Premier Pulse

News for Premier Health Physicians Be Courageous VOLUME 6 | ISSUE 7 | JULY 2019 By Scott Kanagy, DO, chief medical officer, Premier Health Northern Region

What does it mean to do your job? Could it mean having a and expertise to be the best health care to be courageous difficult, uncomfortable conversation with system in Southwest Ohio. But do we have in health care? someone else on your team to explain how the culture to do the small daily activities Does it mean to they could better support the team and needed to truly be a courageous health step in and save bring about high quality care? care network? The answer to that question a life when few I fear that although we rightfully celebrate is YES. With that being said, I am stepping others can? Does it and reward many of the first acts I described forward and will try to be courageous by mean performing as being courageous in health care, we calling all of us out for not doing enough of a procedure that rarely celebrate or reward the latter acts. the small things on a daily basis that will few others can? It takes not only the acts that only a few keep us courageous as a system. Does it mean of us can provide, but also all the small Be courageous today, and every day going finding a cure for a disease that has killed courageous acts that we as a system forward, and hold all Premier Health millions? I would define all of the above as undertake daily to truly be a high-quality employees to that same standard. courageous. However, can being courageous health care system. We have the people also mean thinking about how to do things in health care differently to achieve better outcomes? Exploring how to do things differently rather than accepting the way it has always been done? Challenging the norm? Asking “Why?” more often? Having the courage to bring your ideas to others and being open to others’ ideas brought to you? Keeping an open mind to all options with the goal of a better future? Could being courageous mean having the courage to kindly remind a fellow health care worker to wash their hands? Or pointing out to them that they were rushed and might not have explained everything to a patient as well as they could have? Showing up five minutes late to a meeting because you took the time to walk a lost patient to where they needed to be in the hospital? Taking the time to recognize when a fellow health care giver is hurting or feeling overwhelmed with the stress that our jobs place on us? Could it mean challenging ourselves to say “Hello” to every person we walk past in a day? Could it mean thanking another person in the hospital whose contributions are necessary for you

premierhealth.com Having the “HPV Talk” with Parents and Patients By Melinda Ruff, MD, Premier Physician Network

With the new school year just around You might also encounter opinions among the corner, many providers are having parents that the vaccine is unnecessary conversations with parents about back- unless a person is sexually active. The truth to-school vaccinations. One vaccination is that we vaccinate people well before you should be discussing is for human they’re exposed to an infection, such as papillomavirus (HPV). measles and other diseases prevented by While HPV vaccination rates are rising, so childhood vaccines. So providers want to are cancer cases associated with HPV – from vaccinate people before they are exposed 30,000 in 1999 to more than 43,000 in 2015. to HPV. The HPV vaccine produces a higher immune response in preteens than in older Some providers, however, have a difficult teens and young women. The vaccine also time introducing the idea of the HPV prevents twice as much cervical pre-cancer vaccine to their patients. One way to ease when given by age 14 than it does as into this conversation is to recommend it teenagers approach their 16th birthday. on the same day and in the same way as all You might also advise parents of patients to adolescent vaccines. For example, you can keep in mind that HPV is so common that suggest that it is time for the Tdap, HPV, nearly everyone will be infected at some and Meningitis vaccinations to protect your point in their lives. An estimated 79 million child from meningitis, HPV cancers, and Americans are currently infected, and there pertussis. This reduces the emphasis on the are about 14 million new HPV infections HPV vaccination and paves the way for a each year. Most people who are infected will meaningful discussion. never know it. To prevent cancer, the American Cancer Providers have an opportunity to