Neurologist 38 years experience, DarrylRiegel.MD.com statement and MacMahon H, Naidich DP, Goo JM, Lee KS, Leung ANC, Mayo JR, et al. #^x}V|UeLF+g8t{+U>P)b| -up*UR{{bk1Qw'Lv-I+[ZzB!D0F'`mxZ3Sbr1fJa8likf3p!r[B2vjLf8Ca?@U?@>?B&$#7T8oL#ZV6XY>l8 _"X(t Comprehensive lung nodule programs may facilitate an earlier diagnosis and a higher cure rate. Bozeman Health Pulmonary Medicine, 937 Highland Blvd, Suite 5510, Bozeman, MT, 59715, USA, Blount Memorial Physicians Group, 266 Joule Street, Alcoa, TN, 37701, USA, Ernest A. Waller,Cheryl Campbell&Tyler Bowen, You can also search for this author in In Year 1, 1792 patients were identified by the computer search. We implemented several best practice procedures to increase patient compliance and ensure no patients were lost. Password Forgot password? (865) 982-4824. Internist 23 years experience, OnyekaNwokocha.MD.com Google Scholar. Provided by the Springer Nature SharedIt content-sharing initiative. Ann Intern Med. Criss SD, Cao P, Bastani M, Ten Haaf K, Chen Y, Sheehan DF, et al. 2015;192:120814. While the structure and technology exist to capture and manage patients, implementation is often challenging. 2017;284:22843. J Thorac Cardiovasc Surg. fitness trackers, dietary trackers, etc.) Family Doctor 19 years experience, ChristopherESawyer.MD.com wMDsiP[:2,2gc[+%Ht7tvlu"&cdfq4g%)j28@Tfi5SqYudh5K317-bg=1Dy 82SV4=,al,`U !xX OQEE5>4X_TodL}:J The patient portal is a useful tool designed for easy, instant access. Remember user name. 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 Google Scholar. Of those, 182 underwent diagnostic intervention (B), and 121 ultimately received a cancer diagnosis (C). Family Doctor 27 years experience, FredricRadoff.MD.com Secure Patient Portal. Cost-effectiveness of implementing computed tomography screening for lung cancer in Taiwan. Share on Facebook | | Send Resources Practice Blount Memorial Physicians Group - Family and Internal Medicine 230 Associates Blvd. Polcz ME, Maiga AW, Brown LB, Deppen SA, Montgomery C, Rickman O, et al. 2019;34:6571. The impact of an interventional pulmonary program on nontherapeutic lung resections. Location Address. H\V]o\5}?A@Zi m9g{w"%syfKp{qy9{kI5V7U~K>h:?.uwQ7zwpy|L[_NkZ?wintSxvQ6sZzTDqQ5xgbE %8"5kuBfY*?fJa L]*T*2nfjiHTbAI%f;DXiKE2C.r(OEj\BxeUM *JQ@C9)SiYt;#R=`(DED"IZY n}N!Xsr5u"f8`> 0000002913 00000 n 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. 1, Box C), including 119 primary and 2 metastatic (pancreatic and renal) cancers. bmhphysiciangroup .org/. 1 Review your account 2 Choose a payment option that is right for you 3 Pay easily and quickly Secure Authentication Access your account with the record locator number found on your last statement. PubMed Thus, these late presenters may still be working through the system. The physicians at Womens Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. 4.0. on June 2, 2015. BLOUNT MEMORIAL PHYSICIAN GROUP, INC. As a woman, the majority of your adult life is likely spent caring for other people. Of the 255 screening scans in Year 1, 73 were referred to the lung nodule clinic for review. Family Doctor 20 years experience, RogerGaddis-DO.MD.com Blount Memorial Physicians Group-ENT 653 Morganton Square DriveAlcoa, TN37801 Get Driving Directions Contact Information Main:865-238-6460 Fax:865-238-6461 Find a Physician at this Location Service Line Ear, Nose and Throat (General ENT) County Blount 865-541-8000 2018 W Clinch Avenue Knoxville, TN 37916 Photographs used by permission Comprehensive lung nodule programs have the potential to benefit the patient, physician, and hospital system. Beginning in 2016, a comprehensive and coordinated lung nodule program was initiated with the aims of achieving: (1) a robust cancer screening program; (2) timely capture of incidental lung nodules; (3) cohesive care between practitioners; (4) a streamlined referral program; and (5) a multidisciplinary virtual clinic with a nurse navigator who coordinated care across specialties. 1, Box A). Blount Memorial Physician Group, Inc. Npi 1699710194 3a). Showing 1-1 of 1 Location . Siegel RL, Miller KD, Jemal A. All authors made substantial contributions to all aspects of the study conduct and manuscript development beginning with the initial study conception, including study design (GPL, TB), data acquisition (GPL, EAW, CC, TB), data analysis (GPL, TB), data interpretation (GPL, EAW), manuscript writing (GPL), critical revisions (all authors), final approval of the manuscript for submission (all authors). 