Morgan L, Choi H, Reid M, Khawaja A, Mazzone PJ. Internist 40 years experience, JasonBudde.MD.com The action you just performed triggered the security solution. What is the NextGen Patient Portal? TN 37804, BruceTRoberts.MD.com Sign up today! 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/. Remember user name. x? nE A63 Internist 49 years experience, JohnReisser.MD.com Red portion indicates the percentage of the total represented by incidental nodules. 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 wMDsiP[:2,2gc[+%Ht7tvlu"&cdfq4g%)j28@Tfi5SqYudh5K317-bg=1Dy 82SV4=,al,`U !xX OQEE5>4X_TodL}:J Exceptional Care That Gould MK, Tang T, Liu IL, Lee J, Zheng C, Danforth KN, et al. We did find an increase in Stage IV diagnoses at the end of Year 1, for reasons that are not entirely clear. TN, AlanSmuckler.MD.com Cardiologist 20 years experience, 458 Bmh Physicians Office Bldg, Dr. Ridge CA, Hobbs BD, Bukoye BA, Aronson MD, Boiselle PM, Leffler DA, et al. Am J Prev Med. Blount Memorial Physicians Group, Inc. 2016;8:S4947. Of the 182 cases undergoing diagnostic intervention, 121 received a cancer diagnosis and were managed by the multidisciplinary cancer conference (Fig. e8RFVD Red line indicates a program target objective of 30days or fewer. 2019;155:9007. Password Forgot password? The physicians at Womens Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. c Stage Distribution of Cancer Diagnoses in Year 1 of the Program. Popul Health Manag. (865) 546-1642. Combined, this creates a win-win-win situation for the healthcare system and patients as a whole. 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. . Thus, these late presenters may still be working through the system. Patient Portal Frequently Asked Question (FAQ) link, A portion of your medical records and health history, List of current medications, allergies, immunizations, Request a prescription refill and send it to the pharmacy of choice, Link to accounts of others as they approve. Our initial two-year data suggest that all three stakeholders patients, physicians, and hospitals can benefit from a properly run, effective program. Shusted CS, Barta JA, Lake M, Brawer R, Ruane B, Giamboy TE, et al. Patient Portal; Contact; Blog; Pay Your Bill; Shopping cart close. By using this website, you agree to our Provider Name. Dickson, Screening for lung cancer: U.S. preventive services task force recommendation statement. J Health Econ Outcomes Res. Integrated, multidisciplinary management of pulmonary nodules can streamline care and improve adherence to recommendations. Medical writing support was provided by Kristin L. Hood PhD of Medtronic to expand the authors independent research presentations into a manuscript, in accordance with Good Publication Practice (GPP3) guidelines [39]. Family Doctor 31 years experience, NealAtchley.MD.com Pulmonologist 41 years experience, MarkEGreen.MD.com After review of the CT report and the CT scan, 1127 were determined to not have a nodule or to have a nodule that had been stable for more than 2years. Accepting New Patients? Whenever possible, diagnosis and staging was conducted within a single procedure. 2018;13:S185. Lung Cancer screening inconsistent with U.S. preventive services task force recommendations. Similarly, a report of a Northeastern United States comprehensive lung nodule program found that 80% of nodules were found incidentally and only 20% through lung cancer screening [23]. 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. The patient portal is a useful tool designed for easy, instant access. Most diagnostic procedures (Fig. Acad Radiol. Alcoa, TN 37701 . 7 0 obj <> endobj xref 7 28 0000000016 00000 n User Name. 2013;143:e142S65S. BMC Pulm Med 20, 115 (2020). 0000014595 00000 n P.O. Cookies policy. The objective of the current paper is to describe the development and results of a lung cancer screening and incidental nodule management program in a community hospital serving 5 counties in Tennessee. Incidental or screening-identified lung nodules that were enlarging or not seen in prior scans were entered into a nodule database and guideline-based review determined whether to conduct a diagnostic intervention or radiologic follow-up. b Lung cancer stage distribution at diagnosis before program implementation (2012) and in the first and second year of lung nodule program implementation. Rosenkrantz AB, Xue X, Gyftopoulos S, Kim DC, Nicola GN. 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. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. This speaks to the effectiveness of interventional pulmonologist review of CT scans based on ACCP guidelines [18]. East Tennessee Medical Group 266 Joule St. Alcoa, TN 37701 Contact. Secure Patient Portal. Backed by the tradition, commitment to excellence and continuum of care of Blount Memorial Hospital, the Blount Memorial Physicians Group offers seamless access to multidisciplinary medical expertise and related services. Your privacy is important to us. Please contact us to help ensure your office With Patient Portal, you can connect with your doctor through a convenient, safe and secure Health Record - Blount Memorial https://blountmemorial.org/Resources-Health_Record OBGYN / Obstetrician Gynecologist 41 years experience, IbrahimFShalaby.MD.com After follow-up imaging, 9/483 (1.9%) required diagnostic intervention of which 5/483 (1.0%) had cancer. The remaining 665 nodules were evaluated according to ACCP guidelines and entered into the database as requiring either biopsy or follow-up (Fig. Most patients were evaluated with both ENB and linear EBUS in the same procedure. Ear, Nose, and Throat 1 Provider. 