User login
Mentors Creating Mentors
Upon wrapping up a successful 2018 NetWorks Challenge Giving campaign – supporting travel grants to CHEST 2018 for early career and diverse clinicians, CHEST Foundation staff sat down with one of our champions, Demondes Haynes, MD, FCCP. Our conversation focused heavily on the role of mentorship in the development of early career clinicians and his own experience as both a mentor and mentee.
Dr. Haynes has had several mentors over the course of his career, but one stands out to him in particular: Doug Campbell, MD, FCCP. Dr. Campbell is a pulmonary and critical care physician who was the division chief at the University of Mississippi Medical Center in Jackson. “When I was finishing my chief residency, the entire pulmonary division imploded. All of the faculty left, except one or two professors, and all those who were going to become fellows here started looking for other places to go. I was actively looking as well…planning to leave my home state, which was not my initial plan. Dr. Campbell came in about that time and promised me that if I gave him some time, we could rebuild the division. He told me if I stayed for my fellowship, I could really help rebuild it. From that day forward, he was my mentor. I stayed for my fellowship under Dr. Campbell.
He delivered on all of those promises. He taught pulmonary medicine extremely well. Not only was a he a great clinician, but he built up the faculty – started a telemedicine program for the ICU and brought in a diverse set of faculty who had all trained at other institutions. He really helped build the program up to be a strong program. I was very happy I chose to stay and learn under his leadership.”
Doug Campbell not only had an impact on Dr. Haynes’ professional life, but also his personal life. “When I agreed to stay for my fellowship, he sent a beautiful handwritten note to my mother, thanking her for raising me to be respectful. She was amazed.” Dr. Haynes mother passed 10 years ago. The night before the funeral at the visitation, Dr. Campbell brought the card his mother sent back – an exchange that Dr. Haynes never knew took place. “It really meant the world to me, not only had he mentored me in my academic career, but he made those personal touches. Those moments are very special to me.”
Dr. Haynes is now mentoring residents and feels it is even more rewarding being a mentor. “You actually get to invest in others, and when you invest in others, the best comes out in them. Sometimes, in this mentoring role, you’re helping people uncover what their qualities are. Sometimes they don’t even know what they are capable of until you push them just a little bit. That’s been so rewarding. I have been blessed, my mentors have invested so much in me, and I am able to pay it forward and give back.”
Dr. Haynes chose to honor Dr. Campbell through giving during the NetWorks Challenge Giving Month. “The NetWork Challenge is great because part of our mission as an organization is philanthropy. We are an education organization, and, in medicine in general, we should support philanthropy. We talk a lot about empathy for our patients… and giving back is just a small part of that. There is a scripture that says, ‘To whom much is given, much is required.’ I truly believe that. I believe that it should just be an ingrained part of our calling as physicians.”
Your generosity funds young clinicians’ learning opportunities that will change the future of patient outcomes and lung diseases. Thank you for making these opportunities possible.
Your continued support will support the next generation of mentees launching their careers (with the proper hands-on training). You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation by going to chestfoundation.org/donate or calling 224/521-9527.
Again, thank you for all you do to improve patient outcomes. You are the lung health champions who patients and families count on to positively impact lung health.
Upon wrapping up a successful 2018 NetWorks Challenge Giving campaign – supporting travel grants to CHEST 2018 for early career and diverse clinicians, CHEST Foundation staff sat down with one of our champions, Demondes Haynes, MD, FCCP. Our conversation focused heavily on the role of mentorship in the development of early career clinicians and his own experience as both a mentor and mentee.
Dr. Haynes has had several mentors over the course of his career, but one stands out to him in particular: Doug Campbell, MD, FCCP. Dr. Campbell is a pulmonary and critical care physician who was the division chief at the University of Mississippi Medical Center in Jackson. “When I was finishing my chief residency, the entire pulmonary division imploded. All of the faculty left, except one or two professors, and all those who were going to become fellows here started looking for other places to go. I was actively looking as well…planning to leave my home state, which was not my initial plan. Dr. Campbell came in about that time and promised me that if I gave him some time, we could rebuild the division. He told me if I stayed for my fellowship, I could really help rebuild it. From that day forward, he was my mentor. I stayed for my fellowship under Dr. Campbell.
He delivered on all of those promises. He taught pulmonary medicine extremely well. Not only was a he a great clinician, but he built up the faculty – started a telemedicine program for the ICU and brought in a diverse set of faculty who had all trained at other institutions. He really helped build the program up to be a strong program. I was very happy I chose to stay and learn under his leadership.”
Doug Campbell not only had an impact on Dr. Haynes’ professional life, but also his personal life. “When I agreed to stay for my fellowship, he sent a beautiful handwritten note to my mother, thanking her for raising me to be respectful. She was amazed.” Dr. Haynes mother passed 10 years ago. The night before the funeral at the visitation, Dr. Campbell brought the card his mother sent back – an exchange that Dr. Haynes never knew took place. “It really meant the world to me, not only had he mentored me in my academic career, but he made those personal touches. Those moments are very special to me.”
Dr. Haynes is now mentoring residents and feels it is even more rewarding being a mentor. “You actually get to invest in others, and when you invest in others, the best comes out in them. Sometimes, in this mentoring role, you’re helping people uncover what their qualities are. Sometimes they don’t even know what they are capable of until you push them just a little bit. That’s been so rewarding. I have been blessed, my mentors have invested so much in me, and I am able to pay it forward and give back.”
Dr. Haynes chose to honor Dr. Campbell through giving during the NetWorks Challenge Giving Month. “The NetWork Challenge is great because part of our mission as an organization is philanthropy. We are an education organization, and, in medicine in general, we should support philanthropy. We talk a lot about empathy for our patients… and giving back is just a small part of that. There is a scripture that says, ‘To whom much is given, much is required.’ I truly believe that. I believe that it should just be an ingrained part of our calling as physicians.”
Your generosity funds young clinicians’ learning opportunities that will change the future of patient outcomes and lung diseases. Thank you for making these opportunities possible.
Your continued support will support the next generation of mentees launching their careers (with the proper hands-on training). You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation by going to chestfoundation.org/donate or calling 224/521-9527.
Again, thank you for all you do to improve patient outcomes. You are the lung health champions who patients and families count on to positively impact lung health.
Upon wrapping up a successful 2018 NetWorks Challenge Giving campaign – supporting travel grants to CHEST 2018 for early career and diverse clinicians, CHEST Foundation staff sat down with one of our champions, Demondes Haynes, MD, FCCP. Our conversation focused heavily on the role of mentorship in the development of early career clinicians and his own experience as both a mentor and mentee.
Dr. Haynes has had several mentors over the course of his career, but one stands out to him in particular: Doug Campbell, MD, FCCP. Dr. Campbell is a pulmonary and critical care physician who was the division chief at the University of Mississippi Medical Center in Jackson. “When I was finishing my chief residency, the entire pulmonary division imploded. All of the faculty left, except one or two professors, and all those who were going to become fellows here started looking for other places to go. I was actively looking as well…planning to leave my home state, which was not my initial plan. Dr. Campbell came in about that time and promised me that if I gave him some time, we could rebuild the division. He told me if I stayed for my fellowship, I could really help rebuild it. From that day forward, he was my mentor. I stayed for my fellowship under Dr. Campbell.
He delivered on all of those promises. He taught pulmonary medicine extremely well. Not only was a he a great clinician, but he built up the faculty – started a telemedicine program for the ICU and brought in a diverse set of faculty who had all trained at other institutions. He really helped build the program up to be a strong program. I was very happy I chose to stay and learn under his leadership.”
Doug Campbell not only had an impact on Dr. Haynes’ professional life, but also his personal life. “When I agreed to stay for my fellowship, he sent a beautiful handwritten note to my mother, thanking her for raising me to be respectful. She was amazed.” Dr. Haynes mother passed 10 years ago. The night before the funeral at the visitation, Dr. Campbell brought the card his mother sent back – an exchange that Dr. Haynes never knew took place. “It really meant the world to me, not only had he mentored me in my academic career, but he made those personal touches. Those moments are very special to me.”
Dr. Haynes is now mentoring residents and feels it is even more rewarding being a mentor. “You actually get to invest in others, and when you invest in others, the best comes out in them. Sometimes, in this mentoring role, you’re helping people uncover what their qualities are. Sometimes they don’t even know what they are capable of until you push them just a little bit. That’s been so rewarding. I have been blessed, my mentors have invested so much in me, and I am able to pay it forward and give back.”
Dr. Haynes chose to honor Dr. Campbell through giving during the NetWorks Challenge Giving Month. “The NetWork Challenge is great because part of our mission as an organization is philanthropy. We are an education organization, and, in medicine in general, we should support philanthropy. We talk a lot about empathy for our patients… and giving back is just a small part of that. There is a scripture that says, ‘To whom much is given, much is required.’ I truly believe that. I believe that it should just be an ingrained part of our calling as physicians.”
Your generosity funds young clinicians’ learning opportunities that will change the future of patient outcomes and lung diseases. Thank you for making these opportunities possible.
Your continued support will support the next generation of mentees launching their careers (with the proper hands-on training). You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation by going to chestfoundation.org/donate or calling 224/521-9527.
Again, thank you for all you do to improve patient outcomes. You are the lung health champions who patients and families count on to positively impact lung health.
This month in the journal CHEST®
Editor’s Picks
Editor in Chief, CHEST
Giants in CHEST Medicine –Arthur S. Slutsky, MD, MASc, BASc
By Dr. Eliot A. Phillipson
Original Research
A Longitudinal Cohort Study of Aspirin Use and Progression of Emphysema-like Lung
Characteristics on CT Imaging: The MESA Lung Study
By Dr. C. P. Aaron, et al.
