Sept. 12, 2014
Inside MenTOr
reMeMbered
3
Beloved dental faculty member remembered, praised.
FaMily MediCine
6
New Family Medicine chairman revitalizes department.
2 Around Campus 5
Meet Cindy
9 MUSC Hero T h e C aTa ly s T Online http://www. musc.edu/ catalyst
MEDICAL UNIVERSITY of SOUTH CAROLINA
Vol. 33, No. 4
MUSC part of new treatment for heart failure patients New heart failure medicine touted as best advance in more than a decade Staff Reports
M
USC researchers played a vital role in the landmark Paradigm-HF clinical trial, recently announced at the European Society of Cardiology congress in Barcelona, Spain (published simultaneously in the New England Journal of Medicine), which revealed Novartis’ investigational heart failure medicine (LCZ696) was superior to ACE-inhibitor enalapril in the largest heart failure study ever done. Michael Zile, M.D., professor and Charles Ezra Daniel endowed chair for cardiology, was part of the international steering committee and helped design, implement and evaluate the study alongside numerous center principal investigators, such as cardiologist Terry O’Brien, M.D. “I have been a cardiologist Zile for 30 years, and this is the most important pharmaceutical clinical trial that I’ve ever been associated with or fortunate enough to participate in,” Zile said. “This will change the fundamental guidelines for therapy in heart failure patients. This medication substantially improves survival and quality of life, and proves that the care we provide is not only state-of-the-art, but also pushes the known boundaries of discovery, ultimately resulting in new, more effective ways to treat our patients.” This new heart medication cut cardiovascular deaths by 20 percent for patients with heart failure with reduced ejection fractions (HF-REF) versus ACEinhibitor in the landmark Paradigm-HF trial. Patients who were given LCZ696 were more likely to be alive and less likely to have been hospitalized for sudden deterioration of their heart failure than those given
photo by Anne Thompson, Digital Imaging
MUSC researchers played a vital role in the landmark Paradigm-HF clinical trial, recently published in the New England Journal of Medicine, which revealed Novartis’ investigational heart failure medicine (LCZ696) was superior to ACE-inhibitor enalapril in the largest heart failure study ever done.
ACE-inhibitor enalapril. Patients received LCZ696 or enalapril in addition to the current standard of care. More than 5 million people suffer from heart failure in the United States, facing a high risk of death and poor quality of life despite currently available medicines. In the study, the benefit of LCZ696 was seen early, resulting in an early closure of the study from the National Institutes of Health. LCZ696 reduced the risk of death from cardiovascular causes by 20 percent; reduced heart failure hospitalizations by 21 percent; and reduced the risk of all-cause mortality by 16 percent. LCZ696 reduces the strain on the failing heart by enhancing protective systems of the heart while simultaneously suppressing the harmful effects of overactive systems in these patients’ hearts. Despite existing therapies, the mortality rate remains very high with up to 50 percent of patients dying within five years of a diagnosis of heart failure. Approximately half of patients with heart failure have HF-REF. Analysis of the safety data from PARADIGM-HF showed side effects were manageable in the study and included elevated serum potassium levels, symptomatic hypotension and cough. Novartis plans to file a new drug application with the FDA by the end of 2014. To view Novartis multi-media information, visit http://tinyurl.com/kw9a5o6.
READ THE CATALYST ONLINE - http://www.musc.edu/catalyst
2 The CaTalysT, Sept. 12, 2014
PeoPle
Around Campus
Chris Heine Chris Heine, M.D. has joined MUSC as an assistant professor in the Department of Anesthesia and Perioperative Medicine. Originally from Kentucky, Heine attended medical school and did his anesthesiology residency at the University of Louisville. He previously worked at Riley Children’s Hospital in Indianapolis.
evenTs HCC Golf Tournament The 19th Annual Hollings Cancer Center Golf Tournament is scheduled for Monday, Sept. 15 at Turtle Point, Kiawah Island Golf Resort. Limited spots are still available. The event is sponsored by Firefly Vodka.
Deborah Deas Deborah Deas, M.D., senior associate dean for medical education and professor in the Departmenet of Psychiatry and Behavioral Sciences, will serve in the administrtive role of interim dean in the College of Medicine. Deas received her Master of Public Health degree from the University of South Carolina and earned her medical degree from MUSC in 1989. She completed her residency and fellowship trianing in child/adolescent and addiction psychiatry. In her administrative roles, she was associate
Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Cindy Abole catalyst@musc.edu Catalyst staff: Mikie Hayes, hayesmi@musc.edu
He has served in numerous leadership roles and served on numerous executive– level committees within the college.
photo by Cindy Abole, Public Relations
Pediatric Ambulatory Care nurses Amy Simmons, Lindsay Pemberton, from right, Stacey Ribble, Ashley Sabo and Bonnie Rab celebrate as newly certified pediatric nurses. The group completed the tedious task of test preparation and passing their Certified Pediatric Nurse exams for their specialties. dean for admissions, senior associate dean for diversity and medical education. She successfully led the Liaison Committee on Medical Education accreditation and new AnMed third–year medical student roations.
