Health of Connecticut Drops Slightly as Disparities and Challenges Are Noticed

Connecticut is now the nation’s sixth healthiest state, dropping from number four in the previous year, according to state-by-state data compiled by the United Health Foundation in collaboration with the American Public Health Association and Partnership for Prevention.  Among the findings about Connecticut highlighted in the report, America’s Health Rankings, which was compiled in 2012:

• While Connecticut has one of the lowest smoking rates in the U.S., there are 475,000 adults who still smoke.
• In the past 5 years, the high school graduation rate declined from 80.7 percent to 75.4 percent of incoming ninth graders who graduate in four years.
• In the past 10 years, the percentage of children in poverty increased from 8.9 percent to 14.3 percent of persons under the age of 18.
• In the past 5 years, public health funding increased from $57 to $71 per person.
• In the past 5 years, the rate of preventable hospitalizations decreased from 67.3 to 60.4 discharges per 1,000 Medicare enrollees.
• In the past year, the infant mortality rate decreased from 6.3 to 5.8 deaths per 1,000 live births.

The state’s strengths, according to the report, include a low prevalence of smoking, low incidence of infectious disease, low rate of uninsured population and high immunization coverage.  Challenges facing Connecticut are the state’s moderate high school graduation rate and moderate levels of air pollution, the report noted.

Among the key health disparities highlighted from the Connecticut data, obesity is more prevalent among non-Hispanic blacks at 41.4 percent than Hispanics at 28.6 percent and non-Hispanic whites at 21.0 percent; and sedentary lifestyle is more prevalent among Hispanics at 27.5 percent than non-Hispanic whites at 19.9 percent.

Overall, Connecticut has consistently ranked in the top 10 among the states since 1994. Vermont topped the list for the fourth consecutive year in 2012.  New Hampshire, Massachusetts, Minnesota and Hawaii were deemed healthier than Connecticut.  An interactive web-based 3D chart provides comparisons among the states.

The reports’ authors state that the “ultimate purpose of America’s Health Rankings® is to stimulate action by individuals, elected officials, medical professionals, public health professionals, employers, educators, and communities to improve the health of the population of the United States.”

Hartford’s Institute of Living Plans Research into Schizophrenia and Autism Spectrum Disorders

Last month’s tragic killing of 20 children and 6 educators at a Newtown elementary school quickly generated speculation about possible links between mental illness and autism spectrum disorder, as questions about the gunman's medical history drew attention.  Although connections between the conditions were generally dismissed as media coverage proceeded, with distinctions being made by medical professionals and others,  a scientific research study into whether a relationship exists is apparently set to get underway in Connecticut. Writing in the Autumn 2012 edition of Rounds, the quarterly magazine of Hartford Hospital, Michal Assaf, M.D., director of the Autism and Functional Mapping Laboratory at the Olin Neuropsychiatry Research Center at the Institute of Living, says that “traditionally considered separate diagnoses, both schizophrenia and an autism spectrum disorder involve core social and communication deficits.  Not much is known, however, about exactly how each neurodevelopmental disorder disrupts the brain or how much they may overlap.”

“Schizophrenia and ASD are thought of as separate entities based on clinical symptoms, age of onset and the course of the illness,” says Dr. Assaf, who also is an Adjunct Assistant Professor at the Yale University School of Medicine.   “Recent evidence suggests a potential overlap.”

“Looking beyond clinical symptoms to the biological and genetic basis of these apparently different illnesses may someday lead to new treatments,” Assaf suggested in the article published prior to the Newtown killings.

She recently received a $2.9 million research grant from the National Institute of Mental Health (NIMH) to study social cognition and brain function in schizophrenia and ASD.  The study will directly compare a matched group of schizophrenia and ASD patients using a battery of social assessment tools and several neuro-imaging tasks that assess different aspects of social cognition.

Noting the commonly recognized distinctions, Dr. Assaf said that “Schizophrenia is a psychotic illness that typically appears in early adulthood.  In contrast, children with ASD show core deficits in social and communication skills – typically without psychotic symptoms – before age three.”

The Institute of Living has been seeking individuals to participate in the research study.  The Olin Neuropsychiatry Research Center at the Institute of Living, part of Hartford Healthcare, was founded in 2001. The mission of the Center is to be at the forefront of research in psychiatric and psychological disorders, in particular schizophrenia.

