pulmonary critical care & sleep medicine - baylor … 2 sccm awards “excellence in service for...
TRANSCRIPT
Second Quarter Newsletter, April 2017
Spotlight:
Section wins the 10K award
Welcome to the incoming 2017 Fellows!
Inside this issue:
Faculty in News 2 Grants/Publications/
Presentations 3
Section Retreat 4 Billing & Coding
Training 5
Updates/Headline 6 CF Site Visit 7 Grand Rounds 8 Incoming Fellows 9 CC Grand Rounds 12
Pulmonary
Critical Care &
Sleep Medicine
Pulmonary/Sleep/CF Wins the $10,000 That’s the Way Award
Message from the Chief:
Increased communication
was a strong desire of the
faculty expressed at the re-
treat. In response we will
bring a quarterly newsletter
& faculty meetings. Meetings
will be on Zoom.
Congratulations to the entire clinic, staff and faculty for winning
the $10K award for the most improved Press Ganey Patient
Satisfaction score jumping by 31 points!
Many thanks to Drs. Manian and Shaib for their leadership in this effort. Below is the link for the article:
https://bcmfamily.bcm.edu/2017/04/05/pulmonary-critical-care-and-sleep-medicine-team-celebrated-for-patient-care/
Page 2
SCCM awards “Excellence in Service for Research/
Quality Improvement ”
A collaborative team effort led by Petra Grami RN of BSLMC and
Dereddi Raja Reddy MD, Critical Care Faculty at BSLMC, won the pres-
tigious Excellence in Service Award for Research & Quality Improve-
ment at the Society of Critical Care Medicine 2017 Congress in Hawaii.
While a growing body of evidence demonstrates benefits of early re-
habilitation for mechanically ventilated patients in the ICU, it is very
infrequently prescribed because of multiple perceived barriers. Using
Exercise Physiologists as an innovative method, Grami & Reddy’s team
successfully implemented a quality improvement study showing statis-
tically significant positive outcomes.
Faculty in News!
Congratulations Dr. Lazarus for receiving
the Faculty Awards for Excellence in Patient
Care!
Congratulations Dr. Ayyala for becoming a
member of the Vice Chair Committee on Qual-
ity Improvement and Innovations for the De-
partment of Medicine!
Page 3
GRANTS -PUBLICATIONS-PRESENTATIONS
Dr. Aladin M. Boriek received the National Science Foundation grant of $175,000 to Baylor College of Medicine in
support of Dr. Boriek’s project entitled “EAGER: Exploratory Role of the Cytoskeleton in Anisotropic Regulation of
Micrornas in Skeletal Muscles”.
Christopher Howard & Kalpalatha Guntupalli:
“Update in Pulmonary Medicine Evi-dence Published in 2016”
http://annals.org/article.aspx?
arti-
cleId=2615446&guestAccessKey=db29
640a-a9d5-498f-9d4c-5905daae3828
N. Hanania, December 2016- April 2017
Publications:
1: Biswas R, Hanania NA, Sabharwal A. Factors Determining In Vitro Lung Deposition of Albuterol Aerosol De-livered by Ventolin Metered-Dose Inhaler. J
Aerosol Med Pulm Drug Deliv. 2017 Feb 3. doi: 10.1089/jamp.2015.1278.
New paper featured in Wall street Journal (attached) and on Channel 2
https://www.wsj.com/articles/many-asthma-patients-use-their-inhalers-incorrectly-research-shows-1488822193
http://www.click2houston.com/health/incorrect-use-of-asthma-inhaler-could-waste-medication
2: Sapir T, Moreo KF, Greene LS, Simone LC, Carter JD, Mateka JJ, Han-ania NA. Assessing Patient and Provider Perceptions of Factors As-sociated with Patient
Engagement in Asthma Care. Ann Am Thorac Soc. 2017 Jan 27. doi: 10.1513/AnnalsATS.201608-602OC.
3: Robinson D, Humbert M, Buhl R, Cruz AA, Inoue H, Korom S, Hanania NA, Nair P. Revisiting Type 2-high and Type 2-low airway inflammation in asthma: current knowledge and therapeutic implications. Clin Exp Al-lergy. 2017 Feb;47(2):161-175.. Re-view. PubMed PMID: 28036144.
