Physicians Office Resource (Volume 13 - Issue 7)

Physicians office Resource 2019 Issue 7

™

Resources for You, Your Patients, & Your Practice

HOW MOBILE TECHNOLOGY IS CHANGING HEALTHCARE

Best in Mobile Health Technologies Page 6 Value Based Mobile Technology Page 22

also in this issue We Shine a Spotlight on Dozens of the Industry’s Top Products and Services MDescapes: Luxurious Getaways and Special Offers Exclusively for Physicians Page 25 5 Must-haves for Great Physician Online Profiles Page 36

2019 Issue 7.indd 1

7/18/19 4:39 PM

2019 Issue 7

Physicians office Resource™

PHYSICIANS office RESOURCE

Resources for You, Your Patients, & Your Practice Published by Medical Education Resources, LLC Publisher Aaron R. Medaris amedaris@physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@physiciansofficeresource.com President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@physiciansofficeresource.com

GETTING THE MOST FROM THIS GUIDE There are two simple ways to request information about the products and services found in Physicians Office Resource.

A B

Go to www.PhysiciansOfficeResource.com and enter the four-digit reference number found next to the product or service into the search field, then request additional information, schedule a demo, or speak with a sales agent all with just a simple click of a button.

2

Find the Business Reply Card in this issue, circle the desired reference numbers, complete the form, and drop into any USPS mailbox. A representative will contact you as quickly as possible to answer your questions.

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 2

Travel Editor 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.

If you are a manufacturer of medical products or provide services to medical professionals and would like to advertise your products or services to the nation’s top physicians doing in-office testing, call 801-380-6094 or visit: POR.io for more information.

Thank you!

7/18/19 4:39 PM

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.

6600

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

BFDX-MKT-0234 2019 Issue 7.indd 3

7/18/19 4:39 PM

2019 Issue 7

PHYSICIANS office RESOURCE

Physicians office Resource ™

table of contents

HOW MOBILE TECHNOLOGY IS CHANGING HEALTHCARE From smart watches, to “phones” or as Dylan Chadwick calls them in his article on page 6, “tiny computers in our pockets,” mobile technology is everywhere…and I mean everywhere. It’s gotten so common place, that I’m not even phased when I see a grandma sporting an Apple Watch. I mean it really makes perfect sense, what grandma wouldn’t want to talk, text, see pictures of their grandbabies, and have the ability to run an ECG to make sure her atrial fibrillation is in check, all from the convenience of their wristwatch? It’s no surprise that the newest and most innovative sources of healthcare are being driven by mobile technology. In fact, Irwin Rothenberg in his article on page 22 says that mobile technology and value based medicine are “two powerful forces are changing the practice of…medicine in ways never imagined a generation ago.”

We’d like to know from you, how has mobile technology changed the way you and your colleagues practice medicine? Has it changed for the better? Or do you see hindering effects from introducing too much mobile technology into healthcare? Email us your thoughts to amedaris@physiciansofficeresource.com.

Aaron R. Medaris Publisher Physicians Office Resource

MDescapes Luxurious Getaways & Exclusive Deals for POR Magazine Readers

25

articles in this issue Best in Mobile Health Technologies 2019

6

“When will we wise up and stop calling the tiny computers in our pockets ‘phones?’” sighs the distraught geek on the internet, in your office, or on your...

Value-Based Mobile Technology

22

The convergence of two powerful forces are changing the practice of laboratory medicine in ways never imagined a generation ago. These twin forces are...

5 Must-haves for Physician Online Profiles

35

Patients have a lot of choices when it comes to physicians. Making sure your online profile is up to date, complete, and contains...

4 2019 Issue 7.indd 4

7/18/19 4:39 PM

NEW

TURN SMALL PLACES INTO SMART SPACES With reduced budgets, shrinking laboratory space and staffing challenges, many laboratories need a solution that lets them work smarter with less.

The CELL-DYN Emerald 22 AL is a full performance, automated, optical 5-part differential analyzer that delivers smarter results for small to mid-size clinical laboratories with: • Compact design maximizes valuable laboratory space • Ease of use and walkaway functionality optimizes staff time • Smart open tube sample device ensures user safety

41 cm

Visit www.corelaboratory.abbott/hematology to learn how the new CELL-DYN Emerald 22 AL can help your laboratory operate more efficiently.

50 cm

CH OOSE TRA NSF O RMATION

TM

Achieve measurably better healthcare performance.

6601

CELL-DYN Emerald 22 AL is a Class 1 laser. For in vitro diagnostic only.

Refer to the Operator’s Manual for operational precautions, limitations, and hazards.

CELL-DYN Emerald and CHOOSE TRANSFORMATION are trademarks of Abbott Laboratories in various jurisdictions.

CAUTION: United States Federal law restricts this device to sale and distribution by or on the order of a physician, or to a clinical laboratory. © 2019 Abbott Laboratories. ADD-00064842.

2019 Issue 7.indd 5

7/18/19 4:39 PM

2019 Issue 7

PHYSICIANS office RESOURCE

BEST IN MOBILE HEALTH TECHNOLOGIES 2019 Dylan J. Chadwick, Staff Writer Physicians Office Resource – www.PhysiciansOfficeResource.com

“When will we wise up and stop calling the tiny computers in our pockets ‘phones?’” sighs the distraught geek on the internet, in your office, or on your Facebook timeline. Of course he’s absolutely right about it, even if a little bit prosaic. The “phone” function of our smartphones really only accounts for a small fraction of its total functionality, and NO ONE needs to comment on the ubiquity of these things anymore. Our pocket computers can do most everything our desktop and laptop computers can, and they’re uniquely portable and capable of transferring data across (nearly) infinite distances. These little devils also have a steady hand in constantly updating the way that virtually every occupation functions, sometimes just in the nuts and bolts and sometimes drastically.