Bruce Elliott Bruce Elliiott, M.D., Division of Vascular Surgery chief and senior associate dean for clinical affairs, will assume the role of interim vice president of medical affairs The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.
in the College of Medicine. Elliott is chief in the Division of Vascular Surgery in the Department of Medicine. A highly respected surgical educator, Elliott also serves as senior associate dean for clinical affairs in the College of Medicine. He also was past president of MUSC Phyisicians from 2001 to 2005.
Registration begins at 9 a.m. with a 10 a.m. shotgun start. Tournament play includes breakfast, lunch and beverages on the course, a reception with open bar and tourney prizes. All proceeds benefit Hollings Cancer Center. Contact Kiki Cooper, 792-1669 or cooperay@musc.edu. For information visit: http://www.hcc.musc.edu/ giving/golf.
Hope for Healing Walk The Dream Center is hosting a 1.5 mile walk fundraiser from 8 a.m. to 12 p.m., Oct. 4. The walk will begin at North Charleston’s Park Circle and end at North Charleston High School. Proceeds will provide financial support for operations of the Dream Center Clinic. T-shirts will be given to participants who raise more than $200 per person. To register, visit http://www. dreamcenterclinic.org.
Nominations being accepted for honorary degrees The Office of the President is accepting nominations for people to receive honorary degrees from MUSC, to be awarded at Commencement in May 2015. In general, honorary degrees go to individuals in the following broad categories: Contribution(s) to the nation; Contribution(s) to science; and Contribution(s) to the state or MUSC. Consider submitting nominations
of candidates along with supporting materials such as letters, articles, curriculum vitae, etc., in the above mentioned categories. The nominations should be forwarded to Marcia Higaki, Office of the President, Colcock Hall, 179 Ashley Ave., MSC 001, higakimc@musc.edu, no later than Oct. 31. Nominations of MUSC alumni are generally discouraged.
The CaTalysT, Sept. 12, 2014 3
Pediatric dentist, educator, mentor praised, remembered By Cindy aBole Public Relations Pediatric dentist and dental educator Ronald Allen Bell, DDS, a professor of pediatric dentistry and orthodontics at MUSC’s James B. Edwards College of Dental Medicine, died at his home on John’s Island on July 29. He was 67. Beloved by dental faculty, staff, residents, and students, Bell served as chairman of Pediatric Dentistry and Orthodontics until his retirement in 2004. During his tenure at MUSC, Bell was named director of the postgraduate program in Pediatric Dentistry, MUSC Children’s Hospital and College of Dental Medicine, and served as director of the postgraduate program in orthodontics also at the dental school. On a national level, Bell served as president of the American Board of Pediatric Dentistry and the College of Diplomates, American Board of Pediatric Dentistry. He was a fellow of the Pierre Fauchard Academy, a member of Omicron Kappa Upsilon and a fellow of the American College of Dentists. He was selected for America’s Top Dentists Award (2003 to 2013) and America’s Top Teachers Awards (2004-2013). He
Dental Medicine’s Dr. Ron A. Bell
was selected Outstanding Alumnus, Louisiana State University School of Dentistry (2002). Luis Leite, DMD, professor and chairman of the Department of Pediatric Dentistry and Orthodontics, praised Bell for his contributions to dental education and friendship. “Dr. Bell was a brilliant teacher and was passionate about his work, life, family, friends, and the good times. He spent over 35 years committed to contributing to the knowledge of his students and improving the lives of his patients. He had a profound effect on those around him, and his role in the education of residents and students will remain an enduring legacy.” Cynthia Hipp, DDS, director of the Postgraduate Pediatric Dentistry Program and assistant professor in the Department of Pediatric Dentistry and Orthodontics, also shared fond memories of her colleague. “Ron recognized the best in all of us, even when we did not see it in ourselves,” said Hipp. “He was an amazing husband, father, friend, educator, and mentor. Ron’s legacy lives through the lives he has touched, taught and mentored over so many years. I am a better person to have had the opportunity to know and learn from him.” Interim director of the Postgraduate Orthodontics Program, Jing Zhou, DDS, Ph.D., praised Bell for his wisdom and zest for life. “Ron was more than just a mentor to me at work, he was a friend who was always willing to share his wisdom about orthodontics as well as fun conversations about food, beer and life. Most importantly, he was a good man, someone that our colleagues, students and patients could really trust.” Dental colleague Harry Hutchins, DDS, was recruited by Bell in 1990 and worked side by side with him for 24 years. “My tribute to Ron is to continue to teach our undergraduate and graduate dental students so long as I physically and or mentally can.” On July 23, South Carolina Gov. Nikki Haley bestowed The Order of the Palmetto, South Carolina’s highest civilian honor, upon Bell for
photos by Anne Thompson, Digital Imaging
