Volume 2 urology. MAY – JUNE 2013 The Prostate Screening and Awareness Program recently screened its 80,000th patient. page 3 orthopedics. Classes for the Joint Academy are now in session at Methodist Mansfield. page 4 legal. What you need to know about HIPAA’s Final Omnibus Rule. page 6 A n e w s l e t t e r f o r p h y s i c i a n s o n t h e M e t h o d i s t m e d i c a l s ta f f From the desk of Methodist’s CMO Medicine is more complex now than when we trained. Technology has advanced. Diagnostic and treatment modalities Adam L. Myers, have improved. Our MD, senior vice practice patterns will president and soon no longer align with chief medical officer, Methodist the new system of Health System payment that will emphasize longitudinal management over episodic care. As all of these changes occur, it becomes all the more important that we remember the basics. Playing well with others and doing the right thing as a citizen of the medical staff will never go out of style. Over the next few editions of Progress Notes, I will highlight some of the expectations we all agreed to when joining the medical staff. I hope we will each take a moment to evaluate where gaps between the expectations and our own individual performance have crept in. MPCACO reports on quality, recruits care navigators The Medicare Shared Savings Program featured an emphasis on quality by requiring reporting on 33 quality measures in the first year. Audits were conducted from February through April. In total, the audit team reported on 3,400 patients. Gathering the data required the audit team to visit nontraditional locations, such as nursing homes, and took more than 2,200 hours. Methodist Health System Assistant Vice President Managed Health Care Dawn Gulley and her team want to thank all of the physicians who graciously helped the audit team gather the required information. The Methodist Patient-Centered ACO (MPCACO) hired its ACO clinical director, Purity Nagaya, RN, BSN, and the first two care navigators, Colleen Holliday, MHA, BSN, and Regina Wren, BSN. Our care navigators will each initially work with a case load of approximately 100 of our chronically ill ACO beneficiaries, helping guide them through the health care continuum. Beneficiaries are identified through predictive modeling tools using claims history, chronic conditions, and gaps in care. MORE ABOUT MPCACO. For more information, email methodistACO@mhd.com or visit MethodistHealthSystem.org/ACO. Methodist CHARLTON New program benefits 100th open heart surgery patient Email me Progress Notes! If you would prefer to receive Progress Notes only as an electronic PDF and not as a hard-copy newsletter, please send an email to: Methodist Charlton: billschneider@mhd.com Methodist Dallas: christimjohnson@mhd.com Methodist Mansfield: bridgetflaherty@mhd.com Methodist Richardson: emilyedwards@mhd.com In the short time since the Methodist Charlton Medical Center open heart surgery program began, the program has exceeded expectations, with more than 100 surgeries performed in just 15 months. The 100th patient was Samuel Ramos, DDS, area dentist and Duncanville resident. Dr. Ramos has a long, endearing relationship with Methodist Charlton. All six of his children were born at Methodist Charlton, and he had been a member of the Methodist Charlton Fitness Center and Fit Zone for several years. Upon the recommendation of his cardiologist, Ravi Chandrasekhara, MD, Dr. Ramos underwent a heart catheterization that revealed blockage in his coronary arteries. Thoracic surgeon John Jay, MD, performed his surgery. Dr. Ramos, who says everything turned out “better than he could have imagined,” was back to work part time four weeks after his surgery and full time the fifth week. Methodist Charlton New sleep diagnostic center opens on campus The Methodist Charlton Medical Center Sleep Diagnostic Center recently opened to diagnose and treat sleep disorders in adults and children. A sleep specialist will monitor the patient’s breathing, brain waves, heart rhythm, oxygen levels, and body movements. A credentialed registered polysomnographic technologist will score the study promptly, then forward it to the physician. The information from the study will enable doctors to interpret the patient’s quality of sleep and identify any problems. The Sleep Center is located in POB 1, Suite 309. William Hwang, MD, is the medical director. For more information, contact John Kuzma, director, respiratory therapy, at Methodist Charlton, by calling 214-947-0575, faxing to 214-947-7304, or emailing johnkuzma@mhd.com. Check out ‘What’s New’ in UpToDate® UpToDate is updated regularly based on a continuous comprehensive review of more than 