2019-2020 MLH Medical Staff Meetings

Attendance at 50% (1) Hospital Staff meeting per Calendar Year is required for Active Staff members by the MLH Medical Staff Bylaws.

You may attend any ONE of the following meetings, at the hospital of your choice, whether that hospital is/is not your primary facility.

THERE ARE NO EXCUSED ABSENCES.

 Fall 2019 Meetings

Tuesday, October 15, 2019 5:00PM Lankenau Medical Center – Center Pew Auditorium
Tuesday, October 15, 2019 6:00PM Paoli Hospital – Potter Room
Thursday, October 17, 2019 6:00PM Riddle Hospital – Drexelbrook Catering & Special Event Center
Thursday, October 24, 2019 5:30PM Bryn Mawr Hospital – Pennypacker Auditorium

 

Spring 2020 Meetings

Tuesday, April 7, 2020 6:00PM Paoli Hospital – Potter Room
Tuesday, May 5, 2020 6:00PM Riddle Hospital – Springfield Country Club
Thursday, May 14, 2020 5:30PM Bryn Mawr Hospital – Pennypacker Auditorium
Tuesday, June 2, 2020 5:00PM Lankenau Medical Center – Center Pew

Auditorium

Questions? Contact the Medical Staff Affairs Office at 484-337-8031

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Best read of the week

CMS says it wants to cut paperwork. Providers have ideas.

Healthcare Dive: CMS says it wants to cut red tape, and players across the healthcare industry are weighing in with a plethora of suggestions. The agency received roughly 440 comments in response to its Patients over Paperwork initiative in which provider, payer and pharma groups lobbied to reduce the individual regulatory requirements they say cut into their bottom lines.

Additional news media reports on MLH physicians and the health care industry, excerpted from MLH’s daily Morning News Report:

Main Line Health News…
Philadelphia hospital residency slots fetch $55M at auction

Associated Press: More than 550 residency slots at a Philadelphia teaching hospital have fetched a $55 million winning bid at a bankruptcy auction ahead of the facility’s impending closure.

Christiana Care Health System, Cooper University Health Care, and Main Line Health joined Einstein Healthcare Network, Jefferson Health and Temple University Health System in the winning bid.

 

Regional Health News…
Philadelphia officials declare health emergency over hepatitis A outbreak

The Inquirer: Philadelphia health officials have declared an emergency over an outbreak of hepatitis A in the city that has affected 154 people since January, and are calling for health providers to increase vaccinations to combat the liver disease.

 

Quality and Safety News…

To Find The Next Antibiotic, Scientists Give Old Drugs A New Purpose

NPR: With antibiotic-resistant bacteria on the rise, scientists are urgently trying to find drugs that will work against persistent infections. But coming up with new ones does not have to be the only strategy. A recent study published in Proceedings of the National Academy of Sciences found that they can repurpose bithionol — a drug formerly used to treat parasitic infections in horses — to kill antibiotic-resistant bacteria, including MRSA, a common hospital-acquired infection.

 

Patient Care News…
For the first time, U.S. panel recommends screening adults for illicit drug use

STAT: The U.S. Preventive Services Task Force has determined, for the first time, that there is enough evidence to state with “moderate certainty” that screening adults for illicit substance use is overall beneficial.

 

Study shows Apple devices in combo with apps could identify dementia

Reuters: Drugmaker Eli Lilly said on Thursday early results from a study suggest that Apple Inc devices, including the iPhone, in combination with digital apps could differentiate people with mild Alzheimer’s disease dementia and those without symptoms.

 

Residency Bullying: Trainer on Trainee Harassment Common

Medscape: In a survey administered to a national cohort of internal medicine residents, 14% reported that they had been subjected to repeated harassment by someone in a position of authority at some point during their residency, researchers report in a study published online today in JAMA.

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SAVE THE DATE! Population Health Day 2019: Creating Connections

Creating Connections, Conversations to Advance a Healthy Community for All, will be held on Friday October 18, 2019, 8am – 3pm at Lankenau Medical Center, Annenberg Conference Center. The program is a day of collaborative talks and roundtable discussions to assess the health of our community and highlight actions for change. Contact Megan Jones at Jonesme@mlhs.org or at 484.476.4625 for additional information.

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STEEEP Huddle: P for Patient-Centered.

This week’s STEEEP Huddle, contributed by Maureen A. Hennessey, Ed.D., manager, Community Health and Equity, Bryn Mawr Hospital, and chair, Montgomery County Immunization Coalition (MCIC), focuses on National Immunization Awareness Month (August). Main Line Health strives to ensure the health and well-being of our patients, staff and community members. Highlighting the importance of getting recommended vaccines is a key message in that effort.

As Main Line Health employees and staff, we ask that you remain committed to our patients and the community in promoting the fact that immunizations are safe and effective and that all individuals should be properly immunized.

The STEEEP Huddle topics are posted on the Performance Excellence 2020 site at landing.mainlinehealth.org/PE2020.

