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Fresher Blood, Better Blood?10/27/2010

Learn more about our Blood Conservation Program or contact Ed Blakeney, 954-735-6000 ext 2888

Are patients who get "older" blood at greater risk for complications?

It's a question with big implications for the nation's blood supply that is already short. Many hospitals around the country are starting new studies to determine if "fresher" blood really is better for some patients. The FDA allows red blood cells to be stored for 42 days, and hospitals must use the oldest blood first to ensure none expires. Scientists have long known that stored blood breaks down the longer it's stored. Recently a number of small studies suggested that blood well under the FDA's 42-day storage limit may increase the risk of complications like blood clots, infections, or organ dysfunction.

Dr. Colleen Koch at the Cleveland Clinic (Ohio) examined records of 6,000 past heart surgery patients. She found that those who received blood that was more than two weeks old were slightly more likely to die, required a ventilator longer, and had higher rates of infection and kidney failure than those who got fresher blood. Researchers in Connecticut reported similar findings in a study of 200 trauma patients. Could that really be true? Maybe those who got the oldest blood were just sicker patients.

To add to the controversy, other similarly studies concluded age of blood doesn't matter, finding no differences between patients who got older or fresher transfusions. So new research studies will attempt to answer the question. In one study, backed by the NIH, 15 hospitals will analyze the operations of 1,800 heart surgery patients, each of which will randomly be assigned blood that is over 20 days or under 11 days old.  Similar studies are starting in Canada and at the Cleveland Clinic. The NIH is funding eight other studies to determine just what happens to stored blood that might trigger side effects. One leading theory is that stored blood gradually loses its ability to get oxygen to tissues, largely through loss of 2,3, DPG and a blood vessel dilator called nitric oxide.

Despite the controversy, many hospitals, including North Shore Medical Center, work to be more conservative with blood and actively seek to avoid transfusions whenever possible.

Blue Cross Blue Shield Agreement7/17/2008

Tenet Announces Multi-Year Agreement with Blue Cross and Blue Shield of Florida

DALLAS --Tenet Healthcare Corporation (NYSE: THC) today announced that it has reached a three-year agreement with Blue Cross and Blue Shield of Florida. 

Financial terms of the agreement were not disclosed.The new agreement includes all commercial and Medicare products offered by Blue Cross Blue Shield of Florida including Health Options, Network Blue, Preferred Provider Contract (PPC), Preferred Hospital System (PHS), Workers Compensation and Advantage 65, which is a Medicare supplement.

The agreement covers Tenet's 10 acute care hospitals in Florida: Coral Gables Hospital, Coral Gables (256 beds), Delray Medical Center, Delray Beach (493 beds),  Florida Medical Center, Ft. Lauderdale (459 beds), Good Samaritan Medical Center, West Palm Beach (333 beds),  Hialeah Hospital, Hialeah (378 beds),  North Shore Medical Center, Miami (357 beds), Palm Beach Gardens Medical Center, Palm Beach Gardens (199 beds), Palmetto General Hospital, Hialeah (360 beds), St. Mary's Medical Center, West Palm Beach (463 beds), West Boca Medical Center, Boca Raton (185 beds). 

Pinecrest Rehabilitation Hospital, a 90-bed rehabilitation facility located in Delray Beach, also is included in the agreement. 

"We look forward to continuing to serve our patients who are members of Blue Cross and Blue Shield of Florida," said Marsha Powers, senior vice president of operations for Tenet's Florida region.  "Blue Cross and Blue Shield of Florida is our largest contracted health plan. It represents a significant portion of our commercial managed care business, and as such, contributed to our recent growth."

Barry Schwartz, M.D., vice president of network management with Blue Cross and Blue Shield of Florida, said, "I am very happy that Blue Cross and Blue Shield of Florida and Tenet have reached a three-year agreement that will enable our members to continue to receive care at these excellent facilities."

Tenet Healthcare Corporation, through its subsidiaries, owns and operates acute care hospitals and related ancillary health care businesses, which include ambulatory surgery centers and diagnostic imaging centers.

Tenet is committed to providing high quality care to patients in the communities we serve.  Tenet can be found on the World Wide Web at

About Blue Cross and Blue Shield of Florida 

Blue Cross and Blue Shield of Florida (BCBSF) is a leader in Florida's health industry. BCBSF and its subsidiaries serve more than 8.8 million people. Since 1944, the company has been dedicated to meeting the diverse needs of all those it serves by offering an array of choices. BCBSF is a not-for-profit, policyholder-owned, tax-paying mutual company.