460 peer-reviewed journals, clinical databases, and other resources. Updates are integrated carefully, with specific recommendations as to how they should be applied clinically and after extensive peer review. UpToDate’s editorial team shares these updates with clinicians via the “What’s New” section, which is organized by specialty. To view recently updated topics, click on the “What’s New” tab and then on the specialty you’re interested in. Or simply type “What’s New” into the search box after you have logged in to UpToDate. ® Imp@ct: Helping you manage medical information The Imp@ct core team is an enterprise-wide multidisciplinary workgroup that has been meeting weekly since the summer of 2012. The team has incorporated group facilitation methods and used workflow analysis to understand current electronic health record (EHR) processes. Consensus-building tools have assisted the team in enhancing and designing electronic orders in preparation for a clinicianfriendly implementation of computerized physician order entry (CPOE). We have been: • Identifying the needs of our providers • Decreasing clicks and improving ease of use to enhance end-user satisfaction • Incorporating improved clinical decision support into order designs to help deliver safer care to our patients • Eliminating duplications and streamlining confusing electronic orders. Projects have included: • Emergency department (ED) CPOE order set optimization • ED electronic physician documentation • ACT Fast rapid remote access for physicians • UpToDate remote access for physicians, plus CME credits • UpToDate embedded search in Meditech and NextGen • Meditech special panels (e.g., liver transplant panel). Inpatient CPOE will increasingly be the way we do care at Methodist Health System. STAY UPDATED. Read the latest about Imp@ct projects in the Imp@ct blog, available from the intranet home page, from the ACT Fast physician remote access portal, and from a link deployed to all clinical desktops. 3 Methodist facilities win Reader’s Choice awards Methodist Charlton Medical Center, Methodist Mansfield Medical Center, and the Methodist Charlton QuickCare Clinic were honored with 2013 Reader’s Choice Awards. The QuickCare Clinic was voted Best Medical Facility, Methodist Mansfield was voted Best Maternity Ward, and Methodist Charlton was voted Best Hospital. The Reader’s Choice Awards are presented by the DeSoto Chamber of Commerce in partnership with Focus Daily News. Consumers throughout Dallas and northern Ellis counties vote for their favorite organizations, businesses, and services throughout the Best Southwest. Methodist RICHARDSON Dr. Schneider receives Volunteer of the Year award Congratulations to Allen Schneider, DO, who was recently named Primary Allen Schneider, DO Care Physician Volunteer of the Year. An article on Dr. Schneider appeared in the Dallas Medical Journal, where he was featured on the front cover. 2 maY – JUNE 2013 Progress Notes WE’RE WELL ON OUR WAY: The above photograph of the Methodist Richardson Medical Center – Bush/Renner expansion is from April 24. To follow our progress, visit earthcam.com/clients/ mrmc-bushrennerhospital. 2013 Folsom Award to benefit emergency, trauma care The Rev. Ricky D. Hill is the 80,000th man to be screened by Methodist’s Prostate Screening and Awareness Program. Methodist’s Prostate Screening and Awareness Program screens 80,000th man On March 17 Methodist Health System’s Prostate Screening and Awareness Program (PSAP) screened its 80,000th man, the Rev. Rickey D. Hill, executive pastor at Friendship West Baptist Church in Dallas. The program has screened more than any other hospital-based program in the United States, according to the American Cancer Society. Since the program’s inception in July 2000, it has helped thousands of men like Hill. Through innovative screenings in nontraditional locations, like barbershops and churches, the program has identified more than 3,000 men with high or abnormal prostate-specific antigen (PSA) scores and helped more than 376 men through early detection and intervention. Anthony Ellis was one of the first men screened 13 years ago. “I didn’t know what a PSA test was when I was screened at the YMCA 13 years ago,” Ellis recalls. “The test results were good at that time; I had a normal PSA level. What the screening did for me was heighten my awareness of the importance of going to the doctor and requesting a PSA test.” Years down the road, Ellis’ PSA did start to go up and his physician referred him to a urologist for further evaluation, catching cancer found early. He has completed treatment and is now cancer-free. April Box Chamberlain, president and CEO, Methodist Health System