February 2014 • Vol. 44, No. 2
Mecklenburg Medicine A Publication of the Mecklenburg County Medical Society | www.meckmed.org
Mecklenburg County Medical Society • Mecklenburg Medical Alliance and Endowment Founders of: Bioethics Resource Group, Ltd., Hospitality House of Charlotte, Teen Health Connection, N.C. MedAssist, Physicians Reach Out
World-class cardiovascular physicians, nurses and technology working together to save lives Novant Health Heart & Vascular Institute Adult cardiology 1718 E. Fourth St. Suite 501, Charlotte 704-343-9800 8310 University Executive Park Suite 550, Charlotte 704-384-0684 10030 Gilead Road Suite 201, Huntersville 704-887-4530 1450 Matthews Township Parkway Suite 380, Matthews 704-264-3500
1640 E. Roosevelt Blvd. Monroe 704-226-0500 911 W. Henderson St. Suite 230, Salisbury 704-633-9620
Pediatric cardiology 1718 E. Fourth St. Suite 605, Charlotte 704-316-1220
Prevention 125 Baldwin Ave. Suite 200, Charlotte 704-384-5043
Learn more at NovantHealth.org/heart
2 | February 2014 â€˘ Mecklenburg Medicine
Cardiovascular and thoracic surgery 301 Hawthorne Lane Suite 200, Charlotte 704-316-5100 10030 Gilead Road Suite 201, Charlotte 704-316-5100 1640 E. Roosevelt Blvd. Monroe 704-316-5100
Features 7 Carolina Neurosurgery & Spine Associates Appoints
Mary Cloninger as Chief Executive Officer
8 NCMS Spearheads Initiative to Educate Health
Care Community on Accountable Care
In This Issue 5
President’s Letter: A+ Medical Training in Charlotte
MCMS Election Results
OFFICERS James B. Hall, MD President Simon V. Ward III, MD President-Elect Stephen J. Ezzo, MD Secretary JP McBryde, MD Treasurer Janice E. Huff, MD Immediate Past President BOARD MEMBERS Lloyd L. Bridges, MD Raymond E. Brown, PA Jonathan A. Buice, MD Scott L. Furney, MD William F. Ingram, MD Scott L. Lindblom, MD Shivani P. Mehta, MD Elizabeth B. Moran, MD Cheryl L. Walker-McGill, MD Thomas N. Zweng, MD
10 Member News/New Members 10 New Members 10 Upcoming Meetings & Events 11 At the Hospitals 13 Charlotte AHEC Course Offerings for February 13 National Health & Wellness Observances for February 13 Advertising Acknowledgement
Mecklenburg County Medical Society
February 2014 Vol. 44 No. 2
1112 Harding Place, #200, Charlotte, NC 28204 704-376-3688 • FAX 704-376-3173 email@example.com Copyright 2014 Mecklenburg County Medical Society
Mecklenburg Medicine is published 10 times per year by the Mecklenburg County Medical Society, 1112 Harding Place, Suite 200, Charlotte, NC 28204. Opinions expressed by authors are their own, and not necessarily those of Mecklenburg Medicine or the Mecklenburg County Medical Society. Mecklenburg Medicine reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted. Mecklenburg Medicine is not responsible for unsolicited manuscripts. Non-members may subscribe to Mecklenburg Medicine at a cost of $30 per year, or $3.50 per issue, if extra copies are available. Classified Ads: Open to members, nonprofits and non-member individuals only; advance approval of the Managing Editor and advance payment required. Member rate is 0, non-members $20 for the first 30 words; $.75 each additional word. Display Ads: Open to professional entities or commercial businesses. For specifications and rate information, call Mark Ethridge at 704-344-1980. Acceptance of advertising for this publication in no way constitutes professional approval or endorsement of products or services advertised herein. We welcome your comments and suggestions: Call 704-376-3688 or write Mecklenburg Medicine, c/o Mecklenburg County Medical Society, 1112 Harding Place, Suite 200, Charlotte, NC 28204.
