EMR Demos for Physicians
CHI Memorial is hosting EMR demonstrations Tuesday, November 29 - Thursday, December 1, 2016 at the Chattanooga Convention Center, 1150 Carter St, Chattanooga, TN and CHI Memorial Hospital Chattanooga, Clinical Education Room 2. Click here to access the schedule.
Sessions are somewhat specialized. For example, if you are a Hospitalist, you may want to attend the inpatient sessions on Tuesday, November 29 from 11:30 a.m. - 2:00 p.m. If your practice is ambulatory only, you should consider attending the ambulatory sessions on Wednesday, November 30 from 7:00 a.m. - 9:30 a.m. If you are an urologist who does both office and hospital work, please consider attending both the inpatient and ambulatory sessions.
Everyone attending will be asked to evaluate these demonstrations as a contribution to the overall selection process.
Invitations are also being sent for a “day in the life” demonstration for each vendor entitled Continuum of Care, to be held at the Chattanooga Convention Center on November 29. These sessions will provide a high level overview of the functionality as the patient moves through the organization. Attendees will see how the each system shares data and enhances care across multiple care settings. You are encouraged to attend, if possible.
Directors to Clinical Education Room 2
From the North Tower – Take the J elevator to the 2nd floor. Turn left and follow the hearts on the floor. You will come to a hallway on the left which goes to the Emergency Department but do not take this route. Stay on the main hallway following the hearts. Clinical Education is the first open hallway on the right. If you get to C elevator, you have gone too far.
From the South Tower, Surgery B entrance – Take the B elevator to the 2nd floor. Follow the hearts on the floor. At the information desk, go left continuing to follow the hearts. Education will be the first hallway on your left after the C elevator.
On the Clinical Education main hallway – Turn right onto the window hallway, take the first hallway on the right. Computer Lab 2 is the third door on the left.
Dear Healthcare Provider:
CHI Memorial is notifying providers of recent findings from Centers for Disease Control and Prevention (CDC) regarding patients who have undergone open-chest cardiac surgery. Heater-cooler devices used during certain major surgeries that require the use of a heart/lung bypass machine have recently been linked to a rare bacterial infection caused by Mycobacterium chimaera, a slow-growing species of nontuberculous mycobacteria (NTM). Investigations into several clusters of infections linked to exposures to Liva Nova PLC (formerly Sorin Group Deutschland GmbH) Stockert 3T heater-cooler devices during cardiac bypass surgery have determined that these devices were likely contaminated with M. chimaera during manufacturing.
CDC is recommending that clinicians, including cardiologists and general practitioners who take care of cardiac surgery patients before and after their surgery, be aware of the risk and consider NTM as a potential cause of unexplained chronic illness. Symptoms of an NTM infection may include:
Patients with NTM infections following cardiac surgery have presented with a variety of clinical manifestations. Common examples include endocarditis, surgical site infection, or abscess and bacteremia. Other clinical manifestations have included hepatitis, renal insufficiency, splenomegaly, pancytopenia, and osteomyelitis.
M. chimaera are slow-growing and patients may not experience symptoms for months or even years after surgery. Clinicians and patients may not immediately consider an NTM infection when symptoms present. Delayed diagnosis may make treating these infections even more challenging. There is no test to determine whether a person has been exposed to the bacteria. Infections can be diagnosed by detecting the bacteria by laboratory culture; the slow growing nature of the bacteria can require up to two months to rule out infection.
When seeing patients with possible NTM infections and a history of cardiac surgery, clinicians should consider arranging consultation with an infectious disease specialist. If an NTM infection is suspected, it is important to obtain acid fast bacilli (AFB) cultures from an infected wound and/or blood to increase the likelihood of identification of the organism and to obtain an AFB smear in order to have preliminary information while awaiting culture results.
In our letter to patients, we encourage them to discuss any symptoms with their primary care physician or to call (423) 495-7801 if they have any questions or concerns.
If you have a clinical question pertaining to one of your patients, or if you have a symptomatic patient who requires additional evaluation for potential NTM infection, please call (423) 495-7801.
We are working with the Department of Health to guide our response, and will continue to partner with CDC and FDA to ensure we are following all safety recommendations. We believe that with our current practices we can continue to provide patients who need this device with safe, high-quality care.
If you have any questions about talking to your patients or anything else regarding this infection, please do not hesitate to contact us. Click here to view Frequently Asked Questions about Non-tuberculous Mycobacterium (NTM).
Larry Schumacher, RN FAAN
Helen Kuroki, MD
Chief Medical Officer
3rd Annual Heart and Vascular Symposium
CHI Memorial and The Chattanooga Heart Institute will host the 3rd Annual Heart and Vascular Symposium on Saturday, January 14, 2017, at The Chattanoogan, 1201 Broad St., Chattanooga, TN 37402. learn more
Regularly scheduled tumor conferences bring together pathologists, oncologists, surgeons, radiologists, urologists, primary care specialists and other medical professionals to discuss all aspects of cancer treatment. Breast, thoracic, head and neck, gastrointestinal, genitourinary and gynecologic and didactic tumor conferences are held in the MaryEllen Locher Breast Center Conference Room on the fourth floor near the Oncology Unit at CHI Memorial Hospital Chattanooga. Each physician attending the conference will receive CME credit. For more information, call Cynthia at (423) 495-7765. If you would like to submit a case for review, download the Multidisciplinary Cancer Conference Patient Submission Form.
PSA Screening and Prostate Cancer Screening for Risk and Early Detection by Dr. Lee Jackson, robotic and prostate cancer surgeon with CHI Memorial Robotics and Urologic Cancer