2016;5:13140. 0000001063 00000 n Part of Greene has ktd*B;t7AhC8K_@AAaQ&=fVHdaGzDf#A:r4$nxD%Z 36F};CtHw}Wr@Q m}Z6S5>cv@|&:04QZZ+_-QTeHft AbBa2?n(d/&m& Google Scholar. All patients requiring diagnostic intervention (defined as invasive biopsy) were tracked. Neurologist 26 years experience, ClintonWight.MD.com Most lung diagnostic interventions were conducted using image-guided bronchoscopy, including electromagnetic navigation bronchoscopy (ENB; superDimension navigation system version 7.1) and radial endobronchial ultrasound (EBUS) probe (Olympus). two offices 0000013323 00000 n Dedicated programs to identify and manage lung nodules may facilitate early detection and improve survival. It provides an easy and convenient way for you to contact our office about non-urgent requests 24 hours a day, seven days a week. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Year 1 Data. KXDD`pl^&$%&Q6@c2VX'"K@'!a uv+v4`cld~]+@52I$aBrIlDSLJD^ D6K]L"{$\\ ik@}'- `,@$[G All of these 58 patients had small nodules that only required follow-up (watchful waiting). Brown C, Ben-Or S, Walker P, Bowling M. The impact of electromagnetic navigational bronchoscopy on a multidisciplinary thoracic oncology program. Dr. Greene works with eighty-one doctors including Dr. Mark Green and Dr. Darel Butler. The number of diagnostic procedures (47 vs. 44) and cancer diagnoses (35 vs. 34) remained stable between the first and last quarters of Year 1. In response, we have now implemented a best practice of reviewing any cases over 40days to treatment every quarter to identify the cause and implement process flow improvements in response. General Surgeon 34 years experience, 127 Crestview Park Drive, http://datalinks.facs.org. Incidentally detected lung nodules: clinical predictors of adherence to Fleischner society surveillance guidelines. This paper presents the requirements for a comprehensive program, volume for both incidental nodules and screening over time, and quarterly trends in referrals, diagnostic interventions, stage distribution, treatment modalities, and financial data. Pyenson B, Bazell C, Bellanich M, Caplen M, Zulueta J. 'Hostile takeover of our community hospital' | Blount County Patient Portal myMemorialConnection is an easy and secure way for Memorial Health System patients to monitor their health and wellness online. Self-enrollment is available for Memorial Hospital and Physician Clinics patients who are age 18 years or older that dont currently have access to myMemorialConnection. Dr. Greene, but only those who participate in Medicare. Pastorino U, Sverzellati N, Sestini S, Silva M, Sabia F, Boeri M, et al. By using your MyMemorialConnection patient portal account, you may view, download or request the following: If you have been a patient at Memorial Hospital or Memorial Physician Clinics after 2014, you can self-enroll for the Memorial patient portal, myMemorialConnection. Our experience suggests that with careful oversight, a successful lung nodule program can be implemented in any type of community health system, not just large multi-hospital systems. This content is not available in your current region. You can email the site owner to let them know you were blocked. What is the NextGen Patient Portal? Password. Cost-effectiveness of low-dose CT screening for lung cancer in a European country with high prevalence of smoking-a modelling study. Medicare Accepted: No. A total of 474 patients remain in monitoring with no progression noted on follow-up imaging. Read the most recent articles about I forgot my user name and/or password. (865) 238-6460. Treatment modalities (Fig. Family Doctor 43 years experience, WilliamKendellMays.MD.com to your electronic health record. The remaining 607 patients were managed by the nodule program. (865) 546-1642. Number of HCPCS Associated With Medical Services: Number of Medicare Patients with Medical Services: Number of Black or African American Patients: Number of Asian Pacific Islander Patients: Number of American Indian/Alaska Native Patients: Number of Patients with Race Not Elsewhere Classified: Number of Patients with Medicare Only Entitlement: Number of Patients with Medicare & Medicaid Entitlement: Percent of Patients with Atrial Fibrillation: Percent of Patients with Alzheimers Disease or Dementia: Percent of Patients with Chronic Kidney Disease: Percent of Patients with Chronic Obstructive Pulmonary Disease: Percent of Patients with Hypertension (High Blood Pressure): Percent of Patients with Ischemic Heart Disease: Percent of Patients with Rheumatoid Arthritis / Osteoarthritis: Percent of Patients with Schizophrenia / Other Psychotic Disorders: Total Medicare Standardized Payment Amount: Total Medical Medicare Standardized Payment Amount: Number of HCPCS Associated With Drug Services: Number of Medicare Beneficiaries With Drug Services: Total Drug Medicare Standardized Payment Amount: Get a daily roundup of the latest headlines for free (sent Mon-Fri). Make an Appointment. Decision Memo for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) (CAG-00439N). PDF Patient Portal FAQs - Blount Memorial User Name. Low-dose CT (LDCT) screening adoption has been poor despite recommendations, possibly due to lack of patient education, access to care, and reimbursement [13], particularly in the Southeastern United States [14, 15]. Family Doctor 27 years experience, WilliamVines.MD.com blountmemorial.followmyhealth.com Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, Fagerstrom RM, et al. CAS https://doi.org/10.1634/theoncologist.2019-0519, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. Phone (865) 980-5060 Address 458 Bmh Physicians Office Bldg, Maryville, TN 37804 Office Details Get Directions Blount Memorial Physician Group Inc. Patient Portal - HCA Midwest Physicians https://mymidwestphysician.com/patient-portal/ Of those, 27% (182/665) required a diagnostic intervention and 18% (121/665) received a cancer diagnosis. NOTE: Please Interventional pulmonology programs that include advanced minimally invasive diagnostic procedures, such has ENB, are associated with increased rates of early-stage diagnosis [25,26,27] and fewer benign resections [25]. With follow-up scans, 5/576 (0.9%) required diagnostic intervention, of which 4/5 had cancer and 1/5 had a negative biopsy. During the phase-in period prior to full program implementation, 63 nodule referrals were received. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Mailing Address. Internist 26 years experience, RodneyFerguson.MD.com If you previously established an account for online access to your health record and need to gain access to that account again, you will not qualify for self-enrollment. k)k*60 tF(BPJ)g@=$4n6A%9&b/wHt#t}5_{ 0^"u3^VH^&;3^Q.N5I3*94k7=N t` endstream endobj 17 0 obj <>stream Development and outcomes of a comprehensive multidisciplinary Blount Memorial The case for patient navigation in lung Cancer screening in vulnerable populations: a systematic review. volume20, Articlenumber:115 (2020) Family Doctor 36 years experience, AnnikaCutinha.MD.com Nodules identified with symptoms (15.2% in Year 1) or through screening (12.6% in Year 1) were less common. Mediastinal lymph node assessment was conducted using linear EBUS (Olympus BF-UC180F bronchoscope). Blount Memorial Physicians Group - Urology, Maryville, TN - Healthgrades Emergency Medicine Specialist 46 years experience, ChristopherSBarber-DO.MD.com Let us care for you. Regular data checks are also essential to assess program efficiency and quickly address the causes of any challenges. . 2014;160:3308. Financial data were calculated as unbudgeted revenue generated by the nodule program, using Medicare reimbursement data for each specific year. Age-standardized life years lost due to lung cancer is significantly worse in the southeastern United States compared to national averages [2]. Early-stage cancer was detected in 35.5% (26.4% Stage 1, 9.1% Stage 2) while late-stage cancer was detected in 64.4% (26.4% Stage 3, 38.0% Stage 4; Fig. New: Terms of Use (updated November 13, 2019) 2019;118:1428. Guidelines for Management of Incidental Pulmonary Nodules Detected on CT images: from the Fleischner society 2017. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. All rights reserved. De Koning H, Van Der Aalst C, Ten Haaf K, Oudkerk M. PL02.05 Effects of Volume CT Lung Cancer Screening: Mortality Results of the NELSON Randomised-Controlled Population Based Trial [Abstract]. Fourth, our data show that a comprehensive nodule program can increase screening rates and follow-up compliance. Accepting New Patients? Specialties include: 907 E. Lamar Alexander Parkway Maryville, TN 37804 Get Directions ;:f@;oDcG=>jS-2Dl'>"kmD"N8Jhkv:~2HN. Approximately 6000 CT scans were reviewed annually at the medical center during the study timeframe (screening and incidental). 0000008770 00000 n PDF Patient Portal FAQs - Blount Memorial 2011;365:395409. Cite this article. 