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Archive for May, 2014

The Nebraska Medical Center expands to 24/7 trauma care

by Taylor Wilson, The Nebraska Medical Center

 

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The Nebraska Medical Center is expanding its trauma services, preparing to operate its trauma center 24 hours a day and seven days a week.

“This is the right thing to do for everyone who lives here,” said P.J. Schenarts, M.D., professor of surgery in the UNMC College of Medicine and trauma medical director at The Nebraska Medical Center. “Although the trauma system we’ve used for the last 20 years is functional, we think we have an obligation to provide something more.”

Did you know…? 

Traumatic injury is the number one killer of Nebraskans under the age of 44 and a leading cause of death in older citizens. In Douglas County alone, more people die from trauma-related accidents than stroke. However, research shows that treatment at a Level 1 trauma center reduces the risk of death by 25 percent.  

Since 1993, The Nebraska Medical Center has worked cooperatively with Alegent Creighton Health Creighton University Medical Center in a combined trauma system. The joint program results in two part-time trauma centers that can’t be recognized by the American College of Surgeons – the national accrediting body that is the gold standard for trauma centers in the U.S.

Last year, external, independent reviewers noted that while the current system met patient needs, it could be optimized even further, suggesting that the center “could function independently” and “this option should be explored vigorously.”

“The Nebraska Medical Center has been evaluating the possibility of becoming a Level 1 trauma center for several years now,” said Rosanna Morris, chief operating officer and chief nursing officer of The Nebraska Medical Center. “We have the resources and infrastructure in place to establish a dedicated trauma program. The timing is right.”

Health care reform was another factor in the decision to expand trauma services. “Nationally, there has been a constant push for health care systems to operate more efficiently,” said Morris. “This is just one of the ways we can do that. The many specialty services that we provide at The Nebraska Medical Center are also available to our trauma patients and will now be there for them every day of the week, around the clock.”

“The patients are our number one priority,” Dr. Schenarts said. “We provide specialty care in areas like vascular surgery, neurosurgery, pediatric trauma, ophthalmology and burn care every day as it is. It’s the right thing to do to provide access to that care for everyone in the region, regardless of what day of the week it is.”

A certification process will be performed by the American College of Surgeons in order for The Nebraska Medical Center to achieve official Level 1 trauma center verification status. Notice has been given to officials at Alegent Creighton Health Creighton University Medical Center of the plan to opt out of the current system Aug. 1, 2014.

The Nebraska Medical Center Named To List Of 100 Great Hospitals In America

Becker’s Hospital Review has published the 2014 edition of “100 Great Hospitals in America,” a compilation of some of the most prominent, forward-thinking and focused healthcare facilities in the nation. For the first time, The Nebraska Medical Center is on the list – a list that includes the Mayo Clinic, Massachusetts General and Cleveland Clinic, among others. The Nebraska Medical Center is the only hospital in Nebraska on the list.

“To be named to this list is quite an honor,” said Bill Dinsmoor, CEO of the Clinical Enterprise that includes The Nebraska Medical Center. “It’s an indication of the direction in which this organization is headed and something all of our colleagues should be extremely proud of.”

Hospitals included on the list are home to many medical and scientific breakthroughs, provide best-in-class patient care and are stalwarts of their communities, serving as academic hubs or local mainstays.

“We’ve always believed those aforementioned qualities describe this medical center perfectly,” said Brad Britigan, MD, president of the Clinical Enterprise that includes The Nebraska Medical Center. “To have tangible proof of this from an independent organization that is so highly thought of in the health care industry like Becker’s, makes being named to this list extremely significant.”

To develop the list, Becker’s Hospital Review’s editorial team conducted research, considered nominations and evaluated reputable hospital ranking sources, such as U.S. News & World Report, Truven Health Analytics’ 100 Top Hospitals, Healthgrades, Magnet designation by the American Nurses Credentialing Center, The Leapfrog Group and several other resources.

