Tag Archives: MD

AHCCCS Alternative - AZ Business Magazine July/August 2011

Will Humble joins University of Arizona Center

image005Will Humble, MPH, longtime director of the Arizona Department of Health Services, has been appointed division director for health policy and evaluation at the Center for Population Science and Discovery at the Arizona Health Sciences Center.

A Tucson native, Humble is scheduled to join the UA April 13 and will report to Elizabeth Calhoun, PhD, MEd, associate vice president for population health sciences and executive director of the Center for Population Science and Discovery.

“The Center for Population Science and Discovery Center is well-positioned to bring the kind of analytical depth needed to catalyze improvements in population health in Arizona,” said Dr. Calhoun. “Will brings unique skills and strong relationships to the center – a perfect fit for our strategic goal to create linkages among researchers, public health organizations, health providers, health systems and payers to improve population health and reduce health-care costs,” she added.

“Bringing together interdisciplinary partners across a range of organizations, from academia to city planning, to classic public health rapidly is becoming the new model for improving population health,”said Joe G.N. “Skip” Garcia, MD, UA senior vice president for health sciences. “We’re delighted to bring Director Humble on board to develop intervention partnerships across population health sectors, including state, federal and local public health departments, community and non-profit organizations, tribal and border organizations, the local and Arizona media and academia.”

The AHSC Center for Population Science and Discovery was developed in response to the recommendations of the faculty-led AHSC Population Health/Health Outcomes Advisory Council to further leverage AHSC’s established strengths in population health and health outcomes, health-care policy and health disparities research. The center rapidly is becoming Arizona’s “go-to” clearing house for identifying evidence-based solutions and best practices to improve population health and promote health equity throughout Arizona.

 

Hospital

The CORE Institute opening specialty hospital

The CORE Institute, an integrated orthopedic and neurology practice with locations in Arizona and Michigan, announced that they have partnered with Surgical Care Affiliates (“SCA”, NASDAQ: SCAI), a prominent surgical solutions and specialty surgical services provider, and six local independent physicians1 to open The CORE Institute Specialty Hospital in Phoenix, Ariz.

The CORE Institute Specialty Hospital will be staffed with the Valley’s top orthopedic surgeons specializing in hip and knee replacement, spine, pain management, podiatry and other orthopedic surgical specialties. The CORE Institute’s partnership with SCA will create a national model of specialty centers for the future by tapping core strengths and competencies of both companies to enhance the quality of patient care, improve accountable care models, and reduce costs to consumers.

Through its hospital alignment strategies, The CORE Institute Specialty Hospital (formerly Specialty Hospital of Phoenix), will offer evidence-based approaches to medical care and integrated orthopedic service lines to improve the experience for patients in the local community. As consumers, employers and third party payers look for higher value options in the delivery of surgical services, The CORE Institute Specialty Hospital will offer a unique setting for patients to receive high-end, specialty specific, quality care – validated through The CORE Institute’s well-proven improved surgical outcomes. The CORE Institute’s partnership with SCA will include future local and national expansion.

“The CORE Institute is pleased to join forces with SCA to continue to transform the delivery of healthcare”, said Chairman and CEO David J. Jacofsky, MD. “Both organizations have outcomes with data that speaks for itself and through this strategic partnership, we are able to expand our standardized care approach, proprietary quality and IT platforms, and replicate these proven outcomes nationally.” The CORE Institute will deploy proven pathways and protocols, create efficiencies in an inpatient setting, and provide optimal patient outcomes all while focusing on a specialty patient-centered approach.

“The CORE Institute has built a national reputation for performing routine and complex orthopedic surgeries, while providing excellent patient care and clinical outcomes,” said Goran Dragolovic, Senior Vice President of Operations at SCA. “With their experience and expertise in co-management with Banner Health and St. John Providence Health Systems, The CORE Institute is the ideal partner to support SCA in furthering our mission to improve healthcare and achieve our shared goal of establishing a system of accountable care, where quality outcomes drive reimbursement.”

Eric Tomlon will serve as the Interim Chief Executive Officer of the hospital. Currently, Eric serves as Chief Operating Officer of The CORE Institute’s National Hospital and Service Line Management Division. He brings 20 years of experience in health administration, including twelve years of hospital administration in for-profit, not-for-profit, Catholic, university, pediatric, independent and large health systems. “The CORE Institute Specialty Hospital will be a place where patients, physicians and employees can expect the very best in top tier, orthopedic services,” commented Mr. Tomlon. “The community will benefit tremendously from this partnership between The CORE Institute, SCA and local physicians, and the incredible patient care our physicians and employees will proudly deliver.”

The hospital is currently open operating under its new governance and ownership. One of the first objectives for hospital to achieve in 2015 will be a new master facility plan and upgrade. 

For more information on how to schedule surgery or to learn more about the physicians that work at The CORE Institute Specialty Hospital, please call 602.795.6020.

healthcare

UA Valley Fever Center produces treatment booklet

The Valley Fever Center for Excellence at the University of Arizona has developed a reference booklet that includes all of the facts that physicians and other health-care professionals need about Valley Fever, including how to diagnose it and what to do when a new infection is discovered. While this information has existed for many years, it now is readily available so that busy clinicians can include it in their routine practice.
The booklet was made possible by an unrestricted educational grant from Nielsen Biosciences Inc.
image003.png“This grant has enabled the Center to do something it long has hoped for,” said John Galgiani, MD, director of the Valley Fever Center for Excellence. “We have had this information available on our website but now we can distribute the information in a form that makes it readily available to busy clinicians. The booklet is small enough to fit in their lab coat.”
Published research has shown that many physicians do not know when to test for Valley Fever or what to do if a new infection is diagnosed. This is a special problem in Arizona where one out of three patients who are told they have “pneumonia” actually have Valley Fever and as a result receive medical care they may not need or have delays in appropriate care. An estimated 50,000 people a year seek medical care for their Valley Fever but fewer than 20,000 are accurately diagnosed.
“If doctors were more attuned to how common Valley Fever is, they would look for it more frequently,” Dr. Galgiani said. “Early diagnosis should reduce the use of antibiotics and lots of additional testing, none of which helps the patient and increases costs.”
The first printing of the booklet, completed in January, was 5,000 copies, enough for the Valley Fever Center to give a free copy to every medical student and medical resident (physician-in-training) in Arizona. Copies also are available through the Arizona Medical Association, the medical societies of Pima and Maricopa Counties, the Arizona Department of Health Services and the U.S. Centers for Disease Control and Prevention (CDC).
In the future, the Valley Fever Center hopes to work with the CDC to revise the booklet so that it would be useful to physicians throughout the nation.
An electronic copy of the booklet also is posted on the Valley Fever Center for Excellence website at www.vfce.arizona.edu
Dr. John Galgiani Appointed a Clinical Adviser to HealthTell™
image005.pngJohn Galgiani, MD, director of the Valley Fever Center for Excellence at the University of Arizona, has been appointed a clinical adviser to HealthTell™, a Life Sciences company located in San Ramon, Calif., which is expanding its Immunosignature™ Technology for accurate and timely detection and monitoring of chronic diseases to include infectious and autoimmune diseases.
Dr. Galgiani, a tenured professor at the UA College of Medicine –Tucson, was appointed along with Chaim Putterman, MD, chief of the Division of Rheumatology and professor of medicine, microbiology and immunology at the Albert Einstein College of Medicine in New York.
In announcing the appointments, Bill Colston, PhD, CEO of HealthTell, said, “HealthTell is excited to welcome Dr. Galgiani and Dr. Putterman to our growing team of clinical advisers. They will provide valuable insights to expand our focus beyond oncology to infectious and autoimmune diseases. Our robust and unique test provides a snapshot of the immune system’s response to disease. We are grateful to have the opportunity to collaborate with clinicians and researchers of this caliber.”
 
“There certainly is a need for new diagnostics to help physicians manage patients with Valley Fever, especially early in the infection when current tests frequently are falsely negative,” said Dr. Galgiani.
 
Dr. Galgiani has 35 years of experience in medical mycology (the scientific study of fungi), including the soil-borne Coccidioides species of fungus that when inhaled causes Valley Fever, an infectious disease primarily of the lungs. Valley Fever is endemic to the Southwestern United States and Northwestern Mexico, including Arizona and the San Joaquin Valley of California. While not a very prevalent disease, it results in an estimated 150,000 infections annually. Often it is confused with community-acquired pneumonia and treated erroneously with antibiotics. In a small percentage of patients it can be life threatening. Dr. Galgiani has devoted his career to raising awareness and improving outcomes for people affected by Valley Fever.
Administration Officials - Hiring Quotas

CORE Institute looks to hire 15 surgeons

With its upcoming expansion into Tucson, Arizona’s largest orthopedic and neurology practice, The CORE Institute, announced it was seeking 15 highly qualified Board Eligible/Board Certified orthopedic surgeons to be part of its dynamic team dedicated to delivering the best in musculoskeletal healthcare in Southern Arizona.

The CORE Institute plans to open its first Tucson facility this summer. Earlier this year, The CORE Institute announced it had signed a co-management agreement to lead the Orthopedics Department at Green Valley Hospital. Additionally, The CORE Institute will begin recruiting to fill positions for clinical and administrative staff closer to the opening of the Green Valley clinic and future clinical sites.

