Allaire Rehab & Nursing, a top-rated, luxurious healthcare facility in Central Jersey, is pleased to announce its new alliance with TeleHealth Solution – bringing the benefits of cutting-edge telemedicine to its patients and residents.
Renowned for its outstanding subacute care and unique Horizons Neuro Rehab Program catering to young adults with neurological impairment, Allaire takes pride on being at the cusp of all that’s new in healthcare: “Revolutionizing Care Delivery™”. By partnering with TeleHealth, Allaire residents are assured round-the-clock physician coverage especially during the critical evening and weekend hours.
In a typical skilled nursing or assisted living community, when a patient experiences respiratory distress, chest pain, a fever, or any other change in medical condition, the patient is sent to the emergency room and potentially admitted to the hospital. With telemedicine technology enabling virtual physician access, a facility can avoid unnecessary hospital transfers and “treat in place” in most scenarios – thus reducing medical costs, stress, hospital-associated delirium, and other potential complications.
Dr. Waseem Ghannam, CEO and Co-Founder of TeleHealth Solution started the company to help elderly patients avoid unnecessary stressors related to acute medical changes. “With this technology coupled with expert hospitalist physicians, we are able to examine patients in their nursing home setting, order additional labs and tests, and prescribe medications that can keep them out of the hospital. Patients can be treated in-house approximately 90% of the time,” states Dr. Ghannam.
TeleHealth Solution employs telemedicine technology that is equipped with a digital stethoscope, a high definition camera, a pulse oximeter, and the Hand Over Heart ECG Glove. “The ECG Glove is a very special tool in our arsenal which would amount to a trip to the hospital to perform but now can be deployed by a nurse instantly,” notes Dr. Ghannam.
“Always looking to upgrade our standard of care as medicine evolves, we are excited to work with TeleHealth. With 24/7 doctor access, Allaire patients and staff no longer have to worry about medical care when our in-house providers are not there. TeleHealth’s board-certified doctors are available on demand to answer questions, evaluate patients, and have family meetings if needed,” says Brie Gallo, Vice President of Operations at Allaire Health Services.
The implementation of telemedicine adds an additional level of physician oversight reassuring families that their loved one will be well-taken care of when an emergency arises in the middle of the night, minimizing the need for hospitalization and bolstering the center’s positive outcomes.
Allaire Rehab & Nursing is the only Special Care Nursing Facility (SCNF) in the state of New Jersey to offer long term care with therapy for individuals who suffer from neurological impairment, and has established itself among the “Best Nursing Homes In The Nation” as ranked by US News & World Report. For more information about Allaire Rehab & Nursing or to schedule a personal tour, please contact Brie Gallo at 732-431-7420 or visit www.allairehc.com. For further information about TeleHealth Solution visit www.telehealthsolution.com.
Carpal Tunnel Syndrome is one of the most common conditions treated by Sports Medicine and Orthopedic physicians. It affects more than 12 million people per year in the US and carpal tunnel release is the second most common surgery performed, with over 230,000 performed annually.
Carpal tunnel syndrome is caused by compression of the median nerve, as it passes through a narrow space in the wrist called the carpal tunnel. Compression of this nerve typically causes numbness, tingling and weakness in the hand, specifically the thumb, index, middle and inside part of the ring finger. If left untreated, this condition may worsen over time and can even cause burning pain, muscle atrophy or muscle wasting.
The most common cause of carpal tunnel syndrome is repetitive motion of the wrist, like when using the computer or doing repetitive movements at work. Underactive thyroid, obesity, rheumatoid arthritis, diabetes and pregnancy can also increase the risk for carpal tunnel syndrome.
If conservative treatments like bracing, ice, NSAID’s (ibuprofen, naproxen), physical therapy or injections fail to relieve the symptoms, the last step is surgical release of the carpal tunnel. Traditionally, carpal tunnel release was performed as an open surgery. A 2 inch incision is made in the palm and wrist and the transverse carpal ligament is exposed and cut. This open surgery often requires a long recovery period, has a high rate of scar tissue formation which can also prolong the recovery period, and as with any surgery, a risk for infection.
Endoscopic carpal tunnel release has a much smaller incision than open carpal tunnel, 1 or 2 incisions around a ½ inch each. A camera is then inserted to visualize the ligament, nerves and artery while the ligament is cut. This method has a faster recovery but also has a slightly higher risk of nerve injury.
