Emergency Physician Selected as CEO of NJ Hospital

From BusinessWire (press release):

James Lawler, Chair of Bayonne Medical Center (BMC) Board of Directors, announced today that Daniel Kane will retire as President and CEO of the hospital effective January 31, 2012. Dr. Mark Spektor, DO, MBA, FACEP will succeed Kane as President and CEO effective February 1, 2012. The transition process will begin in the coming weeks in order to ensure a smooth and effective transfer of duties and responsibilities.

Kane will continue to serve the hospital by assuming the position of Chair of the Board of Directors and as a consultant. Lawler will remain on the hospital’s Board of Directors as well.

“My five years at Bayonne Medical Center have been among the most rewarding of my 45-year career in hospital management,” said Kane. “Although it is with mixed emotions that I depart my current position, I know the hospital is in Dr. Spektor’s very capable hands. His work to improve the Emergency Department and enhancements in institutional quality and clinical effectiveness exemplifies his strong leadership skills and commitment to BMC’s success.”

Lawler echoed Kane’s comments and stated, “Dr. Spektor has a proven track record at the hospital, and will build upon the accomplishments of the past four years to take the hospital to even higher levels of achievement.”

Dr. Spektor currently serves as the hospital’s Chief Medical Officer and Director of Emergency Medicine. Under his leadership, the quality and efficiency of the hospital’s Emergency Department has greatly improved. BMC patients wait less than 30 minutes on average to be seen by a doctor for emergency care and earlier this year, BMC became the first hospital in the tri-state area to publicly post its emergency room wait times.

Dr. Spektor will continue to regularly care for patients in the Emergency Department. Continuing to practice medicine will allow him to connect with staff and patients in a manner unique to physician CEOs.

“I am honored to serve as the hospital’s President and CEO and appreciate the support of the doctors and staff,” Dr. Spektor said. “I greatly admire Dan’s work and thank him for his many contributions to Bayonne Medical Center, and I look forward to working with him in his new role.”

He becomes the hospital’s CEO as it continues to grow and provide high quality patient care. BMC has implemented significant improvements across the hospital, including the completion of a new cardiac and vascular interventional unit, the only hospital-based PET/CT Scanner in Hudson County, the use of electronic medical records, a new cardiac cath lab, and a family health center. These improvements highlight the hospital’s impressive strides since it was saved from bankruptcy in 2008.

Dr. Spektor, who is Board Certified in Emergency Medicine, has a great deal of hospital management experience. Prior to joining BMC, he was the Medical Director of the Department of Emergency Medicine at Maimonides Medical Center in Brooklyn, NY and the Chief of Emergency Medical Medicine at the NYHHS – VA Medical Center in Brooklyn. In addition, he has held various teaching positions and served as the Associate Residency Director in the Department of Emergency Medicine at SUNY – Downstate and he is currently an Assistant Professor of Emergency Medicine at SUNY – Downstate in Brooklyn. Upon graduation from UMDNJ-SOM as a Doctor of Osteopathy, he conducted his residency and internship in Emergency Medicine at Albert Einstein Medical Center in Philadelphia, PA. He received his Masters of Business Administration from the University of Massachusetts – Amherst.

Lawler indicated that the hospital had over a year to plan for Kane’s retirement, and stated, “Bayonne Medical Center and the residents of Bayonne are most appreciative of Dan’s key role in guiding the hospital through the bankruptcy and sale process, and the improvements that have been accomplished since the change of ownership in 2008.”

Kane served as Chair of the New Jersey Hospital Association in 1999 and received its Distinguished Service Award in 2010. Kane was recently one of several individuals to receive the 2011 Humanitarian Award of the Simpson Baber Foundation.

Prevalence of Difficulty in Establishing IV Access

From the Journal of Emergency Medicine:

BACKGROUND: Intravenous access difficulty (IVAD) has long been recognized as a problem for emergency departments (ED), but epidemiologic data are lacking.

OBJECTIVE: To estimate the incidence of IVAD and its associated delays in an urban ED.

METHODS: We conducted this prospective cohort study in an urban ED at an academic medical center, enrolling adult patients who were likely to require an IV line. We recorded patients’ history of IVAD and the time from the initial skin puncture to IV line establishment, noting the need for a second provider and the type of provider who was successful. We defined IVAD as follows: none, requiring a single skin puncture; mild, requiring multiple skin punctures; moderate, requiring a second non-physician provider; and severe, requiring a physician. We used descriptive statistics and calculated the relative risk (and 95% confidence interval [CI]) for the association between prior IVAD and observed moderate or severe IVAD.

RESULTS: We enrolled 125 patients, 107 of whom had an IV line placed in the ED. Their median age was 48 (interquartile range 38-60) years. The incidence and median delays associated with IVAD categories were as follows: none, 61%/1 min; mild, 11%/5 min; moderate, 23%/15 min; and severe, 5%/120 min. Prior IVAD was associated with a 2.5-fold greater risk of observed IVAD (95% CI 1.3-4.7).

CONCLUSION: In an urban, tertiary care ED, mild and moderate IVAD was common and led to mild delays, but severe IVAD, requiring a physician, caused substantial delays.

Sioux City adjusts ER for senior care

From the Sioux City Journal:

Siouxland mirrors the trend that the state of Iowa is experiencing. The population continues to age with the number of residents 65 years of age and older is expected to be the fastest growing segment of our population for the foreseeable future.

As a response to that trend, Mercy Medical Center has announced a series of emergency room enhancements that address the special needs of seniors.

Paul Leavens, director of emergency services at Mercy, says the increasing number of senior visits to the ER caused Mercy to develop innovative ways to provide care to this part of the population.

“We have created an approach that builds on our commitment to providing quality care for seniors — a customized care experience that preserves the dignity of patients, supports their caregivers, and improves the overall health of our community, said Leavens. “When an older adult enters our ER, we want them to feel they are in a comfortable, safe and caring environment.”

Four people slain in an ambulance

From CNN:

Ciudad Juarez, Mexico (CNN) — Authorities in this violence-plagued border city Thursday were investigating a series of attacks the day before that left 14 people dead, including four people who were slain aboard an ambulance.

Among the attacks Wednesday, gunmen ambushed an ambulance that was transporting two dialysis patients to a hospital in Juarez, police said. The driver of the ambulance and another person traveling with the group also died in the attack.