Physicians Office Resource - April 2019

Physicians office Resource 2019 Issue 4

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Resources for You, Your Patients, & Your Practice

FULL PERFORMANCE HEMATOLOGY ANALYZER FOR SMALL TO MIDSIZE CLINICAL LABORATORIES Page 2

also in this issue Should We Start Screening for Colon Cancer at Age 45? Pg 4 3 Tips from an Attorney to Avoid a Medical Malpractice Lawsuit Pg 16 How Fitness Trackers Fit in the Future of Health Care Pg 32

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Take Our Research Survey Get your finger on the pulse of the U.S. Healthcare System and get entered for a chance to win an iPad Mini! Pg 37

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2019 - Issue 4

PHYSICIANS office RESOURCE

Physicians office Resource ™

Published by Medical Education Resources, LLC

Publisher Aaron R. Medaris amedaris@ physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@ physiciansofficeresource.com

#6200

President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@ physiciansofficeresource.com Account Manager Brandi L. Brower Editorial Board Michael Paquin, FHIMSS Barry Craig, MLT (NCA), CLC Staff Writer Dylan J. Chadwick Creative Director Production Manager Keith A. Katsikas Jr Copyright ©2019 To continue your free subscription of Physicians Office Resource magazine, please fill out the Business Reply Card (BRC) located within this magazine and drop in any United States Post Office mailbox.

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ProductSpotlight TURN SMALL PLACES INTO SMART SPACES From Abbott

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Four Seasons IN THIS ISSUE

Should We Start Screening for Colon Cancer at Age 45?

People 50 and older should be screened for colon cancer. Here’s what is more controversial: Whether that screening should start, routinely, at 45...

4

3 Tips from an Attorney to Avoid a Malpractice Lawsuit Twenty years of defending doctors and hospitals in medical malpractice cases has made me into a nervous patient. When you see the worst, you look for it. At least...

16

How Fitness Trackers Fit in the Future of Health Care I view medicine as a team effort. Doctors, nurses, technicians, and patients work together to promote and improve health. Recently some new members have joined...

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2019 - Issue 4

PHYSICIANS office RESOURCE

SHOULD WE START screening for colon cancer at age 45?

Peter A. Ubel, M.D. Madge and Dennis T. McLawhorn University Professor of Business, Public Policy, and Medicine at Duke University

Here’s what most medical experts agree on: People 50 and older should be screened for colon cancer. Here’s what is more controversial: Whether that screening should start, routinely, at age 45.

Recently, the American Cancer Society (ACS) recommended that colon cancer screenings start at age 45. Their recommendation was based in large part on an uptick in the number of people 45 to 50 years old who are being diagnosed with colon cancer in the last couple of decades, a 22% increase.

But the ACS recommendation might be recommending more cancer screening than the American public needs. In an op-ed in the Annals of Internal Medicine, three physicians raise important concerns about this new screening recommendation.

Why in heaven’s name would anyone raise questions about screening 45 year olds, in the face of this steep increase in cancer diagnoses? It boils down to three issues: 1. Exaggerated risk. While the 22% increase in cancer diagnoses is factually correct, it is also a relative risk increase, which makes the risk feel bigger than it really is. In actuality, the rate of 4

cancer diagnoses in 45 to 50 year olds has risen from 5.9 to 7.2 people out of 100,000, an absolute increase of only 1.3%.

2. Unproven benefits. No randomized trials have proven that starting screening at age 45 saves lives.

Instead, the ACS bases its recommendation on a computer model that predicts (but doesn’t establish) such benefit.

3. Lead time bias. If more people are being diagnosed with colon cancer at earlier ages, then you’d expect to see more people dying of cancer at those ages, too. But instead, death rates haven’t changed one bit. That stable death rate suggests that the increase in cancer diagnoses simply means we’re finding cancers that we would have found in time at a later point, even if we’d waited until age 50 to start screening. Here is a picture of this potential lead time bias, showing a line on top rising with that 1.3% increase in cancer diagnoses, and a flat line on the bottom showing no such change in cancer deaths:

www.PhysiciansOfficeResource.com

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Peter A. Ubel M.D. is the Madge and Dennis T. McLawhorn University Professor of Business, Public Policy and Medicine at What’s the bottom line, so to speak?

Duke University. A physician and a behavioral scientist, he uses the tools of decision psychology and behavioral economics to explore 1. If you’re 50 or older, you should get screened for topics like informed consent, shared decision making and health care cost containment. He has authored over 250 academic publications, colon cancer. the majority of which involve empirical “Why in heaven’s name would 2. If you have an explorations of decision anyone raise questions about elevated risk of colon psychology as it pertains screening 45 year olds in the to health care. He has cancer – from family face of this steep increase written for the New York history, for example – ask in cancer diagnoses? It boils Times, the Los Angeles your doctor if you should Times, the Atlantic, down to three issues: get screened before age 50. the New Yorker, and is 1. Exaggerated Risk a regular contributor (You probably should.)

2. Unproven Benefits at Forbes. His books 3. Lead Time Bias.” include Pricing Life

3. If you’re at normal (MIT Press 2000), Dr. Peter Ubel risk and wonder about Free Market Madness (Harvard Business getting screened at age 45, Press, 2009) and Critical Decisions (HarperCollins, 2012). His remember that starting at this age is unproven. We newest book, Sick to Debt, is scheduled for release in 2019 (Yale don’t really know, yet, whether screening tests will do University Press). You can find his blogs and other information at you more good than harm. http://www.peterubel.com/.

Colorectal cancer incidence and mortality rates per 1,000 person-years and percentage of patients screened.

Read this and other articles at www.PhysiciansOfficeNews.com POR_Issue_4.indd 5

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Jacob’s birthday party No, my migraine wants me to lie down in the dark Yes, I will attend

© 2019 Teva Pharmaceuticals USA, Inc.

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FRE-41678

March 2019

4/17/19 2:32 PM

Less migraine.

More moments.

TM

Help patients say yes to more moments AJOVY® (fremanezumab-vfrm) injection is the only anti-CGRP treatment for the prevention of migraine with quarterly and monthly dosing options1 More migraine-free days with AJOVY in clinical trials1

INDICATION

AJOVY is indicated for the preventive treatment of migraine in adults.

IMPORTANT SAFETY INFORMATION

Contraindications: AJOVY is contraindicated in patients with serious hypersensitivity to fremanezumab-vfrm or to any of the excipients.