Foundation, is proud to announce that the Rev. Mark Craig will receive the 2013 Robert S. Folsom Leadership Award on Sept. 24 at the Hilton Anatole. Recently retired as senior minister of Highland Park United Methodist Church, Craig led the church to be one of the largest and most missionoriented in the nation. Since 2005, the Folsom Award has raised more than $8 million for vital programs and services provided by Methodist Health System. This year’s event will support the new Charles A. Sammons Trauma and Critical Care Tower at Methodist Dallas Medical Center. The support of Methodist physicians is extremely important for the event. Physicians are respectfully encouraged to purchase a table and attend the award dinner. Table sponsorships begin at $2,500; tickets begin at $250 per person. Sponsorships of $10,000 or more will include membership in the 2013 Folsom Leadership Circle, an invitation for two to the Patron Party, and special recognition. TO LEARN MORE. Please contact Joy Duncan, Foundation vice president of development, at 214-947-4552 or joyduncan@mhd.com. You can also visit Foundation.MethodistHealthSystem.org. Methodist MANSFIELD TeamHealth hospitalists to support patient care Methodist RICHARDSON Successful conversion of supply chains During the month of February, Methodist Richardson Medical Center converted all Pyxis supply cabinets on the Campbell Road campus to an Omnicell® OptiFlex™ hybrid solution approved for capital purchase during the 2013 fiscal year. Installation was staggered and took place over a five-week period, involving the diligent work and cooperation of the IT and supply chain departments and clinical personnel from all departments. The hybrid solution removed the constant constraints and costs of cabinet storage, allowing the flexibility of a wall panel system. While we continue to hone the system’s capabilities, the initial feedback regarding the performance of the system has been very positive. The Bush/Renner campus is scheduled for conversion later this year. ® We are pleased to announce that we have hired TeamHealth, one of the nation’s leading providers of hospitalists, to provide care for patients at Methodist Mansfield Medical Center starting June 1. Lead by Shelley Lenamond, DO, our current medical director, TeamHealth will strengthen our clinical staffing, offering full-time personalized medical management and consistent care for hospitalized patients. Many of our hospitalists will continue to provide care for our patients through TeamHealth. Progress Notes maY – JUNE 2013 3 Methodist richardson Methodist Mansfield Low cost lung cancer screenings now available Joint Academy to help guide joint replacement patients The National Lung Screening Trial (NLST), a large National Cancer Institute– sponsored randomized controlled trial, recently confirmed that screening individuals at high risk for lung cancer with an annual low-dose CT scan of the chest saves lives. As a result of the NLST findings, the National Comprehensive Cancer Network (NCCN) recommends that high-risk people undergo annual screening. Currently, most private insurers and the Centers for Medicare & Medicaid Services do not reimburse for LDCT lung screening. In order to increase accessibility of lung screening to all people at high risk, Methodist Richardson Medical Center will offer low-cost, self-pay screenings to people who meet established high-risk criteria. We believe each person’s decision to undergo screening is best made jointly with his or her primary care physician. More information will be forthcoming to assist you in ordering this screening. Methodist Mansfield Speech therapy now available for outpatients May is Better Speech and Hearing Month. You may know that Methodist Mansfield Medical Center’s speech pathologists provide excellent speech, swallowing, and cognition services for our inpatients. But did you know that they also provide outpatient speech therapy services? Outpatient services include treatment for speech, articulation, language, cognition, and swallowing disorders; outpatient modified barium swallow evaluations and traditional dysphagia therapy; and neuromuscular electrical stimulation (NMES) and dysphagia therapy, also known as VitalStim® Therapy. WE CAN HELP. To learn more, call 682-622-3299. Methodist Mansfield Medical Center is proud to announce the launching of our Joint Academy program. After scheduling hip or knee replacement surgery with an orthopedic surgeon on our medical staff, joint replacement patients are invited to participate in the free Methodist Joint Academy. This three-hour course gives them a preview of what to expect step-by-step before, during, and after surgery. Patients also