earn Society recommends the HPV vaccine for continuing medical education credits girls and boys ages 11 and 12. The vaccine while learning more about HPV through a can be started as early as age 9, and works documentary called “Someone You Love: best when completed before age 13. At this The HPV Epidemic.” The activity has been age, the vaccine is given in two shots, with approved for AMA PRA Category 1 Credits™ six to 12 months between shots. Starting by Indiana University School of Medicine. at age 15, three doses of the vaccine are The free, knowledge-based activity is required. While some people as old as 45 accredited for 1.5 CE credit hour(s) (0.15 could benefit from the vaccine, public health CEU) for pharmacists and pharmacy officials still recommend the vaccine at a technicians. Statements of credit will younger age. be posted to the online NABP/ACPE CPE In addition to the barrier of introducing the Monitor within six weeks after the activity. need for HPV vaccination, some providers No partial credit will be given. are concerned with addressing the many For more information on continuing myths that persist about the vaccine. One education credits and to view the film, myth you might encounter is that the please visit https://iu.cloud-cme.com/ HPV vaccine is unsafe. The truth is that, SomeoneYouLove. since 2006, about 70 million doses of HPV vaccines have been distributed in the United • Nurses who view the film at a live event States, with more than 100 million doses and would like credit can complete given worldwide. The vaccination’s safety is the online evaluation at https://www. continually monitored in 80 countries, and surveymonkey.com/r/5D6KCZN. no serious concerns have been identified, • Physicians or pharmacists who watch the according to the Centers for Disease Control film at a live event and would like credit and Prevention. can follow the instructions at https:// iu.cloud-cme.com/SomeoneYouLove. SYSTEM HOSPITAL NEWS Community Involvement, Awards, and a Teddy Bear Clinic

Atrium Medical Center Hospital representatives were among the hundreds of people who attended Art from the Heart, an auction benefiting the Middletown Arts Center. As presenting sponsor, Premier Health and Atrium Medical Center were included in all promotional materials and signage for the June 1 fundraiser at Miami Valley Gaming in Monroe. The annual Steps 4 HEALing Walk and Family Festival was held June 8 at Niederman Family Farm in Liberty Twp. The event benefits the HEAL (Help Endure A Loss) Program at Atrium. Press coverage prior to the event also promoted HEALing Together, a monthly support group at the hospital for families grieving the loss of Foundation’s upcoming Highway to a child. Help event. Atrium’s Diversity and Inclusion Committee In other community relations activities: welcomed guest speaker Jerry Mallicoat on Atrium’s Wound Care Center director June 17 for a presentation in honor of Pride discussed treatment of chronic wounds with Month. Mallicoat, LGBTQ Health Initiatives AK Steel retirees at the group’s monthly director for Montgomery County, educated meeting; Atrium nurses volunteered at employees on the history of Pride Month. the first aid booth during the second He also shared best practices with staff annual Middletown PRIDE; CareFlight Air about pronoun usage and terms people and Mobile Services vehicles took part in should not use when referring to or a Touch-a-Truck event in Warren County’s engaging with patients who are part of Hamilton Twp.; and in partnership with the LGBTQ community. Premier Health Community Benefits, Atrium The Maternal Health Clinic promoted donated fresh fruit to feed 160 youths for its services as well as Atrium’s Natural one week as part of a summer food program Beginnings birthing center during a in Middletown. Community Baby Shower hosted by the Miami Valley Hospital Butler County Educational Service Center on Premier Health has announced the June 22. From food, giveaways, and games promotion of Joann Ringer to president of to education and health resources, there the Miami Valley Hospital South Campus, was something for all of the more than 160 effective immediately. Ringer has been mothers and their guests who attended this chief operating officer at Miami Valley inaugural event. Hospital South since 2012, when it became Atrium representatives interacted a fully operational hospital. She joined with hundreds of residents as part of Premier Health in 1992 and has served Middletown’s Independence Day events. in progressively responsible roles since During the