VOL. 1, ISSUE 2   02.02.2015

CHFM Pulse

Top Stories

• Upcoming Events

• Achievements

• Patient Care Highlight: Dr. Michaudet- Sports Med./ MSK Clinic

• Research Spotlight:Hepatitis Study 

• Quality Improvement Initiatives- Readmissions: COMPARE Study

• Student Health

• Honorable Mentions

• Billing & Compliance Tidbit  
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UPCOMING EVENTS

• Grand rounds: " “Palliative Care” on February 3, 2015 at 12:15 PM - 1:15 PM at Community Health and Family Medicine, room N107

• CHFM Faculty Meeting Friday, February 20, 2015 at 7:00 PM at Main St. Clinic 

• The 2015 UF Health Quality and Patient Safety Week;  Be a Safer Gator, is March 9-13, 2015. During this event UF Health will showcase our quality improvement and safety initiatives by displaying  posters from all health disciplines during this year’s Quality and Patient Safety Week.   

 
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ACHIEVEMENTS

Awards

 2015 UF Health Shands Physician Customer Service Award winner

Dr. Siegfried Schmidt has  been selected as a 2015 UF Health Shands Physician Customer Service Award winner, based on a nomination from one of his patients. Over 100 nominations were submitted and he was selected by the Physician Recognition Team to be honored at the Recognition Luncheon, hosted by Dr Michael Good and Ed Jimenez, Shands CEO.

Recent Publications

We would like to congratulate these folks on their recent publications!

Dr. Ku-Lang Chang:

• Ku-Lang Chang ; Lisa Brown; Screening for Hereditary Cancer Syndromes; January 2015 Am Fam Physician. 2015 Jan 15;91(2):125-131.

Dr. James Clugston

• Smith, Michael S.; Friedman, William A.; Smith, Kristy B.; Pass, Anthony N. Sr; Clugston, James R..   Intracranial Arteriovenous Malformation in a College Football Player and Return-to-Play Considerations. Clinical Journal of Sport Medicine. 24(6):e62-e64, November 2014.

• Zaremski JL, Herman DC, Clugston JR, Hurley RW, Ahn AH. Occipital neuralgia as a sequela of sports concussion: a case series and review of the literature. Curr Sports Med Rep. 2015 Jan;14(1):16-9 PMID: 25574876

Dr. Robert Hatch:

• Staphylococcus epidermidis in Urine Is Not Always Benign: A Case Report of Pyelonephritis in a Child. Valentina Lozano, Gabriela Fernandez, Patricia L. Spencer, Susan L. Taylor, and Robert Hatch. J Am Board Fam Med January-February 2015; 28:151-153; doi:10.3122/jabfm.2015.01.140118

Dr. Guy Nicolette

• Nicolette, G. "Motionyms": Activity-Related Musculoskeletal and Medical Problems (or Not an Eponym!!). The Physician and Sportsmedicine.(ID: 1005541 DOI:10.1080/00913847.2015.1005541). Estimated Publication date - 20 Jan 2015 (Online) , 28 Jan 2015 (Print)

Dr. Arch Mainous

• Mainous AG 3rd, Tanner RJ, Coates TD, Baker R. Prediabetes, elevated iron and all-cause mortality: a cohort study. BMJ Open. 2014 Dec 11;4(12):e006491.

• Mainous AG 3rd, Tanner RJ, Hulihan MM, Amaya M, Coates TD. The impact of chelation therapy on survival in transfusional iron overload: a meta-analysis of myelodysplastic syndrome. Br J Haematol. 2014 Dec;167(5):720-3

• Allen S, Caton C, Cluver J, Mainous AG 3rd, Clyburn B. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Acad Med. 2014 Oct;89(10):1366-9.

Dr. Ray Moseley

• Winchester, D.E., Moseley, R. E., Hendel, R. The Business Of Accreditation. American Society of Nuclear Cardiology. 2014 November doi:10.1007/s12350-014-0011-5.

Lauren Solberg, JD, MTS

• Solberg, L. Preserving Integrity in Clinical Research: Avoiding Research Misconduct. SoCRA Source. November 2014

Steven M. Smith, Pharm.D., M.P.H.,

• VanderWeide L, Smith SM, Trinkley KE. A systematic review of the efficacy of venlafaxine for the treatment of fibromyalgia. J Clin Pharm Ther 2015;40(1):1-6.

• Smith SM, Cooper-DeHoff RM. Home blood pressure monitoring with patient-initiated antihypertensive drug titration reduces blood pressure in high-risk patients with hypertension. Evid Based Med 2015 Epub ahead of print: doi 10.1136/ebmed-2014-110109. 

 

 

 
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PATIENT CARE HIGHLIGHT

Dr. Charlie Michaudet is helping to expand the range of services we can provide patients, by operating a Sports medicine/Musculoskeletal (MSK) clinic on Mondays afternoon and Thursdays afternoon.