Headquartered in Jacksonville, Fla., BCBSF is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent  Blue Cross and Blue Shield companies. For more information concerning BCBSF, please see

North Shore Medical Center Mentioned in US News and World Report10/8/2007

North Shore Medical Center announced it has received the Get With The Guidelines - Coronary Artery Disease (GWTG-CAD) Initial AChievement Award from the American Heart Association.  The recognition signifies that North Shore Medical Center is participating in the American Heart Association Get With The Guidelines program to improve patient outcomes and save lives by promoting evidence-based treatments for coronary artery disease (CAD), heart failure and stroke.

North Shore Medical Center is among 277 hospitals nationwide recognized by the American Heart Association/American Stroke Association in the July 23, 2007 issue of U.S. News & World Report for their achievements in the Get With The Guidelines (GWTG) program to improve patient outcomes and save lives.  Earning a place on the list is a huge achievement and demonstrates the great work being done at these facilities.

"North Shore Medical Center is dedicated to making our care for patients with coronary artery disease among some of the best in the country, and implementing the American Heart Association's Get With The Guidelines - CAD program will help  us reduce the number of recurrent events and death in CAD patients," said Chief Executive Officer, Manny Linares.

According to the American Heart Association, more than 450,000 people suffer recurrent heart attacks each year.  Statistics show that within six years after a heart attack, about 22% of men and 46% of women will be disabled with heart failure.  Within one year of attack, 25% of men and 38% of women will die.  Research indicates that when patients are discharged from the hospital on appropriate medications such as aspirin, beta-blockers, ACE inhibitors and lipid-lowering medicines, a patient's risk of a second event is reduced and lives are saved.

Get With The Guidelines is designed to help North Shore MedicalCenter's staff develop and implement a secondary prevention guideline process.  The program includes quality improvement measures such as care maps, discharge protocols, standing orders and measurement tools.  Designed to be quick and efficient, these guideline tools will enable North Shore Medical Center to improve the quality of care it provides cardiac patients, save lives and ultimately, reduce healthcare costs by lowering the recurrence of heart attacks.  Projections have shown that if the Get With The Guidelines-CAD program were implemented nationwide, more than 80,000 lives could be saved each year.   

North Shore Medical Center Pays Tribute to Employee as Outstanding Health Care Worker8/11/2006 NORTH SHORE MEDICAL CENTER PAYS TRIBUTE TO EMPLOYEE AS        


North Shore Medical Center makes donation to Camillus House in name of Kimberly Campbell, RN, to celebrate National Nurses Week and National Hospital & Healthcare Week. 

MIAMI, Fla. – July, 2006 – As a part of the National Nurses Week and National Hospital and Healthcare Week celebration, held May 6 through May 13, North Shore Medical Center and the Tenet Healthcare Foundation are honoring Kimberly Campbell, a registered nurse and assistant nurse manager in the Emergency Department with a $500 donation to Camillus House Health Concern.

“Choosing one outstanding employee at North Shore Medical Center wasn’t easy,” said Manny Linares, CEO. “However, Kimberly was chosen because she demonstrates all of the criteria outlined in the standards of excellence to meet the hospital’s Target 100 goals, but the real underlying attribute of Kimberly is attitude. It’s not hard to see that she is a true team member to ensure that North Shore Medical Center is a safe place for patients and a great place for employees to come to. I can’t think of a person who has demonstrated more examples of “going the extra mile” than Kimberly.”

Kimberly served as a nurse in the Emergency Department and was promoted to assistant nurse manager in the Emergency Department. She chose the Camillus House Health Concern because it is their belief that every human being deserves love, respect and an opportunity to live a dignified life – Kilberly works and lives with the same belief.

As part of the celebration of National Nurses Week and National Hospital and Healthcare Week, the Tenet Healthcare Foundation will distribute approximately $34,000 in donations on behalf of employees at Tenet hospitals across the country.

North Shore's Cancer Program Approved by the American College of Surgeons with Commendation6/7/2006
North Shore Medical Center Nurse Honored as Nurse of the Year6/7/2006

Wendy Doogue, R.N., receives the 2006 Nurse of the Year Award.


MIAMI, Fla. – May,  2006 –          North Shore Medical Center, has named Wendy Doogue, R.N., as Nurse of the Year and recipient of the Patricia “Trish” Barrett-Lewis Nurse of the Year Award, 2006.  Wendy is a registered nurse and works in the C. Gordon Griffith Cancer Center at North Shore Medical Center.

            Wendy was honored during National Nurses Week/National Hospital and Healthcare Week at one of the many events held during the week long festivities that commemorates the annual salute to nurses and healthcare workers during the month of May.

            Wendy joined North Shore in October, 1978 and worked in Pediatrics and 1-North.  Wendy later joined the C. Gordon Griffith Cancer Center at North Shore in September 1983 when it opened its doors to the community and remains there at this time.

