Orientation For Jersey Shore University Medical Center
Dear Physician:
On behalf of the entire Medical and Dental staff and all of the members of the Jersey Shore University Medical Center team, welcome to Jersey Shore University Medical Center, part of Hackensack Meridian Health! We are so glad that you’ve chosen our facility and look forward to getting to know you, your office staff, and your patients.
We want to ensure that your introduction to our medical staff is as smooth as possible and welcome your inquiries at any time. Enclosed with this letter are some important facts that you should know. Please take a moment to review these materials.
Please do not hesitate to contact me if you need any additional information and again, WELCOME!
Sincerely,

Glenn Parker, M.D.
Medical and Dental Staff President
Hospital Leadership
Regional President - Kenneth Sable, M.D. – 732-776-4900 kenneth.sable@hmhn.org
Executive Assistant: Elizabeth Russo – Elizabeth.Russo@hmhn.org
Chief Hospital Executive - Vito Buccellato – 732-776-2316 vito.buccellato@hmhn.org
Administrative Office Lead: Nicole Gallo – Nicole.gallo@hmhn.org
Chief Medical Officer - Kim Carpenter, M.D. – 732-776-4734 kim.carpenter@hmhn.org
Program Coordinator: Michelle Sinno - michelle.sinno@
Vice President Academic Affairs - David S. Kountz, M.D. – 732-776-4226 david.kountz@hmhn.org
Administrative Assistant: MaryEllen Fett – Maryellen.fett@hmhn.org
Chief Nurse Executive - Ellen Angelo, DNP – 732-776-2483 Ellen.Angelo@hmhn.org
Administrative Assistant: Jennifer Freit – Jennifer.freit@hmhn.org
Vice President of Support Services/Operational - Annamarie Cutroneo – 732-776-2484 Annamarie.Cutroneo@hmhn.org
Administrative Assistant: Lucia Ciaglia – Lucia.Ciaglia@hmhn.org
Vice President of Clinical Operations – Brian Walch – 732-776-4822 brian.walch@hmhn.org
Administrative Assistant: Lucia Ciaglia – Lucia.Ciaglia@hmhn.org
Medical Staff Leadership
Medical & Dental Staff Officers 2021-2022
President | Glenn Parker, M.D., Glenn.Parker@hmhn.org |
Vice President | Ramon Solhkhah, M.D., Ramon.Solhkhah@hmhn.org |
Secretary | Andrew Blechman, M.D., Andrew.Blechman@hmhn.org |
Treasurer | Eric Costanzo, D.O., Eric.Costanzo@hmhn.org |
Immediate Past President | Brian Erler, M.D., Brian.Erler@hmhn.org |
Department Chairs and Meetings
Anesthesiology - Michael Entrup, M.D.
Michael.Entrup@hmhn.org
732-776-4532
Dentistry - Christian Madsen, D.M.D.
Christian.Madsen@hmhn.org
732-634-4797
Emergency Medicine - Harry Kopolvich, M.D.
Harry.Kopolovich@hmhn.org
732-776-4510
Family Medicine - John Gumina, M.D.
John.Gumina@hmhn.org
732-370-3563
Medicine - Arif Asif, M.D.
Arif.Asif@hmhn.org
732-776-4420
Neurology -Alan Colicchio, M.D.
732-530-2595
Alan.colicchio@hmhn.org
Neurosurgery - Shabbar Danish, M.D.,
732-974-0003
shabbar.danish@hmhn.org
Obstetrics and Gynecology – Scott Smilen, M.D.
Scott.Smilen@hmhn.org
732-776-3790
Orthopedics – Ramil Bhatnaghar, M.D.
Ramil.Bhatnagar@hmhn.org
732-776-4987
Pathology – Brian Erler, M.D.
Brian.Erler@hmhn.org
732-776-4335
Pediatrics – Harpreet Pall, M.D.
Harpreet.Pall@hmhn.org
732-776-2333
Psychiatry – Ramon Solhkhah, M.D.
Ramon.Solhkhah@hmhn.org
732-776-4930
Radiology – Wahid Girgis, M.D.
wahid.girgis@univrad.com
732-776-4121
Surgery – Thomas Bauer, M.D.
