Faculty Highlights Archive
Tara Lagu, MD, MPH
ACP Hospitalist designated Dr. Tara Lagu, Associate Professor of Medicine, as one of their 2019 “Top Hospitalists.” The winners, nominated by their colleagues and chosen by ACP Hospitalist's editorial board for their accomplishments in hospitalist practice, were announced in the November 14th issue. Dr. Lagu was recognized because of her diverse research agenda focused on improving quality and safety of care and her efforts to understand patient experience, increase access for patients with disabilities, and identify strategies to compare outcomes for patients with heart failure.
ACP Hospitalist chooses approximately 10 hospitalists each year for this award. In 2014, another Baystate physician, Dr. Reham Shaaban, was chosen for her contributions to the areas of medical education and quality improvement.
Corina Schoen, MD
Corina Schoen, MD, Assistant Professor of Obstetrics and Gynecology, published original research entitled “Blown out of proportion? Induction Foley balloon ruptures associated with overinflation” in the American Journal of Obstetrics & Gynecology MFM in August 2019. In the study, investigators disseminated knowledge about a commonly employed means of labor induction and the safety issues that may be encountered. The Foley catheter is a non-FDA approved method to prepare the cervix for labor; there is evidence showing it is one of the safest ways to start the labor process. It is not uncommon for balloons to be over-inflated beyond the manufacturer recommendations. The chance of a balloon rupture with over-inflation is about 1%. Women being induced at Baystate Medical Center now receive larger volume catheters that can be filled to 80 mL – a safer way to induce labor.
Citation: Schoen CN, Keefe KW, Berghella V, Sciscione A, Pettker CM. Blown out of proportion? Induction Foley balloon ruptures associated with over-inflation. Am J Obstet Gynecol MFM 2019;1:100026
Stuart Anfang, MD
In October, Dr. Stuart Anfang, Vice Chair for Clinical Services and Associate Professor of Psychiatry, was elected Treasurer of the American Academy of Psychiatry and Law (AAPL) at the organization’s annual meeting in Baltimore, MD. Founded in 1969, AAPL is the leading subspecialty organization for forensic psychiatrists. Dr. Anfang also serves on the Editorial Board of AAPL’s academic Journal of the American Academy of Psychiatry and Law.
Timothy Mader, MD
Congratulations to Timothy Mader, MD, Professor of Emergency Medicine at UMMS-Baystate, on receiving a two-year, $222,000 grant from the National Heart, Lung, and Blood Institute at the National Institutes of Health (NIH).
“A contemporary subgroup analysis of cooling after non-shockable cardiac arrest: insights from a large registry” seeks to determine if whole body cooling to reduce brain damage in patients recovering from out-of-hospital cardiac arrest is appropriate in those individuals who did not experience ventricular fibrillation. Baystate has the most active therapeutic hypothermia/targeted temperature management program for survivors of out-of-hospital cardiac arrest in the region. “Knowing if the effect of therapeutic hypothermia/targeted temperature management after out-of-hospital cardiac arrest is modified by rhythm classification will help us better care for our post-cardiac arrest patients,” says Dr. Mader. For more information, visit NIH RePORT.
Tara Catanzano, MD, FSCBTMR
Congratulations to Dr. Tara Catanzano, Vice Chair for Academic Affairs, Residency Program Director, and Associate Professor, Department of Radiology at UMMS-Baystate and Associate Director of Academic Career Development, Office of Faculty Affairs, for her recent appointment to the Association of University Radiologists (AUR) Board of Directors. The AUR is comprised of over 1,600 academic radiologists, residents, and fellows. The mission of the AUR is to promote educational innovation, scholarship, and collaboration to advance education in radiology. Dr. Catanzano will serve as a Member at Large on the Board of Directors through 2022 (a three-year term). The president of the AUR nominated Dr. Catanzano for this role. She will work to advance AUR’s mission and offer value to its members by helping with committee initiatives and projects while providing support to fellow AUR members. Earlier this year, Dr. Catanzano received a Certificate of Merit for her AUR presentation on a career development toolkit for clinician educators and researchers. This toolkit was based on work she completed as a recipient of an AUR Venture grant.
