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GrandRounds Article Reports Tennessee Making Strides in Opioid Prescribing

Saint Francis Bartlett Wins Patient Safety Award

An article published by the IQVIA Institute for Human Data Science (“Medicine Use and Spending in the U.S.,” April 2018) reports that Tennesseans filled 6,709,154 opioid prescriptions at retail pharmacies in 2017, close to a 9 percent decrease from the previous year and a 21.3 percent drop from 2013. The report states that Tennessee outperformed most of its contiguous states and is on par with the national average for year-over-year improvements and fiveyear trends. The Tennessee Medical Association, the state’s largest professional organization for doctors, says the data is “validation of the medical community’s ongoing efforts to self-regulate prescribing and reduce initial opioid dosage and supply.” National trends show 22.2 percent fewer opioid prescriptions were filled in 2017 than h in 2013, with every state in the nation showing some reduction in the past year. In 2017, a total of 196 million opioid prescriptions were filled in the U.S., representing an 8.9 percent decrease from the prior year – the sharpest single-year decrease reported by IQVIA. Prescription opioid volumes in the U.S. peaked in 2011 at 240 billion milligrams of morphine milligram equivalents and have declined by 29% to 171 billion MMEs.

Is the missing

Saint Francis Hospital-Bartlett has been honored with an “A” Hospital Safety Grade by The Leapfrog Group, an organization that hopes to improve health care quality and safety for consumers. Saint Francis Hospital-Bartlett officials said their facility was the only one in Shelby County to receive the “A” Hospital Safety Grade. It is the ninth consecutive “A” grade for Saint Francis HospitalBartlett. The Leapfrog Hospital Safety Grade assigns letter grades to hospitals nationwide based on their performance in preventing medical errors and infections. The grade is designed to provide consumers with information they might want when making decisions about a hospital stay. The Leapfrog Hospital Safety Grade is calculated by using 27 measures of publicly available hospital safety data. Approximately 2,500 hospitals have been assigned scores, with less than a third receiving an “A” grade.

MidSouth Imaging Welcomes J. Bret Winblad J. Bret Winblad, MD, has joined MidSouth Imaging in the practice of Interventional and Diagnostic Radiology at Baptist Memorial Hospitals – Memphis, Collierville, DeSoto, Tipton, Women’s, Huntingdon, and NEA.

Baptist Adds New Feature to Its Telehealth Services Baptist Memorial Health Care has added a telehealth component to its metro and regional facilities that is designed for intensive care unit patients. Through new eICU monitoring technology, known as TeleGuardian, speciallytrained ICU registered nurses in Baptist’s TeleHealth Center based in Memphis will work directly with the hospital’s intensive care and critical care teams, serving as real-time support and collaborating with teams on the floor. A camera and monitor mounted on the wall in one of the hospital’s intensive care units, nurses in Memphis can view a patient in real time, said Stacy Hammett,

director of Baptist’s eICU, who Hammett helped direct the launch of eICU in 12 of Baptist’s 21 hospitals. Patients benefit in several key ways, including: • Higher overall survival rates • 24/7 remote patient monitoring by experienced critical care nurses who can answer questions or discuss patient care • Education and mentoring for newer ICU nurses • Changes in patients’ conditions are quickly identified in real time and addressed immediately to help avoid complications during recovery. • Shorter lengths of stay in the unit for some patients • Fewer days on a ventilator • Lower rate of preventable complications, such as pneumonia and sepsis

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Dr. Winblad is a graduate of University of Kansas School of Medicine and completed Diagnostic Radiology Residency training at University of Kansas School of Medicine, Wichita. Dr. J. Bret Winblad Winblad completed an Interventional Radiology Fellowship at Alleghany Health Network, Pittsburgh. Dr. Winblad is Board Certified in both Diagnostic Radiology and Interventional Radiology. His special interests are in Peripheral Vascular Disease and Liver Cancer.

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