information is up to date. 2019;56:6673. Medicare Physician and Other Supplier National Provider Identifier (NPI) Aggregate Report, Sleep, Don't Cram, Before Finals for BetterGrades, Catnip: The 'Why' Behind Cats' FavoriteHigh, Electronic Health Records Bogging DocsDown. Chest. The program goal was to improve patient outcomes, with specific objectives of achieving (1) a stage shift to earlier lung cancer diagnosis and (2) treatment initiation within 30days of first nodule detection (defined as the day of the index CT scan, or the day of the CT scan that initiated intervention for patients originally placed in observation). The results show that the program was successful, given the appropriate level of data management and oversight. Ann Intern Med. 2018;22:6015. blountmemorial.followmyhealth.com Ann Am Thorac Soc. Oncologist. Most nodules were incidental (6265%). wMDsiP[:2,2gc[+%Ht7tvlu"&cdfq4g%)j28@Tfi5SqYudh5K317-bg=1Dy 82SV4=,al,`U !xX OQEE5>4X_TodL}:J Blount Memorial Hospital and physicians from the Blount Memorial Physicians Group location of East Tennessee Medical Group encourage patients to access their health information online through a secure patient portal. Internist 34 years experience, LewisCSommerville.MD.com Clin J Oncol Nurs. Follow-up of incidental pulmonary nodules and the radiology report. 2d) were thoracic surgery in 22%, radiation oncology in 40%, and chemotherapy in 38%. Roberts TJ, Lennes IT, Hawari S, Sequist LV, Park ER, Willers H, et al. Figure3 shows cumulative data through 2years. A rudimentary incidental nodule program consisted of a single individual manually reviewing CT reports. Chest. All Rights Reserved. 2017;14:14506. These included classically defined lung nodules (density on imaging <3cm) and mass lesions and patients with concomitant airway lesions, adenopathy, pleural effusion, etc. @NC'$X )T5*;%,C 9 While the structure and technology exist to capture and manage patients, implementation is often challenging. Dig Deeper System-wide Epic EHR. In Year 1, only 7 patients (7/182; 3.8%) required a second separate procedure to obtain a diagnosis, complete staging, and/or aid in fiducial marker placement. 0000007617 00000 n The remaining 665 nodules were evaluated according to ACCP guidelines and entered into the database as requiring either biopsy or follow-up (Fig. However, efficiency is also important to reduce unnecessary costs from over-management [31]. https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx? In an integrated health system report between 2006 and 2012, approximately 2530% of all chest CT scans revealed positive findings. Lung cancer rates in Tennessee are among the highest in the United States, with an age-adjusted rate of 76.6 new cases per 100,000 people, compared to a national average of 58 new cases per 100,000 [ 20 ]. In screening cases, 71% of patients completed follow-up scans within 18months. https://doi.org/10.1186/s12890-020-1129-7, DOI: https://doi.org/10.1186/s12890-020-1129-7. Siegel RL, Miller KD, Jemal A. PDF Patient Portal FAQs - Blount Memorial In over 15,000 patients with incidental nodules from a commercial insurance database, only 36% received subsequent workup despite an estimated cost of only $1$2 per member per year when averaged across the insured population [7]. 2017;24:33744. Rheumatologist, Internist 52 years experience, NancyBartley.MD.com Approximately 6000 incidental nodule and screening CT scans were reviewed annually at the medical center during the study timeframe. Internist 20 years experience, JeromeHeiny.MD.com J Natl Compr Cancer Netw. Medicaid Accepted: No. Only 2% of patients initially placed in watchful waiting during Year 1 required a diagnostic procedure after follow-up scanning, and only 1% received a cancer diagnosis. MORE APR 29 Have a question about your patient portal, or trouble resetting your patient portal password? Phone 865-984-3864 Integrated, multidisciplinary management of pulmonary nodules can streamline care and improve adherence to recommendations. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Gregory P. LeMense. 0000010975 00000 n What is the NextGen Patient Portal? Cost-effectiveness of low-dose CT screening for lung cancer in a European country with high prevalence of smoking-a modelling study. As a woman, the majority of your adult life is likely spent caring for other people. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Lung nodule management is data-intense and requires efficient and effective data oversight, as well as adequate staffing. Ann Intern Med. Global, regional, and National Cancer Incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 29 Cancer groups, 1990 to 2016: a systematic analysis for the global burden of disease study. H\VK#)uG 8Fp/PM4HCVKWz_~(>#exm3_??f_k*'vhRJbYzR=.K\Y@DXe|: (`hxE[ S=C_\Y T'Ya endstream endobj 8 0 obj <> endobj 9 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/TrimBox[0.0 0.0 396.0 612.0]/Type/Page>> endobj 10 0 obj <> endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <> endobj 14 0 obj <>stream Third, our comprehensive program increased the proportion of early stage cancer diagnoses. Of the 665 patients entered into the nodule database in Year 1, 61.5% were incidental, 15.2% were symptomatic, and 12.6% were identified through screening (Fig. Using the portal, you can manage your listing of allergies, view details of your health care visits, see laboratory and radiology results, track procedures for your health history, view vital signs and print documents. Blount Memorial Hospital - MedicalRecords.com 266 JOULE ST ALCOA, TN 37701. In Year 1, only 12.6% of nodules were identified through screening. Alcoa, TN 37701 Contact Phone 865-273-1555 Related Content How can I register to use the patient portal? Dr. Michael Douglas, DO - Urology Specialist in Maryville, TN By using this website, you agree to our https://www.butlerhealthsystem.org/patient-portal/, With My BHS Health you will be able to access the following services at your fingertips: See an urgent care provider using BHS FasterCare NOW; Request , https://blountmemorial.org/ResourcesPhysician_and_Employee_Portal_Login, Information available through the physician portal includes: Current census; Lab and radiology orders and results; Pharmacy orders; Medical records; Chart , https://www.baptistmedicalnetwork.com/patient-portal, View and request appointments; Request prescriptions and refills; Retrieve test results; View personal health information; Update demographic information , The BMH Patient Portal (MyCareCorner) is another safe and secure way to obtain all of your personal health records, medications, procedures, lab results, , https://www.medfusion.net/bmhphysiciangroup-21676/portal/.
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