The hospitals included in the 2014 edition of the list are:

  • Advocate Lutheran General Hospital (Park Ridge, Ill.).
  • Allina Abbot Northwestern Hospital (Minneapolis).
  • Ann and Robert H. Lurie Children’s Hospital of Chicago.
  • Aurora St. Luke’s Medical Center (Milwaukee).
  • Baptist Memorial Hospital – Memphis (Tenn.).
  • Barnes-Jewish Hospital (St. Louis).
  • Baylor University Medical Center (Dallas).
  • Beaumont Hospital, Royal Oak (Mich.).
  • Beth Israel Deaconess Medical Center (Boston).
  • Billings (Mont.) Clinic.
  • Boston Children’s Hospital.
  • Brigham and Women’s Hospital (Boston).
  • Carle Foundation Hospital (Urbana, Ill.).
  • Carolinas Medical Center (Charlotte, N.C.).
  • Cedars-Sinai Medical Center (Los Angeles).
  • CHI St. Luke’s Health Baylor St. Luke’s Medical Center (Houston).
  • Cincinnati Children’s Hospital Medical Center.
  • Children’s Hospital Colorado (Aurora).
  • Children’s Hospital Los Angeles.
  • Children’s Hospital of Philadelphia.
  • The Christ Hospital (Cincinnati).
  • Christiana Care Hospital (Newark, Del.).
  • Cleveland Clinic.
  • Dartmouth-Hitchcock Medical Center (Lebanon N.H.).
  • Duke University Medical Center (Durham, N.C.).
  • Emory University Hospital (Atlanta).
  • Evanston (Ill.) Hospital.
  • Geisinger Medical Center (Danville, Pa.).
  • Hackensack (N.J.) University Medical Center.
  • Henry Ford Hospital (Detroit).
  • Hospital for Special Surgery (New York City).
  • Hospital of the University of Pennsylvania (Philadelphia).
  • Houston Methodist Hospital.
  • Indiana University Health Methodist Hospital (Indianapolis).
  • Inova Fairfax Hospital (Falls Church, Va.).
  • The Johns Hopkins Hospital (Baltimore).
  • Lahey Hospital and Medical Center (Burlington, Mass.).
  • Lancaster (Pa.) General Hospital.
  • Legacy Good Samaritan Medical Center (Portland, Ore.).
  • Lehigh Valley Hospital (Allentown, Pa.).
  • Loyola University Medical Center (Maywood, Ill.).
  • Massachusetts General Hospital (Boston).
  • Mayo Clinic (Rochester, Minn.).
  • Medical University of South Carolina (Charleston, S.C.).
  • MedStar Washington (D.C.) Hospital Center.
  • Memorial Hermann Memorial City Medical Center (Houston).
  • Memorial Sloan-Kettering Cancer Center (New York City).
  • Montefiore Medical Center (New York City).
  • Mount Sinai Hospital (New York City).
  • The Nebraska Medical Center (Omaha).
  • NewYork-Presbyterian Hospital (New York City).
  • Northwestern Memorial Hospital (Chicago).
  • Novant Presbyterian Medical Center (Charlotte, N.C.).
  • NYU Langone Medical Center (New York City).
  • Ochsner Medical Center (New Orleans).
  • The Ohio State University Wexner Medical Center (Columbus).
  • Oregon Health & Science University (Portland).
  • Providence Portland (Ore.) Medical Center.
  • Ronald Reagan UCLA Medical Center (Los Angeles).
  • Rush University Medical Center (Chicago).
  • Scottsdale (Ariz.) Healthcare Shea Medical Center.
  • Scripps Memorial Hospital La Jolla (Calif.).
  • Sentara Norfolk (Va.) General Hospital.
  • Spectrum Health Butterworth Hospital (Grand Rapids, Mich.).
  • St. Francis Hospital (Roslyn, N.Y.).
  • St. Joseph’s Hospital and Medical Center (Phoenix).
  • Stanford Hospital & Clinics (Palo Alto, Calif.).
  • Sutter Davis (Calif.) Hospital.
  • Tampa (Fla.) General Hospital.
  • Texas Children’s Hospital (Houston).
  • Thomas Jefferson University Hospital (Philadelphia).
  • UAB Hospital (Birmingham, Ala.).
  • UC San Diego Medical Center.
  • UCSF Medical Center (San Francisco).
  • UnityPoint Health – St. Luke’s Hospital (Cedar Rapids, Iowa).
  • University Hospital (Salt Lake City).
  • University Hospitals Case Medical Center (Cleveland).
  • The University of Arizona Medical Center (Tucson).
  • University of Chicago Medicine.
  • University of Colorado Hospital (Aurora).
  • UF Health Shands Hospital (Gainesville, Fla.).
  • University of Iowa Hospitals and Clinics (Iowa City).
  • The University of Kansas Hospital (Kansas City).
  • University of Maryland Medical Center (Baltimore).
  • University of Michigan Medical Center (Ann Arbor).
  • University of Minnesota Medical Center, Fairview (Minneapolis).
  • University of North Carolina Hospitals (Chapel Hill, N.C.).
  • University of Rochester (N.Y.) Medical Center.
  • University of Texas MD Anderson Cancer Center (Houston).
  • University of Virginia Medical Center (Charlottesville).
  • University of Washington Medical Center (Seattle).
  • University of Wisconsin Hospital and Clinics (Madison).
  • UPMC Presbyterian (Pittsburgh).
  • UT Southwestern Medical Center (Dallas).
  • Vanderbilt University Medical Center (Nashville, Tenn.).
  • Virginia Commonwealth University Medical Center (Richmond, Va.).
  • Virginia Mason Hospital (Seattle).
  • Wake Forest Baptist Medical Center (Winston-Salem, N.C.).
  • Woman’s Hospital (Baton Rouge, La.).
  • Yale-New Haven (Conn.) Hospital.