James B. Edwards College of Dental Medicine’s Dr. Ron Bell, right, receives The Order of the Palmetto award from Dean John J. Sanders, left, on July 23. Also present is his wife, Marti Bell and son, Matt. his contributions to people around the state. His friends and colleagues have established the Dr. Ronald A. Bell Endowment in Pediatric Dentistry and Orthodontics, the first in the college. A lecture series is being planned to honor Bell’s legacy. Dean of the College of Dental Medicine, John J. Sanders, DDS, summed up his staff’s admiration for Bell as a colleague and friend. “He was a great educator, a true mentor and I am very fortunate to say, my friend. Dr. Bell had a long and very distinguished career that was recently recognized by his receiving the Order of the Palmetto, South Carolina’s highest honor. He was with the college for 24 short years and served as first chairman of the Department of Pediatric Dentistry and Orthodontics and later as the first and only director of the Orthodontics Residency Program. He clearly will be missed and fondly remembered.” A native of Louisiana, Bell was born in Baton Rouge, July 7, 1947. He completed his early education at East Baton Rouge Parish public schools. He
attended Tulane University and received his undergraduate degree from LSU in 1969. He completed his degree in dental sciences from LSU in 1973. He went on to earn a master’s degree in education from what was then known as LSUNew Orleans. After serving three years in the U.S. Army Dental Corps, Bell returned to LSU-New Orleans to earn a certificate in pedodontics. In 1987, he earned a second specialty certificate in orthodontics from the Medical College of Georgia in Augusta. He spent the early years of his career teaching at MCG before moving to Charleston. Bell is survived by his wife of 46 years, Marti and son, Matthew, both of Charleston; sister, Mary Marguerite Attuso of Baton Rouge, LA; and other family. In lieu of flowers the family requests that contributions be sent to the Ronald A. Bell Endowment for Pediatric and Orthodontic Dentistry, MUSC Foundation, 18 Bee St., MSC450 Charleston, SC 29425. A memorial service for Bell is scheduled at 4 p.m., Oct. 3 at MUSC’s St. Luke’s Chapel.
4 The CaTalysT, Sept. 12, 2014
Medicine dean, VP for medical affairs set to step down By Mikie hayes Public Relations Etta D. Pisano, M.D., dean of the MUSC College of Medicine and vice president for medical affairs will be stepping down from these roles at the end of September and beginning a year–long sabbatical. Pisano, a tenured professor of Radiology, will continue her breast cancer imaging research during the coming year. Her life’s work has focused on the development, application and testing of imaging technology for the early detection and diagnosis of breast cancer and other breast problems. She is widely known for serving as principal investigator of the largest clinical trial ever conducted by a radiologist. The Digital Mammographic Imaging Screening Trial enrolled nearly 50,000 women in a study comparing digital to film mammography, and the results of this landmark study were published in 2005 in the New England Journal of Medicine. Pisano co–founded her own company, NextRay, Inc. She was part of a team that invented a technology which creates medical images using X–rays through diffraction enhanced imaging which provides superior image quality at a dose that is substantially lower than is currently available.
“I am grateful for the dedication she has shown our students, faculty and staff. Her leadership played a major role in many of the college’s successes in recent years.” Dr. David Cole As the first woman dean of the College of Medicine, Pisano brought her own brand of leadership and passion to the role. During her time at MUSC, she was honored with numerous prestigious awards, including an induction into the National Women’s History Museum as a winner of the Helen Taussig Living Legacy Award for her groundbreaking work in breast cancer screening. She also received the MUSC Earl B. Higgins Diversity Award and the MUSC Women’s Scholar Initiative Advancement of Women Faculty Award.
Pisano is a past president of the Association of University Radiologists and the American Association for Women Radiologists. She is a recipient of the Gold Medal from the Association of University Radiologists and the American Roentgen Ray Society, and she received the Alice Ettinger Distinguished Achievement Award from the American Association for Women Radiologists. She was elected as a member of the Institute of Medicine of the National Academy of Sciences. Recently, she received a $650,000 grant from the National Sciences Foundation to improve support for women scientists at MUSC, the first grant of its kind to a medical school. MUSC President David Cole, M.D., FACS, said of Pisano: “I am grateful for the dedication she has shown our students, faculty and staff. Her leadership played a major role in many of the college’s successes in recent years. MUSC is better prepared for the future because of her efforts.” Pisano, who joined MUSC in July 2010, called Cole an “outstanding leader and a man of great integrity.” She added, “I am grateful to have worked with all of the dedicated and hard-working professionals at MUSC, and I am very proud of what we have accomplished together.”