Thoma.Bauer@hmhn.org
732-776-4304
About Jersey Shore University Medical Center
- History
-
Shared Culture
- Our organization actively seeks to shape and lead the future of health care. Ideas that improve patient care are valued no matter where they come from in the organization. We strive for flawless execution in every interaction and focus on outcomes that matter to patients. Our focus is on the whole person to heal people better and deliver the best experience through a collaborative care team. We proactively share knowledge across the network and foster trust and collaboration.
- MISSION, VISIONA AND BENEFITS – WE WILL-BECAUSE –I AM
- WE WILL: Transform healthcare and be recognized as the leader of positive change
- BECAUSE: Innovation is in our DNA, compelling us to create a world where the highest quality care is human-centered, accessible and affordable; we deliver outcomes that matter most; and excellence is the standard.
- I AM: Creative, Courageous, Compassionate, and Collaborative.
- Awards
-
- Nursing
- Hospital Services
- Places to Eat
- Hospital Phone Directory
-
HMH Wayfinding – Internal GPS
The HMH Wayfinding app is our digital navigation tool to find your way around Hackensack Meridian Health hospital facilities. The app provides step by step directions throughout the campus. Users may view the indoor maps, search for a specific location, browse common points of interest, and/or navigate to a selected destination. It updates every second to match your current location, the “Blue Dot” helps guide users during Navigation. Parking Planner will recommend that the best place for a user to park based on a selected destination. The user may save the parked car location so he/she can return to it after the visit.
- Clinically Integrated Network (CIN)
-
Physician Parking
There are two parking lots reserved for the Medical and Dental Staff at Jersey Shore University Medical Center. The best way to reach either is by entering the hospital property at the stoplight entrance on Corlies Avenue.
The first lot is directly in front of the hospital to the immediate right of the main entrance. The second lot is on the first floor of the Harbor parking garage. Follow the loop road past the new D & T building and then make the first right into the garage.
Both lots are gated at all times. Access is by swipe of your hospital ID badge. If both lots are full, you may valet park free of charge.
For questions about parking matters, please contact hospital security at 732-776-4183.
- Campus map
Bylaws, policies and procedures
- Bylaws
- Medical And Dental Staff Rules and Regulations
Code of Conduct
Hackensack Meridian Health
Jersey Shore University Medical CenterDISRUPTIVE BEHAVIOR – CODE OF CONDUCT
Disruptive behavior is considered a safety issue that results in staff intimidation and apprehensive communication regarding the welfare of patients. Disruptive behavior has no place in the hospital.Examples of disruptive behavior:
- Losing one’s composure/temper.
- Engaging in intimidating or abusive behavior of any sort, physical or verbal.
- Using profanity or similarly offensive language.
- Making degrading or demeaning or offensive comments regarding patients, residents, employees, physicians or the organization.
- Making derogatory comments regarding the quality of care provided by the organization, any physicians on the Medical Staff, nurses, or any other personnel.
- Engaging in any retaliatory or abusive conduct with respect to any individual who has filed in the past, or may file in the future, complaints or concerns.
- Using non-constructive criticism addressed to its recipient in such a way as to intimidate, undermine confidence, belittle, or imply stupidity or incompetence.
- Unwillingness to work cooperatively and harmoniously with other personnel or members of the medical staff. This includes silence/non-communication as a means of retaliation, such as refusing to answer questions, calls, answer pages, walking away from someone talking to you or otherwise using silence as an avoidance tactic.
Both the Hospital Policies and Medical Staff documents provide a mechanism and process for the confidential reporting, investigation and corrective actions necessary to manage any reports of disruptive behavior.
- Doximity
Environment of Care
-
- Emergency Codes (use doc to make grid)
Graduate Medical Education
2019-2020 JSUMC & RBMC Residency & Fellowship Contact List
Infection Control
INFECTION CONTROL
Hand Hygiene
- Alcohol hand sanitizer is the most effective method to clean hands.
- Handwashing is to be performed before and after contact with each patient.
- Wash your hands when they are soiled:
- after personal use of restroom,
- after caring for patients with Clostridium Difficile disease.
