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December Grand Rounds

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Economic Woes Can Make Fund-raising a Challenge
When the nation's economy begins to falter, the Church Health Center is one place that feels the ripple effects. The center provides affordable healthcare to the self-employed and workers whose companies don't offer health insurance. Public relations director Marvin Stockwell said over the past several months, they've seen a 170 percent jump at their new patient orientations...
JANE SCHNEIDER

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Screening Moms During Well Child Visits Uncovers Postnatal Depression
After giving birth, a woman experiences numerous and sometimes overwhelming changes, both physically and emotionally. The rapid drop in estrogen and progesterone that occurs can exacerbate anxiety and fatigue, leaving mothers vulnerable to postnatal depression, a distressing disorder that affects about 10 percent of women...
HOLLI W. HAYNIE

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Gary Shorb, President and CEO of Methodist Healthcare Corporation
Memphis Medical News has launched, "Leaders in Healthcare," a series that provides leaders, from hospital CEOs to practice managers to department heads, a forum to express their strategy and vision for evolving with the industry now and into the future. Overseeing the a citywide hospital system is no simple task, but it's one Gary Shorb, CEO of Methodist Le Bonheur Healthcare, meets eagerly...
HOLLI W. HAYNIE

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Mental Health Parity Becomes a Reality
Although all the attention was focused on the financial ramifications of October's Emergency Economic Stabilization Act of 2008 (HR 1424), mental health providers across the country rejoiced that patients were receiving a bailout of their own in terms of breaking down barriers to much-needed care...
CINDY SANDERS

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Tennessee Hospitals Handling the Economy with Caution, Not Panic
In today's challenging economy, Tennessee hospitals are tightening their belts and slowing capital investments, but operations are holding steady.
"Hospitals are starting to hold onto cash a whole lot more than they were before, and I think they're just waiting," said Craig Becker, president of the Tennessee Hospital Association....
SHARON H. FITZGERALD

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Hospitals Adjust to Medicare Cut on Hospital Acquired Conditions
In October, the Centers for Medicare and Medicaid Services (CMS) issued stringent guidelines on exclusion of reimbursement for eight hospital acquired conditions (HAC) that were not present at the time of admission, and added five more to the list December 1. These conditions include foreign objects retained after surgery, air embolism, blood incompatibility, pressure ulcers, falls and trauma, catheter associated UTI, vascular catheter associated infections, and infections after coronary artery bypass grafts...
HOLLI W. HAYNIE

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Allesa English, MD
During her third year of medical school, Allesa English, MD began a psychiatry rotation, and admits at the time, she had little understanding of psychiatric illnesses. Yet, from that moment she began a fascination with the processes of the mind, and switched her concentration from pharmacy to psychiatry.
One of my favorite parts, and the reason I love psychiatry is you meet people at a really low point, then watch them get better and see their personalities come out and be able to function," English said.

An Ounce of Prevention – Legally Speaking; Will Your Employment Policies Hold Up In Court?
Whether it is a certain employee whose job performance is less than desirable, or whether it is just the need to run a leaner and meaner office, from time to time every employer faces the task of terminating an employee. If you haven't found yourself in that predicament yet, just hang on, your time is probably coming.

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Expanded Pharmacy Services Promise Better Medication Outcomes, Improved Bottom Line
As America's healthcare service model and reimbursement strategies evolve, so does the role of today's pharmacist. That means expanded business opportunities for pharmacies, particularly independent and community pharmacies with the flexibility to answer new payer and consumer demands...
SHARON H. FITZGERALD

Memphis Medical Society Update

Final Medicare Physician Fee Schedule for 2009

On October 30, 2008, the Centers for Medicare and Medicaid Services (CMS) put on display the final Medicare Physician Fee Schedule (MPFS) for 2009 which includes the final anti-markup rules and IDTF enrollment rules. The Final Rule is generally favorable to physicians regarding regulatory issues (at least when compared to the Proposed Rule). Some highlights of the Rule are outlined below...
DENISE BURKE