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The Xchange Medical News You Can Use The Xchange Medical News You Can Use
The Xchange Medical News You Can Use
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In This Issue November 2008
bullet A Word From Your XChange Editor
 
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  Children’s Medical Group: A Case History
  SPECIAL FEATURE: November Practice Cost-Saving Tips For This Uncertain Economy
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bullet News You Can Use
 
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spacer Maternal Immunization With Influenza Vaccine May Reduce Influenza In Infants
  Pazopanib Shows Encouraging Activity In Early-Stage Lung Cancer
  Premixed Insulin Analogues May Be Effective In Type 2 Diabetes
  Dermoscopy May Help Distinguish Melanoma From Benign Lesions
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bullet Henry Schein Financial Services [ad]
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bullet Diabetes Testing with the A1c [ad]
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bullet All Your Flu Season Needs! [ad]
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bullet Privileges! Are You a Member? [ad]
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bullet Ask The Experts: Testing For And Diagnosing Diabetes
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bullet Calendar Of Events (November)
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bullet Share Your Success [Win A jWIN Portable DVD Player!]
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A Word from Your XChange Editor
Your Digital Practice
Children’s Medical Group: A Case History
An aging practice management (PM) system can be a drain on the productivity and performance of a modern medical group. Children’s Medical Group (CMG), a practice with eight locations and over 20 providers located in Poughkeepsie, New York, was facing such a scenario in 2005. After careful deliberation, the management of CMG decided their old UNIX-based system could no longer meet the needs of their fast-growing practice, and they needed to upgrade PM systems.

Once the decision to modernize was made, a software evaluation team was formed, creating a list of requirements for a new system. The team wanted a scalable Windows-based, client/server PM system. They decided MicroMD PM from Henry Schein Medical Systems fit their needs and budget. Nearly three years since choosing MicroMD PM, CMG has seen its investment pay off with increased efficiency and responsiveness to office needs.

CMG staff found their previous PM system to be complicated and slow. There was also a considerable learning curve for new employees who needed to master many screens and keystrokes. Management and staff have praised the simplicity of scheduling with MicroMD PM and say training new employees is much easier. What was once a tedious process of scrolling through screens and entering patient information multiple times in the previous PM system can now be done with a few simple clicks. Rescheduling and canceling appointments is now streamlined with a drag-and-drop function. CMG has also substantially increased the number of patients that can be seen on a daily basis because of these enhanced scheduling functions. Staff can now see the entire schedule of the practice and allow for flexibility when fitting in walk-ins and last-minute patients in different locations.

The Henry Schein Medical Systems team excelled in implementation of the new PM system, completing the entire process — including configuration, installation, and training — in less than four months. Data conversion into MicroMD PM was another selling factor for CMG. Given the enormous amount of data in its old system, staff could not be expected to do manual data re-entry. With MicroMD, that potential problem was avoided.

Reporting with MicroMD PM has been vastly improved. Increased speed and flexibility with reporting is essential when considering an upgrade within a large group practice. Reports that would clog the system at CMG and take hours to process are now processed in minutes or even seconds with MicroMD PM. Not only has the time posting payments and processing claims been reduced, rejected claims have decreased 20%.

Replacing a PM system can be a challenge to a practice. However, given the solid improvements shown in just a few months with MicroMD PM, the management team of CMG sees the upgrade as a worthwhile investment in the future.
Footer Micro MD
 
Tips for this uncertain economy
November Practice Cost-Saving Tips For This Uncertain Economy
Each month we are featuring tips to help make your practice run more efficiently and to provide better ways to meet the changing landscape of our current economy. Contact your sales consultant to explore other suggestions.

