NLH Gastroenterology campaign gets National nod from American Hospital Assoc.

NLH Gastroenterology campaign gets National nod from American Hospital Assoc.

The American Hospital Association’s Matthew O’Connor reached out to Littauer after hearing about our gastroenterology campaign – his story is in the this months issue of the associations Health & Hospital Networks.

IB_coloncancer_250

Using Humor to Address a Serious Health Care Concern

Nathan Littauer Hospital in upstate New York uses silly pint glasses, puzzles to help improve colon cancer mortality rates.

May 3, 2016
Unable to make a dent in colon cancer patients’ mortality rate through traditional means, a small hospital in upstate New York is adding a new ingredient to its approach: humor.The 74-bed Nathan Littauer Hospital found its home county of Fulton was near the national average for incidence, but had a higher than average mortality rate. Leaders there decided to look at their gastroenterology department, and specifically its colonoscopy procedure — or lack of procedures in this case. They staffed up from one gastroenterologist to three and opened a new endoscopy center, but something was still missing.

“Everyone knows that nobody wants a colonoscopy,” says Laurence Kelly, president and CEO of Nathan Littauer Hospital, in Gloversville, N.Y. “We said, ‘Let’s do something different and creative to get people’s attention,’ and it certainly has worked.”

That’s where their humorous colonoscopy initiative comes in. Patients who schedule a colonoscopy receive a notepad filled with quizzes, puzzles and a space to write “a haiku about #2” for their frequent trips to “the office.”

The real draw is that each patient who schedules a colonoscopy gets a pint glass with tick marks to help measure out his or her laxatives for the procedure. It also makes a great beer glass for later.

The program is only five months old, but many are optimistic it will help to bring the hospital’s colon cancer rates down, including Nathan Littauer gastroenterologist Kamini Ramani, M.D., who some patients call “Dr. Innerds” because of the logo on the pint glass. “I’m hopeful we will reach our goal and at least get near the national standard,” she says.

Hospitals don’t often employ humor to tackle such serious issues, but Kelly believes it has made all the difference. “Listen to ideas that are out of the box,” he says. “You think your usual efforts will work: this is science, this is medicine, it’s preventive and the right thing, so people would say, ‘Yes, sign me up’ — but it just doesn’t work that way.”

 

 

 

Primary Care Saves Lives

Another Happy Patient!

Simply put: Nathan Littauer’s Primary Care saves lives. Listen to Mary Ann Bausewein, RN as she explains a patient’s encounter at our Mayfield Primary/Specialty Care Center…
April 2016

The Gazette features NLH Gastro campaign front page

Trying to bring a little humor to the process, anyone getting scoped at Nathan Littauer's endoscopy facility gets a complimentary pint glass scaled with markings o measure out their laxative. Afterward, it makes an ideal beer mug.

Trying to bring a little humor to the process, anyone getting scoped at Nathan Littauer’s endoscopy facility gets a complimentary pint glass scaled with markings o measure out their laxative. Afterward, it makes an ideal beer mug.

Bringing humor to a serious issue:

Fulton County aims to boost colonoscopy participation

By John Cropley March 30, 2016

 

FULTON COUNTY — Fulton County is in the odd position of having roughly the same incidence of colon cancer as the rest of the state but a much higher death rate.

A variety of factors may be at play, but health care administrators, regulators and providers agree the most likely cause is the low rate at which county residents are screened for cancer. So the local hospital has been taking steps to make it easier to get a colonoscopy, and taking steps to convince people to go ahead and get it done.

Nathan Littauer Hospital’s endoscopy office in Johnstown, which marks its first anniversary in April, is seeing 20 patients a day, more or less clearing the months-long backlog that existed when the only place to get a colonoscopy in Fulton County was at the hospital in Gloversville.

Colonoscopies can save lives, but they’re nobody’s idea of fun. The procedure requires the patient to skip several meals, drink a gallon of laxative, and then be sedated the next day and examined with a tiny camera mounted on a long slender tube that’s inserted in the rectum.

Some may find it embarrassing.

So Littauer is spiking its outreach campaign with a bit of humor. Anyone getting scoped at Littauer gets a complimentaryscaled with markings to measure out their laxative. (In happier times, it makes a spiffy beer glass, too.) And the procedure will be performed by the Innerds, “nerdy about your innards for nearly 100 years.” (The three doctors pictured on the beer glass are approaching a century in practice, in total.)

A pencil and a humorous little work pad to use while sitting in the bathroom round out the package.

