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Vol. 2 No. 1 - East Edition

FEBRUARY 25, 2010

Texas Health Physicians Group doctors recognized for quality

Two prestigious groups – The National Committee for Quality Assurance and the American Heart Association – have honored several Texas Health Physicians Group (THPG) doctors for excellence in patient care.

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Texas Health Dallas achieves key certifications

Two important certifications – Cycle III Chest Pain accreditation and The Joint Commission Stroke Center certification – illustrate Texas Health Dallas' commitment to quality.

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Texas Health Dallas launches Heart and Vascular Wellness Program

A new heart and vascular program focuses on treating a frequently under-recognized demographic.

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Texas Health Plano plans for new scoliosis and spine tumor program

Texas Health Plano will soon begin providing preventive, medical and surgical care to patients suffering from scoliosis and spinal tumors. The new program will be led by internationally-known surgeon Isador Lieberman, MD.

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Texas Health Allen provides minimally invasive procedure for fibroid tumors

Women suffering from fibroid tumors looking for a non-surgical alternative to a hysterectomy have the option of requesting uterine fibroid embolization – a minimally invasive procedure performed at Texas Health Allen.

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Texas Health Plano earns Level III Trauma Center designation

Texas Health Plano recently earned a significant designation from the Texas Department of State Health Services that focuses on the quality of care made available to trauma patients.

Learn More.

 

Briefly speaking

• A live streaming video CME presentation on March 9 will focus on "Glycemic Control in the ICU." For more on upcoming CME events, click the CareGate.net icon at lower left.

• Protecting student athletes is the goal of the Sports Concussion Program at Texas Health Dallas.

• Texas Health Allen's Paul Reyes, MD has been honored for his volunteer work by the Frisco City Council.

• Drs. Rodriguez and Wen, Texas Health Plano, were recognized by Texas Governor Rick Perry.

 

 CareGate.net
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 Upcoming CME

Texas Health Resources
612 E. Lamar
Arlington, TX 76011

 

Texas Health Physicians Group doctors recognized for quality 

Texas Health Physicians Group (THPG) is proud to announce that five of its doctors have been recognized by the National Committee for Quality Assurance (NCQA) and the American Heart Association (AHA/ASA) for using evidence-based measures and providing excellent care to persons with cardiovascular disease or who have had a stroke.

Physicians who received the award are Mitchell L. Huebner, MD, David P. Hominick, MD, Mark William Sij, DO, David S. Harper, MD and John F. Harper, MD, FACC.

"We are proud of our physicians for receiving this award," said Michael Stoltz, MD, president of THPG. "Earning awards like this one demonstrate a commitment to quality for our patients and serve as models for evidence-based care."

The Heart/Stroke Recognition Program (HSRP) was launched in 2003 to assess key quality performance measures based on AHA/ASA and American College of Cardiology guidelines for secondary prevention of cardiovascular disease and stroke. Program measures include:

  • Blood pressure control;
  • Complete lipid profile;
  • Cholesterol control;
  • Use of aspirin or another antithrombotic;
  • Smoking status and cessation advice or treatment.

According to the NCQA Web site, HSRP Recognition provides assurance that physicians are providing high quality, evidence-based care for their cardiovascular disease and stroke patients.

About the physicians
Mitchell Huebner, MD, attended college at Abilene Christian University, graduated from medical school at the University of Texas Southwestern Medical School, and completed his internship and residency at St. Paul Medical Center in Dallas. He is board certified in Internal Medicine by the American Board of Internal Medicine and has been in private practice since 1992. Huebner has particular interest and expertise in high blood pressure, cholesterol disorders, fitness counseling, heart disease, asthma and thyroid problems.

David P. Hominick, MD, attended college at Southern Methodist University and earned his medical degree from the University of Texas Southwestern Medical School. He completed an Internal Medicine internship and residency at Tulane Medical School in New Orleans and is board certified by the American Board of Internal Medicine. Hominick has been in private practice in Dallas since 1981, and his areas of expertise include adult preventive care and management of cholesterol disorders, asthma, diabetes mellitus, coronary heart disease and hypertension.