EX-OFFICIO BOARD MEMBERS Gretchen Allen President, Mecklenburg Medical Alliance & Endowment Keia V. R. Hewitt, MD President, Charlotte Medical Society Docia E. Hickey, MD NCMS Speaker of the House Stephen R. Keener, MD, MPH Medical Director, Mecklenburg County Health Department Darlyne Menscer, MD NCMS Delegate to the AMA Douglas R. Swanson, MD, FACEP Medical Director, Mecklenburg EMS Agency EXECUTIVE STAFF Sandi D. Buchanan Executive Director Trisha G. Herndon Director, Meetings & Special Events Stephanie D. Smith Executive Assistant MECKLENBURG MEDICINE STAFF Editor Mark E. Romanoff, MD Managing Editor Sandi D. Buchanan Copy Editor Lee McCracken Advertising Mark Ethridge 704-344-1980 Editorial Board N. Neil Howell, MD James B. Hall, MD Jessica Schorr Saxe, MD Graphic Design — Wade Baker
Mecklenburg Medicine • February 2014 | 3
4 | February 2014 â€˘ Mecklenburg Medicine
A+ Medical Training in Charlotte By James B. Hall, MD, President
ast year, Dr. Janice Huff gave us a great history lesson of medicine in Charlotte. Ours is a community that has been fortunate to have an exceptionally high quality of medicine for many years. Part of that foundation historically has been the pillars of Presbyterian Hospital, Mercy Hospital and Charlotte Memorial Hospital. But, it is equally important to remember the private groups, which recruited well-trained physicians, many from academic backgrounds, to practice in Charlotte. The Durwood Clinic was founded in 1940, with such notable physicians as Drs. Jim Black and Charlie Harris. With the changing landscape of medicine in Charlotte, it later became First Charlotte Physicians. The Nalle Clinic was started in 1921 by Dr. Brody Nalle and three colleagues, one of whom was Dr. Luther Kelly, Sr. (On a personal note, it was Dr. Luther Kelly, Jr., who recruited the Nalle Clinic’s first female physician more than 30 years ago: Dr. Edith Miller, my wife.) The Nalle Clinic’s offices for many years marked the entrance to Queens Road and Freedom Park at the corner of Queens, Kings and East Blvd. Sadly, for the greater community, they closed their doors in 2000. In addition to these two stalwarts, the Sanger Clinic was founded by Dr. Paul Sanger and became known for its research and clinical expertise, as the group did remarkable clinical and basic science research in a private office setting, all of which has been carried on by Dr. Francis Robicsek. The brothers, Drs. Hamilton and Robert McKay, were the first urologists in Charlotte, with Hamilton beginning his practice in 1914 and then Robert joining him in 1928 to form McKay Urology. Hamilton was one of the founders of Charlotte Memorial Hospital, where the brothers established a residency in urology, which continues today as a joint venture with the University of North Carolina Chapel Hill. Not surprisingly, they also were the source of many stories about the practice of medicine. The Bradford Clinic was founded by Dr. William Bradford, Sr., and then for many years was led by Dr. William Bradford, Jr., who though retired, still does medical mission work. Finally, I would be remiss if I did not mention Dr. Pinckney Rankin, whose legacy lives on via the Rankin Women’s Center, and who served as the academic chair of the Department of OB/GYN at Charlotte Memorial Hospital while in private practice. What really stands out about the groups named above is that, while they were devoted to the private practice of medicine, they all were integrally involved in teaching and medical education. They took to heart the old adage of “see one, do one, teach one.” Education has been the true foundation of medicine in our community. Local nursing schools have produced outstanding nurses who have served our community well. The registered nurse programs at Presbyterian, Mercy and Charlotte Memorial
have provided superbly trained nurses for the entire region. More recently, we have seen an even greater expansion with the bachelor of science in nursing programs through Queens University, University of North Carolina at Charlotte, the associate program at Central Piedmont Community College, Carolinas Healthcare System School of Nursing and its allied programs. This is in addition to the regional physician assistant and nurse practitioner programs, as well as a master’s program for nurse anesthetists. A significant component of the medical education has been the relationship of our community to the UNC School of Medicine. For more than 50 years, students from Chapel Hill have been doing third-year clinical rotations here. The relationship has grown in scope to also include fourth-year electives and acting internships for students from around the country. Given the studies that have been predicting a physician shortage nationwide, as well as here in North Carolina, the natural evolution was expansion of the programs. Students in the UNC system now can be accepted to local programs in Asheville and Charlotte, essentially receiving their entire medical education in these locales. Traditional medical education also is changing. One of the local programs that is being evaluated is CLIC (The Consortium of Longitudinal Integrated Clerkships). Students admitted into this pilot program will be integrated with local physicians in practice from both the Novant Health System and Carolinas HealthCare System, and will follow patients with the private physician in his/ her office. This truly will be integrated learning with application of basic sciences while observing the clinical situation, instead of the somewhat disjointed linear way many of us were taught. We’ve all heard people say, “Charlotte is the largest city in the United States that doesn’t have a medical school.” Historically, the story goes that, when the state legislature was deciding about starting a medical school, the choices of location were Chapel Hill or Charlotte. If there is one thing we know about state legislatures, they are comprised of politicians, so we can assume that politics had absolutely nothing to do with the final decision to put the medical school in Chapel Hill. But, given the growth of the campus and research capabilities at UNCC and the trend of the evolution of medicine in Charlotte, I would suspect that within the next 10 years, we just might see our own medical school here in Charlotte, or maybe our own “Grey’s Anatomy” or “Scrubs.”
