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 Current Nashville Medical News

Annual Wall Street Analysis of Healthcare
Nashville Stocks Well Positioned
While not every venue serves up the glitz and glamour of the Golden Globes, almost every industry takes time to acknowledge leaders in the ranks that are doing a good job dealing with opportunities and challenges in the marketplace and to shine a little light on future stars.
KELLY PRICE

Legislative Agendas: State Associations Weigh In On 2010 Priorities
By all accounts 2010 is shaping up to be a tough year to lobby for any legislation tied to a fiscal note. As Sharon Adkins, MSN, RN, executive director of the Tennessee Nurses Association succinctly noted, “Anything with a dollar sign is dead in the water.”
CINDY SANDERS

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Three Nashville-Area Hospitals Sued for Meal Break Compensation
Hospitals that automatically exclude meal breaks from employees’ compensated hours just might be in violation of the Fair Labor Standards Act, and they may owe some employees back pay, according to the contention of three lawsuits filed against Nashville-area hospitals since November.
SHARON H. FITZGERALD

 MEDICARE/MEDICAID FOCUS

Op/Ed: Cardiac Imaging Benefit Management Offers Alternative to Cardiology Cuts
MedSolutions’ Outcomes-Focused Cardiac Imaging (OFCI) could protect access to needed services while generating significant savings for Medicare. Implementing a cardiac imaging benefit management program, like those used in the private sector, could help the Centers for Medicare and Medicaid Services (CMS) avoid reimbursement cuts that may drive many cardiologists and other specialty physicians out of business, said executives with MedSolutions, a Franklin-based provider of medical cost management services.

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Are Physician-Owned Hospitals Doomed?
Healthcare Reform Not Death Knell Nail, But Close
Even though colonial doctors pioneered the establishment of hospitals in the United States when they could no longer provide the level of care required of their patients inside office walls, physician-owned hospitals may soon be history.
LYNNE JETER

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AHIMA Introduces New CEO
Alan Dowling, PhD, Takes the Reigns
On Jan. 13, Alan F. Dowling, PhD, took over leadership of the American Health Information Management Association (AHIMA). In light of healthcare reform and stimulus money to implement electronic health records, the next few years are anticipated to be crucial ones for AHIMA’s membership.
CINDY SANDERS

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Mysterious Orexin
Burnham Team Investigates How the Hormone Impacts Obesity, Diabetes and Cancer
ORLANDO—Devanjan Sikder was studying how metabolism impacts sleep and weight control when he stumbled across some very interesting research involving orexin.
Sikder began investigating how orexin—a hypothalamic neuropeptide—regulates metabolism, sleep patterns and feeding behavior, and the role that hunger plays in the regulation of fat metabolism and insulin secretion.
LYNNE JETER

 ONCOLOGY FOCUS

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Stimulating Quality Through EHR Adoption
CMS Proposes Definition of ‘Meaningful Use’
HITECH — Health Information Technology for Economic and Clinical Health Act —was created to stimulate the adoption of electronic health records by making funds available to enhance infrastructure at a state level and actually set up systems at a facility level. Part of the overall American Recovery and Reinvestment Act of 2009, one of the stipulations for receiving the federal dollars was using health information technology in a meaningful manner to enhance efficiency, establish quality controls and safeguard patients.
Cindy Sanders

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Strategically Planning for Quality
Vanderbilt Looks at Systemic Measures to Ensure Quality & Safety
Julie Morath, RN, MS, has just celebrated her one-year anniversary as the chief quality and patient safety officer at Vanderbilt University Medical Center. She moved to Nashville from the Twin Cities in January 2009 to oversee system-wide initiatives impacting the adult and children inpatient hospitals, ambulatory settings, behavioral health units and home care.
Cindy Sanders

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RAC ‘n’ Roll
Recovery Audit Contracting Rolled Out Nationwide
After several years of anticipation, the Medicare Recovery Audit Contractor (RAC) program was set for nationwide rollout last month. Despite the notice, many Medicare providers still are not adequately prepared to respond to a request for records.
CINDY SANDERS

 Bonus Editorial

CARDIOVASCULAR SYSTEMS OF CARE: Life Saving Efforts in Cardiology
The American Heart Association recently released data on cardiovascular mortality for the last decade. In the period from 1996 to 2006, the cardiovascular mortality rate in the United States dropped by an impressive 29.2 percent. In spite of this improvement, there remain about 350,000 sudden cardiac deaths per year in the United States.

 Feature Profiles

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PHYSICIAN SPOTLIGHT: Hat Trick
Interventional Cardiologist Steven Manoukian Relishes HCA Triple Play
Fan, player, coach … there is no question that Steven Manoukian loves hockey. Growing up in Queens, the young athlete — who began playing at the age of nine — loved to cheer on the New York Rangers. Since his ‘day job’ brought him to Nashville in June 2008, he has also become an avid Predators’ fan.
CINDY SANDERS

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HEALTHCARE ENTERPRISE: ProjX Pioneers Role as Owner’s Advocate for Healthcare Facilities Development
Most healthcare providers looking to build or expand don’t employ an in-house vice president of real estate, design and construction. That’s where ProjX LLC comes in … filling that role and then some.
SHARON H. FITZGERALD

 Grand Rounds

Grand Rounds February

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Nashville’s Major Hospitals Succeed in Reducing D2B Times for Heart Attack Patients
Time Is Muscle
American hospitals are making major strides in reducing the time it takes to administer potentially life-saving balloon angioplasty to heart attack patients, and Nashville’s four major downtown hospitals all boast aggressive initiatives to shave precious minutes off their times. Their strategies are working.
SHARON H. FITZGERALD

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Vanderbilt Children’s Studies Marfan Syndrome
Research Conducted Through Pediatric Heart Network
With its participation in a study concerning a cardiac side effect of the rare disorder known as Marfan syndrome, Vanderbilt Children’s Hospital is a member of an elite club, the Pediatric Heart Network.
SHARON H. FITZGERALD

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Centennial Set to Begin Construction of New Heart Center
Centennial Medical Center is scheduled break ground this spring on a dedicated Heart and Vascular Center that will incorporate the latest concepts in cardiovascular care and integrate all cardiac services with close proximity to the Emergency Department.

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Heart Healthy Cooking
If we are what we eat, then your cardiologist wants to see almonds and blueberries in his waiting room when you show up for an appointment.
He’ll be pleased with wild Alaskan salmon on his examining table.
The doctor knows that if you are eating natural foods rather than the over-processed, over-fat and over-industrialized foods so prevalent in our stores and restaurants, the odds are that your cardiac health will improve along with your diet.

KELLY PRICE