Medicine isn’t the only industry bolstered by technology of course, but in an era where “smart wearables” is legitimate terminology and not something plucked from an Asimov novel, it’s one of the job sectors where we find technical innovation at its most nascent. Each year, small innovations, tweaks and upgrades take complicated medical tools and processes and streamline them for patients and physicians. Electronic aspirin? Ouchless Digital vein finders? 3D-Printed skin? That stuff is as real as the

driverless cars they’ll be trundling off the production runways soon, just you wait!

The thing about technology though, not just medical technology but in any specialty, is that innovation doesn’t occur in a vacuum. It’s expensive and time intensive, and in a job space where said technology directly and indirectly influences a person’s wellbeing, must satisfy numerous QA details before receiving approval. To put it bluntly, this is a good principle. The last thing we want is some untested piece of medical equipment being trotted off the factory floor. However, there’s a caveat to this idea, one for which many in the industry have become critical of what they feel is an “unnecessarily complex approval process” from the Medical Device Innovation Consortium (MDIC).

As it stood in 2013, most critics stated that the over complicated approval system “impeded” medical innovation and literally stunted the availability of quality health care to those who need it. To combat these negative assessments, the Food and Drug Administration (FDA) announced a “rebranded” MDIC and vowed to simplify the approval process, gather information from industry heads, government officials and nonprofit organizations, and to prioritize the regulatory science of approving technology.

6 www.PhysiciansOfficeResource.com 2019 Issue 7.indd 6

7/18/19 4:39 PM

By gathering all these industry thought leaders to collaborate and leverage their individual resources, “MDIC may help the industry to be better equipped to bring safe and effective medical devices to market more quickly and at a lower cost,” said Jeffrey Shuren, M.D., J.D., director of the FDA’s Center for Devices and Radiological Health.

This conscious rebranding has put many in high spirits, anxiously awaiting the promising medical technologies and streamlined medical processes to come, theoretically faster, which will reduce obstacles and anxieties and improve the capacity and scope of health care.

It’s a platform for users to communicate with fellow physicians on the network, sharing medical specific information, work accomplishments, sending HIPAA secure faxes and also follow trends and developments within their specific medical specialty. The opportunity to communicate smoothly and with all your contacts consolidated into one easy-to-use platform, along with the protection of HIPAA lends a tremendous amount of utility to the app, as well as an “Medicine isn’t the only industry indicator for things bolstered by technology of course, to come. I mean, but in an era where “smart wearables” is legitimate terminology do you really think and not something plucked from physicians will still an Asimov novel, it’s one of the job use pagers in 10 sectors where we find technical inyears? novation at its most nascent. Each year, small innovations, tweaks and upgrades take complicated medical tools and processes and streamline them for patients and physicians.”

QXMD Calculate Physicians seeking Dylan J. Chadwick an app that can Mobile Tech consolidate all In today’s climate where their medical medical innovation calculation software into one digestible format receives mainstream attention from every angle, may find what they’re looking for in QXMD including commercial outlets, we should note the Calculate. It utilizes a sleek user interface which developments of one specific technological subset, highlights point of care tools like cardiology, internal one that’s been growing exponentially despite medicine, nephrology, general practice, hematology, MDIC holdups: mobile technology. gastroenterology, emergency medicine, oncology, orthopedics, respirology, neurology and many more, As we anticipate new medical technologies to come, while serving to help physicians make quality diagnoses let’s acknowledge the developers, code-monkeys and towards treatment and prognosis determination. innovators seeking to make medicine a better place, on both patient and physician sides, on our pocketIt bills itself as more than a simple “calculator” sized computers. but more a “decision support tool” which features 150 unique calculators and support prompts, freely Figure 1 available to the medical community. Furthermore, Seeking to see or learn about rare or not so rare it’s a veritable library, integrating seamlessly with conditions? Figure 1 offers a great app that allows PubMed data for physicians and tomes upon tomes of physicians to view and share medical images with peer-reviewed medical journal information for crossother physicians. Figure 1 touts hundreds of referencing and citation. thousands of users send, comment, and search medical images within its database. The app is fee to download With such utility and scope, and a non-existent price and use. Worried about HIPPA compliance? The app tag, QXMD is the kind of app that strictly qualifies as guarantees patient privacy with face-blocking and “must have” for physicians in any specialty. removal of other identifying information.

Doximity One of the primary holdups in medical app development, as well as medical work on public social media, are the HIPAA implications that accompany contacting patients outside of the office and relative vulnerabilities that come with transferring data.

Essentially, Doximity is a physician sanctioned and designed social network that currently claims 80 percent of the U.S. physician workforce as members.

Health Tech Whether it’s shiny, new technology that shapes the way we administer shots, or that simply puts physicians in secure contact with other physicians, mobile software is continually the most promising frontier for medical technology innovation. It’s the kind of technology that makes physicians more capable and patients more empowered, the very tenants upon which medical innovations are built.