Early Identification of Mental and Behavioral Health Issues Critical, CT Study Finds

A recent report by the Connecticut-based Center for Children’s Advocacy revealed that early warning signs of mental and behavioral health problems are often not identified until middle school years, but could be uncovered much earlier. In any given year, the report noted that “about one out of every five Connecticut children (87,500 to 125,000) struggles with a mental health condition or substance abuse problem. More than half receive no treatment.”

With a grant from the Connecticut Health Foundation, Dr. Andrea Spencer, dean of the School of Education at Pace University and educational consultant to the Center for Children’s Advocacy, examined children’s educational records to identify how early these warning signs appear.  The report, issued in September 2012, documents the direct link between undiagnosed and unaddressed mental health issues with increases in school suspensions, expulsions and entry into the state’s juvenile justice system.  It also noted that:

• Over 70% of students diagnosed with mental illness and behavioral health problems by middle school exhibited warning signs by second grade.
• Almost 25% exhibited red flags during pre-Kindergarten years.

Early indicators, according to the report, included developmental and health issues, adverse social factors and exposure to trauma. The report, entitled “Blind Spot,” found that 25 percent of the children studied had documented traumatic experiences in their records  It recommends implementation of a series of initiatives:

• Improve screening for mental health risk factors
• Improve referral to early intervention services (mental health and special education)
• Improve collaboration between service providers
• Improve community and parent education about risk factors and support available
• Improve training and accountability for school staff and other providers

“Red flags for mental and behavioral health problems are often clear before the end of second grade,” said Dr. Spencer. “It is imperative that we improve screening and identification so support for these children can be provided before their academic careers are at risk.”

As a result of this report, the Center for Children’s Advocacy - a Connecticut nonprofit that provides legal support for abused and neglected children - introduced a statewide policy initiative to improve the quality and standard of care for children insured through the Connecticut’s Medicaid (HUSKY A) plan.

In addition, the Center noted that the Connecticut Department of Social Services (DSS) has agreed to convene a task force that includes representatives from the Center for Children’s Advocacy, Department of Children and Families, Department of Mental Health & Addiction Services, Office of Policy and Management, Value Options (contracted provider of mental health services under HUSKY/ Medicaid), American Academy of Pediatrics (CT Chapter), Academy of Child & Adolescent Psychiatrists (CT Chapter), Head Start, developmental pediatricians, Birth to Three Program, Department of Education, and the Connecticut Health Development Institute.

The task force is to review current regulations, make recommendations regarding screening and treatment protocols, and provide recommendations on reimbursement rates for pediatric providers, according to a news release issued by the Center.

CT's Mental Health Services Ranking is Good, But "Citizens Deserve Better"

The National Alliance on Mental Illness (NAMI), in its ranking of states in 2009, placed Connecticut as among the top six states in the nation, along with Maine, Maryland, Massachusetts, New York and Oklahoma.  However, it described Connecticut as “a state of paradoxes” in mental health care and treatment, stressing that “Connecticut’s citizens deserve far better.” The state ranked 31^st in the prevalence of mental illness, with 108,730 individuals, according to the organization, which pointed out that even in states with solid grades, “there is no doubt that many of their residents living with serious mental illnesses are not receiving the services and supports they need.”

Connecticut’s overall grade was “B,” according to the report, “Grading the States 2009.”  The Alliance graded states in four categories:  

• Health Promotion and Measurement,
• Financing & Core Treatment/Recovery Services,
• Consumer & Family Empowerment, and
• Community Integration and Social Inclusion.

Connecticut received a “C” in Community Integration and Social Inclusion, an “A” in Consumer and Family Empowerment – the only state in the nation to receive the top grade – and a “B” in the other two categories.

Three “urgent needs” were noted for Connecticut:  Increase community-based services, housing as an alternative to more restrictive placements, and ending nursing home warehousing.

In the days after the mass killings of 20 first-graders and six adults at the Sandy Hook Elementary School in Newtown, Connecticut, questions have been raised about the role of mental health services as part of a state and national response to the tragedy.

Overall, NAMI gave the United States a grade of “D.”  In the 2009 report, NAMI reviewed progress made since the organization’s previous state-by-state report in 2006, and found state mental health agencies “making valiant efforts to improve systems and promote recovery despite rising demand for services, serious workforce shortages, and inadequate resources.  Many states are adopting better policies and plans, promoting evidence-based practices, and encouraging more peer-run and peer-delivered services.”

