Working Together Tar River Health Alliance - Boice

Boice-Willis
Tar River
Health Alliance
Providing high quality care at the lowest cost to
improve the patient experience
Working Together
Improving the lives of one million people with Type 2 diabetes
PMG Research Spotlight
Getting to Know...
Sujani Poonuru, MD
Volume 9 | Issue 1
Your family is your world.
Same here.
As a parent, caring for your family is your number one priority.
Ours, too. From pre-natal and birthing in our new Women’s Center,
to cancer, heart and hospice care, our specialties are focused on the
wellness of your family.
Let us know how we can help. That’s why we’re here.
Nash General Hospital
252-962-8000
Women’s Center
252-962-BABY (2229)
Special Care Nursery
252-962-BABY (2229)
Breast Care Center
252-962-6100
Cancer Treatment Center
252-962-8987
866-478-3471
Heart Center
252-962-8202
Heartburn Treatment Center
252-962-6500
Hospice & Palliative Care
252-962-8124
Wound Care Center
252-962-4325
Joint Replacement Center
252-962-6707
888-627-6274
Sleep Disorders Center
252-962-6150
888-627-6274
Surgical Weight Loss Center
252-962-6503
NHCS.ORG
NHCS 23684 (7.625x10) BWC Insights.indd 1
5/20/16 4:29 PM
Opening Remarks
Boice-Willis Clinic’s mission describes our
commitment to the highest quality care to our
patients in Rocky Mount and the surrounding
communities we serve. In this edition, we
introduce several new initiatives the Clinic has
started that further those efforts through the
development of the Tar River Health Alliance
and the “Together 2 Goal” program.
In the Tar River Health Alliance (TRHA), an
Accountable Care Organization (ACO) article,
Dr. Chesnutt discusses our coordinated care
programs over the past three years that manages
the “Triple AIM” initiatives in improving the
healthcare of our patients.
The partnership with the American Medical
Group Foundation’s national diabetes campaign
“Together 2 Goal” aims to improve the lives of
1 million people with type 2 diabetes. Diabetes
is the seventh leading cause of death in NC and
therefore an important program for the Clinic to
be involved with. To go further, we look into our
successful diabetes management classes from our
Health Education and Diabetes Center team.
We are pleased to announce the expansion of our
Endocrinology department with the addition of
Dr. Sujani Poonuru. Dr. Poonuru is located in
the Rocky Mount Medical Park along with Dr.
Nilay Desai and Heather Todd, FNP.
Contents
You will want to read a very informative article
on dealing with ragweed from our very own
Dr. Sonia Bains, a board certified Allergist/
Immunologist.
Boice-Willis Clinic Introduces
the Tar River Health Alliance
Our commitment to clinical research and
partnership with PMG Research provides a look
at clinical research as a care option through a
patient’s perspective. We also discuss the rollout
of their new program “The Patient Voice”.
Working Together........................... 5
In addition, we bring you the five things you
need to know about the Zika virus, what we are
doing to protect the clinical data of our patients
from malware and cyber-attacks, and the who,
what why, and how of physical therapy.
As always, my sincerest gratitude and thanks
to all of our business partners supporting the
Insights Magazine, which over the five years
strives to bring relevant
and interesting health
information to our patients
and the community.
Health Education
and Diabetes
Education Center
Walk-In Clinic
Health Education
at Boice-Willis Clinic.................... 6
Getting to Know...
Sujani Poonuru, MD.........................................
It’s THAT Time of Year Again:
Ragweed Season........................... 10
PMG Research Spotlight........ 12
Zika Virus:
What you need to know........ 14
Environmental Scan.................. 16
Sean Hagey....................................................
