O C T O B E R / n o v e m ber 2 0 1 2
Brenner Children’s Hospital Nationally Recognized Pediatric Heart Care Close to Home
Also in This Issue
Mobile Apps Lawsuits
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Editor’s Note Good for Little Hearts Many of us cherish the winter holidays that get into full swing with Thanksgiving. Celebration with family and friends often is accompanied by expressions of gratitude and appreciation for others. Many will give thanks for health care services that saved the life of a child with heart disease. Held in high esteem for its commitment to the health of our youngest Triad residents is Brenner Children’s Hospital, a part of Wake Forest Baptist Medical Center. Its pediatric heart program is our cover story this issue. Here, a comprehensive range of services and specialists treat children with complex heart diseases – acquired and congenital – not only with leading-edge expertise and technology, but with great understanding that children have physical and emotional characteristics that are unique, and unlike that of grownups.
Editor Heidi Ketler, APR Contributing Editors Jim Bethune, P.A.-C. Maryan Binkley June DeLugas Roberta King Latham Karen McKeithen Schaede Photography - Kendal Murphy
Also this issue, we begin our series of focus pieces on the ophthalmologists at Duke
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Eye Center in Winston-Salem with Parag Gandhi and Frank Moya. We also welcome two
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new contributing editors. Jim Bethune provides an overview on the important role of the physician assistant on the health care team. Attorney Roberta King Latham discusses the unfortunate likelihood of lawsuits and the “urgent care” required. Attorney Karen McKeithen Schaede returns to discuss key practice considerations before choosing an
Angie Griffin angie@triadphysician.com 336-509-2209
electronic health record program.
News and Columns Please send to info@triadphysician.com
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Editor
2
The Triad Physician
Category
COVER STORY
4
Brenner Children’s Hospital
Nationally Recognized Pediatric Heart Care Close to Home
O C T O B E R / No v e m ber 2 0 1 2
FEATURES
7
Technology
Mobile Technology Boosts Efficiency Maryan Binkley suggests dictation apps that ensure secure patient data and password storage.
14
V ol . 1 , I s s u e 8
DEPARTMENTS 8 Recovery
17 Extracurricular
Breast Cancer Survivors Benefit from
Experience the VIR Resort
the Ripple Effect of Fly-Fishing Retreat
10 Interior Design
18 News
- Two Hospitals Earn
- Commission on Cancer Grants
Deck the Halls of the Office, Too!
Quality Recognition
11 Legal
Accreditation with Commendation
Lawsuits Require Urgent Care
- The Triad Physician 2013 Editorial Calendar
Career Perspective
Physician Assistants: Changing the Face of Health Care
12 Spotlight Frank Moya Brings to Winston-Salem Elite Glaucoma and Cataract Care
20 News High Point Regional Health System Plans Strategic Partnership
15 Spotlight
with UNC
Parag Gandhi: Oculofacial Aesthetic and Orbital Reconstructive Surgeries
Jim Bethune explains how the physician assistant improves health care delivery and
16 Legal
patient satisfaction.
Select an EHR Program to
20 News
- Forsyth Medical Center Offers First
- Welcome to the Area
Defibrillator Implanted Under Skin
Avoid Legal Issues and On the cover: Ross Ungerleider, M.D., is director of the Brenner Children’s Hospital Pediatric Heart Program.
Reimbursement Loss OCTOBER/November 2012
3
Category Cover
Brenner Children’s Hospital
Nationally Recognized Pediatric Heart Care Close to Home As the leader in the region for many years,
pediatric cardiology team provides the
“Our goal at Brenner Children’s Hospital
the Heart Program at Brenner Children’s
most
and
is to provide a comprehensive program
Hospital houses nationally recognized
procedures available. In addition, the team
offering the full range of cardiovascular
clinical faculty and state-of-the-art medical
works closely with adult cardiologists in
surgeries and to deliver care that exceeds
facilities. Its multidisciplinary team of
the hospital’s heart center, ranked by U.S.
the standard of excellence,” says Ross
expertly trained pediatric clinicians is
News and World Report as one of the best
Ungerleider M.D., director of the Pediatric
involved in ongoing research and uses the
in the United States for treating patients
Heart Program at Brenner.
most advanced technology to treat all types
with congenital heart defects.
sophisticated
technology
Many heart defects can now be diagnosed
of congenital and acquired heart problems, ranging from pulmonary hypertension and
The Heart Program at Brenner Children’s
in utero. The pediatric heart program team
arrhythmias to the most complex heart
Hospital offers state-of-the-art surgical
works closely with families when heart
conditions, such as hypoplastic left heart
capabilities with the most experienced
abnormalities or arrhythmias are detected
syndrome.
pediatric heart surgeon in North Carolina
in a baby and help the family and other
and a recognized international leader
team members prepare for the arrival of
Brenner experts offer comprehensive care
in the field, an active fetal, transthoracic
the infant. The pediatric heart specialists
treating heart diseases in babies before
and transesophageal echo program, a
understand the important role that parents
they are born, premature infants, young
complete pediatric interventional and
and families have in helping children and
children, teens, young adults and adults,
electrophysiology service, a pulmonary
young adults who have heart problems,
who were born with heart problems. No
hypertension
outreach
and they work hard to explain each step
matter what kind of heart care a child
clinics, lipid and hypertension/metabolic
to the parents and assure them that the
needs, the Brenner Children’s Hospital
syndrome clinics.
highest level of care is offered here.
clinic,
four
From simple arrhythmias to complex heart conditions, the pediatric heart team provides a complete range of comprehensive cardiovascular diagnostic, treatment and management services. Treatments
are
individualized
and
customized to each child because they are unique and deserve a specialized heart care plan. “We have been dedicated to this community for the past 25 years, and we will continue to be your pediatric cardiology resource for excellence in care and successful Ross Ungerleider, M.D., confers with pediatric intensivists regarding the care of a child. Brenner’s pediatric intensivists staff the PICU 24/7 and are able to anticipate problems and handle them quickly.
4
The Triad Physician
treatments,” Dr. Ungerleider said.
Research Leaders The Brenner pediatric cardiology program is involved in ongoing research that investigates ways to better treat heart defects. Continuing to advance treatments of heart disease in children requires new medical and scientific discoveries and incorporating them into everyday medicine.
Brenner Pediatric Cardiology Team Our expert team includes highly experienced physicians. Ross Ungerleider, M.D., is chief of Brenner’s pediatric cardiovascular surgery team and
Cheryl Cammock, M.D., smiles as a patient is diagnosed with a healthy heart. Brenner’s heart team works to ensure that patients and their families have an excellent experience.
the director of its Pediatric Heart Program. A nationally known leader with more
• Scott T. Maurer, M.D.
using medications along with medical
than 25 years in pediatric cardiovascular
• Michael D. Quartermain, M.D.
and surgical technology. Radiofrequency
surgery, he is an expert in all congenital
• Yoshi Otaki, M.D. – cardiothoracic
ablation, pacemaker implantation, cryoab-
heart surgery procedures and has special
surgeon
lation of arrhythmias and advanced electroanatomic mapping of tiny details in the
expertise in aortic valve surgery and hypoplastic left heart syndrome.