Mecklenburg Medicine • February 2014 | 5
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Feature Carolina Neurosurgery & Spine Associates Appoints Mary Cloninger as Chief Executive Officer
arolina Neurosurgery & Spine Associates announced that Mary Cloninger recently was appointed as Chief Executive Officer of the regional neurosurgery practice. For the past 18 years, Cloninger has served as Executive Director of Carolina Neurosurgery & Spine Associates, providing strategic planning, practice management, operational oversight and contract negotiations. “In her previous role as Executive Director at Carolina Neurosurgery & Spine Associates, Mary proved she is an effective management professional as evidenced by the extraordinary growth and development of our practice under her leadership,” says Hunter Dyer, MD, president of Carolina Neurosurgery & Spine Associates. “We are proud to have her in this newly created position at our practice, and we are excited to see the opportunities and expansion that will come from it.” As CEO, Cloninger will continue to lead the practice in its efforts to provide comprehensive neurosurgical care to patients throughout the Carolinas and the southeast, including expansion into new markets, introduction of new technologies and national efforts to improve patient outcomes and standards of care. “I am honored to be selected as the Mary Cloninger new CEO at Carolina Neurosurgery & Spine Associates,” says Cloninger. “After working with this extraordinary team of physicians for 18 years, I know first hand that the practice is dedicated to pioneering innovative advancements in caring for patients with spine and brain disorders. I am proud to be a part of this thriving practice and helping to lead our team into our 74th year.” Cloninger earned a Master of Business Administration from Queens University of Charlotte. She also earned an unsdergraduate degree in business administration from East Carolina University. Cloninger is a board member of Neurosurgery Executives Resource, Value and Education Society (NERVES), a member of Medical Group Management Association, a Certified Medical Practice Executive and a member of N.C. Medical Group Managers. In 2009, Cloninger was selected for the Women in Business Award from the Charlotte Business Journal. Since 1940, Carolina Neurosurgery & Spine Associates has provided comprehensive neurosurgical options to patients in this region and across the nation. The practice has five regional offices in Charlotte, Concord, Ballantyne, Huntersville and Rock Hill. With 31 physicians, midlevel providers, licensed physical therapists, and more than 300 employees, it is among the largest and oldest neurosurgical practices in the country. To learn more about Carolina Neurosurgery & Spine Associates, go to www.cnsa.com or call 704-376-1605.