Hypersensitivity Reactions: Hypersensitivity reactions, including rash, pruritus, drug hypersensitivity, and urticaria were reported with AJOVY in clinical trials.

Most reactions were mild to moderate, but some led to discontinuation or required corticosteroid treatment.

Most reactions were reported from within hours to one month after administration. If a hypersensitivity reaction occurs, consider discontinuing AJOVY and institute appropriate therapy.

Adverse Reactions: The most common adverse reactions (≥5% and greater than placebo) were injection site reactions.

Please see Brief Summary of full Prescribing Information on the following page.

To learn more, visit AJOVYhcp.com CGRP: calcitonin gene-related peptide.

Reference: 1. AJOVY® (fremanezumab-vfrm) injection Current Prescribing Information. North Wales, PA: Teva Pharmaceuticals USA, Inc.

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BRIEF SUMMARY OF PRESCRIBING INFORMATION FOR AJOVY® (fremanezumab-vfrm) injection, for subcutaneous use SEE PACKAGE INSERT FOR FULL PRESCRIBING INFORMATION 1 INDICATIONS AND USAGE AJOVY is indicated for the preventive treatment of migraine in adults.

2 DOSAGE AND ADMINISTRATION 2.1 Recommended Dosage Two subcutaneous dosing options of AJOVY are available to administer the recommended dosage: • 225 mg monthly, or • 675 mg every 3 months (quarterly), which is administered as three consecutive subcutaneous injections of 225 mg each.

When switching dosage options, administer the first dose of the new regimen on the next scheduled date of administration. If a dose of AJOVY is missed, administer as soon as possible. Thereafter, AJOVY can be scheduled from the date of the last dose.

2.2 Important Administration Instructions AJOVY is for subcutaneous use only.

AJOVY may be administered by healthcare professionals, patients, and/or caregivers. Prior to use, provide proper training to patients and/or caregivers on the preparation and administration of AJOVY prefilled syringe, including aseptic technique [see Instructions for Use in full Prescribing Information]: • Remove AJOVY from the refrigerator. Prior to use, allow AJOVY to sit at room temperature for 30 minutes protected from direct sunlight. Do not warm by using a heat source such as hot water or a microwave. Do not use AJOVY if it has been at room temperature for 24 hours or longer.

• Follow aseptic injection technique every time AJOVY is administered.

• Inspect AJOVY for particles or discoloration prior to administration. Do not use if the solution is cloudy, discolored, or contains particles.

• Administer AJOVY by subcutaneous injection into areas of the abdomen, thigh, or upper arm that are not tender, bruised, red, or indurated. For multiple injections, you may use the same body site, but not the exact location of the previous injection.

• Do not co-administer AJOVY with other injectable drugs at the same injection site.

4 CONTRAINDICATIONS AJOVY is contraindicated in patients with serious hypersensitivity to fremanezumabvfrm or to any of the excipients [see Warnings and Precautions (5.1)].

5 WARNINGS AND PRECAUTIONS 5.1 Hypersensitivity Reactions Hypersensitivity reactions, including rash, pruritus, drug hypersensitivity, and urticaria, were reported with AJOVY in clinical trials. Most reactions were mild to moderate, but some led to discontinuation or required corticosteroid treatment. Most reactions were reported from within hours to one month after administration.

If a hypersensitivity reaction occurs, consider discontinuing AJOVY, and institute appropriate therapy.

6 ADVERSE REACTIONS The following clinically significant adverse reactions are discussed in greater detail in other sections of the labeling: • Hypersensitivity Reactions [see Warnings and Precautions (5.1)] 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug, and may not reflect the rates observed in clinical practice.

The safety of AJOVY was evaluated in 2512 patients with migraine who received at least 1 dose of AJOVY, representing 1279 patient-years of exposure. Of these, 1730 patients were exposed to AJOVY 225 mg monthly or AJOVY 675 mg quarterly for at least 6 months, 775 patients for at least 12 months, and 138 patients for at least 15 months. In placebo-controlled clinical trials (Studies 1 and 2), 662 patients received AJOVY 225 mg monthly for 12 weeks (with or without a loading dose of 675 mg), and 663 patients received AJOVY 675 mg quarterly for 12 weeks. In the controlled trials, 87% of patients were female, 80% were White, and the mean age was 41 years.

The most common adverse reactions in the clinical trials for the preventive treatment of migraine (incidence at least 5% and greater than placebo) were injection site reactions. The adverse reactions that most commonly led to discontinuations were injection site reactions (1%). Table 1 summarizes adverse reactions reported in the 3-month placebo-controlled studies (Study 1 and Study 2), and the 1-month follow-up period after those studies.

Table 1: Adverse Reactions Occurring with an Incidence of At Least 2% for Either Dosing Regimen of AJOVY and At Least 2% Greater Than Placebo in Studies 1 and 2 Placebo AJOVY AJOVY Monthly 225 mg Monthly 675 mg Quarterly (n= 668) (n= 667) (n= 290) % % % Injection site reactionsa 43 45 38 a Injection site reactions include multiple related adverse event terms, such as injection site pain, induration, and erythema.

Adverse Reaction

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AJOVY® (fremanezumab-vfrm) injection 6.2 Immunogenicity As with all therapeutic proteins, there is a potential for immunogenicity. The detection of antibody formation is highly dependent on sensitivity and specificity of the assay. Additionally, the observed incidence of antibody (including neutralizing antibody) positivity in an assay may be influenced by several factors, including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease. For these reasons, comparison of the incidence of antibodies to fremanezumab-vfrm in the studies described below with the incidence of antibodies in other studies to other products may be misleading. Clinical immunogenicity of AJOVY was monitored by analyzing anti-drug antibodies (ADA) and neutralizing antibodies in drug-treated patients.

The data reflect the percentage of patients whose test results were positive for antibodies to AJOVY in specific assays.

In 3-month placebo-controlled studies, treatment-emergent ADA responses were observed in 6 out of 1701 (0.4%) AJOVY-treated patients. One of the 6 patients developed anti-AJOVY neutralizing antibodies at Day 84. In the ongoing long-term open-label study, ADA were detected in 1.6% of patients (30 out of 1888). Out of 30 ADA-positive patients, 17 had a neutralizing activity in their post-dose samples. Although these data do not demonstrate an impact of antifremanezumab-vfrm antibody development on the efficacy or safety of AJOVY in these patients, the available data are too limited to make definitive conclusions.