Mark William Sij, DO, graduated from Baylor University with a Bachelor of Arts in biology. Sij then attended medical school at the University of North Texas Health Science Center - Texas College of Osteopathic Medicine. He completed his residency in Internal Medicine at Methodist Medical Center in Dallas. Sij joined Medicine Associates of Kaufman in 2001 where he specializes in Internal Medicine. In addition, Sij serves as the chief quality officer and chief of medical staff at Texas Health Presbyterian Hospital Kaufman. He also serves as the medical director for Your Health Team, Home Health Care and Bridgeway Hospice. Sij is a member of the American College of Physicians, Texas Medical Association and Kaufman County Medical Society.

David S. Harper, MD, received his undergraduate degree from Duke University in Durham, N.C., and earned his medical degree from the University of Texas Southwestern Medical School. He completed an Internal Medicine internship and residency at the University of Texas Southwestern Medical School. He completed his Cardiology fellowship at Wake Forest University Baptist Medical Center in Winston-Salem, N.C. He has been in practice in Dallas since 2006. His areas of expertise include preventive cardiology, echocardiography, valvular heart disease, coronary artery disease, nuclear cardiology and heart rhythm management.

John F. Harper, MD, FACC, is board certified in internal medicine and cardiovascular disease, and practices general cardiology at the Harper Clinic. Harper served as chief of cardiology for Presbyterian Hospital of Dallas from 1992 to 2000 and is currently director of inpatient cardiovascular services at Texas Health Presbyterian Hospital Dallas. Harper is a Fellow of the American College of Cardiology and a member of the Council on Clinical Cardiology of the American Heart Association. He is also a Fellow of the American Heart Association. He has been named to Best Doctors in America, Top Doctors and Best Doctors in Dallas. He is involved in medical teaching and has a particular interest in literature and medicine. In 2007, he was the recipient of the Robert L. North Teacher of the Year award at Texas Health Dallas.

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Texas Health Dallas achieves key certifications

Texas Health Presbyterian Hospital Dallas is the first hospital in Dallas County to receive full Cycle III Chest Pain accreditation, and Texas Health Dallas has also been honored with The Joint Commission's Stroke Center certification. Stroke Center certification allows Texas Health Dallas to re-enter the Dallas Area Stroke Network, which will then bring acute stroke patients directly to the hospital.

These milestone achievements recognize a superb team of nurses, physicians, and staff who care for patients. The designations recognize the expertise and commitment to quality patient care by meeting or exceeding a wide set of stringent criteria and completing on-site evaluations by review teams from the Society of Chest Pain Centers and The Joint Commission. This commitment is part of Texas Health Dallas' mission to improve the health of the people in the communities we serve and aligns with Texas Health's transformational themes: becoming an integrated provider and coordinator of care and having a comprehensive view of quality. Clinical excellence also serves to promote physician engagement, another transformational theme.

Congratulations to Texas Health Dallas on these notable certifications.

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Texas Health Dallas launches Heart and Vascular Wellness Program

"For women, the signs and symptoms of heart disease may be dramatically different from classic symptoms of heart attack typically seen in men," said Khanh Hoang, MD, a cardiologist on the medical staff at Texas Health Presbyterian Hospital Dallas and co-medical director of the hospital's new Heart and Vascular Wellness Program for women. The program offers screenings and assessments to spot cardiovascular disease at an early stage, before potentially fatal heart attacks or other complications.

"Women with heart disease may experience symptoms which are more vague, such as indigestion, or sudden fatigue and weakness," Hoang said. "Since these are things many people experience, it's difficult to immediately spot the heart attack. And when you factor in a lack of awareness about female heart attacks and heart disease, you're talking about a real problem."

Click here for more information about the Heart and Vascular Program focusing on women.