However, NAMI reported that “these improvements are neither deep nor widespread enough to improve the national average. The grades for almost half the states (23) remain unchanged since 2006, and 12 states have fallen behind.”

Nearly 60 million Americans experience a mental health condition every year, according to data cited by NAMI, which  is the nation’s largest grassroots mental health organization dedicated to building better lives for Americans affected by mental illness.

The 2009 report concluded that “Without a significant commitment from our nation’s leaders—in Washington, among governors, and in state legislatures—state mental health agencies will continue to struggle to provide even minimally adequate services to people living with serious mental illnesses.”

Specifically, the report noted that as a nation, “We have too few psychiatric beds, treatment services, and community-based supports for those who need them; people with mental illnesses are neglected until they reach the point of crisis, and are then dumped onto other systems. Across the nation, people with mental illnesses are unnecessarily incarcerated, homeless, out of work, and unable to access needed medicines. On top of it all, we have an extremely limited capacity to monitor and measure our own efforts—the very foundation of effective reform.”

See NAMI video 

State's Childhood Obesity Numbers Continue to Raise Concerns

M. Alex Geertsma, Chairman of Pediatrics at St. Mary's Hospital in Waterbury and director of the Children's Health Center, says the road to childhood obesity is paved in tasty treats that are attracting children’s palates unnecessarily – and beginning very early in life. “Commercialism is driving change in how we feed our infants,” Geertsma recently told a group of advocates at a Capitol forum on childhood obesity.  Geertsma, who has practiced pediatrics in Connecticut for three decades, is a member of the Connecticut Commission on Children.

After being on a liquid diet for the first six months of life, they begin to taste discriminate, or recognize certain foods as tasty or disgusting. They begin to want something “novel” whether it is extremely sweet or really salty.  Food manufacturers take full advantage, producing choices with hefty salt content and other ingredients that begin to push the scales upward.

The increase in body fat has been occurring much earlier than seven to eight years of age in children who eventually become long-term obese. This pattern is worse in African-American and Latino children, Geertsma said.

A recently released report projects that if obesity rates continue on current trajectories, 46.5 percent of adults in Connecticut will be obese by 2030.  The rate in 2011 was 24.5 percent.  Commissioned by The Trust for America’s Health and the Robert Wood Johnson Foundation, the “F as in Fat Report” projects that nationally, 13 states could have adult obesity rates above 60 percent by 2030.

Currently Connecticut is not among the worst offenders, ranking among the states with the relatively lowest adult and childhood obesity rates (#40 in childhood obesity; #49 in adult obesity).

A report last year by the Connecticut Department of Public Health, “Overweight and Obesity Among Kindergarten and Third Grade Children in Connecticut,” found that the prevalence of obesity was significantly higher in grade 3 children than in kindergarten children. Third grade girls were more likely to be obese when compared to kindergarten girls.  Similarly, third grade boys were more likely to be obese when compared to kindergarten boys.

Almost one third (32%) of all the students in the sample were either overweight or obese. The prevalence was similar when compared by sex. Third-graders (33.6%) were more likely to be either overweight or obese than children in Kindergarten (29.8%), but the difference was not statistically significant. However, the non-Hispanic Black (40.8%) and Hispanic (43.3%) children in the sample were significantly more likely to be overweight or obese than non-Hispanic White (26.8%) children.

Obesity is the second-leading cause of preventable death in the United States, after smoking, according to the Connecticut Public Health Department.  If a child is overweight before age 8, obesity in adulthood is likely to be more severe, statistics by the American Academy of Pediatrics have noted.

The Connecticut Coalition Against Childhood Obesity, a coalition of more than 30 health advocacy organizations across the state which conducted the hearing, is encouraging discussion of ways to overcome the obesity epidemic, which they say is contributing to the academic achievement gap.

Public Invited to "Chat" About Plans for Health Insurance Exchange

The health care conversation in Connecticut goes public this week, with the launch of a series of public forums – dubbed “healthy chats” – across the state.  The Connecticut Health Insurance Exchange, led by a 14-member board, was established as a quasi-public agency to satisfy requirements of the federal Affordable Care Act (ACA). With President Obama re-elected, it would appear that it is full-speed ahead with implementation of the ACA, better known as ObamaCare. Starting in 2014, consumers and small businesses will have access to high-quality, affordable health insurance through an Exchange – a one-stop marketplace where consumers can choose a private health insurance plan that fits their health needs and have the same kinds of insurance choices as members of Congress.