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www.charlottespeechhearing.com Mecklenburg Medicine • February 2014 | 7
NCMS Spearheads Initiative to Educate Health Care Community on Accountable Care By Melanie Phelps, Associate Executive Director, NCMS Foundation, Deputy General Counsel (NCMS)
he health care landscape in North Carolina has changed dramatically in the past five years and will continue to do so for the foreseeable future, as the approach to health care delivery undergoes significant transformation. In that short time period, the number of independent hospitals in the state fell from 142 to 24, and that trend likely will continue. Employment of physicians by hospitals and health systems has increased and also likely will continue. Other physician practices are forming accountable care organizations (ACOs) or aligning themselves with ACOs or other physician groups in order to remain viable as accountable, or value-driven, care gains momentum. The proliferation of ACOs, whether hospital or physicianowned, is quite notable. Medicare alone has approved more than 400 ACOs, and there are numerous non-Medicare ACOs under development with the support of the private sector. North Carolina currently has 22 ACOs that cover the vast majority of the state (see map). For this new model of care to work, however, physician leadership is imperative to ensure changes are clinically-driven and in the best interests of the patients. To assist physicians in this epic journey, the Mecklenburg County Medical Society, the North Carolina Medical Society (NCMS) and 37 other state, local and specialty medical societies and organizations have joined together to create and deploy the Toward Accountable Care (TAC) Consortium and Initiative. TAC is designed to provide the medical community with the knowledge and tools needed to understand, participate in, navigate, lead and succeed in a value-driven health care system. TAC Consortium member organizations are the vehicles for disseminating resources created for the Initiative (see below for list of TAC Consortium members). Since its inception almost two years ago, TAC has produced numerous articles, webinars, presentations and the following toolkits/guides: The Physician’s Accountable Care Toolkit Accountable Care Legal Guide Distribution Based on Contribution: A Merit-based Shared Savings Distribution Model Accountable Care Guide for Neurologists Accountable Care Guide for Urologists Accountable Care Guide for Psychiatrists Accountable Care Guide for Radiologists
8 | February 2014 • Mecklenburg Medicine
TAC Consortium Members County / Regional Medical Societies
Cleveland County Medical Society Craven-Pamlico-Jones County Medical Society Durham-Orange County Medical Society Forsyth-Stokes-Davie County Medical Society Mecklenburg County Medical Society New Hanover-Pender County Medical Society Pitt County Medical Society Rutherford County Medical Society Wake County Medical Society Western Carolina Medical Society
Carolinas Chapter, American Association of Clinical Endocrinology North Carolina Academy of Family Physicians North Carolina Chapter of the American College of Physicians North Carolina College of Emergency Physicians North Carolina Council on Child and Adolescent Psychiatry North Carolina Dermatology Association North Carolina Neurological Society North Carolina Obstetrical and Gynecological Society North Carolina Oncology Association North Carolina Orthopaedic Association North Carolina Pediatric Society North Carolina Psychiatric Association North Carolina Radiologic Society North Carolina Society of Anesthesiologists North Carolina Soc. of Asthma, Allergy & Clinical Immunology North Carolina Society of Eye Physicians and Surgeons North Carolina Society of Gastroenterology North Carolina Society of Otolaryngology – Head and Neck Surgery North Carolina Society of Pathologists North Carolina Society of Plastic Surgeons North Carolina Spine Society North Carolina Urological Association
State Society / Organizations
Carolinas Center for Hospice and End of Life Care Community Care of North Carolina North Carolina Academy of Physician Assistants North Carolina Community Health Center Association North Carolina Foundation for Advanced Health Programs North Carolina Medical Group Managers North Carolina Medical Society
The above mentioned guides are posted on the TAC website, which was launched last year and is a dedicated site for the TAC Initiative (www.tac-consortium.org). An Accountable Care Guide for Emergency Medicine Physicians is undergoing final approval and will be posted on the website soon. A guide dedicated to bundled payment arrangements also is under development. In addition, TAC currently is working with small groups of cardiologists, oncologists and hospice and palliative care physicians to develop accountable care guides for those specialties. Once those are complete, 15 more toolkits are slated to be developed. The TAC Consortium and Initiative, which is spearheaded by the NCMS, also sponsors the NC ACO Collaborative. The Collaborative is comprised of representatives of existing NC ACOs and aspiring ACOs or ACO participants. The group’s quarterly meetings provide an opportunity for emerging and developing ACOs to share experiences and ideas about transitioning to accountable, value-driven, health care delivery systems and to identify and discuss possible solutions for facilitating that transition. Meeting locations are rotated among the membership. Interest in this learning collaborative continues to increase.
The TAC Consortium and Initiative is guided by a Physician Advisory Committee which comprises national and state leaders in innovative health care delivery: Nancy Henley, MD; Perrin Jones, MD; John Meier, MD; Devdutta Sangvai, MD; and Grace Terrell, MD. Staff include Julian “Bo” Bobbitt, Frank Benzoni and Amy Poe from Smith Anderson law firm in Raleigh; Nancy Henley, MD, from CCNC; and Melanie Phelps and Steve Keene from the NCMS, which has committed significant staff resources to ensure this Initiative remains viable and other Consortium members remain engaged. For more information about the TAC Consortium and Initiative or the NC ACO Collaborative, contact Melanie Phelps at firstname.lastname@example.org.
