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 Current Nashville Medical News

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History in the Making
Healthcare Reform Becomes Law
The president needed 216. He got 219. By the slimmest of margins … and without a single Republican vote … the House of Representatives passed H.R. 3590, the Patient Protection and Affordable Care Act on March 21.

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Local Healthcare Execs Meet with Policy Makers on Both Sides of the Pond
UK Trade Mission, D.C. Delegation Occur at Pivotal Point in History Talk about timing … a delegation of Nashville healthcare executives touched down in the nation’s capital for a series of briefings with high-powered policy makers and leaders the week healthcare reform legislation was passed. This timely trip came just days after another group of local industry leaders returned from a study mission in the United Kingdom that featured meetings with key officials in London and Edinburgh, Scotland.
CINDY SANDERS

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Associations & Organizations Weigh In

Vital Signs
What if your healthcare history — complete with records from recent hospital visits, diagnostic tests, drug allergies and the like — was available to your doctor, or an emergency room physician, with just a few keystrokes? The Middle Tennessee eHealth Connect thinks you’d get better care with less cost to the healthcare system.
ERIN LAWLEY

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Update on Autism Spectrum Disorders
April is National Autism Awareness Month
A new report by the Centers for Disease Control and Prevention (CDC) shows, statistically, one in every 110 children in the United States is affected by autism spectrum disorders (ASD). This number, which is based on 2006 study results, is up from the 1:150 prevalence rate from findings just four years prior to that. Autism continues to be 4.5 times more common in boys than in girls.
KELLY PRICE

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Clearing the Air
A Look at Hospital Tobacco Policies across Tennessee
The winds of change began in the west and have moved across the state as hospitals look at rules regarding smoking on campus by employees, patients and visitors. The latest policy changes have come out of East Tennessee where several hospitals have adopted a tobacco-free workplace, and one has opted to no longer hire employees who use nicotine at all.
Cindy Sanders

 Obesity Focus

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Fibromyalgia: A Disease Without a Medical Home
"Ideally, It Would Be Neurology," Expert Says
Rae Marie Gleason, executive director of the National Fibromyalgia Association, said the tendency still exists among physicians to view fibromyalgia as “an illness of whining women who really could get better if they just wanted to.” Yet, Gleason’s job gets easier every day, as an abundance of research ties those patients’ complaints to brain activity – or lack thereof.
SHARON H. FITZGERALD

 REIMBURSEMENT & ACOs Focus

Skyline's McCombs is First Tennessee Surgeon to use "Brain GPS"
Imagine a GPS system designed to guide a surgeon through your brain. That system is now at Skyline Medical Center and being used by Paul McCombs, MD, the first neurosurgeon in Tennessee to use the technology.
SHARON H. FITZGERALD

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Vanderbilt Researcher Presents Stroke Treatment Findings
Reveals Interventional and Anesthesiology Results at International Stroke Conference
For patients suffering an ischemic stroke, stenting or clot-busting drugs may offer the best chances for successful intervention. What’s more, local anesthesia rather than general anesthesia may increase survival rates.
SHARON H. FITZGERALD

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Stroke Conference Unveils Promising Science
The International Stroke Conference, held in February in San Antonio, offered neurologists a wealth of research abstracts and late-breaking stroke science. Here are some of the findings presented.

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Deep Brain Stimulation a Promising Treatment for Parkinson's, Dystonia and Tremors
Vanderbilt Roadshow Statewide Brings Docs Up to Date
Vanderbilt University's departments of Neurology and Neurosurgery are spreading the good news about deep brain stimulation (DBS) as an effective treatment for Parkinson's disease, dystonia and essential tremor. Calling four seminars across the state the "DBS CME Roadshow," Vanderbilt held its first evening session March 18 in Chattanooga and will repeat the session in Knoxville, Memphis and Nashville.
SHARON H. FITZGERALD

 Grand Rounds

Grand Rounds April

 Feature Profiles

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Physician Spotlight: Susan Goshgarian McGrew, MD
Capturing the Light
Susan Goshgarian McGrew has always had a passion for art … a seed planted by her mother and nurtured as Susan was growing up in the Boston neighborhood where her grandparents had emigrated from Armenia. She found she also had an interest in working with children which led her, after her graduation from the University of Vermont, to Northwestern University School of Medicine and a focus on pediatrics.
KELLY PRICE

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HEALTHCARE ENTERPRISE: CareHere Reintroduces the Company Doctor
Operates 90 Clinics in 17 States
Everything old is new again.
That’s more than a catchy phrase to Ernie Clevenger, president of Brentwood-based CareHere LLC, which was founded on a premise popular decades ago — the company doctor. Considering that 26.7 million work days and $1.3 billion in earnings are lost by American companies annually because of worker illness, perhaps the era of the company doc has come again.

 Special Advertising

Trusted Advisors: Regulatory Compliance in a Peak 10 Data Center Environment
Middle Tennessee is home to more than three hundred healthcare companies representing over 300,000 jobs and $50 billion in Global Revenues. Regulatory pressures, in the form of industry and governmental mandates, have become an increasing focus of healthcare IT management and executives. Many of our customers are concerned about their regulatory obligations, and it is important that they know Peak 10 is here to help. In general, the burden of regulatory compliance rests with our customers as business owners; however, there are a number of service offerings which can assist customers with this area of their business.

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Once You Buy It, You Must Build It
Purchasing the right land for a healthcare enterprise is only the first in a long line of steps it takes to move from an idea on paper to ushering in the first patient.
While many of the challenges in choosing a site with favorable demographic patterns, an architect with functional and aesthetic sensibilities and a reliable contractor and construction team mirror those of any business build process, healthcare presents its own unique challenges. A long list of federal regulations, patient safety considerations, load-bearing requirements to house heavy equipment and increasingly complex technology needs calls for professionals with specific healthcare experience.
Cindy Sanders

Recent Real Estate, Construction & Design Industry News
Despite the economy, firms with local ties have been busy. Here is a small sampling of some recent industry activity.

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Healthcare Real Estate Outlook
Looking for Silver Linings in Cloudy Skies
Turn on the television; open any paper, and it’s clear the American housing market has been in a freefall for more than a year. For the most part, the commercial sectors have followed suit.
Cindy Sanders