COST-SAVING TIPS:
  • Focus on strategies that deliver a trackable ROI. First, and perhaps most important, narrow your promotional sights from the wide field of all things you do to selectively focus your promotional message on the professional services that build profits for your practice. The test is: “If I invest $1,000 today, I want to realize $4,000 in return on this investment tomorrow.” If money is super tight for you, it is okay to tread a little carefully at first. But that doesn’t mean you should disappear from the marketplace altogether. Instead, take smart risks and reasonable steps until you find that magic combination of variables that works. Once you do, turn up your marketing while everyone else sits on the sidelines. Do what is best for your practice specialty.
  • Consider what the patient wants. Determine what it is that prospective patients want or need the most. (Changes in the economy may have changed people’s priorities.) Don’t think about what you want to sell, but determine what it is that they want to buy — then deliver it to them.
  • Keep your marketing budget consistent. The practice that abruptly silences its voice is totally and suddenly invisible to people in need. Maybe it “feels” like you’re preserving resources, but you are giving up more in lost revenue and opportunity. Every dollar wisely invested has a stronger ROI potential (when the competition is standing down). And, as an added bonus, media costs might be available at bargain rates. (If you don’t have a marketing budget, now is the time to get one. Make it a priority as you develop a specific plan.)
  • Take advantage of the competitive vacuum. This is when most of your competitors have cut their marketing back to little or nothing. Use this time (while their practices are invisible) to grow market share at their expense. Advertisers who increase their budget in a soft economy increase their market share.
  • Prune any wasteful spending that has crept in. Take this time to carefully examine where there may be waste anywhere in the practice. This is a good time to reorganize what’s being spent and what can be applied to serious ROI marketing.
  • Be open to new tactics that you might not have otherwise considered. Doctors tend to be conservative. But some doctors are so conservative that they dismiss good new ideas out-of-hand — ideas that could vastly improve profitability of their practice or business. Remaining open to new ideas is especially important right now.
  • Fortify and strengthen professional relationships. Of course this is something that you should be doing all along — especially with those practices that refer to your practice. But when they’re busy, doctors, administrators, and staff tend to put off some things. When things are slow, it’s critical to strengthen those relationships. Take care of the people who take care of you.
  • Refocus on low-risk internal marketing. Most doctors understand the importance of taking care of their patients — and professionally, of course, they do. But when things are rushed in the office, they can overlook the exceptional added value of patients who are the internal marketing audience. Internal marketing — working with existing (and satisfied) patients — is low cost, low risk and high ROI. Your best asset is your patient base and it’s a solid source of referrals, especially in a declining economy.
  • Help your employees build a secure future with a 401(k) plan for you and your practice. Just as regular physical exams are a good way to help ensure that your patients enjoy continued health, a yearly Fidelity Plan Exam can help you analyze your current 401(k) plan and assist you in your efforts to help your employees build secure financial futures. If you don’t already have a retirement plan, that’s no problem. Henry Schein has arranged for Fidelity Investments to offer a discounted 401(k) plan to help you and your practice address retirement plan needs. If you determine that a 401(k) plan is the right choice for your practice, Fidelity Investments can help you attract and retain the best possible team and help you and your employees prepare for retirement. You can focus on your business — and Fidelity Investments will help your employees focus on their retirement. Give Fidelity Investments a call to learn if you can get value through the Henry Schein program. To find out more, call 1-866-467-0633.
  • Are you aware of the substantial opportunities gained by acquiring equipment and technology this year? The 2008 Section 179 Tax Deduction increase allows you to lower your taxable income, to boost the productivity of your practice, and to offer new and improved treatments. The Economic Stimulus Act of 2008 is now in effect and it expires this December. IRS Section 179 encourages small-business owners, sole proprietorships, partnerships, and corporations including LLCs to invest in equipment by allowing them to deduct the asset’s value in the first year. The 2008 limit is $250,000. Invest in your practice and capitalize on the largest tax benefit ever. You may deduct up to $250,000 of the equipment value acquired by your practice in 2008. Consult your tax advisor for specific details. Your sales consultant can schedule a no-cost, no obligation visit to explore equipment opportunities based on your specialty. In addition, Henry Schein offers leasing and financing for your large-equipment purchases through Henry Schein Financial Services. For details, call 1-631-843-5554.
Reminder: Are you a PRIVILEGES Member? By becoming a PRIVILEGES member, you’ll receive value certificates to reduce your supply expenses while earning Reward Points that are redeemable for gifts, free airline travel, and event tickets when you order electronically. Now that the holiday season is upon us, you can use your Privileges Rewards Points to redeem for gifts for yourself and your staff. Visit the PRIVILEGES Web page for information on how to enroll without cost or contact your sales consultant.

We look forward to providing you with the products and services you need to help your business stay efficient and profitable in these changing economic times. Thank you for choosing Henry Schein Medical … where our customers are our number one priority!

Meanwhile, remember that the purpose of this e-newsletter is not only to inform, but also to provide information that you may want to pass along to your patients and staff. The more we know about what interests you, the easier it will be to create an e-newsletter you’re anxious to read each month.

Please stay in touch,

Your XChange Editor

Xchange.editor@henryschein.com

News You Can Use
Maternal Immunization With Influenza Vaccine May Reduce Influenza In Infants
Maternal immunization with inactivated influenza vaccine is associated with a 63% reduction in laboratory-confirmed influenza and a 29% reduction in respiratory tract illness with fever in infants up to six months old, according to a report in the New England Journal of Medicine.