city’s Fourth of July parade and that time, leading expansion of Miami Broad Street Blast, employees handed out Valley Hospital South’s campus to include promotional items for Premier Health’s the Cancer Center, Maternity Center, and emergency and urgent care services, as most recently, the Joint and Spine Center. well as information about the Atrium Through the years under Ringer’s leadership, Continued on next page the team at Miami Valley Hospital South Intensive Care (MICU) vehicle. The week has earned exceptionally high patient following, employees participated in the experience ratings and become an integral Huber Heights Annual Independence part of the community. Day parade. Miami Valley Hospital has received the American Heart Association/ American Stroke Association’s Get With The Guidelines Target: Stroke Honor Roll Elite Plus Gold Plus Quality Achievement Award. The award recognizes the hospital’s commitment to ensuring that stroke patients receive the most appropriate treatment. Miami Valley Hospital earned the award by meeting specific quality achievement measures for the diagnosis Jhansi Koduri, MD, was honored as “Woman and treatment of stroke patients at a set of the Year” at the Leukemia and Lymphoma level for a designated period. The hospital Society’s Man and Woman of the Year also received the association’s Target: Gala. This honor goes to the man and StrokeSM Honor Roll Elite/Target: StrokeSM woman who have raised the most funds Elite Plus award. during a 10-week campaign for the Dayton As an employee engagement initiative, Leukemia and Lymphoma Society. Funds Miami Valley Hospital North Chief Operating raised support blood cancer research, as Officer Mary Garman has launched Moving well as information, education, and support with Mary and the Management Team at services for those affected by blood cancer. Miami Valley Hospital North. This event is Dr. Jhansi Koduri is a medical oncologist an opportunity for employees to participate and a certified physician with MD Anderson in a 20- to 30-minute walk during breaks, Cancer Network®. along with members of the management Employees from Miami Valley Hospital team. This ongoing event will take place North and across the system participated on Fridays through the end of October. in the 2019 Vectren Dayton Air Show Employees who walk at least 10 times can Parade, along with a Premier Health Mobile earn Premier Healthy Living points.

CareFlight Air and Mobile Services, Stop the Bleed, the Injury Prevention Center, and Dietician Services all participated in “Delta Days,” a health and wellness event hosted by Delta Airlines at the Dayton International Airport. This event was primarily for of the Art initiative, which launched June 14 in downtown Troy. This new community- focused component of the Sculptures on the Square exhibit features guided tours and art-focused interactive special activities for families throughout the summer. Also included are displays by local artists and a “Strawberry Girl” sculpture, which won first place in the Be Part of the Art regional art competition. UVMC hosted a group of outstanding local high school seniors for the Tipp City Chamber of Commerce’s first Teen Leadership Tipp City visit June 4. The program featured a hospital highlights tour, Delta and airport employees, but also for interactive rehab medicine session, and passengers and visitors. health care careers education along Premier Health/Miami Valley Hospital was with Q&A. the presenting sponsor of the ZIKS Family UVMC hosted the Troy Chamber of Pharmacy Community Family Celebration Commerce’s 2018 Leadership Troy class for and Health Fair. Held in the Wright-Dunbar a health care overview visit June 19. The neighborhood, the community was able half-day program featured a hospital update to enjoy music, food, children’s activities, and Q&A session with Tom Parker, president, physician speakers (including Peter Ekeh, and a technology update presented by MD) and complimentary health screenings. Chief Medical Officer Scott Kanagy, DO, and The Premier Health mobile mammography urologist Robert Kohut, MD. The visit also coach and a MICU unit were also on hand. included a hospital highlights tour. Upper Valley Medical Center UVMC was headline sponsor and first aid Upper Valley Medical Center won the Best provider for the 2019 Spectacular Summer Medical Facility category in the Miami Cruise-In and Concert held June 22 on the Valley Today 2019 Reader’s Choice Awards. Miami Valley Centre campus in Piqua. The Winners are selected by Miami Valley event, which featured