0000001523 00000 n 2019;171:796804. 2d) were thoracic surgery in 22%, radiation oncology in 40%, and chemotherapy in 38%. Blount Memorial Physicians Group, Inc. 37804 (865) 980-5060 Home Practice Directory Tennessee Maryville Blount Memorial Physicians Group, Inc. Advertisement 57 Doctors at this Office Aiswarya Sundaram, MD AiswaryaSundaram.MD.com Cardiologist 19 years experience Blount Memorial Physicians Group, Inc. J Am Coll Radiol. r]w(R.E3ukkHS Combined, this creates a win-win-win situation for the healthcare system and patients as a whole. Outside of the submitted work, GPL has received consultant fees from Medtronic. Manage cookies/Do not sell my data we use in the preference centre. The number of patients with lung nodules referred to the program increased over 2years, from 665 patients in Year 1 to 745 patients in Year 2. While early detection markedly improves survival, only 16% of lung cancers in the United States are detected at localized stages [3]. In Year 1, only 12.6% of nodules were identified through screening. 2019;26:798802. The NextGen Patient Portal is ETMG's secure patient portal. 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. 458 Bmh Physicians Office Bldg, Maryville, TN37804. Fifty-eight of the 665 patients were not directly referred to the lung nodule program, but were instead followed by their primary care physician or an outside pulmonologist. Ridge CA, Hobbs BD, Bukoye BA, Aronson MD, Boiselle PM, Leffler DA, et al. Third Party materials included herein protected under copyright law. For technical troubleshooting, call 1-877-621-8014. Accessed 28 Mar 2019. JAMA Oncol. Dr. Michael Douglas, DO - Urology Specialist in Maryville, TN TN 37055, SusanSouther.MD.com Submission of this form is subject to Healthgrades, Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). Blount Memorial Hospital MedicalRecords.com Rating 154 reviews 2.6 Overview Services 907 E Lamar Alexander Pkwy, Maryville, TN 37804, USA (865) 983-7211 Website Patient Portal Order Your Records Emergency? 2019;155:9007. 2013;143:e142S65S. California Privacy Statement, Save my name, email, and website in this browser for the next time I comment. Study design, data collection, analysis, interpretation, and the decision to submit to publication was under the full direction of the authors. The current study reports outcomes over the first 2 years of a lung cancer screening and incidental nodule program. Lung cancer screening in appropriate patients has increased early-stage detection (3671% Stage I) [8] and reduced long-term mortality rates [9,10,11,12]. Providers Overview Location . East Tennessee Medical Group - Blount Memorial The physicians at Women's Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. Average days to treatment over 2years (Fig. Related to the submitted work, the authors received non-financial medical writing and editorial assistance from Medtronic. Dermatologist 13 years experience, KevinLeonardTurner.MD.com 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). Accepting New Patients: No. Our initial two-year data suggest that all three stakeholders patients, physicians, and hospitals can benefit from a properly run, effective program. The proportion of Stage I-II cancer diagnoses increased from 23% prior to program implementation to 36% in Year 1 and 38% in Year 2. Only 2% of Year 1 patients under watchful waiting required a diagnostic intervention, of which 1% received a cancer diagnosis. 2019;56:6673. b Diagnostic Interventions in Year 1 (n=182 Patients). 232 Associates Blvd . Blount Memorial Physicians Group - Family and Internal Medicine Osteopathic physicians (DO), also known as osteopaths, are trained in a similar fashion to medical doctors (MD), but are also trained in the use of osteopathic manipulative treatment, abbreviated as OMT. Prior screening and incidental nodule studies have reported false positive rates as high as 96% [9, 24]. How can I register to use the patient portal? 2018;22:6015. Manual review of CT scans and CT scan reports identified by the electronic search then filtered out CT scans with no nodules or those with nodule stability for >2years. Tomonaga Y, Ten Haaf K, Frauenfelder T, Kohler M, Kouyos RD, Shilaih M, et al. Neurologist, Psychiatrist 47 years experience, GaryMMason.MD.com HlVK$')M g=o|~gJ"A}R-co/f2p;^O !CPs;Q]%VCNlxmV`y2>Zf#|h{ +nW U7W1{reCEI,bh a(_qDbO@fV ^l_`v&Lr%)v!b:]? r(Sae?UC5P_?4$kS@I$9\* rHbN$D6DWsbA_z;Z+\c(xXAR2^ 9l4-7 5Ltkj@pP o2IP |sb@jA)-XYOz^o5p?