4: Medrek SK, Kao CC, Yang DH, Hanania NA, Parulekar AD. Fungal Sensitization Is Associated with In-creased Risk of Life-Threatening Asth-ma. J Allergy Clin Immunol Pract. 2016 Dec 22. pii: S2213-2198(16)30573-6. doi: 10.1016/j.jaip.2016.11.015. [Epub ahead of print] .
5: Diamant Z, Hanania NA. Generic medications in precision medicine in asthma. Curr Opin Pulm Med. 2017 Jan;23(1):1-2.
6: Skloot GS, Busse PJ, Braman SS, Ko-vacs EJ, Dixon AE, Vaz Fragoso CA, Scichilone N, Prakash YS, Pabelick CM, Mathur SK, Hanania NA, Moore WC, Gibson
PG, Zieman S, Ragless BB; ATS ad hoc Committee on Asthma in the Elderly. An Official American Thoracic Society Workshop Report: Evaluation and Management of Asthma in the Elderly. Ann Am Thorac Soc. 2016 Nov;13(11):2064-2077. .
7: Parulekar AD, Diamant Z, Han-ania NA. Role of biologics target-ing type 2 airway inflammation in asthma: what have we learned so far? Curr Opin Pulm Med. 2017
Jan;23(1):3-11. PubMed
8: Hanania NA, Korenblat P, Chapman KR, Bateman ED, Kopecky P, Paggiaro P, Yokoyama A, Olsson J, Gray S, Holweg CT, Eisner M, Asare C, Fischer SK, Peng K,
Putnam WS, Matthews JG. Efficacy and safety of lebrikizumab in pa-tients with uncontrolled asthma (LAVOLTA I and LAVOLTA II): rep-licate, phase 3, randomised, double-blind, placebo-controlled trials. Lancet Respir Med. 2016 Oct;4(10):781-796.
9: Lambert AA, Putcha N, Drum-mond MB, Boriek AM, Hanania NA, Kim V, Kinney GL, McDonald MN, Brigham EP, Wise RA, McCormack MC, Hansel NN; COPDGene Investi-gators.. Obesity Is Associated With Increased Morbidity in Moderate to Severe COPD. Chest. 2017 Jan;151(1):68-77.
10: Dransfield MT, Kunisaki KM, Strand MJ, Anzueto A, Bhatt SP, Bowler RP, Criner GJ, Curtis JL, Hanania NA, Nath H, Putcha N, Roark SE, Wan ES, Washko GR, Wells JM, Wendt CH, Make BJ; COPDGene Investigators.. Acute Exacerbations and Lung Function Loss in Smokers with and without Chronic Obstructive Pulmonary Disease.
Am J Respir Crit Care Med. 2017 Feb 1;195(3):324-330.
Page 4
Faculty Retreat March 2017
Page 5
BILLING AND CODING TRAINING WITH DR. SCOTT MANAKER
Friday, March 17, 2017: 7:30 am—1:00 pm
DeBakey M112
Review of documentation and coding for
basic evaluation and management ser-
vices, observation services, tobacco ces-
sation counseling, advanced care planning,
and a refresher on the teaching physician
regulations (we can include PFTs and 6
min walk test to this section)
Review of Pulmonary Procedure coding
and documentation
Review of critical care coding, including
rapid response teams and resuscitations;
and a refresher on working with ad-
vanced practitioners (NPs and PAs)
BSLMC ACQUIRES NEW TREATMENT TOOL IN MEDICAL ICU!
Treatment teams within the medical ICU at CHI Baylor St. Luke’s Hospital will soon have a new tool to improve the
care provided to their patients. BSLMC has invested in and is currently installing Decisio Health’s clinical decision sup-
port tool (Decisio) within every bed of the medical ICU and emergency room. Decisio was developed here in Houston
at the University of Texas Health Science Center and Memorial Hermann Hospital where it is used within their shock
trauma ICU. This tool includes a cloud-based software and screens, visible to the treatment team, installed in the pa-
tient room. Decisio’s software uses data gathered from the electronic medical record and directly from treatment
hardware such as ventilators, and then presents the real-time information to providers at the bedside via the in room
monitors. This information can also be accessed via a website and apps on personal devices. The software runs both
diagnostic algorithms and treatment bundles, with the ability to inform the treatment team of clinical changes or if time
sensitive interventions are still pending. In 2015 Decisio attained FDA approval as a medical device, the first of its kind.