musical performances Today/Miami Valley Sunday News readers and classic cars competitions, drew a crowd throughout Miami County. of more than 15,000 people throughout The UVMC Center for Sports Medicine the day. launched its 17th annual summer sports A Premier Proud picnic for the entire UVMC performance and injury reduction programs family took place June 6. The event featured in June. The popular programs include a complimentary meal, music, and activities Edge Camp and KneeFit for high school and in the hospital cafeteria and outdoor collegiate level athletes, and Edge Camp Jr. dining courtyard. for junior high athletes. A Teddy Bear Clinic and Movie event was hosted by UVMC on June 9 at the historic Mayflower Arts Center in downtown Troy. The event for the community featured an afternoon of kid-friendly fun, including free teddy bear/doll “checkups,” face painting, balloon characters, games, giveaways, photos with Teddy the Premier Bear, and refreshments, followed by a special showing of the movie Paddington. More than 60 children and their families participated. UVMC/Premier Health is title sponsor of the 2019 Sculptures on the Square Be Part SPOTLIGHT: PHARMACY SERVICES Improving Accessibility, Enhancing Safety, and Reducing Costs The strong partnership between Premier Health Pharmacy Services and physicians provides many benefits for patients, including the safety and affordability of medication and the ease of transition from hospital to home. The expertise of the pharmacy staff is critical for physicians such as Steven Burdette, MD, medical director of infection prevention and antimicrobial stewardship for Miami Valley Hospital. “They are the conduit between the critical care team and myself,” he says. Many departments at Miami Valley Hospital, such as medical, neurological and surgical critical care, and oncology, have their own dedicated pharmacist. “They are the experts in terms of medications, and they are trained to a greater degree than physicians to look for side effects,” Dr. Burdette says. “With complex patients, there’s not one dose that works for every patient. A lot of adjustments have to be made.” At Miami Valley Hospital, Pharmacy Services “has strategically placed satellites in high-volume areas,” Dr. Burdette says. “I can walk to a pharmacy satellite and talk to a pharmacist in the intensive care unit, and have a face-to-face conversation, which is very positive for patient care.” On-site pharmacists also can determine cost and coverage of medications before the patient leaves the hospital. “We can tell patients, ‘Your antiobiotic will cost you this amount – is that a reasonable price, or should we look for something cheaper?’” Dr. Burdette says. Another chief advantage of on-site pharmacies is the ease of Pharmacy Services and anesthesia providers have been working transition for patients. “They can get their prescriptions filled in our together closely this year on cost-savings initiatives. “They have been outpatient pharmacy before they go home,” Yahl says. “The patients able to significantly decrease the use of some medications, such as receive a list of their medications with instructions when they get Ofirmev and vasopressin,” says Becky Sillaman, system director for discharged. Those who get their new prescriptions filled here have Pharmacy Clinical Services. “Partnerships such as these will be key as the medications they need immediately.” we move forward to help drive health care costs down.” In addition, UVMC pharmacies have adopted measures to enhance Vince Yahl, pharmacy site manager for Upper Valley Medical Center, safety, including scanning the barcode of each ingredient of every IV says that Premier Health’s pharmacy services are invaluable for prepared and the use of Epic’s Secure Chat (Haiku) to communicate small rural communities, enabling patients to seek treatment and with physicians. “These messages are received by the provider in Epic fill prescriptions close to home. “The medical center offers a wide or on their smartphone. It gives the physicians some information range of services,” Yahl says. “Pharmacy is doing more all the time to about what we need clarified, and they can call us back when they support our comprehensive services.” are available,” Yahl says. Premier Health also promotes partnerships that enhance patient to prevent recurrence. This comes in the form of policy updates and care, notably the System Pharmacy and Therapeutics Committee, changes, order set reviews and revisions, EPIC entry modifications, comprised of medical staff representatives