The Effect of Alcohol Consumption on the Risk of ARDS: A Systematic Review and
Meta-analysis
By Dr. E. Simou, et al.
The Relationship Between COPD and Frailty: A Systematic Review and Meta-Analysis of
Observational Studies
By Dr. A. Marengoni, et al.
Editor’s Picks
Editor in Chief, CHEST
Giants in CHEST Medicine –Arthur S. Slutsky, MD, MASc, BASc
By Dr. Eliot A. Phillipson
Original Research
A Longitudinal Cohort Study of Aspirin Use and Progression of Emphysema-like Lung
Characteristics on CT Imaging: The MESA Lung Study
By Dr. C. P. Aaron, et al.
The Effect of Alcohol Consumption on the Risk of ARDS: A Systematic Review and
Meta-analysis
By Dr. E. Simou, et al.
The Relationship Between COPD and Frailty: A Systematic Review and Meta-Analysis of
Observational Studies
By Dr. A. Marengoni, et al.
Editor’s Picks
Editor in Chief, CHEST
Giants in CHEST Medicine –Arthur S. Slutsky, MD, MASc, BASc
By Dr. Eliot A. Phillipson
Original Research
A Longitudinal Cohort Study of Aspirin Use and Progression of Emphysema-like Lung
Characteristics on CT Imaging: The MESA Lung Study
By Dr. C. P. Aaron, et al.
The Effect of Alcohol Consumption on the Risk of ARDS: A Systematic Review and
Meta-analysis
By Dr. E. Simou, et al.
The Relationship Between COPD and Frailty: A Systematic Review and Meta-Analysis of
Observational Studies
By Dr. A. Marengoni, et al.
Family Fun in San Antonio During CHEST 2018
Planning on bringing your family with you to CHEST 2018 in San Antonio? Well, we’ve got you covered on ways to have some family fun when you’re not immersed in learning at the convention center. Here are a few activities you can take part in:
San Antonio Missions National Historical Park
There are four San Antonio Missions you can visit: San José, Espada, Concepción, and San Juan. Explore the missions on your own, or join a park ranger or volunteer for a free, 45- to 60- minute guided tour of your chosen mission. While Mission San José is the most popular tour with ranger-led tours between 10:00 am and 3:00 pm, make sure to stop at the visitor center or information center of the other missions you want to tour to check available tour times.
World’s Largest Cowboy Boots
Just outside Saks Fifth Avenue at North Star Mall, you can take a selfie next to the World’s Largest Cowboy Boots. These 35-foot tall and 30-foot long boots shouldn’t be too hard to spot. Originally the boots were built by Bob “Daddy-O” Wade in Washington, DC, in 1979 and moved to San Antonio just 1 year later.
Natural Bridge Caverns
Explore the Natural Bridge Caverns, the largest caverns in Texas. This family-owned and family-operated attraction offers guided and adventure tours, and outdoor maze, mining for gems and fossils, and more! When you’re done, you can visit the Shops of Discovery Village where you’ll find treats, a general store, and souvenirs to take home.
The Alamo Trolley
Need a captivating-yet-low impact activity? Ride the Alamo Trolley. This “hop-on, hop-off” trolley allows you to explore San Antonio at your own pace. With 10 stops around town, this entirely narrated tour includes The Alamo, Hemisfair Park, River Walk, the Mission Trail, and more.
Clyde and Seamore’s Sea Lion High
If you go to SeaWorld San Antonio, kids will love attending the sea lion show called “Clyde and Seamore’s Sea Lion High.” The sea lions perform tricks and interact with the audience as Clyde and Seamore go back to school in search of their diplomas.
Cool Off at a Waterpark
While October weather in San Antonio may be slightly cooler than in the summer, it still averages in the mid-80 degrees Fahrenheit, so you’ll want to cool off at the pool or a waterpark. Take some downtime with the family and head to one of the several waterparks in the area, including Schlitterbahn, Splashtown San Antonio, and Aquatica at SeaWorld.
Brackenridge Park
Spend the day at one of San Antonio’s most popular parks, Brackenridge Park. Hike or bike along one of the nature trails, have a picnic, play with your kids at the Kiddie Park, or find the Japanese Tea Garden. Want to add something a little more exciting to your day? The San Antonio Zoo is also on the grounds, where there are lots of animals, experiences, and events.
Planning on bringing your family with you to CHEST 2018 in San Antonio? Well, we’ve got you covered on ways to have some family fun when you’re not immersed in learning at the convention center. Here are a few activities you can take part in:
San Antonio Missions National Historical Park
There are four San Antonio Missions you can visit: San José, Espada, Concepción, and San Juan. Explore the missions on your own, or join a park ranger or volunteer for a free, 45- to 60- minute guided tour of your chosen mission. While Mission San José is the most popular tour with ranger-led tours between 10:00 am and 3:00 pm, make sure to stop at the visitor center or information center of the other missions you want to tour to check available tour times.
World’s Largest Cowboy Boots
Just outside Saks Fifth Avenue at North Star Mall, you can take a selfie next to the World’s Largest Cowboy Boots. These 35-foot tall and 30-foot long boots shouldn’t be too hard to spot. Originally the boots were built by Bob “Daddy-O” Wade in Washington, DC, in 1979 and moved to San Antonio just 1 year later.
Natural Bridge Caverns
Explore the Natural Bridge Caverns, the largest caverns in Texas. This family-owned and family-operated attraction offers guided and adventure tours, and outdoor maze, mining for gems and fossils, and more! When you’re done, you can visit the Shops of Discovery Village where you’ll find treats, a general store, and souvenirs to take home.
The Alamo Trolley
Need a captivating-yet-low impact activity? Ride the Alamo Trolley. This “hop-on, hop-off” trolley allows you to explore San Antonio at your own pace. With 10 stops around town, this entirely narrated tour includes The Alamo, Hemisfair Park, River Walk, the Mission Trail, and more.
Clyde and Seamore’s Sea Lion High
If you go to SeaWorld San Antonio, kids will love attending the sea lion show called “Clyde and Seamore’s Sea Lion High.” The sea lions perform tricks and interact with the audience as Clyde and Seamore go back to school in search of their diplomas.
Cool Off at a Waterpark
While October weather in San Antonio may be slightly cooler than in the summer, it still averages in the mid-80 degrees Fahrenheit, so you’ll want to cool off at the pool or a waterpark. Take some downtime with the family and head to one of the several waterparks in the area, including Schlitterbahn, Splashtown San Antonio, and Aquatica at SeaWorld.
Brackenridge Park
Spend the day at one of San Antonio’s most popular parks, Brackenridge Park. Hike or bike along one of the nature trails, have a picnic, play with your kids at the Kiddie Park, or find the Japanese Tea Garden. Want to add something a little more exciting to your day? The San Antonio Zoo is also on the grounds, where there are lots of animals, experiences, and events.
Planning on bringing your family with you to CHEST 2018 in San Antonio? Well, we’ve got you covered on ways to have some family fun when you’re not immersed in learning at the convention center. Here are a few activities you can take part in:
San Antonio Missions National Historical Park
There are four San Antonio Missions you can visit: San José, Espada, Concepción, and San Juan. Explore the missions on your own, or join a park ranger or volunteer for a free, 45- to 60- minute guided tour of your chosen mission. While Mission San José is the most popular tour with ranger-led tours between 10:00 am and 3:00 pm, make sure to stop at the visitor center or information center of the other missions you want to tour to check available tour times.
World’s Largest Cowboy Boots
Just outside Saks Fifth Avenue at North Star Mall, you can take a selfie next to the World’s Largest Cowboy Boots. These 35-foot tall and 30-foot long boots shouldn’t be too hard to spot. Originally the boots were built by Bob “Daddy-O” Wade in Washington, DC, in 1979 and moved to San Antonio just 1 year later.
Natural Bridge Caverns
Explore the Natural Bridge Caverns, the largest caverns in Texas. This family-owned and family-operated attraction offers guided and adventure tours, and outdoor maze, mining for gems and fossils, and more! When you’re done, you can visit the Shops of Discovery Village where you’ll find treats, a general store, and souvenirs to take home.
The Alamo Trolley
Need a captivating-yet-low impact activity? Ride the Alamo Trolley. This “hop-on, hop-off” trolley allows you to explore San Antonio at your own pace. With 10 stops around town, this entirely narrated tour includes The Alamo, Hemisfair Park, River Walk, the Mission Trail, and more.
Clyde and Seamore’s Sea Lion High
If you go to SeaWorld San Antonio, kids will love attending the sea lion show called “Clyde and Seamore’s Sea Lion High.” The sea lions perform tricks and interact with the audience as Clyde and Seamore go back to school in search of their diplomas.
Cool Off at a Waterpark
While October weather in San Antonio may be slightly cooler than in the summer, it still averages in the mid-80 degrees Fahrenheit, so you’ll want to cool off at the pool or a waterpark. Take some downtime with the family and head to one of the several waterparks in the area, including Schlitterbahn, Splashtown San Antonio, and Aquatica at SeaWorld.
Brackenridge Park
Spend the day at one of San Antonio’s most popular parks, Brackenridge Park. Hike or bike along one of the nature trails, have a picnic, play with your kids at the Kiddie Park, or find the Japanese Tea Garden. Want to add something a little more exciting to your day? The San Antonio Zoo is also on the grounds, where there are lots of animals, experiences, and events.
Launching the Moderate to Severe Asthma Center of Excellence
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence (https://www.medscape.com/resource/moderate-severe-asthma) will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
“We look forward to working with Medscape on the Center of Excellence to ensure that all physicians treating patients with asthma have access to the latest information and research on managing this pervasive and challenging disease,” said John Studdard, MD, FCCP, President, American College of Chest Physicians.
