Advancing Plastic and Reconstructive Surgical Care

Benefactors Jay Lieberman, center, and Penny Lieberman, with from left: Michael L. Marin, MD, The Jacobson Professor of Surgery and Chair, Department of Surgery, along with Plastic and Reconstructive Surgery surgeons Lester Silver, MD; Marco A. Harmaty, MD; Philip J. Torina, MD; Peter Taub, MD; Mark R. Sultan, MD; and Alice S. Yao, MD.

The Derfner-Lieberman Family Center for Plastic and Reconstructive Surgery was officially unveiled Tuesday, July 30, at a ribbon-cutting held at the May Center for Mount Sinai Doctors. The facility was made possible through a $6 million gift from Jay Lieberman, trustee of the Derfner Foundation and member of the Department of Surgery Advisory Board.

Featuring first-of-its-kind technology, each of the nine modern private patient exam rooms is equipped with a 55-inch touchscreen Microsoft HUB computer, allowing for a more comprehensive and interactive review of presurgical planning; better visualization of anticipated surgical results following reconstructive surgery for a cancer diagnosis, an accident, or gender-affirming procedures; and a more enhanced consultation experience for the patient and the surgeon.

Mount Sinai Queens Celebrates Anniversary and Staff

Norma Calame, Director, Human Resources, center, and Carol Moutaftsis, Administrative Manager, Human Resources, far right, celebrated with honorees that included, from left: Nelson Barayuga, MT, Assistant Director, Laboratory (Team of the Year); Daniella Stephen, MPH, MSN, RN, CPHQ, Clinical Program Manager, Nursing Quality (Service Excellence); Hakima Aouchiche, MD, Critical Care Medicine (Physician of the Year); Roseller Tagupa, MT, Director, Laboratory (Team of the Year); and Anthony Auditore, MNST, RN, NE-BC, Nurse Manager, Hemodialysis and 3 East (Manager of the Year).

Mount Sinai Queens recently marked 20 years of delivering high-quality health care to Queens residents, hosting jubilant hospital-wide celebrations that spotlighted its transformation from a small community hospital into a world-class institution since it joined The Mount Sinai Hospital in 1999. As part of the festivities, Mount Sinai leadership honored outstanding hospital staff and FDNY-EMS partners for providing skilled and compassionate patient care and service, every day.

Today, its six-story, 140,000-square-foot, $180 million Pavilion is home to Mount Sinai Doctors, new operating rooms and an interventional radiology suite, the Stavros Niarchos Foundation Emergency Department, and more, serving as a beacon of health care excellence in the borough.

Mount Sinai Queens Executive Director Caryn A. Schwab with Employee of the Year Rashid Larry, RT, Lead CT Technician, Radiology.

Most recently, Mount Sinai Queens opened a first-of-its-kind Cerebrovascular Stroke Center—introducing technology never before used in the United States—to provide the fastest and most efficient treatment for people experiencing the most devastating forms of stroke.

“Everyone on our staff, from doctors and nurses to technicians and housekeepers, are key to our accomplishments and future success,” said Caryn A. Schwab, Executive Director of Mount Sinai Queens. “We recognize and celebrate their contributions because they are extraordinary, and we are fortunate to have a great group of people working toward our shared mission.”

Advice for Internships, and Career Pathways

A panel of leaders in the Mount Sinai Health System, from left: Heather Isola, Director of Physician Assistant Services, Mount Sinai Health System; Jocelyn Fuller, Vice President, Administration/Support and Ancillary Services, Mount Sinai West; Carlos Maceda, Vice President, Supply Chain, Mount Sinai Health System; Jorge Rodriguez, Senior Vice President, Ambulatory Care, The Mount Sinai Hospital; and Michelle Sainte, Associate Dean for Academic Administration, Icahn School of Medicine at Mount Sinai.

The Mount Sinai Health System hosted a “Health Care Leadership and Career Pathways” panel discussion for more than 40 summer interns in high school, undergraduate, and graduate student administrative programs at Mount Sinai. The panel, held on Friday, August 2, at the Corporate Services Center, featured five senior leaders from departments across the organization, who provided insight into their career journeys and offered advice that they said would be useful during the internships and beyond:

  • Make your time impactful, and try to stand out.
  • Meet with your preceptors, or direct supervisors, and senior leaders in your department.
  • Don’t worry if you are not sure where your career will take you in the beginning.
  • Look for possible mentors or sponsors, they will help make a difference in your career.

 

Specialty Pharmacy Adds Access to Complex Therapies

Donald Mashni, PharmD, right, with David L. Reich, MD, center, and José Almonte, Director, Specialty Pharmacy Call Center.

A new option is now available for Mount Sinai Health System patients and employees who have rare or chronic disorders that require complex medications such as immunotherapy or chemotherapy—the Mount Sinai Specialty Pharmacy. The facility, which opened in June at The Mount Sinai Hospital, helps patients seek insurance approval and financial assistance, and relieves the administrative burden of physicians, with the ultimate goal of improving patient outcomes.

“The Mount Sinai Specialty Pharmacy will offer patient-focused, convenient, and affordable services for all our patients,” says Donald Mashni, PharmD, Director, Specialty and Outpatient Pharmacy, Mount Sinai Health System. Specialty pharmacies dispense complex medications that require special storage and handling and ongoing clinical support and monitoring by specially trained pharmacists.