Neal Seymour, MD, FACS
Dr. Neal Seymour, Professor at UMMS-Baystate and Vice Chair for Clinical Affairs and Residency Program Director, Department of Surgery, has authored the inaugural chapter on simulation in Schwartz’s Principles of Surgery, 12th Edition. “This is the first time a major American surgical textbook will place this kind of focus on simulation and skills acquisition,” says Dr. Seymour. The co-author for the chapter is Carla M. Pugh, MD, PhD of Stanford University. Dr. Seymour was selected because of his academic contributions to the field of simulation training in surgery, an area he has worked in for 20 years; his most notable efforts have been in the use of virtual reality simulation tools and assessment of surgical skills. Baystate’s Simulation Center and Goldberg Surgical Skills Lab, which Dr. Seymour established, is a highly valued resource for our undergraduate and graduate medical trainees as well as nursing and medical paraprofessional learners.
“I would like to think of this as my most significant contribution to the quality and safety of medical care at Baystate Health,” says Dr. Seymour, who is also leading an international effort to develop a new simulation test to certify laparoscopic surgeons.
Maura Brennan, MD
Congratulations to Dr. Maura Brennan and her team on obtaining a renewal of Baystate Health’s Geriatrics Workforce Enhancement Grant through 2024. Dr. Brennan is the lead on this grant, which has supported the growth of the ACE (Acute Care for Elders) and Geri-Pal programs along with a host of other community outreach and educational initiatives. These programs have already improved outcomes for patients and reduced costs for the health system. Due in large part to this grant, The Institute for Healthcare Improvement (IHI) recognized Baystate Health’s three Community Health Centers (High Street, Mason Square and Brightwood) and Baystate Medical Center as the first age-friendly healthcare sites in the nation. Simultaneously with the grant renewal, the city of Springfield was awarded age-friendly status by AARP and dementia-friendly recognition by the Massachusetts Council on Aging. This was the first time in the nation that the following trifecta has been reached in a single community: an age-friendly city, a dementia-friendly city, and age-friendly health system.
“Being an age friendly city means we are working towards improving amenities that make it better for older adults and the community. For the health system, it’s an emphasis on tracking the following: what matters most (ex. spending time with family), medications, mobility (keeping independent and active), and mentation,” says Dr. Brennan. Baystate is now one of only 48 federally funded geriatrics centers in the nation. In addition to current services, the next five years will see more “age-friendly” projects, improved access to skilled geriatrics care, and support for the primary care workforce as Baystate continues its journey to value-based care and a population health approach.
Dr. Brennan is the Division Chief for Geriatrics, Palliative Care, and Post-Acute Medicine and Professor of Medicine. Dr. Brennan is pictured above, second from the right, with her team.
Quinn Pack, MD, MSc
Congratulations to Dr. Quinn Pack, Assistant Professor of Medicine, and his team on the recent publication of “Association Between Inpatient Echocardiography Use and Outcomes in Adult Patients With Acute Myocardial Infarction” in JAMA Internal Medicine. The objective of this paper was to examine the association between risk-standardized hospital rates of transthoracic echocardiography and outcomes.
“This paper challenges the idea that everyone with a heart attack needs an echocardiogram, and that, particularly at high use hospitals, it may be possible to reduce the number of studies that are performed,” says Dr. Pack. “This could potentially lead to increased savings and greater value of hospital-based care.” As a practicing cardiologist, Dr. Pack often sees echocardiograms (heart ultrasound studies) ordered on patients where, even before the pictures are taken, it is pretty clear that the test is unlikely to yield any new diagnostic information. More importantly, there is prior research showing that as few as 30% of echocardiograms actually affect clinical care.
“As a result, we wanted to see if the use of echocardiography would lead to improved patient outcomes,” Dr. Pack adds. To do this, the group evaluated about 400 hospitals and 100,000 patients with a heart attack and correlated hospital outcomes (rates of inpatient mortality, cost, length of stay and readmission) with how frequently the hospital used echocardiography. They found no differences in rates of mortality or readmission when comparing hospitals with echo rates of about 85% (top quartile) compared to hospitals with echo rates of about 55% (bottom quartile), but top quartile hospitals spent more money and had longer lengths of stay.
“This paper should encourage clinicians to be careful and thoughtful when ordering an echocardiogram,” concludes Dr. Pack. “In general, echocardiography should not be done just to complete a routine or protocol, but rather should be prompted by an honest clinical question that needs answering. Such thoughtful testing may also benefit patients by reducing overall health care costs.”
Dr. Pack co-authored this paper with UMMS-Baystate faculty and staff: Aruna Priya, MA, MSc; Tara Lagu, MD, MPH; Penelope Pekow, PhD; JP Schilling, MD; William Hiser, MD; and Peter K. Lindenauer, MD, MSc, MHM. Read the abstract here.
Citation: JAMA Intern Med. 2019 Jun 17. doi: 10.1001/jamainternmed.2019.1051.