            The Nurse of the Year award is in collaboration with North Shore Medical Center’s medical staff and hospital employees – all are invited to nominate candidates based on specific criteria in various categories such as:

·        Professionalism – attendance, compassion, caring, commitment to co-workers, excellent attitude, excellent follow-thru, responds to needs in a timely manner.

·        Technical Abilities – clinical knowledge, able to answer questions about the condition of the patient at all times, excellent clinical skills.

The Nurse of the Year award has been established in memory of Patricia “Trish” Barrett-Lewis who tragically lost her life while she was on her way to work.  “Trish was a wonderful person and a truly gracious individual who made life so much more pleasant for everyone around her and we miss her very much,” says Sylvain Trepanier, Chief Nursing Officer.



North Shore Medical Center Honors Doctors with Physician Super Star Awards


Miami, FL – May, 2006   North Shore Medical Center, recently honored their physicians with a special Physician Super Star Awards presentation during the annual Doctors’ Day luncheon and celebration.

                             The Physician Super Star Awards were established in 2002  by employees who serve on the Physician Satisfaction Committee as their way of thanking North Shore’s medical staff for their loyalty and commitment to the hospital.  All hospital employees are eligible to submit nominations prior to the annual Doctors Day celebration.

Employees nominated their favorite physicians in eight categories.  Awards were presented to physicians in the following categories:


Most Responsive:  Ramon Hechavarria, M.D.

Most Compassionate:  Moses Alade, M.D.

Most Supportive:  Mark Spence, M.D.

Most Cooperative Michael J. Schou, M.D.

Most Legible Handwriting:  Hakan Charles-Harris, M.D.

Best Bedside Manner:  Jaime Lozano, M.D.

Best Team Player:  Mark Bridges, M.D.

Physician of the Year:  Sheryl Facey, M.D.



Mt. Scopus Admiral's Port Hadassah Donates Blankets5/30/2006
News & Articles
Tips To Help Diabetics Dine Out More Healthfully

Learn more about eating out for diabetics from the American Diabetes Association.

A sizzling steak with buttery mashed potatoes, mouth-watering green beans and hot apple pie. Mmmm. Now that sounds like a good hearty meal.

Not so fast. If you have diabetes, you may need to rethink your menu choices. But don’t worry. You can still find appetizing restaurant foods that will fit in with your overall diabetes meal plan.
The key to healthy eating for diabetics is moderation. Follow the same portion size and food content rules that you would follow at home. You can keep track of what you eat and make healthy food choices while limiting portion sizes. Avoid the supersize, all-you-can-eat, jumbo, deluxe or value meals. Instead, opt for the regular or lunch-size menu choices. If there is still too much food on your plate, share with a dining partner or take the leftovers home to eat later.
It’s okay to substitute items with your meal. Instead of fries, you can ask for a side-salad with fat-free salad dressing or an order of vegetables. Switch mayonnaise or creamy sandwich sauces for mustard or ketchup. You also may request that sauces, dressings or gravy be served on the side of your plate so you can add only the amount you want to your meal.
Many restaurants feature heart-healthy items or list calorie and fat information on their menus. You also may notice foods that are identified as being lower in cholesterol, fat and sodium, and higher in fiber. When making menu selections, it is better to avoid fried or breaded items. Instead, order food that is broiled, roasted or grilled. Low-cholesterol eggs, whole-grain breads, skinless chicken and thin-crust vegetable pizza are other smart choices.
You will need to skip the double hamburgers and go easy on the cheese, but you can choose grilled or broiled sandwiches with lean roast beef, turkey or chicken breast. Salad bars are a good option too, but don’t load up on bacon bits, cheeses or croutons. You can end your meal with a tasty sugar-free, fat-free frozen yogurt or a fresh fruit cup.
If you are on a low-salt diet, remember to ask that no salt or MSG be added to your food.
Because high-calorie drinks are usually a no-no for diabetics, you may need to watch out for the continuously refilled soda glass. Instead, order water (regular, sparkling or mineral), diet soda or unsweetened ice tea. If your diabetes is controlled and your doctor allows it, you may have an occasional alcoholic drink. Options with fewer calories and carbohydrates include light beer, dry wines and mixed drinks made with diet soda or tonic, club soda or seltzer.
Diabetics who take diabetes pills or insulin shots need to watch the clock to make sure they eat on time. When possible, call ahead and make reservations. Plan your meal so you don’t have to wait too long for a table by avoiding times when the restaurant is very busy.
By making health food choices and limiting portion sizes while eating out, you can enjoy yourself and manage your diabetes at the same time.