Patrice McMahon, Littauer’s vice president of primary/specialty care services, was previously the administrator for a gastroenterology practice, so she had a lot of experience with hesitant patients.

“I knew the biggest way people would deflect their discomfort over it was through humor,” she said. This colored the hospital’s outreach.

Dr. Kamini Ramani, one of the  at the new Kingsboro GI Center, said she performs 1,600 to 1,800 colonoscopies a year and considers it a crucial tool to save lives.

“It is still probably not being done as much as I would like to see it done,” she said.

It’s a safe procedure for most patients, Ramani said, with physical damage resulting to the colon about once every 3,000 times under ideal conditions. The risk rises under less-than-ideal medical conditions, so in some cases non-invasive tests such as CT scans are substituted for colonoscopy.

Ramani said the CT scan is good for detecting larger and cancer, but not as accurate as a colonoscopy for identifying precancerous problems. Early diagnosis is key to successful treatment, she said, because colorectal cancer takes a long time to develop but once it does it is a tough opponent to fight.

“We do try to convince people that doing a colonoscopy is a good idea,” she said. “Many patients don’t know that they can have this done, and they should be having it done.”

From 2008 to 2012, an average 49.6 men and 38.1 women out of 100,000 were diagnosed with colorectal cancer statewide, according to the state Department of Health, compared with 48.5 men and 48.6 women in Fulton County. (The rates are adjusted in the case of Fulton County, which has fewer than 100,000 residents.)

In the same period, DOH statistics show 17.8 male and 12.8 female deaths from colorectal cancer statewide per 100,000 population, compared with 23.9 male and 16.5 female deaths in Fulton County.

“Our effort is in response to that,” McMahon said.

Littauer for years had a single gastroenterologist and two endoscopy rooms. The backlog for colonoscopies was six to 12 months, McMahon said, and many people in the hospital’s service area lacked money, transportation or motivation to travel elsewhere for quicker access to the procedure.

“When you’re not screened, you don’t have the opportunity to find that precancerous polyp,” McMahon said.

Littauer set out to recruit a second and third physician — Dr. Luz Alvarez and Dr. Hamid Azizur Rehman, both previously in Amsterdam — and outfitted a new site for them to work, a former Littauer ambulatory care center on South Kingsboro Avenue Extension in Johnstown.

In April 2015, the Kingsboro GI Center began operations three days a week. Two nurse practitioners work there with the three doctors, and they perform about 20 procedures a day. The endoscopy rooms at the hospital remain in full-time use, typically for patients unable to leave the hospital.

The co-payment at the Kingsboro GI Center ranges from $50 to $100, depending what insurance the patient has.

Ramani said the colonoscopy is part of a larger picture. Healthy diet and lifestyle on the part of the patient reduce the risk of colon cancer. Rectal exams and feces tests by the family physician during the annual checkup are important for early detection, as the colonoscopy is recommended only once ever 10 years starting at age 50 for the general population.

Nathan Littauer’s efforts are mirrored in the statewide public awareness campaign by the New York Department of Health to get more people to undergo colorectal cancer screening. A DOH spokesperson said the lower-than-average screening rate in Fulton County is a likely factor in the higher-than-average death rate.

In 2013-2014, the most recent years for which data are available, the colorectal cancer screening rate in Fulton County was 59.3 percent, compared with 68.7 percent statewide, according to DOH. Surrounding counties had higher screening rates and lower death rates, DOH noted.

The state goal is 80 percent screening statewide by 2018.

McMahon cited the previously limited colonoscopy options for Fulton County’s disparity with its neighbors.

“If you put up a barrier and people really have to pursue it, it’s going to fall by the wayside,” she said. “Those barriers were here and now they’re not.”

 

The Leader Herald helps NLH educate the community on caffeine consumption

Caffeine and Children
Children, teens consuming more caffeine through ‘energy drinks’
April 3, 2016
By PATRICIA OLDER, Leader Herald

Nathan Littauer dietician Alexandra Barbieri discusses the impact energy drinks can have on children, teens and young adults

Nathan Littauer dietician Alexandra Barbieri discusses the impact energy drinks can have on children, teens and young adults

