News BEAUMONT For physicians and office managers Beaumont’s liver transplant program earns
Transcription
News BEAUMONT For physicians and office managers Beaumont’s liver transplant program earns
News BEAUMONT For physicians and office managers Beaumont’s liver transplant program earns Medicare approval JULY • AUGUST 2012 IN THIS ISSUE Beaumont expands bariatric and weight loss program Beaumont Lab offers test to predict patient response to Clopidogrel drug treatment Coming soon to a smartphone near you Beaumont Children’s Hospital opens state’s first hospital-based anti-bullying program Beaumont Health System’s liver transplantation program received approval from the Centers for Medicare and Medicaid Services. This approval comes less than two years after surgeons performed their first liver transplant. Explains Alan Koffron, M.D., chair of Surgery, Beaumont Health System and director, Multi-Organ Transplantation, “This is monumental for our institution. Only a handful of centers have achieved Medicare approval since the mid-1990s. CMS standards are high, as they have become the benchmark for all other insurance companies when it comes to reimbursement. This is the final seal of approval.” Beaumont received initial approval for a liver transplant program in October 2007 from the Michigan Department of Community Health’s Certificate of Need Commission. In 2008, Beaumont hired and appointed Dr. Koffron to head up Multi-Organ Transplantation. Dr. Koffron recruited a transplant surgeon from Georgetown University continued on page 2 News BEAUMONT Beaumont’s liver transplant program earns Medicare approval continued from page 1 Hospital, Vandad Raofi, M.D.; and two liver specialists from the University of Alabama, Mohamad Al Sibae, M.D.; and the University of Arkansas, Wael Refai, M.D. The team performed its first liver transplant in August of 2010. Beaumont expands bariatric and weight loss program in Rochester Hills Beaumont Health System opened a second Weight Control Center to provide medical weight loss and bariatric surgery options for overweight and obese people. The center is located in the Beaumont Health & Wellness Center at 1555 East South Blvd. in Rochester Hills. “Our new location will provide residents of north Oakland and Macomb counties with medical and surgical options for weight loss that is close to home,” says Wendy Miller, M.D., director of Beaumont’s Weight Control Center in Royal Oak and Rochester Hills. Liver transplants are unique because the liver is the only organ in the body that can regenerate itself. Surgeons can transplant 50 to 60 percent of a donor liver and it will grow to 70 percent of its size within two weeks. One in 10 Americans has been affected by liver disease. In 2011, 6,342 liver transplants were performed in the United States, 186 of those in Michigan. Nationwide about 16,089 Americans are waiting for a liver transplant. That total includes 357 Michigan residents. Beaumont’s Multi-Organ Transplantation program performed 16 liver and 52 kidney transplants in 2011. Beaumont’s Weight Control Center is led by a team of medical, surgical, behavioral, nutrition and exercise experts to provide weight loss solutions, support, cooking and nutrition classes. The center offers individualized, medically supervised weight-loss options, as well as a Bariatric Surgery Support Program, which provides multidisciplinary education and support for surgery patients who have Lap-Band®, gastric bypass and gastric sleeve procedures at Beaumont Hospital, Troy. The new Weight Control Center also features a store where patients can purchase health suppliments. “Nearly seven in 10 adults in Michigan are either overweight or obese,” says Dr. Miller. “It’s important for people to understand that very serious health conditions, such as type 2 diabetes and heart disease, are linked to obesity and can be prevented.” Studies report people who are most successful at losing weight – and keeping it off – rely on a team of professionals who offer medically supervised weight loss solutions and help. If your patients are interested in seeing a complete list of the weight loss or bariatric seminars in Rochester Hills or Royal Oak, visit classes.beaumont.edu or call 888-899-4600. 