Physical Therapy
Women’s Imaging
Center
Laboratory
A Premier Multispecialty Practice
18
Locations:
Rocky Mount Medical Park
901 N. Winstead Avenue
Rocky Mount, NC 27804
(252) 937-0200
Primary Care
600 Nash Medical Arts Mall
Rocky Mount, NC 27804
(252) 451-3200
Pediatrics
100 Nash Medical Arts Mall
Rocky Mount, NC 27804
(252) 451-3100
Primary Care
& Walk-In Clinic
921 N. Winstead Avenue
Rocky Mount, NC 27804
(252) 937-0300
Nashville
102 S. Eastpointe Ave.
Nashville, NC 27856
(252) 459-4012
Surgery Department
250 Nash Medical Arts Mall
Suite A
Rocky Mount, NC 27804
(252) 937-0227
Boice-Willis Insights is an informative and educational
resource designed for our patients, referring physicians and
other medical affiliates, health care professionals, employer
groups, and the general public. This magazine features BoiceWillis Clinic physicians and facilities, communicates educational
news and treatment trends, and contains various health
oriented articles of interest. Information in this publication is not
intended to replace a physician’s professional consultation and
assessment. Please consult your physician on matters related to
your personal health.
8
The Who, What, Why, and
How of Physical Therapy
Gary J. Fazio
CEO, Boice-Willis Clinic
Imaging and
Special Medicine
4
Directory of Advertisers......... 17
Sincerely,
Patient Services:
Endoscopy Center
by Martha Chesnutt, MD, CMO......................
Spring Hope
100 Dodd Street
Spring Hope, NC 27882
(252) 478-5412
Medical
Boice-Willis Clinic
Administrative Offices
3221 Zebulon Road
Rocky Mount, NC 27804
(252) 937-0200
Boice-Willis Clinic Physical
Therapy
2413 Professional Drive
Rocky Mount, NC 27804
(252) 937-0277
Boice-Willis Insights is designed and published by Custom
Medical Design Group, Inc. To advertise in an upcoming
issue please contact us at 800.246.1637 or visit us online at
www.CustomMedicalMagazine.com
This publication may not be reproduced in part or whole without the express
written consent of Custom Medical Design Group, Inc.
Boice-Willis Insights 3
Boice-Willis Clinic Introduces
the Tar River
Health Alliance
by Martha Chesnutt, MD, CMO
Boice-Willis Clinic has formed the Tar River Health
Alliance. The purpose of the Tar River Health Alliance
is to meet the Triple Aim of Health Care.
• Improve the Quality of Healthcare that
patients received
• Lower the Cost of Care
• Improve the Patient Experience
Over the last three years a lot of initiatives have been focusing on this Triple Aim. We have improved the quality of the
healthcare to our patients by participation in programs like the
Physician Quality Reporting System (PQRS), Million Hearts
Program, Meaningful Use and becoming Patient Centered
Medical Homes. Now Care Coordinators form care teams that
work together in the care of patients and ensure that they have
had preventative screening tests, care for their chronic medical
problems and communication with their primary care provider
upon leaving the hospital.
Our program with CIGNA patients under the CIGNA Care
Collaborative, has been successful in lowering costs and improving the quality of care compared of those patients in our
area market. This success is the platform that we are able to use
to care for larger populations.
All of these steps led Boice-Willis Clinic to create an Accountable Care Organization (ACO). Boice-Willis Clinic has
formed the Tar River Health Alliance (TRHA). The TRHA
is a Medicare Shared Savings Accountable Care Organization
(MSSP ACO). This means that our aim is to provide high quality care at the lowest cost for our approximately 8,500 Medicare
Patients. We were approved as a Medicare Shared Savings ACO
starting in January 2016 and you will see our care management program growing over the next three years. Not only was
the MSSP ACO program approved, but we were also one of 41
programs across the country that received Advanced Payment
Funds to start our MSSP ACO. This gives us a stable foundation to grow our Accountable Care Program.
Boice-Willis clinic’s goal is to provide high quality patient
centered care at the lowest cost and improve the patient experience through this process. There will be many changes to come
that focus on achieving the Triple Aim. We look forward to
continuously improving our patient care and experience. n
4 Boice-Willis Insights
Working
Together
Together 2 Goal® Aims to Improve the Lives
of 1 Million People with Type 2 Diabetes
Boice-Willis Clinic has joined the AMGA Foundation’s
Diabetes: Together 2 Goal® campaign along with more
than 120 other leading healthcare organizations across the
country. This national campaign aims to improve care for 1
million people with Type 2 diabetes in the United States by
2019.