David Gang, MD
Dr. David Gang, Professor of Pathology, was elected President of the Massachusetts Society of Pathologists (MSP) in May 2019. He has been a member of the MSP since 1990 and previously served as an At-Large member of the Executive Committee. As President of the MSP, Dr. Gang will organize and run the biannual educational meetings and work with the Executive Committee in supporting political action. He will also work with other Massachusetts physician organizations, the Massachusetts Medical Society, and the legislature on patient-related matters.
In addition to his role as President of MSP, Dr. Gang is the new Chair of the Federal and State Affairs Committee of the College of American Pathologists (CAP). CAP is the world’s largest organization of board-certified pathologists and leading provider of laboratory accreditation and proficiency testing programs. Dr. Gang oversees advocacy on the state, federal, and grassroots level for the College on behalf of patients and fellow pathologists. This past April, Dr. Gang moderated a full day session at CAP’s yearly Policy meeting in Washington D.C., sharing best practices for effective communication with congressional staff. On the final day of the meeting, Dr. Gang led over 80 pathologists to the Hill where they advocated for legislation to protect patients from surprise medical bills and stressed the importance of the Protecting Access to Medicare Act (PAMA) reform, which is needed to prevent significant reductions in Medicare reimbursement for clinical laboratory tests. The Massachusetts contingent spoke with legislative staff from the offices of Richard Neal, Jim McGovern, Ayanna Pressley, Ed Markey, and Elizabeth Warren, plus with Joe Kennedy directly. Through these meetings, the group emphasized that any federal legislation on surprise billing should include the following goals: set network adequacy standards for hospital-based physicians, provide fair reimbursement for care, and establish an arbitration process to take patients out of the middle. The PAMA reform would have a direct impact on Baystate Health and Baystate Reference Laboratories in particular, and the work by Dr. Gang and his colleagues to protect patients on federally regulated health plans from the threat of “surprise bills” has a nationwide impact.
Peter Friedmann, MD, MPH, DFASAM, FACP
Peter Friedmann, MD, MPH, DFASAM, FACP, Associate Dean for Research, Professor of Medicine, and Professor of Population and Quantitative Health Sciences, began a two-year term as President of the Massachusetts Society of Addiction Medicine (MASAM) on May 17th, 2019. As President, Dr. Friedmann will be committed to making significant strides in improving care, education, research, and policy for families and individuals in Massachusetts suffering from substance use disorders.
Dr. Friedmann served as President-Elect of MASAM from 2017-2019 and has been a member of the American Society of Addiction Medicine (ASAM) since 1995. He is a Distinguished Fellow of ASAM, Fellow of the American College of Physicians (ACP), past president of the Association for Medical Education and Research in Substance Abuse (AMERSA), former director on the American Board of Addiction Medicine, and Deputy Editor for the Journal of Substance Abuse Treatment.
MASAM is the Massachusetts chapter of ASAM and is made up of nearly 200 professionals representing different categories of addiction medicine. Learn more about MASAM at masam.org.
Congratulations Dr. Friedmann on this fantastic honor!
Rachana Singh, MD, MS
Dr. Rachana Singh, Associate Professor of Pediatrics, presented findings from two of her recent studies: "Improving Outcomes for Pregnancies Impacted by Opioid Use Disorder: The Massachusetts Experience" and “Partnering with Mothers to Improve Outcomes for Substance Exposed Newborns – A Pilot Program” at the Pediatric Academic Societies (PAS) 2019 Meeting in Baltimore, MD. These oral presentations highlighted the work Dr. Singh and her co-investigators have done to support maternal-infant dyads impacted by opioid use disorder (OUD) in Massachusetts. The researchers assessed hospital interventions done in collaboration with the Perinatal-Neonatal Quality Improvement Network of Massachusetts (PNQIN). Both of Dr. Singh’s presentations described positive outcomes exhibited by families that benefitted from implementation of best evidence based practices for pregnancies affected by OUD.
Dr. Singh noted, “Through local as well as statewide multidisciplinary collaborative efforts we have been able to improve care provision for OUD-impacted pregnancies, resulting in a trend toward less need for pharmacologic treatment through greater focus on non-pharmacologic methods, all while engaging families as partners.”
As a health system, Baystate has been a leader in identifying the issues and supporting pregnancies impacted by OUD for more than a decade, leading to development of protocols that are utilized by other health systems. The latest efforts in this field benefit both maternal-infant dyads and hospitals by reducing the initiation and duration of pharmacotherapy and length of stay in the NICU/CCN, all while increasing breastfeeding initiation and continuation at infant discharge.
Read more about Dr. Singh’s presentation.
