dgim summer 2016 newsletter

VCU DGIM NEWSLETTER SUMMER 2016

Photo Credit Lena Rivera

A CHANGING HEALTHCARE LANDSCAPE DIVISION HIGHLIGHTS UPCOMING EVENTS

SCHOLARSHIP amp RESEARCH PROGRAM

IN THE SPOTLIGHT

1

2

5

7

8

1

San Blas Islands Panama | Photo Credit Lena Rivera

A CHANGING HEALTHCARE LANDSCAPEDGIM NEWSLETTER SUMMER 2016

MACRA MIPS and APMs --- with the changing healthcare landscape towards value-based care this alphabet soup reflects new policies for the delivery of healthcare services The Medicare Access and CHIP

Reauthorization Act (MACRA) of 2015 is steering healthcare delivery from ldquovolumerdquo to ldquovaluerdquo through two paths Merit-based Incentive Payment Systems (MIPS) and Alternative Payment Models (APMs)

Medical professionals including those of us in academia need to position ourselves for a new healthcare landscape To this end our division established the DGIM Revenue Committee with these objectives

1 Facilitate a learning community to enhance our delivery of high value healthcare at VCUHealth

2 Facilitate a learning community with colleagues across the country regarding healthcare policy

Many thanks to Dr Kushinka and Dr Johnson for all their time and expertise leading an interdisciplinary effort to optimize the human-technology system Our faculty and division are now well positioned with Code Assist the new coding and billing system

DGIM also looks forward to actively engage with colleagues across the country through the Society of General Internal Medicine (SGIM) Improving Practice Finance Workgroup so that we contribute and benefit from national learning communities as well

If you have an interest in either or both learning communities send me an email

Shin-Ping Tu MD MPH

INSIDE THIS ISSUE

The secret of change is to focus all of your energy not on fighting the old but building on the new

--Socrates

VCU DGIM NEWSLETTER SUMMER 2016 2

=

DGIM STAFF TAKE A STEP TOWARDS WELLNESS

Members of the DGIM Admin Team are taking steps towards achieving overall wellness -- literally Wellness crusader Catherine Good

has become a guide in health after her own success while on Dr Susan Wolvers weight loss program used in her distinguished Weight Loss Clinic along with climbing the entire staircase (12 flights) of Sanger Hall every day -- multiple times a day This feat has begun motivating Admin Team members to walk the staircase every day multiple times a day

Catherines suggestion has been to walk multiple flights of stairs when leaving the desk start at five flights and begin to add an additional flight every week While climbing the stairs Catherine and other team members alternate each flight with walking up single steps and skipping up every-other step According to research this small change can have significant effects

Harvard University Even at a slow pace yoursquoll burn calories two to three times faster climbing stairs than walking briskly on the level The Harvard Alumni Study found that men who average at least eight flights a day enjoy a 33 lower mortality rate than men who are sedentary mdash and thatrsquos even better than the 22 lower death rate men earned by walking 13 miles a day

DGIM is inspired by these changes and will be working on plans to support the Admin Team to incorporate exercise into the day Together DGIM can achieve wellness

DGIM FACULTY MEMBER APPOINTED ACP QI CHAMPION

DGIM is pleased to announce that Dr Rachel Waller has

been appointed as a QI Champion of the American

College of Physicians (ACP) Quality Connect Diabetes program Dr Wallers election as QI Champion is part of ACPs sponsorship of VCU faculty in Internal Medicine and Family Medicine for its Quality Connect Diabetes program

NEW HOME FOR HOSPITAL MEDICINE TEAMS

In a huge step towards providing unit-based care for all of our General Medicine inpatients North 6 was redesigned and reopened as the Medical Specialties

Unit on April 26th The 28-bed unit will be home to two of our Hospital Medicine teams including the hospitalist arm of the new Acute Care Advanced Practice Provider fellowship The geographic structure will allow for implementation of interdisciplinary bedside rounding and other health system-priority transition of care interventions as well as further quality and process improvement studies regarding ldquobest practicesrdquo for our Hospital Medicine teams

Hospital Medicine looks forward to working closely with their new nursing partners including Nurse Manager Cathy Neal and Nurse Clinician Dale Wright as well as our dedicated Care Coordinator Connie Vito and Social Worker Shalema Taylor