2 Beaumont Lab offers test to predict patient response to Clopidogrel drug treatment Heart disease is the leading cause of death among men and women, with someone in the United States having a heart attack every 34 seconds, as reported by the Centers for Disease Control and Prevention. With these statistics, Beaumont Laboratory launched a molecular test to detect genetic variants of the CYP2C19 gene, which encodes a drug-metabolizing enzyme. This test determines the patient’s genotype and the corresponding metabolizer status and allows individualized therapy for Clopidogrel (Plavix). Plavix is one of the most commonly prescribed cardiovascular medications in the world. Approximately 40 million patients worldwide are treated with Plavix, with 3 to 5 million new prescriptions written yearly. Plavix at recommended doses exhibit higher cardiovascular event rates following acute coronary syndrome (ACS) or percutaneous coronary intervention (PCI) than patients with normal CYP2C19 function. Tests are available to identify a patient’s CYP2C19 genotype and can be used as an aid in determining therapeutic strategy. Consider alternative treatment or treatment strategies in patients identified as CYP2C19 poor metabolizers.” According to Domnita Crisan, M.D., Ph.D., Beaumont Laboratory medical director of Molecular Pathology, “The utility of this test is providing the genomic information that allows individualization of the patient’s Clopidogrel therapy, an important component of patient-centered, personalized medicine.” The genotyping test identifies multiple variants of the CYP2C19 gene and allows classification of patients as: • extensive (normal) metabolizers, who will have the maximum benefit of standard Clopidogrel therapy • poor or intermediate metabolizers of Clopidogrel, who exhibit resistance to the drug and will require alternative therapies or higher doses, respectively • ultra-rapid metabolizers, who have an enhanced response to Clopidogrel and increased risk of bleeding In March 2010, the Food and Drug Administration issued a box warning: “Effectiveness of Plavix depends on activation to active metabolite by cytochrome P450 (CYP) system, principally CYP2C19. Poor metabolizers treated with 3 “The utility of this test is providing the genomic information that allows individualization of the patient’s Clopidogrel therapy, an important component of patient-centered, personalized medicine.” – Domnita Crisan, M.D., Ph.D. News BEAUMONT Coming soon to a smartphone near you – pages Amcom Mobile Connect enables users not only to receive messages, but also to acknowledge that messages are received and to send response messages back. If you’re tired of carrying around a Beaumont pager, or would like to be able to receive pages from Beaumont without using another device, we have some good news for you. In early August, Beaumont will roll out an application for mobile devices that makes it possible to receive pages on a smartphone, replacing the pager. Developed and supported by Beaumont paging vendor Amcom Software, the application will be available for iPhone, Android and BlackBerry. Amcom Mobile Connect enables users not only to receive messages, but also to acknowledge that messages are received and to send response messages back. You can respond to a message either with a predefined set of answers or free-form text, so you can respond quickly with your availability and also provide important information and instruction. The application securely handles electronic protected health information in accordance with guidelines from HIPAA and the HITECH Act. This contrasts with texting (SMS) messages, which cannot be traced or encrypted. In November 2011, the Joint Commission stated that texting orders is not acceptable. As part of the application launch, Beaumont’s IT Communications department will provide information and support for installing and configuring the application. Watch your Beaumont email and the Beaumont Doctor Online website for more information. Beaumont one of U.S. News & World Report’s “Best Hospitals” for 18th year in a row Beaumont Hospital, Royal Oak once again ranks among the nation’s “Best Hospitals” in the 23rd annual rankings by U.S. News & World Report. It’s the 18th consecutive year that Beaumont, Royal Oak has been nationally ranked by USNWR. Beaumont, Royal Oak earned a “high-performing” ranking in Cancer and Gynecology – and is ranked #2 in Michigan and #2 in Metro Detroit in the USNWR state and regional rankings. Beaumont Hospital, Troy earned a “high-performing” ranking in 11 medical specialties (Cancer, Diabetes & Endocrinology, Ear, Nose and Throat, Gastroenterology, Geriatrics, Gynecology, Nephrology, Neurology & Neurosurgery, Orthopedics, Pulmonology and Urology). It ranked #6 in Michigan and #5 in Metro Detroit. Beaumont, Royal Oak is nationally ranked in 10 medical specialties in the 2012-13 lists released July 17: Cardiology & Heart Surgery - #38 Diabetes & Endocrinology - #30 Ear, Nose & Throat - #23 Gastroenterology - #36 Geriatrics - #45 Nephrology - #48 Neurology & Neurosurgery - #37 Orthopedics - #19 Pulmonology - #23 Urology - #35 Beaumont Hospital, Grosse Pointe earned a “high-performing” ranking in six medical specialties (Gastroenterology, Geriatrics, Nephrology, Neurology & Neurosurgery, Orthopedics and Pulmonology). It ranked #19 in Michigan and #15 in Metro Detroit. • 14 Graduate Medical Education program awarded maximum re-accreditation, commendations Beaumont received excellent news on the outcome of its Institutional Review & Site Visit by the Accreditation Council for Graduate Medical