Among the orthopedic surgeon subspecialties it is seeking include: Adult Reconstruction, Foot and Ankle, Orthopedic Traumatology, Hand Surgery, Shoulder & Elbow Surgery, Sports Medicine, Orthopedic Oncology, Spine Surgery, and Pain Management/ Interventional Spine. Interested candidates should contact: The CORE Institute at JoinUs@thecoreinstitute.com or by calling 1.866.974.2673.

“The CORE Institute has earned its national reputation thanks to its talented physicians and we’re very excited to expand that reputation of excellence to Tucson,” said Jason Scalise, MD, Vice Chair and Director of National Physician Integration at The CORE Institute. “We plan to start by adding 15 talented orthopedic surgeons in the greater Tucson area that share The CORE Institute’s passion and a dedication to achieve the best possible outcomes for patients.”

There are several reasons why talented, fellowship trained orthopedic surgeons from across the nation have joined The CORE Institute. The CORE Institute has delivered care to more than a quarter of a million patients from all 50 states and around the world over the past 10 years. The organization has grown to more than 140 providers with nearly 700 employees. It is home to several research facilities including: one of the most sophisticated motion analysis and gait laboratories, state-of-the-art biomechanics facilities, and cell culture-chondrocyte facilities. It’s documented, excellent patient outcomes are ensured by a unique and dedicated Quality Department, which sets benchmarks in orthopedic care through evidence-based medicine and standardized protocols managed through a custom, proprietary IT infrastructure. The organization continues to be a leader in payor-reform initiatives and at the forefront of systems-based quality initiatives that drive value across health care organizations. The CORE Institute’s team of fellowship-trained physicians provides specialized care in the areas of surgical, non-surgical and rehabilitative medicine, across the continuum of musculoskeletal care.
 
For more information about The CORE Institute visit www.thecoreinstitute.com.

Dr. Christopher Salvino, West Valley Hospital’s Trauma Medical Director, (far right) watches during one of the mock drills leading up to the opening of West Valley Hospital’s Level 1 Trauma Center that opened on July 21. Photo by Abrazo Health.

Post-op concierge offers car service for patients

Meeting the health-care demands of the community is already a challenging job, but patients who miss appointments are adding to that challenge. One of the primary concerns with missed appointments is that they limit access to care for multiple patients. To alleviate the stress of having to ask family and friends for help, the only subscription-based car and driver service in the United States has been launched.  RubyRide has partnered with top, board-certified anesthesiologist, Dr. Karl Frindrich, MD, to launch PostOp Concierge.
PostOp Concierge supports all patient transportation and service needs for pre-operation as well as post-operation. In addition, all drivers are extensively background checks providing a safe environment from a ride, recovery and healing process.  In addition they are CPR, ADA, and First Aid trained.
As part of the PostOp Concierge service, the Home Safe Program™ encourages a safer home environment by making sure all passage ways are free of obstruction and well lit.  This would include bedroom, bathroom, and kitchen.  Trained providers can help interpret post operative (post-op) instructions to make them clearer, decreasing nonvital phone calls to the surgeon’s office.  When patients do need help with medical problems such as nausea, vomiting or excessive pain, the patient quickly reaches the right person in the doctor’s office to get the help they need.  This combination of service is intended to create a safer environment for the patient, as well as reassuring them that they are progressing as expected for the procedure.
Dr. Frindrich first conceptualized PostOp Concierge when he noticed cases were being canceled frequently due to not having a ride or not adhering to pre-surgical instructions of not eating or drinking for up to six hours before the case. Most importantly, the patient who has taken time out of their schedule to arrange for the needed surgery was not getting the care in a timely manner. This caused interruption in the scheduling at the surgery center which causes an economic chain of events. The surgeon, anesthesiologist, and centers were losing funds and incurring costs as a case was cancelled. In addition, patients from a dual income family, singles, and those with distant family members can benefit as it is a decreased barrier to getting a procedure done.
Some patients resort to asking family or friends to deliver them to the surgical procedure as well as back home.  According to Dr. Frindrich, the minimum time needed to take a patient to a procedure is two hours in advance, perform the case, recover, and take a patient home.  Total time elapsed is approximately four-to-six hours.  With today’s busier lives the patient needs a driver care service one can rely on.  Patients not only have someone to ride along with them to and from a procedure for emotional support, but they do not have to worry about how they are going to transfer the post op patient.”
“Our service takes patients directly to the admission area of the surgical center, and they have less stress figuring out where to park or where to go,” said Jeff Ericson president and founder of RubyRide.  “The patient gets taken directly to the admissions area. We make sure you get there on time so that their schedule runs more smoothly. When we get you into the home we make sure your home is safe from any falls. This includes making sure you have free access to the bedroom, bathroom and kitchen. There are no loose wires, carpets, well lit. Every driver has an iPad and we use the home readiness index – assessment nausea, vomiting, pain, consciousness and breathing. We score that on the tablet to see if the patient is ready to be left alone safely. If not, further arrangements need to be made that we help facilitate with their health care provider.”
Dr. Frindrich explained that patients and family members will have more peace of mind with the service. “Getting a patient registered for a procedure, performing the procedure, recovering the patient, and discharging the patient in a timely manner all affect the efficiency of the surgical center.  When patients show up late, cancel because of non adherence to NPO status, or a ride from surgery shows up late, every other case booked at the facility gets affected.  The delayed post op ride means a recovery room nurse and space is potentially not available to take another patient who is ready to leave the operating room.”  With PostOp concierge, the driver gets the patient there on time and is available within 30 minutes of notification that the patient is ready for discharge.  They then collect the patient in a timely manner, for a safe ride home. With cases being canceled because a patient ate or drank the evening before the case, the patient gets called to introduce the caregiver and remind them not to eat or drink after midnight as an additional layer of NPO encouragement.”
Ericson spent four years conceptualizing the concept of RubyRide. An architect by training, he often was asked the question, “How do you reconnect low-to-mid density cities efficiently without having to build parking spots for every private car?” That sparked the idea for a way to keep less cars off the road in a safe and affordable manner.  RubyRide is considered a car service, not a taxi company. In a recent study it shows that 98 percent of Americans use a private car to move around and statistics have shown that if there was a true alternative to car ownership, then Americans would opt into that option. In addition, AAA indicates that the cost of car ownership a month on average is $740 dollars. For many, that expense is not practical. RubyRide makes it affordable for those that still need transportation but may not want to bear such a high expense.
The benefits of using PostOp Concierge include:
  • Pre-op NPO encouragement decreasing cancelled cases;
  •  Physical therapist designed course on safe patient transfer from hospital to car and car to home;
  •  Patients arrive on time and are picked up on time improving pre-op and post-op efficiency;
  • Home Safe Program and Home Readiness Index; and
  • Patients have company for up to an hour to transition care or can provide extended care as needed.
Due to RubyRide’s training, insurance and certifications the car service also works for business, non-profit organizations, K-12 (carpool), high schools/colleges and universities, millennials and commuters and seniors. The advantage of RubyRide is that there are no peak prices or surcharges, there is one set monthly rate and friends and family ride along for free. Additional features allow one to budget their transportation needs each month, and there is a no tipping policy or paying per trip.
RubyRide is headquartered in Arizona. Expansion services include launching in other low-mid density cities where public transportation/taxis just don’t work.
Heart Health, WEB

7 tips to maintain a healthy heart

Every year 1.5 million men and women will have a heart attack or stroke.  Heart disease will kill as many Americans each year as all cancers, pneumonias and accidents combined. What can you do to prevent heart disease or minimize its impact on your life?

Charles Katzenberg, MD, a cardiologist with the University of Arizona Sarver Heart Center, emphasizes a healthy lifestyle, including diet, exercise, community engagement and stress management, as the best prevention against heart disease in his program called the Heart Series.

Dr. Katzenberg shares these seven tips for a healthy heart:

  • Find your own healthful diet.Eat as close to a whole-foods, plant-based diet as possible. Minimize meat and dairy, since these are associated with heart disease. Also, minimize calorie-dense oils, including olive oil, which contains 15 percent saturated fat and 1 percent omega-3, compared to canola oil, which contains 7 percent saturated fat and 11 percent omega-3. The first Mediterranean Diet study, called the Diet Heart Study, used canola oil, not olive oil. Avoid trans fats, added salt and added sugars. Learn to read food labels.
  • Avoid weight gain.While a normal Body Mass Index (BMI) is in the 18.5 – 24.9 range, the 25-30 range is reasonable for heart health, said Dr. Katzenberg. (A link to determine your BMI is on Sarver Heart Center’s “Heart Health” webpage.)
  • Get moving. Exercise aerobically (walk, jog, bike, swim, circuit weights, aerobic exercise classes) three to four hours each week. Include a few minutes of warm-up and cool down in each session.
  • Avoid smoking, including electronic-cigarettes.E-cigarettes are tools to help quit smoking, but long-term effects are unknown; so, use these short term while stopping cigarettes.
  • Know your numbers, especially blood pressure and cholesterol numbers and, if necessary, follow treatment prescribed by your doctor to keep these under control.
  • Manage your stress.Stress is a risk factor for coronary heart disease and is associated with elevated blood pressure and poor lifestyle choices in areas of diet, exercise, smoking and weight management. Learn to recognize unhealthy stress and use tools and mechanisms to modify your response. Some people relax by reading a book or listening to music. Others benefit from tai chi, meditation, yoga or exercise. Find out what works for you and do it 30 to 60 minutes each day to remove destructive stress from your life. Seek help if you need to learn ways to manage your stress.
  • Be involved in a community you enjoy.This could be as simple as sharing a meal with friends or family, volunteering, participating in an education or fitness class, a book club, or a religious group. Find what works for you.