DIVISION HIGHLIGHTS


Rachel Waller MD


NEW EMAIL DISTRIBUTION LISTS NOW AVAILABLE

As some faculty have experienced there have been issues with some

of our current email distribution lists where people are either being removed from the list or people will not receive the emails when an email goes out to the appropriate list(s) DGIM has seen the confusion and inconvenience to both faculty and staff due to these issues With the help of Lena Rivera and Catherine Good DGIM has created new email lists The names of these lists are more cohesive and representative to prevent confusion of which list to use

The email distribution lists are as follows bull DGIM Admin Team bull DGIM Amb Medbull DGIM OEAbull DGIM Research bull Hospitalist Medicine Service (no changes)

In order to see how to reach any faculty and team member please refer to the email distribution list document posted on the DGIM WikiRamPage (the Wiki Site) The link will bring you to a log-in then use your VCU eID credentials in order to access this document Please remember to follow the directions on the document to gain the most use of this resource

NEW DGIM OUTLOOK CALENDAR

The new DGIM Outlook Calendar has been created to keep effective communication with one another The DGIM Calendar is available

for edit to all DGIM Admin Team Members and is also viewable to anyone else who may need to know our availability (Busy vs Free information only) The DGIM Calendar is located on the Global address list and with just one click you have valuable information readily available

This calendar is one more step towards improving our teams communication and efficiency

NEW ARTS ALLOCATION REDCap TRACKING SYSTEM

DGIM is approaching the new ARTS Allocation Program that will go into effect in July 2017 With these updated requirements DGIM is

working to ensure DGIM faculty accurately receive credit towards their ARTS requirements

DGIM is pleased to announce its new REDCap ARTS Allocation Tracking system This data-entry program will make signing-in to meetings seamless with just a tap on an iPad This REDCap system will be implemented in various meetings faculty attend that count towards ARTS Allocation via an iPad sign-in All faculty need to do is select their name under ldquoPresentrdquo ndash and thatrsquos it From there the tracking information will be exported into a database ultimately making the data of this tracking not only efficient but reliable

DGIM will now be including an iPad sign-in on DGIM meetings some of these meetings include

bull DGIM Grand Rounds bull Ambulatory Medicine Meetingsbull Scholarship and Research Meetings bull Quarterly Division Meetings bull Billing and Coding Sessions An Admin Team Member will sometimes sign faculty in but not always So please be sure to sign in with a single tap on the iPad that will be included in meetings in order to receive ARTS credit for your attendance

Thank you for your cooperation


DEFINING THE WIKIRAMPAGE

WIKI SITE RAMPAGE

PRIVATE The Wiki Site is a private website that only DGIM faculty and staff have access to (VCU eID login required) Internal documents can be made available to team members without worrying about the rest of the world having access

ADMINISTRATIVE DOCUMENTS amp FORMS

COMMUNICATIONS MATERIALS

GenMed PODCAST

FACULTY ADVANCEMENT amp DEVELOPMENT RESOURCES

GRAND ROUNDS SLIDES

SCHOLARSHIP amp RESEARCH RESOURCES

DETAILS ON SPECIAL EVENTS

UPCOMING MEETINGS amp CONFERENCES

STAFF ROLES AND CONTACT INFORMATION

DIVISION MEETING SLIDES AND RECORDINGS

PUBLICThe Ram Page is a public website that can help DGIM properly display the most current updates of our faculty and staff This site can also be used for faculty and team member recruiting purposes and to find quick resources on-the-go

Do you need DGIM information resources forms and contacts on-the-go without having to log in to a computer with Share Drive access The DGIM WikiRamPage is the source for you

However DGIM has received feedback from some faculty and staff and we would like to provide some clarification about the differences between the Wiki Site side of the WikiRamPage and the Ram Page side of the WikiramPage We hope the infographic below will further explain the differences of these information repositories so faculty and staff can make the most use of each information repository

UPCOMING EVENTS


During his yearrsquos 3rd Annual DGIM Retreat faculty will have the opportunity to learn about their own personality and communication styles how to optimize mentorship relationships and so much more

If these new topics interest you feel free to join us for wine and cheese on the patio and so much more at the DGIM Retreat on September 18 2016 at Wyndham Virginia Crossings