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Texas Health Plano plans for new scoliosis and spine tumor program 

Isador Lieberman, MDTexas Health Presbyterian Hospital Plano is focusing on meeting and exceeding the needs of the entire Metroplex by strengthening its Back and Spine service line in 2010. Beginning this spring, Texas Health Plano and Texas Back Institute will launch a new Scoliosis and Spine Tumor Program, showcasing the surgical talent and clinical experience of an internationally renowned spine reconstruction specialist recruited from the Cleveland Clinic.

The program is devised to provide the best possible preventive, medical and surgical care to patients suffering from scoliosis, kyphosis, spondylolisthesis, spinal tumors and spinal issues requiring complex reconstruction.

"We are exceedingly and abundantly blessed to have yet another nationally recognized surgical specialist choosing to practice at Texas Health Plano," said Texas Health Plano President Dr. Jeffrey Canose. "Building on the very strong foundation of clinical excellence that has been established at Texas Health Plano for 19 years, we will again achieve regional and national prominence in a high-tech surgical specialty, just like we already have done in Total Joint Replacement. This new program will add to our growing focus on cutting-edge clinical technology, clinical research, and education of surgeons and clinicians from around the world."

The program's future medical director supports the hospital's mission. Isador Lieberman, MD (pictured above, right), an orthopedic and spinal surgeon, is known internationally in medical circles, even developing a number of spinal surgery instruments and implants - not to mention his 11 issued and 13 pending United States patents.

"I envision the program providing patients with the most appropriate, comprehensive and least invasive treatment, associated with the best outcome, for their spinal problem," said Dr. Lieberman. "Another goal I would like to see come to fruition is the program's establishment as a regional and national referral center for spinal deformities."

Prior to accepting the position as medical director for Texas Health Plano's Scoliosis and Spine Tumor Program, Dr. Lieberman was chairman of the Spine Department at the Cleveland Clinic in Weston, Florida.

Uganda boy receives treatmentA native Canadian, Dr. Lieberman holds specialist certification from the Royal College of Physicians and Surgeons of Canada, even completing spine surgery and trauma surgery fellowships at the Toronto Hospital in Canada. While holding academic appointments at the University of Toronto, ranging from anatomy demonstrator to lecturer, Dr. Lieberman also served various roles at the Toronto Hospital, including orthopedic and spinal surgeon, along with serving as the Spinal Program's Business Unit medical director.

The Cleveland Clinic recruited Dr. Lieberman in 1997 where he became instrumental in advancing the hospital's ability to address research and education in the area of surgical treatment for spinal disorders. He served as director of the Minimally Invasive Surgery Center and the Center for Advanced Skills Training, along with establishing the Combined Multiple Myeloma Clinic and the Multidisciplinary Vertebral Compression Fracture Clinic.

Dr. Lieberman's surgical and innovative skills were transitioned to the Florida area as a way to grow the Cleveland Clinic's national and international recognition as a center for advanced specialty care. As a result, Dr. Lieberman was appointed chair of the recently established Medical, Interventional and Surgical Spine Care Center at Cleveland Clinic Florida in January 2008.

Among his many accolades, Dr. Lieberman believes his most memorable accomplishment thus far has been his involvement with the Uganda Spine Surgery Mission, which he co-founded. "We are relentless in our pursuit to enrich the lives of Ugandan patients afflicted by infectious, degenerative, traumatic and congenital spinal ailments."  

The desire to address the patient's needs has also led to Dr. Lieberman's surgical innovation to advance the use of minimally invasive spinal surgery techniques, by treating ailments such as lumbar degenerative disorders, herniated discs and scoliosis. Dr. Lieberman's contributions and commitment to minimally invasive surgery is a philosophy Texas Health Resources and Texas Health Plano are strong proponents of, and a message that is communicated to patients across North Texas.

Wanting to provide the best possible care to patients suffering from spinal ailments, Dr. Lieberman states, "When patients are released from our care, we want them to to remember without a doubt, the compassion, the expertise and the dedication of the team of health professionals involved in their care." 

Dr. Lieberman's official start is slated for March 2010. The Scoliosis and Spine Tumor Program is scheduled to begin accepting patients in early spring of 2010.