What if you do your best to follow a healthy lifestyle and you still develop heart disease? There are risk factors for heart disease no one can control, such as advanced age and genes. It’s important to know the signs of a heart attack and to seek early heart attack care when symptoms occur to minimize heart muscle loss. For more information, visit the Heart Health webpage.

Know heart attack symptoms. Not all heart attacks look the same. Some people experience extreme chest pain that many consider the classic heart attack. Others experience milder symptoms where damage occurs over a period of hours. In such cases, symptoms may include chest discomfort, such as pressure, squeezing, fullness or pain that lasts a few minutes, goes away and comes back. Discomfort in the upper body – one or both arms, the back, neck, jaw or upper stomach are other symptoms to watch for, as are shortness of breath, cold sweat, nausea, dizziness, light-headedness, weakness and fatigue. People having heart attacks generally look unwell, so if a friend or loved one comments that you look ill, pay attention to your symptoms.

If you experience these symptoms or signs, call 911. Don’t drive yourself or have anyone else drive you. Time is heart muscle. Emergency transport to a cardiac receiving center gives a heart attack patient the best chance of saving heart muscle.

If the worst happens, a person may suffer a sudden cardiac arrest – suddenly collapses and is not responsive. Know the “3 Cs” of chest-compression-only CPR:

  1. Check for responsiveness– Shake the person and shout, “Are you OK?” Rub the chest bone with your knuckles.
  2. Call – Direct someone to call 9-1-1 and bring an AED.  If you are alone, call 9-1-1 yourself if the person is unresponsive and struggling to breathe.
  3. Compress– Begin forceful chest compressions at a rate of 100 per minute. Position the victim backside down on the floor. Place the heel of one hand on top of the other and place the heel of the bottom hand on the center of the victim’s chest. Lock your elbows and compress the chest forcefully; make sure you lift up enough between compressions to let the chest recoil.

If an AED (automated external defibrillator) is available, turn the unit on and follow the voice instructions. If no AED is available, perform chest compressions continuously until help arrives. This is physically tiring so if someone else is available, take turns after each 100 chest compressions.

Chest-compression-only CPR, which was researched and developed at the UA Sarver Heart Center, has been shown to double a person’s chance of survival from sudden cardiac arrest, compared to mouth-to-mouth CPR or doing nothing.

To learn more about heart health and chest-compression-only CPR, please visit the UA Sarver Heart Center website: heart.arizona.edu. You also can find us onFacebook (University of Arizona Sarver Heart Center) or follow us on Twitter @SarverHeart.

health

Banner MD Anderson names medical director

Matthew Callister, MD, recently was named the new medical director for Banner MD Anderson Cancer Center. Dr. Callister has been serving in an interim role as medical director since July 2014.As medical director, Dr. Callister is responsible for clinical oversight at Banner MD Anderson, and serves as a pivotal link between the cancer center and MD Anderson Cancer Center in Houston.  He joined Banner MD Anderson in 2011 as the division chief for radiation oncology. In this role, he and his colleagues substantially grew the radiation oncology division, and continue to expand these services to other Banner Health campuses.

“Dr. Callister’s collaborative approach to leadership, coupled with his broad knowledge of cancer center operations and clinical expertise, make him ideally suited for this position,” said Todd Werner, chief executive officer of Banner MD Anderson.“He has demonstrated a strong understanding of programmatic development and business expansion, which will serve him well as he leads Banner MD Anderson into its next phase of growth.”

Dr. Callister graduated from the Duke University School of Medicine in Durham, N.C. He then completed an internship at the Mayo School of Graduate Medical Education in Scottsdale and residency at the MD Anderson in Houston.
Board certified in radiation oncology, he also specializes in gastrointestinal cancer, head and neck cancer, sarcoma and skin cancer.
Banner MD Anderson, located on the Banner Gateway campus, delivers cancer care to patients in Arizona through the collaboration of Banner Health and MD Anderson. Banner MD Anderson offers focused disease-specific expertise in the medical, radiation, and surgical management of the cancer patient; an evidence-based, multidisciplinary approach to patient care; access to clinical trials and new investigative therapies; state-of-the-art technology for the diagnosis, staging and treatment of all types of cancer; oncology expertise in supportive care services. For more information, visit www.BannerMDAnderson.com.
pharmaceuticals

UA Arthritis Center gets $6.1M grant

Researchers at  the University of Arizona Arthritis Center at the UA College of Medicine – Tucson are working to identify treatments to slow the progression of osteoarthritis (OA), supported by a recent $6.1 million, five-year grant from the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health.
<image009.png>
The most common cause of disability in the aging population, OA is a complex condition involving not only the breakdown of cartilage in joints but also changes in adjacent soft tissue and bone beneath the cartilage, leading to debilitating joint pain and stiffness and often pain in surrounding muscles and ligaments. The public health impact of knee OA, in particular, is expected to increase dramatically. No cure exists and no FDA-approved drugs are available to prevent development or halt the progression of the condition.
The study, “Risk of Incident Knee OA & Clinical Outcomes Based on Imaging Biomarkers,” builds on two ongoing studies, the Osteoarthritis Initiative (OAI) and the Pivotal OAI MRI Analyses (POMA), an ancillary proposal to the OAI. The OAI was designed to address the lack of biomarkers (biologic features that can be used to measure the presence or progress of a disease or the effects of treatment) for the development and progression of knee OA. The POMA utilized the OAI MRIs (magnetic resonance imaging) to identify imaging biomarkers of knee OA development and progression as long as 48 months prior to the onset of radiographic knee OA (ROA).
ROA symptoms may not correlate with joint damage shown by X-ray or MRI. People with ROA may have little or no pain, yet joint function still may be significantly impacted, causing difficulty performing activities of daily living.
<image011.png>
“Recent advances in magnetic resonance imaging have improved our understanding of the relationship between pathology and the structural changes to cartilage, subchondral bone and the surrounding soft tissues of the joint in OA,” said study Principal Investigator C. Kent Kwoh, MD.
An internationally recognized expert in osteoarthritis, rheumatoid arthritis and other joint diseases, Dr. Kwoh is director of the University of Arizona Arthritis Center; professor of medicine and medical imaging at the UA College of Medicine – Tucson; the Charles A.L. and Suzanne M. Stephens Chair of Rheumatology; and chief of the Division of Rheumatology, UA Department of Medicine.
“The overall objective of this proposal is to take advantage of a time-limited opportunity to build on our prior work and leverage the wealth of longitudinal data, including high-resolution MRI imaging at 3 Tesla, which already has been accumulated in the OAI,” Dr. Kwoh continued. “We will be able test whether structural changes detectable by MRI predict the onset of ROA and the development of important clinical outcomes 24 months to 120 months later, and therefore much earlier in the disease course than currently established. A 120-month visit will be added to the OAI for participants with knees that did not have ROA at baseline.”
The 3T MRI data is a critical feature of the study. MRI—magnetic resonance imaging—scanners come in different magnetic field strengths measured in Teslas, or “T.” A 3T MRI is stronger than a usual MRI used for clinical care and provides extremely sharp images with minute details to better visualize joint structures.
<image013.png>
“The specific aims of this study are to identify imaging biomarkers of the development of incident ROA earlier in the disease course – and to identify the association of imaging biomarkers with changes in pain, function and performance associated with the onset of ROA,” said study Co-PI Ali Guermazi, MD, PhD, professor of radiology, section chief of musculoskeletal imaging and director of the Quantitative Imaging Center at Boston University School of Medicine.
Noted for his contributions in the diagnosis and disease progression assessment of osteoarthritis using MRI, Dr. Guermazi’s work focuses on identifying structural risk factors for developing and worsening osteoarthritis. He has been involved in developing several radiological methods to assess osteoarthritis disease risk and progression, and has been involved as an MRI reader in several large NIH-funded studies, including the OAI.
Dr. Kwoh said, “Ultimately, this line of research will help to identify key risk factors for the development of OA and OA structural disease progression, and to identify potential targets for preventative and/or therapeutic interventions.”
Study collaborators include researchers with four OAI clinical centers: University of Pittsburgh, University of Maryland, Ohio State University and Memorial Hospital of Rhode Island, as well as with Northwestern University and Boston University. The University of San Francisco is providing data management.
This research is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the NIH under Award Number R01AR066601. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Stem Cells Give Plastic Surgery A Facelift

CORE Institute expands into plastic surgery

The CORE Institute, announced the addition of Andrew Blount, MD, a plastic and reconstructive surgeon with fellowship training in hand and upper extremity surgery. He specializes in hand surgery and reconstructive plastic surgery.

“We found a great need to expand our specialties to now include plastic surgery to effectively care our patients in Arizona,” said Dr. Steven L. Myerthall, Market President at The CORE Institute. “With the addition of Dr. Andrew Blount, Plastic, Reconstructive and Hand Surgeon, our patients will benefit from his expertise in treating those patients who require skin grafts due to significant burns, skin loss due to tumors, trauma or extensive wound injuries. In addition, Dr. Blount is fellowship-trained in hand surgery, which enhances his special interest in orthopedics.”

Andrew Blount

Andrew Blount

Dr. Blount cares for a variety of clinical problems of the hand, including trauma, nerve compression, wrist injuries,  fractures, and arthritis. He has a special interest in reconstructive  surgery that assist patients in extensive wound or trauma injury, burns, areas of extensive skin loss due to infection and special surgeries that may require skin grafts or flaps for healing to occur. In addition, Dr. Blount performs surgery for benign and malignant skin lesions and soft tissue tumors, breast reduction and reconstruction, gynecomastia, Mohs facial reconstruction, facial trauma reconstruction, body contouring after massive weight loss, and aesthetic/cosmetic surgery throughout the body.