- Use soap & water-scrub for 15 seconds, use paper towel to turn off faucet.
- Use disinfectant wipes for your stethoscope.
Prevention of Hospital Acquired Infections (HAI)
General Prevention:
- Perform hand hygiene:
- clean hands before and after patient/environmental contact every time.
- Follow Standard and Isolation precautions.
- Disinfect equipment between each patient.
Prevention of Clostridium Difficile infection:
- Mandatory hand washing with soap and water – no alcohol foam.
- Algorithm developed for patients with diarrhea – isolate until ruled out.
- Disposable isolation equipment.
- Antimicrobial Stewardship.
Prevention of Multi-Drug Resistant Organisms (MDROs):
Use Isolation Precautions for all known or suspected patients infected or colonized with an MDRO or other epidemiologically significant organism. Click to view Isolation Precautions for Selected Infections and Conditions.
- Follow hospital policies for Contact, Enhanced Contact, Droplet and Airborne Isolation Precautions.
- Always use the appropriate PPE for Contact, Enhanced Contact, Droplet and Airborne Isolation Precautions.
- Use disposable isolation equipment (blood pressure cuff, thermometer and stethoscope).
- Wipe personal stethoscope with hospital approved disinfectant wipe.
- Bleach wipes indicated for C. diff, Norovirus, Rotavirus and Enteroviral infections.
- Patients readmitted with a history of MRSA (< 2 years) are isolated and then screened using PCR.
- Use of decolonization therapy is not routinely indicated.
- Patient will need to have a negative nasal swab for MRSA with no other signs or symptoms of MRSA infection or open wounds to discontinue precautions.
- Patients readmitted with a history of gram negative MDROs or VRE (< 6 months) are isolated for the duration of hospitalization.
- CRE organisms are managed with Contact precautions for the duration of admission.
- Infections caused by these organisms are associated with high mortality rates.
- CRE possess carbapenemases which can be transmitted from one Enterobacteriaceae to another, potentially facilitating transmission of resistance.
- No surveillance cultures are needed to discontinue precautions for these organisms after 6 months.
- Patients with C. difficile who have clinically significant diarrhea are placed on Enhanced Contact Precautions.
- Mandatory hand washing with soap & water – No alcohol foam.
- Isolate patient until ruled out with PCR or patient has formed stool >24hrs.
- Sending stool for testing in the absence of signs and symptoms can detect colonization, not true infection.
- The PCR assay is not to be used as a test for cure.
- Use bleach wipes for disinfecting stethoscope between patients.
- Alcohol pads and ammonia wipes are not sporicidal.
Prevention Central Line Associated Blood Stream Infection (CLABSI):
Follow CLABSI Bundle policies and practices.
- Prior to insertion of a central venous catheter, educate patients and, as needed, their families about central line–associated bloodstream infection prevention.
- Use a catheter checklist and a standardized protocol for central venous catheter insertion.
- Perform hand hygiene prior to catheter insertion or manipulation.
- For adult patients, do not insert catheters into the femoral vein unless other sites are unavailable.
- Use a standardized supply cart or kit that contains all necessary components for the insertion of central venous catheters.
- Use a standardized protocol for sterile barrier precautions during central venous catheter insertion.
- Full body drape, masks, caps, eye protection and sterile gown & gloves.
- Use CHG for skin preparation during central venous catheter insertion.
- Use a standardized protocol to disinfect catheter hubs and injection ports before accessing the ports.
- Evaluate all central venous catheters routinely and remove nonessential catheters when no longer indicated.
Prevention of Catheter Associated Urinary Tract infection (CAUTI)
Follow CAUTI Bundle policies and practices:
- Educate patients who will have an indwelling urinary catheter, and their families as needed, on CAUTI prevention and the symptoms of a urinary tract infection.
- Use a catheter checklist (click to view) and a standardized protocol for urinary catheter insertion.
- Use an indwelling urinary catheter when the patient meets CAUTI Bundle criteria:
- Consider alternative methods of urinary drainage for selected patients such as:
- Intermittent catheterization (i.e. spinal cord injury).