“Young infants and pregnant women are at increased risk for serious consequences of influenza infection,” say K. Zaman, MB, BS, PhD, from the International Centre for Diarrheal Disease Research in Dhaka, Bangladesh, and colleagues.

In this study, 340 pregnant women in the third trimester were randomly assigned to receive inactivated influenza vaccine or the 23-valent pneumococcal polysaccharide vaccine (control). Mothers were interviewed weekly about signs of illness in themselves or their infants from birth to 24 weeks. Participants with febrile respiratory tract illness were examined clinically, and ill infants were tested for influenza antigens.

Compared with infants in the control group, those born to mothers who received influenza vaccine had fewer cases of laboratory-confirmed influenza, with a vaccine effectiveness of 63%.

The study’s authors conclude: “Maternal influenza immunization is a strategy with substantial benefits for both mothers and infants.”

 

Lung Cancer Awareness Month:
Pazopanib Shows Encouraging Activity in Early-Stage Lung Cancer

The investigational drug pazopanib, an antiogenesis inhibitor, demonstrated single-agent activity in patients with early-stage non-small-cell lung cancer (NSCLC). Although the results are preliminary, they suggest that this agent is highly active in this setting, and might have a role in the treatment of lung cancer.

The results of this phase 2 study, presented recently at the 33rd European Society for Medical Oncology (ESMO) Congress in Stockholm, Sweden, showed that 30 of 35 patients experienced tumor shrinkage. In some cases, tumor size decreased by up to 85%.

“Lung cancer is difficult to treat, and new and novel agents have been slow in coming,” says José Baselga, MD, ESMO’s president. “These results are encouraging.”

Targeted therapies are primarily used in patients with advanced lung cancer who have already failed standard chemotherapeutic regimens, according to lead author Nasser Altorki, MD, professor of cardiothoracic surgery and director of the division of thoracic surgery at New York Presbyterian-Weill Cornell Medical Center, in New York.

Early-stage lung cancer is generally treated surgically, without any type of preoperative therapy. When preoperative treatment is used, it is generally chemotherapy, either alone or in combination with other agents, explains Dr. Altorki. “To my knowledge, this is the first time that this drug has been used in lung cancer.”

 

American Diabetes Month:
Premixed Insulin Analogues May Be Effective In Type 2 Diabetes

Premixed insulin analogues provide glycemic control similar to that of premixed human insulin and tighter glycemic control than long-acting insulin analogues and noninsulin antidiabetic agents in patients with type 2 diabetes, according to the results of a systematic review reported in the “Annals of Internal Medicine.”

“Evidence comparing premixed insulin analogues (mixtures of rapid-acting and intermediate-acting insulin analogues) with other antidiabetic agents is urgently required to guide appropriate therapy,” says Rehan Qayyum, MD, from Johns Hopkins University in Baltimore, Maryland, and colleagues.

“Given the increasing prevalence of type 2 diabetes, the number of patients who use insulin for glycemic control, and the importance of glycemic control in decreasing mortality and morbidity,” he adds, “it is imperative to establish the weight of evidence for the safety and effectiveness of these relatively newer insulin preparations compared with traditional insulin preparations.

“Studies with longer follow-up are needed to determine whether the effects observed early in treatment are sustainable long-term,” Dr. Qayyum notes.

 

National Healthy Skin Month:
Dermoscopy May Help Distinguish Melanoma Lacking Pigment From Benign Lesions

Dermoscopy may help distinguish melanoma lacking significant pigment from benign lesions, even though its diagnostic accuracy in this situation is inferior to that of more pigmented lesions, according to the results of a study reported in the “Archives of Dermatology.”

“Dermoscopic evaluation has been shown to be superior to naked eye examination for the diagnosis of amelanotic or hypomelanotic melanoma,” says Scott W. Menzies, MB, BS, PhD, from Sydney Melanoma Diagnostic Centre, Sydney Cancer Centre, Royal Prince Alfred Hospital in Australia, and colleagues.

“Because evidence of melanin is usually found in amelanotic melanoma histopathologically, the difficulty in diagnosing these lesions lies with the clinician and not the pathologist, and a precise clinical definition of melanoma lacking significant pigment would be most useful,” the authors write. “Furthermore, since dermoscopic evaluation allows the visualization of pigment not seen with the naked eye, a dermoscopic definition of lesions lacking significant pigment would be most useful and is presented in our study.”

The goal of this study, which took place at predominantly hospital-based clinics from five continents, was to identify predictive dermoscopic features of amelanotic and hypomelanotic melanoma.