Education. The ACGME is the organization that accredits all residency and fellowship programs in the United States. “I am very pleased that we were fully re-accredited for the maximum five years, with zero citations, and with two Jeffrey Devries, M.D., commendations,” says Jeffrey Devries, M.D., M.P.H., director of M.P.H Graduate Medical Education. According to the ACGME’s letter, “The Review Committee commended the institution for its demonstrated substantial compliance with the ACGME’s Institutional Requirements without citations… The Institutional Review Committee commends the Sponsoring Institution for frequently exceeding the expectations outlined in the Institutional Requirements.” While Beaumont’s GME program has consistently earned the maximum five-year accreditations, receiving zero citations and two commendations is unprecedented for Beaumont in at least the past 12 years that are listed on the ACGME’s website. “This outstanding result represents a national level, peer-reviewed validation of the high quality of our 37 ACGME-accredited residency and fellowship programs,” says Dr. Devries. “The educational strength and vitality of the institution reflects the substantial value of each of our programs. This is a victory for everyone who contributes to the high quality of our educational endeavor.” Beaumont seeking volunteers for prostate treatment study Trial to study effectiveness of shortened radiation therapy technique Investigators at Beaumont Hospital, Royal Oak are seeking volunteers with prostate cancer for a research trial that uses state-of-the-art stereotactic radiosurgical techniques to reduce treatment from eight and a half weeks to two weeks. “The standard for men with localized prostate cancer is 42 to 44 treatments over two months,” says Daniel Krauss, M.D., principal investigator and radiation oncologist. “By shortening the length of the treatment course, we hope to reduce costs and make it more convenient for patients, without compromising the treatment quality or safety.” To be eligible for the study, individuals must: • have biopsy-proven prostate cancer • be able to have an MRI For more information regarding the study or eligibility, call 248-551-3576. 5 Welcome to the Beaumont medical staff Grosse Pointe Hisanori Hasegawa, M.D. Neurology Sindhu Koshy, M.D. Cardiovascular Disease Royal Oak Samuel Bauer, M.D. Maternal Fetal Medicine Daniel Briskie, D.D.S. Oral/Maxillofacial-Dentist Denise Lee, D.O. Internal Medicine Alina Stevenson, Psy.D. Anesthesiologic/Peri-Oper Christopher Tisdel, M.D. Orthopaedic Surgery Troy Samuel Bauer, M.D. Maternal Fetal Medicine Jennifer Caudill, M.D. Dermatology Kerry Lee Kole, D.O. General Surgery Denise Lee, D.O. Internal Medicine Alina Stevenson, Psy.D. Anesthesiologic/Peri-Oper News BEAUMONT Beaumont Children’s Hospital opens state’s first hospital-based anti-bullying program Beaumont Children’s Hospital launched Michigan’s first hospital-based, antibullying program to raise awareness, provide supportive counseling and develop research-based bullying programs. Based at Beaumont Children’s Hospital, the No Bullying Live Empowered, or NoBLE program, offers individual and group psychoeducational services for bullying victims, witnesses, perpetrators and their families, and a bullying crisis hotline operated by Common Ground. It serves as a resource and referral center for schools, health care providers and individual families throughout the community. “Bullying is a growing problem with significant, long-term mental health consequences for victims, bullies and witnesses,” says Marlene Seltzer, M.D., medical director of the NoBLE program. “It crosses all socio-economic classes, races and age groups. It’s estimated that about 10 percent of children in the United States are bullied, with 80 to 90 percent of preadolescents facing ongoing psychological and physical harassment at some point in their school lives.” Bullying may affect physical as well as mental health, producing symptoms such as stomachaches, headaches, dizziness, bed-wetting, depression, anxiety, low self-esteem, eating disorders and substance abuse. A Michigan Department of Education report indicates that there were more than 34,000 bullying incidents in the state during the 2010-2011 school year, including 8,211 in Wayne, Oakland and Macomb counties. Dr. Seltzer believes the real numbers are higher because bullying is underreported due to fear and social stigma. 