Mecklenburg County Medical Society
Election Results Terms Began on January 1, 2014
Board of Directors
Officers: (one-year term) President: . . . . . . . . . . . . . . . . . . . . . . . . . . James B. Hall, MD President-Elect: . . . . . . . . . . . . . . . . . Simon V. Ward III, MD Secretary: . . . . . . . . . . . . . . . . . . . . . . . . . Stephen J. Ezzo, MD Treasurer: . . . . . . . . . . . . . . . . . . . . . . . . . . . JP McBryde, MD Immediate Past President: . . . . . . . . . . . . Janice E. Huff, MD Directors: (two-year term) W. Frank Ingram III, MD Elizabeth B. Moran, MD Shivani P. Mehta, MD Director: (one-year term) Thomas N. Zweng, MD The following directors, who were previously elected, also will serve on the Board in 2014: Jonathan Buice, MD, resident representative (elected by the Board) Lloyd L. Bridges, MD Raymond E. Brown, PA, physician assistant representative (elected by the Board) Scott L. Furney, MD Scott L. Lindblom, MD Cheryl L. Walker-McGill, MD
Delegation to the N.C. Medical Society (two-year term) Anthony Caprio, MD Lane K. Jacobs, MD Michael F. Miltich, MD Maeve E. O’Connor, MD Katherine J. Pierce, MD William K. Poston, MD William A. Walker, MD
The following delegates, who were previously elected, also will serve as delegates in 2014: John R. Allbert, MD Anthony L. Asher, MD Stephen J. Ezzo, MD John W. Foust, MD, NCMS past president Sam R. Fulp, MD Docia Hickey, MD, NCMS Speaker of the House Stephen R. Keener, MD, MPH Darlyne Menscer, MD, NCMS Delegate to the AMA Dale R. Shaw, MD
Mecklenburg Medicine • February 2014 | 9
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Upcoming Meetings & Events Meetings are at the MCMS office unless otherwise noted.
Mark Boynton 704.927.5003
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10 | February 2014 • Mecklenburg Medicine
Tuesday, Feb. 4 Charlotte Dental Society Board meeting. 6 p.m. Tuesday, Feb. 11 MedLink of Mecklenburg meeting. Mecklenburg County Health Department. 249 Billingsley Road. Multipurpose Room. 8:30 a.m. Monday, Feb. 17 MCMS Executive Committee meeting. 5:45 p.m. Wednesday, Feb. 19 MMAE Board meeting. 10 a.m. Thursday, Feb. 20 CAMGM meeting. Myers Park Baptist Church Cornwell Center. Noon. Thursday, Feb. 20 Charlotte Medical Society membership meeting. 6 p.m. Friday, Feb. 21 April magazine deadline. Friday, Feb. 28 Charlotte Dental Society Annual meeting. Harris Conference Center. 8 a.m.-4 p.m. Friday, Feb. 28 N.C. Society of Gastroenterology Board meeting. Pinehurst, N.C.
At the Hospitals
Novant Health Cancer Center Physician Appointed to Commission on Cancer Position Kevin Roof, MD, radiation oncologist at Novant Health Cancer Center, has received a three-year appointment as the center’s Cancer Liaison Physician to the American College of Surgeons Commission on Cancer (CoC). In his volunteer role, Roof will be responsible for evaluating, interpreting and reporting Novant Health Cancer Center’s performance data through the National Cancer Data Base (NCDB) and facilitating quality improvement initiatives based on data findings. In addition, as the Cancer Liaison Physician, he will be responsible for leading CoC initiatives within the cancer program and collaborating with agencies, such as the American Cancer Society, on behalf of the hospital. Roof is a respected radiation oncologist and a valued member of Novant Health Cancer Center’s multidisciplinary team of specialists dedicated to improving cancer care. n
Coronary CT Angiography Services Novant Health offers coronary CT angiography (CTA) at our three Charlotte-area medical centers: Huntersville Medical Center, Matthews Medical Center and Presbyterian Medical Center. CTA, an advanced imaging n
test to evaluate for coronary artery disease, produces high-resolution, threedimensional pictures of the heart and surrounding vessels. Unlike a traditional coronary angiogram that uses a catheter, a CT angiogram uses an X-ray machine to produce these images and requires no recovery time. For more information on CTA at Novant Health, or to refer a patient, call 704-384-SCAN. Lung Surgery the da Vinci Way Novant Health Robotics Center is using the da Vinci Surgical System for multiple surgeries and to conduct biopsies for interstitial lung diseases, as well as biopsies for lung cancer. It also is being used to repair ruptured blebs (blisters) on the lung, especially in younger patients, and for thymectomics and pleural exploration with biopses. The da Vinci Surgical System is a far less invasive and painful option for thoracic surgery. With the da Vinci Surgical System, patients receive three 1-cm incisions and a slightly larger fourth incision, compared to the traditional 5- to 6-inch thoracotomy incision. Patients generally can avoid having their ribs spread. Unlike open thoracotomies, epidurals or catheters are not needed. Patients experience lower rates of complicaton, less blood loss and less pain. Surgeons at the Novant Health Robotics Center are preparing for advanced training in full lobectomies and soon will be able to extract an entire lung through a minimally invasive incision. n