Mihaela Stefan, MD
Congratulations to Mihaela Stefan, MD, Associate Professor of Medicine, who recently received her first independent, NIH (National Institutes of Health) research grant. Dr. Stefan will be collaborating with Premier Inc., a North Carolina-based healthcare improvement company, as well as co-investigators from UMMS-Baystate, the University of North Carolina, and the University of Illinois at Chicago. The five-year, $3.2 million project is supported by the National Heart, Lung, and Blood Institute (NHLBI) and entitled "Implementation of interprofessional training to improve uptake of noninvasive ventilation in patients hospitalized with severe COPD exacerbation.”
Dr. Stefan and her colleagues will recruit hospitals from the Premier network and perform a cluster randomized trial comparing two strategies for increasing the delivery of noninvasive ventilation (NIV) in COPD patients. COPD is the 4th leading cause of death in the U.S., and COPD exacerbations result in approximately 700,000 hospitalizations annually. Noninvasive ventilation (NIV) is recommended in COPD guidelines as the first-line treatment for patients with severe exacerbation. However, there is still substantial variation in the implementation of NIV across hospitals, leading to preventable morbidity and mortality. This study hopes to help streamline the process.
This investigation will be the first in the U.S. to test the impact of interprofessional education (IPE) in the inpatient setting. Dr. Stefan’s study will assess if IPE improves team functionality and respiratory therapist autonomy and consequent increases the uptake of NIV. It also promises to change practice by offering approaches to facilitate greater uptake of NIV and may generalize to other interventions directed to seriously-ill patients.
Dr. Stefan’s research grant represents the second major funding award for investigators at UMMS-Baystate’s Institute for Healthcare Delivery and Population Science (IHDPS) this year, further establishing the growing research platform in our organization.
Daniel Engelman, MD
Dr. Daniel Engelman, Associate Professor of Surgery, Medical Director of the Heart, Vascular and Inpatient Service, and Surgical Director of the Cardiac Critical Care Unit at Baystate Medical Center, authored the “Guidelines for Perioperative Care in Cardiac Surgery” published in the May edition of JAMA Surgery. The article was viewed over 15,000 times in the first 10 days after publication making it one of the most viewed ever in the journal with an Altmetric score in the top 1% of "attention scores.”
Dr. Engelman leads the ERAS® (Enhanced Recovery After Surgery) Society committee that developed the guidelines to provide cardiac surgical programs with evidence-based protocols to enhance patient recovery following heart surgery. These guidelines are the first to address the complete perioperative patient journey for cardiac surgical patients. The goal is to optimize patient care through collaborative discovery, analysis, expert consensus, and dissemination of best practices thereby improving both short and long-term outcomes and decreasing complications and readmissions. Some of the standardized approaches included in the guidelines are pre-habilitation to better prepare patients for surgery; pathways to manage glucose, fluids, and temperature; antifibrinolytic and multimodal anesthesia utilization and the use of biomarkers and goal-directed fluid therapy to prevent acute kidney injury.
These guidelines align with Baystate Health’s mission to improve the total care of our patients with high quality, evidence-based practices. Dr. Engelman felt inspired to publish this work because of our institution’s emphasis on safety and multidisciplinary collaboration.
Citation: Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations. JAMA Surg. Published online May 04, 2019. doi:10.1001/jamasurg.2019.1153.
Tara Lagu, MD, MPH
Tara Lagu, MD, MPH, Associate Professor of Medicine, received the Society of Hospital Medicine’s 2019 Research Excellence Award in March 2019. This national honor recognizes members of the Society who have made exceptional contributions to research in the field.
Dr. Lagu has published over 100 papers that have appeared in high-impact journals including the New England Journal of Medicine (NEJM), the Journal of Hospital Medicine, and JAMA, including a series of papers describing gaps in quality and access to care for patients with disabilities. She is the principal investigator on two recently funded R01s. The larger goal of both of these grants is to identify strategies to improve outcomes for patients with heart failure. In 2013, she conducted a “secret shopper” survey of physicians in a variety of practice settings across the country and discovered that 20% of physicians would refuse to see a patient who uses a wheelchair. This work was published in the Annals of Internal Medicine and profiled in The New York Times.
Learn more about the Society of Hospital Medicine’s Awards of Excellence Program.
Amy Oliveira, MD
Amy Oliveira, MD, Assistant Professor of Radiology, was invited to speak at the Association of University Radiologists (AUR) Annual Meeting on April 9th, 2019 in Baltimore, MD. Her talk, “Helping Your Faculty Give Useful, Detailed Feedback (in Person and in Writing),” was part of the “Leading Faculty Development in Education in Your Department” session. Dr. Oliveira lectured as part of an expert panel on providing educators effective feedback tools to implement at their institutions. Additionally, Dr. Oliveira co-moderated a round-table discussion on Networking Tips with Dr. Theresa McLoud, world-renowned thoracic radiologist.