6 Through the program, Dr. Seltzer and social work professionals provide confidential services for children, adolescents and young adults who have been exposed to bullying, and their families or caregivers. Program staff members work collaboratively with schools, educators, other health providers and local mental health organizations, such as Common Ground, on identifying needs and creating programs to meet those needs. “Our goal is for NoBLE to become the safety net that links health care providers, educators, children and families to resources at Beaumont and other organizations for bullying victims,” explains Dr. Seltzer. Although many schools have bullying prevention policies in place, they do not always have the resources to provide ongoing support, counseling or behavioral health services for students who are bullied or who bully, or for witnesses. NoBLE will also create educational material and develop programs to help give family members and caregivers the skills to address and support youth affected by bullying. Located in the Medical Office Building at Beaumont, Royal Oak, you can find out more about the NoBLE program, or schedule an appointment, by calling 248-898-9951, or visit www.beaumont. urnoble. Bullying victims, witnesses and families will have 24/7 access to support through a bullying hotline, operated by Common Ground, a nonprofit crisis intervention agency dedicated to helping youths, adults and families move from crisis to hope. Through the hotline 855-URNOBLE, Common Ground offers confidential crisis intervention, debriefing, information and referrals. Help will also be available through Common Ground’s Online Crisis Chat, a free, confidential online service. Online Crisis Chat is available Monday through Friday, 4 -10 p.m. by visiting www. commongroundhelps.org and clicking on the “online chat services” button. Beaumont achieves gold status for flu vaccinations Beaumont Health System was recognized by the Joint Commission Resources and the Flu Vaccination Challenge Team for achieving the Gold Level award in the 2011-2012 Flu Vaccination Challenge. The Gold Level certificate is awarded to organizations that achieved a 95 percent or above level of compliance with vaccination of their employees and staff. “This is fantastic recognition for the Beaumont team,” says Jeffrey Band, M.D., health system chair, Epidemiology. “It shows how dedicated we are to the safety of our patients, our family and ourselves. Vaccinating against influenza is one of the easiest ways we can help prevent the spread of this disease.” Beaumont’s Occupational Health team coordinates the system’s flu shot initiatives, including vaccination clinics, and is responsible for achieving this recognition. Updates from the Physician Liaisons Practice Administrator Councils The next Practice Administrator Council meetings will take place in the fall. Meetings will be set up for each Beaumont hospital, and practice administrators will be invited based on their physicians’ hospital affiliation. Be on the lookout for dates, times and locations soon. For more information, contact your physician liaison or Kate Anderson, manager, Physician Liaison Program at 248-850-0418. oneChart EMR As a part of the American Reinvestment and Recovery Act of 2009, federal stimulus money is available to physicians who adopt an electronic medical records system. It’s not too late to go after that money – the oneChart (Epic) EMR is still available for implementation in your office. Contact your physician liaison to schedule your overview and demo. 7 News BEAUMONT Beaumont Hospital, Royal Oak 3601 West 13 Mile Road Royal Oak, Michigan 48073-6769 News BEAUMONT Family Birth Center renovations complete at Beaumont, Royal Oak Beaumont Health System completed renovations of 20 labor and delivery rooms in its Family Birth Center at Beaumont Hospital, Royal Oak. Expecting parents stay in birthing rooms complete with cozy furniture, sleeper sofas and bathrooms with spa-like amenities. “While we continue to offer the same high-quality obstetrical care to expecting mothers, each of the labor and delivery rooms was redesigned and updated to provide our patients a comfortable environment that is extremely relaxing and calming,” says Anne Ronk, director of nursing, Beaumont, Royal Oak. The private patient birthing rooms include a docking station for portable media players, flat-screen televisions, refrigerators and blanket warmers. Renovations include noise-reducing flooring, warm design finishes, soothing wall colors and artwork to provide a restful environment. To support the hospital’s ongoing eco-friendly initiatives, patient and family waiting areas of the Family Birth Center used Michigan-made and locally sourced materials. Beaumont’s comprehensive obstetric offerings span the pregnancy and childbirth experience from preconception care to parenting classes, from low-risk to high-risk deliveries. Offerings include: • advanced medical care from leading obstetricians, gynecologists, pediatricians and neonatologists • pediatric care, special care nursery and neonatal intensive care unit for premature and critically ill newborns • prenatal services including a Reproductive Genetics Program, Comprehensive High Risk Pregnancy Program, ultrasound and advanced fetal imaging and community classes • post-natal care, Breastfeeding and Lactation Support Service and an award-winning Parenting Program