 
CONCERNED ABOUT THE CURRENT
Henry Schein
CREDIT CRISIS?
Henry Schein Financial Services has access to capital for equipment
and practice financing at excellent rates!*
Contact your
Henry Schein Financial Services
Regional Manager

at 631-843-5554 or hsfs@henryschein.com
* Subject to credit approval. Henry Schein Financial Services is not a bank, does not represent itself as such, and does not conduct banking activities. Henry Schein Financial Services or Henry Schein does not provide tax advice. Please check with your own advisors.
Henry Schein
For more information or to order,
please contact your sales consultant.

 

A1c A1c
A new way to think about A1c testing
For years, only labs and in-office machines administered A1c testing. A1CNow+, a handheld portable testing monitor, has transformed every aspect of POC A1c testing.
» Real-time results
Results in just five minutes means
immediate feedback to patients,
which can lead to better outcomes.1
» Easy integration into the office
The Bayer A1CNow+ is portable, enables multiple tests in every exam room, requires no maintenance and minimal staff training.
» Accuracy
99% lab accuracy. NGSP certified.
» Made and backed by Bayer
The Bayer name means the highest
standards of reliability and accuracy.

Contact your Bayer representative for our exciting new marketing materials to help you tell the Bayer A1CNow+ story.

Visit www.A1CNOW.com or call Customer Support 1-877-212-4968

1. Data on file.

A1c A1c   A1c A1c
A1c A1c A1c A1c A1c A1c
For more information or to order,
please contact your sales consultant.

 

Flu
For more information or to order,
please contact your sales consultant.
 

Privileges Program With our PRIVILEGES PROGRAM, we believe in rewarding our loyal customers with products and services that will help their businesses stay competitive and profitable.

The rewards don’t stop there. By using any one of our electronic ordering systems, PRIVILEGES Members earn reward points (one point for each dollar spent), which are automatically posted online in your PRIVILEGES Rewards account. Visit your account often to check your points, browse our gift catalog, and choose from thousands of gift items to redeem your points—including FREE travel and event tickets!

Sign up now to start enjoying all the special attention and exclusive benefits that you deserve. Membership is FREE!

As a PRIVILEGES Member, you’ll receive:
  • The COMPLETEcare Advisor Equipment Inventory Tracker to track warranties and service contracts
  • Schein Rx Samples Program
  • Members-only promotions
Privileges Program
Privileges Program
To learn more about Henry Schein PRIVILEGES Program contact: 1.866.MED.VIPS
www.henryschein.com/privilegesmd
For more information or to order,
please contact your sales consultant.

 

  Ask The Experts: Testing For And Diagnosing Diabetes

Send in your practice-related questions to our panel of Team Schein experts at Xchange.editor@henryschein.com.

Question“Is there a better way to test for and diagnosis diabetes?”
R.W.

art Diabetes is under-diagnosed. About one-third of people with diabetes do not know they have it, and the average lag between onset and diagnosis is seven years.

In order to make case-finding easier for clinicians and patients, a panel of experts in the area of diagnosis, monitoring, and management of diabetes formed a panel to review the literature and develop consensus regarding the screening and diagnosis of diabetes with particular reference to the use of hemoglobin A1c (HbA1c).

According to the principal conclusions of the panel, the main factors in support of using HbA1c as a screening and diagnostic test include the following:
  • HbA1c does not require patients to be fasting.
  • HbA1c reflects longer-term glycemia than does plasma glucose.
  • HbA1c laboratory methods are now well standardized and reliable.
  • Errors caused by non-glycemic factors affecting HbA1c — such as hemoglobinopathies — are infrequent and can be minimized by confirming the diagnosis of diabetes with a plasma glucose (PG)-specific test.
Specific recommendations are as follows:
  • Screening standards should be established that prompt further testing and closer follow-up, including fasting PG 100 mg/dl, random PG 130 mg/dl, or HbA1c > 6.0%.
  • HbA1c 6.5 - 6.9%, confirmed by a PG-specific test (FPG or OGTT), should establish the diagnosis of diabetes.
  • HbA1c 7%, confirmed by another HbA1c or a PG-specific test (FPG or OGTT), should establish the diagnosis of diabetes.
Click here for more information on A1c. To order, please contact your Henry Schein sales consultant.