The Centers for Disease Control and Prevention estimates that approximately 29.1 million people (or 9.3% of the
population) have diabetes. Type 2 diabetes accounts for 9095% of diagnosed diabetes in U.S. adults. People who have
diabetes are at higher risk of serious health complications,
such as heart disease and stroke, two of the leading causes of
death in the U.S. Other complications can include blindness,
kidney failure, and loss of toes, feet, or legs.
Boice-Willis Clinic and fellow AMGA members participating in Together 2 Goal® commit to implementing one
or more evidence-based care processes (“campaign planks”)
designed to empower patients, improve care delivery and
leverage information technology. Additionally, campaign
participants will report data to AMGA Foundation on a
quarterly basis to measure progress towards this goal and
utilize the campaign’s resources and tools to achieve this
mark.
Boice-Willis Clinic’s dedication to improving the lives of
people across the nation with Type 2 diabetes.”
Together 2 Goal® officially launched on March 12, 2016
with an event featuring world champion boxer Sugar Ray
Leonard as the keynote speaker. Representatives from hundreds of AMGA medical groups and health systems from
across the country were in attendance.
North Carolina faces one of the highest diabetes burdens
in the country with the rate of diabetes among North Carolinians nearly doubling over the last 20 years; diabetes has
also become the seventh-leading cause of death in North
Carolina.
“The prevalence of diabetes in North Carolina is higher
than the national average, and is projected to continually
increase. With such high stakes, we must take significant
steps to make sure we are addressing diabetes and promoting
wellness in our community,” said Martha Chesnutt, MD,
Chief Medical Officer at Boice-Willis Clinic. Together 2
Goal® is the second three-year campaign launched as part
of the AMGA Foundation’s Chronic Care Challenge.
More information about Together 2 Goal® is available
at www.together2goal.org n
“The success of Together 2 Goal® requires support and
involvement across the entire healthcare industry,” says
Donald W. Fisher, Ph.D., CAE, President and Chief Executive Officer of AMGA and Secretary of the Board of
AMGA Foundation. “AMGA Foundation truly appreciates
Boice-Willis Insights 5
Health Education
At Boice-Willis Clinic
by Taylor Loftis, CDE, RD, LDN
The Health Education and Diabetes Team Group Classes
Are Making A Difference!
Now in year three, the Health Education and Diabetes Team group classes at
Boice-Willis Clinic have truly helped patients better understand and manage their
diabetes. Patients continue to see improvements in their Hemoglobin A1c’s and
weight after completing the classes, not just
from the learning experience the class series brings, but also from the benefit of a
group environment. Anyone who is newly
diagnosed with diabetes or has not had any
prior outpatient diabetes education is eligible and classes are offered on a weekly basis.
Since the beginning of the class series,
patients who have completed the group
classes have seen a decrease in their Hemoglobin A1c, a 3-month average of their
blood sugar control, from 8.17 to 6.93. The
average weight patients have lost during the
series is 5.4 pounds.
Through a series of three classes, patients
explore how to live a healthy and vibrant
life with diabetes. In the first class, Allison
Jenkins, RD, LDN explains what diabetes
The Health Education and Diabetes Team – Wendy Moore, CDE, RN, Allison Jenkins, MAEd, RD, LDN,
and Taylor Loftis, CDE, RD, LDN
“Patients have really enjoyed the classes. They learn just as much from each other’s experiences
as they do from us as their educators. It is also great for them to see that they are not alone in
trying to learn how to take care of their diabetes. But most of all, they feel better.”
— Allison Jenkins, RD, LDN
6 Boice-Willis Insights
is and how it is treated. She also gives an
introduction to healthy eating and helps
patients think about small changes they
can make in their daily food choices. In
the second class, Wendy Moore, CDE,
RN addresses many more of the common questions about diabetes: “Why do
I need to check my blood sugar and what
do my readings mean?”, “What happens if my blood sugar is too low or too
high?”, “How do my medications help
control my blood sugar?”, and “What
are the long term complications of diabetes and how can I help prevent them?”.
In the third class, Taylor Loftis, CDE,
RD, LDN discusses advanced nutrition
and meal planning. She also reviews the
benefits of exercise and how to stay emotionally healthy with diabetes.
Once the classes are completed, patients follow up one on one with their
diabetes educators for continued support.
Through their group classes and follow
up visits, the Diabetes Team at BoiceWillis hopes to assist more patients on
their journey of diabetes management. n
Taylor, Wendy and Allison prepare for a group class.