Dr. Blount received his fellowship training in orthopedic hand and upper extremity surgery at the University of Miami, Jackson Memorial Hospital in Florida. He completed his plastic and reconstructive surgery residency program at Michigan State University, Grand Rapids Medical Educational Partners. He earned his medical degree from University of Arizona College of Medicine where he served as Class Representative and Student Body President. While earning his medical degree, Dr. Blount was involved in a variety of research grant projects and was awarded one of the Class of 2008 Outstanding Research Awards. He graduated sum cum laude from Arizona State University W.P. Carey School of Business.

To schedule an appointment with Dr. Blount, or any of The CORE Institute providers, please call 1.866.974.2673.

453623347

UA doctor will direct new biorepository

image003David T. Harris, PhD, professor of immunology at the University of Arizona, has been appointed executive director of the new Arizona Health Sciences Center Biorepository.
Following a national search, Dr. Harris was selected to establish and lead the AHSC Biorepository, which will provide centralized, state-of-the-art specimen collection infrastructure and offer concierge-level technical and regulatory expertise to principal investigators engaged in research biospecimen activities.
Dr. Harris brings more than 20 years of experience in biobanking to the repository, including establishment of the first cord blood stem cell bank in the United States in 1992. He also has extensive experience in adult stem cell banking, as well as the banking of other cells and tissues.
“I am excited by the opportunity to position my scientific research and technical and regulatory knowledge in the area of biospecimen collection and biobanking toward the development of a critical research resource for AHSC faculty and trainees,” said Dr. Harris. “The AHSC Biorepository will be a catalyst for research by providing the strategic collection and timely dissemination of biospecimens to investigators.”
Dr. Harris joined the UA faculty in 1989 after four years at the University of North Carolina. He has been actively involved in stem cell research and has received extramural funding from the National Institutes of Health, the American Cancer Society and the U.S. Department of Defense.
Dr. Harris will bring an experienced team of scientists to the AHSC Biorepository, including Michael Badowski, PhD, associate research professor, and Angela Muise, research specialist senior. Dr. Badowski has 10 years of experience in biobanking, while Muise has three years of laboratory experience in the field.
“It is wonderful to have a faculty member with David’s technical expertise and applied approach to biobanking agree to lead the AHSC Biorepository,” said Joe G.N. “Skip” Garcia, MD, UA senior vice president for health sciences and interim dean of the UA College of Medicine – Tucson. The AHSC Biorepository is a critical resource to the success of our translational research enterprise, our Clinical Translational Science Award (CTSA) grant application and the growth of our sponsored research portfolio.”
healthcare

Green Valley, CORE Institute sign agreement

Green Valley Hospital and The CORE Institute, announced it signed an orthopedic service line co-management agreement. Under the agreement, The CORE Institute will provide orthopedic physician call coverage and service line management services at Green Valley Hospital.

Green Valley Hospital is a new, 50-bed, full-service general acute care hospital located south of Tucson in Green Valley, Arizona. Green Valley Hospital is currently under construction and plans to open in the Spring of 2015. The CORE Institute is Arizona’s largest comprehensive musculoskeletal and neurology medical practice.

The strategic partnership is similar to other service line co-management agreements wherein The CORE Institute leads orthopedic service improvement initiatives at more than a half-dozen hospitals in the greater Phoenix and Detroit metropolitan areas. The CORE Institute will add a large clinic in Green Valley to support patient care and service line co-management activities.

“The CORE Institute is thrilled to expand our Excellence through Evidence® platform in Southern Arizona to significantly enhance the orthopedic care available in the greater Tucson area,” said Chairman and CEO David Jacofsky, MD. “We’re excited to bring our standardized care approach, proprietary quality IT platform, and proven outcomes to Green Valley Hospital, and to help build an orthopedic program in Southern Arizona.”

“Our partnership with The CORE Institute is an investment that will ultimately shape the entire orthopedic service line and distinguish Green Valley Hospital as a leader in orthopedics delivery in Southern Arizona,” said David Wanger, CEO Green Valley Hospital. “The CORE Institute’s national reputation for excellence will help attract leading orthopedic specialists to the market and, in turn, local patients will be able to receive best-in-class care without having to travel to Tucson or Phoenix.”

“We’re excited to introduce cutting-edge care via an innovative model based on the highest level of collaboration to Southern Arizona,” said DeLyle Manwaring, Senior Vice President of Hospital Service Line Integration for The CORE Institute. “This co-management agreement brings together physicians and hospital leaders with a shared objective of excellent patient care, outcomes and enhanced patient experience.”

To support service line co-management operations, The CORE Institute will open a Southern Arizona clinic in 2015 and will add several surgeons, physician assistants and physical therapists to its team of more than 650 talented employees across Arizona and Michigan.

For more information, please visit www.thecoreinstitute.com/greenvalley, please call 1.866.974.2673.