receive a preoperative assessment, home environment assessment, and tour of the nursing unit. Patients are encouraged to bring along a family member or friend who will become their joint coach and participate in their care and recovery process. Each patient goes home with a Joint Academy book that is used as a comprehensive guide to follow throughout the surgery experience. “The Joint Academy program is a workshop that allows our patients to learn about the joint replacement process before it happens and gain a real feeling of comfort up front,” says Paula McMahan, RN-BC, med-surg nurse navigator at Methodist Mansfield. The patients also have the opportunity to get acquainted with the hospital and meet staff who will be involved in their care. Attending a Joint Academy class decreases our patient’s anxiety and gives them the information they will need for recovery. TIME FOR CLASS. The Joint Academy class at Methodist Mansfield meets every Tuesday from 10 a.m. to 1 p.m. Learn more by calling Paula McMahan at 682-622-2338 or Gayle Lindsey, PT, CWS, FACCWS, physical medicine director, at 682-622-3287. Methodist Rehabilitation Hospital offering new therapies for patients with Parkinson’s Lee Silverman Voice Treatment (LSVT®) Big™ and Loud™ therapies, available at Methodist Rehabilitation Hospital, empower those living with Parkinson’s disease to move and speak better. Declining vocal strength, muffled speech, and difficulty swallowing create problems with communication and eating. Patients also often experience tremors, slow movement, impaired balance, and stiffness. LSVT Big and Loud therapies can help people with Parkinson’s disease as well as other conditions, such as stroke, multiple sclerosis, multiple systems atrophy, and cerebral palsy, improve communication and movement for work, family time, and social activities. The method was developed following rigorous research funded by the National Institutes of Health. Here’s how the components help: • LSVT Big — Therapists work with individuals to improve major motor skills, such as walking, arm and leg movement, balance, and hand skills like writing. • LSVT Loud — Speech-language pathologists improve vocal loudness by stimulating the muscles of the voice box (larynx) and speech mechanism through a series of loud exercises. Therapy does not train people to shout or yell; rather, it trains a healthy louder voice with no strain. HOW TO HELP YOUR PATIENTS. For more information about these new treatments offered at Methodist Rehabilitation Hospital, call Janie Bush, ST, at 972-708-8600. 4 maY – JUNE 2013 Progress Notes Methodist Charlton Methodist charlton New procedure offers long-lasting asthma relief The newly renovated cardiac catheterization lab at Methodist Charlton is helping the hospital achieve fast door-toballoon times. Heart attack care ranked No. 1 in Dallas County The cardiology team at Methodist Charlton Medical Center has once again been named a top performer for heart attack care by the Dallas County STEMI System of Care. During third quarter 2012, Methodist Charlton ranked No. 1 for average door-toballoon (D2B) times in the county, with an average D2B time of just 50 minutes. Also, out of the top D2B performers, Methodist Charlton holds eight of the fastest times and four of the top 10. The award was given as a result of data submitted to the W. W. Caruth Jr. Foundation initiative with the American Heart Association. Helping Methodist Charlton achieve its fast D2B times is a recent $1.3 million upgrade to the cardiac catheterization lab. Among the new features is a 60-inch monitor that can display up to 20 different images on a split screen, including film, ultrasound, live, and stored images. Also, a bigger camera enables staff to scan larger areas in a shorter amount of time. With the new equipment and software, cardiac catheterization and electrophysiology cases can be performed in the same room. Methodist dallas MOVING THE QUALITY METER: Teamwork yielded success for Methodist Dallas Medical Center as the hospital moved into position No. 6 out of 15 for door-to-balloon time performance among Dallas–Fort Worth hospitals for third quarter 2012. The recognition came from the W. W. Caruth Jr. Foundation grant-funded initiative with the American Heart Association. Methodist Charlton Medical Center is bringing hope to asthma sufferers. Bronchial thermoplasty is a nondrug procedure for severe, persistent asthma in patients 18 and older whose asthma is not well-controlled with medications. The minimally invasive bronchoscopic procedure is performed in three outpatient procedure visits, each treating a different area of the lungs and scheduled approximately three weeks