8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Risk Summary There are no adequate data on the developmental risk associated with the use of AJOVY in pregnant women. AJOVY has a long half-life. This should be taken into consideration for women who are pregnant or plan to become pregnant while using AJOVY. Administration of fremanezumab-vfrm to rats and rabbits during the period of organogenesis or to rats throughout pregnancy and lactation at doses resulting in plasma levels greater than those expected clinically did not result in adverse effects on development [see Animal Data].

In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively. The estimated rate of major birth defects (2.2-2.9%) and miscarriage (17%) among deliveries to women with migraine are similar to rates reported in women without migraine.

Clinical Considerations Disease-Associated Maternal and/or Embryo/Fetal Risk Published data have suggested that women with migraine may be at increased risk of preeclampsia during pregnancy.

Data Animal Data When fremanezumab-vfrm (0, 50, 100, or 200 mg/kg) was administered to male and female rats by weekly subcutaneous injection prior to and during mating and continuing in females throughout organogenesis, no adverse embryofetal effects were observed. The highest dose tested was associated with plasma exposures (AUC) approximately 2 times that in humans at a dose of 675 mg.

Administration of fremanezumab-vfrm (0, 10, 50, or 100 mg/kg) weekly by subcutaneous injection to pregnant rabbits throughout the period of organogenesis produced no adverse effects on embryofetal development. The highest dose tested was associated with plasma AUC approximately 3 times that in humans (675 mg).

Administration of fremanezumab-vfrm (0, 50, 100, or 200 mg/kg) weekly by subcutaneous injection to female rats throughout pregnancy and lactation resulted in no adverse effects on pre- and postnatal development. The highest dose tested was associated with plasma AUC approximately 2 times that in humans (675 mg).

8.2 Lactation Risk Summary There are no data on the presence of fremanezumab-vfrm in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for AJOVY and any potential adverse effects on the breastfed infant from AJOVY or from the underlying maternal condition.

8.4 Pediatric Use Safety and effectiveness in pediatric patients have not been established.

8.5 Geriatric Use Clinical studies of AJOVY did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.

Manufactured by: Teva Pharmaceuticals USA, Inc. North Wales, PA 19454 US License No. 2016 ©2019 Teva Pharmaceuticals USA, Inc. This Brief Summary is based on the full Prescribing Information for AJOVY AJO-002.

FRE-41620

March 2019

4/17/19 2:32 PM

CHOOSING THE RIGHT SPIROMETER CAN BE QUITE CONFUSING. Hand-held? Tabletop? PC-based? Which is best for my unique needs?

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Many different models to choose from, each with a choice of disposables; inexpensive cardboard mouthpieces, one-way mouthpieces or full protection pulmonary filters.

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Fire Your Financial Advisor From White Coat Investor

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PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

#6206

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Effective Inhaler Training & Asthma/COPD Monitoring

#6207

From Vitalograph

Introducing the unique Vitalograph AIM™ (Aerosol Inhalation Monitor) designed to assist in training subjects to use their inhaler correctly. Mastery of the correct technique will support more accurate drug delivery and good patient compliance, resulting in better disease management and fewer visits to medical professionals. The device, which is reimbursable under CPT code 94664, provides visible feedback to the patient on the airway or lung location that the inhaled drug would have been deposited had it been an actual drug treatment. The techniques for inhalation are guided by audible tones and colorful graphics, and are preset to the inhalation protocols for metered dose inhalers, MDI with a spacer and dry powder inhalers. Pair this device with either an asma-1 home asthma FEV1 and PEF monitor or the copd-6 screener for COPD GOLD status, and you will have the ideal tool set for care of your fragile lung patients.

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Sysmex XN-L™ Series Automated Hematology Analyzers From Sysmex

Now lower volume customers can enjoy the same capabilities in CBC testing as larger hospitals and reference labs. Enhanced clinical value is standard and optional licenses for reticulocyte or body fluid testing are available. The XN-L analyzers are the first to feature BeyondCareSM Quality Monitor, an innovative, web-based QC and calibration management program.

View Brochures, Videos & More at: POR.io Enter Number 6208 in the Search Area

10 www.PhysiciansOfficeResource.com POR_Issue_4.indd 10

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It's flu season.

Which test are you using?

Simplify workflow, results and patient management.

The CLIA-Waived BD Veritor™ Plus System for Rapid Detection of Flu A+B simplifies workflow and provides clear and quick results for appropriate patient management within the same visit.

• One button functionality, easy to use and implement • Unambiguous digital flu result in under 11 minutes* • Demonstrated performance compared to molecular tests1 • Low cost of ownership

Simply the right POC test for influenza, Group A Strep and RSV.†

#6209

Request a demo today at go.bd.com/VeritorPOR *Results after 10-minute incubation period for Flu A+B and RSV; after 5-minute incubation period for Group A Strep † RSV- Respiratory Syncytial Virus References: 1. BD Veritor System for Rapid Detection of Flu A+B, CLIA-waived kit package insert, 8087667 (14) 2018-06.

BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10.

BD, 7 Loveton Circle, Sparks, MD 21152-0999 USA Tel: 1.888.211.6980 1.800.638.8663 © 2018 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.

40 POR_Issue_4.indd 11 BDVeritor_ad_PhysicianOfficeResource.indd 1

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#6210

BioFire® FilmArray® Torch From BioFire

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

The BioFire® FilmArray® Torch is a fully integrated, random, and continuous access system designed to meet your laboratory’s syndromic infectious disease testing needs. The BioFire Torch offers a radically reduced benchtop footprint, saving precious space in the lab, and its scalability meets high throughput demands. BioFire® FilmArray® Link Software automatically uploads patient results. Fully compatible with all CLIA Moderate BioFire® FilmArray® Panels, the BioFire Torch helps you maximize efficiency and productivity.

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CLIA-waived for Rapid Detection of Flu A+B

#6211

From BD Veritor

The CLIA-Waved BD Veritor™ Plus System for rapid detection of Flu A+B, combines speed and accuracy. It provides clear digital results in under 11 minutes and has demonstrated performance compared to molecular tests.[1] It is easy to use and has a low cost of ownership. The BD Veritor ™ Plus System is CLIA-Waved for Flu, RSV and Group A Strep.

[1] (BD Veritor System for Rapid Detection of Flu A+B, CLIAwaved kit package insert, 8087667 (14) 2018-06. BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10., 2018-06.)

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Pentra XLR #6212

From HORIBA Medical

For laboratories that need a highly reliable hematology analyzer with gold standard technology, the Pentra XLR provides the highest quality of results while delivering process efficiencies with auto-validation, auto rerun, and auto dilutions in a small, compact system. For laboratories that require reticulocytes for better patient care, the Pentra XLR provides a high quality and automated reticulocyte panel, available on a highly reliable hematology analyzer from HORIBA Medical in a cost effective manner.