Brenner Children’s Hospital also has a
heart can be performed as necessary.
team of pediatric-trained physicians and Dr. Ungerleider is certified by the American
physician extenders who support the
Cardiac Catheterization Lab/Interven-
Board of Thoracic Surgery in congenital
pediatric heart program. They include:
tional Cardiology – Multiple types of mini-
heart surgery – a certification that has
• Pediatric cardiac anesthesiology
mally invasive procedures are used to treat
been granted to approximately 60 cardiac
• Pediatric intensivists in a state-of-the-art
such heart problems as atrial septal defect
surgeons in the U.S. He joined Brenner
pediatric intensive care unit
(ASD), ventricular septal defect (VSD) and
Children’s Hospital after serving as chief
• Neonatologist
patent ductus arteriosus (PDA), including
of pediatric cardiac surgery at Rainbow
• Nurses
diagnostic catheterization, pulmonary va-
Babies and Children’s Hospital and vice
• Pediatric transport team
sodilator testing, heart biopsy, stent and coil placement and balloon dilation.
chairman for education for the department of surgery for Case Western Reserve
The pediatric cardiology team can be
University in Cleveland, Ohio.
reached at (336) 713-4500 and through
Echocardiography/Cardiac
Brenner PAL (physician access line) 24/7
(cCT and cMRI) – This state-of-the-art hub
at (877) 716-1999.
houses the latest in technology to help
Derek A. Williams, D.O., is the acting
Imaging
diagnose heart problems, including three-
section head of the pediatric cardiology program at Brenner Children’s Hospital.
Specialized Services Offered
dimensional, real-time echocardiography,
In addition to being the only pediatric
The Heart Program at Brenner Children’s
computerized tomography angiography
interventional cardiologist in the region, Dr.
Hospital offers a number of services and wel-
(CTA), magnetic resonance imaging/
Williams is also the director of the pediatric
comes referrals from referring physicians.
magnetic resonance angiography (MRI/ MRA), transesophageal echocardiogram
cardiac catheterization laboratory and the pediatric pulmonary hypertension clinic at
“We
co-managing
(TEE) and intracardiac echocardiography
Brenner Children’s Hospital.
patients with our referral partners in
(ICE), which is used to determine the exact
the community,” says Dr. Williams. “We
location of a patent foramen ovale (PFO)
welcome your phone calls and requests.”
or atrial septal defect so it can be closed
Other team members include:
look
forward
to
using an occluder device.
• Cheryl E. Cammock, M.D. • Matthew A. Hazle, M.D.
These specialized services are offered:
• Karen H. Raines, M.D.
Arrhythmia Clinic – Here, children who
Extracorporeal Membrane Oxygen-
• Michael J. Walsh, M.D.
have heart rhythm problems are treated
ation (ECMO) – Brenner Children’s Hospi-
OCTOBER/November 2012
5
introducing and implementing better eating habits and exercise. Pulmonary Hypertension Clinic – The
clinic treats idiopathic pulmonary hypertension and pulmonary hypertension associated with a variety of conditions, including congenital heart disease, genetic, connective tissue disease, chronic lung disease and persistent pulmonary hypertension of the newborn. Patients range in age from infants to adults.
Outreach Clinics Michael Walsh, M.D., examines a young patient for heart abnormalities. The Brenner pediatric heart team uses state-of-the-art ultrasound to diagnose heart defects before a baby is born.
The belief at Brenner Children’s Hospital is that families should be able to have their child’s condition cared for in their home
tal has one of the busiest ECMO programs
“Fetal echocardiology is one of the fastest
communities. This service provides each
in the nation. Here, this support is provid-
growing segments of our pediatric heart
family the comfort and ease of remaining
ed to neonatal and young children whose
program,” says Scott Maurer, M.D., who
close to home, while still receiving expert
heart and lungs are not working properly
joined the heart program in November.
care.
due to damage or disease.
“Our technology allows us to detect heart
Electrophysiology
– Brenner Chil-
anomalies earlier and more precisely than
A team of pediatric cardiologists works in
we have ever before.”
four outreach clinics across western North
dren’s Hospital has the area’s only ex-
Carolina. In this role, the cardiologists
pert in pediatric electrophysiology for
Marfan Syndrome Clinic – Experts uti-
work directly with parents and physicians
patients with complex heart arrhythmia
lize extensive testing to determine if a child
in treating and co-managing each patient’s
problems and pacing-related issues. The
has Marfan Syndrome. They also are expe-
heart condition on an individual basis.
combined team and family-centered ap-
rienced in the management and treatment
proach delivers a state-of-the-art care
of this disorder.
Each week, these clinics provide a full
package to the region and state.
range of services, including Mended Little Hearts – This regional
• Evaluation of heart murmurs
Exercise Physiology Lab – This area
(Winston-Salem)
and
• Diagnosis of congenital heart disease
of testing examines whether or not heart
support
works
problems affect a patient’s ability to run
Children’s
and play. A variety of testing methods
cardiologists to connect with families who
includes stress treadmill testing.
have been through the shock and trial of
group
Hospital
national with and
caring Brenner
pediatric
caring for a child with heart disease. The State-of-the-art
group provides support through onsite
ultrasound is used to diagnose heart
hospital visits, connection through Internet
defects before a baby is born. This allows
and phone, group meetings and social
families to be prepared prior to the
events, as well as educational resources.
arrival of their baby. Also, it provides an
For more information, contact the program
opportunity to plan for the safest delivery
coordinator at (336) 713-2228 or visit
and care once the baby is born. Expecting
winstonsalemNC@mendedlittlehearts.org.
Fetal
Cardiology
–
mothers and their families not only have an opportunity to meet a pediatric
Metabolic Syndrome Clinic – Expert
cardiologist but can also meet with the
team members work with families by
surgical team and tour the hospital in
treating overweight children who have
preparation for birth.
high blood pressure and high cholesterol through lifestyle modification that includes
6
The Triad Physician
• Evaluation of arrhythmias and syncope • Evaluation of chest pain and high blood pressure
To make an appointment at one of these area locations, call (336) 713-4500: Greensboro Elm Street Medical Building 1331 N. Elm St., Suite 100 Hickory Women’s & Brenner Children’s Services 1771 Tate Blvd. North Wilkesboro Wilkes Pediatric Clinic 1917 West Park Drive Statesville Brenner Children’s West 555 Kitchings Drive
Practice Management
Mobile Technology Boosts Efficiency By Maryan Binkley
The health care industry has often been
The best dictation apps allow the provider
criticized for its slow transition into the digi-
to fully document patient encounters using
tal world, but when it comes to mobile tech-
a mobile device – viewing their schedule,
nology, doctors appear to be at the head of
recording dictations and both editing and
the pack. According to a recent Manhattan
authenticating a transcribed note from vir-
Research survey, as many as 85 percent of
tually any location. Software providers with
physicians own a smartphone, while 62 per-
a strong integration capability can upload
cent use an iPad or other tablet.
the documentation directly into the hospital or clinic’s electronic health record, de-
Given the continual pressure to curb costs
livering timely updates to the system.
and deliver care more efficiently, it’s only
Maryan Binkley is the owner and president of WebChart Inc. WebChart specializes in providing webbased, total medical data documentation solutions for physician practices, surgery centers and hospitals. Ms. Binkley graduated from nursing school in 1968 and began her career in a physician practice in the Washington, D.C., area. In 1974 she earned a bachelor’s degree in business administration. Ms. Binkley has worked in health care since 1968 in both clinical and administrative positions, providing her working knowledge of the challenges facing physicians and staff in today’s rapidly changing environment. For more information or to contact her: O: 336-463-4198 , C: 336-4084209 or online at www.webchart.biz.
natural that doctors would embrace a tech-
Given the workload of a typical clinician
nology so adept at simplifying tasks. The
today, staying on top of these functions in-
health care app market has flourished,
between exams or even at home can make
resulting in some truly astounding innova-
a dramatic impact on productivity. Some
tions. Today, looking up a specialty drug,
practitioners are finding it’s faster to dictate
visually demonstrating a procedure – even
on a smartphone than calling in dictations
taking a basic echocardiogram – requires
using a traditional phone when they’re in
little more than reaching for one’s pocket.
the office.