apart. Bronchial thermoplasty is expected to complement current asthma maintenance medications by providing long-lasting asthma control and improving asthma-related quality of life. Pulmonologist Stephen Mueller, MD, is the medical director at Methodist Charlton, one of the few hospitals in Texas offering the procedure. FOR BETTER BREATHING. Contact John Kuzma, director of Methodist Charlton’s respiratory therapy department, at 214-947-0575 or johnkuzma@mhd.com. Help us help you shine Methodist Health System’s public relations and marketing department distributes Shine magazine to more than 200,000 homes throughout the Metroplex each quarter. We need your help to make this publication a success. Physicians can: • Identify patients success stories • Offer an expert’s perspective on key health issues • Confirm that our health content is accurate. So how can you help? 1. Let us know about your patient success stories as well as new technologies and procedures you’re using at Methodist. 2.Inform your office staff that you would like to be included in Shine. That way when we call, they’ll know to make sure you get the message. 3.Let us know the most convenient way to reach you and your office staff. IS IT YOUR TIME TO SHINE? Email sarahcohen@mhd.com or call 214-947-4601 with your story ideas and contact information. Progress Notes maY – JUNE 2013 5 Methodist RICHARDSON Decreasing distractions during medication administration Methodist Richardson Medical Center’s Nursing Practice Council is working on a new safety initiative to decrease distractions during medication administration. Starting May 1, we began screening all nonphysician calls in order to decrease the phone distractions during medication administration times. All physician calls will continue to be directed to the primary nurse. Signs on the workstations on wheels will serve as visual cues that the nurse is in the process of administering medications and needs as few distractions as possible. These simple interventions will aid our effort to administer medications safely and in a timely manner for our patients. Preprinted orders relocated Preprinted physician/patient care order forms are moving from the Methodist Richardson Medical Center intranet to MCN Policy Manager. Orders will no longer be divided into folders, but can be located easily using the “Advanced Search” field. You must log in to view documents for a specific campus. Physician login: 6-digit dictation number Initial password: password MCN Policy Manager can be accessed from the Methodist Health System Physician Portal home page under “Policies and Guidelines.” Methodist Charlton Welcome to our new wound care nurse Barbara Manning, RN, BSN, BC, CWOCN, CFCN, recently joined Methodist Charlton Medical Center as the inpatient wound care nurse. Manning has extensive experience both in med-surg nursing and wound care in both acute-care and long-term care facilities. She also has specialty certification in wound care and diabetic foot care and in ostomy and continence. You can reach Manning at 214-947-9754 or 214-947-6242, Monday through Friday, 6:30 a.m. to 3 p.m. 6 maY – JUNE 2013 Progress Notes Privacy: Final Omnibus Rule strengthens protections, increases obligations The Final Omnibus Rule took effect March 26, expanding HIPAA and HITECH requirements and patient privacy protections. Physicians and covered entities have until Sept. 23 to achieve compliance. Here’s what you need to know: Expanded breach definition. Any unauthorized use or disclosure of protected health information (PHI) is now presumed a breach requiring notification and reporting unless the provider specifically finds there is a low probability that PHI was compromised. Any such finding must result from an appropriate risk assessment that considers four factors: (1) the nature and extent of the PHI involved, (2) the identity of unauthorized recipient(s), (3) whether PHI was actually acquired or viewed, and (4) mitigation of the risk to PHI. Expanded restriction rights. The Final Rule clarifies that insured patients that pay in full for a service or visit can restrict disclosures to their insurance plan of related PHI, requiring diligent monitoring of payment and collection activities for such patients. Also, the Final Rule: • Extends privacy and security rule requirements to business associates • Establishes new limits on the use of PHI for marketing and fundraising • Prohibits sale of patient PHI without specific individual authorization • Expands patient rights for requests and receipt of electronic copies of PHI • Increases information that must be contained in the Notice of Privacy Practices. Questions or requests for more detailed information on