Read the rest of this and other articles at www.PhysiciansOfficeNews.com 7 2019 Issue 7.indd 7

7/18/19 4:39 PM

6602

FULLY AUTOMATED QUANTITIVE IMMUNOASSAY ANALYZER

PHYSICIANS office RESOURCE

2019 Issue 7

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 & Mores at POR.io Enter Number 6602 in the Search Area

HISTOFREEZER® PORTABLE CRYOSURGICAL SYSTEM From OraSure - Histofreezer

6603

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 & Mores at POR.io Enter Number 6603 in the Search Area

6604

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 & Mores at POR.io Enter Number 6604 in the Search Area 8

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 8

7/18/19 4:39 PM

6605

MARKETING FOR MEDICAL PRACTICES – MORE TRAFFIC AND MORE PATIENTS From Independence Digital

With rising operating costs, new reimbursement models, and more…who’s got time to think about marketing? We do. Independence Digital gets you more traffic and more patients at a fraction of your in-house cost. Contact us to learn more about how our experts can help your healthcare organization with: • Web Design & Management • Local Search Optimization / Google Business Listings • Reputation Management (Better Ratings/More Reviews) • Online Advertising (e.g. Facebook ads)

View Brochures, Videos & Mores at POR.io Enter Number 6605 in the Search Area

6606

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 & Mores at POR.io Enter Number 6606 in the Search Area

PORTABLE, SINGLE CLICK OPERATION SPIROMETER From MicroDirect

6607

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 & Mores at POR.io Enter Number 6607 in the Search Area www.PhysiciansOfficeNews.com 9 2019 Issue 7.indd 9

7/18/19 4:39 PM

6608

FIRST EVER CLIA WAIVED HEMATOLOGY ANALYZER

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

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 XW100 will improve health care efficiency and patient care.

View Brochures, Videos & Mores at POR.io Enter Number 6608 in the Search Area

6609

COST-EFFECTIVE AI MEDICAL SCRIBE From Phraze

Are you frustrated with spending more time writing notes than seeing patients? Has the EHR become a “screen between” you and your patients? Are you interested in having a medical scribe, but find that the cost is prohibitive? Phraze’s is a cost-effective AI Medical Scribe software that analyzes the conversation between you and your patient. It then automatically produces a clinical note that is as beautiful as it is intelligent: saving you time and improving your connection to patients.

View Brochures, Videos & Mores at POR.io Enter Number 6609 in the Search Area

CLIA-WAIVED FOR RAPID DETECTION OF FLU A+B 6610

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, CLIA-waved 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.)

View Brochures, Videos & Mores at POR.io Enter Number 6610 in the Search Area 10

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 10

7/18/19 4:39 PM

POR_Jul19_SniffStreppy.qxp_Layout 1 6/28/19 10:07 AM Page 1

Sniff

Streppy

Don’t be left out in the cold!

Flu and Strep season is on the way! OSOM® Ultra Flu and OSOM® Strep A Tests accurately diagnose in minutes allowing you to provide immediate treatment so patients are on the road to recovery.

6612

Ask us about diagnosing flu and strep throat using the OSOM® tests or visit us www.osomtests.com.

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

6611

For professional use by physicians and labs only.

Call 8 8 8 -6 1 6 -0 5 3 7 , Option 2 , to learn more!

MADE IN THE USA

© 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.

2019 Issue 7.indd 11

7/18/19 4:39 PM

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

Š 2019 Teva Pharmaceuticals USA, Inc.

2019 Issue 7.indd 12

FRE-41678

March 2019

7/18/19 4:39 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.

2019 Issue 7.indd 13

7/18/19 4:39 PM

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

2019 Issue 7.indd 14

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

7/18/19 4:39 PM

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

6613

6614

6617 6615

6616 6618

6619

6620 6621

6622

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

6623

6624

6625

6626

6627

2019 Issue 7.indd 15

7/18/19 4:39 PM

6628

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS MICROS ES 60 HEMATOLOGY ANALYZER WITH 3-PART DIFFERENTIAL From HORIBA

Simple to use and easy to maintain with a zero maintenance concept, the Micros ES 60 is a small tabletop hematology analyzer with an integrated data management system. The analyzer provides a CBC with 3-part differential result in less than 60 seconds using only 10 µL of sample. Connect to the LiteDM Patient Data Management System for an affordable way to consolidate patient results to one report.

View Brochures, Videos & Mores at POR.io Enter Number 6628 in the Search Area

6629

MICROS HEMATOLOGY ANALYZER WITH 3-PART DIFFERENTIAL PLUS THE LITEDM From HORIBA

Is it viral or bacterial? A CBC with 3-part differential can provide the clues to help distinguish between viral and bacterial infections before you decide to treat.

The Micros 60 Hematology analyzer provides a CBC with 3-part Diff result in less than 60 seconds using only 10 µL of sample. Connect to the LiteDM Patient Data Management System for an affordable way to consolidate patient results to one report.

View Brochures, Videos & Mores at POR.io Enter Number 6629 in the Search Area

6630

BREWER’S FLEX™ ACCESS EXAM TABLE From Brewer

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 pass-through work surface provide ultimate flexibility for your practice.

View Brochures, Videos & Mores at POR.io Enter Number 6630 in the Search Area

16

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 16

7/18/19 4:39 PM

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.

6631

6632

6633

Xpert Xpress Flu/RSV

Xpert Xpress Flu

Xpert Xpress Strep A

• One sample. One Cartridge.

Three results

• Qualitative, molecular detection and differentiation of influenza A and B

• Accurate, real-time PCR molecular testing for Group A Strep

• Qualitative, molecular detection and differentiation of influenza A, influenza B and RSV

• Sample types include nasal swab and nasopharyngeal swab

• Internal QC in each cartridge

®

®

• Room Temperature reagent storage

®

• No confirmation required for negative results*

• Sample types include Nasal swab and Nasopharyngeal swab

For more information, call (888) 256-6990 For in vitro diagnostic use. * No culture confirmation required for negative results unless clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF).