The complete list can be read here: http://www.beckershospitalreview.com/100-great-hospitals-2014/full-list.html

Note: This list is not an endorsement of included hospitals, health systems or associated healthcare providers, and organizations do not and cannot pay for inclusion on this list. Hospitals are presented in alphabetical order.

About Becker’s Hospital Review

Becker’s Hospital Review is a monthly publication offering up-to-date business and legal news and analysis relating to hospitals and health systems. Content is geared toward high-level hospital leaders, and we work to provide valuable content, including hospital and health system news, best practices and legal guidance specifically for these decision-makers. Each issue of Becker’s Hospital Review reaches more than 18,000 people, primarily acute-care hospital CEOs, CFOs and CIOs.

181 Medical Center Physicians Recognized Among Best Doctors In America

A total of 181 physicians who practice at The Nebraska Medical Center have been recognized on this year’s list of Best Doctors in America®. The doctors include private practice physicians as well as full and part-time faculty at the University of Nebraska Medical Center who are also affiliated with UNMC Physicians, the UNMC faculty physician group.

The list of physicians was excerpted from the Best Doctors in America® 2013-2014 database of more than 45,000 doctors in the United States. Physicians are selected on the basis of the question, “If you or a loved one needed a doctor in your specialty, to whom would you refer them?” A peer-review survey by thousands of doctors determines the doctors included in the database. Only those doctors who earn the consensus support of their peers are included and only physicians in the Best Doctors database are allowed to receive the survey, nominate others and vote.

Best Doctors in America® was founded in 1989 by two physicians affiliated with Harvard Medical School and is today a leading resource to those seeking medical advice and information.

The Nebraska Medical Center physicians and their specialty featured in the 2013-2014 database are identified below.

