsCrozer-Keystonephysicianstailorthetreatmenttosuittheindividual.SincehavinglungsurgeryatDCMHTinaBuchananhasbeencancer-free.BethGambersparticipationinthelungcancerscreeningprograminspiredhertoquitsmoking.ELIGIBILITYREQUIREMENTSFORLUNGSCREENINGAge55-80currentformersmokerswitha30pack-yearsmokinghistory.Thenumberofpackssmokeddailymultipliedbythenumberofyearssmoking.Formersmokersmusthavequitwithinthelast15years.ShewalkedmethroughitsoIknewwhattoexpectandIwasntaraid.Shewasterrifc.Indeedallscreeningparticipantsandlungcancerpatientsareassignedtoanursenavigatortohelpcoordinatethevariousthreadsotheirmultidisciplinarycareandmatchthemwiththeservicestheyneed.OurpartnershipwithFoxChaseCancerCenterallowsustobringthestate-o-the-artclinicaltrialsandtechnologiesoaNationalCancerInstitute-designatedcentertothecommunityhospitalsettingDr.Susays.Wecanoerthebestoeverythingclosetohome.AndCrozer-KeystonewillsoonaddmorenewtechnologiestotheprogramEBUSendobronchialultrasoundwhichhelpsphysiciansobtaintissuesampleswithoutconventionalsurgeryandsuperDimensionadevicethathelpspulmonologiststrackaspecifcpointinthearthestreachesothelungs.Theseminimallyinvasivetoolsallowphysicianstomorepreciselydiagnosesmallnodulesandperormbiopsiesonlymphnodesinthechest.AseverycancerpatienthasuniqueneedsCrozer-Keystonephysicianstailorthetreatmenttosuittheindividual.Dependingonapatientsneedsandeligibilitytheymaybetreatedwithsurgerytraditionalradiationandorchemotherapy.AdditionallyCrozer-KeystonehasoeredCyberKnieatargetedocusedormoradiationwithewersideeectsandashortertreatmenttimesince2006.WeareoneotheleadingcentersinthecountryorCyberKnielungtreatmentsaysJohnLamondM.D.radiationoncologistatCrozer-ChesterMedicalCenterandassociatemedicaldirectoroPhiladelphiaCyberKnie.Itsanexcellentchoiceorpatientswhodontwanttogothroughsurgeryorthosewhohaveemphysema.WithsomanyoptionsandavailableservicesCKHSpatientshaveeveryadvantageinthefghtagainstcancer.TodayTinaBuchananissmoke-andcancer-reebutsheollowsupeachyearwithacheckup.GodgavemeasecondchanceandIwontmessthatupshesays.Buchananisjustoneomany.WhenyoulookatthenumberopatientsaectedbylungcanceryouretalkingaboutthousandsopeopleDr.Rubinsays.Thoseareliveswecansave. Crozer-KeystoneMedicineWinter2014Aterninemonthsoanticipationchildbirthisanexhilaratingmomentwhenhopesanddreamsbecomecuddlyreality.Howeverthejourneycanbebumpyorsomewomenandbundlesojoycansometimescomewithcomplicationsoreveryoneinvolved.Crozer-KeystoneHealthSystemtakesawhole-amilyapproachtocareorhigh-riskpregnantmomsandbabiesborntooearlyorwithmedicalproblems.TheCrozer-KeystoneCenterorPerinatalMedicineatCrozer-ChesterMedicalCenterandDelawareCountyMemorialHospitalocusesonroutineobstetricalultrasoundsaswellasthemanagementocomplicatedpregnancies.WhatwedorangesromtellingpatientstheirduedatehowmanybabiesandwhetheritsaboyorgirltotargetedanatomicsurveysorthediagnosisandmanagementoetalanomaliestohelpingmothersmanageconditionssuchasdiabeteshypertensionkidneydiseaseandotherssaysHughEhrenbergM.D.medicaldirectorotheCenter.TypicallymotherscometotheCenterintwoways.Theymayalreadyhavehadcomplicationswithapreviouspregnancyoraamilyhistoryogeneticissuesortheyarereerredbyageneralobstetricianormidwie.InthatcaseweworkcloselywiththephysicianormidwietoprovideprenatalcareandtailorthepregnancyrecommendationsorthatmothersspecifcneedsDr.Ehrenbergsays.AdditionalservicesattheAIUMAmericanInstituteoUltrasoundinMedicine-accreditedCenterincludeamniocentesisbiophysicaltestingchorionicvillussamplingetalechocardiograminvasiveetaltherapynon-invasivegeneticscreeningandcounselinghigh-resolutionultrasound3Dand4Dandnon-stresstesting.TheCentersall-encompassingapproachensuresthatpatientswhodohavehigh-riskconcernswillbegivenspecializedattention.WhatwedoiskeepaneyeonallthedetailstosaeguardmomshealthandthesuccessothepregnancyDr.Ehrenbergsays.Despiteinterventionsandhealthymotherssomebabiesarebornneedingmedicalattention.Theymaybebornprematurelyassmallasonepoundorwithaninectionordifcultybreathing.AsChieoNeonatologyorCKHSCynthiaDemboskyM.D.takescareonewbornsatDCMHandCrozerwherephysiciansareon-site24hoursadaytoattendhigh-riskdeliveriesordeliveriesthathaveunoreseencomplications.Mostpeopledontrealizethatapproximately10percentobirthshavecomplicationsenoughthatthebabyneedstocometoaneonatalintensivecareunitNICUDr.Demboskysays.CrozerandDCMHsNICUshavethecapabilitytoprovideventilatorsupportIVnutritionandlong-termcare.Wherepossibleneonatalservicesstartwhenthebabyisstillinutero.TeamingwithourobstetricandperinatalcolleagueswebegintherelationshipwithmanyoouramiliesbeoreourpatientsarebornDr.Demboskysays.ButorothersthechallengingjourneythroughtheNICUisunexpected.Ineithercasethisrockytimecanlastorweekstomonths.Webelieveincludingamiliesinthecareotheirchildrentakingthetimetolistentotheirneedsandcommunicatingopenlyenablesustoprovidethebestpossibleoutcomes.Weconstantlystrivetoincreasethequalityocareweprovidethroughmultidisciplinaryteamimprovementprojectsandreviewoouroutcomesagainstnationalbenchmarks.Andthisisjustthebeginningorthetiniestpatients.OurpediatriccolleaguescontinueapartneringrelationshipwithouramiliesoryearsaterourpatientshavegraduatedromtheNICUtohomeDr.Demboskysays.Werelishthevisitswereceiveromamiliesoormerlyragilepatientsastheirpersonalitiesblossomandtheydevelopintothrivingchildren.HEALTHYBEGINNINGFormoreinformationabouttheCrozer-KeystoneCenterforPerinatalMedicinecall610447-6666Crozer-ChesterMedicalCenteror610284-8663DelawareCountyMemorialHospitalorvisithttp4ubaby.crozerkeystone.org.5Arangeofcareforbabiesandmotherswithspecialconcernsbeforebirthandafter.AnewborninthenurseryatDCMH. Outpatientservicescanpreventtheneedorsurgeryormedication.AmongCrozer-Keystonesspecialtyareasareorthopedicspelvicfoorhandandupperextremityconcussioncancerstrokelymphedemasportsinjuriesdevelopmentalpediatricsandbalancevestibularaswellaswellnessandater-careexerciseprograms.ServicesareavailableatCrozer-ChesterMedicalCenterDelawareCountyMemorialHospitalSpringeldHospitalandTaylorHospitalaswellassatellitelocations.TomGlynnhaschosenCrozer-Keystonenotoncebuttwiceorhisrehabilitationneeds.AseniordistributionmechanicwithPECOGlynnwasrsttreatedorrotatorcutearsandbonespursinhisshouldertwoyearsagoandmorerecentlyordegenerateddiscsinhisback.Inmy37yearsoworkIvehadalotowearCall1-877-CK-MOTION1-877-256-6846toscheduleanappointmentatoneofCrozer-Keystonesconvenientoutpatientphysicaltherapyandrehabilitationsites6appointmentsandweregreatintalkingtomysonasapatient.AsamomIeltcondentthathewasgettingthebesttreatment.Inmostcasespatientscanseethesametherapistateveryappointment.FlexiblehoursallowindividualswhoworkgotoschoolorhaveotherwisebusyschedulestomaketimeortheservicestheyneedintheearlymorningseveningsandinsomecasesSaturdays.Patientsoptingorfexiblehourstypicallyseedierenttherapistsateachvisitbutarelookedaterbyacare-providingteam.Bestoallorpatientsparkingisreeatallsites.NowthathersonhasbeendischargedromtheBalanceCenterScheferisextremelypleasedwiththeresults.Iwanttohelpgetthewordoutshesays.Crozer-Keystonesservicesareheretheyreclosebyandtheyreterric.njuryandillnesscanbeasetbackbutCrozer-KeystoneHealthSystemscomprehensiveoutpatientrehabilitationprogramscanhelppatientsreturntotheactivitiesodailylieandsometimesmakethemeasierintheprocess.ItbeginswithtrainingCrozer-Keystoneisaleaderinrehabil-itationthanksinlargeparttothehealthsystemshighlyeducatedsta.Medicineisalwaysevolvingandtoensurethatwestayup-to-datewithevidence-basedpracticesweencouragecontinuingeducationadvanceddegreesandcerticationsaysCarlaDeWaldadministrativedirectororCKHSOutpatientRehabilitationServices.Thatreallydistinguishesusrommanystandalonepractices.andtearonmybody.AterIhadsurgeryonmyshoulderIdidtherapyorthreemonths.ItwasveryindividualizedthetherapisthadmeusingaweightedcanelikeashovelIduseonthejob.Iwasbacktoworkwithinthree-and-a-halmonthsanditslikemyshoulderwasneverinjured.IdbeentootherrehabsovertheyearsbutwhenIhurtmybackIknewIwouldntgoanywhereelse.Crozer-Keystonewastheplace.KimScheferwasstruckbythequalityothetreatmentshereceivedorhersonsconcussionwhenhewashitwithakneetotheheadduringahighschoolsoccergame.AriendrecommendedtheCrozer-KeystoneCenterorDizzinessandBalance.Itwasjustwonderul.TheywereincrediblydetailedinhelpingusscheduleTomGlynnhasusedCrozer-KeystoneRehabilitationServicesforbackandshoulderinjuries.BrennanSchefersphysiciansattheCenterforDizzinessandBalancehelpedhimrecoverfromaconcussion.MAKINGANIMPACTREHABILITATIONSERVICESGETPATIENTSBACKONTRACK Sincethe1980sweveexpandedtheservicesthatweoerpatientsandtheiramiliessaysMichaelSoojianM.D.medicaldirectorotheCrozer-KeystoneHospiceResidencelocatedatTaylorHospitalinRidleyPark.Inthepastfveor10yearsaspalliativecarehasbecomeamoresignifcantpartomedicinewevebroadenedthespectrumowhowetendto.Itsnotjustorpeoplewithend-stagecancerbutpeoplewithheartdiseaselungdiseaseAlzheimersdementiaandneurologicalconditionswhenactivetherapyisnolongerworkingweocusonmanagingthesymptomsandmakingpeopleslivesmorecomortable.Crozer-Keystoneshospiceservicesareavailablebothin-unitattheResidenceandathome.ManypeoplethinkhospiceisaplacewheninactitsamodelocompassionatecaresaysJaneHanahanR.N.administrativedirectoroHomeHealthandHospiceorCKHS.Wereocusedontryingtoprovideameaningullieoraslongaspossiblewhereverthepatientis.Thegoalistoprovideservicesorpeopleathomebutinsomecasesthatisntpossible.PerhapsthepatientneedstoomuchcareorthechildrenworklonghoursorlivearawaysaysCKHSmedicaloncologistRobertRoushM.D.associatemedicaldirectorotheCrozer-KeystoneHospiceResidence.Inthesesituationsweoerouracilitywhicheelsmorelikeahomethanahospital.LeslieMarshallandherhusbandoptedorinpatienthospicecarewhenat92yearsoldMarshallsmother-in-lawhadseverevasculardamageandsurgerywasnolongeraviableoption.WeweresurprisedtolearnitwasanoptionorusMarshallsays.Wesawthespaceanditwasbeautiul.Youcouldsmellresh-bakedcookiesandthesocialworkersandnurseswerelovelysoweknewwewereintherightplace.Asthedayspassedsomeonewasalwayscomingintoseehowweweredoingtheylistenedtousandseemedtounderstandoursituation.The10-beddedicatedinpatientunitisdesignedwithpatientscomortandeaseinmind.Roomseatureapulloutbedorvisitorsaullbathclosetwindowandtelevisionwithakitchenontheunitorguestuse.Visitorsareallowedaroundtheclock.Twokindsoservicesareavailablerespitecareorthoseamilieswhoneedashort-termbreakromattendingtoalovedoneathomeandlonger-termhospicecare.PEACEofMINDFromamedicalstandpointourgoalistokeeppatientscomortableDr.Roushsays.Butwealsoplayatremendousroleinoeringnursingsocialservicesandreligiouscounsel.Pettherapybereavementcounselingmemorialservicesandollow-upcontactwiththepatientsamilyarealsooered.TheamilyistheocusocareandwetrulyworktogetherasateamDr.Soojianadds.TheinterdisciplinaryteamalsoattendstopatientsathomewithnursessocialworkersspiritualcounselorsandtherapistsWATCHINGSOMEONEWELOVEmovetowardtheendoflifeisoneofthemostdifcultexperiencesweendurebuthospicecarecanprovidecomfort.Crozer-KeystoneHealthSystemhasbeenprovidinghospiceservicestoDelawareCountyforover25years.FormoreinformationaboutCrozer-Keystoneshospiceservicescall610284-0700orvisitcrozerkeystone.orgclickonServicesthenHospice.7Crozer-KeystoneMedicineWinter2014makingregularvisits.IwegetareerralwewillbeoutwithinthehourtoassessthesituationanddowhatwecanrightawayHanahansays.Marshallsmother-in-lawpassedpeaceullyinthehospiceunitandMarshallbelievesitwastherightdecision.Weeltgrateulshecouldbethereinacleanriendlyenvironmentwhereshewascaredor.ThehospicecareshereceivedromCrozer-Keystonewastrulyagit.Wefeltgratefulshecouldbethereinacleanfriendlyenvironmentwhereshewascaredfor.ThehospicecareshereceivedfromCrozer-Keystonewastrulyagift.LeslieMarshall NON-PROFITU.S.POSTAGEPAIDUPPERDARBYPAPERMITNO.134052013PhysiciansinCrozer-KeystonesGastroenterologyAssociatespracticenowoerspecializedstudiestohelpdiagnosemenandwomenwhomightbesueringrommotilitydisorders.Motilityistheabilityothegastrointestinaltracttocoordinatemusclecontractionsthatarenecessaryornormaldigestionandabsorptionoood.Patientswhohavemotilitydisorderstypicallyhavedicultyswallowingandmayalsohaveacidrefuxandheartburn.ThegoodnewsisthatCrozer-KeystonesGIphysiciansareabletoquicklydiagnoseproblemsthroughoutpatienttestsoeredatTaylorHospitalinRidleyPark.EvenbetterOtentheseconditionscanbetreatedwithmedicationminimallyinvasiveproceduresandliestylechanges.Crozer-KeystoneHealthSystemisproudtoannouncetheacquisitionoPioneerUrgentCareat1572WestChester-WilmingtonPikeinWestChester.Thewalk-inclinicservespatientswithillnessessuchaspneumoniainectionsandallergicreactionsandinjuriessuchasracturesdislocationssprainsstrainsandmore.PioneerUrgentCareisopensevendaysaweekMondaythroughFridayrom9a.m.to9p.m.andSaturdayandSundayrom9a.m.to7p.m.BELLYRELIEFFormoreinformationaboutmotilitytestingortoscheduleanappointmentcall610619-7475.PIONEERURGENTCAREFormoreinformationcall610459-FAST610-459-3278orvisitwww.pioneerurgentcare.com.