2013;143:7S37S. All of these 58 patients had small nodules that only required follow-up (watchful waiting). Related to the submitted work, the authors received non-financial medical writing and editorial assistance from Medtronic. Internist 23 years experience, OnyekaNwokocha.MD.com 270 Blount Memorial Hospital Physicians Office Building Maryville, TN 37804 (865 . J Thorac Dis. 0000009933 00000 n The institutional review board determined the study to be exempt from review in accordance with United States Department of Health and Human Services Regulation 45 CFR 46.101(b) and approved a waiver of consent in accordance with 45 CFR 46.117C(2). LeMense, G.P., Waller, E.A., Campbell, C. et al. 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). 0000022652 00000 n 2022 Allscripts Healthcare, LLC. =8cs:v21Uf =E97.G53]pDjx{BC'f=A@akKpcoV0C9zz:8-) z9GIY&b:bE*p$vT,nO Zl h Bh Figure3 shows cumulative data through 2years. Thus, any program that does not capture incidental findings is likely to miss a significant portion of lung nodules. In our study, 66.5% (121/182) of nodules that underwent diagnostic intervention received a cancer diagnosis. These included classically defined lung nodules (density on imaging <3cm) and mass lesions and patients with concomitant airway lesions, adenopathy, pleural effusion, etc. 2015;192:120814. As shown in Fig. Our Website. 2a). Record Locator Number Zip Code Zip Code Need help locating your record locator number? 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). 2018;126:11924. Chest. Location Address. 425 BMH PHYSICIANS OFFICE BLDG, Maryville TN, 37804. Radiology. 2019;26:798802. Physicians Office Building 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]. Yes, Dr. Jonathan F. Greene is accepting new patients at this office. 0000001063 00000 n Of those, 182 underwent diagnostic intervention (B), and 121 ultimately received a cancer diagnosis (C). Executive summary: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. ZX3w{=A|>2%I|&\f7->}hGf->}& . Fifth, although our analysis is limited in scope to the United States health system, our data support a meaningful financial impact for hospital and health systems of any size. 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. CAS Patients benefit from earlier diagnosis and potentially better treatment outcomes, physicians benefit from the availability of high-quality multidisciplinary care that provides a safety net to ensure patients arent lost to follow-up, and the hospital benefits from downstream revenue and keeping patients within the system. Family Doctor 43 years experience, WilliamKendellMays.MD.com Roberts TJ, Lennes IT, Hawari S, Sequist LV, Park ER, Willers H, et al. Lung Cancer. Development and outcomes of a comprehensive multidisciplinary incidental lung nodule and lung cancer screening program. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Treatment modalities (Fig. Health, Etmg Patient Portal Page portal-god.com, My Tennessee Urology Patient Portal Tennessee Urology, blount memorial patient portal Health Record Blount , Blount Memorial Patient Portal Find Official Portal CEE Trust, Etmg Patient Portal Find Official Portal CEE Trust, Blount Memorial Patient Portal LoginCast.Com, East Tennessee Dermatology Group | Home East Tennessee , Welcome to Cardiology Associates of East Tennessee , Nathan E. Schrock MD | UT Medical Center | Knoxville, TN, Parent Portal West Seneca Central Schools, Gateways To Better Living Employee Portal. Click to reveal Outside of the submitted work, GPL has received consultant fees from Medtronic. Blount Memorial Physicians Group. dh$yljdneGzvb4L`+..v /ed+K}hH+=p7":MQ"q5g&8?6.%)(krMtHhv?vvjpT'j-tRM"9,{UIIV*5+B=%jV(`-Am Pulmonologist, Internist 50 years experience, ChadPotteiger-DO.MD.com 0000020279 00000 n Neurologist 26 years experience, ClintonWight.MD.com Maryville, Blount Memorial Physicians Group is a multispecialty private practice with a large primary care base. Services. In one instance, a root-cause analysis determined that the nodule program had overwhelmed the radiation oncology resources. Lung cancer is the leading cause of cancer-related death worldwide [1]. Medicaid Accepted: No. 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). If you are interested in this opportunity, make a request at one of our Memorial Physician Clinic locations. A BMH patient portal account is a great way to stay current with you health information, appointments, prescription refills, bills, and more. Fitzmaurice C, Akinyemiju TF, Al Lami FH, Alam T, Alizadeh-Navaei R, Allen C, et al. Welcome to Patient Portal, Your Medical Home on the Web With Patient Portal, you can connect with your doctor through a convenient, safe and secure environment. 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. 3c) decreased steadily in Year 1, from 41days in the phase-in period to 36days in the first quarter and 28days in last quarter. Family Doctor, Osteopathic Physician 20 years experience, JosephMandrell.MD.com For technical troubleshooting, call 1-877-621-8014. Each patient may have more than one diagnostic procedure so individual subcategories do not sum to the total number of 182 patients. Brown C, Ben-Or S, Walker P, Bowling M. The impact of electromagnetic navigational bronchoscopy on a multidisciplinary thoracic oncology program. We observed an increased proportion of Stage I-II diagnoses in Years 1 and 2 compared to before program implementation. Patient access (Current Employee) - Blount County - June 2, 2015. Rivera MP, Mehta AC, Wahidi MM. Showing 1-1 of 1 Location . 