“The Moderate to Severe Asthma Center of Excellence with CHEST provides a new, accessible channel for information, practical insights, and commentary to the thousands of physicians and health-care professionals who visit Medscape daily,” said Jo-Ann Strangis, Senior Vice President, Editorial for Medscape. “We are privileged to be working with CHEST and look forward to the Center of Excellence making a meaningful difference in patient care.”
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds” (https://www.medscape.com/viewarticle/896135?src=dpcs).
Visit the Moderate to Severe Asthma Center of Excellence: https://www.medscape.com/resource/moderate-severe-asthma
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence (https://www.medscape.com/resource/moderate-severe-asthma) will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
“We look forward to working with Medscape on the Center of Excellence to ensure that all physicians treating patients with asthma have access to the latest information and research on managing this pervasive and challenging disease,” said John Studdard, MD, FCCP, President, American College of Chest Physicians.
“The Moderate to Severe Asthma Center of Excellence with CHEST provides a new, accessible channel for information, practical insights, and commentary to the thousands of physicians and health-care professionals who visit Medscape daily,” said Jo-Ann Strangis, Senior Vice President, Editorial for Medscape. “We are privileged to be working with CHEST and look forward to the Center of Excellence making a meaningful difference in patient care.”
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds” (https://www.medscape.com/viewarticle/896135?src=dpcs).
Visit the Moderate to Severe Asthma Center of Excellence: https://www.medscape.com/resource/moderate-severe-asthma
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence (https://www.medscape.com/resource/moderate-severe-asthma) will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
“We look forward to working with Medscape on the Center of Excellence to ensure that all physicians treating patients with asthma have access to the latest information and research on managing this pervasive and challenging disease,” said John Studdard, MD, FCCP, President, American College of Chest Physicians.
“The Moderate to Severe Asthma Center of Excellence with CHEST provides a new, accessible channel for information, practical insights, and commentary to the thousands of physicians and health-care professionals who visit Medscape daily,” said Jo-Ann Strangis, Senior Vice President, Editorial for Medscape. “We are privileged to be working with CHEST and look forward to the Center of Excellence making a meaningful difference in patient care.”
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds” (https://www.medscape.com/viewarticle/896135?src=dpcs).
Visit the Moderate to Severe Asthma Center of Excellence: https://www.medscape.com/resource/moderate-severe-asthma
Launching the Moderate to Severe Asthma Center of Excellence
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds’ ”
Visit the Moderate to Severe Asthma Center of Excellence at https://www.medscape.com/resource/moderate-severe-asthma
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds’ ”
Visit the Moderate to Severe Asthma Center of Excellence at https://www.medscape.com/resource/moderate-severe-asthma
The American College of Chest Physicians (CHEST) announces a new partnership with Medscape focused on supporting physicians in addressing the challenges of diagnosing and treating moderate to severe asthma. The Moderate to Severe Asthma Center of Excellence will provide news, expert commentary, and insights on challenging cases to physicians specializing in chest medicine, allergy, primary care, pediatrics, and emergency medicine.
Medscape is a leading source of clinical news, health information, and point-of-care tools for physicians and health-care professionals. This new Center of Excellence available on Medscape.com will explore the diagnostic, therapeutic, and prevention strategies associated with moderate to severe asthma, including the latest research and breakthroughs. Topics will include challenges in classifying and diagnosing disease; risks, benefits, and barriers to treatment; and impact on patients’ quality of life.
Don’t miss Dr. Aaron Holley’s video on “Diagnosing Severe Asthma: ‘Not as Easy as It Sounds’ ”
Visit the Moderate to Severe Asthma Center of Excellence at https://www.medscape.com/resource/moderate-severe-asthma
NAMDRC Legislative and Regulatory Agenda Once Again Focuses on Patient Access
NAMDRC’s Mission Statement declares, “NAMDRC’s primary mission is to improve access to quality care for patients with respiratory disease by removing regulatory and legislative barriers to appropriate treatment.” This mission is clear as we review our legislative and regulatory agenda on an ongoing and continuing basis.
Home Mechanical Ventilation: Close to 20 years ago, HCFA (now CMS) was faced with an important reality: advances in technology related to home mechanical ventilation are triggering an exponential growth in availability of these life supporting devices, but a price would be paid. At that time, Medicare law was quite explicit, indicating that certain ventilators would be paid under a “frequent and substantial servicing” payment methodology, authorizing payment on an ongoing basis as long as the prescribing physician documented medical necessity. To circumvent that statutory reality, the agency created a new category of medical device – a respiratory assist device/RAD – and declared that these devices are no longer ventilators and are now subject to capped rental rules and regulations.
NAMDRC was determined to work within the system, but roadblocks were consistently encountered, ie, contractor policies that did not reflect current medical standards of care, peer reviewed literature, etc. Even defining a “respiratory assist device” was (and still is) a challenge, as the term does not appear in the medical literature or in FDA vernacular.
Spin forward to 2018 and numerous realities come into play. Physicians still struggle with the concept of RADs without a definitive, consistent definition and no FDA language to guide usage. Today, it is easier to secure a ventilator if a physician documents the patient experiences some level of respiratory failure than it is to prescribe a simple ventilator with a back-up rate. Because of that dichotomy, the growth of life support ventilator usage is well documented.
If one takes the approach that a device should be paired with the actual clinical characteristics/medical need of the patient, changes in policy are necessary. While CMS clearly has the authority to act to improve policy and match clinical need to patient access, years and years of back and forth have signaled a definite unwillingness of the agency to move in that direction; therefore, the only genuine recourse is to seek legislative relief.
NAMDRC is working closely with the United States Senate, particularly the Finance Committee, Senator Cassidy (R-LA), and the Office of Senate Legislative Counsel to craft legislative language to address the myriad of issues associated with home mechanical ventilation.
Home Oxygen Therapy: In 1986, Congress revamped the statute governing coverage and payment of home oxygen. Pondering the reality of a segment of pulmonary medicine that has seen dramatic technological improvements and enhancements over the past 30-plus years, coupled with a payment system that is stuck with e-cylinders and competitive bidding, it is no wonder that both patients and physicians experience ongoing frustration trying to match a patient’s needs with an oxygen system that reflects the patient’s needs.
It’s a challenge to even consider where to start a reasonable discussion of home oxygen therapy. While the concept of supplemental oxygen is well accepted, the actual clinical evidence relies heavily on a very small number of studies. While virtually no one challenges the concept of the therapy, the actual science has progressed modestly in 30-plus years. But the technology surrounding oxygen therapy has become an industry all to itself. There are concentrators, portable oxygen concentrators, liquid systems, transfill systems, transtracheal oxygen therapy, and so on.
Add to the environment the growing demand for high flow systems that would deliver continuous flow oxygen at rates in excess of 4 L/min, and you begin to realize that the current payment system is a barrier to access. After all, the current payment system has problematic characteristics:
1. A flawed competitive bidding methodology;
2. Payment tied to liter flow pegged at a baseline of 2 L/min, regardless of actual patient need;
3. The major shift from a “delivery model” of care to a nondelivery model that reflects these newer technologies;
4. Virtual disappearance of liquid system availability as an option for physicians/patients;
5. The total failure of CMS to monitor, let alone act on, patient concerns.
Again, taking the NAMDRC Mission Statement into context, NAMDRC is working with all the key societies to craft a broad strategy to address these problems, acknowledging that it will likely take a mix of legislative and regulatory actions to bring home oxygen therapy into the 21st century, let alone to reflect realities of care in 2018.
NAMDRC’s Mission Statement declares, “NAMDRC’s primary mission is to improve access to quality care for patients with respiratory disease by removing regulatory and legislative barriers to appropriate treatment.” This mission is clear as we review our legislative and regulatory agenda on an ongoing and continuing basis.
Home Mechanical Ventilation: Close to 20 years ago, HCFA (now CMS) was faced with an important reality: advances in technology related to home mechanical ventilation are triggering an exponential growth in availability of these life supporting devices, but a price would be paid. At that time, Medicare law was quite explicit, indicating that certain ventilators would be paid under a “frequent and substantial servicing” payment methodology, authorizing payment on an ongoing basis as long as the prescribing physician documented medical necessity. To circumvent that statutory reality, the agency created a new category of medical device – a respiratory assist device/RAD – and declared that these devices are no longer ventilators and are now subject to capped rental rules and regulations.
NAMDRC was determined to work within the system, but roadblocks were consistently encountered, ie, contractor policies that did not reflect current medical standards of care, peer reviewed literature, etc. Even defining a “respiratory assist device” was (and still is) a challenge, as the term does not appear in the medical literature or in FDA vernacular.
Spin forward to 2018 and numerous realities come into play. Physicians still struggle with the concept of RADs without a definitive, consistent definition and no FDA language to guide usage. Today, it is easier to secure a ventilator if a physician documents the patient experiences some level of respiratory failure than it is to prescribe a simple ventilator with a back-up rate. Because of that dichotomy, the growth of life support ventilator usage is well documented.
If one takes the approach that a device should be paired with the actual clinical characteristics/medical need of the patient, changes in policy are necessary. While CMS clearly has the authority to act to improve policy and match clinical need to patient access, years and years of back and forth have signaled a definite unwillingness of the agency to move in that direction; therefore, the only genuine recourse is to seek legislative relief.
NAMDRC is working closely with the United States Senate, particularly the Finance Committee, Senator Cassidy (R-LA), and the Office of Senate Legislative Counsel to craft legislative language to address the myriad of issues associated with home mechanical ventilation.