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INNOVATIVE INTEGRATION ACROSS THE CARE CONTINUUM

CBC testing solutions for physician office labs

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XN-L SERIES

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Contact your Distribution Representative for additional information and promotions.

© 2018 Sysmex America Inc.

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2019 - Issue 4

PRODUCTFOCUS

PHYSICIANS office RESOURCE

The Brewer Basic Exam Table From Brewer

#6217

Full featured, entry-level exam table design. The Brewer Basic Exam Table features a pneumatic cylinder, seamless upholstery, and the largest storage capacity available. We invite you to compare features, price, warranty and you will find the Brewer Basic Exam Table is clearly the best entry level exam table available.

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PAD Testing Systems Ideal for Primary Care to Vascular Specialists From Newman Medical

Your patients Trust You to find their PAD • You have many high risk patients, including anyone over 65 or diabetics or smokers • Even if they are unaware of their PAD, 25% will have a heart attack or stroke within 5 years if not managed • Patients often mistake symptoms of PAD for arthritis.

SimpleABI Cuff-Link systems are easy to learn and use • Push button remote, automatic calculations/waveforms • PC based – reports are easy to save and share Excellent Value and Reimbursements • One test per week pays off system in less than one year • Medicare reimbursements range from $80 to $220 depending on location and test

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#6219

Hematology Testing Made Easy From Sysmex

Designed for labs testing up to 25 samples per day, the Sysmex pocH-100i™ has the smallest footprint of any analyzer on the market.

The instrument requires only 15µL of whole blood for reporting of 17 clinical parameters, including a 3-part WBC Differential. It is ideal for urgent care, physician office lab, small clinic, or any outpatient setting where a point of care CBC is needed.

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14 www.PhysiciansOfficeResource.com POR_Issue_4.indd 14

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A better way.

They’re Here Flu, RSV, Strep. Be Ready.

With confirmatory molecular results,

Cepheid’s CLIA Waived test menu delivers peace of mind to you and your patients.

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Xpert Xpress Flu/RSV

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2019 - Issue 4

PHYSICIANS office RESOURCE

3 TIPS FROM AN ATTORNEY to avoid a medical malpractice lawsuit Heather Hansen, JD Communitcations Consultant and Attorney HeatherHansenPresents.com Twenty years of defending doctors and hospitals in medical malpractice cases has made me into a nervous patient. When you see the worst, you look for it. At least I do. That’s why when I was scheduled for a minor elective procedure, I was nervous. I set aside the day, canceling all of my depositions and planning to spend the day on emails and phone calls. My specialist’s office texted me to confirm the procedure date, which was a week away. Then I received an email from her office with the same date, but a different location. This made my med mal antenna go up, but I told myself to chill.

In the days leading up to the procedure I was traveling from NYC to San Francisco to teach, so when I hadn’t received any instructions I planned to call the specialist’s office the day before the procedure. When I did, the assistant informed me that my procedure was scheduled for that day, and to begin in an hour. Since I was in the green room at Dr. Oz at the time, this wouldn’t do. I told her that they had confirmed, by text and email, that the procedure was tomorrow. She didn’t

apologize, but did reschedule me for one week later, on a Wednesday.

I asked her to send instructions for the prep. When I didn’t receive them by Friday morning, I emailed the office and asked for them. In response, I got an email with a messily scanned page of instructions. They said I couldn’t take Advil for a week before the procedure — I had taken Advil that morning. They said I needed an escort to and from the procedure — I hadn’t planned for that. I called the office, and the assistant said that I didn’t really need to avoid Advil and I didn’t really need the escort. I canceled the procedure. It was all too disorganized, impersonal and messy.

Minutes later, the doctor called me. She was very upset that I’d canceled my procedure because it messed with her schedule. I tried my best to remain professional in response to her unprofessional behavior. I wanted her to understand something.

“Doctor, if I had any sort of complication as a result of this procedure, you’ve provided any good attorney with a way to pursue a case.”

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I once heard a medical malpractice attorney who represents patients give a talk. He said “I look for damages. If there’s damages, I will take the case. I’m a good lawyer. I can create liability.”

doctors. Wendy Levinson has been on the forefront of the work that shows us that patients sue doctors who don’t communicate well. Frustrated, nervous, confused patients are just looking for some empathy.

If a doctor can’t put herself into a patient’s shoes, Doctors make it easy for lawyers to create liability she is going to have trouble at trial when she has when they lack perspective, to put herself in when they don’t have a juror’s shoes.

“I’ve defended doctors for systems in place, and And she is far over 20 years. I love and when they are just plain more likely to find respect health care providers, messy. Studies show that herself having to but I know better than almost there is very little do so. correlation between true anyone how human they can negligence and lawsuits. I 3. Get Clean be. And I know that small fixes believe that the best way to I don’t mean can make a huge difference.” avoid lawsuits is with better wash your hands, perspective and better though this goes Heather Hansen, JD systems. After 20 years of without saying. defending doctors, I know I mean don’t be how to avoid lawsuits. If I were this doctor’s attorney, messy. When I have to defend a doctor with missing this is what I’d tell her. notes, inconsistent practices, and undocumented phone calls, I know I’m facing an uphill battle.

1. Get a System Messiness gives the patient reason to be upset, and My specialist clearly did not have a system in place. it gives the patient’s attorney so much to play with Systems save lives, as anyone who has read Atul in establishing a case. When you’re messy, you are Gawande’s “The Checklist Manifesto” could tell making the patient’s attorney’s job fun. you. But systems also save doctors from lawsuits.

If, after all of the issues I described above, I’d Defensive medicine adds $45 billion to the cost had a complication during my procedure with my of health care. Doctors are ordering more tests, specialist, the jury wouldn’t like to see the lack of a and doing more procedures in an effort to avoid system to ensure the patient didn’t take Advil and lawsuits. I’ve defended doctors for over 20 years. I did get home safe. More importantly, the fact that love and respect health care providers, but I know I didn’t get the instructions until five days before better than almost anyone how human they can the procedure could have caused a complication. If be. And I know that small fixes can make a huge I bled as a result of the NSAID, or fell on my way difference. Get a system, put it in place, and stick to home, the doctor would arguably be responsible. it. Get perspective, be empathetic and communicate The assistant’s instruction that I didn’t need to with your patients. Get clean, and don’t allow your follow those instructions also could have caused a practice to be messy and disorganized no matter complication. I kept notes on our phone calls — how busy you may be. This is the best type of I bet she didn’t. When you don’t have a system, defensive medicine, and it is free. and you don’t have documentation, you do have a problem when it comes time for trial.

