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DOTMed HealthCare Business News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

Increasingly, hospitals are using point-of-care ultrasound to evaluate patients with COVID-19. To learn more, read the HealthCare Business News interview with Diku Mandavia, Chief Medical Officer and Senior Vice President of FUJIFILM Sonosite, Inc.

U.S. News & World Report

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

Despite expansion in health insurance coverage, emergency rooms are seeing a larger and aging population, sicker patients who arrive in immediate danger with more chronic conditions, physician shortages as care is expanded, a need for more expensive technical tools, and an unsustainable trend in costs and expenditures. Partial rescue from these challenges may be coming from the most unlikely of sources: artificial intelligence. These aren't robots, but smart apps and tools that can reduce cognitive emergency room burdens, while increasing diagnostic speed, precision and accuracy. Read Dr. Mandavia’s U.S. News & World Report article that discusses the arrival of artificial intelligence and how it is poised to have a transformative impact on emergency department teams and the broader world of medical diagnostics.

Axis Imaging News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

With healthcare costs continuing to increase and more insurance companies talking to their hospital providers about signing new value-based payment contracts, a new emphasis on total cost of ownership in the evaluation of medical equipment for purchase is occurring. In this article published in AXIS Imaging News by Dr. Diku Mandavia, Chief Medical Officer, Fujifilm Sonosite, hospitals can learn how to monetize the ongoing training and education, downtime contingency options, and replacement costs when evaluating the total cost of purchasing a piece of ultrasound equipment. Dr. Mandavia also shares how medical imaging equipment companies and hospitals can work together to develop implementation strategies for medical devices, in this case ultrasound systems, to bring down the costs of care while supporting better patient outcomes. Please read this article entitled, “POCUS’ Contribution to Value-Based Medicine,” to learn more.

ICU Management & Practice

Robert Arntfield, MD

In this article published in ICU Management & Practice, Dr. Robert Arntfield discusses transesophageal echocardiography (TEE) training and development of a TEE clinical program, including the feasibility and impact on the diagnosis and treatment of critically ill patients. With a 97% success rate in answering high-stakes clinical questions in critically ill patients, Dr. Arntfield shares a case study on the clinical use of TEE and how the ACEP guidelines report that TEE “Provides the logical solution to these limitations, given its ability for continuous image acquisition both during compressions and during pulse checks, its reliably excellent image quality and its lack of interference with chest compressions or other procedures needed during cardiac arrest.” Please read Dr. Arntfield’s article to learn from about ACEP’s TEE guidelines and how to develop a program at your hospital.

AnethesiologyNews.com

Theresa Bowling MD, Wesley Knauft MD, Nishant Shah MD, Sanja Sinha MD

The use of ultrasound-guided regional anesthesia (UGRA) has dramatically increased in recent years, facilitated by the widespread availability of small portable ultrasound machines with high-resolution imaging. Numerous studies have shown that UGRA is the most effective technique to achieve the central requirement for safe, successful regional anesthesia blocks—namely, ensuring the optimal distribution of local anesthetic around the target nerves and minimizing the risk for injury to surrounding structures. Drs. Bowling, Knauft, Shah, and Sinha describe the benefits, techniques, and challenges of implementing an UGRA protocol for anesthesiologists.

Axis Imaging News

Judy Padula, MSN, RN and Matthew Ostroff, ARNP

Establishing vascular access is one of the most commonly performed medical procedures and plays a central role in patient care. However, obtaining PIV access is difficult in about 35% of patients who present to the emergency department. Ultrasound-guided vascular access can help address this issue, but a hospital must first create a program to educate clinicians in leveraging POCUS for this procedure. Nurses Judy Padula and Matthew Ostroff outline five steps in establishing an ultrasound-guided vascular access program: Identify and satisfy unmet needs, locate the safest, most cost-effective catheter site with ultrasound, use ultrasound-guided PIVs as an alternative to high-risk central lines, recognize the vital role nurse leadership can play in implementing a successful vascular access program, and leverage the nurse/physician partnership to optimize patient care.

DOTMed HealthCareBusiness News

Philip Corvo, MD, MA, FACS

Dr. Philip Corvo serves as chairman of the Stanley J. Dudrick Department Surgery and Director of Surgical Critical Care at Saint Mary's Hospital, Trinity Health Of New England, located in Waterbury, Connecticut. He leads an innovative ERAS (Enhanced Recovery after Surgery) program which is helping reduce opioid use, speeding patient recovery and reducing costs. DOTMed interviewed Dr. Corvo about the program he leads, in which he discusses the financial impact of ERAS, how to establish an ERAS program, and patient success stories.

OR Today Magazine

Philip Corvo, MD, MA, FACS, and Wesley Knauft, MD

Enhanced Recovery After Surgery (ERAS) is a paradigm shift in perioperative care that can benefit both hospitals and their patients. In this article published in OR Today by Philip Corvo, MD, MA, FACS, and Wesley Knauft, MD, they share a case study about their experience at Saint Mary’s Hospital, Trinity Health Of New England, a 347-bed acute care community teaching hospital in Waterbury, Connecticut, regarding the clinical and financial benefits of an ERAS program that includes Ultrasound Guided Regional Anesthesia (UGRA). Since the October 2015 launch of their opioid-sparing ERAS program, there have been striking improvements in the safety and quality of care for patients undergoing colorectal surgery, along with substantial reductions in costs, complications, and opioid usage. Learn more about their specific results, including the millions of dollars saved and the quality measure achievements.

Dotmed.com

Trevor Bromley

One of the main reasons cited regarding physician burnout is the administrative burden and hassle factor of electronic health records. Regarding imaging services, current PACS workflow solutions have been designed for MRI or CT machines making it harder for physicians who use ultrasound at the point of care to document their services with ease. There is now a new system, Sonosite Synchronicity software, that was exclusively designed with ultrasound and point-of-care applications in mind. This new system addresses compliance, quality improvement, credentialing, revenue capture and reduced administrative burden. In Trevor Bromley's Dotmed article Fujifilm Sonosite executives share information about Sonosite Synchronicity.

OR Today

Davinder S. Ramsingh, MD

With the release on May 30, 2019 of the final report from the Federal government’s Pain Management Best Practices Inter-Agency Task Force, anesthesiologists need specific case studies on how to implement recommendations in their hospitals. This OR Today article, published by Davinder S. Ramsingh, MD, Director of Research and Perioperative Ultrasound at Loma Linda University Medical Center, Department of Anesthesiology, shares ten applications of point-of-care ultrasound, a modality mentioned in Perioperative Surgical Home (PSH) and Enhanced Recovery After Surgery (ERAS) clinical practice guidelines. The Task Force’s final report recommends to clinicians the use of multidisciplinary and multimodal approaches for perioperative pain control in selected patients at higher risk for opioid use disorder. Read Dr. Ramsingh’s article to learn more about how anesthesiologists and pain medicine specialties can incorporate point-of-care ultrasound with regional anesthesia or TEE, both potential elements of these multi-modality approaches.