Handheld devices can be just as effective
Of course, not all mobile documentation
Any time personal information is involved,
when it comes to tackling the intrinsic
software is created equal. Look for solu-
security has to be a top priority. Make sure
“back-office” functions. While most physi-
tions that are available on both Android
the app you are using stores patient data
cians see themselves first and foremost
and Apple iOS platforms for maximum
on a secure server, not on a device that
as medical practitioners, they often spend
user flexibility, and offer a user-friendly
can easily be lost or stolen. Another key
almost as much of their day performing
experience. The ability to sort patient visits
safety feature is the option to deactivate
ancillary tasks like documenting patient
by the status of their dictation is especially
password storage on the phone or tablet,
information. Finding a good app to stream-
useful.
ensuring that only authorized personnel
line these duties can not only help allevi-
can log-in successfully.
ate a clinician’s workload, but also improve workplace morale.
Empowering health care providers to work smarter and
One area that particularly ben-
more efficiently only enhances
efits from mobile technology
patient care and clinician sat-
is dictation. The most intui-
isfaction. Making better use of
tive method for physicians to
technology will be a large part
chronicle patient encounters,
of this movement. In the case
dictation apps also promote
of documentation apps, doc-
quality of care by allowing
tors are freed up to do the part
the doctor to focus on the pa-
of the job that makes the most
tient rather than a computer
of both their qualifications and
screen during a visit.
their concern: patient care. OCTOBER/November 2012
7
Recovery
Breast Cancer Survivors Benefit from
the Ripple Effect of
Fly-Fishing Retreat “My retreat in Colorado was the shining light in my breast cancer journey.” – 2012 participant of Casting for Recovery
Thanks to advances in treatment, more
while they learn a skill that offers therapeu-
women are surviving a diagnosis of breast
tic physical and mental benefits.
cancer, and this has led to increased national interest in understanding how to im-
A 2010 American Cancer Society report
prove their long-term quality of life.
entitled Cancer Survivorship Research: Recovery and Beyond featured 18 studies that
ue of their own experience and bond with
According to the National Cancer Institute,
evaluated exercise’s impact on quality of
other women in similar circumstances, ac-
of the approximate 2.6 million women alive
life among breast cancer survivors. Twelve
cording to the press advisory.
in the United States with a history of breast
noted a positive impact. Of four studies on
cancer in January 2008, more than half
anxiety, three reported significant improve-
A 2005 issue of Journal of Advanced Nurs-
were diagnosed fewer than 10 years earlier.
ments.
ing (Vol. 51, Issue 5, Sept. 2005) addressed
The issue for women diagnosed with
Fly-fishing instruction is a form of exercise
of breast cancer continue to experience
breast cancer isn’t solely about survival, ac-
that addresses areas of the body affected
informational and emotional needs dur-
cording to Casting for Recovery Executive
by radiation and/or surgery in the treat-
ing their long-term survivorship. However,
Director Lori Simon. It includes managing
ment of breast cancer, according to the
women’s needs are often unmet by oncolo-
the disease, while pursuing life and engag-
press advisory. The motion is similar to ex-
gy teams and they have to find other sourc-
ing in the full range of possible activities.
ercises prescribed by surgeons.
es of support, such as self-help groups.”
“A woman must address the fact that be-
Counseling, medical education and other
However, according to the advisory, on av-
yond treatment there are still challenges in
services also are components of CFR,
erage 70 percent of CFR participants do not
balancing life and recovery and in coming
which is available to participants at no cost.
belong to a support group.
relationships with others,” said Ms. Simon.
Not Just Fly Fishing
Helping to Overcome the Issues
“When Casting for Recovery began (in
While fly fishing is on the Casting for Re-
Findings from a 2011 study of CFR retreats
1997), many organizations focused on re-
covery agenda, helping survivors discover
in five states and post-retreat surveys dem-
search and advocacy but there was very
possibilities within themselves is at the
onstrate the program’s ability to reduce
little attention to quality-of-life issues and
core of its mission.
and/or identify emotional distress and
the benefits of self-help support. “Survivors
to terms with changes in her body and in
the benefit of physical activity.”
quality of life issues in breast cancer surviThe two and a half days of instruction and
vors, according to the advisory.
Casting for Recovery (CFR) is an innovative
facilitated small-group activities are con-
national quality-of-life program for women
ducted by trained volunteers. During this
The 2011 study was designed to evaluate the
of any age or stage of breast cancer treat-
time, participants have an opportunity to
effects on emotional distress in breast can-
ment and recovery. Its mission has been to
overcome feelings of helplessness, learn to
cer survivors. Participants completed the
help these women explore their concerns,
take care of themselves, reflect on the val-
National Comprehensive Cancer Network
8
The Triad Physician
(NCCN) Distress screening tool prior to and
Casting for Recovery has conducted 414
The organization depends on donations
two to six weeks after their CFR retreats.
retreats nationally since its founding and
from individuals, foundations and corpo-
served more than 5,100 breast cancer sur-
rations. Corporate supporters currently
The study found these to be the 10 top
vivors. It also has inspired similar programs
include The Hartford, UnderArmour and
concerns of participants:
for men with cancer, wounded veterans
L.L. Bean.
1) Worry/fears/nervousness
and organizations operating in New Zea-
2) Fatigue
land, Canada and the United Kingdom.
3) Memory/concentration
For more information, visit www.castingforrecovery.org.
4) Sadness/depression 5) Sleep 6) Appearance 7) Financial/insurance 8) Dealing with partner/children 9) Sexual 10) Loss of interest in usual interests. The 2011 study found, however, a significant decrease in the distress score after experiencing the retreat – from 4.02 prior to the retreat to 2.93 post-retreat. Ninety-one percent of respondents felt more aware and accepting of themselves, felt better able to cope and learned something new about living with breast cancer after participating in a retreat.
YOU DON’T HAVE TO STOP DICTATING TO USE YOUR EMR.
Webchart interfaces with all eMrs at no charge.
A Critical Piece of Your EMR puzzle. Specializing in discrete EMR transcription population with stellar quality and turnaround time.
webchart.biz Toll Free: (866) 953-2828
Legal Expertise, Health Care Knowledge Principal Karen McKeithen Schaede, a registered nurse for 10 years, brings in-depth understanding of health care to the practice of law. Our staff can assist you with: • Medical Practice Formation • Physician Employment • Medical Practice Sale, Acquisition or Consolidation • Medical Joint Ventures • Medical Staff Disputes • HIPAA Issues • Corporate Compliance • Contract Disputes • Employment and Labor Law 1175 Revolution Mill Drive Studio 7A Greensboro, NC 27405 Fax: (888) 392-2707 karen@shadylaw.net www.shadylaw.net
336-288-4055 OCTOBER/November 2012
9
Interior Design
Deck the Halls…
of the Office, Too!