AZ Big Media honors Most Influential Women

azbigmedia_mostinfluentialwomen_srp2014-001
azbigmedia_mostinfluentialwomen_srp2014-001
azbigmedia_mostinfluentialwomen_srp2014-081
azbigmedia_mostinfluentialwomen_srp2014-081
azbigmedia_mostinfluentialwomen_srp2014-082
azbigmedia_mostinfluentialwomen_srp2014-082
azbigmedia_mostinfluentialwomen_srp2014-083
azbigmedia_mostinfluentialwomen_srp2014-083
azbigmedia_mostinfluentialwomen_srp2014-084
azbigmedia_mostinfluentialwomen_srp2014-084
azbigmedia_mostinfluentialwomen_srp2014-086
azbigmedia_mostinfluentialwomen_srp2014-086
azbigmedia_mostinfluentialwomen_srp2014-002
azbigmedia_mostinfluentialwomen_srp2014-002
azbigmedia_mostinfluentialwomen_srp2014-003
azbigmedia_mostinfluentialwomen_srp2014-003
azbigmedia_mostinfluentialwomen_srp2014-004
azbigmedia_mostinfluentialwomen_srp2014-004
azbigmedia_mostinfluentialwomen_srp2014-005
azbigmedia_mostinfluentialwomen_srp2014-005
azbigmedia_mostinfluentialwomen_srp2014-006
azbigmedia_mostinfluentialwomen_srp2014-006
azbigmedia_mostinfluentialwomen_srp2014-007
azbigmedia_mostinfluentialwomen_srp2014-007
azbigmedia_mostinfluentialwomen_srp2014-008
azbigmedia_mostinfluentialwomen_srp2014-008
azbigmedia_mostinfluentialwomen_srp2014-009
azbigmedia_mostinfluentialwomen_srp2014-009
azbigmedia_mostinfluentialwomen_srp2014-010
azbigmedia_mostinfluentialwomen_srp2014-010
azbigmedia_mostinfluentialwomen_srp2014-011
azbigmedia_mostinfluentialwomen_srp2014-011
azbigmedia_mostinfluentialwomen_srp2014-012
azbigmedia_mostinfluentialwomen_srp2014-012
azbigmedia_mostinfluentialwomen_srp2014-013
azbigmedia_mostinfluentialwomen_srp2014-013
azbigmedia_mostinfluentialwomen_srp2014-014
azbigmedia_mostinfluentialwomen_srp2014-014
azbigmedia_mostinfluentialwomen_srp2014-015
azbigmedia_mostinfluentialwomen_srp2014-015
azbigmedia_mostinfluentialwomen_srp2014-016
azbigmedia_mostinfluentialwomen_srp2014-016
azbigmedia_mostinfluentialwomen_srp2014-017
azbigmedia_mostinfluentialwomen_srp2014-017
azbigmedia_mostinfluentialwomen_srp2014-018
azbigmedia_mostinfluentialwomen_srp2014-018
azbigmedia_mostinfluentialwomen_srp2014-020
azbigmedia_mostinfluentialwomen_srp2014-020
azbigmedia_mostinfluentialwomen_srp2014-019
azbigmedia_mostinfluentialwomen_srp2014-019
azbigmedia_mostinfluentialwomen_srp2014-021
azbigmedia_mostinfluentialwomen_srp2014-021
azbigmedia_mostinfluentialwomen_srp2014-079
azbigmedia_mostinfluentialwomen_srp2014-079
azbigmedia_mostinfluentialwomen_srp2014-022
azbigmedia_mostinfluentialwomen_srp2014-022
azbigmedia_mostinfluentialwomen_srp2014-023
azbigmedia_mostinfluentialwomen_srp2014-023
azbigmedia_mostinfluentialwomen_srp2014-024
azbigmedia_mostinfluentialwomen_srp2014-024
azbigmedia_mostinfluentialwomen_srp2014-025
azbigmedia_mostinfluentialwomen_srp2014-025
azbigmedia_mostinfluentialwomen_srp2014-026
azbigmedia_mostinfluentialwomen_srp2014-026
azbigmedia_mostinfluentialwomen_srp2014-027
azbigmedia_mostinfluentialwomen_srp2014-027
azbigmedia_mostinfluentialwomen_srp2014-028
azbigmedia_mostinfluentialwomen_srp2014-028
azbigmedia_mostinfluentialwomen_srp2014-029
azbigmedia_mostinfluentialwomen_srp2014-029
azbigmedia_mostinfluentialwomen_srp2014-030
azbigmedia_mostinfluentialwomen_srp2014-030
azbigmedia_mostinfluentialwomen_srp2014-031
azbigmedia_mostinfluentialwomen_srp2014-031
azbigmedia_mostinfluentialwomen_srp2014-032
azbigmedia_mostinfluentialwomen_srp2014-032
azbigmedia_mostinfluentialwomen_srp2014-033
azbigmedia_mostinfluentialwomen_srp2014-033
azbigmedia_mostinfluentialwomen_srp2014-034
azbigmedia_mostinfluentialwomen_srp2014-034
azbigmedia_mostinfluentialwomen_srp2014-035
azbigmedia_mostinfluentialwomen_srp2014-035
azbigmedia_mostinfluentialwomen_srp2014-036
azbigmedia_mostinfluentialwomen_srp2014-036
azbigmedia_mostinfluentialwomen_srp2014-037
azbigmedia_mostinfluentialwomen_srp2014-037
azbigmedia_mostinfluentialwomen_srp2014-038
azbigmedia_mostinfluentialwomen_srp2014-038
azbigmedia_mostinfluentialwomen_srp2014-039
azbigmedia_mostinfluentialwomen_srp2014-039
azbigmedia_mostinfluentialwomen_srp2014-040
azbigmedia_mostinfluentialwomen_srp2014-040
azbigmedia_mostinfluentialwomen_srp2014-041
azbigmedia_mostinfluentialwomen_srp2014-041
azbigmedia_mostinfluentialwomen_srp2014-042
azbigmedia_mostinfluentialwomen_srp2014-042
azbigmedia_mostinfluentialwomen_srp2014-044
azbigmedia_mostinfluentialwomen_srp2014-044
azbigmedia_mostinfluentialwomen_srp2014-045
azbigmedia_mostinfluentialwomen_srp2014-045
azbigmedia_mostinfluentialwomen_srp2014-046
azbigmedia_mostinfluentialwomen_srp2014-046
azbigmedia_mostinfluentialwomen_srp2014-047
azbigmedia_mostinfluentialwomen_srp2014-047
azbigmedia_mostinfluentialwomen_srp2014-048
azbigmedia_mostinfluentialwomen_srp2014-048
azbigmedia_mostinfluentialwomen_srp2014-049
azbigmedia_mostinfluentialwomen_srp2014-049
azbigmedia_mostinfluentialwomen_srp2014-050
azbigmedia_mostinfluentialwomen_srp2014-050
azbigmedia_mostinfluentialwomen_srp2014-052
azbigmedia_mostinfluentialwomen_srp2014-052
azbigmedia_mostinfluentialwomen_srp2014-053
azbigmedia_mostinfluentialwomen_srp2014-053
azbigmedia_mostinfluentialwomen_srp2014-054
azbigmedia_mostinfluentialwomen_srp2014-054
azbigmedia_mostinfluentialwomen_srp2014-056
azbigmedia_mostinfluentialwomen_srp2014-056
azbigmedia_mostinfluentialwomen_srp2014-060
azbigmedia_mostinfluentialwomen_srp2014-060
azbigmedia_mostinfluentialwomen_srp2014-062
azbigmedia_mostinfluentialwomen_srp2014-062
azbigmedia_mostinfluentialwomen_srp2014-063
azbigmedia_mostinfluentialwomen_srp2014-063
azbigmedia_mostinfluentialwomen_srp2014-064
azbigmedia_mostinfluentialwomen_srp2014-064
azbigmedia_mostinfluentialwomen_srp2014-065
azbigmedia_mostinfluentialwomen_srp2014-065
azbigmedia_mostinfluentialwomen_srp2014-066
azbigmedia_mostinfluentialwomen_srp2014-066
azbigmedia_mostinfluentialwomen_srp2014-068
azbigmedia_mostinfluentialwomen_srp2014-068
azbigmedia_mostinfluentialwomen_srp2014-069
azbigmedia_mostinfluentialwomen_srp2014-069
azbigmedia_mostinfluentialwomen_srp2014-071
azbigmedia_mostinfluentialwomen_srp2014-071
azbigmedia_mostinfluentialwomen_srp2014-072
azbigmedia_mostinfluentialwomen_srp2014-072
azbigmedia_mostinfluentialwomen_srp2014-073
azbigmedia_mostinfluentialwomen_srp2014-073
azbigmedia_mostinfluentialwomen_srp2014-074
azbigmedia_mostinfluentialwomen_srp2014-074
azbigmedia_mostinfluentialwomen_srp2014-080
azbigmedia_mostinfluentialwomen_srp2014-080
azbigmedia_mostinfluentialwomen_srp2014-075
azbigmedia_mostinfluentialwomen_srp2014-075
azbigmedia_mostinfluentialwomen_srp2014-076
azbigmedia_mostinfluentialwomen_srp2014-076
azbigmedia_mostinfluentialwomen_srp2014-082
azbigmedia_mostinfluentialwomen_srp2014-082
azbigmedia_mostinfluentialwomen_srp2014-077
azbigmedia_mostinfluentialwomen_srp2014-077
azbigmedia_mostinfluentialwomen_srp2014-079
azbigmedia_mostinfluentialwomen_srp2014-079
azbigmedia_mostinfluentialwomen_srp2014-084
azbigmedia_mostinfluentialwomen_srp2014-084
azbigmedia_mostinfluentialwomen_srp2014-078
azbigmedia_mostinfluentialwomen_srp2014-078
azbigmedia_mostinfluentialwomen_srp2014-083
azbigmedia_mostinfluentialwomen_srp2014-083
azbigmedia_mostinfluentialwomen_srp2014-004
azbigmedia_mostinfluentialwomen_srp2014-004
azbigmedia_mostinfluentialwomen_srp2014-006
azbigmedia_mostinfluentialwomen_srp2014-006
azbigmedia_mostinfluentialwomen_srp2014-007
azbigmedia_mostinfluentialwomen_srp2014-007
azbigmedia_mostinfluentialwomen_srp2014-008
azbigmedia_mostinfluentialwomen_srp2014-008
azbigmedia_mostinfluentialwomen_srp2014-009
azbigmedia_mostinfluentialwomen_srp2014-009
azbigmedia_mostinfluentialwomen_srp2014-011
azbigmedia_mostinfluentialwomen_srp2014-011
azbigmedia_mostinfluentialwomen_srp2014-012
azbigmedia_mostinfluentialwomen_srp2014-012
azbigmedia_mostinfluentialwomen_srp2014-013
azbigmedia_mostinfluentialwomen_srp2014-013
azbigmedia_mostinfluentialwomen_srp2014-015
azbigmedia_mostinfluentialwomen_srp2014-015
azbigmedia_mostinfluentialwomen_srp2014-016
azbigmedia_mostinfluentialwomen_srp2014-016
azbigmedia_mostinfluentialwomen_srp2014-017
azbigmedia_mostinfluentialwomen_srp2014-017
azbigmedia_mostinfluentialwomen_srp2014-037
azbigmedia_mostinfluentialwomen_srp2014-037
azbigmedia_mostinfluentialwomen_srp2014-038
azbigmedia_mostinfluentialwomen_srp2014-038
azbigmedia_mostinfluentialwomen_srp2014-054
azbigmedia_mostinfluentialwomen_srp2014-054
azbigmedia_mostinfluentialwomen_srp2014-056
azbigmedia_mostinfluentialwomen_srp2014-056
azbigmedia_mostinfluentialwomen_srp2014-060
azbigmedia_mostinfluentialwomen_srp2014-060
azbigmedia_mostinfluentialwomen_srp2014-063
azbigmedia_mostinfluentialwomen_srp2014-063
azbigmedia_mostinfluentialwomen_srp2014-078
azbigmedia_mostinfluentialwomen_srp2014-078



They are the best business minds in Arizona. They are innovators, trailblazers and leaders of men.

They are Az Business magazine’s Most Influential Women in Arizona Business for 2014, as selected by the editorial team at Az Business magazine and a panel of industry experts. The Most Influential Women were honored Thursday at a reception at The Venue in Scottsdale.

“While their resumes and career paths may differ, the women we selected have all procured influence in their respective fields through hard-earned track records of profitability, business ethics and leadership,” said AZ Big Media Publisher Cheryl Green. “Az Business magazine is proud to congratulate the women who earned the right to call themselves one of the Most Influential Women in Arizona Business. They are changing the face of Arizona business.”