We look forward to seeing you there

SAVE THE DATE DGIM RETREAT

DGIM Grand Rounds are now recorded and are included in the GenMed Podcast In case you are not able to attend Grand Rounds or if you want to listen to previous Grand Rounds please be sure to visit the GenMed Podcast

As this Grand Rounds season comes to a close DGIM wants to thank Dr Stephanie Call and Melinda Gills-Becks for their hard work Grand Rounds coordinating

Grand Rounds We await to see the great work of our faculty in the upcoming Grand Rounds season beginning in September

We look forward to your attendence

Starting an academic medical career is exciting but can be overwhelming The Starting Your Academic Career orientation on September 16 will introduce faculty to the key pillars of an academic career in order to aid faculty in plotting paths for their first years in practice Faculty will also have the opportunity to meet other new faculty and work together as they plan as well as meet key leaders at VCU and VCUHealth

All new assistant professors in the Department of Internal Medicine between July 1- September 16 2016 are required to attend this orientation on September 16 However all new assistant professors hired to Internal Medicine since July 1 2015 are welcome to attend as well

Location Larrick Center Jackson Ward Conference Room

Date September 16 2016

Time of Registration 800-830am

Time of Meeting 830am-400pm

Contact InformationBetsy Ripley MD MSAssociate Chair for Internal Medicine Faculty DevelopmentPhone 804-687-3062Email elizabethripleyvcuhealthorg

UPCOMING DIVISION GRAND ROUNDS

ORIENTATION FOR NEW FACULTY

1

As conference season is in full swing please keep in mind that DGIM will cover the price

of printing and delivery of posters up to $4800 If you would like to take advantage of any of these opportunities if you have any questions or if you would like to request research support please contact

Lindsey Hall MPHResearch Coordinator 628-0241LindseyHallvcuhealthorg

See below a list of conferences CLICK the numbers on the map for more details


UPCOMING SCHOLARSHIP amp RESEARCH OPPORTUNITIES 1 Academy Health Annual Research Meeting June 26-28 Boston MA

2 National Medical Association Convention and Scientific Assembly July 30 - Aug 3 Los Angeles CA

3 Sickle Cell Disease Association of America Annual Convention Sept 27-Oct 1 Baltimore MD

4 Alliance for Academic Internal Medicine AAIM Skills Development Conference Oct 20-22 National Harbor MD

5 The Generalists in Medical Education Annual Conference Nov 10-11 Seattle WA

6 Association of American Medical Colleges Annual Meeting Nov 11-15 Seattle WA

7 American Medical Informatics Association Annual Symposium Nov 12-16 Chicago IL

7

5 6

1

2

34


ACADEMY HEALTH PRESENTATIONSTitle Social Networks in the EHR SystemAuthors Nengliang (Aaron) Yao PhD Xi Zhu Vimal Mishra Alan Dow and Allison PhillipsShin-Ping Tu

Title Identifying Care Teams Using Electronic Health Records Access Data and Social Network AnalysisAuthors Xi Zhu Nengliang Yao Vimal Mishra Allison E Phillips Alan Dow Shin-Ping Tu

MANUSCRIPTS Darci Bowles Georgia McIntosh Reena Hemrajani Miao-Shan Yen Nathan Schwartz Shin-Ping Tu and Alan Dow Nurse-physician Collaboration in an Academic Medical Center The Influence of Organizational and Individual Factors -- In Press

GRANTS SUBMITTED Wally Smith and Dr Steven BishopREPEAT SBIR project -- National Institute of Health

Xi Zhu Shin-Ping Tu and Vimal MishraEvaluation of EHR Communication Networks and Information Processing in Cancer Care Teams -- Agency for Healthcare Research and Quality (AHRQ)

GRANTS AWARDED Dr Pablo BedoyaEmpowering Dementia Caregivers with the Tools of Improvisional Theater -- Intramural Funding

REVAMPED SCHOLARSHIP amp RESEARCH MEETINGS

The Scholarship and Research meetings will now take place on the first Tuesday of every month at 1100 AM in room 12-102 in the McGlothlin

Medical Education Center Additionally the research team is excited to announce we will be implementing a new structure for these meetings