Home Oxygen Therapy: In 1986, Congress revamped the statute governing coverage and payment of home oxygen. Pondering the reality of a segment of pulmonary medicine that has seen dramatic technological improvements and enhancements over the past 30-plus years, coupled with a payment system that is stuck with e-cylinders and competitive bidding, it is no wonder that both patients and physicians experience ongoing frustration trying to match a patient’s needs with an oxygen system that reflects the patient’s needs.
It’s a challenge to even consider where to start a reasonable discussion of home oxygen therapy. While the concept of supplemental oxygen is well accepted, the actual clinical evidence relies heavily on a very small number of studies. While virtually no one challenges the concept of the therapy, the actual science has progressed modestly in 30-plus years. But the technology surrounding oxygen therapy has become an industry all to itself. There are concentrators, portable oxygen concentrators, liquid systems, transfill systems, transtracheal oxygen therapy, and so on.
Add to the environment the growing demand for high flow systems that would deliver continuous flow oxygen at rates in excess of 4 L/min, and you begin to realize that the current payment system is a barrier to access. After all, the current payment system has problematic characteristics:
1. A flawed competitive bidding methodology;
2. Payment tied to liter flow pegged at a baseline of 2 L/min, regardless of actual patient need;
3. The major shift from a “delivery model” of care to a nondelivery model that reflects these newer technologies;
4. Virtual disappearance of liquid system availability as an option for physicians/patients;
5. The total failure of CMS to monitor, let alone act on, patient concerns.
Again, taking the NAMDRC Mission Statement into context, NAMDRC is working with all the key societies to craft a broad strategy to address these problems, acknowledging that it will likely take a mix of legislative and regulatory actions to bring home oxygen therapy into the 21st century, let alone to reflect realities of care in 2018.
NAMDRC’s Mission Statement declares, “NAMDRC’s primary mission is to improve access to quality care for patients with respiratory disease by removing regulatory and legislative barriers to appropriate treatment.” This mission is clear as we review our legislative and regulatory agenda on an ongoing and continuing basis.
Home Mechanical Ventilation: Close to 20 years ago, HCFA (now CMS) was faced with an important reality: advances in technology related to home mechanical ventilation are triggering an exponential growth in availability of these life supporting devices, but a price would be paid. At that time, Medicare law was quite explicit, indicating that certain ventilators would be paid under a “frequent and substantial servicing” payment methodology, authorizing payment on an ongoing basis as long as the prescribing physician documented medical necessity. To circumvent that statutory reality, the agency created a new category of medical device – a respiratory assist device/RAD – and declared that these devices are no longer ventilators and are now subject to capped rental rules and regulations.
NAMDRC was determined to work within the system, but roadblocks were consistently encountered, ie, contractor policies that did not reflect current medical standards of care, peer reviewed literature, etc. Even defining a “respiratory assist device” was (and still is) a challenge, as the term does not appear in the medical literature or in FDA vernacular.
Spin forward to 2018 and numerous realities come into play. Physicians still struggle with the concept of RADs without a definitive, consistent definition and no FDA language to guide usage. Today, it is easier to secure a ventilator if a physician documents the patient experiences some level of respiratory failure than it is to prescribe a simple ventilator with a back-up rate. Because of that dichotomy, the growth of life support ventilator usage is well documented.
If one takes the approach that a device should be paired with the actual clinical characteristics/medical need of the patient, changes in policy are necessary. While CMS clearly has the authority to act to improve policy and match clinical need to patient access, years and years of back and forth have signaled a definite unwillingness of the agency to move in that direction; therefore, the only genuine recourse is to seek legislative relief.
NAMDRC is working closely with the United States Senate, particularly the Finance Committee, Senator Cassidy (R-LA), and the Office of Senate Legislative Counsel to craft legislative language to address the myriad of issues associated with home mechanical ventilation.
Home Oxygen Therapy: In 1986, Congress revamped the statute governing coverage and payment of home oxygen. Pondering the reality of a segment of pulmonary medicine that has seen dramatic technological improvements and enhancements over the past 30-plus years, coupled with a payment system that is stuck with e-cylinders and competitive bidding, it is no wonder that both patients and physicians experience ongoing frustration trying to match a patient’s needs with an oxygen system that reflects the patient’s needs.
It’s a challenge to even consider where to start a reasonable discussion of home oxygen therapy. While the concept of supplemental oxygen is well accepted, the actual clinical evidence relies heavily on a very small number of studies. While virtually no one challenges the concept of the therapy, the actual science has progressed modestly in 30-plus years. But the technology surrounding oxygen therapy has become an industry all to itself. There are concentrators, portable oxygen concentrators, liquid systems, transfill systems, transtracheal oxygen therapy, and so on.
Add to the environment the growing demand for high flow systems that would deliver continuous flow oxygen at rates in excess of 4 L/min, and you begin to realize that the current payment system is a barrier to access. After all, the current payment system has problematic characteristics:
1. A flawed competitive bidding methodology;
2. Payment tied to liter flow pegged at a baseline of 2 L/min, regardless of actual patient need;
3. The major shift from a “delivery model” of care to a nondelivery model that reflects these newer technologies;
4. Virtual disappearance of liquid system availability as an option for physicians/patients;
5. The total failure of CMS to monitor, let alone act on, patient concerns.
Again, taking the NAMDRC Mission Statement into context, NAMDRC is working with all the key societies to craft a broad strategy to address these problems, acknowledging that it will likely take a mix of legislative and regulatory actions to bring home oxygen therapy into the 21st century, let alone to reflect realities of care in 2018.
Catching Up With Our Past CHEST Presidents
Where are they now? What have they been up to? CHEST’s Past Presidents each forged the way for the many successes of the American College of Chest Physicians, leading to enhanced patient care around the globe. Their outstanding leadership and vision are evidenced today in many of CHEST’s strategic initiatives.
D. Robert McCaffree, MD, MSHA, Master FCCP
CHEST President 1997 - 1998
I received the chain of office (yes, there is an actual chain) from Dr. Bart Chernow in New Orleans during CHEST 1997. I remember this time as being a time of beginnings, challenges, and changes. Bart had been the stimulus for the CHEST Foundation and the form and function of this foundation was being developed. The women’s caucus (probably not the official name) was becoming more organized and more of a force under the leadership of Dr. Diane Stover and Dr. Deborah Shure and others, and the Woman, Girls, Tobacco, and Lung Cancer educational program was being refined. It was this program that got my wife, Mary Anne, involved with the CHEST, and she became a Fellow (FCCP). The American College of Chest Physicians was in the midst of the national tobacco settlement efforts at this time. Our involvement began when Mike Moore, Attorney-General of Mississippi, filed the first suit against the tobacco industry in 1994. Under the stimulus of Dr. John Studdard, our current President, the college was the only medical organization to file an amicus curiae brief supporting this, thus thrusting us into the midst of the tobacco settlement debates and in a leadership position. During the time I was President-elect and President, I was fortunate to represent us both in the ENACT Coalition (composed of national health groups, such as the American Cancer Society), as well as on the Koop-Kessler Congressional Advisory Committee. I also testified before Congress on the tobacco issues and met at the White House with DHHS Secretary Donna Shalala. On a different front, our international activities were not as developed as now, but we did make two memorable trips to India. Many thanks to Dr. Kay Guntupalli for helping make those trips so memorable. After this absolutely wonderful year, I passed the chain to Dr. Allen Goldberg in Toronto.
Among other activities, I was Chief of Staff at the Oklahoma City VAMC for 18 years, retiring from that position in 2009. I was honored by having the MICU at the VA named after me. In the community, I helped start the Hospice of Oklahoma County and then the Hospice Foundation of Oklahoma, both of which I served as first chairman. I also helped start Palliative Care Week on the OUHSC campus. I am currently the vice-chair of the Health Alliance for the Uninsured in Oklahoma City, which helps support the many free clinics in our city. My wonderful wife, Mary Anne, is also involved in many community activities. On a personal level, we try to see our two children and two grandchildren as often as possible, which is not often enough. My free time activities include reading, playing the piano, fly fishing (not often enough), and exercise.
My time as President of the American College of Chest Physicians was one of the best and most important experiences of my life. My memories of working with Al Lever, David Eubanks, Marilyn Lederer, Lynne Marcus, Steve Welch, and all the other administrative and physician leaders during that time remain very dear to me. The influence of CHEST continues to this very day. I can never repay all that I have gained from this experience. I wish I had the space allowance to expand on my experiences. But while my word allowance is limited, my gratitude is unlimited.
Where are they now? What have they been up to? CHEST’s Past Presidents each forged the way for the many successes of the American College of Chest Physicians, leading to enhanced patient care around the globe. Their outstanding leadership and vision are evidenced today in many of CHEST’s strategic initiatives.
D. Robert McCaffree, MD, MSHA, Master FCCP
CHEST President 1997 - 1998
I received the chain of office (yes, there is an actual chain) from Dr. Bart Chernow in New Orleans during CHEST 1997. I remember this time as being a time of beginnings, challenges, and changes. Bart had been the stimulus for the CHEST Foundation and the form and function of this foundation was being developed. The women’s caucus (probably not the official name) was becoming more organized and more of a force under the leadership of Dr. Diane Stover and Dr. Deborah Shure and others, and the Woman, Girls, Tobacco, and Lung Cancer educational program was being refined. It was this program that got my wife, Mary Anne, involved with the CHEST, and she became a Fellow (FCCP). The American College of Chest Physicians was in the midst of the national tobacco settlement efforts at this time. Our involvement began when Mike Moore, Attorney-General of Mississippi, filed the first suit against the tobacco industry in 1994. Under the stimulus of Dr. John Studdard, our current President, the college was the only medical organization to file an amicus curiae brief supporting this, thus thrusting us into the midst of the tobacco settlement debates and in a leadership position. During the time I was President-elect and President, I was fortunate to represent us both in the ENACT Coalition (composed of national health groups, such as the American Cancer Society), as well as on the Koop-Kessler Congressional Advisory Committee. I also testified before Congress on the tobacco issues and met at the White House with DHHS Secretary Donna Shalala. On a different front, our international activities were not as developed as now, but we did make two memorable trips to India. Many thanks to Dr. Kay Guntupalli for helping make those trips so memorable. After this absolutely wonderful year, I passed the chain to Dr. Allen Goldberg in Toronto.