of various specialties and and staff education. Premier Health has a drug diversion officer who practice sites. The goal is to promote the safe use of medications works collaboratively with the pharmacy operations team, nursing, while fostering cost containment. “There are not that many and providers to establish best practices for all aspects of the control opportunities to get so many specialists together, and we all take of controlled substances.” the role very seriously,” says Dr. Burdette, a committee member. “We Patient safety also is enhanced by formulary management. “While are monitoring data to determine if we are providing the best care financial considerations play a role in the decision process, formulary possible. It plays a significant role in patient safety.” management is much more than medication cost,” Sillaman says. Medication safety often happens behind the scenes, Sillaman says: “The formulary drives superior evidence-based patient care, helps “Pharmacy reviews more than 100 medication-related adverse achieve therapeutic goals, and improves patient safety – all while events each month, some of which result in system improvements curtailing expenses.” MEDICAL STAFF UPDATE My Gift to Miami Valley Hospital Doctors By Tarek M. Sabagh, MD, MHSA, medical staff president, Miami Valley Hospital

Dear colleagues And here comes the gift I’m talking about. August. This program is already being and friends, “Tending the Flame” (TTF) is a program for offered to medical students at Wright State As president of our well-being, designed to help us recover University and second-year family practice the Miami Valley our resilience and keep discovering more residents. It was also offered to nursing Hospital medical about our abilities that many times we staff. Being selfless by nature as physicians, staff, I’ve had the doubt as we go through practice. we did not initially think to “splurge” and honor of working TTF is a program offered by us, to us, paid for get ourselves this gift. with an excellent by us, and the beauty of it is that it is being To apply to participate in our TTF group of medical run by us. Let me explain: TTF, which will be pilot program, visit surveygizmo. staff leadership. At eligible for CME credit, is set to meet on the com/s3/3616414/MVH-Tending-the- all levels of leadership, from president-elect, third Tuesday of each month in conference Flame-2019-20. For more information about department chairs, vice chairs, and section room 6NW, from September 2019 through RISHI programs, please visit rishiprograms. heads, we always think of how to improve May 2020. It will begin at 5 p.m. and last org or contact Evangeline Andarsio, MD, our work environment since we spend more an hour and a half to two hours. The director of the Remen Institute for the time in the hospital than at our homes. How program will be presented by our own Study of Health and Illness, at can we revive the spark that led us one day expert, nationally renowned in her field: [email protected]. to go through medical school and residency, Dr. Evangeline Dear friends, what I’m offering you here and despite all the hardships, remain Andarsio. is truly a gift and only physicians on the resilient and eager to even put in more Registration fees medical staff at Miami Valley Hospital are hours to start our careers? What happened are paid from privileged to have it available. Recently I to our resilience as we went through years our medical staff heard an interesting definition of success of practice, and where did that spark go? dues; however, that goes, “Success is the gift of being able How can we reach deep down in our souls only 20 physicians to say yes when you spot an opportunity.” I to find such wonderful traits that carried us will be able to wish us all success. Feel free to email me at through the hardest times in our lives – or participate with [email protected] with can we? Who should we seek help from? an enrollment any questions. deadline of early