0000005375 00000 n 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. I have enjoyed working under my supervisor as well as with my co-workers, however because of the lack of understanding of our process from upper management it has made our daily work environment extremely stressful. The physicians at Women's Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. In addition, follow-up of incidentally detected nodules is generally poor [6]. Blount Memorial Physicians Group. u9G?gZY c0s}e Q*MR@/lE}XQ\A>&LS|;5w!EXd'}bqE:ll~nUe=-{uw@W"Ctcq}a\qMMqD_2PhWhg\fl #0z*"UnoN9_744vCob1K SPv 7 This is encouraging given prior reports of poor screening adoption and compliance [29], particularly in the United States Southeast [15]. Appropriate management of lung nodules detected incidentally or through lung cancer screening can increase the rate of early-stage diagnoses and potentially improve treatment outcomes. Make an Appointment. Once we receive your request, Memorial will work with the appropriate vendors to determine if they meet the technical requirements in order to establish a secure connection. Blount Memorial Physicians Group - Urology 425 BMH PHYSICIANS OFFICE BLDG Maryville, TN 37804 Urinary Conditions, and More Make an Appointment (865) 980-5260 Share Save Overview Insurance Ratings 2 About Me Locations Hospitals ADVERTISEMENT Get better prescription prices Save an average of $55 per medication using free Optum Perks coupons. %PDF-1.4 % Mon. c Average days to treatment from first nodule detection. Gregory P. LeMense. Lung cancer screening in appropriate patients has increased early-stage detection (3671% Stage I) [8] and reduced long-term mortality rates [9,10,11,12]. Vascular Surgery 1 Provider. Additional information is available from the corresponding author on reasonable request. Ann Intern Med. Thoracentesis was limited to patients with a pleural effusion of adequate size that was thought to be a malignant effusion. Accepting New Patients? @NC'$X )T5*;%,C 9 P: (228) 867-4000, Copyright 2023 Memorial Health System. Neurologist 38 years experience, DarrylRiegel.MD.com Becker N, Motsch E, Trotter A, Heussel CP, Dienemann H, Schnabel PA, et al. Cite this article. An automated electronic search was used to scan radiology dictation notes for words related to lung nodules. This oversight greatly increased our follow-up rates. Location Phone. Springer Nature. Lung nodule management is data-intense and requires efficient and effective data oversight, as well as adequate staffing. They were still included in the database to confirm that follow-up imaging was completed. 2016;14:1814. The economic impact of a nurse practitionerdirected lung cancer screening, incidental pulmonary nodule, and tobacco-cessation clinic. To request yourmedical recordsonly,download this form. Approximately 6000 CT scans were reviewed annually at the medical center during the study timeframe (screening and incidental). Please Note: The information displayed below is sourced from the 2014 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. Follow-up of incidental pulmonary nodules and the radiology report. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Our Website. General Surgeon 34 years experience, 127 Crestview Park Drive, As one example, our database was queried monthly to report on every patient due for a follow-up scan that month. Tennessee where he specializes in Fourth, our data show that a comprehensive nodule program can increase screening rates and follow-up compliance. Criss SD, Cao P, Bastani M, Ten Haaf K, Chen Y, Sheehan DF, et al. Google Scholar. Symptomatic patients were defined as those with symptom(s) attributable to the lung nodule(s) at the time of presentation. The results show that the program was successful, given the appropriate level of data management and oversight. Year 1 Data. Correspondence to While we achieved a steady decrease to 28days at the end of Year 1, we observed several upticks due to program and resource challenges. Ann Intern Med. Memorial Health System Family Doctor 22 years experience, DarelButler.MD.com As a woman, the majority of your adult life is likely spent caring for other people. 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? 1, Box A). Family doctors may detect, address, & manage a number of conditions, illnesses, & diseases. Kale MS, Wisnivesky J, Taioli E, Liu B. Password. The number of referrals increased throughout the first 5 quarters and then levelled off slightly during Year 2 (Fig. We now offer the ability for you to securely connect some of the health management apps you may use (i.e. Tel: (865) 238-6460 . This single-center, retrospective report describes the development and outcomes of a comprehensive lung nodule program at a community practice in Tennessee. Establishing the diagnosis of lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Jemal A, Fedewa SA. Click to view service information for Blount Memorial Physicians Group - Family and Internal Medicine. General Practitioner 36 years experience, MarvinBeard.MD.com Phone 865-984-3864 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. This is a single-center, retrospective chart review. fitness trackers, dietary trackers, etc.) Addition of the Fleischner society guidelines to chest CT examination interpretive reports improves adherence to recommended follow-up Care for Incidental Pulmonary Nodules.