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Texas Health Allen provides minimally invasive procedure for fibroid tumors

Fibroid adAs Texas Health Resources continues to demonstrate to the community how it is making health care human again, one area of focus is minimally invasive surgery. At Texas Health Presbyterian Hospital Allen, some female patients can opt for uterine fibroid embolization (UFE) - a proven non-surgical alternative to a hysterectomy.

"Unlike a hysterectomy, the UFE procedure preserves the uterus and requires no general anesthesia," said Adrian Moger, MD, a vascular and interventional radiologist on the Texas Health Allen medical staff.

"The patient has a hospital stay of less than 24 hours, and the patient can return to work, exercise and perform other daily activities one to two weeks after the procedure," said Dr. Moger.

"As a physician, I must provide my patients with all options, including UFE, and this can help improve a physician's patient satisfaction rate," said Dr. Moger. "As a result, I view it as a form of practice-building, too."

According to the American College of Obstetricians and Gynecologists (ACOG), about 20 to 40 percent of females over 35 years of age have fibroids. The UFE procedure is approved by the ACOG as a treatment for fibroid tumors, and the surgery, which is usually completed within 90 minutes, causes minimal scarring.

What takes place during a UFE procedure?
Uterine fibroid embolization (UFE) addresses fibroid tumors of the uterus. Fibroid tumors, also called myomas, are benign tumors located along the muscular wall of the uterus. The tumor may cause heavy menstrual bleeding, pain in the pelvic region and pressure on the bladder or bowel.

According to the Radiological Society of North America's (RSNA) Radiology Info Web site, a radiology information resource for patients, those opting for the UFE procedure undergo the following measures:

  • Prior to surgery, the patient has an ultrasound or MRI of the uterus to determine the size, location and number of fibroids.
  • Through a small nick in the skin, the catheter is inserted through the groin until it reaches the uterine artery.
  • The physician uses an x-ray camera called a fluoroscope to guide the delivery of small FDA-approved particles to the uterus and fibroids. The particles include a variety of medications, which are called embolic agents.
  • The physician injects the embolic agents through a small catheter, about as thick as a strand of spaghetti.
  • The embolic agents block off blood supply to the fibroids, causing them to shrink and die.

What statistics support the UFE procedure?
Some patients may be better treated with procedures other than UFE. In fact, according to the Radiological Society of North America, women suffering from cancer, or those experiencing inflammation or infection in the pelvis should not undergo the UFE procedure.

For those patients who are able to have the procedure, UFE has an 85 percent success rate, according to Dr. Moger. "Even if it doesn't work, some patients are still happy that they have tried the UFE procedure," said Dr. Moger. "There is some literature that demonstrates a 96 percent patient satisfaction rate with UFE."

As with any medical procedure, Dr. Moger encourages patients to learn as much as possible about the UFE procedure so they fully understand the advantages and limitations prior to surgery. "Also, UFE is not a form of birth control," said Dr. Moger. "Patients can and have become pregnant following the procedure," he added.

With patient education top of mind, Dr. Moger informs patients about Texas Health Allen's UFE nursing coordinator. "The nursing coordinator is available to provide additional information and to set up a consultation, if appropriate," he said.

For more information, visit Texas Health Allen's hospital Web site.

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Texas Health Plano earns Level III Trauma Center designation

Texas Health PlanoWith its recent designation as an Advanced Level III Trauma Facility, Texas Health Presbyterian Hospital Plano continues to demonstrate its commitment to serving the immediate medical needs of individuals suffering from life-threatening injuries.

Awarded by the Texas Department of State Health Services, a facility with Level III designation must meet certain requirements, which are established by the American College of Surgeons (ACS). According to the ACS, a hospital with Level III status:

  • Provides prompt assessment, resuscitation, emergency surgery and stabilization;
  • Must have transfer agreements with a higher-level facility when necessary (Level I or II);
  • Maintains continuous general surgery coverage;
  • Has transfer agreements and standardized treatment protocols to plan for care of injured trauma patients;
  • Must demonstrate injury prevention and control programs, outreach activities to the local community, and education programs for nurses, physicians, and allied health care workers involved with trauma care.

