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At the Hospitals

n CHS MED-1 Responds                               at Carolinas HealthCare System. “The goal of           The Hospital Improvement Innovation
  After Hurricane Matthew                          the trial is to find ways to alter the trajectory    Networks project began in September and will
  Carolinas HealthCare System’s mobile             of the illness and enhance quality of life for       extend for two years with a third year option, and
                                                   those afflicted,” says Oleg Tcheremissine, MD,       will be focused on 11 core areas of patient harm:
emergency department, Carolinas MED-1,             a principal investigator.                            adverse drug events; central line-associated blood
deployed to Lumberton, to help Southeastern                                                             stream infections; catheter-associated urinary
Regional Medical Center after the hospital lost      Eligible participants will have an opportunity to  tract infections; clostridium difficile bacterial
power and water following Hurricane Matthew.       receive an innovative combination of drugs. They     infections, including antibiotic stewardship;
                                                   also will receive objective memory impairment        injury from falls and immobility; pressure ulcers;
  During its nine-day stay in a parking lot next   testing, cognitive assessments and neuroimaging      sepsis and septic shock; surgical site infections;
to SRMC, Carolinas MED-1 treated 220 patients      studies including MRI and PET imaging.               venous thromboembolism; ventilator-associated
with a wide variety of medical issues common to                                                         events; and readmissions.
                                                     To date, Alzheimer’s research only has
 Newborn Logan Britt poses in                      produced treatments that are able to conceal           Over the course of the four previous projects,
 Carolinas MED-1 with his mom,                     symptoms, but not treat the disease itself or        Carolinas HealthCare System has prevented
 dad and members of the medical                    slow its progression. Greater access to clinical     more than 12,266 potential patient safety
 team that helped deliver him.                     trials is considered important because of the        events and saved nearly $76 million in care-
                                                   role these trials play in driving public awareness   related costs. Through 2019, the Carolinas
an emergency department and one uncommon                                                                HealthCare System Hospital Improvement
one — a birth. Logan Britt was born just five                                and educational            Innovation Networks will build on work
minutes after arriving at MED-1 and weighed in                               opportunities. Those       already proven successful in the Hospital
at a healthy 9 lbs., 9 oz.                                                   in turn lead to earlier    Engagement Network (HEN) and Leading
                                                                             diagnoses, which are       Edge Advanced Practice Topics (LEAPT)
  Carolinas MED-1 is a 1,000-square-foot                                     critical for enrollment    contracts by setting a goal of 20-percent
facility housed within a trailer with expandable                             into Phase I clinical      reduction in core areas of overall patient
sides. It has 14 beds, including four ICU beds                               trials. Treatment          harm and a 12-percent reduction in 30-day
and a two-bed surgical suite, and possesses                                  of Alzheimer’s is          unplanned hospital readmissions.
digital X-ray and ultrasound equipment, a lab                                most effective when
and a pharmacy.                                                              early diagnoses and        n Parkinson’s Team Honored With Ray
                                                                             interventions are made.      of Hope Award
  Carolinas MED-1 is a veteran of disasters,                                                              Three Carolinas HealthCare System providers
having deployed to Waveland, Miss., and                                         Dr. Tcheremissine
New Orleans following Hurricane Katrina;                                     notes CHS is uniquely      have received the region’s most prestigious
to Columbus, Ind., after severe Midwestern         positioned for this study because of the quality     award for Parkinson’s disease.
floods; and to the North Carolina mountains to     of its staff, the variety of its resources and the
assist a hospital damaged by fire. It also helped  critical mass of its patient population. Male and      The “Ray of Hope” award is given annually
hospitals in Phoenix and Grove Hill, Ala.,         female patients ages 55-85, with mild symptoms       to those who have supported the Parkinson
that needed to close for renovations and was       of dementia due to Alzheimer’s disease, can          Association of the Carolinas through education,
deployed during the 2012 Democratic National       apply to participate. More information is            community outreach and direct support. Danielle
Convention in Charlotte.                           available by calling 704-446-7511.                   Englert, MD, Mark A. Hirsch, PhD, and Sanjay
                                                                                                        S. Iyer, MD, were selected as this year’s
n Patients Sought for Alzheimer’s                  n Carolinas HealthCare System to Lead                recipients for their dedication to the research and
  Clinical Trial                                     Improvements in Quality, Patient Safety            treatment of Parkinson’s disease.
  An international clinical trial involving          Carolinas HealthCare System has been
                                                                                                          Coincidentally, 2016 marked the
Alzheimer’s disease is now open to patients        selected by the Centers for Medicare & Medicaid      10th anniversary of the opening of the
                                                   Services (CMS) as one of 16 organizations in         Neurosciences Institute’s Carolinas Center for
                                                   the country — and one of only two healthcare         Parkinson Disease and Movement Disorders.
                                                   systems — to continue efforts to reduce hospital-    For the past decade, patients and their families
                                                   based conditions and unplanned readmissions          have been coming to see these physicians
                                                   through the Partnership for Patients initiative.     for their care. The clinic was the only one
                                                                                                        in the country to receive a disease specific
                                                     CHS will participate in the Hospital               certification by the Joint Commission and has
                                                   Improvement Innovation Networks to continue          received numerous national and international
                                                   improving patient safety and promoting               invitations to present on its processes and
                                                   accelerated, significant and measureable             successes throughout the years. In addition,
                                                   reductions in patient harm within the system.        the team’s research has been published in
                                                   This is the fifth contract CHS has been selected     several medical journals.
                                                   to be a part of through the Partnership for
                                                   Patients initiative.

12 | January 2017 • Mecklenburg Medicine
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