Sonex SX-One Microknife is the latest evolution of carpal tunnel release. Developed in the Mayo Clinic, the Sonex procedure was created to provide patients with a safe and effective treatment, with a low risk for infection or scar formation. In the Sonex procedure, a very small incision is made – the incision is so small, a patient won’t even need a single stitch after the surgery. Sonex is performed with ultrasound guidance which allows the physician to visualize all the nerves and blood vessels, whereas with an endoscopic surgery, the physician can only see what is at the end of the camera. Since very little tissue is disturbed, and there is complete visualization, the likelihood of complications such as scar tissue, infection and nerve or vascular damage is extremely low. Because Sonex is minimally invasive, most people can return to their usual activities in a couple of days, unlike in an open surgery which can take weeks to months.
In order to perform the procedure, the physician must be very skilled at musculoskeletal ultrasound. Because of this there are only a couple dozen doctors performing this procedure in the entire country. Dr. Daniel Savarino at Apex Sports and Regenerative Medicine in Tinton Falls is one of these few, select doctors. Dr. Savarino is certified in musculoskeletal ultrasound, and has extensive knowledge in the field.
To recap, Sonex for carpal tunnel provides the smallest incision, the least likelihood of complications and the fastest recovery of any method of carpal tunnel release. To learn more about this cutting edge procedure, please visit Apex Sports and Regenerative Medicine’s website -www.ApexSportsNJ.com or call 732-385-APEX (2739) to see if Sonex is right for you.
Healthcare systems have increasingly begun to develop creative ways to improve performance and satisfaction for both patients and employees. As innovation becomes a mainstay in the healthcare industry, more organizations like Saint Peter’s Healthcare System and Hackensack Meridian Health are carving out leadership positions devoted exclusively to innovative processes and projects.
Engaging Patients and Staff for Better Outcomes
“I was initially hired as Director of Service Excellence at Saint Peter’s Healthcare System in 2001,” says Lisa Drumbore, “and I never looked back.” When Drumbore first started at St. Peter’s, customer satisfaction, or service excellence roles, were just beginning to emerge in healthcare. Drumbore wore many hats, with responsibilities from pastoral care to employee engagement.
In 2016, Drumbore was appointed as Vice President, Chief Experience Officer for St. Peters. “It made sense for a hospital so mission-focused to be ahead of the curve when it came to engaging patients and employees from a business perspective,” says Drumbore. “From a values perspective, we knew it was also the right thing to do.”
To improve performance, leadership must be willing to address fundamental issues within its culture and structure to transform the organization. Drumbore continues to be inspired by transformational principles from one of her favorite books, Ken Blanchard’s 2016 best-seller Lead Like Jesus, which illustrates the philosophy of servant leadership, a set of practices that enriches the lives of individuals, builds better organizations and ultimately creates a more just and caring world.
Traditional leadership generally involves the exercise of power by one at the “top of the pyramid.” By comparison, the servant-leader shares power, puts the needs of others first and helps people develop and perform as highly as possible.
“Success is the result of focusing on culture, communications and fostering lasting, trusted relationships,” concludes Drumbore. “The initiatives that have moved the scores are the ones that have focused first and foremost on culture and leadership.”
Helping Caregivers Do What They Love Most
Increasingly, hospitals are launching innovation centers of their own to work with researchers and design thinkers to tackle the biggest challenges in clinical quality, patient safety, health information technology, healthcare costs, billing and payment, and access to care.
“Innovation can sometimes throw people off,” says Elizabeth Paskas, MSN, RN, NE-BC and Vice President, Experience Innovation & Consumer Services at Hackensack Meridian Health. “But sometimes innovation can be simply a new way of doing things that gets us where we want to be.”
Paskas spent 16 years in Hackensack UMC and for the last ten years worked as a nurse leader on units with opportunities for improvement. Her frontline experience has prepared her with fundamental insights to help caregivers find better ways to do what they already love – taking care of patients and getting the outcomes that they need.
“Change is not always easy,” says Paskas, “but one of the main ways we get buy-in is through a program called the Experience Innovation Café. This is a place where Hackensack Meridian Health team members can come together and share their input and propose options on the strategies, tools, techniques and technologies we want to put into place. We’ve found that this co-design process creates a lot of buy-in on decision making and usually improves the process because we have feedback from so many perspectives, including patients.”
Creativity and imagination are crucial to treating patients and engaging staff, from surgeons to housekeepers. At Hackensack Meridian Health and Saint Peter’s Healthcare, the results of these innovative ideas are making a positive difference in healthcare for New Jerseyans every single day.
Hackensack Meridian Health
Saint Peter’s Healthcare System