In every state, Exchanges are to be designed to allow consumers to shop for and enroll in private health plans that meet their needs. Consumers will be able to learn if they are eligible for tax credits and cost-sharing reductions, or other health care programs like the Children’s Health Insurance Program. Small employers will be eligible to receive tax credits for coverage purchased for employees through the Exchange. These competitive marketplaces make purchasing health insurance easier and more understandable and offer consumers and small businesses increased competition and choice.

The Administration recently extended the deadline for states to indicate if they would develop their own Exchanges, or defer to the federal government to organize their states.

In Connecticut, however, the process has been proceeding for some time.  The state’s Exchange has been staffed and regular planning meetings have been held, in a public setting, to move forward with establishing the Exchange.  Four different advisory committees composed of a variety of stakeholders have been charged with providing the board with diverse perspectives on key initiatives and operations, providing opinions and recommendations.

Now the Exchange is looking hear directly from the public, and to respond to questions or concerns about the unfolding plans.  A series of “Health Chat” public meetings begin Tuesday, Nov. 27 in Hartford, and will be conducted around the state (see list below).

Each Healthy Chat is an open forum – a chance to meet and talk with Exchange CEO Kevin Counihan and other health care reform experts around the state.  Attendance is free. Advance registration is encouraged to ensure ample seating but not required.

Time-of-event registration and refreshments start at 5 pm. Upon arrival, individuals will have an opportunity to write down and submit questions. Chats will run from 5:30 – 7:00 pm and panelists will answer as many questions as possible.

Hartford  Tuesday, November 27 -Hartford Public Library

Waterbury  Thursday, November 29 -Waterbury City Hall

New London  Tuesday, December 4 - Mitchell College

New Haven  Thursday, December 6 - Regional Hall Career High School

New Britain  Tuesday, December 11 - Central Connecticut State University

Stamford  Thursday, December 13 - University of Connecticut Stamford

Bridgeport  Tuesday, December 18 - Bridgeport Holiday Inn

For additional questions, email cthix.inquiries@ct.gov or call 860-418-6420.

Effort to Combat Stereotypical Views of Women Gains Support

When the University of Hartford’s Women for Change student organization unveiled their new calendar - geared toward promoting women’s self-esteem - last week, they announced that sales will benefit CTGirlcott, the new initiative led by Charter Oak Cultural Center and a collaboration of Hartford-area organizations. This year's calendar is the largest to date, featuring 45 women, including students, staff, faculty, alumnae, and community leaders. The annual calendars are designed to combat stereotypical images of women. To create the calendar, Women for Change asked women to write about what they are “free to..” be, do, think, live, etc, and submit a photo to accompany the write-up.  Mala Matacin, Ph.D., an associate professor of psychology, founded Women For Change three years ago, which has grown to more than 150 members. In previous years the calendars have sold hundreds and received national attention.

The theme dovetailed perfectly with Girlcott, a locally-inspired initiative of women willing to go makeup free for a portion of  March 2013 (Women’s History Month) and donate the money usually spent on cosmetics to organizations that benefit women and girls in Connecticut and around the world, raising awareness about the relationship between women and the makeup they wear, issues of body image, self-esteem, gender roles and more.

CTGirlcott is being organized by the Charter Oak Cultural Center, YWCA Hartford Region, Harriet Beecher Stowe Center, and The Women’s Education and Leadership Fund.  A website has been developed, featuring additional information and photographs.

Last week, organizers of CTGirlcott appeared on WFSB-TV Channel 3’s Better Connecticut program, where host Kara Sundlun was make-up free, in keeping with the theme of the initiative.  Organizers are seeking other prominent people – as well as women from all walks of life – to participate as a means of highlighting the importance of self-image among girls and women.

In the run-up to March, a series of panel discussions, movies, and other events are being held to raise awareness for the effort.

