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 Grand Rounds

Grand Rounds June
June 2008

 Feature Profiles

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Physician Spotlight: Dr. Jonathan D. Gitlin
Wen Jonathan Gitlin and his wife, Patricia Hodgman, headed to Nashville from St. Louis this spring, he packed up a houseful of books and a cranky 19-year-old Siamese cat. Gitlin also brought with him an infectious enthusiasm for his new position as physician-in-chief at Monroe Carell Jr. Children's Hospital and the James C. Overall Professor and chair of the Department of Pediatrics at Vanderbilt University Medical School.
KELLY PRICE

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Administrator's Corner: Mark Graselas
I the world of healthcare’s volatile industry pressures and parameters, the administrator’s role is an integral component of success in terms of direction, management and cohesion of the multiple facets that comprise a functional healthcare delivery system.

Since 1999, Mark Grasela has employed the ideals of effective administration at Heritage Medical Associates, a large, multi-specialty practice that features a number of ancillary services to complement physician care.
CAROLINE M. LUSK, M.ED.

 Nashville Archives

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Pam Mark Hall, Publisher
A Letter from the Publisher
With concerns mounting over the slowdown in the U.S. economy, it is increasingly important for healthcare administrators to employ best practices when it comes to the programs they oversee. Whether it’s a small physician’s office, a network of multi-specialty practices or a large inpatient setting, it has become imperative to run as lean and mean as possible without sacrificing quality and to maximize collection rates.
Pam Mark Hall

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Dr. Rhonda Switzer, IFDC Executive Director
A Smile and a Helping Hand
For 14 years, the Interfaith Dental Clinic (IFDC) has been filling more than just teeth — the nonprofit organization also fills a serious need in the community, providing affordable access to dental care for qualifying patients.
CINDY SANDERS

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Healthcare Finances Drive Need for Physician-Hospital Cooperation
Two experts on the relationship between physicians and hospitals agree that dealing with the economics of healthcare today will be the issue that ultimately forces cooperation between the providers and that heals their sometimes contentious bond.
SHARON H. FITZGERALD

Meharry: More Than a Century of Dental Training and Community Outreach
Meharry Medical College School of Dentistry has been training oral health professionals for well over a century. Founded in 1886, a decade after the medical school opened, the program is the only dental school in Middle Tennessee and one of only two in the state.
CINDY SANDERS

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Tennessee Institute for Public Health Releases County Health Rankings
Last month, the Tennessee Institute for Public Health released the 2007 health index for each of the state’s 95 counties, providing a snapshot of the population’s overall health, health outcomes and health determinants.
CINDY SANDERS

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Pam Pure of McKesson addresses members of the Nashville Health Care Council on April 17
Transforming Healthcare with Technology
“Everyone in this room knows we are going to change,” stated Pamela Pure, executive vice president of McKesson, the largest healthcare services company in the United States. Her comment came in a recent address to members of the Nashville Health Care Council.
KELLY PRICE

Updates in Orthodontics
Braces Now Come in All Styles and Colors — Including Invisible

The taunt of “metal mouth” or “brace face” has lost much of its sting. Today, braces come in such a variety of styles and colors that adolescents view them as a fashion accessory. And frankly, the appliances are so ubiquitous that it’s becoming hard to find someone who hasn’t had braces.
CINDY SANDERS

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Dr. Stacy Davis, AHA Nashville Board President
Heartbreaking News for Nashville Women
Metro Area Ranked “Least Heart Friendly”

The American Heart Association’s Go Red for Women movement released study findings last month that show women in the Nashville area are facing more than their fair share of heartache. Looking at a number of parameters in the 200 most populous cities, which were then divided into three categories based on size, Nashville scored the absolute worst in the “mega metros” division.
CINDY SANDERS

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Dr. L. Dean Knoll, Center for Urological Treatment and Research
Avoiding Erectile Dysfunction
Treatments and Information Available for Peyronie’s Disease

A Nashville urologist is one of the nation’s foremost authorities on Peyronie’s disease, an affliction that causes the penis to curve and can lead to erectile dysfunction. Dr. L. Dean Knoll with the Center for Urological Treatment and Research, in collaboration with Indiana-based Cook Medical, has pioneered a successful surgical treatment for Peyronie’s and launched a physician-driven Web site to ensure that accurate information on the disease is available for patients and physicians.
SHARON H. FITZGERALD