904 Caribbean Drive | Sunnyvale, CA 94089 USA | TOLL FREE +1.888.336.2743 | PHONE +1.408.541.4191 | FAX +1.408.541.4192 | www.cepheid.com

2019 Issue 7.indd 17

7/18/19 4:39 PM

6634

MEMORY LOSS BIOMARKERS TO AID IN DIAGNOSIS IN PRIMARY CARE PRACTICES From Evoke Neuroscience

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

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 & Mores at POR.io Enter Number 6634 in the Search Area

ACCUTEST PH® PHENAPHTHAZINE PAPER

6635

From Jant Pharmacal

Test papers give instant, easy-to-read results, with clear, bright matches at 0.5 intervals from pH 4.5 to 7.5. Color charts are lab-tested for precision accuracy.

Made in the U.S.A. with state-of-the-art materials.

An FDA-listed medical test product, used in hospitals and doctor’s offices around the world. Economical – approximately 100 tests/roll. Widely used in hospitals and doctors’ offices to detect the presence of amniotic fluid in vaginal secretions during late-term pregnancy, a sign of premature amniotic sac rupture.

View Brochures, Videos & Mores at POR.io Enter Number 6635 in the Search Area

6636

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.

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 & Mores at POR.io Enter Number 6636 in the Search Area 18

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 18

7/18/19 4:39 PM

6637

6638

6639

6640

6641

2019 Issue 7.indd 19

7/18/19 4:39 PM

2019 Issue 7

PRODUCTFOCUS

PHYSICIANS office RESOURCE

6642

THE BREWER BASIC EXAM TABLE From Brewer

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.

View Brochures, Videos & Mores at POR.io Enter Number 6642 in the Search Area

6643

THE BREWER CENTURY SERIES STOOL From Brewer

Has a pneumatic height adjustment, 16” wide, 4” thick poly-foam 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 & Mores at POR.io Enter Number 6643 in the Search Area

6644

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 & Mores at POR.io Enter Number 6644 in the Search Area

20

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 20

7/18/19 4:39 PM

6646

6645

#5316

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

2019 Issue 7.indd 21

7/18/19 4:39 PM

2019 Issue 7

PHYSICIANS office RESOURCE

VALUE BASED MEDICINE AND MOBILE TECHNOLOGY Irwin Z. Rothenberg, MBA, MS, CLS(ASCP) Technical Writer /Quality Advisor, COLA Resources, Inc.

The convergence of two powerful forces are changing the practice of laboratory medicine in ways never imagined a generation ago. These twin forces are the movement to value-based healthcare from the fee-for-service model, and the rapid development of mobile technology allowing for continuous healthcare monitoring of patients beyond the clinical setting.

The central focus of value-based medicine is increasing the value of medical services provided for patients based on the health outcomes achieved per dollar spent. The goal is to achieve good outcomes efficiently. This is the most effective way to truly contain health care costs. Achieving and maintaining good health is inherently less costly than dealing with poor health; reminiscent of the old adage “an ounce of prevention….”

Laboratories can impact the value proposition by increasing the speed and accuracy of correct diagnoses, monitoring patient health to prevent disease, providing rapid turnaround times that allow reduction in length of hospital stays, and promoting the most appropriate test selection options with applicable interpretations in order to help avoid adverse events and point to the most appropriate treatment protocol. Translating concept into practice, however, can be challenging. Generally, the biggest hurdle 22

is obtaining the necessary data, which must be in the right format and of sufficient quality for decision makers to gain the medical information they need.

This is why Point of Care testing (POCT) has become the fastest growing area of laboratory medicine; bringing laboratory testing conveniently and immediately to the patient. The new technology is the merger of molecular biology, information technology, and biomedical engineering. POCT increases the likelihood that the patient, physician, and care team will receive the results sooner, which allows for immediate clinical management decisions to be made. With fast turnaround times and portability to a variety of settings, POCT offers many advantages for disease management. It enables migration of testing from core hospital labs to specialty-care units, doctors’ offices, retail settings, and homes to provide access to healthcare services, thus improving patient compliance, reducing hospital stays, and lowering overall healthcare costs.

It is this need for immediacy in data collection and dissemination that is further driving mobile technology past POCT to wearable devices that monitor everything from glucose levels to cardiac function. This cuts costs, as well as increases connectivity and provides the platform for shared medical data in real time.

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 22

7/18/19 4:39 PM

This system allows patients to be constantly followed, alerting them and their providers when health issues are amiss. We are moving rapidly from POCT in the context of portable bedside devices run by medical personnel, to portable devices run by the patient, and now, wearable devices worn by the patient for continuous monitoring. These are fed back to healthcare providers, information is tracked on a continuous basis, allowing assessments of the effectiveness of medication and treatment.

Wearable Digital Technology: Coming to a Joint near you This new mobile technology is based on the same mobile platforms for smart phones and tablets. It is expected that mobile technology will enable virtually universal quality, cost-effective, preventable healthcare even in lesser developed countries, in much the same way that mobile phone technology has allowed countries to leapfrog beyond land-line phones to the cell phone era and all its possibilities.

It is now clear that the technology industry sees medicine as the next frontier for exponential growth. Companies such as Apple, Google, Microsoft and Samsung and hundreds of start-ups also see the market potential — and have big plans. This is happening because several technologies such as computers, sensors, robotics and artificial intelligence are advancing at exponential rates.

Their power and performance are increasing dramatically as their prices fall and their dimensions shrink.