Nemadji Information Security Incident We would like to make you aware of a recent personal information that might have been of information as a result of the incident, information security incident involving accessible as a result of the incident. This Nemadji is offering potentially affected one of our business associates, Nemadji personal information belonged to about individuals access to credit monitoring Research Corporation (Nemadji). Nemadji 2,400 of our patients, including some and identity protection services at no cost provides patient eligibility and billing employees, at Miami Valley Hospital, Atrium to them. services to Premier Health. The incident Medical Center, Upper Valley Medical Center, Phishing is the use of an electronic occurred in late March when a Nemadji and the former Good Samaritan Hospital. communication to attempt to trick someone employee fell victim to a phishing email To date, Nemadji has not made us aware into providing sensitive information, or scam. Nemadji notified us of the phishing of any actual or attempted misuse of the clicking on a link or opening a file that email scam in May but was unaware of any compromised information. introduces malware. We cannot emphasize access to personal information at that time. The company has taken steps to remedy enough the need to be vigilant when using Nemadji notified us in early June that an the matter and to ensure that it does company email or computers. information security incident occurred. not happen again. Although Nemadji is The compromised email account contained unaware of any actual or attempted misuse PHYSICIAN PROFILE Physician Advisor Program Director Enjoys Wedding Photography Andrew Maigur, however, the choice was driven by a deep What is the last book you read? MD, Physician inner sense of being able to help others and “The Crucified Life” by A.W. Tozer Advisor Program using science to bring some form of What is your favorite song in your playlist? director, sees healing/comfort. “Death Where is Your Sting” by Cory Asbury patients at Who are the people who influenced and/or encouraged me a lot when my dad Miami Valley mentored you? passed away. Hospital. My parents – their sacrifice and What is your favorite food? What is your encouragement have gotten me this far; Korean food: Bibimbap (Korean beef spicy clinical specialty? and my undergrad biology professor, rice bowl) Hospitalist Ms. Sardesai – her sense of belief in me What is your favorite hobby? Where did you go to school? that I was meant to be a physician. Travelling and exploring destinations and Grant Medical College, Mumbai, India. What is one thing most people don’t know cities Family Practice Residency: St. Elizabeth about you? Medical Center, Utica, New York. I love photographing a wedding with my What is your favorite animal, and why? Augie Doggie because she is the most chill What brought you to Premier Health? lovely wife, Sarah (she gets to boss me and loyal pet ever! And poses well for the Apex Community Church brought me to around as her assistant). Reminds me of camera. Dayton: Daytonians had amazing things why I fell in love with her in the first place. to say about Miami Valley Hospital and Where is your hometown? Where is your favorite vacation spot, Premier Health that led to my change The bustling city of Mumbai, India. The and why? in employment from Reid Hospital in melting pot of cultures, where the east Kauai – luscious natural beauty, untouched Richmond, Indiana, to Miami Valley meets the west. by man, non-touristy, serene, and Hospital. rejuvenating!! What, if any, sports team(s) do you Why did you choose medicine as a career? cheer for? Describe something for which you are I know it sounds cliché, but I come from a Grand Slam Tennis – Roger Federer, Novak especially thankful: family of physicians from my dad’s side, so Djokovic, and Rafael Nadal fan The birth of my son, Titus Benjamin, on June I was familiar with the lifestyle and work; 24 changed my life forever, and my sleep number score. Pick a side iPhone or Android? iPhone Early bird or night owl? Early Bird Beach bum or mountain hiker? Beach bum all the way!!! Dress shoes or tennis shoes? More like boat shoes!?!? Paperback or e-reader? E-reader Coffee or tea? Coffee and chai Cooking or baking? Both Sweet or salty? Sweet Premier Health, Dayton Physicians Network Enhance Radiation Oncology Treatment

Tumor-fighting linear accelerators at Premier Health President and CEO Mary Greenville will receive an upgraded linear Atrium Medical Center in Middletown, Boosalis. accelerator. Greater Dayton Cancer Center in Kettering, Ryan Steinmetz, MD, medical director “We are pleased to offer the citizens of and Upper Valley Medical Center in Troy of Premier Health’s radiation oncology Darke County the latest advancement are being upgraded to deliver radiation program, explained that the new linear for the treatment of cancer,” said Wayne treatment more efficiently and reduce side accelerators will decrease treatment time Deschambeau, president and CEO of Wayne effects in patients. Atrium, the first hospital for patients, as well as allow for more