May 29, 2003

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Thursday, May 29,2003

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www.chronicle.duke.edu Vol. 99, No. S3

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THE INDEPENDENT DAILY AT DUKE UNIVERSITY

Hospital Asian matriculation hits record high probe finds deficiencies By ANDREW COLLINS The Chronicle

The next entering class at Duke will be stronger and markedly more Asian

� In a recent audit, the Centers for Medicare and Medicaid Services said the Hospital risks noncompliance with its conditions of participation. By MALAVIKA PRABHU The Chronicle

The latest report from a series of probes into the Duke University Hospital found deficiencies in the Hospital’s dialysis division, medication administering procedure and infection control, according to a memo issued Friday by Dr. William Fulkerson, CEO of Duke Hospital. The Hospital’s shortcomings in these areas caused it to be noncompliant with the Centers for Medicare and Medicaid Services’ conditions of participation and placed it in “immediate jeopardy” of losing participation rights in Medicare and Medicaid services. An audit conducted by the CMS was initiated in response to the case of Jesica Santillan, who died from complications resulting from a mismatched heart-lung transplantation. The first audit occurred Feb. 24, two days after Santillan passed away. The CMS always undertakes reviews after hospitals have committed errors of such gravity to ensure they comply with the conditions of participation for Medicare and Medicaid. Richard James, chief ofthe CMS survey and certification operations branch in Atlanta, said the results of the February partial survey of the Hospital prompted a week-long, comprehensive “full validation” examination of the entire Hospital, the results of which were

released Wednesday. CMS officials were unable to provide the detailed report as of press time, and James refused to comment on the specifics of the report, which delineated the particular deficiencies of the Hospital. Specifically, the report noted problem areas in dialysis water testing for chemical makeup and bacteria, dialysis machine testing and oversight of the water treatment process. Updated equipment was installed in April, according to Fulkerson’s memo. In reviewing 84 records, the North Carolina Division of Facility Services, which conducted the in-hospital study on behalf of CMS, found one instance in which a patient was administered the wrong medicine. However, Fulkerson’s memo made clear that the patient’s life was not endangered by the mistake. Another problem described in the

and Asian-American, said Director of Undergraduate Admissions Christoph Guttentag. The robust applicant pool, somewhat ironically, led to a declining yield for the third straight year (see graphic). With a larger number of top-notch students admitted, Guttentag said he expected that slightly more people would turn down Duke’s offer, and that a statistical model also anticipated the decline. About 295 Asian students will enter with the class of 2007—a record high, up from 239 last year and now comprising 18 percent of the total. Guttentag credited a flourishing international applicant pool and possibly a changing perception of the University

as reasons for the sudden increase. “Part of it reflects an increasing interest in Duke among Asian students,” he said. “We’ve been fortunate in gradually increasing the presence ofAsian students on campus, and I think we may be at the point where there’s a large enough Asian population to make a difference in the perception of

Duke among Asians.” Of the top five foreign countries for class of 2007 matriculants, three are in Asia—China, Singapore and Korea, Guttentag said. The international nature of this year’s class is reflected beyond the increased Asian population, however. The

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SPECIAL TO THE CHRONICLE (© VINOLY)

COMPUTER RENDERINGS (above) of the interior of the Nasher Museum of Art depict the museum’s revolutionary architecture. Construction has already commenced on the planned museum (below).

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By GILLIAN BARNARD The Chronicle The name Duke University conjures up images of a national championship basketball team and an internationally renowned medical center. If University administrators get their wish, a worldclass art museum could be added to that list within a few years. With the construction of the new Nasher Museum ofArt and the decision to initiate an international search for a new museum director, the University’s museum will undergo a dramatic makeover in the next few years. Administrators and museum staffers hope the opening of the $23 million dollar Nasher facility in fall 2004 will usher in a new era ofinternational prominence for the museum. In the past, a combination of lack of funding and lack of space has hampered the museum’s ability to reach its full potential, said Provost Peter Lange. Lange was involved in the decision not

to rehire Michael Mezzatesta, current director of the Duke University Museum of Art, when his contract expires in

late August. “Mezzatesta did very well with that level of enterprise,” Lange said, referring to the smaller and more sparsely funded DUMA on East Campus. When the decision regarding Mezzatesta was announced, both Lange and President Nan Keohane cited the goal of cultivating a world-class museum in the new, See MUSEUM on page 8

Duke s Human vaccine Institute and Medical Center have begun work in pursuit of a vaccine for SARS, the deadly virus that has hit hardest in Asia. See page 4 X

See ADMISSIONS on page 10

Museum thinks big with expansion

See HOSPITAL on page 10

Inside

number of matriculants from foreign countries will peak at around 114, a high number partially resulting from need-based financial aid for international students, which began last year. In terms of racial breakdown, al-

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Dr. Kim Lyerly was recently chosen by Medical School Dean Dr. Sandy Williams as the new director of the Duke Comprehensive Cancer Center. See page 6 V,V, V.T.T,�,T.T.f.T.f.T,?.T.7.

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The arrival of Rick’s Diner on West Campus last year put pressure on some local restaurants that typically cater to students seeking late-night dining options. See page 6


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May 29, 2003 by Duke Chronicle Print Archives - Issuu