CT Leader in Jobs, Salaries in Community & Social Service Fields

If you’re interested in working in the community and social service fields, Connecticut is the place to be, according to the latest federal data.  Nationally, community and social service occupations had an annual mean wage of $43,830, which was just below the U.S. all-occupations mean wage of $45,230, according to data compiled by the U.S. Bureau of Labor Statistics, for the 2011 calendar year.   Out of the 17 occupations in the community and social service group, seven had a mean wage above the U. S. average and 10 had a mean wage below average. Connecticut, however, had among the highest levels in the nation. According to the federal agency, Connecticut had some of the highest annual average wages in the community and social services occupations, and a strong concentration of workers as well. The BLS reported recently that:

• Hartford-West Hartford-East Hartford had the highest employment of any metropolitan area in Connecticut (2,370).   The area had the 14th-highest location quotient (2.00) out of all U.S. metropolitan areas and an annual average wage of $61,980. (Location quotients are useful for analyzing occupational employment while controlling for the size of the state. They are useful for comparing the composition of jobs in an area relative to the average or for finding areas that have high concentrations of jobs in certain occupations.)
• Waterbury, the metropolitan area with the highest location quotient (2.41) in Connecticut, had one of the highest average annual wages ($64,270) and employment of 330 for community and social service occupations.
• With an employment of 430 community and social service workers and a high location quotient (1.54), Norwich-New London had an annual average wage of $58,130, the lowest wage for this group out of the metropolitan areas in Connecticut, but still well above average.The Eastern non-metropolitan area had the second-highest annual average wage ($68,880) out of all U.S. non-metropolitan areas, the fourth-highest location quotient (2.63) out of all non-metropolitan areas, and an employment of 150 for community and social service occupations.

The state of Connecticut also has two non-metropolitan areas, Eastern and Northwestern.

• The Eastern non-metropolitan area had the second-highest annual average wage ($68,880) out of all U.S. non-metropolitan areas, the fourth-highest location quotient (2.63) out of all non-metropolitan areas, and an employment of 150 for community and social service occupations.

• The Northwestern non-metropolitan area had the third-highest annual average wage ($65,510) out of all non-metropolitan areas, the 21st-highest location quotient (1.84), and an employment of 140.

Nationally, some of the highest-paying occupations in the community and social service group were educational, guidance, school, and vocational counselors ($56,540); health educators ($52,150); and probation officers and correctional treatment specialists ($52,110). Two of the lowest-paying occupations, social and human service assistants ($30,710) and religious workers, all other ($31,600), had the highest (359,860) and lowest (7,660) employment, respectively, in the occupational group.

Breaches of Personal Health Data Increase, CT in Middle of Pack

An excess of 20 million patient records have been stolen, hacked, lost, improperly disposed of and/or subjected to unauthorized access since the August 2009, according to Healthcare IT News.   The web-based publication compiled data supplied by Department of Health and Human Services (HHS) since the August 2009 Breach Notification Rule requiring HIPAA-covered entities provide notification after a data breach involving 500 or more individuals. A report by Redspin.com, using HHS data, indicates there were 385 reported breaches of protected health information in 2011, that 59% of breaches involved a business associate, 39% occurred on a laptop or portable device, and the five largest incidents resulted in slightly more than half of the data breached.

States with the highest number of patient records estimated to have been subject to data breach (exceeding 176 people per thousand population) include New Hampshire, Utah, Virginia.  The next group of states, with between 87 and 176 people per thousand, includes California, New York, Arizona, Florida, South Carolina, and Tennessee.

Connecticut is in the middle tier of states, with between 16 and 48 people per thousand population having had their healthcare data compromised.

Earlier this year, Attorney General Jepsen announced he is seeking more information from Hartford Hospital about why unencrypted personal information and protected health information of approximately 9,000 patients was stored on a laptop apparently stolen from a third-party vendor.

Back in 2010, a healthcare data breach in Connecticut that exposed medical information for more than 400,000 individuals resulted in action by former Attorney General Richard Blumenthal, reportedly  the first time that a state attorney general  used the new provisions of the HITECH Act of 2009 to sue a healthcare provider for HIPAA violations.  In that instance, an external hard drive containing unencrypted medical records went missing from Health Net of Connecticut. Another interesting aspect, it was reported,was that the  Attorney General sought not only monetary awards but also a court order forcing Health Net to encrypt all portable electronic devices.

In reviewing the causes of the data breaches of health care records nationwide, it is estimated that 50% were as a result of theft, 18% due to unauthorized access or disclosure, 12% due to loss, 9.5% due to a combination of factors, 6% due to hacking and 4.6% due to improper disposal.

The past few years have brought massive reported breaches, such as the 4.9 million records lost by TRICARE Management Activity (a Department of Defense health care program) when backup tapes disappeared, 1.9 million records lost when hard drives disappeared from HealthNet, and 1.7 electronic medical records stolen from the New York City Health and Hospitals Corporation's North Bronx Healthcare Network.