The goal of the new structure is to provide an opportunity for faculty to present their current lsquoworks in progressrsquo for discussion and feedback or to learn more about the current work of other faculty in the division and possible opportunities for collaboration Beginning in June we would like to extend an open invitation to any and all faculty who wish to attend

Our goal is for the content and direction of these meetings to be informed by faculty As part of the new structure we would like to ask faculty to provide the content for the agenda each month Therefore we would like to ask those who intend to attend the meetings for the purpose of discussing their lsquoworks in progressrsquo to provide project-specific discussion topics for the agenda one week prior to the meeting You may do this by emailing the DGIM Research Coordinator Lindsey Hall directly She will then compile and circulate the agenda once all information has been received



DGIM WELCOMES LINDSEY HALL MPH

DGIM would like to welcome Lindsey Hall MPH to the Research Team as our new Research Coordinator Lindsey comes to DGIM from the Center of Society and Health within the VCU

Department of Family Medicine and Population Health where she was a Research Assistant In this role Lindsey supported research and coordination efforts for a project on life expectancy and another observing how each state ranks in terms of different health outcomes

Lindsey was born and raised in Gaithersburg MD and received her BS in Biology from James Madison University and her Master of Public Health from VCU The desire to aid peoples health issues through

large-scale prevention and education efforts drove Lindsey to pursue research in public health Along with contributing to these efforts Lindsey hopes to further stimulate DGIM scholarship efforts and encourage even more faculty to be involved in Scholarship and Research DGIM is happy to have Lindsey on the driven Research Team



Who were your first mentor(s) and what are some valuable lessons you learned from them

Mentoring should begin before entering Medical School In high school I had mentors who pushed me to be the best person I can be In medical school I had physicians who were models of who I wanted to be

One mentor I had was a retired cardiologist named Dr Bob Payne who I worked with during my first and second year of medical school Even though he was retired he was making time to see patients in the free clinic and to teach medical students about being a humanistic physician I learned a great deal just by sitting next to him and having him show me how to help people who face unimaginable barriers

What are some advice you would give faculty about becoming a mentor andor mentee

I believe one of the most important factors to remember to be accountable in the mentormentee relationship and to be respectful of the commitment you have made to each other As a mentor you want to think about your mentees and how you can provide opportunities to progress them from where they are to where they want to go This may be a challenge because the menteersquos path might be a different path from yours but it really comes down to understanding people and where they want to advance while being thoughtful on how to guide the mentee

As a mentee you want to define where you want to advance and articulate this so the mentor can identify how they can help you grow

What are some pointers faculty need to remember when trying to find a mentor

I think the first pointer is to not put mentors on a pedestal I mean this in two ways

1 If there is a senior faculty that is doing interesting

work who you may want to work with just reach out to them to grab coffee beer or your beverage of choice People love to talk about themselves so have your potential mentor talk about themselves and their work to see where the conversation goes

2 Recognize that the best mentor may not be the most senior person Your best mentor may be someone that is only slightly ahead in their career someone similar in rank or even junior but know or have a passion for a certain area There is a lot to be said about co-mentoring ndash where you are working together to solve a problem by bringing different perspectives

The other important pointer is searching for mentors outside of healthcare or even outside of general internal medicine can be really positive There may be someone in pharmacy psychology social work or etc who can present new ways to solve problems

What are some goals of the Faculty Advancement Committee (FAC) to mentor junior faculty

The FAC is developing our plan but right now we are deliberating the structure of how to interact with a large faculty like ours especially a large junior faculty like ours Now we can provide a structure to be able to understand what the faculty need and how that meshes with the organizational requirements for promotion and tenure

This structure can help us senior faculty begin to build pathways and programs to help junior faculty become successful Also the structure can help solve the bottom-heavy issue of the levels of professorship in DGIM by helping faculty move towards and demonstrate their recognition that mentors can help define The goal of the mentor and mentee then becomes to discover those methods to help junior faculty in promotion and tenure

Speaking Alan Dow MD MSHA

IN THE SPOTLIGHTMY MENTOR STORY AN INTERVIEW WITH DR ALAN DOW

Most people know the definition of mentor but what does it really mean to be a mentor We sat down with Dr Alan Dow Assistant Vice