HealthCare. to receive a TrueBeam® linear accelerator, accurate treatments, which can improve held its ribbon cutting event on June 25. Radiation Oncology Services – a joint cure rates and decrease complications. venture of Dayton Physicians Network, Linear accelerators produce a range of “Premier Health and Dayton Physicians Premier Health, and Wayne HealthCare – very high energy radiation beams that are Network, through our partnership, are will have upgraded cancer care technology directed to deliver radiation dose to the committed to providing high-quality cancer at six of its radiation oncology centers: tumor inside the body. Premier Health’s care close to the healing comfort of home,” Atrium Medical Center, Miami Valley new linear accelerators will feature high- Dr. Steinmetz said. Hospital North, Miami Valley Hospital resolution CT imaging, robotics, and rapid- South, Upper Valley Medical Center, Greater dose delivery. Along with upgrading the linear accelerators at Atrium Medical Center, Greater Dayton Dayton Cancer Center, and Wayne Cancer “This upgraded equipment will strengthen Cancer Center, and Upper Valley Medical Center. our cancer-fighting capabilities and enhance Center, the Wayne Cancer Center in the quality of life of our patients,” said

From left: Lori Scalise, Premier Health vice president of service integration for oncology and women’s health; Larry Hollingshead, chair, Atrium Health System Board of Directors; Keith Bricking, MD, president, Atrium Medical Center; Barry Robertson, MD, chair, Atrium Medical Center Board of Directors; Mary Boosalis, president and CEO, Premier Health; Charles Bane, MD, chair, Premier Health Cancer Institute; Ryan Steinmetz, MD, medical director, Premier Health’s radiation oncology program SERVICE LINE UPDATE: CARDIOLOGY UVMC Cath Lab Success By Robin Rutledge, vice president, service line integration, cardiovascular services

It’s been a year August 2018, along with 315 other cardiac After an emergency is over, we can since we launched procedures, in our advanced cath lab at offer our patients individually designed the Level II UVMC. Since adding emergency cardiac cardiac rehabilitation for those who have Catheterization services, the hospital has been successfully experienced a heart attack, stent placement, Lab at Upper growing its patient population in Miami and bypass surgery, valve surgery, heart failure, Valley Medical Darke counties. or have stable angina (chest pain). The Center, and thanks Emergency cardiac services include coronary program combines supervised exercise, to the physicians angioplasty with stent placement, left lifestyle education, and support that can and staff, our ventricular devices, and intra-aortic balloon help patients make strong recoveries, return partnership to pumps, to name a few. This adds a level to normal, productive lives, and prevent battle heart of complexity to our cardiac care that future heart problems. disease in Miami County has been more strengthens the core of our outpatient We are proud to offer these great services to than successful. services, which include nuclear imaging, the community of Miami County. Our team has successfully treated more echocardiography, Heart CT, MRI, tilt- than 70 acute myocardial infarctions since testing, and vascular ultrasound.

PATIENT BLOOD MANAGEMENT Let’s Talk Plasma: Evidence-Based Transfusion Plasma can be an extremely useful The extended content available online, bloodless medicine and surgery, and tissue component in our transfusion provided by Carolyn Burns, MD, patient services for the five-hospital system. She armamentarium, particularly as part of a blood management physician consultant, currently sits on the advisory board and is massive hemorrhage protocol. However, also includes a guest lecturer for the Bellarmine University prophylactic plasma is frequently utilized solid review of Clinical Laboratory Science Program, serving unnecessarily or incorrectly. Clear evidence-based as the chair of the medical advisory board indications and contraindications exist in indications and a for the American Red Cross Blood Center, the literature and as part of several national list of important River Valley Region. and international guidelines from several current references. Dr. Burns is a passionate advocate for professional societies. It is incumbent Carolyn Burns, patient blood management, has been upon health care providers involved in MD, is a board- published in peer-reviewed journals and transfusing blood products to understand certified textbooks, and is often