Louis A Cannon, MD, FACA, FACC, FACP, FSCAI

Excellent new pathway for management of acute HF hospitalization - from ACC. https://lnkd.in/eUu9fwtx

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#Openaccess Carlton et al: Frequency & Risk Factors for ⬆️Healthcare Utilization #pedsICU #SurvivingSepsis 🖥️2016–2019 MarketScan Comm & Medicaid Link: https://ow.ly/YILQ50TO3OO Editorial: https://ow.ly/UwG350TO3OQ Society of Critical Care Medicine Fig: Risk factors predicting 3d of healthcare use 90d post-sepsis discharge

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Am thrilled to share the results of a groundbreaking new study, "Medicare Service Use and Expenditures Across Physician Practice Affiliation Models," commissioned by the American Independent Medical Practice Association and conducted by Avalere Health The study reveals significant insights: Lower Medicare Expenditures: Medicare expenditures for beneficiaries in private equity-affiliated private practices across five medical specialties were on average 9.8% lower than for similar patients in hospital-affiliated practices in 2022. In addition, per-beneficiary Medicare expenditures for beneficiaries whose physicians moved from unaffiliated private practice to a private equity affiliation were on average $963 lower in the 12 months following the transition. By contrast, per-beneficiary Medicare expenditures for beneficiaries whose physicians moved from unaffiliated private practice to corporate affiliation across the five specialties were on average $1,140 higher in the 12 months following the transition. Medicare expenditures for beneficiaries whose physicians moved from unaffiliated private practice to hospital affiliation across the five specialties were even higher --$1,327 per beneficiary higher, on average, in the 12 months following the transition. High-Quality Care: Medicare beneficiaries in private equity-affiliated private practices had, on average, 13.5% fewer days in the hospital and 7.9% fewer visits to the emergency department in 2022 than similar patients of hospital-affiliated physicians. Hospital-Driven Consolidation: In 2022, only 6% of physicians across the five specialties Avalere studied were affiliated with private equity. Thirty-seven percent were affiliated with corporate entities, and 45% were affiliated with hospitals. These findings reinforce what independent physicians have long known. We deliver high-quality care at lower cost. And partnerships with private equity-backed management services organizations can enhance our ability to do so. Policymakers and industry leaders must recognize the value that independent physician practices -- including those affiliated with PE-backed MSOs -- bring to our healthcare system. Dive deeper into the report and its findings here: https://lnkd.in/eTEuDbzk #IndependentPractices #AIMPA #Healthcare

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Join us tonight for the VECCS x VIN Webinar with Marcia Fletcher! Learn about anesthetizing compromised patients, preparation, stabilization methods, and more. Check your member emails for details!

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🧪 A new study by Allan Garland et al. presents a new algorithm for identifying sepsis in hospital administrative data. The algorithm uses a consensus-based approach to include infection and organ dysfunction codes. It’s compared with existing algorithms to evaluate its effectiveness. 💡 Their key algorithm, AlgorithmL, includes 720 infection codes and 50 organ dysfunction codes. It’s designed to be more inclusive, aiming to capture sepsis cases with varying severity, from mild to life-threatening. 📊 Compared to other sepsis identification methods, AlgorithmL produced higher sepsis incidence rates and lower mortality rates. This suggests that it captures more cases, including milder ones not identified by others. 📈 The study found a nearly ten-fold difference in sepsis incidence between various algorithms. AlgorithmL identified 383 cases per 100,000 population, while others, like the Explicit Sepsis algorithm, identified only 40. 🔬 The study concludes that AlgorithmL provides a more comprehensive approach to identifying sepsis in hospital data, which could lead to more accurate estimates of sepsis incidence. 📖 Read the paper here: https://lnkd.in/gMcpVpcZ

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Read the book “Consulting Demons.”

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Hot Topics for Acute Physicians is a monthly webinar series from the Institute of Medicine that delves into topics relevant to acute physicians in specialties across the spectrum of medicine. In this upcoming webinar, we will review how the integrated care model interacts with acute hospitals. Register now 👉️ https://eur.cvent.me/dGWvG

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Carilion's Neurosurgery Research Eric Marvin, DO, neurosurgeon, is working on research that could reduce side effects and surgical interventions for older adults with chronic subdural hematomas. When older adults experience a head injury—even a relatively minor one—blood can collect between the skull and the surface of the brain, where it can cause symptoms ranging from headache to paralysis or coma. Dr. Marvin’s research could potentially lead to the development of a sustained local drug delivery release system for treating this condition. This new treatment option could help patients avoid additional surgeries after an initial operation. There is also potential to reduce hospital stays and improve patient outcomes. Dr. Marvin in collaboration with third year neurosurgery resident, Kristine Ravina, MD are recipients of our Research Acceleration Program (RAP) award, a grant that funds our employees to start clinical, biomedical or behavioral research projects. Stay tuned here on LinkedIn for more RAP recipient highlights. Learn more about our RAP grant program https://lnkd.in/grsYdh5x