the Final Rule can be directed to the Methodist privacy officer at privacyofficer@mhd.com. Methodist Mansfield Mock chest pain incident trains care providers, educates restaurant patrons On March 26, the Methodist Mansfield Medical Center emergency department (ED) partnered with Mansfield Fire Department and the Broad Street Chick-fil-A in Mansfield to perform a mock STEMI drill. Two volunteer actors visited the restaurant, and one of them complained of chest pain while ordering at the counter. A discussion started among restaurant workers, patrons, the patient, and his friend Alan Taylor, MD about whether someone should call 911. The patient’s friend finally insisted someone call, despite the patient’s reluctance. Mansfield Fire Department arrived and assumed care of the patient. They performed a 12-lead EKG, placed the patient on oxygen, started an IV, and simulated giving appropriate medications. They transmitted the EKG to the ED and activated Code STEMI, allowing the cardiac catheterization lab and interventional cardiologist to prepare for a patient. Back at the restaurant, cardiologist Alan Taylor, MD, and volunteers from the ED provided heart attack education to the employees and patrons. Emphasis was placed on the importance of calling 911 and not allowing people with chest pain to drive themselves to the ED. Methodist dallas Methodist charlton Thank you, Dr. Beall, for years of service Methodist Charlton Medical Center recently thanked Leber Beall, MD, with a reception for his 23 years of service as medical director of the radiology department. Dr. Beall will remain on staff, working part-time. Paul Tarnasky, MD, holds the scope as Charles Lightdale, MD, looks on. New GI conference room impresses at RFA training Seventeen physicians from across North Texas convened at the John R. Ford Family Center for Digestive Diseases at Methodist Dallas Medical Center on April 10 for case presentations and procedures utilizing the endoscopic radiofrequency ablation (RFA) technique for Barrett’s esophagus. Paul Tarnasky, MD, gastroenterologist on the medical staff at Methodist Dallas, proctored the meeting, along with visiting gastrointestinal (GI) esophageal cancer specialist Charles Lightdale, MD, from Columbia University. The meeting was in the interventional suites using the interactive video capabilities of the newly renovated GI Conference Room. Dr. Lightdale said he was impressed with the professionalism and level of teamwork exhibited by the GI laboratory staff as well as with the functionality of the procedure suites and conference room. Notes from the Institutional Review Board (IRB) IRB satisfaction survey We welcome your comments and feedback on the customer satisfaction survey in order to assess the IRB’s performance as we provide research review services, training resources, and oversight for the research community at Methodist Health System. The survey is found at surveymonkey.com/s/GHZQVL2. The survey is also available on the intranet by clicking the IRB link and then clicking “Survey” on the left panel. Obtaining CME credits through IRB training The Collaborative Institutional Training Initiative (CITI) for clinical research investigators also provides CME credits for a fee as investigators complete the required CITI training for their research studies. To apply for CME credits, go to citiprogram.org/ citidocuments/cme/cmepage.htm. Informed consent observation Methodist IRB Human Subject Protection Officer Tony Paterniti, PhD, and possibly some IRB delegates, will conduct informed consent observations on some selected new studies within the health system. The aim is to verify if investigators and delegated research personnel are conducting the informed consent process in a way that is noncoercive. The observation process has been designed to be entirely nonpunitive but rather make viable suggestions if necessary. The effective date was April 1. Call the IRB compliance auditor at 214-947-2463 with any questions. Hospital earns QRCR 4th year in a row Methodist Charlton Medical Center recently earned Quality Respiratory Care Recognition (QRCR) under a national program aimed at helping patients and families make informed decisions about the quality of the respiratory care services available in hospitals. Only about 700 hospitals, or approximately 15 percent of hospitals in the United States, have applied for and received this award. This is the fourth consecutive year that Methodist Charlton has received this recognition. Methodist Mansfield You can help us reach Magnet status In our pursuit of excellence, Methodist Mansfield Medical Center has adopted the Magnet Recognition Program® as a framework for transforming nursing