- External catheterization (condom catheter) in males without obstruction or retention.
- Programmed toileting.
- Bladder scanning to determine urinary retention.
Note: Urinary catheters should not be inserted simply to monitor outputs with the exception of the need for exacting accuracy in certain critically ill patients. Use other means to monitor outputs in the incontinent patient, such as daily weights.
- Follow CAUTI Bundle for inserting and maintaining an indwelling urinary catheter.
- Limit use and duration when indications are no longer met.
- Perform hand hygiene prior to catheter insertion or maintenance care.
- Use aseptic techniques for site preparation, equipment, and supplies.
- Secure catheters for unobstructed urine flow and drainage.
- Maintain the sterility of the urine collection system.
Information Technology
I would like to take the opportunity to welcome you to the Hackensack Meridian Health Information Technology department. We have many exciting programs offered by our department that can be a supportive tool in assisting you in your practice.
Physicians can access the Epic Hackensack Meridian Health Information System from a remote site (home, office, laptop, and mobile devices) retrieving nurses’ notes, lab results, and medical records.
Within the Epic system:
- In Basket gives the physician capability to review, edit and approve by electronically signing transcription documents on-line from a campus, home or office.
- Order Entry Physician can type an order (medications, labs, x-rays, etc.) from any computer terminal, orders will generate instantaneously into the patient’s electronic chart.
- Advanced Directives obtained in the Emergency Department and scanned into the system
- Emergency Department Documentation including clinical notes as well as discharge instructions
- Visit Documentation including:
- Coding Summary as coded after discharge by Health Information Management
- Medication Admin Record the final MAR at discharge for any hospital stay
- Cumulative Order History for any Hackensack Meridian Health hospital stay
- Online Physician Progress Notes as part of Epic Documentation
- Prescription History – The patient’s medication history is visible, so physicians can accomplish medication reconciliation.
- Pathology Results including enhanced graphics and scanned documents from outside sources.
- PACS images linking diagnostic imaging results enabling physicians to read text reports and linked to the associated image without signing into a separate application.
Information Technology has a dedicated trainer physician application liaison (PAL) that is available to in-service any physician on the Epic application.
Please contact Francine Mattis for any IT-related questions at 908-675-3322.
Francine Mattis
908-675-3322
Francine.Mattis@hmhn.com
A clinical physician liaison is available on campus to in-service physicians on any or all of these programs. The campus Clinical Physician Liaison is located in the physician lounge, Monday-Friday from 8:00am – 4:30pm, and will be able to assist you with any I/T questions or training.
Our traveling clinical physician liaison can provide support to physicians and their office staff to optimize access and use of our clinical information Systems and tools
Please call your campus clinical physician liaison, Francine Mattis at 908-675-3322 with any IT related questions!
Library
Booker Health Sciences Library
Jersey Shore University Medical Center
732-776-4265 (Main)
732-776-4530 (Fax)
jsumclibrary@hmhn.org
- Darlene Robertelli, Medical Library Director
Darlene.Robertelli@hmhn.org
732 -776-4265/4266 - Chunwei (Charlie) Ma, Systems Librarian
Chunwei.Ma@hmhn.org
732-776-4636 - Located on the ground floor Booker Pavilion in JSUMC with 24/7 access with JSUMC ID Badge
Access to over 6000 electronic books and journals and various databases including UpToDate (offers free CME’s), Lexicomp, Clinical Key, and Cochrane Database of Systematic Reviews among many others.
- Access us on the home page of Meridian Dashboard and click on Booker Library (2nd link on the left).
- You can also access Booker Library remotely from home or office through VMWare.
- No passwords needed when using any Hackensack Meridian Health networked computer.
If you need a literature search, journal articles or book chapters, we can assist you in obtaining them. We can also assist you with the activation of mobile Apps for UpToDate, LexiComp and Clinical Key.
Don’t hesitate to contact our librarians if you have any further questions or need our assistance for your research needs. We’re here to help you!