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Frank & Lizzie interview Dr. Shaun Carpenter MD, FAPWCA, CWSP , CEO of MedCentris, LIVE, from the SAWC Fall in Las Vegas. Dr. Carpenter shares with the audience his most recent publication titled, “Evaluating the number of cellular and/or tissue-based product applications required to treat diabetic foot ulcers and venous leg ulcers in non-hospital outpatient department settings.” in Wounds August 2024. This research examines how the number of CTP applications in various care settings influenced wound closure and reduction in wound area. This study provides valuable insights into optimizing treatment strategies for chronic wounds, such as DFUs and VLUs, which are challenging to heal. The data emphasizes the critical role of CTPs in improving outcomes as part of a clinical decision tree for “non-healers” without being wasteful. The work is essential in guiding clinical practices and future research in wound management. Be sure to stay tuned for more research from Dr. Carpenter and his MedCentris team. Be sure to like and subscribe to The Frank and Lizzie Show for the latest updates and newest episodes. Frank Aviles, PT,CWS,FACCWS,CLT-LANA,ALM,AWCC Elizabeth Faust #publication #ctp #education #realworlddata #medcentris #franklizzieshow https://lnkd.in/eBKUy8KB

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Increasing Incidence of Morphea A large EMR cohort study of over 10,000 patients with morphea (localized scleroderma) sheds light on the increasing prevalence of morphea. https://buff.ly/3XKN9G2

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Credits at Your Fingertips! 🌟📲 Manage, track, and report your CME credits with unprecedented ease. With CME-Global, everything you need to handle your continuing medical education is just a touch away. Why complicate your professional growth with cumbersome processes? CME-Global simplifies your CME management, so you can focus on what truly matters—your practice and your patients. 💼🩺 - Manage your credits with intuitive tools. - Track your progress in real-time. - Report effortlessly when it's time to renew or verify your credentials. Discover how our platform can transform your CME experience by visiting www.cme-global.com. Take the first step towards a smoother, more organized professional journey today! 🚀 Experience the future of CME management. Transform how you handle your educational requirements with CME-Global. 🌐✨ #physicianassistant #cmecredits #cme #nursepractitioner #clinicians #physician #medicaldoctor #chiefmedicalofficer #medicalstaff #medicalstaffofficer #chiefclinicalofficer #vpmedicalstaff #continuingeducation #continuingmedicaleducation #cmio #chiefmedicalinformaticsofficer #healthcareit #medicalinformatics

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You are invited to our Artificial Intelligence Webinar. Register at: https://lnkd.in/gqWqqksZ In this ExecHQ Entrepreneurial Solutions (ESS) webinar series entitled: Maximizing AI for Business Growth: Strategies, Success Stories, and Solutions learn the following: Session 1: How to Convert AI Promise into ROI for Your Business Description: Learn strategies to bridge the gap between AI potential and financial returns. This webinar will cover how to think about potential AI use cases, including aligning AI initiatives with business goals, and optimizing AI investments for maximum ROI. Session 2: AI Case Studies: Thinking About AI Use Cases Across Various Parts of Your Business Description: Explore real-world examples of successful AI deployments across different business functions. This session will provide insights into how AI can enhance marketing, sales, operations, customer service, and more, using case studies to illustrate best practices and innovative approaches. Session 3: Overcoming Internal Challenges: Addressing Pain Points to Kickstart AI Implementation Description: Understand the common internal issues and pain points that businesses face when starting AI projects. This webinar will discuss strategies for overcoming resistance to change, addressing data quality and integration challenges, and ensuring executive buy-in and support for AI initiatives.

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UNITED STATES PANCREATIC DISEASE STUDY GROUP (USPG) UPDATE FROM DDW 2024 The United States Pancreatic Disease Study Group was founded at DDW 2023 in Chicago. Some members of the USPG met at DDW 2024 in Washington DC to review progress and establish new goals. These are the small milestones achieved by the group in the past 12 months: 1. Publication of the Direct Endoscopic vs. Step-up Interventions in Necrotizing Pancreatitis (DESTIN) Randomized Trial (NCT05043415) in Lancet Gastroenterology and Hepatology. 2. Commencement of the Endoscopic Palliation of Pain in Chronic Pancreatitis (EPOCH) Multi-Center Randomized Trial (NCT06178315). Up to 8 patients have been enrolled in this clinical trial to-date. 3. Submission of the EPOCH study protocol to CLINICAL TRIALS for publication. 4. Development of protocols to assess the impact of disconnected pancreatic duct syndrome (DPDS). A manuscript is currently under development. 5. Validating the Effectiveness of Artificial Intelligence in Pancreatic Cancer which is ongoing at Orlando Health. 6. Evaluating the timing of interventions in infected necrotizing pancreatitis. The 12-month-old USPG is up and running. While the milestones we have achieved thus far may appear to be small, it is our goal to make USPG a premier research consortium. Please stay tuned for more new developments from our group. #uspg #pancreas #research #orlandohealth