sought as an these indications and contraindications to pathologist (AP/ engaging speaker on diverse transfusion provide safe and effective transfusions for CP). She served topics. She has worked as an independent our patients. as medical director/chief of pathology for PBM physician consultant since 2011. Her Please refer to the electronic version of the Jewish Hospital Healthcare system’s current interests also include laboratory this newsletter in your email or visit the department of Pathology in Louisville, management and utilization, another current issue online at premierhealth. Kentucky, from 1991 to 2011. Her work venue that promotes quality, safe, patient- com/PremierPulse to read more about included medical directorship of surgical centered care. the types of plasma products, specifics of pathology, transfusion service, the Patient dosing, and timing of plasma transfusion. Blood Management (PBM) program, to say church this.Ihadpeopleat say heis Dr. I’m Goyal isthebest. theonlyone not positive things. likeanother doctor him.Ican’t say enough way. Idread theday heretires. I’ll never find andresponsive caring, ineverywonderful, doors –30-plusyears, probably. He’s been Dr. Glickfieldsinceheopenedhispractice I would like tosay Ihave been with she isanexcellent doctor. Dr.I trust Brammer for allmy healthneeds– worked with!Keep her, please! Dr. Ihave doctor Bachmanisthebest ever easewhen inhisoffice.and putsmeat the problem quickly. Heisalways friendly Dr. Allenisalways very helpfulandgetsto months: sampling ofappreciation received inrecent providing excellent care. Here isarandom physicians across ourhealthsystemfor of comments eachyear acknowledging Premier Healthpatients thousands submit Provider Praise luncheon takingplacefrom 9a.m.to1p.m. 8:30 a.m.,withpresentations anda Check-in andbreakfast willbeginat Cancer Center. Simon, MD, FACP, FCCP, from MDAnderson and akeynote presentation given byGeorge Satheesh Kathula, MD, medical oncology; Praveena Cheruvu,MD, radiation oncology; Vincent Nardy, DO, cardiothoracic surgery; pulmonology; AbiKatz, MD, palliative care; feature presentations bySoumitra Sen,MD, will indowntown It Dayton. 110 N.MainSt., Premierplace at HealthCenter, The event, eligiblefor CMEcredit, willtake with lungcancer, for isset Saturday, 24. Aug. recommendations for thecare ofpatients on recent treatment guidelinesand Innovations inCare: LungCancer, aseminar Registration Openfor LungCancer CMEEvent Vice Marketing of President andCommunications: Kathy Harper; Director, System Communications: BenSutherly; Editor: Sarah Zoellick Editorial Board: Dr. Marc Belcastro, Dr. Andre Harris, Dr. Jennifer Hauler, Dr. Kanagy, Scott Dr. Matthew Reeves feel rushed,Ialways feel respected, andshe Dr. Palmisano istrulyover thetop!Inever he was inprivate practice. I was very impressed withDr. Nguyen. Iwish and attentive. Sograteful toseehim. Dr. Nagasawa was excellent, kind,caring, She isgreat! refers metospecialistswhenneeded. I love Dr. Myers –shealways listensand of allages. patients, shows inhistreatment andit doctor. Hereally cares allofhis about Dr. old-stylefamily McGilton isawonderful and helpful. I appreciate Dr. Kulkarni, sheisalways direct her completely. knowledgeable, andrespectful. Itrust Dr. Kohnen isvery professional, Dr. Goyal. IthankGodfor Dr. Goyal. Meandmy familythem. Heisthebest. love their doctor. surgery on Hehadtodoheart Free street parkingisalsoavailable. accessible from Jefferson Street. under thePremier HealthCenter building, Parking for theevent willbeavailable or call866-608-3463. premierhealth.com/CancerSeminars limited. To register, pleasevisit Registration isrequired, andseating is and advanced practice providers. and medicalstudents; registered nurses; radiologists; medicalresidents, fellows, pulmonologists, surgeons, oncologists, and physicians; physician specialists, including care audienceisprimary The target Dr. Zaman was excellent! He listensandtalks you. withyou, at not Dr. Alan Thurman isanamazingdoctor. helpful tome. She andheroffice staff have been very I amvery happywithDr. Thompson ! hard tofindtoday. my healthasawholeperson. about That’s I feel Dr. that Smithlistenstomeandcares 20 years –heisoutstanding! doctor. Ihave beenapatient for over Dr. Scharrer isacompassionate, caring andremembers visits/discussions.visit past makes apersonalconnection duringthe results/answers ina very clearway. He Dr. Ruff isalways Hementions prompt. Ilovepatient. Dr. Palmisano asmy doctor. makes mefeel like avalued/appreciated

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