By June DeLugas
Thanksgiving and the festive winter holidays are right around the corner. It’s that time for entertaining and enjoying a special occasion with family and friends. Your house may be decorated with outdoor lights and a trimmed tree. A celebration for the senses, the season is associated with the aroma of cinnamon wafting from potpourri simmering in a kettle and lit candles flickering brightly on
handy for patients and staff with
the mantle. All is well at home, but what
seasonal sniffles.
about the work place?
• Display holiday cards as you receive
June DeLugas is a well-known designer who owns a firm located in Clemmons, N.C. She is known for creating awardwinning homes that reflect the special relationship she develops with each client. Her retail showroom and design firm is open Monday through Friday between 10 a.m. and 5:30 p.m. or on Saturdays by appointment. You also can visit her website or blog online at junedelugasinteriors.com.
them.
This is the perfect time to show appreciation to your patients and thank them for letting you provide their health care. For many, the holidays are the most stressful time of the year. So what office staffer doesn’t like to come to work where they too feel valued and recognized by a physician in the holiday spirit? Do you need inspiration? Pictured with It only takes a few well-placed decorations,
this article are photos of ideas you can
some colorful garland and an assortment
use to make the season bright. So don’t
of ornaments to lighten up your waiting
be a Scrooge! Decorate your office, and
room and offices. Let your patients know
you’ll be surprised how many people
that you too are in the holiday spirit.
notice your efforts.
• Review your selection of magazines. Add cook books and holiday issues from Good Housekeeping for your patients to read. • Stimulate the senses with the smell and sounds of the season. Aromatic candles, festive music and even a holiday print on the wall will provide a feeling of well-being. • Keep tissues, mints and hand sanitizer
10
The Triad Physician
Support the Festival of Trees Benefit Each year the Festival of Trees invites local businesses and families to bid on trees decorated by the community. Proceeds of the auction benefit Brenner Children’s Hospital. Then the creatively decorated trees go home or to the office with the winning bidder, instantly – and with little effort – adding an air of goodwill and festivity to your surroundings. Our staff decorated a tree this year called “A Night to Remember,” celebrating the University of North Carolina School of the Arts annual performance of The Nutcracker. The tree features nutcracker characters from the well-loved ballet. For more information, visit www.brennerchildrens.org/Fundraisers/Festival-of-Trees.htm.
Legal
Lawsuits Require
Urgent Care Here is an unpleasant but important sta-
present its case unopposed. Next, you will
tistic: a survey by the American Medical
be given a chance to respond with your
Association found that 60 percent of physi-
facts and arguments.
cians over age 55 have been sued at least once.
While unpleasant, being sued is a problem that can be handled. Fortunately, there are
The AMA has also found that for every 100
experienced professionals who can help.
physicians in practice in this country, 95 malpractice lawsuits have been filed. Put
Step 2: Do not delay. North Carolina
another way, once you have reached the
law requires that every complaint be an-
end of your career, it is more likely than not
swered within 30 days. That time will go by
that you will have been sued for medical
much faster than you expect. Therefore, if
malpractice – and maybe more than once.
you work for a medical care facility with a risk-management department, take that pa-
Therefore, at some point in your career,
perwork to them immediately. If you have
you can expect your administrative assis-
a medical malpractice insurance carrier,
tant to hand you a large envelope from a
call them and send the paperwork to them
law firm containing a document called
immediately. If you do not do so quickly,
a Summons and Complaint. You will see
you may risk losing coverage for that claim.
a former patient’s name at the top of the
If you are otherwise self-insured or do not
document listed as the plaintiff with you,
have insurance, you are still under the
and likely your practice, listed below as
same 30-day obligation to respond, so call
defendants.
an attorney as soon as possible.
Here is what you should do when that
If you don’t respond to the complaint, judg-
occurs:
ment by default may be entered against
By Roberta King Latham
Roberta King Latham is a partner with the Winston-Salem law firm of Bennett & Guthrie, P.L.L.C. She practices in the field of civil litigation, with an emphasis on medical malpractice defense. For more information, contact Ms. Latham as rlatham@ bennett-guthrie.com, call (336) 765-3121 or visit www.bennett-guthrie.com.
options to respond become very limited. So act, and act quickly. Just as some patients need urgent care, you need to give your lawsuit the urgent care it requires. Step 3: Teamwork. After you have placed your lawsuit in the right hands, your individual work is over. You will have attorneys that can guide you through the initial steps of the lawsuit. Hopefully, they
you. That means that a monetary judgStep 1: Keep calm and carry on.
ment can be entered against you – person-
Scan through the paperwork – with a pos-
ally – without the opportunity to present a
sibly racing heart – and read the unfamiliar
defense. In North Carolina, judgments are
legal terms and unpleasant allegations. In
valid for 10 years and may be renewed after
handling lawsuits over the years, I have no-
that – i.e., they are basically good forever.
ticed that receipt of the complaint is often the worst part of the case, because all that
From my perspective, it is always a bad
is presented are the opposing side’s con-
feeling to have a potential client walk in the
tentions and arguments. However, things
door of our office for the first time with a
invariably get better. The filing of the com-
complaint to which they have not respond-
plaint is the last time the other side gets to
ed in the required time. At that point, our
will take much of the burden off of you and give you confidence in how to deal with the case. Admittedly, medical malpractice lawsuits can often be intimidating, but attorneys and related professionals are there to assist you. Some insurance companies, including MAG Mutual, even offer peer counseling programs to help you through the process. However, as long as you have followed the above steps, you will have avoided the initial pitfalls that can occur and gotten your case on the right footing.
OCTOBER/November 2012
11
Focus
Frank Moya Brings to Winston-Salem Elite Glaucoma and Cataract Care Duke Eye Center’s Winston-Salem Location Provides Same Best-in-Class Care, Convenient Location When the Duke Eye Center recruited Frank
ed. “It’s crucial to screen those individuals
Moya, M.D., assistant professor of ophthal-
with a family history of glaucoma, in addi-
mology, to come to Winston-Salem, things
tion to other high-risk groups, like African-
began looking a little brighter for glaucoma
Americans, Hispanics and the seniors, said
and cataract patients in the Triad.
Dr. Moya, who is bilingual and able to communicate with Hispanic patients.
That’s because Dr. Moya, a fellowshiptrained glaucoma specialist and mem-
Utilizing advanced diagnostic technolo-
ber of the American Glaucoma Society,
gies, such as Matrix Frequency Doubling
brought his experience in training and
Technology, Short Wave Automated Perim-
working with nationally and internationally
etry and Optical Coherence Tomography
known glaucoma specialists and his pas-
(OCT), Dr. Moya says, “The sea change in
sion for early diagnosis and management
diagnostic technology allows us to detect
of all stages of the disease.
glaucoma at early stages, undreamed of before, and it is only going to get better as
Reflecting on his glaucoma mentors from
testing devices evolve. When glaucoma is
medical school residency at Yale Univer-
caught and treated early, the probability of
sity and fellowship at Duke, he says, “I am
a patient maintaining lifelong vision greatly
fortunate to have trained with some of the
increases.”