Frequently Asked Questions
Do I need a referral? For insurance purposes, it
is recommended that your primary care physician
refer you. If you have a Boice-Willis Clinic doctor you may call our office at 252-937-0289 and we
will assist you in obtaining a referral.
Does my insurance pay for the visit? Most
insurance plans offer coverage for diabetes education. Ask to speak with your doctor’s referral
specialist to find out more details regarding your
individual coverage for receiving health education.
What is the difference between a Registered
Dietitian and a Registered Nurse? Registered
Dietitians are experts in nutrition, who provide
information on food choices and lifestyle changes
to help you obtain optimal health. The Registered
Nurses (RN) teach many aspects of diabetes management such as home blood glucose monitoring,
foot care, complications, and use of medications
including insulin administration.
RD’s and RN’s work with your physician as a team
to help you learn self-management skills.
Boice-Willis Insights 7
Getting to
Know...
Sujani Poonuru, M.D.
Dr. Sujani Poonuru attended medical school
at Gandhi Medical College in Hyderabad,
India. She completed her residency training
at Marshfield Clinic in Wisconsin and her
fellowship training at Medical College of
Wisconsin, with specialty in endocrinology.
Dr. Poonuru is board certified by the American
Board of Internal Medicine and the Educational
Commission for Foreign Medical Graduates.
She joined Boice-Willis Clinic in 2016.
q At what point in your life did you realize you
wanted to enter the medical field?
aIt was when I was in high school. I was
very much interested in science, and I really
wanted to learn about the human body. Also
I was very interested to know how medicines
work on the cellular level.
q Where did you work before coming to Boice-Willis
Clinic?
aI worked for a private practice in Twin cities,
Minnesota. We were a group of eight endocrinologists.
q What led you to BWC?
aI wanted to stay closer to my family in Cary, North Carolina.
Also, I really enjoy living in a small town.
q Why did you choose to pursue the field of endocrinology?
aWell, the big thing in endocrinology is diabetes, which is very
common, and the number of ways you manage diabetes is equal to the
number of physicians who treat the disorder. Diabetes is unique to the
individual patient, so determining the patient’s needs and personalizing
the treatment is challenging and rewarding at the same time. I also like
treating the other endocrine disorders, which can affect all the organ
systems, from head to toe.
8 Boice-Willis Insights
q What do you find most rewarding about your work?
a Most rewarding to me is developing long-term patient
relationships, and it brings me great joy to see any little
difference that I can bring to a patient’s life. I find it both
challenging and inspiring to work with my patients on a
daily basis.
q What would you say is most misunderstood by the public
about endocrinology?
aWell, in general, people don’t know what the term
endocrinology entails. Most of them may have heard of
diabetes or thyroid or hormones, but they are not aware
that we have a word for doctors who deal with endocrine
glands and hormones. That is what is meant by the term
“endocrinologist.”
q What changes have you seen in the medical field since you
began your career?
aOne change is with electronic health records, which
allows physicians to have online communication with regard
to diagnostic results and promising treatments for many
chronic conditions.
q What change would you most like to see within the next 10
years?
aI would like to see an integration of the whole
electronic health records system without the need to obtain
records from the outside. For example, if we need medical
records for a patient, the current process is to call for records
or fax records—things like that. But if we were to integrate
all the electronic medical record systems, just with a click
of a mouse we could see all of a patient’s records, no matter
where and when they were previously seen. Some of the
electronic medical record systems, such as Epic Systems, are
like that. Also VA EMR is a good system. With it, we can see
a patient’s records no matter where he or she was throughout
the entire country.
q What do you do to relax when you’re not at work?
aI enjoy spending quality time with my family. It’s
challenging to juggle my attention between the needs of my
eight year old (a boy) and two year old (a girl). But it’s fun to
watch them grow. n
Boice-Willis Insights 9
It’s THAT Time of Year Again:
Ragweed Season Starts in Mid-August!
ROCKY MOUNT – Watery, itchy eyes … sneezing … runny
noses. Think you have a cold? Think again.
as histamine, that cause itchy eyes, runny noses, headaches
and sneezing.
Many Americans are now bracing for “Aug. 15”, the
traditional “opening day” of ragweed season.