We will soon have sensors that monitor almost every aspect of our body’s functions, inside and out. They will be packaged as wearables, as watches, adhesive bandages, clothing and contact lenses. They will be in our toothbrushes, toilets and showers. They will also be embedded in smart pills that we swallow. The data from these will be uploaded into cloud-based platforms Artificial intelligence-based apps will constantly monitor our health data, predict disease and warn us when we are about to get sick. They will advise us on what medications we should take and how we should improve our lifestyle and habits.

All this will translate to improved patient care through patient centered preventive medicine at reduced cost, and to the more efficient treatment of both acute and chronic

illnesses; the very definition of quality care.

A report by PricewaterhouseCoopers’ Health Research Initiative (HRI) evaluated the benefits of wearable digital technology and “It is this need for immediacy in devices. These data collection and dissemination include:

that is further driving mobile technology past POCT to wearable devices that monitor everything from glucose levels to cardiac function. This cuts costs, as well as increases connectivity and provides the platform for shared medical data in real time.”

1. Moving diagnostic testing of basic conditions into the hands of patients: Close to 42% of Irwin Z. Rothenberg physicians are comfortable relying on at-home test results to prescribe medication.

2. Increasing patient-clinician interaction: Half of physicians said that e-visits could replace more than 10% of in-office patient visits, and nearly as many consumers indicated they would communicate with caregivers online.

3. Promoting self-management of chronic disease using health apps: 28% of consumers said they have a healthcare, wellness, or medical app on their mobile device, up from 16% last year. Nearly 66% of physicians would prescribe an app to help patients manage chronic diseases such as diabetes.

4. Helping caregivers work more as a team: 79% of physicians and close to 50% of consumers believe using mobile devices can help physicians better coordinate care.

It’s clear from HRI’s report that major stakeholders in the healthcare industry including hospitals, insurers and the pharmaceutical industry all believe that major changes will occur in how healthcare is delivered.

However, there are several potential barriers that may inhibit or delay the implementation of this new paradigm of healthcare. These include issues of security, privacy, consumer consent, data-sharing, fragmented workflows and digital buy-in.

The Impact of Mobile Technology on the Laboratory These trends portend a future of value-based medicine involving widespread use of remote monitoring of almost everyone, throughout their lives: preventive medicine to spot health issues before they arise (for example, based on genomic studies showing potential for disease occurrence), as well as for ongoing monitoring of chronic medical conditions...

Read this and other articles at www.PhysiciansOfficeNews.com

2019 Issue 7.indd 23

23

7/18/19 4:39 PM

2019 Issue 7

PRODUCTFOCUS 6647

DEFINING MOBILE TELEDIAGNOSTICS

PHYSICIANS office RESOURCE

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 medical-grade devices with state-of-theart HD video and EHR connectivity. Physicians can provide care remotely that is on par or better than a face-to-face visit, including conducting basic exams, checking vitals, and performing specialty testing— shattering the boundaries of traditional care.

View Brochures, Videos & Mores at POR.io Enter Number 6647 in the Search Area

6648

OPTIMIZE PRODUCTIVITY AND EXPAND YOUR PRACTICE From MedPod

The Medpod Medical Cart optimizes productivity and load balancing by enabling access to remote physicians during high volume periods or to reach low-density 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 real-time or stored and forwarded into the EHR by either remote or local provider.

View Brochures, Videos & Mores at POR.io Enter Number 6648 in the Search Area

6649

ACCURATE, ACTIONABLE RESULTS FROM THE LEADER IN POINT-OF-CARE LIPID TESTING 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 & Mores at POR.io Enter Number 6649 in the Search Area

24

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 24

7/18/19 4:39 PM

MDescapes

FOUR SEASONS ANGUILLA

Sun-seeking vacationers eager to learn more about Caribbean island culture while unwinding on the property’s luxurious white sand beaches and tranquil blue waters will find plenty of reason to celebrate on Anguilla this summer.

The Experience Anguilla package provides extra value with a fifth night free plus all the following:

Complimentary daily breakfast in Coba for 2 (per bedroom) Complimentary Kids For All Seasons activities Children under 12 eat free with each paying adult Rates starting at USD 550 for a Resort View

Additional Details at MyMDescapes.com

June 2019

• • • •

FOUR SEASONS ORLANDO Within the gates of Walt Disney World ® Resort, discover Central Florida’s only resort to receive the coveted AAA Five Diamond Award. A perfect blend of Four Seasons experiences and Disney offerings––for family time, for romance, or special events. Create a Four Seasons-only getaway in Orlando, with golf, spa, dining and a fun-filled island for kids, or make the Resort your base for a Disney adventure. No one brings dreams to life quite like Four Seasons and the magic of Disney.

Additional Details at MyMDescapes.com

$50 Daily Resort Activities Credit!

FOUR SEASONS COSTA RICA Nestled on a Pacific coast hillside and overlooking golden sand beaches, Four Seasons Resort Costa Rica at Peninsula Papagayo is your premier eco-adventure destination. This year, join us to experience Costa Rica’s renowned “pura vida” lifestyle and our exciting renovation. The Resort’s 181 guest rooms, suites and residences capture the exotic character of Costa Rica, with comfortable rattan and bamboo furnishings, local artwork and indigenous wood and stone finishes.

Additional Details at MyMDescapes.com

Reserve 5 Nights in Luxurious Accommodations and Receive 2 Additional Nights On Us!

