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  Medical Staff Updates

AudioDigest Platinum – NEW to our electronic Medical Library – Earn CME and MOC credits in your car on the way to work or from your laptop at home!

by jmiller on September 13, 2017

AudioDigest Platinum allows for unlimited CME with institutional access to 16 medical specialties.  Listen to lectures on the go with the Audio Digest Mobile app available on Apple iTunes or Google Play.  Customize auto-loading playlists tailored to an individual user’s areas of interest.  Current clinical updates, best practice, and MOC activities.  Obtain your username and password through the Medical Library on the Intranet. Please register ensuring the previous user is logged out if you are on a shared computer.   Questions:  Call Joyce Miller, 443.481.4877.  Click here to view flyer.

JAMA Clinical Guideline Symposia: Routine preoperative laboratory tests for elective surgery

by jmiller on August 8, 2017

Major recommendations: For ASA grade 1 or 2 patients undergoing minor surgery, do not routinely offer preop tlab tests.  For ASA grade 3 or 4, consider renal function testing in patients at risk of acute kidney injury.  For ASA grade 1 patients undergoing intermediate surgery do not routinely offer any preop lab tests.  For all patients undergoing major or complex surgery, offer preop lab testing with CBC counts and renal function.  Consider coagulation testing in ASA grade 3 or 4 patients with chronic liver disease or taking anticoagulants.  Click here to read full text.

In the news: Longer sleep is associated with lower BMI and favorable metabolic profiles

by jmiller on August 2, 2017

“After adjustment for age, ethnicity, sex, smoking, and socioeconomic status, sleep duration was negatively associated with body mass index, waist circumference, and positively associated with body mass index, waist circumference, and positively associated with high-density lipoprotein cholesterol.  Sleep duration tended to be positively associated with free thyroxine levels and negatively associated with HbA1c and CRP.  Findings show that short-sleeping adults are more likely to have obesity, a disease with many comorbidities.  (PLOS, July 27) Click here for full text.

In the news: Coffee drinking and mortality in 10 European countries; Association of coffee consumption with total and cause-specific mortality among Nonwhite populations; and Association of coffee drinking with total and cause-specific mortality

by jmiller on July 12, 2017

“Coffee consumption was inversely associated with total and cause-specific mortality.  Higher consumption of coffee was associated with lower risk for death in African Americans, Japanese Americans, Latinos and whites.  Bottom line:  “Although drinking coffee cannot be recommended as being good for your health on the basis of these kinds of studies, the studies do suggest that for many people, no long-term harm will result from drinking coffee.”  Two of these studies are from the most recent posting in Ann Intern Med, and one from NEJM.  Click here to read full-text.

Collaborative Care Network Update

by Medical Staff Office on April 19, 2017

Chaired by Robert Hanley, MD, of Anne Arundel Urology, the Collaborative Care Network (CCN) is our local, physician-led platform that allows the health system to join forces with independent and employed physicians to share data, resources and opportunities to improve care, create efficiencies, and demonstrate the value that an integrated, cohesive medical community can deliver. The CCN is the platform that helps practices prepare for voluntary, local Advanced Alternative Payment Models (AAPMs) as they become available over time.

The CCN’s board, committees and staff have worked tirelessly to build our foundation. In the past year we have:

  • Signed 630 members, representing 73 primary care and specialty practices within our community.
  • Hosted educational events to prepare our medical community for MACRA, MIPS and AAPMs.
  • Provided care coordination resources to our membership such as:
    • On-call care management.
    • Behavioral health navigation.
    • Care alerts.
    • Community-based care management.
    • Home-based primary care services.
  • Engaged in conversations with commercial insurers to discuss value-based and shared savings contracts for CCN members.
  • Developed clinical integration measures to help us learn about the populations we serve, set the foundation for and identify opportunities for clinical transformation, and demonstrate the value of our network.
  • Created data analytics tools and processes for collecting shared data.
  • Prepared for participation and success in AAPMs being developed at the federal and state levels.