Frank Moya, M.D., is a board-certified ophthalmologist, specializing in the diagnosis and management of adult glaucoma, at the Duke Eye Center of WinstonSalem and a Duke assistant professor of ophthalmology. He earned his medical degree from Yale University School of Medicine, and completed his residency at the Yale University School of Medicine Department of Ophthalmology and a fellowship in glaucoma at Duke Eye Center. For appointments or more information, call (336) 768-3240 or (888) 642-0554.
Dr. Moya now offers minimally invasive
leaders in glaucoma; I hope to continue Dr. Moya’s patients receive the same level
glaucoma surgery (MIGS). The iStent,
of care for which the award-winning DEC
which was recently approved by the Unit-
Dr. Moya’s interest in glaucoma began as a
is known. “We perform early diagnosis and
ed States Food and Drug Administration,
medical student. His thesis looked at the ef-
treatment along with tertiary glaucoma eye
is 1 millimeter titanium stent placed into
fect of aging on the optic nerve compared
care without sending them to Durham.
schlem’s canal during cataract surgery.
to glaucomatous nerve damage.
Some patients feel more secure knowing
“This device may afford patients with early
that an attending is doing their procedure.”
to moderate glaucoma the opportunity to
their legacy.”
Glaucoma Detection and Treatment
Specializing in multiple glaucoma surger-
prevent them from going on medications
Glaucoma is the most common cause of
ies, ranging in complexity from the office-
for glaucoma.” The iStent, placed during
permanent blindness in the world today.
based, minimally-invasive laser treatment
cataract surgery, can prevent more invasive
Typically, symptoms don’t present until
to incisional filtering procedures and the
glaucoma surgeries. “A significant number
late stage. While there’s no treatment for vi-
placement of glaucoma drainage implants,
of early-to-moderate glaucoma patients will
sion loss, glaucoma often can be success-
Dr. Moya says the type of surgery required
benefit from this procedure,” he says.
fully managed by reducing eye pressure
depends on the type and severity of the
through noninvasive medicine or laser eye
patient’s glaucoma. “For example, Selec-
Cataract Removal Can Save Lives
surgery.
tive Laser Trabeculoplasy is a two-minute
Cataract surgery can reduce the risk of fall-
procedure that can last for six to 24 months
ing, hip fractures and car accidents. Per-
Duke Eye Center of Winston-Salem (DEC of
and, in some cases, may eliminate the
forming more cataract surgeries than any
WS) uses cutting-edge technology to moni-
need for medication – an excellent option
other kind, Dr. Moya is gratified that the
tor patients for optic nerve damage, which
for many glaucoma patients who cannot af-
procedure can greatly improve his patients’
signals that more treatment may be need-
ford or tolerate glaucoma drops.”*
quality of life.”
12
The Triad Physician
decrease their medications or possibly
He’s an experienced cataract surgeon incorporating the newer lens technologies, including multifocal and astigmatic correcting lenses, into his practice. Some of his happiest patients have had their astigmatism corrected with a toric lens. Many of the above-mentioned glaucoma surgeries are performed in conjunction with cataract surgery, both improving sight and attempting to save vision for glaucoma patients, while preventing an additional trip to the operating room. Dr. Moya’s desire to provide excellent cataract and glaucoma treatment is personal. His grandfather suffered with glauco-
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ma vision loss as a result of diagnosis at a very late stage. “My goal is to provide the best care I can to maintain, and when I can, improve the sight for my patients.” * Other surgeries Dr. Moya offers include endoscopic goniosynechialysis, endoscopic cyclophotocoagulation, transcleral diode cyclophotocoagulation, trabeculectomy, express shunt implant, Ahmed valve and Baerveldt glaucoma drainage implants, iStent implant in conjunction with cataract
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surgery, and revision of previous glaucoma surgeries that may include utilizing amniotic membrane, corneal and sclera transplant tissues.
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Shawn Dalton-Bethea, MD Diplomate ABPM, ABPMR
Scan the QR Code at left with your smartphone to navigate instantly to our website
520 Maple Avenue, Suite A, Reidsville, NC 27320 Office 336.349.5050 | Fax 336.349.5056 7:30am-4pm Mon-Thu | Closed Fri www.pssspa.com
“I can do all things through Christ which strengthens me.” - Phil 4:13
Most commercial insurance and self-pay accepted
OCTOBER/November 2012
13
Career Perspective
Physician Assistants: Changing the Face of Health Care By Jim Bethune, P.A.-C.
Physician assistants are health profession-
provide many benefits. We are able to spend
als qualified and licensed to perform a wide
quality time with the patients on a daily basis.
variety of medical activities, including direct
We are able to establish a relationship with
provision of patient care. They can diagnose
patients that is above and beyond treating
and treat patients, provide preventative care
their symptoms. With the technology avail-
and prescribe medications. They do so in a
able today, as a team, we are able to provide
cost-effective manner.
almost 24-hour accessibility to our patients, something that can be extremely difficult and
There are approximately 3,900 PAs licensed
taxing for a lone health care provider.
in North Carolina. In recent years, medical
Jim Bethune has been a physician assistantcertified in orthopedics since 1986 and employed as a physician assistant at Guilford Orthopaedics and Sports Medicine Center in Greensboro since 1989. He obtained his bachelor of science degree from North Carolina State University and attended the Physician Assistant Program at Wake Forest University. Mr. Bethune enjoys spending time with his wife and four kids, attending North Carolina State University games and serving on the leadership board of his church.
schools have been flooded with applicants
So how does all of this play out in the daily life
waiting to enter this field. Last year, Wake For-
of a physician assistant? In addition to the pa-
est School of Medicine received applications
tients I see and treat in my weekly routine at
from 1,000 people, all vying for 64 positions in
the office, I am able to extend the care of our
quickly. We are able to give them accurate
their 2012 class.
practice into the community and beyond. On
advice, answer their questions and give them
a recent weekend away with my son, I was
direction. All of these actions function in a
I became a P.A. in 1986. At that time, I had
able to triage three different patients: a sports
way to best serve our patients, our practices
been working as an orderly in a community
injury, a fall injury and a potential concus-
and the community.
hospital. I was able to observe many mem-
sion. Thanks to communication technology, I
bers of the health care team and the way they
was accessible to our patients, even from out
With these benefits, it is easy to see why the
interacted with each other, their patients and
of state, enabling me to coordinate quality or-
physician assistant profession is growing so
other health care workers. I was drawn to the
thopedic treatment within a few short hours
quickly and why so many people are interest-
physician assistant role, because I saw them
of injury.
ed in the pursuing this career. We are making
as a part of the team, able to diagnose, treat
a difference every day. Physician assistants
and function as a liaison among the patient,
When patients have a need, the physician as-
decrease health care costs, increase patient
nurse and physician.
sistant is accessible, caring and able to help
satisfaction and improve patient care.
In the past 26 years, I have learned firsthand that a P.A. can do all of these things and so much more. I believe we function as an invaluable part of the health care team. In relation to the physician that I work alongside, I am able to improve his quality of care by helping to shoulder part of his responsibilities. By my sharing in patient care, the physician is able to focus more time and energy on complex patient medical issues. This team approach enables the medical providers to deliver care in a way that is more efficient for both our patients and our practice. In relation to patients, physician assistants
14
The Triad Physician
Spotlight
Oculofacial Aesthetic and Orbital Reconstructive Surgeries By Parag D. Gandhi, M.D.