A single ragweed plant can generate a million grains
of pollen a day so this can be a miserable time for people
with allergies. Furthermore, ragweed allergen can work
synergistically with a virus to trigger asthma exacerbations
leading to the “September asthma epidemic” that hits
when children go back to school.
Common symptoms of allergies include a runny nose,
stuffy nose, sneezing, watery, itchy eyes, itchy nose and
throat. Some people often confuse allergies with the cold
but as we enter the fall season, ragweed is one of the prime
culprits behind allergic rhinitis, or hay fever.
People with seasonal allergies find their symptoms worsen
after they’ve been outdoors, have symptoms about the same
time each year, and often develop itchy, red, watery eyes with
their nose symptoms. Eye symptoms are less common with
viral infections, and infections typically get better within a
week.
Ragweed is a slender inconspicuous plant that produces
huge quantities of very tiny particles known as pollen that
can travel more than 200 miles on a good gust of wind. Their
mission is to fertilize parts of other plants, but many never
reach their targets. Instead, by entering human noses and
throats they cause the immune system to overreact. In the
resulting allergic reaction, the body releases chemicals, such
The good news is there are plenty of medications
available today so that people needn’t suffer. Make sure
you start your allergy medicines 2 weeks before ragweed
season.
Here are a few tips to help allergy sufferers cope with
the ragweed season:
Coping Tips
• Try to stay indoors, especially during the peak pollen
hours from 5 a.m. to 10 a.m.
• After going outside, change your clothes and take a
shower. Pollen from the air can collect on your clothes
and hair. Have children change clothes when they come
in from playing outside. Change somewhere other than
the bedroom so pollen doesn’t settle on bedding.
• Shower and wash your hair every night to remove
pollen.
• Don’t line-dry clothes.
10 Boice-Willis Insights
• Pets who live both in and outdoors should be bathed
often.
• Keep windows at home closed whenever possible and
use air conditioning. Cover air conditioning vents with
filters, and change filters often.
• Monitor pollen counts and adjust your outdoor
activities accordingly. Dry, windy days, especially after
a rain, can be particularly high in pollen.
• If you’re mowing the grass or raking leaves, wear a
mask to filter out pollen and mold spores.
New clinical trial results have identified that the drug
Omalizumab (Xolair) helps reduce the severity of asthma
flare-ups during the fall back-to-school transition known as
the September epidemic of asthma. Omalizumab (Xolair)
works by blocking the allergic antibody (IgE). IgE plays
a key role in the body’s allergic response and allergic
asthma. The results of this study give us an exciting new
way to treat pediatric patients with allergic asthma. This
is especially significant because asthma is the leading cause
of missed school days and childhood hospitalizations in the
United States, according to the CDC. n
• Keep windows rolled up while driving and use air
conditioning to reduce pollen exposure.
• Seek help from medical professionals and use
treatment properly, whether prescribed or over-thecounter.
• Avoid over-the-counter medications that list
drowsiness as a side effect.
• Avoid decongestants if you have high blood pressure.
Definitive treatment options
• Ragweed allergy drops
• Ragweed allergy shots
Ragweed allergy drops and shots (immunotherapy) are
designed to treat the underlying cause of your symptoms
by giving you small amounts of the allergen over time.
Immunotherapy works with your immune system to
help change how your body reacts to allergens. It helps
gradually build tolerance to specific allergens. Ragweed
allergy drops have to be started 12 weeks before the
onset of ragweed season. Allergy shots can be started at
any time of the year.
Boice-Willis Insights 11
PMG Research Spotlight:
Clinical Research as a Care Option – A Patient’s Perspective
Boice-Willis Clinic has been partnered with PMG
Research of Rocky Mount since 2014 to offer our patients
Clinical Research as a Care Option. In this article, we share
the story of one of our research participants, Mr. Jimmy
East. Mr. East has been a research participant in several
trials at PMG Research of Rocky Mount.
q Mr. East, why do you participate in clinical research?
aI wanted to be a part of a research study that might
help other heart patients with high cholesterol and other
risk factors to receive new and improved treatments and/or
medicine.
q How did you learn about the opportunity to participate in
clinical research?
aDr. Varma became my cardiologist in 1992 when I had
a heart attack and bypass surgery at the age of 36. Since
that time I have had eight stents put in and still have high
cholesterol. Dr. Varma introduced me to clinical research.
q What is the most rewarding thing about clinical research
participation?
aThe knowledge that by doing this, I may help another
person with CAD [Coronary Artery Disease], high
cholesterol, and other risk factors live a longer and more
productive life.