Among other activities, I was Chief of Staff at the Oklahoma City VAMC for 18 years, retiring from that position in 2009. I was honored by having the MICU at the VA named after me. In the community, I helped start the Hospice of Oklahoma County and then the Hospice Foundation of Oklahoma, both of which I served as first chairman. I also helped start Palliative Care Week on the OUHSC campus. I am currently the vice-chair of the Health Alliance for the Uninsured in Oklahoma City, which helps support the many free clinics in our city. My wonderful wife, Mary Anne, is also involved in many community activities. On a personal level, we try to see our two children and two grandchildren as often as possible, which is not often enough. My free time activities include reading, playing the piano, fly fishing (not often enough), and exercise.
My time as President of the American College of Chest Physicians was one of the best and most important experiences of my life. My memories of working with Al Lever, David Eubanks, Marilyn Lederer, Lynne Marcus, Steve Welch, and all the other administrative and physician leaders during that time remain very dear to me. The influence of CHEST continues to this very day. I can never repay all that I have gained from this experience. I wish I had the space allowance to expand on my experiences. But while my word allowance is limited, my gratitude is unlimited.
Where are they now? What have they been up to? CHEST’s Past Presidents each forged the way for the many successes of the American College of Chest Physicians, leading to enhanced patient care around the globe. Their outstanding leadership and vision are evidenced today in many of CHEST’s strategic initiatives.
D. Robert McCaffree, MD, MSHA, Master FCCP
CHEST President 1997 - 1998
I received the chain of office (yes, there is an actual chain) from Dr. Bart Chernow in New Orleans during CHEST 1997. I remember this time as being a time of beginnings, challenges, and changes. Bart had been the stimulus for the CHEST Foundation and the form and function of this foundation was being developed. The women’s caucus (probably not the official name) was becoming more organized and more of a force under the leadership of Dr. Diane Stover and Dr. Deborah Shure and others, and the Woman, Girls, Tobacco, and Lung Cancer educational program was being refined. It was this program that got my wife, Mary Anne, involved with the CHEST, and she became a Fellow (FCCP). The American College of Chest Physicians was in the midst of the national tobacco settlement efforts at this time. Our involvement began when Mike Moore, Attorney-General of Mississippi, filed the first suit against the tobacco industry in 1994. Under the stimulus of Dr. John Studdard, our current President, the college was the only medical organization to file an amicus curiae brief supporting this, thus thrusting us into the midst of the tobacco settlement debates and in a leadership position. During the time I was President-elect and President, I was fortunate to represent us both in the ENACT Coalition (composed of national health groups, such as the American Cancer Society), as well as on the Koop-Kessler Congressional Advisory Committee. I also testified before Congress on the tobacco issues and met at the White House with DHHS Secretary Donna Shalala. On a different front, our international activities were not as developed as now, but we did make two memorable trips to India. Many thanks to Dr. Kay Guntupalli for helping make those trips so memorable. After this absolutely wonderful year, I passed the chain to Dr. Allen Goldberg in Toronto.
Among other activities, I was Chief of Staff at the Oklahoma City VAMC for 18 years, retiring from that position in 2009. I was honored by having the MICU at the VA named after me. In the community, I helped start the Hospice of Oklahoma County and then the Hospice Foundation of Oklahoma, both of which I served as first chairman. I also helped start Palliative Care Week on the OUHSC campus. I am currently the vice-chair of the Health Alliance for the Uninsured in Oklahoma City, which helps support the many free clinics in our city. My wonderful wife, Mary Anne, is also involved in many community activities. On a personal level, we try to see our two children and two grandchildren as often as possible, which is not often enough. My free time activities include reading, playing the piano, fly fishing (not often enough), and exercise.
My time as President of the American College of Chest Physicians was one of the best and most important experiences of my life. My memories of working with Al Lever, David Eubanks, Marilyn Lederer, Lynne Marcus, Steve Welch, and all the other administrative and physician leaders during that time remain very dear to me. The influence of CHEST continues to this very day. I can never repay all that I have gained from this experience. I wish I had the space allowance to expand on my experiences. But while my word allowance is limited, my gratitude is unlimited.
San Antonio hotels for CHEST 2018
Are you ready for CHEST Annual Meeting 2018? Get ready with exclusive hotel deals for your trip to San Antonio from onPeak, the official hotel provider for CHEST 2018. Through onPeak, we are able to bring you the lowest rates, best hotels, and great amenities for your trip all along the beautiful San Antonio River Walk. onPeak also provides flexible booking policies, great group tools, and a full team of wonderful customer service agents to ensure you have a smooth booking process.
Marriott Rivercenter – HQ Hotel
The San Antonio Marriott Rivercenter, a magnificent 38-story hotel, is just steps away from premier shopping, dining, and entertainment destinations. Guests will enjoy supreme comfort conveniently located near many hot attractions, including Six Flags Fiesta Texas and the San Antonio Zoo. The Alamo, one of the nation’s most storied and revered landmarks, is within easy walking distance from the hotel.
Grand Hyatt San Antonio
Discover the distinctly diverse personality of the Alamo City in grand style. Also along the spectacular River Walk, Grand Hyatt San Antonio is steps from trendy downtown bars, Zagat-rated restaurants, and all the sites and attractions that make San Antonio one of the most culturally rich cities in the country.
Hilton Palacio Del Rio
Located in beautiful downtown San Antonio, the Hilton Palacio del Rio hotel is surrounded by Texas culture and attractions, including the Alamo, just two blocks away. The Hilton Palacio del Rio offers superior service, extensive guest amenities, and is the only hotel in downtown San Antonio that features a private balcony in every room. Tex’s Riverwalk Sports Bar & Grill, Durty Nelley’s Irish Pub, Ibiza Riverwalk Patio Restaurant & Bar, and the Rincon Allegre Lobby Bar await to satisfy individual tastes.
Hotel Contessa
Step into the marble lobby accented with glass sconces and towering palm trees and you’ll know you’ve made the right choice on where to stay. The ambiance of this 265 all-suite property with heated rooftop pool, full-service spa, gourmet restaurant, and modern meeting space is unmatched by any other downtown hotel. Our dedicated service team is devoted to making any stay – leisure or business – a memorable experience. The Hotel Contessa extends to her guests a relaxing respite in an urban setting coupled with all the amenities of a large resort.
Hyatt Regency San Antonio
Experience the heart of the River Walk at Hyatt Regency San Antonio. This is the only hotel on the River Walk directly overlooking the historic Alamo, connecting two of San Antonio’s top destinations through the 16-story atrium lobby. This four-diamond hotel includes contemporary guest rooms, a rooftop pool, Stay-Fit gym, and a relaxing spa. The experienced staff adds a genuine touch to world-class amenities.
Marriott Riverwalk
The San Antonio Marriott Riverwalk hotel charmingly captures the vibrant culture and style of this romantic city, welcoming you and ensuring an enchanting stay. This hotel is located in the heart of downtown San Antonio, offering sweeping balcony views of the fabulous River Walk district. The 30-story hotel invites guests into a contemporary lobby with Texas flair: chili-red walls, dark-wood trim, and wrought-iron accents. Explore the history, culture, and culinary delights along the River Walk.
Westin Riverwalk Hotel
The Westin Riverwalk Hotel boasts 473 rooms and luxury suites with Texan hospitality and warm residential style. This riverfront hotel is the perfect location to relax and recharge. Expect a warm welcome when you visit the best of San Antonio River Walk hotels. Enjoy delicious dark chocolates imported from Venezuela when you check in and amenities such as The Westin Heavenly Bed® and Heavenly Bath® products that will leave you feeling refreshed and rejuvenated. The hotel rooms also include sparkling city or river views and elegant, oversized marble bathrooms with pampering bath amenities.
Don’t forget to book your hotel before they sell out! View the official hotel block at http://onpeak.com/CHEST-2018.
Note that onPeak is the only official hotel provider associated with our event. While other hotel resellers may contact you offering accommodations for your trip, they are not endorsed by or affiliated with the meeting. Beware that entering into financial agreements with unendorsed companies can have costly consequences.
Hotel information provided by onPeak.
Are you ready for CHEST Annual Meeting 2018? Get ready with exclusive hotel deals for your trip to San Antonio from onPeak, the official hotel provider for CHEST 2018. Through onPeak, we are able to bring you the lowest rates, best hotels, and great amenities for your trip all along the beautiful San Antonio River Walk. onPeak also provides flexible booking policies, great group tools, and a full team of wonderful customer service agents to ensure you have a smooth booking process.
Marriott Rivercenter – HQ Hotel
The San Antonio Marriott Rivercenter, a magnificent 38-story hotel, is just steps away from premier shopping, dining, and entertainment destinations. Guests will enjoy supreme comfort conveniently located near many hot attractions, including Six Flags Fiesta Texas and the San Antonio Zoo. The Alamo, one of the nation’s most storied and revered landmarks, is within easy walking distance from the hotel.
Grand Hyatt San Antonio
Discover the distinctly diverse personality of the Alamo City in grand style. Also along the spectacular River Walk, Grand Hyatt San Antonio is steps from trendy downtown bars, Zagat-rated restaurants, and all the sites and attractions that make San Antonio one of the most culturally rich cities in the country.