2. Get Perspective Had my doctor seen things from my perspective, she never would have called me to berate me for canceling. I was frustrated, nervous and confused. Now I was mad. And mad patients sue

With over 25 years of experience as a medical malpractice trial attorney, Heather has been consistently named one of the top 50 female lawyers in Pennsylvania. She has spoken in Kuwait, Ireland, Mexico and throughout the United States and has appeared on CNN, CBS, MSNBC, and Fox News. Heather’s book, The Elegant Warrior, How to Win Life’s Trials Without Losing Yourself, is an Amazon best seller.

Read this and other articles at www.PhysiciansOfficeNews.com 17

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#6223

Lab-Accurate Results for ACR and HbA1c

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

From Abbott

With its compact size and panel of tests, the Afinion 2 system is ideal for point-of-care testing in physician offices, clinics, community health centers and hospital out-patient clinics. From just a small urine or fingerstick whole blood sample, lab-accurate results for ACR and HbA1c are made available during the consultation.

View Brochures, Videos & More at: POR.io Enter Number 6223 in the Search Area

Laser Lipo – Non-Invasive Instant Inch Loss Results

#6224

From Laser Lipo Ltd

The FDA Approved, Strawberry Laser Lipo is a groundbreaking treatment offering non-invasive, instant inch loss results to the Abdomen, Hips, Thighs, Arms, Back Fat, Buttocks, Male Chest and Knees, without any pain or downtime. The clinically proven, non-invasive laser treatment penetrates the skin to selectively target the fat cells underneath, leaving blood vessels, nerves and other tissue undisturbed. Only $24,750 and 0% in-house no credit check financing.

View Brochures, Videos & More at: POR.io Enter Number 6224 in the Search Area

#6225

H2 Check – Breath Hydrogen Monitor From MicroDirect

Micro Direct is pleased to offer the H2 Check breath hydrogen monitor for simple screening of lactose or other sugar malabsorption, bacterial overgrowth and the measurement of intestinal transit time. The H2 Check provides a fast and easy-to-read display of expired Hydrogen levels in ppm. Exhaling slowly through the H2 Check is all that is required to obtain a measurement.

View Brochures, Videos, & More at: POR.io Enter Number 6225 in the Search Area

18 www.PhysiciansOfficeResource.com POR_Issue_4.indd 18

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#6227

#6226

#5316

Call 888-522-9939 or Visit medpod.por.io for More Information

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#6228

Drugs of Abuse Testing and Routine Chemistry Panels on a Single Analyzer

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

From Carolina Liquid Chemistries

Carolina Liquid Chemistries Corp. announces the successful launch of Medica Corporation’s high-speed benchtop analyzer, the EasyRA®.

The updated analyzer now operates at a photometric rate of up to 240 tests per hour or up to 480 tests per hour with ISE. The EasyRA urine drug screening and general chemistry reagents are CLIA categorized as moderately complex. This all-in-one system allows clinical laboratories to screen for drugs of abuse in urine while also allowing healthcare providers to assess routine chemistry panels on a single analyzer.

View Brochures, Videos & More at: POR.io Enter Number 6228 in the Search Area

From Routine To Specific Tests, Perform Them All On A Single System

#6229

From HORIBA Medical

The Pentra C400 is an extremely compact Clinical Chemistry benchtop analyzer. From routine to specific tests, it can perform them all on a single system. It can run up to 420 tests per hour with ISE module. Its automation and continuous loading provides enhanced productivity in a user-friendly environment.

View Brochures, Videos, & More at: POR.io Enter Number 6229 in the Search Area

#6230

CELL-DYN Emerald Hematology Analyzer From Abbott

CELL-DYN Emerald is a 3-part differential hematology analyzer that offers high performance in an affordable, compact design that provides reliable and accurate patient results every time. As a smaller operating laboratory, you need a solution that offers reliable results. CELL-DYN Emerald provides results in under 65 seconds.

CELL-DYN Emerald’s small size, simple touch screen software and reliability offer an easy-to-use, truly compact table/bench top instrument for easy performance in your laboratory.

View Brochures, Videos & More at: POR.io Enter Number 6230 in the Search Area

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The Adview 2 is still the only truly modular diagnostic station that grows with your needs. Start with blood pressure and choose temperature or pulse oximetry option at the time of purchase.

Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $3,188.00 Welch Allyn CP150 w/ Interp: $3,258.00

#6231

#6232

#6235 #6233

#6234

#6237

#6236

#6238 #6239

#6240

Coaxial Ophth, Fiber Optic Oto, Speucla Dispenser, Aneroid BP, Wall Transformer and Wall Board without Thermometer: $904.04 with Thermometer: $1,275.88

#6241

#6242

#6243

#6244

#6245

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#6246

Defining Mobile Telediagnostics

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

From MedPod

With the ability to deploy into a medical office in less than 2 minutes, MobileDoc is the ultimate portable practice. Revolutionary in its compact and mobile design, MobileDoc integrates best-in-class professional medicalgrade devices with state-of-the-art HD video and EHR connectivity.

Physicians can provide care remotely that is on par or better than a face-toface visit, including conducting basic exams, checking vitals, and performing specialty testing—shattering the boundaries of traditional care.

View Brochures, Videos & More at: POR.io Enter Number 6246 in the Search Area

#6247

Single, Integrated POC Testing Solution From Abbott Point of Care

The fully automated i-STAT System offers a broad menu of tests for diagnostic and treatment indicators related to disease state management and clinical practice guidelines. Using just 2 or 3 drops of blood, the system provides time-sensitive tests at the patient’s side in just minutes.

View Brochures, Videos, & More at: POR.io Enter Number 6247 in the Search Area

#6248

Make Laboratory Compliance and Inspection Easier From My Inspection

Make laboratory compliance and inspections easier by changing how you document, save and retrieve all information necessary to meet CLIA and accreditation regulations. With two unique electronic tools My Compliance Manual and MyInspection™ Software, the guesswork and tedious task of interpreting and documenting policy, procedure, forms, charts and logs is over. Your lab will be compliant, have less paper, and be inspection ready.