To learn more about the Novant Health Robotics Center and the da Vinci Surgical System, visit NovantHealth.org and search for “robotic surgery.” Greater Charlotte Market Hospitals Request Additional Beds at State Hearing Hospital leaders, physicians and community supporters for Novant Health Huntersville Medical Center and Novant Health Matthews Medical Center participated in a certificate of public need hearing in Charlotte on December 17, 2013 to request additional inpatient beds to meet the community need. The state has allocated 40 new inpatient beds to Mecklenburg County. Novant Health Huntersville Medical Center is requesting 17 of the available beds for its medical-surgical unit. Eight community members spoke in favor of the hospital’s request. Carolinas HealthCare system has requested all 40 beds to add 34 at CMC-Mercy and six at CMC-University. Novant Health Matthews Medical Center is not seeking any of the new available beds, but instead is requesting to transfer 20 beds from Novant Health Presbyterian Medical Center. Four community supporters spoke in favor of the Matthews Medical Center’s request for beds to construct a new women’s center and to add a bed in the critical care unit. No attendees spoke in opposition of the Matthews Medical Center’s request. Novant Health expects the state to rule on the requests in March. n
Novant Health Presents Corporate Wellness Award to Piedmont Natural Gas As the 2013 Thunder Road Marathon’s signature sponsor, Novant Health was given the opportunity to present the first corporate wellness award to Piedmont Natural Gas. To select the winning corporate team participating in the Thunder Road Marathon, race organizers and Novant Health reviewed all entries based on workplace initiatives to support physical activity, create healthy eating options and promote a culture of wellness. n
Mecklenburg Medicine • February 2014 | 11
At the Hospitals
Sanger Heart & Vascular Institute Achieves Highest Level of National Recognition Sanger Heart & Vascular Institute, part of Carolinas HealthCare System, has received a three out of three-star rating from the Society of Thoracic Surgeons (STS) for the fourth time over a three-year period. This highest level of recognition is only given to 12-15 percent of hospital systems nationwide, and distinguishes Sanger’s outcomes in coronary artery bypass graft (CABG) surgery. The STS’ three-star rating system is based on a hospital’s performance in terms of survival rates, the absence of complications, use of arteries as bypass grafts and assuring that appropriate medications are given pre- and post-operatively. Also, several Carolinas HealthCare System facilities recently were recognized at the American Heart Association (AHA) annual meeting. Carolinas Medical Center and Carolinas Medical Center-NorthEast received the ACTION Registry “Get with the Guidelines” Platinum Performance Achievement Award, which recognizes both hospitals’ success in implementing a higher standard of care for heart attack patients. Carolinas Medical Center and Carolinas Medical Center-NorthEast also received the Mission: Lifeline Gold award for STEMI Receiving Centers, and Carolinas Medical Center-Pineville received the Mission: Lifeline Bronze award. n
Herbal and Dietary Supplements Linked to Liver Disease, Liver Failure and Increased Risk of Death The consumption of herbal and dietary supplements (HDS) may lead to liver disease, liver failure and, in some cases, death, according to research presented at the 64th Annual Meeting of the American Association for the Herbert L. Bonkovsky, MD Study of Liver Diseases. n