The women selected to this prestigious list for 2014 are:

Nazneen Aziz, Ph.D, senior vice president and chief research officer, Phoenix Children’s Hospital
Trish Bear, president and CEO, I-ology
Dr. Amy Beiter, president and CEO, Carondelet St. Mary’s Hospital and Carondelet Heart & Vascular Institute
Janet G. Betts, member, Sherman & Howard
Kristin Bloomquist, executive vice president and general manager, Cramer-Krasselt
Delia Carlyle, councilwoman, Ak-Chin Indian Community
Luci Chen, partner, Arizona Center for Cancer Care
Mary Collum, senior vice president, National Bank of Arizona
Kathy Coover, co-founder, Isagenix International
Janna Day, managing partner, Brownstein Hyatt Farber Schreck
Karen Dickinson, shareholder, Polsinelli
Michele Finney, CEO, Abrazo Health
Susan Frank, CEO, Desert Schools Federal Credit Union
Leah Freed, managing shareholder, Ogletree Deakins
Deborah Griffin, president of the board of directors, Gila River Casinos
Mary Ann Guerra, CEO, BioAccel
Deb Gullett, senior specialist, Gallagher & Kennedy
Diane Haller, partner, Quarles & Brady
Maria Harper-Marinick, executive vice chancellor and provost, Maricopa Community Colleges
Catherine Hayes, principal, hayes architecture/interiors inc.
Camille Hill, president, Merestone
Chevy Humphrey, president and CEO, Arizona Science Center
Heidi Jannenga, founder, WebPT
Kara Kalkbrenner, acting fire chief, City of Phoenix
Lynne King Smith, CEO, TicketForce
Joan Koerber Walker, CEO, Arizona Bioindustry Association
Karen Kravitz, president and head of conceptology, Commotion Promotions
Deb Krmpotic, CEO, Banner Estrella Medical Center
Jessica Langbaum, PhD, principal scientist, Banner Alzheimer’s Institute
Georgia Lord, mayor, City of Goodyear
Sherry Lund, founder, Celebration Stem Cell Centre
Teresa Mandelin, CEO, Southwestern Business Financing Corporation
Shirley Mays, dean, Arizona Summit Law School
Ann Meyers-Drysdale, vice president, Phoenix Mercury and Phoenix Suns
Marcia L. Mintz, president, John C. Lincoln Health Foundation
Martha C. Patrick, shareholder, Burch & Cracchiolo, P.A.
Stephanie J. Quincy, partner, Steptoe & Johnson
Barb Rechterman, chief marketing officer, GoDaddy
Marian Rhodes, senior vice president, Arizona Diamondbacks
Joyce Santis, chief operating officer, Sonora Quest Laboratories
Gena Sluga, partner, Christian Dichter & Sluga
Beth Soberg, CEO, UnitedHealthcare of Arizona
Scarlett Spring, president, VisionGate
Patrice Strong-Register, managing partner, JatroBiofuels
Sarah A. Strunk, director, Fennemore Craig, P.C.
Marie Sullivan, president and CEO, Arizona Women’s Education & Employment
Nancy K. Sweitzer, MD, director, UA’s Sarver Heart Center
Dana Vela, president, Sunrise Schools and Tots Unlimited
Alicia Wadas, COO, The Lavidge Company
Ginger Ward, CEO, Southwest Human Development

In addition to the Most Influential Women in Arizona Business, Az Business also selects five “Generation Next” women who are making an impact on Arizona, even though they are less than 40 years old. Those women selected for 2014 are:

Anca Bec, 36, business development officer, Alliance Bank of Arizona
Alison R. Christian, 32, shareholder, Christian Dichter & Sluga, P.C.
Jaime Daddona, 38, senior associate, Squire Patton Boggs
Nancy Kim, 36, owner, Spectrum Dermatology
Jami Reagan, 35, owner, Shine Factory Public Relations

To select the best and brightest women to recognize each year, the editor and publisher of Az Business magazine compile a list of almost 1,000 women from every facet of Arizona’s business landscape — banking, law, healthcare, bioscience, real estate, technology, manufacturing, retail, tourism, energy, accounting and nonprofits. Once that list is compiled, we vet the list, narrow it down to about 150 women who we feel are most deserving, and then submit the list to 20 of their peers — female leaders from a variety or industries — and ask them to vote. If they want to vote for someone whose name is not on the list of those submitted for consideration, voters are invited to write in the names of women who they think deserve to members of this exclusive club.

Az Business also does not allow a woman to appear on the list most than once.

health

Arizona Telemedicine Program names advisory board

The award-winning Arizona Telemedicine Program (ATP) at the Arizona Health Sciences Center of the University of Arizona has announced the appointment of the National Advisory Board of the Telemedicine and Telehealth Service Provider Showcase (SPSSM), to be held Oct. 6-7 at the Hyatt Regency in downtown Phoenix.

The 24 nationally recognized thought leaders and health-care innovators have made major strides in the telemedicine arena. Members of the board are:

• Joseph S. Alpert, MD, professor of medicine, University of Arizona College of Medicine – Tucson; editor-in-chief, The American Journal of Medicine

• David C. Balch, MA, chief technology officer, White House Medical Group, Washington, D.C.

• Rashid Bashshur, PhD, senior adviser for eHealth, eHealth Center, University of Michigan Health System, Ann Arbor

• Anne E. Burdick, MD, MPH, associate dean for telehealth and clinical outreach, University of Miami Miller School of Medicine

• Robert “Bob” Burns, commissioner, Arizona Corporation Commission, Phoenix

• Daniel J. Derksen, MD, director, Center for Rural Health; professor of public health policy; University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson

• Charles R. Doarn, MBA, editor-in-chief, Telemedicine and e-Health Journal, family medicine, University of Cincinnati, Ohio

• Joe G.N. “Skip” Garcia, MD, UA senior vice president for health sciences; interim dean, UA College of Medicine – Tucson; professor of medicine, Arizona Health Sciences Center, University of Arizona

• Robert A. Greenes, MD, PhD, professor of biomedical informatics, College of Health Solutions, Arizona State University, Phoenix

• Paula Guy, chief executive officer, Global Partnership for Telehealth, Inc., Waycross, Ga.

• Deb LaMarche, associate director, Utah Telehealth Network, Salt Lake City

• James P. Marcin, MD, MPH, professor, pediatric critical care, University of California – Davis Children’s Hospital, Sacramento

• Ronald C. Merrell, MD, editor-in-chief, Telemedicine and e-Health Journal, emeritus professor of surgery, Virginia Commonwealth University, Richmond

• Thomas S. Nesbitt, MD, MPH, associate vice chancellor and professor, family and community medicine, University of California – Davis Health System, Sacramento

• Marta J. Petersen, MD, medical director, Utah Telehealth Network, Salt Lake City

• Joseph Peterson, MD, chief executive officer and director, Specialists On Call, Reston, Va.

• Ronald K. Poropatich, MD, University of Pittsburgh Medical Center, Pittsburgh

• Lisa A. Robin, MLA, chief advocacy officer, Federation of State Medical Boards, Washington, D.C.

• Brian Rosenfeld, MD, executive vice president and chief medical officer, Philips Telehealth, Baltimore, Md.

• Jay H. Shore, MD, MPH, associate professor, Centers for American Indian & Alaska Native Health, University of Colorado, Aurora

• Joseph A. Tracy, MS, vice president, telehealth services, Lehigh Valley Health Network, Allentown, Pa.

• Wesley Valdes, DO, medical director, Telehealth Services, Intermountain Healthcare, Salt Lake City, Utah

• Nancy L. Vorhees, RN, MSN, chief operating officer, Inland Northwest Health Services, Spokane, Wash.

• Jill M. Winters, PhD, RN, FAHA, president and dean, Columbia College of Nursing, Glendale, Wisc.

“This is the first national meeting addressing telemedicine service provider issues. It’s long overdue!” said Ronald S. Weinstein, MD, ATP director and SPS honorary co-chair.

SPS will focus on building partnerships for bringing quality medical specialty services directly into hospitals, clinics, private practices and even patients’ homes. The goals are to improve patient care and outcomes and to increase market share for both health-care providers and telehealth service providers they partner with.

The convention is co-hosted by the ATP, the Southwest Telehealth Resource Center and the Four Corners Telehealth Consortium, which includes the Arizona Health Sciences Center at the University of Arizona, the University of Colorado Anschutz Medical Campus, the University of New Mexico Health Sciences Center and the Utah Telehealth Network.

More information about SPS is at www.TTSPSworld.com.

cancer

UA Shows Curcumin Effect on Colon Cancer

A team of researchers led by the University of Arizona Steele Children’s Research Center discovered that curcumin—the bioactive molecule derived from the spice turmeric—blocks the protein cortactin in colon cancer.

Cortactin, a protein essential for cell movement, frequently is overexpressed in cancer, thus facilitating cancer cell metastasis to other organs in the body.

Colon cancer is the second leading cause of cancer-related deaths in the United States and the third most common cancer in men and women. When cancer metastasizes to other organs, a patient’s chances of survival are greatly diminished. Thus, finding novel ways to prevent cancer metastasis remains an urgent need.

The National Institutes of Health-funded research recently was published in PLOS One.

The study was led by co-investigators Fayez K. Ghishan, MD, professor and head, UA Department of Pediatrics and director of the UA Steele Children’s Research Center; Pawel Kiela, DVM, PhD, associate professor, UA Department of Pediatrics; and Vijay Radhakrishnan, PhD, assistant scientist, UA Department of Pediatrics. The study was conducted in collaboration with Jessie Martinez, PhD, professor, UA Cancer Center, and Eugene Mash, PhD, professor, Department of Chemistry and Biochemistry.

Turmeric gives curry its yellow color and flavor. It is part of the ginger family and has been used for thousands of years to treat colds, inflammation, arthritis and many other ailments, including cancer.

Curcumin is the active ingredient in turmeric and has been scientifically studied in many types of cancer. It has been shown to have a chemopreventative effect—the ability to reverse, suppress or prevent the development of cancer.

“What’s novel about our research is that our study identified one of the mechanisms by which curcumin can prevent cancer cell metastasis in colon cancer,” said Dr. Ghishan.

The research team discovered that the active part of the cortactin protein, known as Phopsho Tyrosine 421 (pTyr421), is hyper-activated in malignant tumors of the colon.

“We showed that the cortactin protein was hyper-activated due to a process called excessive phosphorylation,” said Dr. Kiela.