View Brochures, Videos & More at: POR.io Enter Number 6248 in the Search Area 22 www.PhysiciansOfficeResource.com POR_Issue_4.indd 22

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www.PhysiciansOfficeResource.com

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PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

#6249

The Brewer Century Series Stool From Brewer

Has a pneumatic height adjustment, 16" wide, 4" thick polyfoam seat cushion, and five-leg 23" brushed aluminum accent base. Optional adjustable 18" chrome footing. Optional adjustable contoured backrest with black plastic shroud.

View Brochures, Videos & More at: POR.io Enter Number 6249 in the Search Area

#6250

Reliable Detection of Strep A, Flu A, Flu B and RSV From Cepheid

Cepheid’s GeneXpert Xpress® brings standardized molecular testing to any healthcare setting. Employing the highly accurate and easy to use lab in a cartridge technology in every GeneXpert system, the GeneXpert Xpress® is a true on-demand walkaway testing system that provides accurate and reliable detection of Strep A, Flu A, Flu B and RSV. Two or four-module configurations save valuable bench space and reduce the need for multiple testing platforms.

View Brochures, Videos & More at: POR.io Enter Number 6250 in the Search Area

Memory Loss Biomarkers to Aid in Diagnosis in Primary Care Practices #6251

From Evoke Neuroscience

The eVox® System is an FDA 510(k) cleared medical device to aid primary and specialty care physicians in diagnosis of memory loss and other cognitive disorders. eVox® measures memory loss biomarkers that may aid in detecting memory loss sooner, identifying the root cause of memory loss, and performing a differential diagnosis. eVox® procedures are performed in-office and are reimbursable by Medicare and commercial payers.

View Brochures, Videos & More at: POR.io Enter Number 6251 in the Search Area

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POR_Feb19_Mono_r5.qxp_Layout 1 2/21/19 11:26 AM Page 1

NEW! CAPILLARY PIPETTE for easy whole blood sample collection.

#6252

Smooch has something new for you.

Diagnosing mononucleosis can be a challenge as many of the symptoms are similar to those of other illnesses such as strep throat, the common cold, or even a sinus infection.

Some physicians diagnose off symptoms alone, but a confirmed diagnosis will help avoid the use of unnecessary antibiotics and allow for appropriate treatment and follow-up visits.

The OSOM® Mono Test has no age limitation and produces easy-to-read two-color results in five minutes with > 99% sensitivity and 96% specificity.

Answers for Healthcare. Awesome...yes, OSOM®.

Call 888-616-0537,Option 2,today to learn more.

www.osomtests.com MADE IN THE USA

POR_Issue_4.indd 25

© 2019 Sekisui Diagnostics, LLC. All rights reserved. OSOM® is a registered U.S. trademark of Sekisui Diagnostics, LLC. Because every result matters™ is a trademark of Sekisui Diagnostics, LLC.

4/17/19 2:33 PM

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS Portable, Single Click Operation Spirometer From MicroDirect

#6253

The Micro Direct SpiroUSB many features include single click operation of all main functions, full ATS/ERS test quality checks, real time Flow/Volume and Volume/Time traces, a choice of child incentive displays, choice of predicted values, estimated lung age, pre/post bronchodilator comparisons and can be used on multiple PC’s with dongle software protection key. The child incentive display and ATS quality checks ensure maximal results every time. Use with a laptop for true portability.

View Brochures, Videos & More at: POR.io Enter Number 6253 in the Search Area

#6254

Highly Accurate Networked PC-based Spirometry From Vitalograph

Vitalograph introduces the new Spirotrac V software coupled with the rugged, accurate Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Challenge testing, cough testing and slow vital capacity testing with lung age estimation are all standard features. Beyond spirometry, the Spirotrac V also becomes a platform for a PC-based diagnostic workstation, incorporating a Bluetooth ECG, USB Pulse Oximetry, 6 minute walk test, Bluetooth Weight Scale for COPD / CHF assessment, and automated Blood Pressure measurements.

View Brochures, Videos, & More at: POR.io Enter Number 6254 in the Search Area

#6255

Ultra hCG Combo Test From Sekisui Diagnostics

The OSOM® Ultra hCG Combo test is a simple immunoassay for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine for the early confirmation of pregnancy. Internal studies have confirmed that the OSOM® Ultra hCG Combo test does not have a false negative result from hCG variants providing physicians with a higher level of confidence.

View Brochures, Videos & More at: POR.io Enter Number 6255 in the Search Area

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SPIROMETERS TO FIT EVERY NEED...

WHY COMPROMISE?

#6260 #6261

#6256

#6257

#6259 #6258

Data you can rely on. People you can trust.

Vitalograph has the most complete range of spirometers, all produced with the dedication to quality and durability that has endured for more than half a century.

Pneumotrac™ ALPHA™ Spirometer ALPHA Touch In2itive™ micro™ copd-6™

PC based with Spirotrac® V software - compatible with add-on ECG & SpO2 World’s Easiest To Use Spirometer - No PC Required The most flexible Spirometer for use with or without PC Hand held with software integration for ultimate portability Quick and easy, full spirometry that fits in your pocket & under $1,000 Instant Assessment of airway obstruction

Call (800) 255-6626 or email to contact@vitalograph.com and mention this ad to receive a 10% discount*. *valid until March 31, 2019.

Vitalograph®, Spirotrac®, ALPHA™, Pneumotrac™, In2itive™, micro™ , and copd-6™ are trademarks or registered trademarks of Vitalograph Ltd.

POR_Issue_4.indd 27

www.vitalograph.com Print Ref: 56036_2

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#6262

Fully Automated Quantitive Immunoassay Analyzer

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

From Sekisui

The FastPack® IP System is a fully automated quantitative immunoassay analyzer designed for use in the Physician Office laboratory. Utilizing sophisticated chemiluminescence technology, the FastPack® IP System provides the capability to produce complex immunoassay results in 12 minutes or less with a push of a button. Menu includes Vitamin D, Testosterone, TSH, Free T4 PSA and hCG.

View Brochures, Videos & More at: POR.io Enter Number 6262 in the Search Area

Histofreezer® Portable Cryosurgical System

#6263

From OraSure - Histofreezer

Histofreezer® Portable Cryosurgical System offers medical professionals an easy and effective method to treat nine different types of skin lesions, including common, plantar and genital warts and other common benign skin lesions. Medical professionals in primary care, internal medicine, podiatry, ob/gyn and dermatology areas of care have either added Histofreezer® to their practice offering or replaced more invasive and less tolerated procedures with Histofreezer®.