Hilton Palacio Del Rio
Located in beautiful downtown San Antonio, the Hilton Palacio del Rio hotel is surrounded by Texas culture and attractions, including the Alamo, just two blocks away. The Hilton Palacio del Rio offers superior service, extensive guest amenities, and is the only hotel in downtown San Antonio that features a private balcony in every room. Tex’s Riverwalk Sports Bar & Grill, Durty Nelley’s Irish Pub, Ibiza Riverwalk Patio Restaurant & Bar, and the Rincon Allegre Lobby Bar await to satisfy individual tastes.
Hotel Contessa
Step into the marble lobby accented with glass sconces and towering palm trees and you’ll know you’ve made the right choice on where to stay. The ambiance of this 265 all-suite property with heated rooftop pool, full-service spa, gourmet restaurant, and modern meeting space is unmatched by any other downtown hotel. Our dedicated service team is devoted to making any stay – leisure or business – a memorable experience. The Hotel Contessa extends to her guests a relaxing respite in an urban setting coupled with all the amenities of a large resort.
Hyatt Regency San Antonio
Experience the heart of the River Walk at Hyatt Regency San Antonio. This is the only hotel on the River Walk directly overlooking the historic Alamo, connecting two of San Antonio’s top destinations through the 16-story atrium lobby. This four-diamond hotel includes contemporary guest rooms, a rooftop pool, Stay-Fit gym, and a relaxing spa. The experienced staff adds a genuine touch to world-class amenities.
Marriott Riverwalk
The San Antonio Marriott Riverwalk hotel charmingly captures the vibrant culture and style of this romantic city, welcoming you and ensuring an enchanting stay. This hotel is located in the heart of downtown San Antonio, offering sweeping balcony views of the fabulous River Walk district. The 30-story hotel invites guests into a contemporary lobby with Texas flair: chili-red walls, dark-wood trim, and wrought-iron accents. Explore the history, culture, and culinary delights along the River Walk.
Westin Riverwalk Hotel
The Westin Riverwalk Hotel boasts 473 rooms and luxury suites with Texan hospitality and warm residential style. This riverfront hotel is the perfect location to relax and recharge. Expect a warm welcome when you visit the best of San Antonio River Walk hotels. Enjoy delicious dark chocolates imported from Venezuela when you check in and amenities such as The Westin Heavenly Bed® and Heavenly Bath® products that will leave you feeling refreshed and rejuvenated. The hotel rooms also include sparkling city or river views and elegant, oversized marble bathrooms with pampering bath amenities.
Don’t forget to book your hotel before they sell out! View the official hotel block at http://onpeak.com/CHEST-2018.
Note that onPeak is the only official hotel provider associated with our event. While other hotel resellers may contact you offering accommodations for your trip, they are not endorsed by or affiliated with the meeting. Beware that entering into financial agreements with unendorsed companies can have costly consequences.
Hotel information provided by onPeak.
Are you ready for CHEST Annual Meeting 2018? Get ready with exclusive hotel deals for your trip to San Antonio from onPeak, the official hotel provider for CHEST 2018. Through onPeak, we are able to bring you the lowest rates, best hotels, and great amenities for your trip all along the beautiful San Antonio River Walk. onPeak also provides flexible booking policies, great group tools, and a full team of wonderful customer service agents to ensure you have a smooth booking process.
Marriott Rivercenter – HQ Hotel
The San Antonio Marriott Rivercenter, a magnificent 38-story hotel, is just steps away from premier shopping, dining, and entertainment destinations. Guests will enjoy supreme comfort conveniently located near many hot attractions, including Six Flags Fiesta Texas and the San Antonio Zoo. The Alamo, one of the nation’s most storied and revered landmarks, is within easy walking distance from the hotel.
Grand Hyatt San Antonio
Discover the distinctly diverse personality of the Alamo City in grand style. Also along the spectacular River Walk, Grand Hyatt San Antonio is steps from trendy downtown bars, Zagat-rated restaurants, and all the sites and attractions that make San Antonio one of the most culturally rich cities in the country.
Hilton Palacio Del Rio
Located in beautiful downtown San Antonio, the Hilton Palacio del Rio hotel is surrounded by Texas culture and attractions, including the Alamo, just two blocks away. The Hilton Palacio del Rio offers superior service, extensive guest amenities, and is the only hotel in downtown San Antonio that features a private balcony in every room. Tex’s Riverwalk Sports Bar & Grill, Durty Nelley’s Irish Pub, Ibiza Riverwalk Patio Restaurant & Bar, and the Rincon Allegre Lobby Bar await to satisfy individual tastes.
Hotel Contessa
Step into the marble lobby accented with glass sconces and towering palm trees and you’ll know you’ve made the right choice on where to stay. The ambiance of this 265 all-suite property with heated rooftop pool, full-service spa, gourmet restaurant, and modern meeting space is unmatched by any other downtown hotel. Our dedicated service team is devoted to making any stay – leisure or business – a memorable experience. The Hotel Contessa extends to her guests a relaxing respite in an urban setting coupled with all the amenities of a large resort.
Hyatt Regency San Antonio
Experience the heart of the River Walk at Hyatt Regency San Antonio. This is the only hotel on the River Walk directly overlooking the historic Alamo, connecting two of San Antonio’s top destinations through the 16-story atrium lobby. This four-diamond hotel includes contemporary guest rooms, a rooftop pool, Stay-Fit gym, and a relaxing spa. The experienced staff adds a genuine touch to world-class amenities.
Marriott Riverwalk
The San Antonio Marriott Riverwalk hotel charmingly captures the vibrant culture and style of this romantic city, welcoming you and ensuring an enchanting stay. This hotel is located in the heart of downtown San Antonio, offering sweeping balcony views of the fabulous River Walk district. The 30-story hotel invites guests into a contemporary lobby with Texas flair: chili-red walls, dark-wood trim, and wrought-iron accents. Explore the history, culture, and culinary delights along the River Walk.
Westin Riverwalk Hotel
The Westin Riverwalk Hotel boasts 473 rooms and luxury suites with Texan hospitality and warm residential style. This riverfront hotel is the perfect location to relax and recharge. Expect a warm welcome when you visit the best of San Antonio River Walk hotels. Enjoy delicious dark chocolates imported from Venezuela when you check in and amenities such as The Westin Heavenly Bed® and Heavenly Bath® products that will leave you feeling refreshed and rejuvenated. The hotel rooms also include sparkling city or river views and elegant, oversized marble bathrooms with pampering bath amenities.
Don’t forget to book your hotel before they sell out! View the official hotel block at http://onpeak.com/CHEST-2018.
Note that onPeak is the only official hotel provider associated with our event. While other hotel resellers may contact you offering accommodations for your trip, they are not endorsed by or affiliated with the meeting. Beware that entering into financial agreements with unendorsed companies can have costly consequences.
Hotel information provided by onPeak.
Impacting careers, impacting patient care
Thank you for all you do to champion lung health. Your donation supports projects, such as grant funding, which are boosting patient outcomes, improving community health, and advancing the research that continues to enhance the journey for those facing pulmonary illnesses. Each year, your generosity funds more than $550,000 in clinical research and community service grants, allowing CHEST members to develop and implement their ideas through securing preliminary data support, distinguishing themselves among their colleagues, and advancing chest medicine toward medical breakthroughs.
One such story of the advancements being made in communities around the world begins in New York City.
Dr. Lovinsky-Desir is a pediatric pulmonologist based at Columbia University and the recipient of the CHEST Diversity and Young Investigator Award in 2014 for her project on Urban Tree Canopy Exposure, DNA Methylation, and Allergies in Pediatric Asthma. The grant helped launch her into the research that she is most passionate about – asthma and health disparities in urban populations.
As Stephanie can attest, junior faculty often struggle to find funding for their research, especially when focusing on disparities, diversity, and socioeconomic factors that affect public health. “A lot of people can’t take the risk to pursue higher-risk careers like research, because they don’t have seed funding that allows them to dive into bigger awards or research grants.”
She made it her mission to find funding at the beginning of her research, so she could establish her reputation as a researcher and continue to receive further funding. Her plan began to fall into place when she applied for, and won, the CHEST Diversity and Young Investigator Award. Dr. Lovinsky believes the CHEST Foundation grant is what launched her research. “Much of my success in getting grant funding is because I was awarded grants in the past! Once you start getting them and conducting research that produces meaningful results, you keep getting more, and it really starts to snowball. The CHEST Foundation award was the first award I as a Principal Investigator —my idea, my metrics. I feel so proud to have accomplished this.”
The findings she concluded from her CHEST diversity grant research allowed her to modify her study and receive the following awards: an award through her institution, the National Institute of Health KL2 award, and multiple awards including an NIH K01, a children’s scholar award, and the Harold Amos Medical Faculty Development Award. Stephanie is excited for her future research after recently receiving a very competitive score from her NIHK. She believes the CHEST Foundation award jump started her research career, and these other successes have resulted from it. “It’s more than a research project. We are building a research program.” Her current research involves exploring epigenetic mechanisms, particularly DNA methylation, in pediatric and adult allergic asthmatics, as well as understanding the effects of environmental pollutants on asthma, activity, and obesity.
Though Dr. Lovinsky’s career as a researcher grew from the foundation grant, she says, “The benefit of this award specifically was the gateway to the CHEST Foundation and all of the other opportunities within CHEST.” She is actively involved in the Diversity and Inclusion Task Force and brings many ideas to the table for the future of the CHEST Foundation. “I am committed to being involved with CHEST because of how much the organization has impacted my career. I enjoy giving back by participating in the task force.” Her clinical research and involvement in CHEST demonstrates the direct impact your generous support has on physicians, patients, and lung health.