Marketing and Public Relations
Jersey Shore University Medical Center has team members dedicated to marketing and public relations efforts that support the medical center’s programs and services. Some of the best storytelling comes from physician and patient testimonials. We are eager to hear about the great work our physicians are doing, and especially new and innovative procedures and treatments. (If a patient interview is required for the project, the physician’s office must facilitate that verbal consent for HIPAA purposes before providing contact information to the PR/Marketing department.)
Some of the opportunities include:
- HealthU Magazine– Features strategic patient testimonial stories, as well as health tips from clinical experts. The magazine is mailed to homes four times a year, there is generally a 6+ month lead time for story consideration, and all story ideas are vetted through the network editorial team for a coordinated approach.
- HealthU Online Blog/Podcasts/E-newsletter – Features strategic patient testimonial stories as well as health articles from clinical experts. Some articles are distributed via e-newsletter. Visit HMHforU.org for samples and to sign up for our e-newsletter.
- Press Releases – Prepared when there are new or exciting procedures, technology, or services offered.
- Radio and Media Interviews – Physicians are often needed to speak as medical experts on various topics. These requests often need immediate response with less than 24-hour notice.
- Videos– Physician videos (less than 2 minutes in length) are created to discuss particular procedures, expertise, or relevant health topics. These are often used for the hospital’s website and on social media.
- Community Lectures – Through the network’s Community Outreach department, physicians are often needed to speak at various community lectures. We seek physicians who are comfortable with public speaking for these requests.
- Health Fairs – Opportunities may be available for our physicians to actively participate in health fairs in the community
- Academics – Opportunities to give a lecture on your specialty at CME events or Grand Rounds.
As a new member of the medical staff, please feel free to reach out to:
- Marketing – 732-776-3756
- Public Relations – 732-776-2476
- Community Outreach - 732-414-6736
- Academics- 732-776-3450
Medical Records - HIM Department
Health Information Management (HIM)
Hours of Operation: Monday to Friday: 6am - 4:30 pm; Saturday and Sunday: 8am - 2:30 pm
Located on Ackerman 1
Julia Finn – Manager Julia-finn@hmhn.org 732-776-4243
Please swipe your ID to enter after business hours to use the locked PCs.
Dictation Cards: HIM can provide Dictation cards if needed.
Chart Completion:
Charts are completed electronically. Reminder letters are faxed to the physician’s Epic
In-Basket on Wednesdays.
Records must be completed within 30 days of discharge to be compliant with state and
federal regulations. Operative Reports must be dictated immediately after surgery.
H&Ps must be completed / updated within 24 hours of admission.
Deliquent Charts that are not completed within the above timeframe put physicians at
risk for suspension. Suspension occurs weekly on Wednesdays.
Transcription
- Dictation guidelines – see reference card
- Report work types – see reference card
- Incorrect report work type or medical record number – can delay turnaround times
Medical Staff Services Department
Medical Staff Services Office Hours and Contacts
OFFICE HOURS: Monday – Friday 7:30 a.m. to 5:00 p.m.
Ackerman First Floor, Suite 119
Linda Paneque, CPCS, CPMSM
Manager Physician Services
Linda.Paneque@hmhn.org
732-776-4689
Beverly Howey