View Brochures, Videos & More at: POR.io Enter Number 6263 in the Search Area

The RX daytona+ From Randox

#6264

A bench-top, fully automated, random-access chemistry analyzer, providing routine and specialized testing with emergency STAT sampling functionality. Demonstrating unparalleled versatility, the RX daytona+ combines robust hardware and intuitive software with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX daytona+ ensures unrivalled precision, reliability and accuracy for results you can trust.

View Brochures, Videos & More at: POR.io Enter Number 6264 in the Search Area 28 www.PhysiciansOfficeResource.com POR_Issue_4.indd 28

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#6265

#6266

#6267

#6268

#6269

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#6270

Optimize Productivity and Expand your Practice

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

From MedPod

The Medpod Medical Cart optimizes productivity and load balancing by enabling access to remote physicians during high volume periods or to reach lowdensity populations. Medpod’s proprietary software integrates with a wide range of professional medical devices and gives the remote provider control of the devices to conduct an examination that is on par with a face-to-face visit. Patient images, audio and data can be captured, annotated, tagged and uploaded in realtime or stored and forwarded into the EHR by either remote or local provider.

View Brochures, Videos & More at: POR.io Enter Number 6270 in the Search Area

#6271

Ideal System for Low-to-Moderate Volume Laboratories From Sekisui Diagnostics

The SK™500 chemistry instrument and SEKURE Reagents offer an ideal system for low-to-moderate volume laboratories seeking exceptional throughput with minimal use of space and water. The SK500 is a compact and efficient instrument with a full menu of reagents specifically designed for and packaged for the system

View Brochures, Videos & More at: POR.io Enter Number 6271 in the Search Area

Brewer’s Flex™ Access Exam Table From Brewer

#6272

Step up to power table performance for less with Brewer’s Flex™ Access Exam Table. Industry-leading 700-lb. patient weight capacity, unique safety features and unmatched ergonomic patient access maximize your clinical efficiency and ROI. A streamlined footprint and optional upgrades like safety grab bars, stirrups, and passthrough work surface provide ultimate flexibility for your practice.

View Brochures, Videos, & More at: POR.io Enter Number 6272 in the Search Area

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THIS HEART HEALTH MONTH, PREVENT HEART DISEASE IN YOUR OFFICE

HEART DISEASE AFFECTS EVERYONE

Heart disease can happen to anyone – not just aging adults. To be heart healthy, patients must be in the know. The Alere Cholestech LDX® System provides lab accurate results in five minutes that can lead to coachable moments for improved heart health.

Identifying CVD risk is quick and easy with fingerstick sampling from a CLIA-waived instrument With in-visit test results, you can get your patient on the road to a healthier heart faster Know your patients’ numbers with a complete lipid profile with glucose on the same test cassette

THE ALERE CHOLESTECH LDX ® IS AVAILABLE FROM ABBOTT. TO LEARN MORE, VISIT LDX.POR.IO.

#6273

© 2019 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD177640 10004525-01 1/19

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2019 - Issue 4

PHYSICIANS office RESOURCE

HOW FITNESS TRACKERS fit in the future of health care?

Subbarao Myla, MD Cardiologist and Director of Cardiac Catheterization Labs Jeffrey M. Carlton Heart and Vascular Institute I view medicine as a team effort. Doctors, nurses, technicians, and patients work together to promote and improve health. Recently some new members have joined the team: My patients’ Fitbits, phones, and watches.

For years, the pessimists out there have predicted that wearable technology would lead to mass hysteria. Patients would misdiagnose themselves as having heart attacks and strokes and fill the ER with blaring watch alarms but no actual symptoms.

I’m both an optimist and an early adopter. Wearable – even tattooable – technology, I have believed, is not only empowering for patients; it can be helpful to doctors.

I’ve had patients who we believed were experiencing atrial fibrillation (AFib) – an irregular heartbeat that can result in blood clots, strokes and heart attacks. It is common, dangerous and often difficult to detect.

There are many different monitoring options, but

with the ECG app for the Apple Watch Series 4, my patients have been able to easily monitor elusive irregularities through this FDA-cleared electrocardiogram right on their wrist.

The significance of catching atrial fibrillation early can’t be overstated. A condition that leads to strokes, heart attacks and 130,000 deaths per year can now be monitored by a person’s watch. The implications for healthcare – and for giving patients more agency in their own wellness – is enormous.

The primary criticism of fitness tracking devices is that they are unreliable and offer incomplete data.

But I believe patients understand the limitations of these tools, and I also believe these devices are getting better. I liken wearable trackers to home security cameras: cameras that detect motion are far more likely to capture actual cats than cat burglars, but they are still a good and useful tool.

Similarly, patients are smart enough to know that every flutter in their chest doesn’t warrant a

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trip to the ER. But if a wearable device offers a warning while a patient experiences the vague and sometimes difficult to assess symptoms of heart attack (sweating, dizziness, arm pain), the device just might point to legitimate trouble – and even save the patient’s life.

The “smarter” our smartwatches, phones, and fitness trackers get, the more informed doctors will be when making diagnoses and wellness plans. More importantly, the more educated patients become through these apps and devices, the more proactive they will be about their health.

The future always looks scary to pessimists, and

yes, wearable technology might be misused or misunderstood. But it will more likely than not result in real and reliable data that physicians and patients can use to make “The significance of catching atrial informed health fibrillation early can’t be overstated. care decisions A condition that leads to strokes, together. heart attacks and 130,000 deaths per year can now be monitored by Medicine is a a person’s watch. The implications group effort. for healthcare – and for giving And I welcome patients more agency in their own these new, wellness – is enormous.” wearable devices Subbarao Myla, MD to the team.

30 years in interventional cardiology practice, medical director of cardiac catheterization laboratories at the JM Carlton Heart Institute at Hoag Memorial Hospital Presbyterian, Newport Beach California, inventor entrepreneur and a change agent passionate about process improvement and culture change in large teams.

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#6274

Silaris™ Influenza A&B Test From Sekisui Diagnostics

A molecular test utilizing polymerase chain reaction (PCR) technology providing accurate results for early diagnosis and proper management of influenza.

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

Accurate √ Molecular Results √ State-of-the art microfluidic cassette technology √ PCR test using proprietary OscAR™ Technology

Affordable √ Single Test Diagnosis √ Controls in every kit √ Molecular reimbursement (CPT Code 87502) Simple √ Easy to Use √ Compact portable dock with no calibration required √ Room temperature storage

View Brochures, Videos, & More at: POR.io Enter Number 6274 in the Search Area #6275

Micros ES60 From HORIBA Medical

The Micros ES60 is an easy to use tabletop hematology analyzer. It combines the reliability of the current Micros 60 with the latest Linux based operating system utilizing a large color touch screen user interface. The Micros ES60’s Zero Maintenance concept provides unparalleled user convenience monitoring all aspects of instrument operations and provides real time status updates for the user.