The CaTalysT, Sept. 12, 2014 5
MEET CINDY
Cindy Stokes Department Pediatric Hematology-Oncology Clinic, Rutledge Tower How you are changing what’s possible at MUSC I’m changing what is possible by providing excellent family-centered care to my patients and their families. I treat the patients and families with great care and respect much in the same way I would expect a family member or myself to be treated. How long at MUSC 25 years Family and pets Husband, Mark and sons, Caleb and Jared and his wife, Jenn; cats, Smarty and Bobsie and grand-cats, Zeke and George Who are your heroes in life and why My heroes are the patients and families that I care for. The patients are so courageous and handle their treatment as part of their everyday life. Parents and families sometimes have a more difficult time and I’m glad to help out if they need me. Words of advice A smile and kind word go a long way.
6 The CaTalysT, Sept. 12, 2014
By definition, Family Medicine puts patients first “With views this beautiful, you’ll wish your wait for the doctor was longer.” By Mikie hayes Public Relations
I
n January, Terry Steyer, M.D., chairman of the Department of Family Medicine, came back to MUSC to lead and revitalize a department that had recently suffered a great deal of loss. Beloved team members had retired; others had left, taking positions elsewhere that advanced their careers. Not to mention the loss of the home that had served as True North for the department for 40 years: 295 Calhoun St. Steyer compared leaving their home on the peninsula to “a death in the family.” “When I returned to the department after more than four years, there had been a period of mourning in the department — losing 295 Calhoun Street was especially difficult. Then, there was the loss of Bill Hueston as chair, and our longtime residency director accepting a position in Florida. Clive Brock retired after being here for nearly 30 years, and Carolyn Thiedke retired. In 19 months, we lost eight faculty. All for good reasons, but it left the department at a point where it was dealing with a large amount of grief.” From a practical standpoint, it left the team with the task of establishing a new site while covering all its obligations with eight less faculty members. “We were treading water,” Steyer said. “We were all in the boat, and the boat wasn’t sinking. It just wasn’t moving anywhere. When I came in, I said, ‘We still have a boat — we need to start moving the boat, but before we can move it, we have to have enough people to row the oars.’” As such, recruitment became a priority for Steyer and he successfully recruited four new family medicine physicians. Three will begin their careers at MUSC in September and the fourth in October. “One is coming from the University of Michigan, another from the University of Cincinnati. All are stellar recruits and have significant academic experience.” For the department, the commitment
to ongoing recruitment has been hugely motivating. But the best news, perhaps, is the reopening of an office on the peninsula. Since Sept. 2, Family Medicine again has a home downtown, located on the 10th floor of Rutledge Tower. Steyer is in awe about the spectacular views the new space affords. “When you look out at the Ravenel Bridge and the rooftops and church spires of Charleston, it just doesn’t get much better.” In fact, he created a new slogan for the postcards that are going out notifying patients of the additional clinical location: With views this beautiful, you’ll wish your wait for the doctor was longer. Another challenge Steyer had to surmount was bringing back former patients. When 295 Calhoun St. closed and the department was relocated to Ellis Oaks on James Island, it lost approximately 30 percent of its patient base: mostly MUSC employees. The Calhoun Street location had been convenient and employees were able to go in during scheduled breaks or on their lunch hours. Further, access had been far more convenient for downtown residents at 295 Calhoun as well. Employees and many downtown residents were unable to make the Ellis Oaks location work for their needs and left the practice. Opening the Rutledge Tower location was just what the doctor ordered. In addition to the convenience of the site, the department re-launched the Employee Advantage program. When MUSC employees or their family members call in needing to be seen, they are given an appointment for the same day. If they choose rather to walk in, they are worked into the schedule. Steyer, in a short nine months, has breathed new life into the department and is pleased he returned. In 2009, after having been an assistant — then associate — professor in the Department of Family Medicine for a decade, he accepted the position of chairman of Clinical Sciences at a new medical school in Athens, Georgia. The University of
photo provided
Family Medicine chairman Dr. Terry Steyer is thrilled to again be providing services on the Charleston peninsula. Their new office is located on the 10th floor of Rutledge Tower. Georgia - Medical College of Georgia Medical Partnership afforded Steyer an opportunity to have a major impact on the maiden program. He worked with the leadership team to design an innovative new curriculum and played a major role in developing the curriculum for third–and fourth–year medical students. reTurning TO a belOved CiTy As the first class graduated, he was offered the position as chairman at MUSC, and he and wife, Kelly, a highrisk Obstetrics nurse, decided the timing was perfect to return to Charleston with their two sons. Steyer quickly became recognized as a jovial and enthusiastic leader, passionate about family medicine. Patients adore him and describe him as a “wideopen book.” He has a genuine way of connecting with them because he relates to them as people. “Obviously I need to lose some weight, like everyone in the world does,” he said laughing heartily. “I do biggest loser contests with my patients. Usually around the first of year, I’ll send out an email and tell them to come in and weigh and we’ll do percentage of body weight lost. It motivates them, and honestly, they motivate me. My patients say, ‘Wow, even my doctor struggles with