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Clinical Trial of the Week: Treatment trial for patients diagnosed with atherosclerosis in a leg

By Donna Loyle, communications specialist, LIMR

Researchers seek patients who’ve been diagnosed with severe claudication or critical ischemia to a lower limb for a randomized study to determine the appropriate dosage of the FDA-approved medication Torisel® (temsirolimus).

The research objective is to assess the safety and effectiveness of Bullfrog Micro-Infusion Device adventitial deposition of temsirolimus in reducing intimal hyperplasia, inflammatory markers and composite safety endpoints after revascularization of one or more angiographically significant lesion(s) in below-knee popliteal or tibial/peroneal vessels.

Eligible patients are randomized into three study groups. One group receives a low dose of the medication; one group receives a higher dose; and the third group is the control cohort (receives normal saline).

 

Inclusion criteria:

  • Must have been diagnosed with severe claudication (Rutherford 3) or chronic critical limb ischemia (Rutherford 4-5) in the target limb due to arterial stenosis between the knee joint space and the ankle joint.
  • Must not be receiving chronic anticoagulation therapy, such as warfarin. Chronic antiplatelet therapy and procedural anticoagulation therapy are permitted.
  • Must not be receiving or planned to receive systemic immunotherapy, chemotherapy or corticosteroids; inhaled corticosteroids for asthma treatment or topical steroid uses are permitted.
  • Must meet angiographic study lesion specifications.

The principal investigator for trial #CIP0214 (TANGO) is Antonis Pratsos, MD. The trial is approved for Bryn Mawr Hospital. For more, click here: https://www.mainlinehealth.org/research/clinical-trials/cip0214-tango

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Coalition of Regional Academic Health Organizations wins bid for Hahnemann Residency Program

Six mission-driven, nonprofit academic health organizations across Greater Philadelphia and the Delaware Valley won a collective bid for the physician residency program at Hahnemann University Hospital.

The move ensures access to patient care services—especially for the underserved—and stabilizes the education of hundreds of residents who will be the region’s health care providers of the future.

The bid also unites the majority of institutions—Christiana Care Health System, Cooper University Health Care, Einstein Healthcare Network, Jefferson Health, Main Line Health and Temple Health—that are absorbing the patients, residents and employees displaced by the Hahnemann closure with a shared vision of doing what’s right for the community.

The U.S. Bankruptcy Court will review the bid during a hearing scheduled for August 19. Closing of the transaction is dependent upon certain regulatory approvals. Should the court approve, the transaction will provide vital medical malpractice insurance for displaced residents, which will protect them from personal liability.

The coalition has been working tirelessly since last month to assist in what’s been called a medical crisis for the Philadelphia region by:

  • Offering positions to 384 of approximately 570 orphaned residents
  • Holding job fairs for nurses, physicians and other allied health professionals
  • Expediting credentialing processes for displaced physicians and other care providers
  • Increasing staffing across sites of care to ensure safe and effective care delivery

Furthermore, the coalition is open to discussions with a partner to discuss ways of providing care at Hahnemann or St. Christopher’s Hospital for Children, which are owned by parent company Philadelphia Academic Health System. The coalition also looks forward to the collaborative and strong relationship it has with Drexel University.

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Best read of the week

Physician burnout lessens when patients’ social needs are met, study finds

Becker’s Hospital Review: Physicians who feel their clinic can address patients’ unmet social needs are less likely to be burned out, according to a study published earlier this year in The Journal of the American Board of Family Medicine and reported Aug. 1 on the American Medical Association’s website.

Additional news media reports on MLH physicians and the health care industry, excerpted from MLH’s daily Morning News Report:

Main Line Health News…
Hahnemann residency slots auction: Main Line Health, Cooper join Temple and Jefferson in bid

The Inquirer: The bankruptcy auction of Hahnemann University Hospital’s residency programs, scheduled for Thursday, drew several bidders by the 4 p.m. deadline Wednesday, in addition to the $7.5 million starting bid by Tower Health that was announced last month. Christiana Care Health System, Cooper University Health Care, and Main Line Health joined Einstein Healthcare Network, Jefferson Health, and Temple University Health System in a joint bid, two sources said.

These Philly-area hospitals had the most complications after hip, knee, bypass, and spinal surgery

The Inquirer: Like anyone else, doctors and nurses tend to get better with practice. So when picking a hospital for a particular kind of surgery, a standard rule of thumb is to find a facility that does lots of them. A new state report allows Pennsylvania consumers to do just that for four common operations: hip and knee replacements, heart bypass surgery, and spinal fusion. Results for hospitals in Bucks, Chester, Delaware, and Montgomery Counties and Philadelphia are shown in tables below. Main Line Health hospitals are included.