FOUR SEASONS PUNTA MITA Sunshine and perfect temperatures year round, a secret landscape of astonishing beauty and the Pacific Coast’s most scenic beach. This and much more awaits you at Four Seasons Resort Punta Mita. With 173 rooms including 32 suites (all suites with private plunge pools), an option for everybody is available. In addition, Four Seasons private 4 and 5 bedroom Villas offer the true home away from home experience.

Additional Details at MyMDescapes.com

Receive a Third Night in Luxurious Accommodations FREE with Every Two Consecutive Paid Nights!

2019 Issue 7.indd 25

All offers on this page are subject to availability at the time of reservation. Limited Time Only. Offers may not be combined with any other promotions/program benefits/offers/savings. Subject to change without notice.

7/18/19 4:39 PM

2019 Issue 7

PRODUCTFOCUS 6650

FIRE YOUR FINANCIAL ADVISOR

PHYSICIANS office RESOURCE

From White Coat Investor

Fire Your Financial Advisor is the course that should’ve been taught to you in college, medical school, or residency but never was. For 1/10th the price and half the time of hiring a professional financial planner, this course will take you from feeling anxious and having no plan to having a written financial plan you can follow the rest of your investing career as a professional and a retiree. Topics covered include insurance, investing, retirement planning, and much more. Learn more at whitecoatinvestor.com.

View Brochures, Videos & Mores at POR.io Enter Number 6650 in the Search Area

6651

PENTRA XLR HEMATOLOGY ANALYZER WITH 5-PART DIFFERENTIAL From HORIBA Medical

The Pentra XLR hematology analyzer with autoloader provides a CBC with 5-part Diff result using proprietary technology that ensures an accurate count and differential on the first run. The Pentra XLR also provides a complete menu of Retic parameters for treating oncology and anemia patients. The autoloader processes 80 samples an hour and provides random continuous access for mediumto high-volume clinics and rural or community hospitals.

View Brochures, Videos & Mores at POR.io Enter Number 6651 in the Search Area

6652

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

View Brochures, Videos & Mores at POR.io Enter Number 6652 in the Search Area 26

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 26

7/18/19 4:39 PM

YOU BELONG AT FOUR SEASONS ANGUILLA OWNERSHIP AS EASY AS THE ISLAND ITSELF Here on the welcoming island of Anguilla, the turquoise water and azure blue sky meet in harmonious accord. You anticipate the peace of Anguilla before you ever get on the plane, and upon arrival your remaining cares simply roll away with the Caribbean tide. World-renowned Four Seasons service and carefree luxury are yours to enjoy. We welcome you home. You belong.

DELUXE STUDIOS TO 5 BEDROOM VILLAS FROM $825,000 TO OVER $10 MILLION TO FIND OUT MORE OR PLAN A DISCOVERY WEEKEND, CALL +1 800 901 7079 OR EMAIL US AT INFO@ANGUILLAPRIVATERESIDENCES.COM

AnguillaPrivateResidences.com

This offer is not directed to residents in any state in which a registration is required but in which registration requirements have not yet been met, including, but not limited to, New Jersey. Recreational features and amenities described herein are subject to change periodically. Warning: the California Department of Real Estate has not examined this offering, including, but not limited to, the condition of title, the status of blanket liens on the project (if any), arrangements to assure project completion, escrow practices, control over project management, racially discriminatory practices (if any), terms, conditions, and price of the offer, control over annual assessments (if any), or the availability of water, services, utilities, or improvements. It may be advisable for you to consult an attorney or other knowledgeable professional who is familiar with real estate and a law in the country where this subdivision is situated. In New York, the complete offering terms are in an offering plan available from sponsor.

File no. CD11-1029 (Resort Residences) and fi le no. H11-0007 (Villas).

Four Seasons Private Residences Anguilla are not owned, developed or sold by Four Seasons Hotels limited or its affi liates (Four Seasons). The developer, an affi liate of Starwood Capital Group, uses the Four Seasons trademarks and tradenames under a license from Four Seasons Hotels limited.

The marks “FOUR SEASONS,” “FOUR SEASONS HOTELS AND RESORTS,” any combination thereof and the Tree Design are registered trademarks of Four Seasons Hotels Limited in Canada and U.S.A. and of Four Seasons Hotels (Barbados) Ltd. elsewhere. © 2019

2019 Issue 7.indd 27

7/18/19 4:39 PM

DRUGS OF ABUSE TESTING AND ROUTINE CHEMISTRY PANELS ON A SINGLE ANALYZER

6653

From Carolina Liquid Chemistries

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

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 & Mores at POR.io Enter Number 6653 in the Search Area

IDEAL SYSTEM FOR LOW-TO-MODERATE VOLUME LABORATORIES

6654

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 & Mores at POR.io Enter Number 6654 in the Search Area

6655

CLIA-WAIVED COMPREHENSIVE METABOLIC PANEL From Abbott Point of Care

The Piccolo Xpress™ point-of-care chemistry analyzer delivers comprehensive CLIA waived diagnostics to Physician Offices. In 3 easy steps, the Piccolo provides lab-accurate results in minutes from a menu of 29 general chemistry tests, including lipids, liver, kidney, metabolic and other specialty functions. By using only 100 microliters of whole blood, serum or plasma - physicians can make confident treatment decisions faster, thereby increasing the efficiency, throughput and capacity of their practice, while also increasing revenue and ensuring patient satisfaction.