weight.’” His office is filled with photos of his family and he enjoys sharing both the pictures, as well as the stories behind them, with his patients. He has a way of making them feel comfortable and understood. “I relate to them as people. I know what it’s like to have a child with a chronic illness — my youngest son has juvenile idiopathic arthritis. So I understand them and their apprehension.” Steyer’s mantra is “Put patients first,” and that attitude pervades everything he does as a physician as well as the direction in which he is steering the department. “The principle behind family medicine is all about the patient. I couldn’t survive as a physician if I didn’t put the patient first,” he said. “If you constantly think to yourself, ‘What would I want if I were in the patient’s chair?’ you will never make the wrong decision. Some people have an attitude that putting the patient first means doing whatever the patient wants. It doesn’t. It means doing what’s best for that patient. Putting the patient first means taking care of them.” He also believes that evidence–based, cost-effective care is superior care. “If you put evidence before cost, you will never
See Family on page 7
The CaTalysT, Sept. 12, 2014 7
FaMily
Continued from Page Sic
go wrong.” He explained, “For instance, evidence has proved that routine CT scans are not effective in the diagnosis of chronic headaches. Instead, it is both better care for the patient, as well as more cost-effective, to refer the patient to a neurologist instead of putting them through repeated testing.” a deparTMenT aT The FOreFrOnT During his time in Georgia, he was never out of touch with his former colleagues at MUSC, and his respect for the department’s history played a role in his decision to return. In 1969 family practice became a true specialty. After completing a three-year residency and passing boards, a doctor can then be considered a specialist in family medicine. In 1970, MUSC was on the forefront when it was among the first five in the country to create a universityaffiliated family medicine department. Since that time, the department has always remained on the cutting edge, said Steyer. “In the early 80s, we were literally one of the first in the country to put medical records on computers — far before the dawn of electronic records being introduced. That led to PPRNet, the Primary Care Practice Research network which is one of the oldest practice-based research networks in the country. The PPRNet team pulled together patient information from medical practices around the country to study the aggregated information. Now this is the trend in medicine throughout the world.” Another source of pride is the fact that Family Medicine was the first department on campus to be awarded a Level 3 Patient–Centered Medical Home status. This is a designation given by the American College of Medical Quality. The department received a perfect score: 100 out of 100 points, on its first submission. Steyer credits Bill Hueston, the former chairman, for being forward thinking, and gives credit to Allison McCutcheon, patient-centered medical home coordinator, for the accomplishment. “She did a great job of making sure we got there,” he said. When asked what he is most proud of in his short time back at MUSC, he didn’t have to pause to think. “The things I’m most proud of to date are our
photo provided
Dr. Terry Steyer , from left, joins Family Medicine Rutledge Tower team members physcician assistant Peter Dodge and Dr. Alex Chessman. recruitment and diversity efforts and getting back on the peninsula.” Of the four new faculty members recruited, three are women, and one is an African-American woman. “I am also excited that one does OB as we haven’t had a physician practicing OB in a long time,” he said. “This allows us to place new emphasis on primary care women’s health.” He explained of the newest location, “Despite our main office being on James Island, we are again here on the peninsula to serve the needs of people downtown. This is truly home.” We have to go where the areas of greatest need are and it’s tough for a lot of people downtown to get to Ellis Oaks.” Not one to rest on any laurels, Steyer and his team are working toward the development of a strategic plan for the department that will define the direction for the next several years. Two items in particular are high on his list of priorities. First is to develop the patient-centered medical home, neighborhood and system. His initial goal is to ensure that patients understand what it means to have a medical home – a place where a family doctor can provide a “single window clearance” to manage all the health care needs of an individual or family. This model is said to promote a higher level of coordination and communication, and ultimately, a more patient-focused experience. By establishing a patient–centered medical neighborhood, in cases when a specialist’s care is needed, Steyer and
his team will serve as advocates, helping to coordinate with the specialist and ensuring the patient understands the new information and recommendations. “Family Medicine is home base,” he explained. “But if a patient is suffering with chest pains, you call your neighbor in for help. We’re all part of one big
team. ” Finally, recognizing the importance of a patient–centered medical community is critical to the future of academic health centers. “The health care environment is changing. Government regulations are changing. The needs of the patient are changing. In an ever–evolving industry where expectations at every level have increased, health systems will need to effectively collaborate with other health systems,” he said. His second priority is population management. The average family medical doctor, according to Steyer, manages 2,100 patients. “We have to continually ask ourselves, ‘How do we manage the care of our population?’” he said. “What are you doing to make sure they are staying healthy? Are they getting their colonoscopies? Are they up to date on their flu and tetanus shots? Everyone needs a family doc to coordinate their care and to put the ‘care’ in health care.” Steyer is unequivocal in his support of MUSC. He cannot imagine a patient going anywhere else to receive his or her care. “From the best providers to the latest and greatest technology and research, it’s all here at MUSC,” he said.
