NCMS Morning Rounds 11-27-19

Happy Holiday! Here is your last

NCMS Morning Rounds of the week.

Nov. 27, 2019

In observance of the Thanksgiving holiday, the NCMS Center for Leadership in Medicine will be closed tomorrow and Friday. The office will reopen and Morning Rounds will resume publication on Monday, Dec. 2. We wish you a very Happy Thanksgiving!


Two More Practices Thankful for NCMS Disaster Relief

Two more practices in eastern North Carolina that were impacted by Hurricane Florence in September 2018, recently received NCMS Disaster Relief Fund checks to help offset the storm’s impact.

NCMS Director of Member Services, Eastern Region Frank Snyder presented a $12,500 check to Alan Tamadon, MD, whose practice, Rehabilitation Medicine Services in Wilmington, was shut down for two weeks due to storm damage and loss of power. The money will help offset the losses.

Snyder also presented Disaster Relief funds of $7,500 to Richard Bumgardner, MD, of East Columbus Primary Care in Delco, NC. His practice was shuttered for five days due to hurricane conditions, water damage and power outage before he was able to partially reopen with generator power. The check will help compensate the practice for lost revenue during that time.

The deadline to submit requests for disaster relief funds due to damage or lost revenue caused by Hurricane Florence is this Sunday, Dec. 1. Please submit your application now. Review the guidelines. Download the application here.

The NCMS Foundation’s Disaster Relief Program has awarded nearly $500,000 in relief funds to practices in eastern North Carolina in the wake of Hurricane Florence. This program helps practices continue to offer crucial health services to their communities.

A Few Tips for a Safer, More Peaceful Thanksgiving

NCMS ‘supergroup’ member, New Hanover Regional Medical Center, featured several helpful articles in its recent newsletter to share with you and your patients.

At the risk of increasing any pre-existing anxiety or holiday stress, here is a reminder of some common Thanksgiving hazards – besides overeating:

Heart failure
Knife injuries
Food poisoning
Car accidents
Sports injuries
Domestic violence

Read the article to learn how to help avoid these hazards.

A less deadly, but perhaps equally uncomfortable hazard might be the political discussion around the dinner table. The medical center offers this advice on managing those discussions. Get the scoop here.

‘You’ll Put Your Eye Out With That!’

Continuing with our theme of holiday mayhem, be sure, as you’re shopping this Black Friday, to beware of the danger of BB guns and the like. New data has revealed that the mother in the holiday classic ‘A Christmas Story’ was right to warn her son, Ralphie, about the dangers of his coveted Red Ryder BB gun. The data shows that eye injuries from BB and other non-powder guns has risen 30 percent. You could indeed put your eye out!

This month’s issue of Pediatrics, the Journal of the American Academy of Pediatrics, details a study in which researchers looked a data from over 360,000 children under age 18, between 1990-2016. They found that the rate of eye injuries from BB guns as well as pellet, paintball and airsoft guns increased by 30 percent, even though the number of all types of injuries from these guns decreased by almost 50 percent. BB guns accounted for more than 80 percent of all injuries, and nearly 90 percent of children injured were boys. The most common type of eye injury was a scratch on the eye’s cornea.

The North Carolina Society of Eye Physicians and Surgeons has put out a press release with advice on protecting children from such injuries, which you can share with patients, including:
• Buy the proper eye protection. Always wear eye protection that meets appropriate national standards when using nonpowder guns.
• Get a target. Have children shoot BB and pellet guns at paper or gel targets with a backstop to trap BBs or pellets.
• Educate children. Teach them proper safety precautions for handling and using non-powder guns.
• Be present. Ensure that there is always appropriate adult supervision.

“Ophthalmologists see firsthand the devastating damage toy guns can inflict on the eyes; children are blinded,” said Dianna Seldomridge, M.D., MBA, Duke Eye Center ophthalmologist and clinical spokesperson for the American Academy of Ophthalmology. “The good news is, most of these injuries are avoidable. Protective eyewear and adult supervision make non-powder gun activities much safer for children. If you can’t resist the Ralphies in your life, buy protective eyewear.”

In the News

Not Yesterday’s Cocaine: Death Toll Rising from Tainted Drug, Kaiser Health News, 11-25-19

Learning Opportunity

Becker’s Hospital Review is offering a free webinar next Thursday, Dec. 5 from 1 to 2 p.m. on ‘How to build a Patient Navigation Hub and retain patients in-network — Real-world insights from 2 experts.’ With the rapid acquisition of independent physician practices and the growing importance of an aligned physician culture, health systems and clinically integrated networks that can build physician loyalty have significant opportunity to increase revenue capture, improve patient outcomes and develop a platform to better manage total cost of care. Once a patient is referred outside the network, organizations lose the ability to control quality, cost and access. Effective referral management requires ongoing tracking and documentation across various primary care clinics, specialist offices, and ambulatory sites. This also includes transition of care from emergency rooms and inpatient stays. This webinar will explore how creating a Patient Navigation Hub can streamline network referral management and drive significant growth, improve margins, enhance the patient experience and optimize performance in value-based payer contracts. Learn more and register.


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