Although Decisio has been instituted at other hospitals within the US, BSLMC will be the first medical ICU. The treat-
ment of sepsis and compliance with treatment bundles is one of the main drivers for the application of this tool within
the medical ICU, currently with a plan to study its effect on the treatment and outcomes of this population. Moving
forward Decisio will provide a means of gathering large amounts of data and quickly changing interventions within the
medical ICU, greatly expanding the ability to perform quality improvement and research within the ICU.
Congratulations! New Arrivals
Dr. Gloria Li’s son:
David Arthur Etienne
DOB: 12/21/2016
Dr. Prakruthi Voore with daughter:
Sridhruthi S. Nandivada (Dhruthi)
DOB: 10/28/2016
School of Medicine Admissions Committee features
Dr. Philip Alapat
What have you enjoyed most about interviewing Medical school applicants? I have enjoyed
the opportunity to discuss the impressive and diverse accomplishments of our applicants. I am continual-
ly amazed and humbled at the independent and resourceful mindsets of our applicants.
Is there one question that you always ask each applicant that you are interviewing? I ask
each applicant to try to summarize their entire life.-from birth to present– in a couple of minutes. This is obviously a significant chal-
lenge to compress their entire life into a few sentences, but it allows me an opportunity to understand what the applicant views as im-
portant.
Describe one of your best interview sessions from the 2016-2017 cycle.
I don’t think I have any particular ‘best interview session’, but I think the best interview sessions come about when the applicant is able
to convincingly convey excitement about their future in the practice of medicine.
Why did you choose a career in medicine? I found a career in medicine provided me a limitless potential to learn, discover, teach
and provide care such that I wake up each morning with a desire to do more.
The additional facet of the admissions committee that I enjoy is finding a nonstandard applicant who I feel will excel not only at Baylor
College of Medicine but in the future practice of medicine and supporting that applicant in the admissions committee meet-
ing. Page 6
Dr. Tim Hotze wedding:
10/29/2016
Dr. Lakshmy Ayyar’s
daughter: Ritika
DOB: 4/26/2017
CF Center Site Visit
Page 7
The Maconda Brown O’Connor PhD Adult Cystic Fibrosis
Center at Baylor College of Medicine is one of the largest
adult cystic fibrosis care centers in the country providing
multidisciplinary care to nearly 300 patients aged 18 years
and older. CF care centers across the country are accredit-
ed by the CF Foundation to ensure they have the resources
to provide comprehensive care in line with the CF Founda-
tion Care Guidelines. On March 27th Dr Mary Ellen Klein-
henz, adult CF center director at UCSF, visited the Baylor
adult CF care center to conduct an accreditation visit. Dur-
ing this visit she met with learners, colleagues as well as inpa-
tient and outpatient leadership. She was also able to tour
inpatient and outpatient facilities. Pictured above is a lunch-
eon with Dr Kleinhenz, the outpatient care team and select
members of the inpatient care team. Overall, the visit was a
success and Dr Keinhenz was very complimentary of all
those involved. Dr Tara Lynn Barto, interim director of the
Baylor adult CF care center, and her team will receive a final
report later this year after review by the CF Foundation.
Congratulations to Dr. Fidaa Shaib and
Baylor St. Luke’s Sleep team!
Baylor St. Luke’s Center for Sleep
Medicine has received a 5 year re-
accreditation by the AASM as a
Sleep Center and Home Sleep Ap-
nea Testing facility. They re-
ceived no citations and a site visit
was not required despite the re-
cent transition.