Administrative Assistant to the Medical Staff President
and Department of Orthopaedics
beverly.howey@hmhn.org
732-776-3877
Theresa Dodds
Administrative Assistant
Theresa.Dodds@hmhn.org
732-776-3179
Carol Mazzillo
Credentialing Associate
Carol.Mazzillo@hmhn.org
732-776-4327
Maureen Freeman, CPCS
Credentialing Associate
Maureen.Freeman@hmhn.org
732-776-3170
Vicki Colasanti
Credentialing Associate
vicki.colasanti@hmhn.org
732-776-4688
Randi Hurley
Centralized Credentialing Associate
Randall.Hurley@hmhn.org
732-776-4947
Mailing Address:
Medical Staff Office
1945 Route 33, Neptune, NJ 07753
Phone: 732-776-4250
Fax: 732-776-2698
Pharmacy
Contact Information for Clinical and Unit-Based Pharmacists
Name | Specialty | Committees | Email Address | Phone Number |
Anticipated | Infectious Diseases, Antimicrobial Stewardship |
Antimicrobial Stewardship Committee |
N/A | x63387 |
Aneeqa Islam | Medication Safety, Internal Medicine | Medication Safety Committee | Aneeqa.Islam@hmhn.org | 732-776-4810 |
Anita Siu | Pediatrics | Pediatric Pharmacy and Therapeutics Committee | Anita.Siu@hmhn.org | 732-776-4207 |
Christopher Ullo | Research, Investigational Drug Services | N/A | Christopher.Ullo@hmhn.org | 732-776-3603 |
Jessica Wilczynski | Cardiology | Advanced Heart Failure Committee | Jessica.Wilczynski@hmhn.org | 732-776-3833 |
Jimmy Gonzalez | Internal Medicine | Medication Safety Committee | Jimmy.Gonzalez@hmhn.org | 732-776-4070 |
Kira Fedorenko | Critical Care (SICU) | N/A | Kira.Fedorenko@hmhn.org | N/A |
Larissa Woloszczuk | Emergency Medicine | N/A | Larissa.Woloszczuk@hmhn.org | x54250 |
Marcus Flores | Hematology, Oncology | Oncology Clinical Steering Committee Pain Management Committee Pain/Opioid Management |
Marcus.Flores@hmhn.org
|
732-776-3767 |
Melissa Yap | Internal Medicine (nw2) | N/A | Melissa.Yap@hmhn.org | N/A |
Michelle Kohute | Pharmacy (PGY1) Residency Director; Critical care | Graduate Medical Education Committee All critical care committees Orthopedic Surgery Committee |
Michelle.Kohute@hmhn.org | 732-776-4371 |
Thom Nguyen | Care Transition Center | Diabetes Committee STEMI Committee |
Thom.Nguyen@hmhn.org | 732-776-4962 |
Pharmacy Residents* | N/A | Varies – assigned by Residency Director each year | N/A | 732-776-2543 |
Vancomycin Pharmacist | Vancomycin Dosing | N/A | N/A | x63845 |
*JSUMC offers a postgraduate year-1 (PGY-1) pharmacy residency program that employs four (4) residents for a one year residency experience; these residents rotate throughout all clinical areas described in this table.
Pharmacy Teaching Opportunities
Pharmacy Preceptor* |
Specialty | Rutgers Faculty? |
Medical Resident & Student Lectures |
Preceptor for Medical Resident Research Rotations |
Grand Rounds |
Oops Conference |
M&M Morning | Report |
Anticipated | Infectious Diseases |
Yes | TBD | |||||
Anita Siua | Pediatrics | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Jessica Wilczynskib | Cardiology | Yes | Yes | No | No | No | No | No |
Jimmy Gonzalezc | Internal Medicine | Yes | Yes | No | No | No | No | No |
Marcus Floresd | Hematology, Oncology | No | Yes | No | No | No | No | No |
Michelle Kohutee | Pharmacy (PGY1) Residency Director; Critical Care | No | Yes | Yes, when in conjuction with pharmacy resident research | No | No | No | No |
*Faculty from the Ernest Mario School of Pharmacy at Rutgers University are employed by HMH for clinical and teaching services. They work interprofessionally in their specialty area and routinely provide experiential teaching for pharmacy students and residents.
aRounds with pediatrics; brounds with CCU; crounds with Med Teams A and/or B; drounds with Hematology/Oncology teaching service; erounds with MICU/SICU.