8 The CaTalysT, Sept. 12, 2014
Box-approved cloud storage system now on MUSC campus By Melanie RiChaRdson OCIO Communications coordinator The ability to collaborate on patient care while ensuring patient data remains safe and secure is a constant challenge. MUSC employees need to be able to share information with both MUSC and non-MUSC users, and they want something that’s easy to learn and use. Cloud–based storage solutions have become the popular answer to these problems because they are convenient and easy to access. However, we have to balance our collaboration needs with the ethical and moral duty to protect the privacy and security of patient information. Many users unintentionally compromise the safety of patient data when using online cloud services. According to the U.S. Department of Health & Human Services, “Individuals, organizations, and agencies that meet the definition of a covered entity under HIPAA must comply with the Rules' requirements to protect the privacy and security of health information . . . If a covered entity engages a business associate to help it carry out its health care activities and functions, the covered entity must have a written business associate contract or other arrangement with the business associate . . . In addition to these contractual obligations, business associates are directly liable for compliance with certain provisions of the HIPAA Rules.” According to Matt Jones, cyber security analyst for OCIO, this agreement, referred to as a Business Associate Agreement, ensures that “the business associate is under the same federal requirements to protect [patient] data as the covered entity.” To ensure that patient data is always protected, it is very important that protected data is only stored on cloud services that have entered into a BAA with MUSC. Currently, the only cloud based storage system that has done this is box. Approved cloud services Box for MUSC — Web address musc.box.com
Unapproved cloud services includes but is not limited to: Dropbox iCloud Egnyte Google Apps Google Drive Open Drive Microsoft SkyDrive Apple iCloud Amazon Cloud Drive
What is the MUSC user’s experience with Box? Chad Higgins, Clinical Education manager for the Clinical Education Support Team in the College of Health Professions, tested Box’s effectiveness with his team. A large portion of what his team does is dedicated to sending clinical packets to rotation sites. The team sends approximately 1,000 packets over the course of a calendar year. Because many of the rotation sites are non-MUSC, they were in need of a system that would allow them to efficiently communicate with sites that do not have MUSC credentials. They found that Box effectively met their needs. Higgins said he prefers Box to other file–sharing systems. “Box has the ability to adjust to the needs of multiple teams with varying needs, much more so than other file sharing software I’ve explored. I have been pleased to see that Box is very user friendly, especially since I am not very tech savvy. In searching for file sharing software, one of the biggest criteria was ease of use not only for my team but for the sites receiving information from us.” Some of the pros and cons his team identified are listed in the table (top right). For more information on Box, including how to
Box Pros and Cons Pros
Cons
*Secure and compliant *User friendly *Provides a place for documents to be stored that can be accessed from any internetconnected device *Time limits can be set for access to documents *Various options for permission levels are available *Provides the ability to invite non-MUSC persons to collaborate without issuing a NetID while still being secure
*An email notification is sent each time a person accepts a Box email invitation to be a collaborator. Some people find this annoying *Training is required before access is granted *Can only share folders, not individual files *Non-MUSC users have to sign up with Box in order to access shared data
obtain access, visit the OCIO web page at https:// sp.musc.edu/ocio-is/box/Pages/Box---Online-FileSharing.aspx.
The CaTalysT, Sept. 12, 2014 9
An MUSC Hero ByeMily UPshUR Public Relations
patient care.”
There are many heroes working hard to improve patient care at MUSC. Kelli Garrison
extended beyond the patients to the people she
Cooper also said that Garrison’s concern
of the Department of Pharmacy Services is one such hero. Garrison came on board
works with each day. He said that as a manager, Garrison is a good listener and takes the input of her team members into account when making decisions.