  • Dean Antonson Pediatric Gastroenterology
  • Kimberly Apker Radiology
  • John Andresen Pediatrics
  • Chandrakanth Are General Surgery
  • James Armitage Hematology/Oncology
  • Gregory Babbe Family Medicine
  • Kristina Bailey Pulmonary Medicine and Critical Care Medicine
  • Claire Baker Endocrinology
  • Teri Barkoukis Pulmonary Medicine
  • B. Timothy Baxter General Surgery and Critical Care Medicine
  • Jennifer Beaty Colon and Rectal Surgery
  • Teresa Berg Obstetrics and Gynecology
  • John Bertoni Neurology
  • Joel Bessmer Internal Medicine
  • Philip Bierman Hematology/Oncology
  • Garnet Blatchford Colon and Rectal Surgery
  • Brian Boerner Endocrinology
  • Julia Bridge Pathology
  • Bradley Britigan Infectious Disease
  • William Burke Psychiatry
  • Charles Burt Orthopaedic Surgery
  • Samuel Cemaj Surgery
  • John Colombo Pediatric Pulmonology
  • James Commers Hematology/Oncology
  • Kevin Corley Pediatric Endocrinology
  • Kenneth Cowan Hematology/Oncology
  • Robert Cusick General Surgery
  • David Danford Pediatric Cardiology
  • Jeffrey Delaney Pediatric Cardiology
  • Cyrus Desouza Endocrinology
  • Andjela Drincic Endocrinology
  • Kim Duncan Cardiovascular/Thoracic Surgery
  • Arthur Easley Cardiology
  • James Edney Surgical Oncology
  • Charles Enke Radiation Oncology
  • Christopher Erickson Pediatric Cardiology
  • Paul Esposito Orthopedic Surgery
  • Pierre Fayad Neurology
  • David Finken General Pediatrics
  • Diana Florescu Infectious Disease
  • Kenneth Follett Neurological Surgery
  • Harris A Frankel Neurology
  • Alison Freifeld Infectious Disease
  • Kevin Garvin Orthopedic Surgery
  • James Gigantelli Ophthalmology
  • Mark Goebel Orthopedic Surgery
  • Steven Xavier Goebel Orthopaedic Surgery
  • Dennis Goeschel Family Medicine
  • Whitney Goldner Endocrinology
  • Mark D. Goodman Family Medicine
  • Bruce Gordon Pediatric Hematology/Oncology
  • George Greene Neurological Surgery
  • Timothy Greiner Pathology
  • Carl Gumbiner Pediatric Cardiology
  • James Hammel Cardiovascular/Thoracic Surgery and Pediatrics
  • David Harnisch Family Medicine
  • Jeffrey Harrison Family Medicine
  • Brian Hasley Orthopedic Surgery
  • Angela Hewlett Infectious Disease
  • Steven Hinrichs Pathology
  • T Holmes Internal Medicine
  • Barbara Hurlbert Anesthesiology
  • Kimberly Jarzynka Family Medicine
  • Dwight Jones Pediatric Otolaryngology
  • Michael Jones Gastroenterology
  • Prashant Joshi Pediatric Specialist
  • Andre Kalil Infectious Disease
  • D. Richard Kang Pediatric Specialist
  • Brenda Keller Geriatrics
  • Timothy Kingston General Surgery
  • Lynell Klassen Rheumatology
  • Sarah Konigsberg Internal Medicine
  • Christopher Kratochvil Psychiatry
  • John Kugler Pediatric Cardiology
  • Rudy Lackner Cardiovascular/Thoracic Surgery
  • Kristin Lake Rheumatology
  • Alan Langnas Transplantation Surgery
  • Jennifer Larsen Endocrinology
  • Paul Larsen Pediatric Neurology
  • Audrey Lazenby Pathology
  • Subodh Lele Pathology
  • Steven Lisco Anesthesiology
  • William Lydiatt Otolaryngology
  • Daniel Lydiatt Otolaryngology
  • William Lyons Geriatrics
  • Lynn Mack Endocrinology
  • Thomas Magnuson Psychiatry
  • Mark Mailliard Gastroenterology and Hepatology
  • Timothy Malloy Family Medicine
  • Monty Mathews Family Medicine
  • Abraham Philip Mathews Medical Oncology and Hematology
  • Timothy McCashland Gastroenterology and Hepatology
  • Rodney McComb Pathology
  • Paul Meissner Family Medicine
  • Ted Mikuls Rheumatology
  • Oleg Militsakh Otolaryngology
  • Jason Miller Plastic Surgery
  • John Mitchell II Gastroenterology
  • Matthew Mormino Orthopedic Surgery
  • Debra Mostek Geriatrics
  • Robert Muelleman Emergency Medicine
  • Sandeep Mukherjee Gastroenterology
  • Peter Murphy Pulmonary Medicine
  • J Scott Neumeister Internal Medicine
  • Amy Neumeister Endocrinology
  • Quan Dong Nguyen Ophthalmology
  • Stephen Obaro Pediatric-Infectious Disease
  • David O’Dell Internal Medicine
  • James O’Dell Rheumatology
  • Ann Olney Clinical Genetics
  • Matthew Omojola Radiology
  • Richard Osterholm Internal Medicine
  • William Palmer Rheumatology
  • Jennifer Parker General Pediatrics
  • Jennifer Parker Internal Medicine
  • Paul Paulman Family Medicine
  • Audrey Paulman Family Medicine
  • Craig Piquette Pulmonary Medicine and Critical Care
  • Samuel Pirruccello Pathology
  • Sheryl Pitner General Pediatrics
  • Jill Poole Allergy & Immunology
  • Thomas Porter Cardiology
  • Jane Potter Geriatrics
  • Ruben Quiros Pediatric Gastroenterology
  • Stanley Radio Pathology
  • Stephen Raynor General Surgery
  • Elizabeth Reed Hematology/Oncology
  • Stephen Rennard Pulmonary Medicine
  • William Rizzo General Pediatrics
  • William Roccaforte Psychiatry
  • Kerry Rodabaugh Gynecologic Oncology
  • Debra Romberger Pulmonary Medicine and Critical Care
  • Mark Rupp Infectious Disease
  • Paul Sammut Pediatric Pulmonology
  • Aaron Sasson General Surgery and Surgical Oncology
  • Edwin Schafer Gastroenterology
  • Michael Schafer Gastroenterology
  • Daniel Schafer Gastroenterology
  • Susan Scherl Orthopedic Surgery
  • Robert Schwab Internal Medicine
  • Patricia Seivert General Pediatrics
  • Ashish Sharma Psychiatry
  • Joseph Shehan Internal Medicine
  • Vijay Shivaswamy Endocrinology
  • Edibaldo Silva-Lopez Surgical Oncology
  • Kari Simonsen Pediatric-Infectious Disease
  • Joseph Sisson Pulmonary Medicine
  • Michael Sitorius Family Medicine
  • John Smith Family Medicine
  • Philip Smith Infectious Disease
  • Carl Smith Obstetrics and Gynecology
  • Russell Smith Otolaryngology and Surgery
  • Sheilah Snyder General Pediatrics
  • John Sparks Neonatology
  • Sharon Stoolman General Pediatrics
  • Susan Swindells Infectious Disease
  • Thomas Tape Internal Medicine
  • Britt Thedinger Otolaryngology
  • Austin Thompson Pulmonary Medicine
  • William Thorell Neurological Surgery
  • Alan Thorson Surgical Oncology and Colon and Rectal Surgery
  • Edward Vandenberg Geriatrics
  • Joseph Daniel Verdirame Medical Oncology and Hematology
  • Chad Vokoun Hospitalist
  • Susanna Von Essen Pulmonary Medicine and Critical Care
  • Julie Vose Hematology/Oncology
  • Michael Wadman Emergency Medicine
  • Timothy Wahl Endocrinology
  • John Walburn General Pediatrics
  • Richard Walker Emergency Medicine
  • Craig Walker Diagnostic Radiology
  • Phyllis Warkentin Pediatric Hematology/Oncology and Pathology
  • Steven Wengel Psychiatry
  • William West Pathology
  • Douglas Wheatley Family Medicine
  • Mark Wilson Pediatric Pulmonology and Allergy and Immunology
  • John Windle Cardiology
  • James Wisecarver Pathology
  • Renee Young Gastroenterology
  • Zahi E. Zeidan Pediatric Specialist
  • Weining Zhen Radiation Oncology