Robotics, Simulation Training Draws Medical Talent to Hartford

An unassuming building on Hudson Street in Hartford, in the midst of a construction zone and a short walk from Hartford Hospital, is what’s known as CESI - the Center for Education, Simulation and Innovation, located on the second floor of Hartford Hospital’s Education & Resource Center. Part of the hospital campus, it is among a select number of premier centers for comprehensive experiential learning and innovation nationwide, using simulation, robotics and other leading-edge training technologies – a hands-on magnet for  tomorrow’s technology that is increasingly becoming today’s reality in medicine.  Some suggest that CESI is– or soon will be – among the top five facilities in the country.  Already, CESI is a regional and national training destination. As the second largest surgical center in New England and the Northeast’s largest robotic surgery center, Hartford Hospital is widely viewed as a hub for medical training.

The vision of the rapidly growing facility is fundamental to the mission of Hartford Hospital, and parent-organization Hartford Healthcare:  to assist all providers in enhancing multidisciplinary team performance, the quality of patient care, and patient safety through a comprehensive range of educational programs using state-of-the-art simulation and cutting edge technologies. CESI features exact replicas of an operating room, intensive care unit, delivery room and trauma room. It has the same equipment as the hospital, including two robots and two robotic simulators designed especially for training purposes.

Seeing is believing, and a recent tour provided to representatives of Leadership Greater Hartford by CESI staff was a window into medical technology not often seen by those outside the field (or their patients).  If you believe that a picture is worth a thousand words, CESI does that one better, with a virtual tour available on-line, which allows individuals, organizations, and the general public a glimpse of the sophisticated technology available to teach surgeons and medical teams the robotic techniques now emerging.

During the two decades since its inception – with exponential growth in recent years – its predecessor facilities and CESI (so-named in 2010) has expanded from 900 square feet to 20,000 square, training thousands of medical personnel. Incredibly, the entire operation is run with a staff of six – from the medical and program directors down to the simulation technician. The dedication and pride is evident in every aspect of the facility’s operation, which has a schedule that is consistently busy – not only with surgeons, residents and nursing staff from Hartford Hospital, UConn and local acute care facilities, but from organizations local – such as the Connecticut Fire Academy – and worldwide, such as teams from France and Israel (during the past two weeks alone).

In fact, both the Navy and Army National Guard use the CESI facility for their training purposes. The Navy trains their independent duty coremen and physicians. The state-of-the-art facilities enable CESI staff to simulate not only medical emergencies, but the environment that teams such as those in a war zone would face in responding.  That level of training is invaluable,  and not readily available elsewhere.

CESI has been recognized as a Center of Excellence - one of only 20 centers designated nationwide. Nearly two dozen training courses are offered, ranging from labor & delivery to bio-terrorism, traumatic brain injury to advanced cardiac life support.  This summer, Governor Dannel P. Malloy announced that the state will provide a $10 million grant to support a 30,000 square foot expansion of CESI - part of the hospital’s larger $100 million capital improvement plan, designed to make the institution a leader in training the world’s healthcare professionals in the latest medical techniques.

CESI is comprised of three separate areas:

• Robotic and endovascular simulators
• Task trainers, ultrasound technology and Fundamentals of Laparoscopic Surgery (FLS)
• Five simulated clinical environments each with its own control room: Labor & Delivery, Resuscitation, ICU, Trauma/ED, and Operating Room.

Internally, Hartford Hospital’s Departments of Anesthesia, Critical Care, Emergency Medicine, Ob-Gyn and Surgery are all using the facility to orient their first year residents and fellows to their clinical practices. The residents are able to experience hands-on training without the added pressure of performing new tasks on real people. It builds their confidence and allows them to learn, practice and repeat procedures in a controlled, non-rushed and educational environment.

It is also an ideal setting to begin to establish a culture of patient safety and open communication among an interdisciplinary medical team, whether from Hartford Hospital or elsewhere. Participants are able to train in a setting similar to an actual work environment to create an atmosphere of realism - mirroring multiple types of acute crises and patient care scenarios. Through simulation, the team can learn the physiologic components of crisis management, equipment knowledge, technical skills, and the leadership and teamwork needed to successfully deliver exceptional health care.

As Connecticut steps up its international presence in bioscience research and personalized medicine, facilities such as CESI have the potential to complement that effort, broadening the state’s impact on health care and medicine for decades to come.