Herbert L. Bonkovsky, MD, one of the lead researchers on the study, is director of the Liver, Digestive and Metabolic Laboratory at Carolinas HealthCare System’s Carolinas Medical Center. Findings from the study confirm that bodybuilding, fat-burning and other supplements currently available in the United States, while unregulated by the Food and Drug Administration (FDA), present serious and often irreversible health threats. The study is the largest of its kind to be conducted by researchers from the national Drug Induced Liver Injury Network (DILN) in an effort to identify patients who have either died or suffered injuries after continued use of drugs or supplements. The data compared the results and outcomes in patients diagnosed with HDS-induced liver injury (HILI) and drug-induced liver injury (DILI) to assess the overall impact of supplements. Findings from the study indicate that body-building supplements accounted for 35 percent of HILI cases, and that 62 percent of cases were attributed to the consumption of other supplements. Overall, death or liver transplantation occurred twice as commonly in patients with HILI compared to DILI patients. A key finding from the study highlights how both body-building supplements and non-body-building supplements produce distinct forms of liver injury. Body-building supplements were found to cause prolonged jaundice, or yellowing of the skin, while other supplements resulted in damage similar to drugs that have the potential to cause liver failure and death. Edison Nation Medical Unveils Its First Medical Invention Brought to Market: The GoGown In July 2012, Carolinas HealthCare System and Edison Nation, a product developer and online social community for investors, formed Edison Nation Medical, LLC. This collaboration has turned an idea into a true invention with the newly licensed GoGown™. The GoGown™ provides nurses with a more sanitary way to dispose of hospital gowns and gloves, and is a step in the right direction for reducing hospital-acquired infections. The GoGown™ enables wearers to remove n
12 | February 2014 • Mecklenburg Medicine
their gloves first, roll them deep within the gown, wrap all the items together, and securely fasten the entire package for sanitary disposal. The GoGown™ inventor is a registered nurse who knew disposable isolation gowns and gloves often can be discarded improperly and, as a result, spill over the waste receptacles in patients’ rooms. GoGown™ features a patented attached interior wrapper allowing the wearer to roll his or her gloves within the gown, wind the interior wrapper around the entire package and secure it using an affixed adhesive tab. The end result is a tightly bound, secure bundle that is easy to discard without contaminating exposed surfaces. HIMSS Analytics Honors Carolinas HealthCare System with Stage 7 Award HIMSS Analytics recognized Carolinas HealthCare System’s Carolinas Medical Center-Mercy (CMC-Mercy) with its acute care Stage 7 award. The award represents attainment of the highest level on the Electronic Medical Record Adoption ModelSM, which is used to track EMR progress at hospitals and health systems. HIMSS Analytics developed the EMR Adoption Model in 2005 as a methodology for evaluating the progress and impact of electronic medical record systems for hospitals in the HIMSS Analytics Database. There are eight stages (0-7) that measure a hospital’s implementation and utilization of information technology applications. The final stage, Stage 7, represents an advanced patient record environment. The validation process to confirm a hospital has reached Stage 7 includes a site visit by an executive from HIMSS Analytics and former or current chief information officers, as well as a current or former chief medical information officer, to ensure an unbiased evaluation of the Stage 7 environments. During the beginning of the third quarter of 2013, only 2.2 percent of the more than 5,400 U.S. hospitals in the HIMSS Analytics database, received the HIMSS Analytics Stage 7 Award. CMC-Mercy will be recognized at the 2014 Annual HIMSS Conference & Exhibition February 24-26, in Orlando. n
Charlotte AHEC Course Offerings
Charlotte AHEC is part of the N.C. Area Health Education Centers (AHEC) Program and Carolinas HealthCare System.
Continuing Medical Education (CME) 2/1 N.C. Children’s Hospital Pediatrics CME Conference 2/21–2/22 Utilization of Ultrasound in OB/GYN 2014 2/22 A Primary Provider’s Guide to Navigating the Successful Treatment of Allergy and Asthma Sufferers 2/22 Levine Cancer Institute Breast Symposium 2014 For more information or to register for these courses, call 704-512-6523 or visit www.charlotteahec.org.
NATIONAL HEALTH & WELLNESS OBSERVANCES FEBRUARY 2014 AMD/Low Vision Awareness Month American Heart Month National Cancer Prevention Month National Children’s Dental Health Month National Senior Independence Month Wise Health Consumer Month
February 1 National Girls & Women in Sports Day February 7 National Wear Red Day (National Awareness Campaign for Women About Heart Disease) February 9–15 National Cardiac Rehabilitation Week February 10–16 Random Acts of Kindness Week February 23–March 1 National Eating Disorders Awareness Week
Advertising Acknowledgement The following patrons made Mecklenburg Medicine possible.