12 Boice-Willis Insights
q What would you like to share with other people who might
be considering clinical research as a care option?
aI don’t know if I am receiving the placebo or the trial
medicine, but I appreciate the opportunity to participate
in this study. I am especially grateful for the care and
treatment I have received from Dr. Varma and Dr. Browder
and their staff over the years.
So, what is a clinical trial?
Clinical trials are research studies designed to answer
specific questions about investigational medications
that may benefit future patients and current research
participants. In order for medications, vaccines, and
medical devices to become available for use by the general
public, they first must undergo clinical trials and be
approved by the U.S. Food & Drug Administration (FDA).
If you have ever taken a prescription or over-the-counter
medicine, received a flu shot, or used a glucometer, you
already have benefited from clinical research.
While participating in a clinical trial, you can
expect to:
• Gain access to quality medical care and medications not
available through other means at reduced, or no, cost.
• Receive financial compensation for time and travel.
• Receive close follow-up provided by the study team.
• Improve and educate yourself about your own health.
PMG Research of Rocky Mount offers clinical research opportunities in the
following areas. Because the individual studies available may vary over time,
we encourage you to visit the website at www.PMGofRockyMount.com or
call our office at (252) 937-0484 to learn more about what might be a good fit
for you. If you’re at the Clinic, feel free to stop by Suite 280 any time to speak
with a member of our research team.
Cardiovascular
Neurology
Dermatology
Pulmonology
Endocrinology
Urology
Gastroenterology
Vaccines
REED INSURANCE
AGENCY
DEWITT • 517-345-4567
www.reedia.net
STANDARD INSURANCE
LIFE
HOME
CAR
BUSINESS
Rocky Mount, nc • 800-550-0264
www.standardins.com
•
•
•
Would you like to share your voice?
PMG Research with Boice Willis Clinic are excited to announce
a new program designed to give people an opportunity to share
their perspective on clinical research. It’s called The Patient Voice: a
group of past, current, or interested research participants who join to
share feedback on a wide range of topics regarding clinical research
participation. Don’t worry, you don’t need to have participated in a
study to join.
Boice Willis Clinic and PMG Research value your perspective,
and would love to give you the chance to share your thoughts and
make a difference in the world of clinical research. To learn more,
please visit www.pmg-research.com/patientvoice or email us at
[email protected]. n
Boice-Willis Insights 13
Outbreaks of Zika have been reported in tropical Africa,
Southeast Asia, the Pacific Islands, and most recently in the
Americas. Because mosquitoes that spread Zika virus are
found throughout the world, it is likely that outbreaks will
continue to spread. Here are 5 things that you need to know
about the Zika virus.
1.Zika is primarily spread through the bite of an infected mosquito. Many areas in the United States have
the mosquitoes that can become infected with and spread
Zika virus. To date, there have been no reports of Zika being spread by mosquitoes in the United States. However,
cases have been reported in travelers to the United States.
With the recent outbreaks in the Americas, the number
of Zika cases among travelers visiting or returning to the
United States will likely increase.
2.The best way to prevent Zika is to prevent mosquito bites. Protect yourself from mosquitoes by wearing
long-sleeved shirts and long pants. Stay in places with air
conditioning or that use window and door screens to keep
mosquitoes outside. Sleep under a mosquito bed net if air
conditioned or screened rooms are not available. Use Environmental Protection Agency (EPA)-registered insect
repellents. When used as directed, these insect repellents are proven safe and effective even for pregnant and
14 Boice-Willis Insights
breastfeeding women. Do not use insect repellent on babies
younger than 2 months old. Dress your child in clothing
that covers arms and legs. Cover crib, stroller, and baby
carrier with mosquito netting.