This clinic provides a wide range of services like: full x-rays services, evaluation and management of musculoskeletal injuries including sprains, dislocations, fractures, acute tendonitis, chronic tendinosis, evaluation and management of sports concussions, overuse injuries/DJD, exercise induced bronchospasm/asthma, vocal cord dysfunction, and the evaluation and management of stress fractures and female athletes triads.

Several procedures are performed, including the following (with a possibility in the near future to expand services to include Hyaluronic Acid injection (visco-supplement: Synvisc One/Euflexxa) for knee DJD and on site bracing/DME):

• Joint injection/Aspiration

• Soft tissue/trigger point injection

• Ultrasound guidance: hip joint, Glenohumeral joint, knee joint with poor anatomical landmarks or  elevated BMI, bicipital tendon sheath

• Ganglion cyst drainage

• Trigger finger/carpal tunnel injection

• Dry needling tenotomy (Chronic tendinosis)

• Casting/Splinting

• Sports physical ECGs with athlete specifics interpretation

For referrals: “ Appt Req Family Medicine”, select “Main Street” and type “Sports 

 
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RESEARCH SPOTLIGHT

Hepatitis Study: “Elevated Transaminase and Hepatitis B and C in a Family Medicine Residency Program Practice”

Principal Investigator: Dr. John Malaty

Family medicine physicians often order measurement of liver enzymes during their routine evaluation of patients. This measurement often leads to the detection of mild elevations in alanine transaminase (ALT) and aspartate transaminase (AST) in otherwise asymptomatic patients.

The aim of this study is to determine the prevalence of elevated ALT or AST in asymptomatic patients seen by family medicine residents and faculty members in their family medicine center. Furthermore, this study will examine the compliance with recommended guidelines in terms of initial evaluation of these patients as well as the prevalence of conditions commonly associated with these abnormal laboratory findings. The results of this pilot study will be used to guide quality improvement efforts in regards to the care of patients with elevated ALT and AST.
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QUALITY IMPROVEMENT INITIATIVES

Hospital Readmissions: COMPARE

Hospital readmissions have been a recurring and costly problem for the healthcare system. Identifying key underlying problems could help drive a viable solution to this problem. We are currently using multiple interventions (1) demographic data analysis and GIS mapping, (2) high-risk discharge plan for patients identified as high utilizers, and newly implemented (3) COMPARE.

COMPARE, a research study, led by Eric Dietrich, PharmD, seeks to find common underlying causes for hospital readmissions by getting the patient’s perspective, in addition to the healthcare provider’s perspective, on the possible causes for the patient’s return to the hospital within 30 days or less of their previous discharge. The study will collect data via a survey tool to that asks the patient and the provider to identify one main cause for readmission as well as other contributing factors.

The results will then be analyzed to determine the main reasons that cause patients to have hospital readmissions and if there is a mismatch in what patients perceive and what providers perceive to be the cause. It is hoped that with a better understanding of the patient, solutions can be better target the issue and help reduce the occurrence of readmissions.
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STUDENT HEALTH

Student Health goes to EPIC

There is an official plan to go-live with Epic this summer, on July 15th 2015, for Student Healthcare Center. Training arrangements are being made to prepare all staff for the Epic implementation.
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HONORABLE MENTIONS

“Concussion Research at UF….A No-brainer.”

Dr. James Clugston gave the first lecture to the Florida Museum of Natural History’s Science Café on Monday, January 12, 2015.  The Museum’s Science Cafés are engaging conversations about a variety of science topics and provide the setting for lively discussions.

Mind, Body, & Sole 5K Run

The 1st Annual Mind, Body, and Sole 5k was Saturday, November 8th, 2015 hosted by our department alongside two UF student run groups – AMSA and AWARE, to help raise awareness of mental health and suicide prevention. We had an amazing turnout of over 125 registrations and over 100 people ran the day of the event.

• Dr. Carek placed 5th overall and 3rd among males

• Acknowledgements to Rachel Rivera for taking the lead on this successful event!
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BILLING & COMPLIANCE TIDBIT

Billing Based on Time

Critical components to document.

• Total face-to-face visit time

• Total counseling / coordination of care time

• Include a concise description of the content of the counseling.

• Time attestation must be in the first person.

Example:    “I” spent ____minutes face-to-face with the patient with ____ minutes spent in counseling / coordination of care about ____________________.
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CHFM Mission Statement

Mission: To serve our patients and community, positively shaping the future of healthcare through outstanding teaching, discovery, and innovation in Family Medicine. 
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Would you like to add something to this newsletter or have any suggestions? Any questions, comments, or concerns? Please email Paulette Blanc at pblanc@ufl.edu with subject “CHFM Newsletter”.