with MUSC in 2004 after
“Her office is always open. We have a lot of
doing a two–year residency in pharmacy practice and
meetings, and she’s always willing to listen and incorporate that and gives good feedback. Kelli never says, ‘This is what we’re going to do.’ She listens and speaks with you about what your issues and feelings are, and what’s happening, and works with you to handle that.” Outside of Pharmacy Services, Garrison worked diligently during the preparation and rollout of the Pediatric Pharmacy and Hematology/Oncology parts of the EPIC electronic health care record system. Garrison had previous experience in setting up the former
drug information. She is now working in the Drug Information Center as the manager of the Medication Use Policy and Informatics
Garrison
Group. She and her team provide support for the pharmacies, physicians and nurses at MUSC as well as numerous health care professionals outside the hospital. MUPI focuses on answering questions for MUSC pharmacies, researching clinical outcomes for specific strategies and managing information systems. Garrison’s recent focus has been on pharmacy information systems and she has distinguished herself particularly in the recent EPIC rollout. Her colleague, Jason C. Cooper, a clinical pharmacy specialist in the MUSC Drug Information Center, spoke about how Garrison works diligently to promote patient care. “EPIC is supposed to benefit patients and Kelli kept that at the forefront. I don’t know how many times I heard her on the phone arguing to make the system better for the patients and physicians. She explained how the physicians were going to view the information in the system. About how important it was that the system needed to be clear for physicians in order to provide quality
health care record system, McKesson Medical Records, and this enabled her to more easily understand the newer system. She worked in a number of different areas on the Epic project, ensuring that information was recorded correctly, programing was written to serve each specific area and that the rollout went as smoothly as possible. Garrison was described as a reliable, hard-working, intelligent individual whose sense of kindness and patience made the stressful situation easier to work through. David Habib, M.D., associate chief medical officer for the Hospital Supply Chain, worked with Garrison on McKesson and then later on Epic. He spoke of how Kelli made the Epic roll out successful. “She knows what we’re able to actually manage to do versus what we think we can do. With
implementing EPIC, you have to know what you can accomplish up front almost a year in advance because the timelines are pretty strict. If you have somebody like Kelli, who really knows what the capabilities of your institution are, you will get there.” The medical director of the Pediatric Emergency Department, Scott Russell, M.D., expressed that “Kelli is always willing to listen and lend a helping hand to make sure that we do it right and do it right the first time. Whenever anything breaks, she’s available day and night to fix it with a smile on her face. She’s really just focused on getting things right to the extent that she works incredibly hard to make that happen.” Garrison helped ensure the Pediatric Hematology/Oncology clinic site would be a successful Epic pilot rollout in March 2012. Michelle Hudspeth, M.D., division chief for Pediatric Hematology–Oncology, described how taking care of complex patients while at the same time learning the new system proved difficult for the clinicians. Garrison’s work helped avoid critical patient safety issues, Hudspeth said. There was also special difficulty in having to write chemotherapy orders in Epic, which Garrison helped the clinicians navigate and modify to suit the needs of the clinic and its patients. “She very quickly gained the trust and respect of everyone in our clinic and really I would consider her an honorary member of our division and our clinic because everyone trusts her implicitly. Not only is she very smart and talented in what she does, but she also has a great way of working with people. She gets along See Hero on page 11
10 The CaTalysT, Sept. 12, 2014
Walk for Health and support American Heart Association Each month the Office of walking trail starts at the Health Promotion asks employees Horseshoe and takes you and students to take the Monthly down Ashley to Calhoun Mindful Challenge and each month street. Turn right on a health behavior is featured and Calhoun and continue to participants are asked to engage in Courtenay. Make a right that activity throughout the month. on Courtenay, a right on Participants in the challenge are Bee Street and then a right eligible for prizes by completing a on Ashley to loop back to short survey at the beginning and the Horseshoe. end of the month. One participant MUSC Lake Loop: This will be featured each month in outdoor wellness walk our Spotlight on Wellness” feature is 1.75 miles round trip Susan Johnson in The Catalyst. The September and offers scenic views challenge is to take a walk, indoors of Cannon Park and or out, during the work day. To Moultrie Park, as well as begin, take the first September Monthly the traditional architecture of downtown Mindful Challenge survey at http:// Charleston. Travel from the entrance tinyurl.com/omfw3vb. A link to the final of the main hospital on Ashley Avenue survey will be sent at month’s end to to Colonial Lake and back on Rutledge those who take the first survey. Avenue before returning to the hospital Walking is simple, free and one of via Doughty Street. the easiest ways to get more active, On Saturday, Sept. 27th over 1,000 lose weight and become healthier. It’s walkers representing MUSC will join also one of the best ways to maintain others for the 2014 Lowcountry Heart functional fitness and reduce risk for Walk. The Heart Walk is the American chronic disease. The Surgeon General Heart Association’s premiere event for advises that 30 minutes of walking raising funds to save lives from this five