Brackett Flagship Properties . . . . . . . . . . . . . . . . . . . . . . 6 Carolinas HealthCare System . . . . . . . . . . . . . . . . . . 15 Charlotte Eye Ear Nose & Throat Associates . . . . . . . . 13 Charlotte Radiology . . . . . . . . . . . . . . . . . . . . . . . . 4, 14 Charlotte Speech & Hearing Center . . . . . . . . . . . . . . . 7 Hospice and Palliative Care Charlotte Region . . . . . . . 7 LabCorp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Lamb Capital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Monarch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Novant Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Tucker Boynton Financial Group . . . . . . . . . . . . . . . 10
Fifteen years ago, Don Rudisill decided it was time to get a pair of glasses. But what started as a single pair and one prescription soon became another pair at a stronger prescription. And then another. And another, stronger still. When he flunked a driving test, he knew something had to change. So how did an appointment at Charlotte Eye Ear Nose & Throat Associates, P.A. lead to Don tossing a baker’s dozen of prescription eyewear? To hear Don’s experience with cataract surgery, visit www.ceenta.com/don
WE JUST MAKE SENSE.
Mecklenburg Medicine • February 2014 | 13
2014 COMMUNITY HEALTH LUNCHEON
Finding Your Way Through a Safe Healthcare Journey The tragic loss of her son has transformed speaker Patty Skolnik into an advocate for patients and families in healthcare. Knowing that each one of us will be a patient or a caregiver at some point in our lives, Patty will share:
Patty Skolnik Founder - Citizens for Patient Safety National Patient Advocate, Speaker and Trainer
$30 per person To purchase tickets, please visit www.MMAEOnline.com
• How shared decision-making can improve your family’s healthcare outcomes • The need to advocate for your loved ones & the role of patient advocate • Partnering with your healthcare providers and communicating effectively • Keeping your personal and family medical history current and accessible
2014 MMAE COMMUNITY HEALTH LUNCHEON Thursday, Feb. 20, 2014 11:30 a.m.
Myers Park United Methodist Church, 1501 Queens Road For more information call Gretchen Allen at 704-332-1522
Mecklenburg Medical Alliance & Endowment
A nonproﬁt in Mecklenburg County for over 79 years, MMAE’s mission is to advocate for a healthier community. Through the Endowment, well over $1 million has returned to this community in support of health-related projects.
14 | February 2014 • Mecklenburg Medicine
WORKING AS ONE The power of one system means smarter collaboration among physicians and better healthcare for all. Visit us at CarolinasHealthCare.org
Mecklenburg Medicine â€˘ February 2014 | 15
Mecklenburg County Medical Society
PRSRT STD U.S. POSTAGE PAID CHARLOTTE, N.C. PERMIT NO. 1494
1112 Harding Place, #200 Charlotte, NC 28204 CHANGE SERVICE REQUESTED MCMS Mission: To unite, serve and represent our members as advocates for our patients, for the health of the community and for the profession of medicine.
LabCorp Laboratory Corporation of America
PATIENT SERVICE CENTERS
Ballantyne Billingsley** Carmel** Cabarrus Charlotte** Gastonia Stat Lab Huntersville Huntersville** Lake Norman Matthews** Matthews Northridge* Pineville Randolph** Rock Hill Salisbury** Shelby Statesville** University**
… for all of your laboratory testing needs 15830 John Delaney Drive 300 Billingsley Road, Suite 200A 5633 Blakeney Park Drive, Suite 100 478 Copperfield Blvd. 1718 E. 4th Street 660 Summitt Crossing, Suite 206 14330 Oakhill Park Lane 10030 Gilead Road, Suite B100 134 Medical Park Drive, Suite 102 211 W. Matthews Street, Suite 103 1500 Matthews Township Parkway, Suite 1147 5031-G West W.T. Harris Blvd. 10410 Park Road, Suite 450 1928 Randolph Road, Suite 109 2460 India Hook Road, Suite 101 611 Mocksville Avenue 809 N. Lafayette Street 1710-A Davie Avenue 10320 Mallard Creek Road
*Drug Screens only **Blood Draws only
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Charlotte, NC Charlotte, NC Charlotte, NC Concord, NC Charlotte, NC Gastonia, NC Huntersville, NC Huntersville, NC Mooresville, NC Matthews, NC Matthews, NC Charlotte, NC Pineville, NC Charlotte, NC Rock Hill, SC Salisbury, NC Shelby, NC Statesville, NC Charlotte, NC
704-540-0251 704-332-6904 704-542-7061 704-795-2710 704-372-6609 704-854-9497 704-948-8101 704-875-9130 704-799-6230 704-846-9186 704-849-0154 704-598-6266 704-341-1145 704-334-2629 803-328-1724 704-637-1676 704-480-7004 704-878-0948 704-549-8647
Published on Jan 22, 2014