Thank you for making important research like this possible. Your generosity is the catalyst for change in a world where lung diseases are ranking as one of the top causes of death for men and women everywhere. You’re improving patient outcomes every day, and we thank you from the bottom of our hearts.
Your continued support will make it possible for the next generation of researchers to launch their careers. You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation. We can meet our goals for the health professionals, patients, and caregivers we serve with your much appreciated and essential support.
To donate:
Web: chestfoundation.org/donate
Phone:224/521-9527
Again, thank you for all you do to improve patient outcomes. You are the lung health champions that patients and families count on to positively impact lung health.
Lisa K. Moores, MD, FCCP
President & Trustee
Mike E. Nelson, MD, FCCP
Immediate Past President & Trustee
Thank you for all you do to champion lung health. Your donation supports projects, such as grant funding, which are boosting patient outcomes, improving community health, and advancing the research that continues to enhance the journey for those facing pulmonary illnesses. Each year, your generosity funds more than $550,000 in clinical research and community service grants, allowing CHEST members to develop and implement their ideas through securing preliminary data support, distinguishing themselves among their colleagues, and advancing chest medicine toward medical breakthroughs.
One such story of the advancements being made in communities around the world begins in New York City.
Dr. Lovinsky-Desir is a pediatric pulmonologist based at Columbia University and the recipient of the CHEST Diversity and Young Investigator Award in 2014 for her project on Urban Tree Canopy Exposure, DNA Methylation, and Allergies in Pediatric Asthma. The grant helped launch her into the research that she is most passionate about – asthma and health disparities in urban populations.
As Stephanie can attest, junior faculty often struggle to find funding for their research, especially when focusing on disparities, diversity, and socioeconomic factors that affect public health. “A lot of people can’t take the risk to pursue higher-risk careers like research, because they don’t have seed funding that allows them to dive into bigger awards or research grants.”
She made it her mission to find funding at the beginning of her research, so she could establish her reputation as a researcher and continue to receive further funding. Her plan began to fall into place when she applied for, and won, the CHEST Diversity and Young Investigator Award. Dr. Lovinsky believes the CHEST Foundation grant is what launched her research. “Much of my success in getting grant funding is because I was awarded grants in the past! Once you start getting them and conducting research that produces meaningful results, you keep getting more, and it really starts to snowball. The CHEST Foundation award was the first award I as a Principal Investigator —my idea, my metrics. I feel so proud to have accomplished this.”
The findings she concluded from her CHEST diversity grant research allowed her to modify her study and receive the following awards: an award through her institution, the National Institute of Health KL2 award, and multiple awards including an NIH K01, a children’s scholar award, and the Harold Amos Medical Faculty Development Award. Stephanie is excited for her future research after recently receiving a very competitive score from her NIHK. She believes the CHEST Foundation award jump started her research career, and these other successes have resulted from it. “It’s more than a research project. We are building a research program.” Her current research involves exploring epigenetic mechanisms, particularly DNA methylation, in pediatric and adult allergic asthmatics, as well as understanding the effects of environmental pollutants on asthma, activity, and obesity.
Though Dr. Lovinsky’s career as a researcher grew from the foundation grant, she says, “The benefit of this award specifically was the gateway to the CHEST Foundation and all of the other opportunities within CHEST.” She is actively involved in the Diversity and Inclusion Task Force and brings many ideas to the table for the future of the CHEST Foundation. “I am committed to being involved with CHEST because of how much the organization has impacted my career. I enjoy giving back by participating in the task force.” Her clinical research and involvement in CHEST demonstrates the direct impact your generous support has on physicians, patients, and lung health.
Thank you for making important research like this possible. Your generosity is the catalyst for change in a world where lung diseases are ranking as one of the top causes of death for men and women everywhere. You’re improving patient outcomes every day, and we thank you from the bottom of our hearts.
Your continued support will make it possible for the next generation of researchers to launch their careers. You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation. We can meet our goals for the health professionals, patients, and caregivers we serve with your much appreciated and essential support.
To donate:
Web: chestfoundation.org/donate
Phone:224/521-9527
Again, thank you for all you do to improve patient outcomes. You are the lung health champions that patients and families count on to positively impact lung health.
Lisa K. Moores, MD, FCCP
President & Trustee
Mike E. Nelson, MD, FCCP
Immediate Past President & Trustee
Thank you for all you do to champion lung health. Your donation supports projects, such as grant funding, which are boosting patient outcomes, improving community health, and advancing the research that continues to enhance the journey for those facing pulmonary illnesses. Each year, your generosity funds more than $550,000 in clinical research and community service grants, allowing CHEST members to develop and implement their ideas through securing preliminary data support, distinguishing themselves among their colleagues, and advancing chest medicine toward medical breakthroughs.
One such story of the advancements being made in communities around the world begins in New York City.
Dr. Lovinsky-Desir is a pediatric pulmonologist based at Columbia University and the recipient of the CHEST Diversity and Young Investigator Award in 2014 for her project on Urban Tree Canopy Exposure, DNA Methylation, and Allergies in Pediatric Asthma. The grant helped launch her into the research that she is most passionate about – asthma and health disparities in urban populations.
As Stephanie can attest, junior faculty often struggle to find funding for their research, especially when focusing on disparities, diversity, and socioeconomic factors that affect public health. “A lot of people can’t take the risk to pursue higher-risk careers like research, because they don’t have seed funding that allows them to dive into bigger awards or research grants.”
She made it her mission to find funding at the beginning of her research, so she could establish her reputation as a researcher and continue to receive further funding. Her plan began to fall into place when she applied for, and won, the CHEST Diversity and Young Investigator Award. Dr. Lovinsky believes the CHEST Foundation grant is what launched her research. “Much of my success in getting grant funding is because I was awarded grants in the past! Once you start getting them and conducting research that produces meaningful results, you keep getting more, and it really starts to snowball. The CHEST Foundation award was the first award I as a Principal Investigator —my idea, my metrics. I feel so proud to have accomplished this.”
The findings she concluded from her CHEST diversity grant research allowed her to modify her study and receive the following awards: an award through her institution, the National Institute of Health KL2 award, and multiple awards including an NIH K01, a children’s scholar award, and the Harold Amos Medical Faculty Development Award. Stephanie is excited for her future research after recently receiving a very competitive score from her NIHK. She believes the CHEST Foundation award jump started her research career, and these other successes have resulted from it. “It’s more than a research project. We are building a research program.” Her current research involves exploring epigenetic mechanisms, particularly DNA methylation, in pediatric and adult allergic asthmatics, as well as understanding the effects of environmental pollutants on asthma, activity, and obesity.
Though Dr. Lovinsky’s career as a researcher grew from the foundation grant, she says, “The benefit of this award specifically was the gateway to the CHEST Foundation and all of the other opportunities within CHEST.” She is actively involved in the Diversity and Inclusion Task Force and brings many ideas to the table for the future of the CHEST Foundation. “I am committed to being involved with CHEST because of how much the organization has impacted my career. I enjoy giving back by participating in the task force.” Her clinical research and involvement in CHEST demonstrates the direct impact your generous support has on physicians, patients, and lung health.
Thank you for making important research like this possible. Your generosity is the catalyst for change in a world where lung diseases are ranking as one of the top causes of death for men and women everywhere. You’re improving patient outcomes every day, and we thank you from the bottom of our hearts.
Your continued support will make it possible for the next generation of researchers to launch their careers. You can be a Champion for Lung Health and DONATE today through a new gift to the CHEST Foundation. We can meet our goals for the health professionals, patients, and caregivers we serve with your much appreciated and essential support.
To donate:
Web: chestfoundation.org/donate
Phone:224/521-9527
Again, thank you for all you do to improve patient outcomes. You are the lung health champions that patients and families count on to positively impact lung health.
Lisa K. Moores, MD, FCCP
President & Trustee
Mike E. Nelson, MD, FCCP
Immediate Past President & Trustee
AACN releases expert consensus statement on teleICU nursing practice
To remain at the forefront of expanding evidence-based practices in all aspects of critical care, facilities must include teleICUs.
In 2013, the American Association of Critical-Care Nurses (AACN) first defined standards for the emerging telenursing practice in the ICU and has recently published an update, AACN TeleICU Nursing Practice: An Expert Consensus Statement Supporting High Acuity, Progressive and Critical Care.1
The new consensus statement, which creates a framework for implementing, evaluating, and improving teleICU nursing practice, addresses the new findings in this fast-growing area of health care. It also establishes a model for achieving excellence and optimal patient care outcomes through the following:
• Shared knowledge and goals
• Mutual respect
• Skilled communication
• True collaboration
• Authentic leadership
• Optimized technology
• Practice excellence
A 12-person task force, including teleICU nurse leaders, contributed to the statement and brought a fresh perspective to this area of practice.
Task force co-chair Pat Herr, clinical integration director of eCARE ICU at Avera Health, says it was important to harness the energy and lessons learned from experienced teleICU leaders.
“TeleICUs continue to evolve to meet the needs of patients and health systems,” Herr adds. “New technology options and new partnership models are available, and nurse leaders play an important part in using these tools to improve patient care.”
The earliest teleICU design concepts employed a physician-only model of care, but it quickly became clear that critical-care nursing was a necessary component. Today, the most effective teleICU models implement collaborative care that includes physicians, nurses, information technology, and administrative support personnel.Opportunities in teleICU are one way to retain knowledgeable nurses, who can bridge clinical expertise gaps and provide an additional layer of skilled critical care. TeleICU care ensures delivery of both optimal patient outcomes and timely knowledge to support physicians, nurses, and the entire bedside care team.