3.Infection with Zika during pregnancy may be
linked to birth defects in babies. Zika virus can pass
from a mother to the fetus during pregnancy, but we are
unsure of how often this occurs. There have been reports
of a serious birth defect of the brain called microcephaly
(a birth defect in which the size of a baby’s head is smaller
than expected for age and sex) in babies of mothers infected with Zika virus while pregnant. Additional studies are
needed to determine the degree Zika is linked with microcephaly. More lab testing and other studies are planned to
learn more about the risks of Zika virus infection during
pregnancy. No evidence exists suggesting pregnant women
are more susceptible or experience more severe disease during pregnancy. Because of the possible association between
Zika infection and microcephaly, pregnant women should
strictly follow steps to prevent mosquito bites.
4.Pregnant women should delay travel to areas Zika
is spreading. Until more is known, CDC recommends
pregnant women consider postponing travel to any area
Zika virus is spreading. If you must travel to one of these
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areas, talk to your healthcare provider first and strictly follow steps
to prevent mosquito bites during
the trip. If you have a male partner living in or has traveled to an
area Zika is spreading, either do
not have sex or use condoms the
right way every time during your
pregnancy. For women trying to
get pregnant, before you or your
male partner travel, talk to your
healthcare provider about your
plans to become pregnant and the risk of Zika virus infection. You and your male partner should strictly follow
steps to prevent mosquito bites during the trip.
5.Returning travelers infected with Zika can spread
the virus through mosquito bites. During the first
week of infection, Zika virus can be found in the blood
and passed from an infected person to a mosquito through
mosquito bites. The infected mosquito must live long
enough for the virus to multiply and for the mosquito to
bite another person.
Protect your family, friends, neighbors, and community! If you traveled to a country Zika has been found, make
sure you take the same measures to protect yourself from
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mosquito bites at home as you would while traveling.
Wear long-sleeved shirts and long pants, use insect repellent, and stay in places with air conditioning or that use
window and door screens to keep mosquitoes outside. n
For more information on the Zika virus, and for the latest
updates, visit www.cdc.gov/zika
Thomas
W.N.
Shepherd,
Charlotte
Odette
M.
Charlotte
Charlotte
Charlotte
A.A.A.
A.A. Odette
Odette
Odette
Odette
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Thomas
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Boice-Willis Insights 15
Environmental Scan
Healthcare Leaders Pay $17,000.00 Ransom
Malware can infect your computer by simply clicking a
link on an email, which may look legit. Once clicked, that
link can easily do significant damage, to even the most secure networks.
While law enforcement officials do not typically recommend paying the ransom in situations like these, there is some
understanding amongst healthcare professionals as to why
Hollywood Presbyterian paid the ransom.
Information Technology systems are designed to keep
individuals who should not have access out, but when a ‘bad’
link is clicked, it can be the equivalent to opening the door
for a home invasion.
Similar instances inside and outside of healthcare have also
taken place. In fact, according to Roy Katmor, CEO of enSilo, ransomware attacks have increased by 160% since 2013.
Federal Records show about 158 institutions have reported
hacking incidents since 2010, all of which compromised patient records. Katmor also notes that his data shows about
44% of the victims pay the required ransom; however, it is
impossible to know the exact number. Most cases of data hostage situations go unreported and unpublished, particularly in
the home setting.
During such a malware assault on February 5th, 2016 at
Hollywood Presbyterian Medical Center, the computer systems were held hostage for more than a week.
The data hostage situation prompted the hospital’s leadership to approve paying the ransom of 40 bitcoin, which
is the equivalent of about $17,000.00, to the hackers as the
“quickest and most efficient way” for re-entry into their
systems, according to the Hospital Chief Executive Officer
Allen Stefanek.
A bitcoin is a type of digital currency in which encryption techniques are used to regulate the generation of units
of currency and verify the transfer of funds, operating independently of a central bank. Bitcoins can be used for online
transactions between individuals.
With systems availability compromised for more than a
week, patient care can experience a significant impact. The
hospital made the decision to pay the ransom to restore its
systems prior to contacting law enforcement for assistance.
16 Boice-Willis Insights
Hollywood Presbyterian Medical Center noted that, to its
knowledge, patient records were not compromised during the
attack.