Whether the problem is primarily cosmetic
life. The congenital condition may resolve
or sight related, Duke Eye Center of Win-
over several months with mild treatment,
ston-Salem fellowship-trained oculofacial
such as massage and topical antibiotics.
and reconstructive surgery specialist Parag
Less invasive treatment options include
Gandhi, M.D., offers the most advanced
simple probing to clear blockages and sili-
medical and surgical therapies for a variety
cone stent intubation. Acquired adult na-
of conditions related to the eyelids, orbital
solacrimal duct obstruction is usually the
area and tear ducts.
result of chronic sinus problems and often has to be treated surgically.
“Over the past decade oculoplastic surgery
Parag D. Gandhi, M.D., is a board-certified ophthalmologist at the Duke Eye Center of Winston-Salem and a Duke assistant professor of ophthalmology, oculoplastic, orbital and reconstructive surgery. He is trained extensively in the management of orbital disease and facial trauma, as well as surgery of the tear ducts and lacrimal system. Dr. Gandhi earned his medical degree from Mount Sinai School of Medicine, and completed an ophthalmology residency at Mount Sinai Medical Center and a fellowship at Vanderbilt University Eye Institute & University of Tennessee Hamilton Eye Institute. Dr. Gandhi sees both adult and pediatric oculoplastic patients. For appointments or more information, call (336) 768-3240 or (888) 642-0554.
has really evolved to include the appear-
Cosmetic laser eye procedures tighten the
ance of the entire face,” says Dr. Gandhi,
skin, smooth the surface and in turn pro-
who believes that the eyes are best treated
vide a more youthful appearance. Often
in continuum with the rest of the face. This
only one treatment is required with the
is why Duke offers laser cosmetic surgery
newer fractional CO2 lasers that Dr. Gandhi
with the latest fractional CO2 lasers to re-
uses, but multiple treatments can also be
duce facial wrinkles, acne scars and sun-
safely performed when needed to achieve
damage blemishes, in addition to special-
the optimal result. The new types of lasers
ized treatments around the eyes.
used by Duke also allow for more rapid
form of hyaluronic acid is also used by
healing than older CO2 lasers and patients
ophthalmologists during cataract surgery
Some of the more common oculofacial
can usually return to their normal activities
due to its high level of compatibility with
and orbital conditions referred by local
in less than one week.
living tissue. Other hyaluronic acid fillers offered in-
sues caused by disease, cancer or injury
Non-Surgical Cosmetic Procedures Including BOTOX and Dermal Fillers
(orbital fractures).
According to Dr. Gandhi, ophthalmolo-
of Juvederm is that is comes in two differ-
gists were one of the first physicians to
ent consistencies – a thinner and thicker
For patients with excess skin on their up-
use BOTOX to treat adult patients with
formula according to patient preference
per eyelids, Dr. Gandhi performs an out-
uncontrolled facial spasms. They are still
and the physician’s recommendation. As
patient surgical procedure called blepha-
using BOTOX today, now in conjunction
with all dermal fillers, the results are im-
roplasty. The procedure provides both
with dermal fillers, to give patients natural-
mediate.
cosmetic and functional improvement with
looking cosmetic enhancement.
physicians to Dr. Gandhi include drooping upper lids (ptosis), lower lid malposition, blocked tear ducts and orbital-related is-
clude Juvederm, which is more ideal for deeper injection into the skin. The benefit
Replacement of facial volume loss is an ar-
minimal risk of serious problems. Most patients can expect to look younger and often
“One of my main philosophies is to use
tistic skill that should only be performed by
have an improved visual field. Other forms
safe approaches that achieve natural re-
the most experienced physicians. At Duke
of upper lid drooping and brow drooping
sults so patients look and feel their best,”
Eye Center practices, there are no nurse
can also be corrected for aesthetic or vi-
says Gandhi.
injectors. All injections are performed by Dr. Gandhi, who uniquely understands the
sual reasons. Besides BOTOX, Dr. Gandhi also offers
complexities of the eye and facial anatomy,
Dr. Gandhi has expertise in the treatment of
dermal fillers, such as Restylane, which is
and therefore can achieve an optimal level
blocked tear-drainage systems. The block-
comprised of hyaluronic acid, a naturally
of aesthetics around the eye and face with
age can be congenital or acquired later in
occurring substance in the body. In fact, a
greater ease and safety.
OCTOBER/November 2012
15
Legal
Select an EHR Program Legal Expertise to Avoid Legal Issues and Health Care Kn Reimbursement Loss
Principal Karen McKeithen Scha nurse for 10 years, brings in-dep health care to the practice of law
By Karen McKeithen Schaede
Health care providers now have the option
objectives found on the website for Centers
of choosing from a variety of electronic
for Medicare & Medicaid Services.
health record (EHR) programs. EHR programs enable providers to easily collect
Health care providers should be aware
and organize patient care information.
when choosing an EHR program that legal issues may potentially arise because
Our staff
Karen McKei• Medical then Schaede is • Physicia the principal of • Medical Acquisiti Karen McKeithen • Medical Schaede Attorney • Medical at Law, P.L.L.C. • HIPAA Is The boutique law • Corpora firm in Greensboro • Contrac specializes in health law, business/cor• Employm porate law, and employment law. Before 1175 earning her juris doctor from Mississippi Studio College School of Law, Ms. Schaede Green Fax: ( earned a bachelor of science degree karen www. in nursing from the University of North Florida and worked for 10 years as a 336-288-40 registered nurse. Her clinical background puts Ms. Schaede in a unique position to offer legal expertise to health care clients.
While these programs can be beneficial,
of design features. This is due not only to
problems still occur as a result of certain
certain program features, but also to what
design features. In making the switch from
information providers decide to include in
paper to electronic records, keep in mind
the electronic health record. In finding the
that choosing the right EHR program will
right EHR program, the goal is to choose
help the provider avoid future legal issues.
a system that maintains a precise and in-
The key is choosing a program that allows
clusive patient medical record reflective
the provider to maintain an accurate and
of what would have been included in the
complete medical record.
patient’s paper record.
One of the first considerations health care
Convenient and time-saving design features
providers need to entertain with an EHR is
sometimes fail to accurately preserve the
whether they would like to qualify for finan-
patient’s record. The problem arises when
continue to follow the existing policies al-
cial payment programs set up by Medicare
the layout and information in the medi-
ready in place governing the type of infor-
and Medicaid. If so, providers must use
cal record being copied or used does not
mation to be included in the patient record.
EHR programs that meet certain qualifica-
match what was initially entered or seen by
tions in order to receive those payments.
a physician or other provider.
EHRs have the capability of storing large amounts of information, and can provide
The two main requirements include: (1) being a meaningful user and (2) having a
These discrepancies occur when the pro-
beneficial results in managing patient re-
certified EHR program. Failure to meet ei-
gram registers a specific data entry and fills
cords. However, it is necessary to take into
ther of the requirements results in the loss
in the information. Forced population may
consideration the different features an EHR
of financial payments under these federal
automatically change all previous entries
program has to offer, as well as potential le-
programs.
to show the most updated information;
gal issues that may arise because of those
thus, wiping out the information before it.
features.