  CALENDAR OF EVENTS
NOVEMBER
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November 5
Tulsa, Oklahoma
Henry Schein Technology and Equipment Expo;
Cornerstone Educational Seminar Series
Renaissance Tulsa
918-307-2600
NOVEMBER
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November 14
Pittsburgh, Pennsylvania
Henry Schein Technology and Equipment Expo;
Cornerstone Educational Seminar Series
Radisson Pittsburgh Green Tree
412-922-8400
For a complete listing of future events,
visit our Online Calendar.
SHARE YOUR SUCCESS
Your professional success is undoubtedly due to many things, whether it’s your business prowess, your medical knowledge, or your personal philosophies. At Henry Schein, we believe in sharing those experiences, and we’d like to give you a little something for sharing your success with your fellow readers.

Send in as many TIPS FOR SUCCESS as you’d like to xchange.editor@henryschein.com. We’ll print one of the stories in each issue … and send a token of our appreciation to the reader who submitted it (be sure to include your mailing address).

This month, we’re thanking you with a
jWIN PORTABLE DVD PLAYER
The jWIN 9-in., portable DVD player with swivel TFT display plays DVDs, CDs, MP3s, CDRs, and CDRWs. It comes complete with built-in stereo speakers and hi-capacity rechargeable battery. It has an AC power adapter and is packaged with a cigarette lighter car adapter and a wireless remote. It is also Kodak picture CD-compatible to view your photo images.


Dr. MadukaNovember Success Story: Dr. Godwin Maduka of Las Vegas Pain Institute
Understanding the goals and vision of the doctor and knowing where they plan to take their practice is the basis of a good vendor/practice partnership. Recognizing the doctor’s needs and the day-to-day operation of the office allows the sales consultant to recommend new innovations that can help a medical practice become more effective and efficient. This story is the result of such a relationship that has been built on trust, respect, and the understanding of what a growing new practice needs to attain success.

Dr. Godwin Maduka is from South Africa and graduated from Harvard University School of Medicine, where he earned degrees in anesthesia and critical care/pain management. He also has a degree in medicine from the University of Tennessee and a Doctor of Pharmacy degree from Mercer University in Atlanta, GA. He currently owns and operates the largest pain care institute in Las Vegas, NV, along with a smaller start-up office that is still in operation.

Construction This story was developed as a result of the partnership established by Venus Robinson, field sales consultant, and Virginia Harper, regional equipment specialist. Robinson, who built a great working relationship with her customer, asked the question “Do you need any equipment?” This question led her to reach out and fully utilize the tools and resources available to her through Henry Schein’s complete one-stop-shop offering for all of our physicians’ practice needs. Indeed, Dr. Maduka was in need of a new x-ray unit for his existing practice.

Robinson reached out to her equipment resource — Virginia Harper — to help research radiology equipment for Dr. Maduka’s current practice, the Las Vegas Pain Institute. In the very first meeting, Robinson, Harper, and Dr. Maduka instantly developed a genuine relationship. Asking more questions, Robinson and Harper unveiled their vision of additional equipment that was needed. The Henry Schein team introduced one of its newest x-ray vendors to Dr. Maduka. After many meetings, phone calls, and e-mails, the team effort closed a $95,000 digital imaging bundle package for the doctor’s current facility. With the help of the entire Team Schein equipment and warehouse network, the equipment package was delivered on-time. Special thanks to team members Mark Benson, Ceasar Guerrero, Jim Loschen, Mike McCarthy, Lisa Philips, and Mitch Cobb for their outstanding efforts.

XrayWith the success of this installation, Dr. Maduka shared with Robinson and Harper his vision of building and opening the largest pain care/surgery center in Las Vegas. After many meetings, and because of the extensive portfolio of value-added practice solutions, social responsibility platforms, and international focus that Henry Schein offers, Dr. Maduka chose Henry Schein to be his partner in providing all of the equipment and medical supplies for his new 40,000-square-foot facility scheduled to open in December, as well as his new medical center in the town of Omuchukwu, South Africa.

The new Las Vegas location is under construction, with the radiology equipment going in first, followed by the in-office laboratory and casework/cabinetry. This facility will also include an MDspa; a general practice wing; pediatric, physical therapy, anesthesiology, and pain care/management services; and a surgery center. The total office setup will include installation of full lab, radiology, casework, examination, lighting, and various other medical equipment.

Dr. Maduka and his colleagues were pleased with Henry Schein’s teamwork, and he feels secure in having a trusted partner and consultant who can provide technology solutions and support, as well as a complete offering of supplies to run his business more efficiently.

We extend our best wishes to Dr. Maduka and the entire team at the Las Vegas Pain Institute. We thank them for being a loyal customer and look forward to maintaining a long-term, value-added partnership.

Our thanks for this success story — and a jWIN PORTABLE DVD PLAYER goes to Dr. Maduka. Now we look forward to hearing YOUR success story.

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