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The Oral-Physical Health Connection
If the eyes are the window to the soul, could the mouth be the window to the body? A growing stack of research tells us that at the very least, the mouth gives dental professionals warning signs of larger, systemic health issues and can provide valuable clues to physicians willing to make the connection.
CINDY SANDERS

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A Multi-faceted Approach to Saving Kids’ Teeth
The recent standard declaring that children should see a dentist by their first birthday has been endorsed by the American Academy of Pediatrics (AAP), the American Dental Association (ADA) and the American Academy of Pediatric Dentists (AAPD) Now if only there were enough dentists out there to see all those babies and toddlers.
LUCY SCHULTZE

Best Practices: Management of Atherosclerotic Extracranial Carotid Artery Disease for Prevention of Stroke or Stroke Recurrence
The goal of stroke prevention challenges healthcare systems and providers at multiple levels. The American Heart Association (AHA) estimates that 700,000 people experience stroke each year; 500,000 are new strokes and 200,000 are recurrent strokes. Stroke is the third leading cause of death in the United States. For stroke survivors, long-term disability may be catastrophic.
Charles B. Ross, M.D., F.A.C.S., Director, Endovascular Surgery

Corporate Corner
June 2008

Let’s Give Them Something to Talk About!
Awards, Honors, Recognitions

June 2008

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National Survey Released on Hospital Treatment of GLBT Patients
Just how well are gay, lesbian, bisexual and transgender patients and employees treated in America’s hospitals? The Human Rights Campaign Foundation and the Gay and Lesbian Medical Association decided to find out, and on May 13, the organizations released the results of a nationwide hospital survey. Those results, called the Healthcare Equality Index, will be used to set a “gold standard of national policies...
SHARON H. FITZGERALD

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Mark Tumblin
Healthcare Enterprise: Give Me Just a Little More T.I.M.E.
Franklin-based ASCENT Offers Integrated Practice Software

If your physician practice is so busy that it’s tough to keep up with scheduling, billing, insurance, laboratory management, electronic patient records and more, perhaps what you need is T.I.M.E. An acronym for Totally Integrated Medical Enterprise, T.I.M.E. is the product of Franklin-based ASCENT Integrated Medical Solutions.
SHARON H. FITZGERALD

Medical Liability Reform Legislation Should Help Stem Tide of Meritless Lawsuits
After legislation aimed at reducing the number of frivolous malpractice lawsuits sailed through the Tennessee General Assembly near the end of this year’s session, Gov. Phil Bredesen signed it into law effective Oct. 1.
SHARON H. FITZGERALD

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To Reduce Bad Debt, Healthcare Service Providers Must Focus on Patient Access Department
As the sputtering economy looms at our doorway, ready to settle in as an unwelcome houseguest, Americans are already feeling its effects: higher fuel prices, soaring airline fares, grocery bills that demand a double take, fewer road trips and family vacations planned over the summer.
EARL T. WINTER

Vital Signa
Just in time for summer, medical malpractice litigation. A recent study released by the Aon Corporation showed that ’08 liability costs for 13 states examined were stable in the long-term care sector for the first time in nine years. Largely to thank for the stability were the lowered costs in states that have passed tort reform in recent years.
Walker Duncan

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Cone Beam CT X-Ray Takes Guesswork Out of Dentistry
A new technology is changing the way a general dentist or specialist looks at patients - literally. No longer do they need to rely only on two dimensional x-rays for diagnosis, treatment planning and patient education. X-rays now come in three and even four dimensions, including manipulation of those images with new programs.
BARBARA MCCONNELL

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Why Can’t We All Just Get Along?
A Physician Offers “Structured Dialogue” as an Answer to Physician-Hospital Relations Problems

When it comes to physician-hospital relations, which entity is the cobra and which is the mongoose? While such adversarial scenarios unfortunately play out in hospital settings across the country, a New England surgeon contends that healthy doses of improved communication and mutual respect are capable of curing the ills that plague the interactions between hospitals and medical staffs.
SHARON H. FITZGERALD