The first step is to find an EHR program
This can lead to problems with authentica-
that meets the certification requirements.
tion when the health care provider is being
This article is for information purposes only
The particular version of the EHR program
asked to provide the legal electronic health
and not for the purpose of providing legal
must also be certified. A list of certified
medical record.
advice. Readers should contact their attorney to obtain advice with respect to any
programs can be found through the Office of the National Coordinator for Health In-
Additionally, the question of what type of
particular issue or problem. The informa-
formation Technology. The second step is
information should make up the electronic
tion in this article does not create an attor-
to meet the “meaningful use” requirement.
medical record often arises. The goal is to
ney-client relationship between Karen McK-
Meaningful use can be satisfied by meeting
include only the information clinically relat-
eithen Schaede Attorney at Law, P.L.L.C.,
the necessary number of meaningful use
ed to patient care. Health providers should
and the reader.
16
The Triad Physician
Extracurricular
Experience the VIR Resort If you are looking for a unique, engaging, fun,
VIR offers more than 6,000 square feet of
commanding view of the racetrack. Pit Lane
memorable and productive group meeting,
flexible meeting space for both large and
Rooms offer 18 accommodations with a wet
VIR Resort is the perfect destination for your
small groups, with customized setups to
bar, two beds, flat-screen TV, refrigerator
next team building, executive retreat and
meet your needs. A 7,000-square-foot gal-
and microwave overlooking the start/finish
catered event. VIR offers an unparalleled
lery for receptions or exhibits and the Pa-
line. The Villas at South Bend, located adja-
opportunity to step inside the adrenaline-in-
goda Banquet room, with 1,650 square feet,
cent to the blazing-fast uphill esses, provide
fused world of motorsports and participate
are available as well. The North Paddock
an exciting escape from the ordinary – offer-
in a behind-the-scenes look at the strategy,
Tower has more than 1,375 square feet and
ing 2,200 square feet of total space and hous-
vision, determination and sheer force of will
the South Paddock Tower offers over 1,000
ing our relaxing Oak Tree Spa. The two-story
that drives teams to victory.
square feet of smaller, more intimate meet-
Villa may be rented out as one whole unit or
ing spaces. If you prefer to take your hos-
separated into upstairs and downstairs units
A corporate retreat at VIR is more than just
pitality event outdoors or trackside, we pro-
with our flexible floor plan.
lecture meetings and play on the side. It’s
vide more than 10,000 square feet of unique
about capturing the invigorating energy of
outdoor pavilion and tent space.
If you are searching for a location to host a holiday party, VIR Resort would be the per-
the venue and infusing it into your work. The winning qualities that lead great racers to
Contact Livia Jones at (434) 822-9714 or
fect venue! From intimate groups of four to
victory – teamwork, innovation, dedication,
ljones@virclub.com for more information
gatherings of 500, VIR Resort offers a variety
passion and drive – will be applied to a vari-
on how to customize your event.
of venues – including our historic Oak Tree Tavern, The Gallery or The Pagoda.
ety of group activities while working toward the single purpose of success. Your corpo-
VIR also provides onsite lodging that in-
rate team members deserve stimulation and
cludes a total of 62 guest rooms. The Lodge
Contact Teresa King to book your holiday
excitement – a chance to channel energy in
has 27 beautifully appointed rooms with
party at (434) 822-7700, ext. 122 or by email
a productive way, accelerating work ethic
Jacuzzi tubs, hardwood floors, DVD player,
to tking@virclub.com.
and heightening company morale.
flat-screen TV and refrigerator – all with a
Visit www.experienceVIR.com.
OCTOBER/November 2012
17
News
Two Hospitals Earn Quality Recognition Medical Park Hospital and Wilkes Regional
achieve a score of 95 percent or above
In addition to being included in the Joint
Medical Center were named among 620
for its composite performance score and
Commission’s
nationwide for exemplary performance on
on each individual area that comprises its
Hospitals
specific quality measures in 2011.
assessment. Each accountability measure
Performers on Key Quality Measures will
represents an evidence-based practice, for
be recognized on the Joint Commission’s
Improving
annual
report,
America’s the
Top
The Joint Commission’s Top Performers
example, giving aspirin at arrival for heart
Quality Check website at qualitycheck.
on Key Quality Measures placed in the top
attack patients and giving antibiotics one
org. The Top Performer program will
18 percent of the 3,376 eligible hospitals in
hour before surgery.
also be featured in October’s The Joint Commission: The Source and November’s
the United States that report performance data to the nation’s leading accreditor of
Medical Park Hospital was recognized
healthcare organizations.
for its surgical care, and Wilkes Regional Medical Center won for its care in heart
To earn the designation, a hospital must
The Joint Commission Perspectives. For details, visit www.jointcommission.org.
failure, pneumonia and surgical care.
Commission on Cancer Grants Accreditation with Commendation Derrick L. Davis Forsyth Regional Cancer
The quality standards established by the
Center at Forsyth Medical Center has
CoC ensure that patients receive:
earned Three-Year Accreditation with
• Comprehensive care, including a range of
Commendation from the Commission
state-of-the art services and equipment.
The hospitals demonstrated a commenda-
on Cancer (CoC). Medical Park Hospital
• A multidisciplinary team approach for the
tion level of compliance with numerous
and Thomasville Medical Center are also included in this accreditation. The hospitals’ cancer programs have been
standards that represent the full scope of
best available treatment options.
the cancer program. The standards include
• Information about ongoing clinical trials
institutional and programmatic resources,
and new treatment options.
accredited since 1990.
• Access to prevention and early detection
“We’re very pleased to have earned this
• A cancer registry that offers lifelong
cancer committee leadership, cancer data
programs, education and support services.
three-year accreditation,” said Thomas Grote, M.D., Derrick L. Davis Forsyth
of care. • Quality care that is close to home.
management and registry operations, clinical management, research, community outreach, professional education and staff
patient follow-up.
support, and quality improvement.
• Ongoing monitoring and improvement
Regional Cancer Center medical director. “It lets patients and their families know that our cancer specialists and staff are committed
to
providing
high-quality
care. From new research and treatment protocols to prevention and follow-up care, we want our patients to know they’ll have access to all of these resources and support services.” Centers that receive accreditation undergo a rigorous onsite evaluation by a physician surveyor to ensure patients have access to the full scope of services required to diagnose, treat, rehabilitate and support patients with cancer.
18
The Triad Physician
The Triad Physician 2013 Editorial Calendar January
Glaucoma Wound Management Accounting
February
May
Arthritis Women’s Health Medical Billing
June
Asthma and Allergies Heart Disease Consulting for your Practice
Men’s Health Vascular Diseases Medical Collections
March
Imaging Technologies Psoriasis Medical Insurance
April
Orthopaedics Gastroenterology Medical Real Estate
Nutrition Sleep Disorders Legal Autism Irritable Bowel Syndrome IT Services
July
August
September
Atrial Fibrillation Urology Web Design
October
Cancer in Women COPD - Lung Health Medical Software - EMR
November
Alzheimer’s Disease Diabetes Financial Planning
December
Pain Management Spine Disorders Practice Management
News
High Point Regional Health System Plans Strategic Partnership with UNC High Point Regional Health System and UNC Health Care have agreed in principle to form a strategic partnership following unanimous approval by both organizations.
for the patients and families served by High Point Regional.”