GLOVERSVILLE -With slick advertising campaigns, many regularly featuring high-level athletes promoting their accomplishments and posing with a can of the latest energy drink, children and teens are caught up in the craze and are buying into the marketing they must have it. As a result, more adolescents are consuming large amounts of caffeine, and the consequences, say experts, can be serious.
“The most recent study shows 73 percent of kids are consuming caffeine and those studies are showing kids are now drinking more energy drinks,” said Alexandra Barbieri, registered dietician at Nathan Littauer Hospital and Nursing Home. “These studies are showing kids are consuming more energy drinks and these kids are ingesting one to three of these drinks at a time and not drinking enough water.”
Barbieri said that while the effects of caffeine on teens and children has not been studied enough to draw any solid conclusions on the health ramifications, she did cite some studies which show drinking caffeine produces an increase in heart rate, blood pressure and irritability.
“Unfortunately, caffeine has not been studied too much in adolescents, only adults,” said Barbieri. “However, a study I found did show a relationship between students who drank energy drinks resulted in insufficient sleep duration. Caffeine can also cause increased heart rates and elevated blood pressure.”
Continuing, she said energy drinks have between 142 mg. and 240 mg. of caffeine for 16 fluid ounces, with the daily national suggested amount not to exceed 400 mg. One cup of coffee can have between 95 mg to 200 mg. of caffeine.
“[The toxicity] is dose dependent – how it affects one 15-year-old could affect another differently,” said Barbieri. “But caffeine toxicity can come with only two cups of coffee – imagine what these energy drinks can do.”
According to the American Academy of Pediatrics, the maximum amount of caffeine for adolescents is no more than 100 mg. a day.
A study published in the Journal of the American Medical Association in November 2015 found that a single 16 ounce energy drink – they used Rockstar for the study-released the stress hormone norepinephrine by 70 percent. The hormone is released during times of increased stress, such as testing time for college students. It also showed increases in blood pressure and heart rates.
Continuing, Barbieri said one of the issues adolescents face with the energy drinks is the marketing and government regulation.
“They are mostly marketing to young, adolescent boys and the [Federal Drug Administration] does not regulate [energy drinks] since they are considered diet supplements because of the addition of herbal supplements,” said Barbieri.
The energy drinks, such as Rockstar, Monster and AMP, have ingredients such as ginseng, guarana and milk thistle.
She said consumers, especially parents, need to be aware of what they are buying and what their children are buying.
“Parents need to know the difference between sports drinks and energy drinks,” said Barbieri. “Sports drink are good for hydration. Energy drinks – we don’t know the long-term consequences. They are full of sugars and caffeine”
She said one of the scariest aspects of the energy drinks is the easy availability to anyone.
“I was told [by a store clerk] that a two-year-old with two bucks could buy one,” said Barbieri.
She said one energy drink is even named Cocaine.
“Tell me what you think that name implies,” said Barbieri.
Continuing, she said parents can help by being aware of what their children are drinking when not around them.
“People follow suit with what other people are doing and the magic question is how do we get kids back on board,” said Barbieri. “Looking at alternative sources of energy is important and thinking how are you going to hydrate yourself after an athletic activity.”
She said today’s fast-track lifestyle lends itself to helping keep children from buying into the marketing of the energy drinks.
“Kids wants what is free, convenient and fast. The more you load up in the house, the less likely they will reach for [energy drinks,]” Barbieri said. “If we give them something easy and reliable and convenient, they’ll reach for it.”
Coconut water, she said, is one good source of hydration for kids after an athletic event.
“They need the electrolytes with prolonged physical activity, but they can even use sodium-fortified coconut water,” said Barbieri, adding that parents can look at the first three ingredients of any drink to get an idea of what their children are consuming.
“There have been overdoses on Rockstar, Red Bull and caffeine shots,” said Barbieri. “In other countries, like Turkey, Australia and Denmark they are actually banned or have warning labels.”
Cheryl McGrattan, vice president of marketing for Nathan Littauer, said parents will ask a child what they had for lunch, but not what they are drinking throughout the day.
“It is common for a parent to ask ‘What have you eaten for lunch today?’ but not what have you had to drink,” said McGrattan. “How frightening is it an 8-year-old can take their $3 and buy a Red Bull?”
Locally, energy drinks are not available in local schools, although they are at Fulton Montgomery Community College.
“We really do not use them because they are not allowed by the federal guidelines for the ala-carte menu,” said Teal Carpenter, nutrition director for Gloversville Enlarged School District.
She said that a vending machine at Boulevard Elementary has the sports drink Gatorade G2, but only because the gymnasium and school field are used for athletic practices and events.
“There is Gatorade in the vending machine outside the Boulevard gym because of team practices and we do sometimes use it at the high school vending machines, but other than that, we offer 100 percent juice, water and milk,” said Carpenter.
Gatorade is considered a sport drink.
Dustin Swanger, president of Fulton Montgomery Community College, said energy drinks were available to students attending the college.
“My position is they’re in college and it is not like they’re young children attending school in school district,” said Swanger. “They’re adults and they are going to buy them at the store or on campus.”
Barbieri said the key for parents is to become aware of what their children are consuming outside of the home.
“We can look at alternative sources of energy and rely on whole foods,” said Barbieri. “There is water, green tea and green tea smoothies and chocolate milk. We just have to think how we are going to get our kids back on board and drink what is good for them, not what is being marketed to them.”