Texas Health Plano's recent achievement of attaining Level III designation makes it just the second hospital in Collin County to earn such recognition. "This Level III designation is a testament to the skill and expertise of our team of clinicians, nurses and physicians on our medical staff," said Texas Health Plano President Dr. Jeffrey Canose. "We are proud of the extra time, energy and commitment it has taken to achieve this status and offer this level of trauma care to the North Texas community we serve."

In May of 2009, more than 100 pages of pertinent information were submitted to the Texas Department of State Health Services during the application process. A surgeon and nurse auditor with the Texas EMS Trauma and Acute Care Foundation later conducted a survey visit in October of last year, which included a number of tasks, such as a hospital tour, staff interviews and chart review.

According to one physician on the hospital's medical staff, the Level III designation can be viewed as collective praise to Texas Health Plano and its employees. "A successful trauma program calls for advocacy on the part of surgeons, hospital administration, director of the trauma program and all involved health care workers," said trauma surgeon John D. Josephs, MD. "We are proud to have achieved this critical milestone."

A designated facility is reviewed every three years, and survey results are provided to the Texas Department of State Health Services for an official redesignation.

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Dr. Reyes honored for volunteer work in Frisco community

Despite a demanding workload at Texas Health Presbyterian Hospital Allen, Paul Reyes, MD, vice chair for the hospital's Department of Pediatrics and partner of a private practice, was recognized for his volunteer work in the community.

On Dec. 1, 2009, Dr. Reyes, a pediatrician, was recognized with a city proclamation from the Frisco City Council for his work as a volunteer physician and medical director for the Frisco Cares Children's Clinic.

"It was a total surprise," said Dr. Reyes. "I thought I was just receiving an award certificate, but they proclaimed an entire day in honor of me."

Since 2005, the clinic has been providing acute medical care and immunizations to uninsured children. Just recently, organizers decided to extend the clinic's hours of operation to treat uninsured adults as well.

Reyes' passion to help others originates from his personal childhood. "I grew up without health insurance and was very lucky to not have a major illness or injury," said Dr. Reyes. "I know that other people in that situation are not as fortunate."

The city proclamation stated, "Dr. Reyes has helped lead the clinic from its modest beginnings in a mobile clinic van to its current location at 6811 Oak Street in Frisco.... His energy, professional guidance and ready smile have helped provide an extremely valuable service to the lives of families in our community."

According to Dr. Reyes, the need for volunteer work is even more pressing, considering the state of the nation's current economy. "As a physician, I feel if we can help those in need during this time, then we stand to provide stability in their ever-changing situation."

Dr. Reyes said the Frisco Cares Children's Clinic is currently looking for volunteers and monetary donations are always appreciated. For more information, call 469.556.8452.

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Drs. Rodriguez and Wen recognized by Governor Perry

Two physicians on the medical staff at Texas Health Presbyterian Hospital Plano were honored by Texas Governor Rick Perry in early November of 2009 and appointed as an Admiral in the Texas Navy.

Alfred Rodriguez, MD, reproductive endocrinologist and president-elect for Texas Health Plano's medical staff, along with Ted Wen, MD, radiologist, both recently received the prestigious honor from State Representative Brian McCall (R-Plano).

Being appointed as an Admiral in the Texas Navy is an honor that Texas governors have given to individuals for more than 50 years. The honor recognizes individuals who have performed outstanding services for the state of Texas and its citizens.

Congratulations to Drs. Rodriguez and Wen.

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Briefly Speaking

A live streaming video CME presentation on March 9 will focus on "Glycemic Control in the ICU."  For more on upcoming CME events, click the CareGate.net icon at lower left ...Protecting student athletes is the goal of the Sports Concussion Program at Texas Health Dallas ... Texas Health Allen's Paul Reyes, MD has been honored for his volunteer work by the Frisco City Council ... Drs. Rodiguez and Wen, Texas Health Plano, were recognized by Texas Governor Rick Perry.

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