Task force member Lisa-Mae Williams, operations director of telehealth and eICU at Baptist Health South Florida, says telemedicine doesn’t mean fewer jobs for bedside nurses; it’s an extra set of eyes to surveil vitals and support a clinical workforce that may be stretched thin.
“At the bedside, when teleICU came to my unit, I was very skeptical,” Williams recalls. “But after seeing for myself what those extra nurses brought to the table – the available technology and time they had to assess trends and really delve into what’s going on – it turned out to be the best tool to care for our patients.”
In addition to knowledge gaps, nurse turnover is on the rise, according to the “2017 Survey of Registered Nurses: Viewpoints on Leadership, Nursing, Shortages and Their Profession” from AMN Healthcare, San Diego.2 The survey also finds that more than one in four nurses plan to retire within a year, and 73% of baby boomers expect to retire in 3 years or less.
The shortfall is already more pronounced in rural hospitals facing staffing challenges and in specialty areas where additional education, training, and experience are critical to improve patient safety and outcomes.
The expertise and dynamic, front-line viewpoint of teleICU experts has resulted in a comprehensive, patient-centric update. Their experience delivering both bedside and remote care was instrumental in developing valuable clinical scenarios. The scenarios in the statement are genuine examples of how each key recommendation is implemented by physicians and bedside and teleICU nurses to provide continuity of care; identify high-risk patients; and decrease mortality rates by filling gaps in monitoring and staff expertise.
As a leader in the delivery of evidence-based practices, AACN offers CCRN-E specialty certification3 for nurses who primarily provide acute or critical care for adult patients in a teleICU setting, which is connected to the bedside via audiovisual communication and computer systems. Visit www.aacn.org > Certification > Get Certified > CCRN-E Adult to learn more.
The expert consensus statement is available for AACN members to download or to purchase a hard copy.4
References
1. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement
2. https://www.amnhealthcare.com/uploadedFiles/MainSite/Content/Campaigns/AMN%20Healthcare%202017%20RN%20Survey%20-%20Full%20Report.pdf 3. https://www.aacn.org/certification/get-certified/ccrn-e-adult
4. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement
To remain at the forefront of expanding evidence-based practices in all aspects of critical care, facilities must include teleICUs.
In 2013, the American Association of Critical-Care Nurses (AACN) first defined standards for the emerging telenursing practice in the ICU and has recently published an update, AACN TeleICU Nursing Practice: An Expert Consensus Statement Supporting High Acuity, Progressive and Critical Care.1
The new consensus statement, which creates a framework for implementing, evaluating, and improving teleICU nursing practice, addresses the new findings in this fast-growing area of health care. It also establishes a model for achieving excellence and optimal patient care outcomes through the following:
• Shared knowledge and goals
• Mutual respect
• Skilled communication
• True collaboration
• Authentic leadership
• Optimized technology
• Practice excellence
A 12-person task force, including teleICU nurse leaders, contributed to the statement and brought a fresh perspective to this area of practice.
Task force co-chair Pat Herr, clinical integration director of eCARE ICU at Avera Health, says it was important to harness the energy and lessons learned from experienced teleICU leaders.
“TeleICUs continue to evolve to meet the needs of patients and health systems,” Herr adds. “New technology options and new partnership models are available, and nurse leaders play an important part in using these tools to improve patient care.”
The earliest teleICU design concepts employed a physician-only model of care, but it quickly became clear that critical-care nursing was a necessary component. Today, the most effective teleICU models implement collaborative care that includes physicians, nurses, information technology, and administrative support personnel.Opportunities in teleICU are one way to retain knowledgeable nurses, who can bridge clinical expertise gaps and provide an additional layer of skilled critical care. TeleICU care ensures delivery of both optimal patient outcomes and timely knowledge to support physicians, nurses, and the entire bedside care team.
Task force member Lisa-Mae Williams, operations director of telehealth and eICU at Baptist Health South Florida, says telemedicine doesn’t mean fewer jobs for bedside nurses; it’s an extra set of eyes to surveil vitals and support a clinical workforce that may be stretched thin.
“At the bedside, when teleICU came to my unit, I was very skeptical,” Williams recalls. “But after seeing for myself what those extra nurses brought to the table – the available technology and time they had to assess trends and really delve into what’s going on – it turned out to be the best tool to care for our patients.”
In addition to knowledge gaps, nurse turnover is on the rise, according to the “2017 Survey of Registered Nurses: Viewpoints on Leadership, Nursing, Shortages and Their Profession” from AMN Healthcare, San Diego.2 The survey also finds that more than one in four nurses plan to retire within a year, and 73% of baby boomers expect to retire in 3 years or less.
The shortfall is already more pronounced in rural hospitals facing staffing challenges and in specialty areas where additional education, training, and experience are critical to improve patient safety and outcomes.
The expertise and dynamic, front-line viewpoint of teleICU experts has resulted in a comprehensive, patient-centric update. Their experience delivering both bedside and remote care was instrumental in developing valuable clinical scenarios. The scenarios in the statement are genuine examples of how each key recommendation is implemented by physicians and bedside and teleICU nurses to provide continuity of care; identify high-risk patients; and decrease mortality rates by filling gaps in monitoring and staff expertise.
As a leader in the delivery of evidence-based practices, AACN offers CCRN-E specialty certification3 for nurses who primarily provide acute or critical care for adult patients in a teleICU setting, which is connected to the bedside via audiovisual communication and computer systems. Visit www.aacn.org > Certification > Get Certified > CCRN-E Adult to learn more.
The expert consensus statement is available for AACN members to download or to purchase a hard copy.4
References
1. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement
2. https://www.amnhealthcare.com/uploadedFiles/MainSite/Content/Campaigns/AMN%20Healthcare%202017%20RN%20Survey%20-%20Full%20Report.pdf 3. https://www.aacn.org/certification/get-certified/ccrn-e-adult
4. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement
To remain at the forefront of expanding evidence-based practices in all aspects of critical care, facilities must include teleICUs.
In 2013, the American Association of Critical-Care Nurses (AACN) first defined standards for the emerging telenursing practice in the ICU and has recently published an update, AACN TeleICU Nursing Practice: An Expert Consensus Statement Supporting High Acuity, Progressive and Critical Care.1
The new consensus statement, which creates a framework for implementing, evaluating, and improving teleICU nursing practice, addresses the new findings in this fast-growing area of health care. It also establishes a model for achieving excellence and optimal patient care outcomes through the following:
• Shared knowledge and goals
• Mutual respect
• Skilled communication
• True collaboration
• Authentic leadership
• Optimized technology
• Practice excellence
A 12-person task force, including teleICU nurse leaders, contributed to the statement and brought a fresh perspective to this area of practice.
Task force co-chair Pat Herr, clinical integration director of eCARE ICU at Avera Health, says it was important to harness the energy and lessons learned from experienced teleICU leaders.
“TeleICUs continue to evolve to meet the needs of patients and health systems,” Herr adds. “New technology options and new partnership models are available, and nurse leaders play an important part in using these tools to improve patient care.”
The earliest teleICU design concepts employed a physician-only model of care, but it quickly became clear that critical-care nursing was a necessary component. Today, the most effective teleICU models implement collaborative care that includes physicians, nurses, information technology, and administrative support personnel.Opportunities in teleICU are one way to retain knowledgeable nurses, who can bridge clinical expertise gaps and provide an additional layer of skilled critical care. TeleICU care ensures delivery of both optimal patient outcomes and timely knowledge to support physicians, nurses, and the entire bedside care team.
Task force member Lisa-Mae Williams, operations director of telehealth and eICU at Baptist Health South Florida, says telemedicine doesn’t mean fewer jobs for bedside nurses; it’s an extra set of eyes to surveil vitals and support a clinical workforce that may be stretched thin.
“At the bedside, when teleICU came to my unit, I was very skeptical,” Williams recalls. “But after seeing for myself what those extra nurses brought to the table – the available technology and time they had to assess trends and really delve into what’s going on – it turned out to be the best tool to care for our patients.”
In addition to knowledge gaps, nurse turnover is on the rise, according to the “2017 Survey of Registered Nurses: Viewpoints on Leadership, Nursing, Shortages and Their Profession” from AMN Healthcare, San Diego.2 The survey also finds that more than one in four nurses plan to retire within a year, and 73% of baby boomers expect to retire in 3 years or less.
The shortfall is already more pronounced in rural hospitals facing staffing challenges and in specialty areas where additional education, training, and experience are critical to improve patient safety and outcomes.
The expertise and dynamic, front-line viewpoint of teleICU experts has resulted in a comprehensive, patient-centric update. Their experience delivering both bedside and remote care was instrumental in developing valuable clinical scenarios. The scenarios in the statement are genuine examples of how each key recommendation is implemented by physicians and bedside and teleICU nurses to provide continuity of care; identify high-risk patients; and decrease mortality rates by filling gaps in monitoring and staff expertise.
As a leader in the delivery of evidence-based practices, AACN offers CCRN-E specialty certification3 for nurses who primarily provide acute or critical care for adult patients in a teleICU setting, which is connected to the bedside via audiovisual communication and computer systems. Visit www.aacn.org > Certification > Get Certified > CCRN-E Adult to learn more.
The expert consensus statement is available for AACN members to download or to purchase a hard copy.4
References
1. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement
2. https://www.amnhealthcare.com/uploadedFiles/MainSite/Content/Campaigns/AMN%20Healthcare%202017%20RN%20Survey%20-%20Full%20Report.pdf 3. https://www.aacn.org/certification/get-certified/ccrn-e-adult
4. https://www.aacn.org/nursing-excellence/standards/aacn-teleicu-nursing-consensus-statement