View Brochures, Videos, & More at: POR.io Enter Number 6275 in the Search Area

The RX imola #6276

From Randox

A fully automated, random access analyzer with STAT sampling functionality; boosting productivity and saving time when it matters most. Developed for medium-high throughput laboratories, the RX imola provides comprehensive testing with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX imola: A cost-effective system that delivers consistent high quality results with a small footprint.

View Brochures, Videos & More at: POR.io Enter Number 6276 in the Search Area

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INTRODUCING THE NEW AFINION™ 2 ANALYZER

Simply more efficient.

#6277

The Afinion 2 Analyzer provides POC A1C results in 3 minutes and ACR results in 5 minutes enabling face to face consultations and more timely treatment decisions.

TM

Highly accurate nn CLIA waived for A1C nn Quantitative results nn

No manual calibration required nn Ready to use controls nn

For more information or to request a demo on the Afinion 2 Analyzer please call 1-888-883-7692. abbott.com/poct Š 2019 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD187058 10004634 01/19

!25

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2019 - Issue 4

PRODUCTFOCUS

PHYSICIANS office RESOURCE

#6278

Pronto® Pulse CO-Oximeter® From Masimo

Pronto® Pulse CO-Oximeter® with rainbow® Technology for Noninvasive Spot-Checking of Total Hemoglobin (SpHb®) and SpO2 in a Handheld device.

Featuring Masimo SET® Measure-through Motion and Low Perfusion™ Pulse Oximetry Technology: > Helps clinicians monitor more than 100 million patients a year1 > Used by the top 10 U.S. hospitals listed in the 2017-18 U.S. News and World Report Best Hospitals Honor Roll2 1 Estimate: Masimo data on file. 2 http://health.usnews.com/healthcare/best-hospitals/articles/best-hospitals-honor-roll-and-overview

View Brochures, Videos, & More at: POR.io Enter Number 6278 in the Search Area

Accurate, Actionable Results from the Leader in Point-of-Care Lipid Testing

#6279

From Abbott

The CLIA-waived Alere Cholestech LDX™ Analyzer is engineered for confidence, providing accurate, actionable, and readily accessible results that have set the standard in point-of-care lipid profile, cholesterol, and glucose testing. Results are easy to obtain.

Fingerstick sampling and a small sample size (40μL) makes results less painful and time consuming.

View Brochures, Videos, & More at: POR.io Enter Number 6279 in the Search Area

#6280

First Ever CLIA Waived Hematology Analyzer From Sysmex

Faster test results, clinical decisions and greater practice efficiency are coming to physicians’ offices with the first CLIA-waived CBC analyzer. Hematology diagnostics leader Sysmex is bringing more lab testing to the point of care. One of the most common blood tests can be conducted reliably and accurately on-site, in as few as three minutes. The device’s ease of use and innovative technology means in-house staff can operate it in just a few easy steps, without lengthy certification and training. The new Sysmex XW-100 will improve health care efficiency and patient care.

View Brochures, Videos, & More at: POR.io Enter Number 6280 in the Search Area

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Win a FREE iPad Mini!

Join POR as we conduct our first in a series of brief surveys, designed to give a voice to providers. With your help we can better understand what’s trending in physician offices, laboratories, and healthcare facilities across America, and help improve office and laboratory proficiency, profitability, and patient care.

As a Thank You, we’ll report the results from this and future surveys in Physicians Office Resource magazine. Moreover, we will enter you in our periodic drawing for a FREE Apple iPad, which you may gift to someone or keep for yourself.

The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

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#6281

Self-contained Diagnostic Workstation From Vitalograph

PHYSICIANS office RESOURCE

2019 - Issue 4

PRODUCTFOCUS

Vitalograph introduces the Compact Expert diagnostic workstation.

The device is a full touch-screen based medical workstation, which comes equipped with Vitalograph’s flagship Pneumotrac spirometer.

This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Beyond spirometry, it is a desktop testing station for ECG, Pulse Oximetry, Weight , COPD assessment, and Blood Pressure measurements.

View Brochures, Videos & More at: POR.io Enter Number 6281 in the Search Area

CLIA-Waived BioFire® FilmArray® Respiratory Panel (RP) EZ

#6282

From BioFire

The BioFire RP EZ accurately detects and identifies 14 viral and bacterial pathogens—not just Flu A and Flu B— so you can provide your patients with the right treatment, the first time. The test is easy and can be performed right in your office or clinic, with results in about an hour. The BioFire RP EZ is designed to run on a single computer/ instrument configuration (EZ Configuration) of the BioFire® FilmArray® 2.0 System.

View Brochures, Videos & More at: POR.io Enter Number 6282 in the Search Area

#6283

Now It’s More Than Just A Blood Test From Sysmex

With its simplified operation, the Sysmex XP-300™ is ideal for clinics and physician office labs. It provides a CBC with 17 different parameters, including a 3-part WBC Differential. The XP-300+M combines the accuracy and reliability of a Sysmex CBC with the agility of Medicus Middleware. Features include EMR connectivity, instrument interfaces and a QC module.

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Nail it with one swab.

Syndromic respiratory infection testing now CLIA-waived The BioFire® FilmArray® Respiratory Panel (RP) EZ uses a molecular syndromic approach to accurately detect and identify a wide range of pathogens—not just Flu A and B. As a healthcare provider, this means your patients can receive the right treatment the first time, potentially leading to higher patient satisfaction and lower costs. And as the name implies, it’s easy and can be performed right in your office or clinic.1 1 test. 14 respiratory pathogens. All in about an hour.

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biofiredx.com

CLIA

BioFire RP EZ Pathogens Viruses Adenovirus Coronavirus Human Metapneumovirus Human Rhinovirus/Enterovirus Influenza A

1

Influenza A/H1 Influenza A/H1-2009 Influenza A/H3 Influenza B Parainfluenza Virus Respiratory Syncytial Virus

WAIVED

Bacteria Bordetella pertussis Chlamydophila pneumoniae Mycoplasma pneumoniae

CLIA Certificate of Waiver required to perform testing.

For more information contact +1 801-736-6354 +1 888-844-7640ext. ext.1947 1947

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