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RWJ is the second hospital in the State of New Jersey to be Chest Pain Certified and Heart Failure Certified. Many patients visit the Emergency Room with Chest Pain and 90% of patients with chest pain do not experience heart attacks. 60% of patients are admitted to the hospital and must undergo various tests. Many tests are conducted on patients as some patients may leave the emergency room and then have a heart attack. Some patients may even die after being discharged. FFR-CT is a low risk procedure. Patients may experience reactions to the procedure. The reactions may occur due to the dye or if a patient has kidney disease. The procedure reduces Emergency Room visits as it gives you a definite diagnosis. If a patient has blockages it will be addressed at the hospital before discharge. If blockages are not extensive then the patient will be provided with medication to address the situation. Patients with chest pain are given tests which may include stress tests, EKG, and echocardiograms. These types of tests do not show the vessels or blockages. FFR-CT scans allow a noninvasive procedure that improves the technology and provides the best care for the patient. The Academy of Cardiology Association uses this technology for any patient having chest pain in the Emergency Room. Dr. Mohan showed pictures of scans and different color codes. He explained the care for each patient based on the color codes. This technology gives less radiation to our patients and provides a diagnosis for each patient.

COUNCILMAN KERN- questioned if a patient is needs a stent or bypass will the patient have the procedure conducted at one of our local hospitals or will they need to be transported to RWJ, Asked Dr. Mohan if a patient can elect to have this procedure even if they have mild symptoms and if seminars will be arranged to educate doctors and patients in this area about this new technology.

COUNCILMAN SAUICKIE- served on the Board for Kimball Medical Center Foundation and at the time an upgrade was conducted in the Radiology Department. The Radiology Department upgraded their facilities to allow for better and quicker diagnoses. He asked Dr. Mohan if this new technology is leading to quicker diagnoses for their patients. He also stated that MONOC is ceasing the ambulance service to hospitals in the area and asked if St. Barnabas will be doing more within Jackson.

DR. RAJESH MOHAN- if a patient needs a stent or bypass the patient will be transported to Community Medical Center or RWJ. Most of our patients are not in need of immediate stenting and can be conducted electively. A stent is only conducted immediately if a patient is having a heart attack. Any patient having any type of chest discomfort with high risk factors is a candidate for this procedure. He stated that an increase of inquiries have been requested by cardiologists, and primary physicians. It is a learning process as it is still a new procedure and it was recently presented last year. It was approved by Medicare on January 2018 and it is new to the whole country. As a small community hospital our patients are unaware that we have the latest and greatest technologies. A CAT scan is a longer procedure and the FFR-CT takes about 5 seconds. The patient is discharged within 4 to 6 hours with a definite diagnosis.

DR. VOZOS- the final details are still being conducted. The territories of MONOC will be divided between RWJ Barnabas system and Hackensack Meridian. The services will be divided between the two hospitals and it would include the entire state. The services will include helicopter services too. Our job is to aid patients in our hospitals but to keep our community healthy and prevent them from needing hospitalization. We are looking forward to partnering and educating the community. We are looking forward to providing screenings and education to the public on topics such as housing and nutrition.

COUNCILMAN BRESSI- worked with the Board of Trustees for Kimball Medical Center and he was able to hear all the plans for the betterment of the hospital. It's great to see the visions that were planned for the hospital and their accomplishments. Working with the board you are educated on the process of managing a hospital. The Board meetings always focused on the betterment of the hospital. Thanked Dr. Vozos and Dr. Mohan for their presentation.

COUNCILMAN BRESSI – thanked residents for attending this meeting. It is great to see the transformations occurring within the hospital.