 In a new twist, feds say proposed sale of Hahnemann’s residency program is illegal

The Inquirer: Medicare objected to both the $3 million clawback cap and the transfer of its agreement with Hahnemann unless Tower — or any buyer — were to take on all the “burdens” that come with the agreement. However, it did not object to the transition of Hahnemann’s residents and fellows to other hospitals to finish their training. In at least two cases, whole programs have moved to new hospitals in the Philadelphia region. Urology, with 10 residents, is moving to Main Line Health’s Lankenau Medical Center and Bryn Mawr Hospital. In family medicine, 20 of 22 residents have agreed to follow faculty members to Tower’s Chestnut Hill Hospital.

Regional Health News…
Philadelphia officials declare health emergency over hepatitis A outbreak

The Inquirer: Philadelphia health officials have declared an emergency over an outbreak of hepatitis A in the city that has affected 154 people since January, and are calling for health providers to increase vaccinations to combat the liver disease.

Hospital union wants city to rezone Hahnemann property so it can’t be flipped

WHYY: A union representing workers from Hahnemann University Hospital has a plan it says would keep the property a hospital, and prevent it from being flipped and turned into apartments.

Here’s how to know whether telemedicine is right for you

Philly Voice: Many health systems, including Penn Medicine, offer virtual urgent care visits designed to provide on-demand health care services to patients without the hassle of juggling their schedules to drive to an in-person appointment.

Delaware app helps people locate nearby substance use help

WHYY: A collaborative team at the University of Delaware has created an app called HeNN, which stands for Help Near and Now. The app, which hit the Apple and Android stores in early March, offers a directory of services to combat substance abuse.

 Quality and Safety News…

Sepsis readmissions decrease with home nursing visits, physician follow-up, study finds

Becker’s Hospital Review: Sepsis survivors are less likely to be readmitted to the hospital if they are provided with a combination of home nursing care and early physician follow-up after discharge, according to a study published in the August issue of Medical Care.

 3-part care pathway addresses delirium during hospitalization

HealthLeaders Media: Hartford Hospital’s ADAPT program has decreased length of stay and readmissions attributable to delirium.

U.S. recorded eight new cases of measles last week

Reuters: The United States recorded eight new measles cases last week, taking the total for the year to 1,172 in the worst outbreak since 1992, federal health officials said on Monday.

 Patient Care News…
‘Teach back’ communication can keep you out of the hospital

Futurity: When certain patients “teach back” a doctor’s instructions, they’re more likely to stay out of the hospital, according to a new study.

 Only 1 in 10 patients use telehealth as lack of awareness hinders adoption, J.D. Power survey finds

FierceHealthcare: Telehealth often is touted as a technology tool that can help improve healthcare access, especially for vulnerable populations, and reduce costs to the healthcare system. But patient usage of telehealth services is growing at a slow pace. Engagement is low, barely in double digits in even the most engaged demographics, according to a new survey from J.D. Power.

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STEEEP Huddle: E for Equitable

This week’s STEEEP Huddle, contributed by Karen Fitzpatrick-Smith, manager, Organizational Development, HR, focuses on communicating respectfully in a diverse workforce and community. Diversity, Respect and Inclusion Learning Experience has been a course offered at Main Line Health to leaders and individual contributors since 2016. To date, 4500 MLH employees have attended and learned about using the word OUCH. A key ingredient to providing equitable, human care to our patients and each other is communicating respectfully in the workplace at every interaction. At times, colleagues make comments that are hurtful and offensive to others and aren’t quite sure how to respectfully acknowledge the negative impact of that word or phrase. All MLH employees are encouraged to say, OUCH then educate the person on why that phrase or statement hurt.

The STEEEP Huddle topics are posted on the Performance Excellence 2020 site at landing.mainlinehealth.org/PE2020.

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Clinical Trial of the Week: Radiotherapy trial for patients with certain types of breast cancer

By Donna Loyle, communications specialist, LIMR

Tailor RT is a multicenter, randomized, non-inferiority phase III trial evaluating outcomes among certain breast cancer patients treated with regional radiotherapy (RT), that is, RT to regional nodes following breast-conserving surgery (BCS) or RT to the chest wall and regional nodes following mastectomy.

Each patient is grouped into one of four study arms:

  • Arm 1A: receives whole breast irradiation following BCS
  • Arm 1B: no radiotherapy following mastectomy
  • Arm 2A: whole breast irradiation plus regional RT following BCS
  • Arm 2B: radiotherapy to the chest wall and regional nodes following mastectomy

Inclusion criteria:

  • Must have been diagnosed with biomarker low-risk, node-positive breast cancer and no evidence of metastases
  • Must already have been treated with BCS or mastectomy and will receive endocrine therapy for five years
  • Must be willing to undergo the treatment protocol as specified for the study arm into which the patient has been randomized

The Main Line Health principal investigators for the Tailor RT study are Albert DeNittis, MD, and Paul Gilman, MD. For more, email cancertrials@mlhs.org or visit www.mainlinehealth.org/research/clinical-trials/tailor-rt

 

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Lab Link – Summer 2019

The latest issue of the Lab Link newsletter includes stories on: MLH Labs’ HAP award; Babesiosis; and Driving down pre-analytical errors.

Lab Link Summer 2019

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