Pharmacy Unit Contact Information
Unit | Extension(s) |
Main Pharmacy | 732-776-4759, x55490 |
Pharmacy Office | x64286 |
Northwest 2 Satellite | x63720, x57263 |
Pediatrics Satellite | x52945 |
Brennan 4 Satellite | x62351 |
Booker 3 Satellite | x57902, x62350 |
Hope Tower Chemotherapy Pharmacy | x64885 |
Outpatient Pharmacy | x64750 |
Links to Frequently Requested Medical Information
- SALAD (sound alike, look alike drug) Posters
- Safety Clinical Pearls
- Automatic Therapeutic Substitutions
- IV-to-PO Substitution List
- Automatic Stop Order Policy for Medications
- IV Medication Administration Guidelines
- Standard Concentrations and Drug Information for IV Drips (adults)
- Andexanet Alfa Criteria and Dosing Guide
- Vitamin K Guidelines
- Heparin Protocols
- Insomnia Medication Guidelines
- Midline Catheter – Do Not Infuse List
- Alternatives to Opioids (ALTO) Guidelines
- Antibiograms
- OneLink
Pharmacy-Related Websites
On Call – EA Program
Jersey Shore University Medical Center - EA Health Program
Hackensack Meridian Health Hospitals Corporation has entered into a contract with EA Health Corporation, as a third-party provider, to compensate physicians providing on-call services to Jersey Shore University Medical Center’s Emergency Department(s). In order to participate and receive compensation, physicians must sign a Professional Services Agreement with EA Health.
Enclosed for your review are the following materials:
- Eligibility and Compensation- determines physician and patient eligibility, and defines compensation.
- Enrollment Memorandum– how to obtain a Professional Services Agreement and how to enroll with EA Health.
For additional information, please feel free to contact the following individuals:
Mary Moore
Jersey Shore University Medical Center - EA Program Liaison
(732) 776-2959 Mary.Moore@hmhn.org
Kelly Wheatley
EA Health Client Operations Manager
(866) 803-2262 Kelly.Wheatley@EAHealth.co
Debbie Huber
EA Health VP of Sales & Business Development
(866) 803-2262 Debbie.Huber@EAHealth.co
Fredrick Swingle
EA Health Client Operations Senior Director
(866) 803-2262 Fred.Swingle@EAHealth.co
Physician Eligibility and Compensation
Eligibility:
Participating Physician is a physician who is duly licensed and qualified to practice medicine in the State of New Jersey practicing in one of the specialties approved by the Hospital, who has been selected and approved as a Participating Physician by the Hospital to perform Coverage services, and will serve as one of a panel of other physicians providing Participating Physician Services.
Compensation:
EA Health shall reimburse Participating Physician for Participating Physician Services provided to EA Patients a Fee-For-Service rate per relative value unit (“RVU”) for each Service. Please see Professional Services Agreement for more information.
Patient Eligibility for the EA Program:
A patient must be an Uninsured Patient seeking services at Facility’s Emergency Department, or admitted from the ED to receive a higher level of care for treatment for which such Unassigned Patient’s attending physician determines that the consultation services of Participating Specialty Physician are required.
Uninsured Patient is a patient who is uninsured and charity care; who is not a Medicare or New Jersey Medicaid beneficiary; who was not referred to the Facility by Participating Physician or by another physician with whom the Participating Physician is affiliated; and who does not have an established and on-going physician-patient relationship with participating physician in the immediately preceding twelve (12) months.
Physician Enrollment
If you are interested in enrolling into the Jersey Shore Medical CEnter - EA Program, please follow the enrollment steps below:
- Visit our website at www.EAHealth.co to request a contract:
- Click “Contract Request Page” found on the Physicians Tab of the Home Page
- Complete requested fields
- Identify the Hospital Location(s) – Jersey Shore Community Hospital, and your specialty. Please note, if services are also provided at Ocean Medical Center, Riverview Medical Center, Bayshore Community Hospital and/or Southern Ocean Medical Center, you must choose each hospital separately using your CTRL button.
- Press SUBMIT
- EA Health will send an enrollment packet to the physician’s office which includes:
- Contract (Professional Services Agreement), W-9, EA Health Payee Application, and General Information Form.
- Physicians must complete, sign, and return the enrollment packet
- Once in receipt of all the signed and completed Contract documents, EA Health will assign the physician with a contract effective date
- EA Health will also send executed Contract/Welcome Packet to the physician
- Welcome Packet provides a copy of your fully executed Professional Services Agreement and instructions on how to begin using the Program to receive reimbursement
- After receipt of Welcome Packet, you may begin submitting patients into the program by faxing the CMS 1500 and office notes to your Program Liaison
For additional information or questions, please feel free to contact Mary Moore, EA Health Program Liaison, at (732) 776-2959, or EA Health Client Relations, at (866) 803-2262.
Thank you for your participation!