The AUR Annual Meeting is attended primarily by radiologists, researchers, trainees, and administrators in academic radiology.
Kevin Moriarty, MD, FACS, FAAP
Kevin Moriarty, MD, Professor and Vice Chair for Academic Affairs in the Department of Surgery and Surgeon-in-Chief at Baystate Children’s Hospital, recently received the UMass Community Salute Award presented by the Massachusetts State Lottery. This award honors individuals who have had significant positive impact in the greater western Massachusetts community. Dr. Moriarty was selected based on his many contributions to the region including leading community gun buy-backs for over a decade and delivering patient-centered care that improves the lives of countless children in our area. Beyond western Massachusetts, he traveled to Haiti in 2010 to volunteer as a surgeon after the devastating earthquake that affected thousands of lives. Dr. Moriarty received his award at a special in-game presentation during one of the final five UMass Men’s Basketball home games.
Learn more about the UMass Community Salute.
Susan Kartiko, MD, PhD, FACS
Dr. Susan Kartiko, Assistant Professor of Surgery at University of Massachusetts Medical School-Baystate, recently presented her
work entitled “Fall Prevention Initiative: A Fall Screening Pilot Study
in the Ambulatory Setting” at the 32nd EAST (The Eastern Association
for the Surgery of Trauma) Annual Scientific Assembly in Austin, TX.
Dr. Kartiko and her colleagues Erin Jarosz, OT, and Ida Konderwicz, RN, of the Baystate Medical Center Injury Prevention Program administered a validated screening questionnaire to primary care offices and other ambulatory clinics to help identify patients at risk for falling. Once noted to have a fall risk, patients were referred to the Fall Prevention Initiative Physical Therapy Program. The team measured patients’ mobility before and after the Program. Patients who experienced the intervention demonstrated significant improvement in mobility. Historically, patients who have fallen express lower confidence in performing day-to-day tasks, and therefore investigators also administered a confidence level questionnaire after the physical therapy concluded. The results revealed a significant increase in confidence level scores.
Because of Dr. Kartiko’s research, the Emergency Departments at Baystate Medical Center, Baystate Wing Hospital, Baystate Franklin Medical Center, and Baystate Mary Lane Hospital have incorporated fall screenings for patients 55 years and older. At-risk patients are referred to the Fall Prevention Initiative Physical Therapy Program.
Additionally, this study earned Dr. Kartiko the Office of Faculty Affairs Supporting Scholarship among Junior Faculty award in early 2019.
Refer to pages 92-93 of the EAST Annual Scientific Assembly 2019 program book for Dr. Kartiko’s study.
Charlotte Boney, MD, MS, Chair
Laura Pinkston Koenigs, MD, FSAHM, FAAP, Vice Chair for Education
Department of Pediatrics
Two UMMS-Baystate faculty members are now serving as Subboard Chairs for The American Board of Pediatrics (ABP). Charlotte Boney, MD, MS, Chair of Pediatrics, and Laura Pinkston Koenigs, MD, FSAHM, FAAP, Vice Chair for Education, Department of Pediatrics, have been elected to lead their respective Subboards within the ABP, each serving a two-year term that began January 1st, 2019. Dr. Boney now heads the Subboard of Endocrinology and Dr. Koenigs the Subboard of Adolescent Medicine.
As Subboard Chairs, Drs. Boney and Koenigs will review the qualifications for diplomate status in their respective subspecialties; determine the content area for expertise in their subspecialties, and help write examinations for certification.
The American Board of Pediatrics includes the following subspecialties: Cardiology, Critical Care Medicine, Developmental-Behavioral Pediatrics, Emergency Medicine, Gastroenterology, Hematology-Oncology, Hospital Medicine, Infectious Diseases, Neonatal-Perinatal Medicine, Nephrology, Pulmonology, Rheumatology, and Child Abuse Pediatrics. To become a general member of a Subboard, an individual must be elected by his or her peers to serve a six-year term. Dr. Boney has been a member of the Subboard of Endocrinology since 2015; while Dr. Koenigs has been on the Subboard of Adolescent Medicine since 2014.
Congratulations to Drs. Boney and Koenigs on this tremendous honor!
(Dr. Boney is pictured above at right, and Dr. Koenigs is pictured above at left)
Learn more about the Subboards of the ABP.