View Brochures, Videos & Mores at POR.io Enter Number 6655 in the Search Area

28

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 28

7/18/19 4:39 PM

Systems for Clinical Laboratories, Large and Small CHEMISTRY

IMMUNOASSAY

HEMATOLOGY

SMALL PRACTICES / BENCHTOP

6656

Chemistry: Up to 240 photometric tests/hr; 400 tests/hr with ISE

6657

6658

BC-3600 Immunoassay: Up to 36 tests/hr

Hematology: Up to 60 samples/hr 3-Part Diff

MIDSIZE GROUP PRACTICES 6659

6660

6661

BC-5390 Chemistry: Up to 400 photometric tests/hr; 800 tests/hr with ISE

With 9-Tray Sorter Immunoassay: Up to 90 tests/hr

Hematology: Up to 60 samples/hr 5-Part Diff

LARGE GROUP PRACTICES AND SMALL HOSPITALS 6662

6663

6664

BC-5390 Chemistry: Up to 900 photometric tests/hr; 1,200 tests/hr with ISE

With 19-Tray Sorter Immunoassay: Up to 90 tests/hr

Hematology: Up to 60 samples/hr 5-Part Diff

www.carolinachemistries.com contactsales@carolinachemistries.com

877-722-8910 888-442-8303 POR_back_cover_ad.00 JUN 2019

2019 Issue 7.indd 29

7/18/19 4:39 PM

6665

CLIA-WAIVED BIOFIRE® FILMARRAY® RESPIRATORY PANEL (RP) EZ

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

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 & Mores at POR.io Enter Number 6665 in the Search Area

6666

BIOFIRE® FILMARRAY® TORCH From BioFire

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.

View Brochures, Videos & Mores at POR.io Enter Number 6666 in the Search Area

6667

LAB-ACCURATE RESULTS FOR ACR AND HBA1C 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 & Mores at POR.io Enter Number 6667 in the Search Area

30

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 30

7/18/19 4:39 PM

6670

6672

6676

6680

6684

2019 Issue 7.indd 31

6671

6669

6668

6673

6675

6674

6677

6681

6685

6679

6678

6682

6686

6683

6687

7/18/19 4:39 PM

6688

SELF-CONTAINED DIAGNOSTIC WORKSTATION From Vitalograph

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.

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

View Brochures, Videos & Mores at POR.io Enter Number 6688 in the Search Area

6689

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 timesensitive tests at the patient’s side in just minutes.

View Brochures, Videos & Mores at POR.io Enter Number 6689 in the Search Area

6690

THE RX IMOLA 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 & Mores at POR.io Enter Number 6690 in the Search Area 32

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 32

7/18/19 4:39 PM

How can something so small be so BIG? MIZE

 MIZE THE HASSLE OF ESR TESTING IN YOUR LAB

6691

Fast, accurate, and reliable results in just 15 seconds directly from the primary EDTA tube.

ALCORSCIENTIFIC.COM

2019 Issue 7.indd 33

7/18/19 4:39 PM

6692

THE RX DAYTONA+ From Randox

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.

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

View Brochures, Videos & Mores at POR.io Enter Number 6692 in the Search Area

6693

PENTRA C400 CHEMISTRY ANALYZER From HORIBA Medical

One benchtop, not a whole lab! No water system, drain or special electrical connected required to operate the Pentra C400 chemistry analyzer. Now you can have the power of a floor model analyzer on the benchtop! The Pentra C400 chemistry system processes up to 420 tests/hr including ISEs and offers routine metabolic assays, TDMs, DAUs and Adulterants, HbA1c and Vitamin D tests. With 40 open channels, you can add much more for a complete menu to meet your practice needs.

View Brochures, Videos & Mores at POR.io Enter Number 6693 in the Search Area

SPOTCHEM™ EZ CHEMISTRY ANALYZER 6694

From Jant Pharmacal

SPOTCHEM™ EZ chemistry analyzer is a small bench top chemistry analyzer that utilizes dry chemistry technology to test whole blood. Results are available on the SPOTCHEM™ printer or downloaded via LIS. SPOTCHEM™ is ideally suited for small laboratories and physician offices that desire an easy-to-use analyzer with a small footprint. Maximum throughput is 48 tests per hour.

Test menu includes 21 tests and 3 panels. Tests whole blood, serum or plasma with rapid results within 4 – 15 minutes. Extensive CLIA-waived menu, includes lipid panel, creatinine, AST, ALT, glucose, and 2 chemistry panels. Automatic calibration.

View Brochures, Videos & Mores at POR.io Enter Number 6694 in the Search Area 34

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 34

7/18/19 4:39 PM

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.

www.survey.por.io 2019 Issue 7.indd 35

7/18/19 4:39 PM

2019 Issue 7

PHYSICIANS office RESOURCE

5 MUST-HAVES FOR GREAT PHYSICIAN ONLINE PROFILES Brian R. Dooley, an expert in Digital Marketing, Reputation Management, and the Founder of Independence Digital – a marketing firm for medical practices.

Patients have a lot of choices when it comes to physicians. Making sure your online profile is up to date, complete, and contains these five items will improve the chances that a website visitor will become a patient.

lot of patients with kidney stones. They can be really painful, but we have several treatments available that can provide relief in a matter of hours. One of the best parts of my job is seeing the look of relief on a patient’s face when their pain has disappeared.”

Create a personal connection. Having good rapport with patients is important, and that process starts before patients ever walk in the door.

Professional photo. For under $200, you can find a local photographer that can take a professional headshot for your profile. This picture will be viewed thousands of times and may last several years, so it’s worth the minimal investment up front to make sure it’s nice.

How often have you seen a physician bio that only contains a single, humanizing detail in the last sentence: “Dr. John lives in Washington, DC with his wife, Karen.” Some physicians may be hesitant to provide personal info, that shouldn’t stop you from sounding personable in your profile.