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Thoughts from the Wild Health Summits Burning GP Summit: Should there be a salaried GP model to provide for patients that aren't fit for fee-for-service? Repeatedly throughout the day, there are examples of the current funding models failing complex patients that don't fit into the fee-for-service paradigm. This has been a problem for years, and despite advocacy from lots of different groups, patients with complex health needs continue to be failed by the fee-for-service model. We are in a situation where GPs are subsidizing these patients' care with their own income, and their own families suffer a drop in financial wealth as a direct result of GP altruism. Are we now at the point where we should consider a truly publicly funded, universally accessible, primary care GP-led system? The single employer model could be a soft landing for this idea. In reality small GP clinics are continuing to fail in low socioeconomic areas due to the inability of patients to pay a gap alongside poor Medicare rebates, I'd argue the government should be stepping in to nationalize these clinics when requested by practice owners and GPs. I know there are a lot of younger GPs who would be quite happy to spend part of the week in a salaried role doing altruistic work and spending another part of the week in a different role l/clinic doing private fee-for-service work. Is it time for a discussion about what this looks like? We’ve already seen councils and other funding bodies stepping to rescue small rural clinics. Maybe it’s time for a national approach. Jeremy Knibbs Michelle O'Brien The Royal Australian College of General Practitioners (RACGP) Australian Medical Association

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Dr. Hedvig Hricak to Be Recognized for Transforming Cancer Imaging at PMWC 2025! We are thrilled to honor Dr. Hedvig (Hedi) Hricak, a radiologist at Memorial Sloan Kettering Cancer Center and Professor at Gerstner Sloan Kettering Graduate School of Biomedical Sciences at Memorial Sloan Kettering Cancer Center, as a Luminary Honoree for Track 3 Day 1: Oncology Applications at the 24th Precision Medicine World Conference (PMWC 2025) on Feb, 5-7, 2025! Dr. Hricak's pioneering work in developing multi-parametric MRI for prostate cancer and MRI and CT for gynecologic cancers has revolutionized oncology diagnostics. Her efforts have not only improved cancer detection, treatment planning, and treatment follow-up but also significantly enhanced patient care and outcomes. 🔬 Key Contributions: • Multi-parametric MRI for Prostate Cancer: Improved prostate cancer detection and characterization, thus facilitating evidence-based decision-making regarding the need for biopsy, enabling targeted prostate biopsy, and allowing better prostate cancer staging and treatment selection. • Advanced Imaging Techniques for Gynecologic Cancers: Improved early detection and characterization of tumors and evaluation of tumor extent, leading to better patient outcomes. 🌟 Advancements in Molecular Imaging: Dr. Hricak has been at the forefront of introducing molecular imaging into oncology, utilizing MRI and PET. These innovations have allowed for precise cancer detection and monitoring response to treatment. 🌐 Integration of Imaging and Clinical Decision Making: Dr. Hricak has championed the active participation of radiologists in multidisciplinary tumor boards, fostering collaboration between radiologists and other oncology subspecialists to enhance cancer care through integrated diagnostics. 🔮 Future Predictions in Digital Health: Dr. Hricak envisions a future where AI transforms oncology diagnostics, optimizing imaging protocols, aiding in image interpretation, and generating patient-friendly reports. Embracing AI's potential, she foresees significant advancements in standardization, quality assurance, and error reduction in medical practice. Join us at PMWC 2025 (https://pmwcintl.com) to celebrate Dr. Hricak's contributions and explore the future of precision medicine. Her visionary work continues to inspire the global medical community, driving innovation and improving patient outcomes. Feel free to share your congratulations and thoughts on Dr. Hricak’s work below! 🎉👏 #PMWC25 #PrecisionMedicine #Oncology #Radiology #MedicalImaging #AIinHealthcare #CancerResearch #HedvigHricak #MedicalInnovation #PatientCare, Ada Muellner, Oguz Akin, MD, FACR, Yousef Mazaheri, Vladimir Ponomarev, Amita Shukla-Dave, Daniel Thorek, Rikiya Yamashita, Sungmin Woo, Sarah Cheal, Jason Thanh Lee, Peter Scardino, Zsofia Stadler, Elizabeth Morris, Steven Larson, Howard I. Scher, MD, PMWC - Precision Medicine World Conference, Lee Cooper, Sharmila Majumdar, Hebert Alberto Vargas,

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Are Journal Peer Reviewers really unbiased? A recent study in JAMA raises important questions about the integrity of the peer-review process in major medical journals. A significant number of the physician reviewers examined had received payments from pharmaceutical and medical device companies between 2020 and 2022, totaling over a billion dollars. This lack of transparency calls into question whether industry influence could bias the critical evaluations that shape medical literature and, ultimately, clinical practice. Read more about the study here: https://lnkd.in/e-_d4hrY What are your thoughts on this issue? Let’s discuss. #Medicine #Ethics #Research

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