days a week will significantly country’s No. 1 and No. 4 killers — heart reduce adult risk of developing a host disease and stroke. of diseases, ranging from cancer to Designed to promote physical activity depression and can even be divided into and heart–healthy living, the Heart three, 10– minute parcels of time with Walk creates an environment that’s fun the same benefits. Beginners can start and rewarding for the entire family. walking anytime and regular walking 30 Participants help raise even more in their minutes or more can contribute to better fight to save lives. Walk with friends, health. In addition to reducing risk for family, coworkers or strangers you’ll heart disease and stroke, walking helps bond with along the way. Strollers, with mental and emotional health by wagons and dogs are welcome It’s not increasing production of endorphins, too late to register for a team, visit www. boosting energy levels and reducing stress lowcountryscheartwalk.org and search level. teams to sign up for an MUSC team. The Office of Health Promotion has designated the following walking trails Wellness Events on and around campus to make walking q Take the monthly Mindful Challenge convenient and fun: and be eligible for prizes by completing a MUSC Wellness Walk: This indoor short survey at the beginning and end of walking trail runs from the dental the month. The September challenge is building to Rutledge Tower on the to take a walk, indoors or out, during the second floor and is marked by signs work day. Take the September Mindful identifying distance in the following Challenge survey at http://tinurl.com/ colors — pink (0.15 mile), green (0.20, omfw3vb (A link to final survey will be mile) light blue (0.15 mile) which sent at month’s end to those who take roundtrip equals one mile. This is a great the first survey). option for employees who don’t have q Employee Fitness Series: Wednesday, much time or when the weather does not Sept. 17, 12:15 to 12:45 p.m. Spin: Katie allow for outdoor walking. Blaylock will guide participants through MUSC Medical Mile: This outdoor workout phases from warm–up to sprints
Health at work
Lowcountry Heart Walk
When: Saturday, Sept. 27, Time: 9 a.m. Location: Liberty Square, 340 Concord Street (Adjacent to the SC Aquarium & Gilliard parking garages) and climbs. You control the resistance on your bike. Free day pass to the MUSC Wellness Center for all participants. Check in at the Wellness Center membership desk for information or email musc-empwell@musc.edu to register. q Worksite screening — Thursday, Sept. 18, Colbert Library, room 109, Colbert Library. This screening, valued at about $350, is available to employees of the State Health Plan (including the MUSC Health Plan) for only $15 (covered spouses also can participate for $15). Employees and spouses without this insurance can participate for $42. Register at www.musc.edu/ employeewellness.
q Chair massages: Free massages are offered to employees on midday on Wednesdays. Look for broadcast messages for locations and times. q Farmers Markets: Enjoy fresh fruits and vegetables from local farmers on Tuesdays, 8 a.m. to 4 p.m. (Harborview); Wednesdays and Thursdays, 8 a.m. to 6 p.m. (ART); and Fridays, 7 a.m. to 3:30 p.m. (Horseshoe). New vendor: The Clean Soap Company.
MUSC Urban Farm
q Farm hand training — Farm Hands are volunteers who participate in MUSC Urban Farm activities on a regular basis Email urbanfarm@musc.edu to indicate the session you’d like to attend: 9 to 10 a.m. Oct. 4. Training is free or no prior experience is required q Sunset Work & Learns – Thursday, 4 to 5 p.m. Take home fresh produce in return for work efforts. Open to all employees, students and the community q Third Thursday Lunch & Learn — 12:15 to 12:45 p.m., Sept. 18. Join The Bee Cause executive director and journeyman beekeeper Tami Enright.
The CaTalysT, Sept 12, 2014 11
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Continued from Page Nine
really well with everybody and we actually have fun in the midst of trying to figure out all these stressful situations,” said Hudspeth. Garrison’s work at MUSC, and the lives she has touched, is something to be commended and admired. As Russell expressed, “Kelli’s the type of person we should all try to emulate because she is, in fact, MUSC Excellence.” Editor’s note: At MUSC, heroes abound. They exist in the form of caregivers, faculty, students and staff. MUSC Heroes is a feature that offers employees and
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12 The CaTalysT, Sept. 12, 2014
Car seat inspections offered by MUSC, Safe Kids Trident Area on Sept. 12 Staff Reports Safe Kids Trident Area urges parents and caregivers to make sure their car seats and booster seats are properly installed during Child Passenger Safety Week, Sept. 14-20. Mount Pleasant will have certified child passenger safety technicians available to provide handson instruction on installing car and booster seats from 1 to 4 p.m., Sept. 12 at Oakland. “Correctly used child safety seats can reduce the risk of death by as much as 71 percent,” said Jennifer Winkelmann, Injury Prevention Coordinator at MUSC Children’s Hospital and Safe Kids Trident Area Coordinator. “We want all parents to make sure their car seats are used and installed correctly and that the whole family is buckled up every time on every ride. And we’re here to help.” Car seat inspections offer drivers the chance to receive assistance and guidance from certified car seat
technicians regarding proper installation of their child safety and booster seats. Technicians ask that parents bring the car seat manual and vehicle manual if available as well as the child who uses the safety seat to the event. Safe Kids Worldwide will host more than 500 child seat inspections across the country for CPS week, including one in Mount Pleasant. Safe Kids Buckle Up events continue throughout the year. Certified child passenger safety technicians are available to help or double check your work. For information visit http://www. safekids.org.