For future submissions to this quar-
terly newsletter, please send items
to Dr. Guntupalli & Wendy Cho–
Page 8
SPEAKER:
DR. DALE NEEDHAM FCPA, MD, PHD
PROFESSOR
OUTCOMES AFTER CRITICAL ILLNESS & SURGERY (OACIS) GROUP
DIVISION OF PULMONARY & CRITICAL CARE MEDICINE
DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION
MEDICAL DIRECTOR, CRITICAL CARE PHYSICAL MEDICINE & REHABILITATION PROGRAM
JOHNS HOPKINS UNIVERSITY
VENUE: THE DENTON COOLEY AUDITORIUM (DAC) - BAYLOR ST. LUKE’S MEDICAL CENTER
MARCH 31, 2017
1330 TO 1430 PM
REFRESHMENTS PROVIDED
ALL MDS, FELLOWS, RESIDENTS, NURSING AND ALLIED HEALTH CARE STAFF ARE WELCOME TO ATTEND
Pulmonary Critical Care Medicine Multidisciplinary Grand Rounds
Early Rehabilitation in the ICU: Understanding the Rationale and the Evidence
Page 9
SARA ASSAF, M.D.
Medical School: American University of Beirut Faculty of
Medicine
Residency: Internal Medicine, Saint Louis University
ALI CHEEMA, M.D.
Medical School: University of Oklahoma College of Medi-
cine
Residency: Internal Medicine, Baylor College of Medicine
JOSE CUEVAS, M.D.
Medical School: Unverisdad Autonoma, Mexico
Residency: Internal Medicine, Texas Tech Health Science
Center
CHRIS HANDERA, M.D.
Medical School: St. George’s University School of Medicine
Residency: Internal Medicine, WVU
MEGAN HUGHES, M.D.
Medical School: University of Texas School of Mediicne
at San Antonio
Residency: Internal Medicine, LSU Health Science Center
Shreveport
JUSTIN SEGRAVES, M.D.
Medical School: New York Medical College
Residency: Internal Medicine, Mayo Clinic
2017
INCOMING
PULMONARY/
CRITICAL CARE
FELLOWS
Page 10
BADR ALSALEH, M.D.
Medical School: King Abdulaziz University, SAU
Residency: Internal Medicine, Ochsner
Clinic Foundation
Chief Resident
MEGHAN GOOCH, M.D.
Medical School: Commonwealth Medical College
Residency: Internal Medicine, Cooper University Hospi-
tal
JONATHAN SUZREZ, M.D.
Medical School: Lewis Katz School of Medicine at Temple
University
Residency: Internal Medicine, Jackson Memorial Hospital/
University of Miami
Fellowship: Nephrology, University of Pennsylvania
SIMRAN MATTA, M.D.
Medical School: Maharashtra Inst. Of Medical
Education & Research (MIMER), IND
Residency: Internal Medicine, University of Ne-
vada
KARTIK VALLURI, M.D.
Medical School: Bhaskar Medical College
Residency: Internal Medicine, University of Miami-
Chief Resident
2017
INCOMING
CRITICAL
CARE
FELLOWS
OLUWASEYI ADEJORIN, M.B.B.S.
Medical School: University of Ibadan
Residency: Internal Medicine, Meharry Medical College
Fellowship: Pulmonary Disease, University of Tennessee
Health Science Center
XUESONG CHEN, M.D.
Medical School: University of Alabama School of Medicine
Residency: Internal Medicine, University of South Alabama
Medical Center
Fellowship: Pulmonary Disease, Stony Brook University
SONAL MALHOTRA, M.D.
Medical School: St. George’s University
Residency: Pediatrics, Albany Medical Center
Fellowship: Pediatric Pulmonology, Ann & Robert H.
Lurie Children’s Hospital of Chicago
JOSE OCHOA, M.D.
Medical School: University of Texas Medical Branch
School of Medicine
Residency: Internal Medicine, Texas A&M Health &
Science Center
Fellowship: Pulmonary/Critical Care, LSU Shreveport
GOUTHAM GUDAVALLI, M.D.
Medical School: Kakatiya Medical College
Residency: Internal Medicine, LSUHSC Lafayette
Chief Resident
2017
INCOMING
SLEEP
MEDICINE
FELLOWS
Page 11