The CCN will continue to aggressively move forward to accomplish our objectives:

  • AAHS and clinicians together taking responsibility for the cost and quality of care for populations.
  • Better coordination of care across settings and clinicians.
  • More effective management of chronic disease by both clinicians and patients.
  • Measurable improvement in health outcomes.
  • Successful performance in pay-for-value programs.
  • Building a “community of practice” recognized and preferred by patients.

 

For more information on the CCN, or to learn how your practice can join, please contact Renee Kilroy at rkilroy@aahs.org or 443-481-6619.

Introduction to AAMG Neuropsychology Specialists

by Medical Staff Office on March 28, 2017

Dear colleagues,

I am writing to introduce myself and my practice, AAMG Neuropsychology Specialists, as a new resource for your respective practices. The focus of my practice is assessment of acquired cognitive impairment or cognitive complaints in the context of established medical and neurologic illness. Referrals most commonly involve:

  • Differential diagnosis of mild cognitive impairment, other memory disorders and dementias
  • Characterization of cognitive impairment in the context of:
    • Stroke or other cerebrovascular conditions
    • Epilepsy
    • Parkinson’s disease or other movement disorders
    • Multiple sclerosis
    • Cancer, both brain and non-brain
    • Traumatic brain injury
    • Cardiovascular disease/diabetes
    • Post-surgical cognitive changes

My practice is limited to adults/geriatrics ages 18 and up. Referral questions regarding new-onset or acquired cognitive impairment, meaning that when the referral reason is developmentally focused (e.g., learning disability, ADHD, autism, or pervasive developmental disorders) or psychiatrically focused (e.g., differential diagnosis of personality or psychiatric disorder), these referrals are best directed to a pediatric/lifespan neuropsychologist or general clinical psychologist, respectively. Below I have listed resources for both of these referral types:

  • Pediatric neuropsychologist:
    • Kennedy Krieger Neuropsychology Department: 443-923-9400. Locations in Columbia and Baltimore.
    • Thinking Tree Psychology: 443-906-1132. Located in Severna Park, does not accept insurance.
  • General clinical psychologist and lifespan neuropsychologist:
    • PsychCare Psychological Services: BaltimorePsychologist.com. Locations in Columbia, Silver Spring and Baltimore.

I look forward to assisting with any patients you send my way. If you have any questions, please do not hesitate to contact me directly at cwendell@aahs.org or 443-481-1994.

 

Sincerely,

Carrington R. Wendell, Ph.D.

Neuropsychologist

Anne Arundel Medical Group

Belcher Pavilion, 5th Floor

www.MyAAMG.org/neuropsychology-specialists

Appointments: 443-481-1270

Fax: 443-481-1480

 

CCN Partners with Health Visions Delmarva – a Practice Transformation Network

by Medical Staff Office on March 28, 2017

The AAMC Collaborative Care Network (CCN) has partnered with Health Visions Delmarva Practice Transformation Network in order to help our network accomplish our goals. Health Visions Delmarva (HVD) is able to provide support to our member practices with 2017 MIPS reporting, but that is just one small part of why the CCN chose to work with HVD. HVD will assist our clinicians in changing the way care is delivered by integrating quality and process improvements to build on and spread existing change methodologies, practice transformation tools, published literature, key learnings, and technical assistance programs. HVD is not a quality data or registry vendor. They will not do your MIPS reporting for you. They are 1 of 29 organizations that CMS has funded to provide support to clinicians across the country to prepare for payment reform.

Care redesign – this is how we will accomplish our CCN aims and be successful in future Advanced Alternative Payment Models (AAPMs) and value based contracts.  This is how we will build and sustain a thriving medical community.

Participation with HVD is an opportunity available to CCN member practices. If you are a member, please complete the CCN – Practice Transformation Enrollment Form and return it to aamccollaborativecarenetwork@aahs.org. If you are not yet a CCN member, but would like more information about how to join, please contact Renee Kilroy at rkilroy@aahs.org or 443-481-6619.

Opioid-prescribing patterns of emergency physicians and risk of long-term use

by jmiller on March 15, 2017

Article concludes: “Wide range of opioid prescribing existed among physicians practicing within the same emergency department, and rates of long-term opioid use were increased among patients who had not previously received opioids and received treatment from high-intensity opioid prescribers.”  (NEJM, Feb 16)  Click here to read full text.

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