Phosphorylation is the addition of a phosphate group to a protein, and is responsible for turning proteins on and off, altering the protein’s function and activity. Too much cortactin, and its activation by phosphorylation, has been linked with cancer aggressiveness.

The researchers treated human colon cancer tumor cells with curcumin. “We discovered that curcumin turns off the active form of cortactin,” explained Dr. Radhakrishnan, who led the experiments in the lab. “Thus, when cortactin is turned off, cancer cells lose the ability to move and can’t metastasize to other parts of the body.”

More specifically, curcumin “turned-off” cortactin by interacting with, and activating, an enzyme known as PTPN1. This enzyme acts as a phosphatase to remove phosphate groups from cortactin—a process known as “dephosphorylation.”

“This effect, essentially known as ‘dephosphorylating cortactin’ correlated with reduced ability of colon cancer cells to migrate,” said Dr. Kiela. “This suggests that curcumin reduces cancer cells’ ability to migrate, meaning the cancer can’t metastasize.”

“By identifying the mechanism of action—that curcumin activates the enzyme PTPN1, which then ‘turns off’ the active component of cortactin pTyr421, we believe that chemopreventative drugs can be developed to target cortactin in cancer cells to prevent the cancer from metastasizing,” said. Dr. Radhakrishnan.

“Treatments aimed at the suppression of cancer metastasis remain an urgent therapeutic need,” said Dr. Ghishan. “Our findings have laid the foundation for future research to develop treatments using curcumin to prevent cancer’s deadly spread to other organs.”

pt

UA Study Shows Glucosamine Is Ineffective

A short-term study led by C. Kent Kwoh, MD, director of the University of Arizona Arthritis Center, and a collaborative team of researchers has found that oral glucosamine supplementation is not associated with a lessening of knee cartilage deterioration among individuals with chronic knee pain.

The study was conducted by researchers at the University of Pittsburgh, VA Pittsburgh Healthcare System, Boston University, Texas Woman’s University in Houston and Klinikum Augsburg in Augsburg, Germany. Dr. Kwoh, who previously was with the University of Pittsburgh and VA Pittsburgh Healthcare System, is corresponding author of the study.

“Our study found no evidence that drinking a glucosamine supplement reduced knee cartilage damage, relieved pain or improved function in individuals with chronic knee pain,” said Dr. Kwoh. An internationally recognized expert in osteoarthritis, rheumatoid arthritis and other joint diseases, he also is UA professor of medicine and medical imaging, The Charles A.L. and Suzanne M. Stephens Chair of Rheumatology, and chief of the Division of Rheumatology and Clinical Immunology at the UA College of Medicine – Tucson.

The findings, published online March 11 in Arthritis & Rheumatology, a journal of the American College of Rheumatology (ACR), indicate that glucosamine does not decrease pain or improve knee bone marrow lesions—more commonly known as bone bruises and thought to be a source of pain in those with osteoarthritis (OA).

According to the ACR, 27 million Americans over age 25 are diagnosed with OA—the most common form of arthritis and primary cause of disability in the elderly. Patients may seek alternative therapies to treat joint pain and arthritis, with prior research showing glucosamine as the second-most commonly used natural product. A 2007 Gallup poll reported that 10 percent of individuals over the age of 18 in the United States use glucosamine. According to the website www.nutraingredients-usa.com, global sales of the supplement in 2010 totaled more than $2.1 billion.

“The Joints on Glucosamine (Jog) Study: The Effect of Oral Glucosamine on Joint Structure, A Randomized Trial” is the first study to investigate whether the supplement prevents the worsening of cartilage damage or bone marrow lesions.

For the double-blind, placebo-controlled clinical trial, Dr. Kwoh and colleagues enrolled 201 participants with mild-to-moderate pain in one or both knees. Participants were randomized and treated daily for 24 weeks with 1,500 mg of glucosamine hydrochloride in a 16-ounce bottle of diet lemonade or a placebo. Magnetic resonance imaging (MRI) was used to assess cartilage damage.

Trial results showed no decrease in cartilage damage in participants in the glucosamine group, compared to the placebo group. Researchers report no change in bone marrow lesions in 70 percent of knees, 18 percent of knees worsened and 10 percent improved.

The control group had greater improvement in bone marrow lesions compared to treated participants, with neither group displaying a worsening of bone marrow lesions. Glucosamine was not found to decrease urinary excretion of C-telopeptides of type II collagen (CTX-II)—a predictor of cartilage destruction.

In addition to Dr. Kwoh, researchers who contributed to the study included Ali Guermazi, MD, Boston University; Frank W. Roemer, MD, Boston University, Mass., and Klinikum Augsburg, Augsburg, Germany; Michael J. Hannon, John M. Jakicic, MD, Stephanie M. Green, Rhobert W. Evans, PhD, and Robert Boudreau, PhD, University of Pittsburgh; and Carolyn E. Moore, PhD, Texas Woman’s University, Houston.

The study was funded by the Beverage Institute for Health & Wellness, The Coca-Cola Company and the National Institute of Arthritis, Musculoskeletal and Skin Diseases (P60 AR054731).

Dr. Nader Sanai, Barrow Neurological Institute

Ivy Foundation grants $885K to Barrow

The Ben & Catherine Ivy Foundation  has awarded an $885,294 grant to Barrow Neurological Institute for brain cancer research.

The Ivy Foundation is the largest privately funded brain cancer research foundation in North America. Catherine Ivy is the founder and president of the Ivy Foundation, which has a research funding focus on glioblastoma multiforme (GBM), the most common and deadliest of malignant primary brain tumors in adults.

The Barrow brain cancer research program is summarized by the following:

  • In glioblastoma, cancer stem cells are thought to be the driving force of tumor progression and recurrence.
  • The research team has identified a reservoir of cancer stem cells in humans that is undetectable by conventional MRI.
  • This study is the world’s first brain tumor clinical trial targeting cancer stem cells with focused radiotherapy beams.
  • With this strategy, the team hopes to eliminate a source of glioblastoma recurrence, as well as cut off its outlet for its spread to other brain regions.
  • The hope is to turn glioblastoma from a multi-focal disease to a self-contained process that can be controlled with localized therapy.

“With support from the Ben & Catherine Ivy Foundation, we can now finally take the steps necessary to develop and test this strategy in newly-diagnosed glioblastoma patients,” says Nader Sanai, MD, director of the Barrow Brain Tumor Research Center. “Our hope is that it will not only be a relatively safe strategy, but one that starkly impacts the ability of glioblastomas to recur or move beyond its site of origin in newly-diagnosed patients.”

The progress only continues.

“We are encouraged and remain strongly committed to moving the progress forward for patients diagnosed with brain cancer,” said Ivy. “Barrow Neurological Institute is an important strategic partner in our objective to double the life expectancy of people diagnosed with GBM within the next seven years.”

stroke

Deer Valley Hospital Now Primary Stroke Center

John C. Lincoln Deer Valley Hospital in North Phoenix has become the Valley’s newest hospital certified as a Primary Stroke Center by DNV Healthcare, an international certifying agency approved by the US Centers for Medicare and Medicaid Services, according to John Harrington Jr., hospital CEO and senior vice president, Scottsdale Lincoln Health Network.

John C. Lincoln North Mountain Hospital was accredited as a Primary Stroke Center by the Joint Commission on Accreditation of Health Care Organizations in 2007 and by DNV Healthcare in 2011.

“Deer Valley Hospital demonstrated that its stroke care program follows national standards and guidelines that can significantly improve outcomes for stroke patients,” said Chief Medical Officer Mary Ann Turley, DO, Deer Valley Hospital, who led the stroke certification task force that started preparing the hospital for stroke certification last year.

“We received only one finding when the surveyors visited from DNV and awarded John C. Lincoln Deer Valley Hospital certification as a Primary Stroke Center,” Turley added. “I could not be more proud of our entire stroke certification team and hospital co-workers who all jumped at the opportunity to earn this recognition for our caregiving capability.”

Strokes are the third most prevalent cause of death, the leading cause of adult disability, and affect 700,000 Americans every year. A stroke occurs when blood flow to the brain is disrupted by a blood clot (ischemic) or by bleeding from a burst blood vessel (hemorrhagic), either of which impairs the brain’s ability to function, but which require opposite treatments.

Because diagnosing the cause is key to ensuring appropriate and effective care, it’s important for patients and families to insist that EMS providers take them to a Primary Stroke Center, said Donna Sells, administrator for the Health Network’s Neurosciences/Orthopedic Service Line. “A Primary Stroke Center is where staff is trained not only to recognize symptoms of stroke, but more importantly, to correctly identify the cause,” she explained.
When people have strokes, time is of the essence. Rapid medical treatment – started less than 3 hours after onset of symptoms and completed within 45 minutes of the patients arrival at the hospital – can save many stroke patients from a lifetime of disability.
“Time loss equals brain loss,” said Sells. When stroke symptoms begin, people should call 9-1-1 without delay.

DNV Primary Stroke Center certification is based on submitted documentation and a site visit by DNV surveyors, during which the hospital staff demonstrates its commitment to excellence, Harrington said. DNV’s PSC Certification program incorporates elements from federal CMS hospital standards as well as requirements from the guidelines of the Brain Attack Coalition and recommendations of the American Stroke Association.