|anhS`*qR|:d(Z`G*,`Ilm[&G[}j15{S [SsVpF!|rhq+l0 _N;LC.(7]j' [ endstream endobj 15 0 obj <>stream Lung Cancer Manag. Patients with screening-detected nodules that required more than yearly CT follow-up were moved to the active database (29% in Year 1 and 20% in Year 2). dh$yljdneGzvb4L`+..v /ed+K}hH+=p7":MQ"q5g&8?6.%)(krMtHhv?vvjpT'j-tRM"9,{UIIV*5+B=%jV(`-Am Gulfport, MS 39501 Finally and most importantly, our data emphasize that careful patient navigation and oversight is essential to the success of any lung nodule program [37], especially in vulnerable populations [38]. There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Blount Memorial Physicians Group Rheumatology Office Locations . The action you just performed triggered the security solution. Eur J Cancer. Reviews from Blount Memorial Physicians Group employees about Blount Memorial Physicians Group culture, salaries, benefits, work-life balance, management, job security, and more. Dickson, Internist 40 years experience, JasonBudde.MD.com We did find an increase in Stage IV diagnoses at the end of Year 1, for reasons that are not entirely clear. Black L. Lung Cancer screening: implementation of and barriers to a nurse practitioner-led program. Sign up now to continue booking your visit: 458 Bmh Physicians, Office Building, Maryville, TN37804-5821. Pulmonologist 41 years experience, MarkEGreen.MD.com A total of 182 patients underwent a diagnostic intervention (Fig. Accessed 25 Mar 2019. Yang SC, Lai WW, Lin CC, Su WC, Ku LJ, Hwang JS, et al. Management Needs Improvments. Neurologist 23 years experience, BrittonBishop.MD.com b Lung cancer stage distribution at diagnosis before program implementation (2012) and in the first and second year of lung nodule program implementation. Blount Memorial Hospital is a 304-bed facility serving 5 counties in Tennessee with a 16-county pulmonary referral area. hb/s`gTlk]vxm{dzDgn2~~]; a^uB e3 8,0z`dQ_;863g7 '|%-_u1`#7|Sc79(1]hFDK1H-~kr ?pp!CkOP ,> ,#VfuX_h-^]09lE*LF1Wt{_vHxtC wWG/._ ^7 endstream endobj 18 0 obj <>stream Family Medicine and Osteopathic Medicine. During the second year, 745 patients were entered into the database and managed by the program, 169 (22.6%) underwent diagnostic intervention, and 86 (11.5%) received a cancer diagnosis. However, the false positive rate is high, with only about 5% of identified nodules receiving a lung cancer diagnosis within 2years [5]. The program then grew by quarter in Year 1, with 142 referrals in the first quarter of the full program, followed by 148, 167, and 208 in the subsequent three quarters. Symptomatic patients were defined as those with symptom(s) attributable to the lung nodule(s) at the time of presentation. Revenue increased steadily through 2years after program implementation, with $363,504 generated in the first quarter, increasing to a cumulative total of $3,812,461 at 18months. Whenever possible, diagnosis and staging was conducted within a single procedure. This website is using a security service to protect itself from online attacks. 2018;22:34761. Screening implementation is also challenged by insufficient resources to manage positive cases according to guidelines, which is currently a requirement for reimbursement [16]. Your privacy is important to us. 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 ]. A rudimentary incidental nodule program consisted of a single individual manually reviewing CT reports. Year 1 data are presented from October 1, 2016 to September 30, 2017, representing the first year of the fully operational screening and incidental management program. This paper presents aggregate data. %PDF-1.4 % 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. 2020;146:150313. Radiology. 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. 2017;108:18391. Blount Memorial Physicians Group is a multispecialty private practice with a large primary care base. Blount Memorial Physicians Group Careers and Employment Dr. Jonathan Greene graduated from Other in 2003. Blount Memorial Physicians Group Physicians & Surgeons Physicians & Surgeons, Pulmonary Diseases Website This study was evaluated by the institutional review board of Blount Memorial Hospital (Maryville, TN) on December 14, 2018, IRB#0046. Cardiologist 18 years experience, AndrewDirmeyer.MD.com The economic impact of a nurse practitionerdirected lung cancer screening, incidental pulmonary nodule, and tobacco-cessation clinic.