practice and the environment in which nurses work. Our medical staff and the relationship it has with nursing are equally important in meeting the requirements of the Magnet® journey. Teamwork, interdisciplinary collaboration, collegial support, and autonomy are fundamental to the Magnet journey. For example, collaboration among members of the Infection Control Committee, comprising medical staff, leaders, nurses, nonclinical staff, and educators, resulted in a new process to reduce central line–associated bloodstream infections (CLABSI). The cardiac-telemetry unit alone has gone more than 700 days without a CLABSI. Methodist Mansfield will submit the required written documents to the Magnet office by June 1. The review process can take up to four months. Progress Notes maY – JUNE 2013 7 P.O. Box 655999 Dallas, TX 75265-5999 New physicians on the Methodist medical staff Save the date! The WildRide! WildRun! Against Cancer is just around the corner on Saturday, May 18. To register, visit wildridebikerally.com. The board of directors approved the following providers as members of the Methodist Health System medical staff between February 2013 and March 2013: Methodist Charlton EMERGENCY MEDICINE Herschel Brown, MD Jeffery T. Butterfield, MD Chuong Duong, DO Thomas Sharp, DO Colleen Stoeppel, MD INTERNAL MEDICINE Syed Ali, MD PODIATRY Raha Mobarak, DPM Methodist Dallas EMERGENCY MEDICINE Lawrence Hum, MD Justin M. Neff, MD Ryan E. Parker, MD Christo T. Philip, MD Allen Roberts, MD Gregory L. Roslund, MD Andrew R. Rubin, MD Anna B. Schroeder, MD Stephen B. Sellers, DO Trenton Stephenson, DO GENERAL SURGERY Jeffrey W. Henke, MD Methodist Mansfield Methodist Richardson EMERGENCY MEDICINE Lin Du, DO INTERVENTIONAL CARDIOLOGY Biren Parikh, MD NEPHROLOGY Praneetha Puskuri, MD EMERGENCY MEDICINE Ralph F. Baine, MD Lisa Williford, MD NEUROSURGERY Gary C. Dennis Sr., MD Joslin Marin Gilley-Avramis, MD Michael S. Turner, MD HEMATOLOGY/ONCOLOGY Siobhan Lynch, MD OB/GYN Deanah A. Jibril, DO PEDIATRIC GASTROENTEROLOGY Nicholas Ogunmola, MD PULMONOLOGY Mohammad Alfarawati, MD PEDIATRIC SURGERY James Miller, MD RADIATION ONCOLOGY Thomas P. Boike, MD FIND A PHYSICIAN. To learn more about the physicians on the Methodist medical staff, go to MethodistHealthSystem.org/FindAPhysician. Methodist Mansfield Don’t send patients to hospital — call 911 instead P.O. Box 655999, Dallas, TX 75265-5999 Progress Notes Production Team Adam L. Myers, MD Senior Vice President and Chief Medical Officer, Methodist Health System Sam Bagchi, MD Chief Medical Information Officer, Methodist Health System Sarah Cohen Publication Specialist/Editor, Methodist Health System Kris Galloway Medical Staff Services, Methodist Health System Christi Johnson Methodist Dallas Medical Center Private physician offices and clinics should consider calling 911 when sending patients to the hospital emergency department (ED) for evaluation, especially if the patient is complaining of chest pain or has received any medications. Here’s why: Sometimes patients who are stable in your office are not stable by the time they drive themselves to the ED. Not only can their conditions worsen en route to the hospital, but their driving ability may become impaired. Ketan Trivedi, MD, Methodist Mansfield’s ED medical director, says: “We had a recent case in which a patient with shortness of breath left a physician’s office in southern Dallas County to drive himself to the hospital. He crashed into a car leaving the physician’s office and hit another car in our parking lot, all before entering the ED. EMS is definitely the safest mode of transportation for these patients. Let’s protect the patients and our community.” Bill Schneider and Lynette Wilkinson Methodist Charlton Medical Center Bridget Flaherty and Angel Biasatti Methodist Mansfield Medical Center Emily Edwards Methodist Richardson Medical Center Phyllis Everage Institutional Review Board Bob Bush Pavilion Practice Management Shari Moore Methodist Rehabilitation Hospital Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Health System. MAY – JUNE 2013 :: 1217 22264 0313 (05/13) Brand News: Your link to Methodist’s marketing efforts Because you’re a key part of the Methodist Health System team, our public relations and marketing department wants you to know about all the ways we’re spreading the word about our quality, compassionate care to Dallas–Fort Worth. In Brand News, you’ll find the latest highlights from Methodist’s marketing campaign, digital media, community relations, publications, and recent news coverage in one easy-to-read format, updated monthly. STAY IN THE LOOP. Brand News is available online at News.MethodistHealthSystem.org.