Members of the Deer Valley Stroke Team Include: Alice Montoya, RN, Nelson Faux, MD, Anil Goud, MD, Patrick Sciara, MD, Clark York, DO, Bonnie Fuerst, MT, Kevin Veale, DO, Patty Erickson, RN, Danny Blanco, RN, Lalit Mansukhani, PharmD, Peter Burrows, RT, Linda DeLuca, RN, Lawrence Finkel, MD, Renee Featherly, David Price, Linda Ott, RN, Donna Sells, RN, Karrie Smith, RN, Lisa Hughes, RN, Susan Hoffmeister, RN, Holly Grems, RN, Maria Soriano, MD, Tracy Moroney, RN, Jennifer Gallegos, MA, Mary Ann Turley, DO, Victor Zach, MD, Jessica Rivas, MSN, Matt Sainsbury, MHA, and Joanne Motley, RN.

breast.cancer

John C. Lincoln offers state’s 1st Low Dose 3D mammograms

John C. Lincoln’s Breast Health and Research Center in North Phoenix is now Arizona’s first site to offer low dose 3-D mammography, the latest innovation in breast cancer screening.

The new low dose 3-D system from Hologic requires less compression time and reduces radiation exposure. It does this by creating 2-D images from the 3-D data set, thus eliminating the separate digital X-ray that was part of the original 3-D imaging process.

“Even though groundbreaking 3-D mammograms met FDA safety standards while providing never-before seen image clarity, some patients worried about the level of exposure,” said breast radiologist Linda Greer, MD, medical director of the John C. Lincoln Breast Health and Research Center. “This new low dose technology completely eliminates that concern.”

Hologic’s new ‘C-View’ imaging software was approved May 16 by the FDA. The new, low dose 3-D mammograms are now available at the same cost as conventional 2-D mammography at John C. Lincoln’s Breast Health and Research Center, 19646 N. 27th Ave., #205. Also, the new technology is clinically proven to significantly reduce unnecessary patient recalls while simultaneously improving cancer detection.

“Lower dose 3-D mammography is an important evolution in breast cancer screening,” Dr. Greer says. “Large-scale clinical studies in the U.S. and Europe have shown that screening with 3-D mammography allows radiologists to visualize the breast in greater detail than with 2-D mammography alone. That results in earlier detection of cancers, while at the same time reducing the false positives associated with conventional 2-D mammography.”

False positives are unclear results that require patients to return for additional medical imaging to rule out cancer and can cause unnecessary anxiety and cost. “No matter how you look at it,” Dr. Greer said, “lower dose 3-D breast cancer screening provides a better patient experience.”

Being first to offer low dose 3-D mammography is typical for John C. Lincoln’s Breast Health Center, which has a history of being at the forefront of breast cancer screening. It was first in the Valley to offer breast imaging in a spa-like setting; first in Arizona to offer 3-D screening that is rapidly becoming the worldwide standard of care; and one of the first in the nation designated a Center of Excellence by the American College of Radiology.

For more information, visit JCL.com/breasthealth.

breast.cancer

John C. Lincoln offers state's 1st Low Dose 3D mammograms

John C. Lincoln’s Breast Health and Research Center in North Phoenix is now Arizona’s first site to offer low dose 3-D mammography, the latest innovation in breast cancer screening.

The new low dose 3-D system from Hologic requires less compression time and reduces radiation exposure. It does this by creating 2-D images from the 3-D data set, thus eliminating the separate digital X-ray that was part of the original 3-D imaging process.

“Even though groundbreaking 3-D mammograms met FDA safety standards while providing never-before seen image clarity, some patients worried about the level of exposure,” said breast radiologist Linda Greer, MD, medical director of the John C. Lincoln Breast Health and Research Center. “This new low dose technology completely eliminates that concern.”

Hologic’s new ‘C-View’ imaging software was approved May 16 by the FDA. The new, low dose 3-D mammograms are now available at the same cost as conventional 2-D mammography at John C. Lincoln’s Breast Health and Research Center, 19646 N. 27th Ave., #205. Also, the new technology is clinically proven to significantly reduce unnecessary patient recalls while simultaneously improving cancer detection.

“Lower dose 3-D mammography is an important evolution in breast cancer screening,” Dr. Greer says. “Large-scale clinical studies in the U.S. and Europe have shown that screening with 3-D mammography allows radiologists to visualize the breast in greater detail than with 2-D mammography alone. That results in earlier detection of cancers, while at the same time reducing the false positives associated with conventional 2-D mammography.”

False positives are unclear results that require patients to return for additional medical imaging to rule out cancer and can cause unnecessary anxiety and cost. “No matter how you look at it,” Dr. Greer said, “lower dose 3-D breast cancer screening provides a better patient experience.”

Being first to offer low dose 3-D mammography is typical for John C. Lincoln’s Breast Health Center, which has a history of being at the forefront of breast cancer screening. It was first in the Valley to offer breast imaging in a spa-like setting; first in Arizona to offer 3-D screening that is rapidly becoming the worldwide standard of care; and one of the first in the nation designated a Center of Excellence by the American College of Radiology.

For more information, visit JCL.com/breasthealth.

Americas Taco

America’s Taco Shop Expands, Plans Future Growth

America’s Taco Shop is growing throughout the country with new locations opening in Bethesda, Md., Lake Forest, Calif., Corpus Christi, Texas and inside terminal 4 at Sky Harbor International Airport in Phoenix. In late 2012, America’s Taco Shop announced a partnership through Scottsdale-based Kahala, a franchise development company. Led by the vision of entrepreneurial industry leaders and an experienced support team, Kahala has spent more than two decades building a company that allows its franchisees independence through interdependence.

“It is important to us to keep our product authentic and Kahala has allowed us to do that,” says Terry Bortin, co-founder of America’s Taco Shop with his wife America Corrales-Bortin. “We are excited for the growth that comes with the franchise concept. Sharing America’s mother’s quality recipes with the entire country has always been a dream of ours.”

Started in 2008 by the Bortin’s, this fast-casual concept specializes in authentic carne asada and al pastor, which is used in their tacos, burritos, tortas and more. America’s Taco Shop has been dubbed “the home of the greatest carne asada” through many accolades in the Phoenix market including 20 Favorite Places for Tacos, 2011 Five Favorite Mexican Restaurants, Best Phoenix Mexican Food, Top 10 Mexican Restaurants, Best Sandwiches, Best New Restaurants, 2009 Best BBQ, Best Carne Asada, and more.

America Corrales-Bortin grew up in the city of Culiacán in Sinaloa, Mexico. As a young child she would watch her mother prepare the dishes that became the recipes at America’s Taco Shop. After years of cooking authentic meals for her family and friends, America and her husband decided to open their first location in Phoenix 2008.

Visit www.americastacoshop.com for more information and follow them on Facebook at www.facebook.com/americastacoshop. For franchising opportunities call 855-55-CARNE (855-552-2763).

medical.research

A Saliva Gland Test for Parkinson’s Disease?

Described as a “big step forward” for research and treatment of Parkinson’s disease, new research from Mayo Clinic in Arizona and Banner Sun Health Research Institute suggests that testing a portion of a person’s saliva gland may be a way to diagnose the disease.

The study was released Friday and will be presented at the American Academy of Neurology’s 65th Annual Meeting in San Diego, March 16–23.

“There is currently no diagnostic test for Parkinson’s disease,” says study author Charles Adler, MD, PhD., a neurologist with Mayo Clinic in Arizona. “We have previously shown in autopsies of Parkinson’s patients that the abnormal proteins associated with Parkinson’s are consistently found in the submandibular saliva glands, found under the lower jaw. This is the first study demonstrating the value of testing a portion of the saliva gland to diagnose a living person with Parkinson’s disease. Making a diagnosis in living patients is a big step forward in our effort to understand and better treat patients.”

The study involved 15 people with an average age of 68 who had Parkinson’s disease for an average of 12 years, responded to Parkinson’s medication and did not have known saliva gland disorders.

Biopsies were taken of two different saliva glands: the submandibular gland and the minor saliva glands in the lower lip. The surgical team was led by Michael Hinni, MD, and David Lott, MD, at Mayo Clinic in Arizona, and the biopsied tissues were tested for evidence of the abnormal Parkinson’s protein by study co-author Thomas Beach, MD, with Banner Sun Health Research Institute.

“This procedure will provide a much more accurate diagnosis of Parkinson’s disease than what is now available,” Dr. Beach says. “One of the greatest potential impacts of this finding is on clinical trials, as at the present time some patients entered into Parkinson’s clinical trials do not necessarily have Parkinson’s disease and this is a big impediment to testing new therapies.”

The abnormal Parkinson’s protein was detected in nine of the 11 patients who had enough tissue to study. While still being analyzed, the rate of positive findings in the biopsies of the lower lip glands appears much lower than for the lower jaw gland.

“This study provides the first direct evidence for the use of submandibular gland biopsies as a diagnostic test for living patients with Parkinson’s disease,” says Dr. Adler. “This finding may be of great use when needing definitive proof of Parkinson’s disease, especially when considering performing invasive procedures such as deep brain stimulation surgery or gene therapy.”

Parkinson’s disease is a progressive disorder of the nervous system that affects movement. It develops gradually, sometimes starting with a barely noticeable tremor in just one hand. But while tremor may be the most well-known sign of Parkinson’s disease, the disorder also commonly causes stiffness or slowing of movement. No tests exist to diagnose Parkinson’s disease. Now diagnosis is made based on medical history, a review of signs and symptoms, a neurological and physical examination, and by ruling out other conditions. Yet up to 30 percent of patients may be misdiagnosed early in the disease.

Although Parkinson’s disease can’t be cured, medications may markedly improve symptoms.This study was funded by the Michael J. Fox Foundation for Parkinson’s Research.