The Leader Herald, Sunday, April 3, 2016

The Leader Herald,
Sunday, April 3, 2016

 

 

Nathan Littauer Hospital & Nursing Home and 1199 SEIU Members Ratify New Contract

The new pact heralded by both sides for fairness and employee protections

March 15, 2016
Four hundred healthcare workers at Nathan Littauer Hospital and Nursing Home in Gloversville, New York who are represented by 1199SEIU United Healthcare Workers East have a new collective bargaining agreement. Monday, March 14 the members voted overwhelmingly in favor of the union agreement.
The ratification vote took place after eight months of negotiations.
“The end result is an agreement that is fair to both sides,” stated Laurence E. Kelly, Nathan Littauer’s President and CEO.
1199SEIU Vice President Rosa Lomuscio said, “We came into the process with the goal of securing good wages and affordable health and pension benefits, and after a long haul, we succeeded. Negotiating is never easy, especially when people’s livelihoods are at stake. The most important thing to remember is the connection between the well-being of healthcare workers and quality care. That makes this agreement a win for everyone — the hospital, the workers, our patients and in the end the entire community.”
1199SEIU represents 40 percent of the hospital’s total workforce.
“From the beginning, this was a real collaboration,” explained Lana E. Wydra, PHR, SHRM-CP and Vice President of Human Resources for Littauer. “Each negotiating session was a true working group – committed to working together towards a reasonable contract. We rolled up our sleeves and shared common goals. In the end, we hammered out a contract that is equitable and fair.” She concluded, “I am proud of the outcome because it honors all of our employees and our broader patient mission.”
Today, the two sides announced a final four-year agreement. The new contract provides for increases in base wages, plus increased pension and health insurance contributions by the hospital and the employees. The new contract is effective to June 30, 2019.
Littauer employees covered by the bargaining unit are technical and service employees, including licensed practical nurses, certified nursing assistants, environmental services, nutritional services, lab and pharmacy technicians, diagnostic imaging services, engineering staff and others.
“This is an impressive accomplishment,” said Mr. Kelly. He went on to say, “We’ve reached a very good contract, with very good employees. These negotiations have proved Littauer and its employees can adapt to the ever-changing workforce and move forward with confidence.”
Melissa Tambasco, an 1199SEIU negotiating committee member and Ward Clerk at the hospital said, “This contract is about economic security for me. It’s not easy to make ends meet at home anymore. Knowing that I have affordable health insurance, guaranteed wages increases and a pension for my future is a big relief. When I go to work, I want to be fully present for my patients and their families — not worrying about paying the next bill.”
That sentiment is echoed by 1199SEIU negotiating team member and Littauer Printer, Charles B. Pettit III. “Negotiations went nicely and we’re glad it’s settled.” Mr. Pettit added, “We were happy to work together to reach an agreement in a reasonable time.”

XXX

ABOUT 1199SEIU United Healthcare Workers East
1199SEIU United Healthcare Workers East is the largest and fastest-¬growing healthcare union in the nation, with over 400,000 nurses and caregivers throughout Massachusetts, New York, New Jersey, Maryland, Washington, D.C. and Florida. 1199SEIU is part of the 2.1 million member Service Employees International Union. 1199SEIU’s mission is to achieve quality care and good jobs for all. For more information please visit www.1199seiu.org.

ABOUT Nathan Littauer Hospital and Nursing Home
Nathan Littauer Hospital and Family of Health Services serves Fulton, Montgomery, and Hamilton counties in upstate New York with a full-service, 74-bed acute care hospital, nine primary care centers, a nursing home and a community education center. The hospital was founded in 1894 and has 1,000 employees. For more information, please visit www.nlh.org.

1199-UHE-QCGJ_purplebg-crop

NLH Logo