In February, High Point Regional announced the decision to find a strategic partner and issued a request for proposal inviting UNC Health Care and other health care organizations interested in partnering to respond. UNC Health Care was selected by the 21 Board of Trustees members of High Point Regional Health System.
Under the terms of the letter of intent, which will likely become binding in early 2013, UNC Health Care will become the sole member of High Point Regional Health System, and provide $150 million for capital improvements at HPRHS and $50 million for the establishment of a newly formed community health fund. High Point Regional Health System will remain a private, not-forprofit organization.
“As a board member, a business owner and resident of the High Point community, I speak on behalf of our entire board that we are confident UNC Health Care is the best choice for our hospital,” said Owen Bertschi, High Point Regional Health System Board chairman. “We are looking forward to the many benefits this partnership will provide
“We are confident that this partnership will allow us to continue to meet our mission of providing exceptional health services to the people of our region,” said Jeffrey S. Miller, High Point Regional Health System president. “The partnership will result in a full merger of the two organizations with High Point Regional joining UNC Health Care soon after
the first of next year.” UNC Health Care plans to maintain the current management of High Point Regional Health System through local leadership. UNC Health Care does not plan on any layoffs or changes in pay rates or benefits of current employees of High Point Regional Health System. UNC Health Care will maintain High Point Regional as a full-service, acute care hospital. “We are pleased to welcome High Point Regional and its employees, physicians and volunteers to the UNC Health Care family. High Point Regional is an excellent organization and will be an important member of UNC Health Care. This partnership will further UNC Health Care’s missions and provide access to UNC physicians, research, technology and facilities to the Triad community,” said Gary Park, UNC Hospitals president.
Helping physicians make their patients feel more comfortable at home
Expertise
In the final analysis, choosing your legal representation is a matter of trust. As a specialized and highly experienced law firm, Bennett & Guthrie is privileged to provide effective legal representation to the Triad medical community, including many of this region’s leading healthcare and insurance organizations. We are also pleased to provide that same quality representation in commercial and business matters. Let us show you the difference our expertise can make.
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Spinal Orthotics Knee bracing Heat and Cold Applications Transcutaneous Electrical Nerve Stimulators (TENS) Neuromuscular Electrical Stimulators (NMES) Power Operated Vehicles (Scooters) Wheelchairs - Standard Power and Manual Urological Supplies Penile Pumps We honor those women who have been diagnosed with Ovarian Cancer and the valiant battle they fight every day with an ongoing 5% donation of monthly Catheter revenues to the Forsyth Medical Center Foundation GYN Cancer Fund.
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OCTOBER/November 2012
19
News
Forsyth Medical Center Offers First Defibrillator Implanted Under Skin Forsyth Medical Center is one of two
it comes to defibrillators,” said Michael
hospitals in North Carolina to offer patients
Drucker, M.D., a cardiac electrophysiologist
at risk of sudden cardiac arrest a new
at Forsyth Medical Center. “Forsyth Medical
lifesaving device that can shock the heart
Center was among 28 clinical study sites for
muscle to restore normal rhythm.
the device, and now we’re excited to be among the first hospitals in the country
The device, a subcutaneous implantable
to offer this to patients who are at risk of
cardioverter defibrillator (S-ICD), is the first
sudden cardiac arrest.”
heart defibrillator that can be implanted
under the skin without touching the heart.
The S-ICD uses a lead that is implanted just
It was approved for use by the United States
under the skin along the bottom of the rib
Food and Drug Administration Sept. 28.
cage and breast bone. The small, batterypowered device constantly monitors a
S-ICD System (just approved)
“The recent approval of this device has
person’s heart rhythm and delivers a shock
procedure,” said Dr. Drucker. “This new
introduced a new level of technology when
to the heart (similar to external defibrillator
S-ICD System doesn’t require placing leads
paddles used by paramedics) to restore the
directly into the heart, and it gives us a new
rhythm when it senses the heart is beating
option for these patients.”
dangerously fast (tachycardia) or chaotically (sudden cardiac arrest). Because the lead is
About 850,000 Americans are at risk of
placed under the skin rather than through a
sudden cardiac arrest. Arrhythmia, an
vein into the heart, a physician can implant
irregular or abnormal heartbeat, results
the device without accessing a patient’s
from a problem with the electrical system
blood vessels or heart and without the need
of the heart. Arrhythmia disrupts the blood
for fluoroscopy (X-ray).
flow and can lead to sudden cardiac arrest. Only an electrical shock administered to life-threatening
the heart can reset the heart’s rhythm and
heart arrhythmias were not candidates
restore normal blood flow through the
for a routine ICD because of the implant
body.
Quan Terrelle Johnson, MD
Jeffrey Allan Puette, MD
Ervin Lee Lowther Jr., MD
Jacob Alan Sepmeyer, MD
Iskra Magick Myers, MD
Basharat Alam Shah, MD
“Some Transvenous ICD (current ICD)
patients
with
Welcome to the Area
Physicians
Aaron Alan Guess, DO
Emergency Medicine WFU Baptist Medical Center Winston-Salem
Adaorah Elizabeth Okafor, DO Internal Medicine 4403 Paula Drive Winston-Salem
David Bezov, MD Neurology ConeHealth Greensboro
Evan Schaller Corey, MD Family Practice Cone Health Family Practice Greensboro
Toral Shah Desai, MD
Geriatrics; Internal Medicine Davis Regional Medical Center Statesville
20
The Triad Physician
Hospitalist; Pediatrics Thomasville Pediatrics, PLLC Thomasville
Diagnostic Radiology WFU Baptist Medical Center Winston-Salem
Adolescent Medicine; Hospitalist; Internal Medicine Cone Health Internal Medicine Greensboro
Anesthesiology WFU Baptist Medical Center Winston-Salem
Radiology; Diagnostic Radiology WFU Baptist Medical Center Winston-Salem Hospitalist; Internal Medicine Forsyth Medical Center Winston-Salem
Julisa Margarita Patel, MD Pediatric Rheumatology; Pediatrics WFU Baptist Medical Center Winston-Salem
Physician Assistants
Reshma Manhar Patel, MD
Winston-Salem
Internal Medicine WFU Baptist Medical Center Winston-Salem
Roger David Gomez, PA Amy Patel, PA
Emergency Medicine; Sports Medicine; Endocrinology; Internal Medicine; Family Medicine Iredell Memorial Hospital Statesville
www.capturedbykendall.com • 336.337.0271 Commercial • Engagement • Wedding • Children • Family • Maternity • Babies • Seniors
CLEVELAND CLINIC
FORSYTH MEDICAL CENTER
Forsyth Medical Center is now affiliated with #1 ranked Cleveland Clinic. Forsyth Medical Center has been selected as the Triad region’s only affiliate heart hospital for the Cleveland Clinic — ranked #1 in the nation by U.S. News & World Report, 17 years in a row. This transforms our healthcare landscape forever. With Forsyth Medical Center and Cleveland Clinic working together, you have the best of the best on your side, with access to the most advanced research, programs, technologies and techniques in the world of cardiovascular medicine and surgery. Now there’s no need for you or your loved ones to travel for most cardiac care. Or to compromise. The #1 choice in cardiovascular care is right here for you.
www.forsythmedicalcenter.org/heart www.clevelandclinic.org/heart