When patients and doctors present specialty prescriptions to the Mount Sinai Specialty Pharmacy, the pharmacy staff can assume the important tasks of securing insurance approval, financial assistance, and clinical counseling. Pharmacy staff also coordinate delivery to the patient’s home or to the physician’s office. “Our facility will tie everything together,” Mr. Mashni says. “The goal is to keep all patient care inhouse, from diagnosis through post-treatment follow-up. This approach provides thorough and immediate communication among pharmacists and specialists. It also improves the efficiency and accuracy of the medications.”

For example, one commonly prescribed specialty drug is adalimumab, or Humira, an advanced biologic medication for severe Crohn’s disease and rheumatoid arthritis. Patients inject a pre-filled syringe every other week. The drug must be refrigerated, and each syringe must be used in full and injected in the thigh or stomach, in a different spot each time. The patient should not skip a dose or stop taking the medication without consulting a physician or pharmacist. “Adherence to the treatment schedule is critically important,” Mr. Mashni says. “It maximizes the benefit patients get from the medication and improves outcomes.”

Specialty medications once were a niche market. But advances in drug research mean they are available for many more conditions. The U.S. Food and Drug Administration approved 39 new specialty medications in 2018, according to Specialty Pharmacy Times, and because they can be so costly, specialty drugs are expected to account for almost 50 percent of drug spending by 2020, although they represent only about 2 percent of the total prescriptions filled.

The Mount Sinai Specialty Pharmacy is launching services in therapeutic categories that include HIV, hepatitis C, inflammatory bowel disease, rheumatology, dermatology, and oncology. It shares space with the Mount Sinai employee pharmacy in the Annenberg Building and functions like a traditional specialty pharmacy but with the advantage of full integration with Mount Sinai’s hospitals and physicians. The Health System also operates two other specialty pharmacies, which are part of the Institute for Advanced Medicine and specialize in treating patients with HIV. They are the West Village Pharmacy, at the Center for Transgender Medicine and Surgery, and the St. Luke’s-Roosevelt Outpatient Pharmacy in the Samuels Clinic at Mount Sinai West.

A new Call Center, adjacent to the Mount Sinai Specialty Pharmacy at The Mount Sinai Hospital, is centralizing all of the Health System’s specialty pharmacy services and fulfillment, with Call Center staff coordinating prior authorization, financial assistance, and delivery of medications. These services are essential as the Mount Sinai Specialty Pharmacy is seeking accreditation from URAC, the gold-standard accrediting body for specialty pharmacies. URAC accreditation will allow the pharmacy to gain access to more limited-distribution drugs and get contracts with more insurance plans.

“The Specialty Pharmacy is enabling Mount Sinai to provide seamless service for patients with complex and chronic illnesses, from diagnosis through treatment and long-term aftercare,” says David L. Reich, MD, President and Chief Operating Officer of The Mount Sinai Hospital, and President of Mount Sinai Queens.

Support for Organ Donations

Organ donation holds personal significance for Sara Miller, far left in photo, a Process Improvement Analyst at the Mount Sinai Health System, and Nicole Antaya, center in photo, who recently graduated from Quinnipiac University in Connecticut. They recently held an organ donor registration drive—seen here with Carolyn Forman, right, Administrative Director of the Recanati/Miller Transplantation Institute, Mount Sinai Health System—in the Guggenheim lobby to educate people and encourage them to register as donors.

When Ms. Miller was 12, she lost her older sister, Laura, to brain cancer, and her family made the difficult decision to donate Laura’s organs to others in need. As a freshman at Washington University in St. Louis, Ms. Miller started a nonprofit organization, SODA: Student Organ Donation Advocates, which supports student-led organ donation education and registration events. SODA now has 18 chapters at U.S. high schools and colleges. Ms. Antaya, who has cystic fibrosis and underwent a double lung transplant in August 2015, founded a SODA chapter at Quinnipiac. Prior to her transplant, Ms. Antaya’s lung function was at 18 percent capacity and her life was extremely limited. “The ultimate gift of compassion and love, and life and caring—that’s organ donation,” says Ms. Antaya.

International Yoga Day, and Beyond

Faculty and staff of the Department of Medicine (Cardiology) took part in International Yoga Day. Front row, from right: Annapoorna S. Kini, MD; Lori B. Croft, MD, Associate Professor; and Joseph M. Sweeny, MD, Assistant Professor.

Mount Sinai Heart faculty and staff recently participated in International Yoga Day at Guggenheim Pavilion, with multiple sessions starting at 7:30 am. However, the enthusiasm for the practice goes well beyond a one-day event. The organizer, Annapoorna S. Kini, MD, Director of the Cardiac Catheterization Laboratory at The Mount Sinai Hospital, and the Zena and Michael A. Wiener Professor of Medicine, Icahn School of Medicine at Mount Sinai, practices yoga herself and recently published a list of recommended yoga and meditation techniques in the CRT Times, including a 10-minute sequence specifically for physicians in the Cardiac Catheterization Laboratory.

Dr. Kini says, “At Mount Sinai, we strongly advocate yoga and meditation to counter musculoskeletal discomfort, to relieve stress, and to maintain focus and concentration.”