To create a stronger chance of a connection, providers should consider adding interests and activities outside of work: “When he’s not at work, Dr. John enjoys cheering on the Chicago Cubs,” with a small photograph of him and his family at the ballpark.

Another consideration to sound more personable is to include quotes and conversational language in your profile. Instead of saying, “Dr. John specializes in kidney stones,” include a quote that says, “I treat a 36

Patients often make judgments, fairly or not, about the quality of medicine based on appearances. Make sure your appearance is top notch.

It may seem trivial, but make sure you’re smiling in your photo. Much research has been done on the power of a smile to increase trust, which is imperative in the doctor/patient relationship.

Special training, specialties, areas of interest. If you have special training or expertise in an area, be sure to include it in your bio. Patients prefer to see someone who has advanced knowledge or expertise that can help them.

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 36

7/18/19 4:39 PM

If you’re just getting started and have a preference for certain disease states, include that in your profile. It will help steer the patients you want into your practice.

Awards and recognition. Honors like, “Doctor of the Year,” and “Best Plastic Surgeon — Chicago Tribune,” are beneficial to include in your online profile. Having “MD” or “DO” behind your name builds authority, and adding awards and recognition will build even more.

Location and contact information. Most providers will have a separate contact page, but in addition to that, each provider profile should have their location and contact numbers. Especially if they practice at more than one location.

This makes the patient experience more seamless.

A provider’s profile page will likely be the first Google result for their name, and contacting that physician for an appointment or question are

among the most common reasons patients visit a medical provider’s website.

Call to action. For most providers, the logical next step is to request an appointment with the provider. To make this easier on the patient, the call-to-action should be very clear. It might be an appointment line phone number “Create a personal conimmediately after nection. Having good rapthe bio, a “Book Now” button port with patients is imthat takes you to portant, and that process an online form starts before patients ever and contact info, etc. It should walk in the door.” be immediately obvious to the Brian Dooley patient what they should do next.

Implementing these points in your physician profile will put you in the top tier of providers who have taken the time to improve the message they are sending to prospective patients.

Read this and other articles at www.PhysiciansOfficeNews.com 2019 Issue 7.indd 37

37

7/18/19 4:39 PM

6695

TURN SMALL PLACES INTO SMART SPACES From Abbott

With reduced budgets, shrinking laboratory space and staffing challenges, many laboratories need a solution that lets them work smarter with less. The CELL-DYN Emerald 22 AL is a full performance, automated optical 5-part differential analyzer that delivers smarter results for small to midsize clinical laboratories.

• Compact Design • Walkaway Functionality • Ease Of Use • Smart Safety Features

PHYSICIANS office RESOURCE

2019 Issue 7

PRODUCTFOCUS

View Brochures, Videos & Mores at POR.io Enter Number 6695 in the Search Area

6696

“ mInIIMIZE THE HASSLE OF ESR TESTING IN YOUR LAB

From ALCOR

miniiSED™ is the newest of the iSED® family of ESR analyzers from ALCOR Scientific. The miniiSED™ measurement of ESR is accurate and unaffected by variables associated with traditional methodologies, such as hematocrit. This single position, fully automated ESR analyzer works directly from primary EDTA tubes, requires 100 μL of sample, has an internal barcode reader, and produces results in 15 seconds! miniiSED™ is the ideal solution to ESR testing for small laboratories, POL’s, and emergency clinics. Proudly manufactured in the USA.

View Brochures, Videos & Mores at POR.io Enter Number 6696 in the Search Area

6697

PENTRA 60 C+ HEMATOLOGY ANALYZER WITH 5-PART DIFFERENTIAL From HORIBA

Now you can have the same results hospitals and reference labs provide in a small, benchtop analyzer. The Pentra 60 C+ hematology analyzer provides a CBC with 5-part differential result using proprietary technology that ensures an accurate count and differential on the first run.

Reduce repeats and reflex to the microscope with Pentra hematology technology.

View Brochures, Videos & Mores at POR.io Enter Number 6697 in the Search Area

38

www.PhysiciansOfficeResource.com

2019 Issue 7.indd 38

7/18/19 4:39 PM

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.†

6698

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 2019 Issue 7.indd 39 BDVeritor_ad_PhysicianOfficeResource.indd 1

www.PhysiciansOfficeResource.com 7/18/19 4:39 PM 11/5/18 1:17 PM

Is it Pain Management or Abuse of a Drug?

Take the guesswork out of your day by quickly and easily screening your patients using the automated Clinical Chemistry Syst em Chemistry System The Pentra C400 provides: • A comprehensive Drugs of Abuse menu, including: Creatinine, pH and Specific Gravity adulterant tests to ensure sample integrity • Fast and accurate results while you see the patient • Information to help implement specific pain management or drugs of abuse treatment plans • An easy to run format to meet your testing needs Consulting Services Available Do you need help setting up a Drugs of Abuse testing program at an affordable price? HORIBA Medical will connect you with industry-leading teams to help you get started.

A consultant will help you with the following: • Assist with the licensure application process, if required • Establish testing policies and procedures • Provide director-level oversight as needed • Support your business when you're up and running

6699

Pentra C400 Chemistry Analyzer

A compact benchtop analyzer to handle your drugs of abuse testing needs.

No special water/waste, electrical, or space requirements needed.

Contact your HORIBA Medical Representative for more information Explore the future 2019 Issue 7.indd 40

medical-marketing.us@horiba.com • (888) 280-1401 • www.horiba.com 7/18/19 4:39 PM