A pioneer in brain imaging

by Elizabeth Kumru, UNMC public relations

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Tony Wilson, Ph.D., and MEG 

For almost 14 years Tony Wilson, Ph.D., has been working with MEG — or magnetoencephalography.

Since his doctoral training, using the first — and at that time the only — high-density MEG system in the world, Dr. Wilson has pioneered ways to use MEG-based imaging to evaluate severe psychiatric and neurological diseases — HIV-associated cognitive disorders, post-traumatic stress disorder, attention-deficit/hyperactivity disorder and Parkinson’s disease — and to illuminate how pharmacotherapies modulate human brain function.

On March 11, Dr. Wilson, assistant professor in pharmacology and experimental neuroscience, will receive UNMC’s 2013 Joseph. P. Gilmore Distinguished New Investigator award. The ceremony will be in the Eppley Science Hall Amphitheater at 2:30 p.m., with a reception to follow in the lobby.

MEG is a 100 percent silent, noninvasive imaging technique for mapping brain activity by recording magnetic fields produced by ultra-minute electrical currents that occur naturally in the brain. Dr. Wilson has used the method to pinpoint the regions of the brain affected by several neurologic and psychiatric disorders. He now measures the effectiveness of drugs or behavioral therapy on those areas.

“Our basic goal is to study human brain networks in the context of brain disorders,” he said. “We want to eventually connect abnormal activity in specific brain networks with individual neurologic and psychiatric disorders. The symptoms associated with these conditions reflect the involved brain networks, but we are only beginning to understand the precise mapping between expressed symptoms and specific networks.”

Dr. Wilson is at various stages of several ongoing studies, but still looks for ways to expand the use of MEG imaging in this golden age of brain research.

“Finding brain markers, or signatures of a specific disease, is important for advancing treatment and neuroimaging is critical to this effort,” he said.

Dr. Wilson joined UNMC in November of 2008 as the scientific director of the new Center for Magnetoencephalography. UNMC was one of the first medical centers in the United States to get a state-of-the-art 306-sensor MEG system, which remains the most advanced system currently available.

“We map regions of the brain that become active when a person performs memory or language tasks, executes simple hand movements, or utilizes one of many other cognitive functions,” Dr. Wilson said.

His long-term goal is to develop predictive markers for diagnostic and prognostic applications, as well as monitoring disease progression and testing new candidate treatments for neurologic and psychiatric disorders.

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