BWC’s Information Technology Department does employ
several processes to help prevent this type of threat: The network is scanned externally by a third party security company
which looks for vulnerabilities from outside the network, incoming email is scanned for viruses, the internal network is
scanned for virus activity and each computer on the network
is continually scanned for viruses/malware. n
DIRECTORY of ADVERTISERS
AbbVie.................................................................................. 19
BB&T Insurance Services....................................................... 17
Chambliss & Rabil Contractors............................................... 15
CopyPro, Inc......................................................................... 13
LabCorp Inc.......................................................................... 17
Lillibridge Healthcare Services................................................ 19
Nash UNC Health Care......................................inside front cover
Professional Recovery Consultants
2700 Meridian Parkway, Suite 200
Durham, NC 27713
1-800-868-7724
www.prorecoveryinc.com
Rocky Mount Eye.................................................................. 15
RSM..................................................................................... 17
Southern Bank.......................................................... back cover
Standard Insurance............................................................... 13
The Print Shoppe.................................................................. 17
White Cap Linen
Linens for EVERY need!
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Don Raper
Business Insurance Agent
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rsmus.com
As one of the largest clinical laboratory
networks, LabCorp strives to be a valued
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LabCorp offers a broad portfolio of tests,
ranging from diabetes and cholesterol
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RSM International. AP-SE-ALL-ALL-0316
McGladrey is now RSM. Learn more about our
unified global network at rsmus.com/mcgladrey.
©2016 Laboratory Corporation of America® Holdings.
All Rights Reserved. 15247-0216
Boice-Willis Insights 17
The Who, What,
Why, and How of
Physical Therapy
by Sean Hagey | Physical Therapy | GetPT1st.com
Physical therapy, or physiotherapy, is a wonderful profession that exists for one purpose: to help people feel and
move better, meet their goals, and get back to a life that
they want to live. No matter if you’ve been challenged by
injury, illness, or pain, we’re here to help.
Physical therapists can employ a number of interventions
to help you regain your optimal function. We start with
an assessment of what’s going on. It’s important to start
out with an honest conversation. To best help you achieve
your goals, we need to know your history, how you came to
need physical therapy, and what exactly you want to get out
of physical therapy. Once you’ve shared your story, we will take a look at
where you are. We know how to test your flexibility, your
strength, your coordination, your balance, and your general function. We can identify areas for improvement, as
well as let you know where you’re doing OK! Once we have
your story, and have looked at your current ability, we will
work with you to set your goals. Physical therapy is most
helpful if the goals that are set are important to you.
Now that your goals are set, it’s time to get to work! We
can use exercise, manual therapy, education, and other modalities to help you meet your goals. It will be lots of hard
work, but Physical Therapists know lots of ways to make
things more efficient and less painful. You will need to be
patient with the process, and patient with yourself. Changes will happen, but it will take some work, and some time.
That being said, it’s important for you to know that you
should be getting better. We’re here to help, and if you feel
worse when you’re done with PT, then it’s time to have a
chat with your PT. They want you to get better too! If you
don’t let them know how you’re really doing, they can’t adjust what you’re working on.
Think of physical therapist as an amazing resource:
we’re trained in anatomy and physiology, we know how to
screen for pathologies that would require more medical
intervention, and we can tailor a program to your specific
needs and desires.
If you’re not sure if PT can help you, may we suggest an evaluation? One visit with a PT and you’ll see
that we’re the perfect teammate to help you get to
where you want to be. n
18 Boice-Willis Insights
Boice-Willis Walk-In Clinic
New Extended Hours
Boice-Willis Walk-In Clinic NEW hours of operation are:
Monday-Thursday 8am-8pm
Friday 8am-5pm
Saturday 8am-12noon
These new hours of operation went into effect on Monday,
March 7, 2016 in an effort to better serve our patients as
well as offering more convenient options.
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Learn more at abbvie.com
Boice-Willis Insights 19
Boice-Willis Clinic, PA
901 North Winstead Avenue
Rocky Mount, NC 27804-8467
A lot of people depend on Boice-Willis Clinic. When
it comes to financial services, Boice-Willis depends
on Southern Bank. We’re large enough to help
manage payroll, cash flow, leasing options, and
capital improvements, yet small enough to provide
personal service every step of the way.
How healthy is the relationship with your bank? If it’s
time for a financial check-up, come by any Southern
Bank office. We’ll be glad to become your bank too.