President of Health Sciences for Interprofessional Education and Collaborative Care and Professor to gain a better understanding of mentoring through his Mentor Story


Carley Lovell MS MA RN WHNP- BC has lived in Richmond VA most of her life Carley completed her undergraduate degree at

Randolph-Macon College in Ashland VA where she not double but triple-majored in Psychology Philosophy and Womens Studies She then continued to pursue a masters degree in psychology at New York University

After receiving her masters degree Carley returned to Richmond to work as a sexual assault Prevention

Counselor and was then served as Interim Director at a domestic violence and sexual assault crisis center

Even with her success Carley found herself wanting to learn more about the physiology behind her love of womens health related issues This desire drove Carley to attend VCUs School of Nursing where she earned a BS and MS in nursing

Carley is a board-certified Womens Health Nurse Practitioner with a focus in weight loss and is a Clinical Assistant Professor at VCUs School of Nursing She is currently completing her PhD at the Medical University of South Carolina in Nursing Science where she is studying genetic and psychological indicators associated with binge drinking and eating behavior

Even backpacking across Europe Carley believes that Richmond is one of the best kept secrets Carleys passions include plants animals and people Carley is proud to be affiliated with such a renowned institution as VCU and DGIM is ecstatic to have such a multi-talented member added to the Weight Loss Clinic


NEW MEMBERS

THE STORK HAS COME TO TOWN

The stork made a couple visits since the last quarter We as a division look forward to

witnessing the growth and journey of these babies into their bright futures Thank you to all the DGIM faculty and staff for supporting the parents of these children as the parents took their leave

Take a look at these beautiful faces

QUINTUS LORENZAFERGUSON IV

May 20 2016 432am6 pounds 6 ounces and 195 inches

SON OF KRYSTLE BRUNSON

HELLOworld

SANAH KAUR MALIKJune 3 2016 at 817 am

7 pounds 15 ounces and 20 inches DAUGHTER OF DR MANPREET MALIK


=

DGIM STAFF TAKE A STEP TOWARDS WELLNESS

Members of the DGIM Admin Team are taking steps towards achieving overall wellness -- literally Wellness crusader Catherine Good

has become a guide in health after her own success while on Dr Susan Wolvers weight loss program used in her distinguished Weight Loss Clinic along with climbing the entire staircase (12 flights) of Sanger Hall every day -- multiple times a day This feat has begun motivating Admin Team members to walk the staircase every day multiple times a day

Catherines suggestion has been to walk multiple flights of stairs when leaving the desk start at five flights and begin to add an additional flight every week While climbing the stairs Catherine and other team members alternate each flight with walking up single steps and skipping up every-other step According to research this small change can have significant effects

Harvard University Even at a slow pace yoursquoll burn calories two to three times faster climbing stairs than walking briskly on the level The Harvard Alumni Study found that men who average at least eight flights a day enjoy a 33 lower mortality rate than men who are sedentary mdash and thatrsquos even better than the 22 lower death rate men earned by walking 13 miles a day

DGIM is inspired by these changes and will be working on plans to support the Admin Team to incorporate exercise into the day Together DGIM can achieve wellness

DGIM FACULTY MEMBER APPOINTED ACP QI CHAMPION

DGIM is pleased to announce that Dr Rachel Waller has

been appointed as a QI Champion of the American

College of Physicians (ACP) Quality Connect Diabetes program Dr Wallers election as QI Champion is part of ACPs sponsorship of VCU faculty in Internal Medicine and Family Medicine for its Quality Connect Diabetes program

NEW HOME FOR HOSPITAL MEDICINE TEAMS

In a huge step towards providing unit-based care for all of our General Medicine inpatients North 6 was redesigned and reopened as the Medical Specialties

Unit on April 26th The 28-bed unit will be home to two of our Hospital Medicine teams including the hospitalist arm of the new Acute Care Advanced Practice Provider fellowship The geographic structure will allow for implementation of interdisciplinary bedside rounding and other health system-priority transition of care interventions as well as further quality and process improvement studies regarding ldquobest practicesrdquo for our Hospital Medicine teams

Hospital Medicine looks forward to working closely with their new nursing partners including Nurse Manager Cathy Neal and Nurse Clinician Dale Wright as well as our dedicated Care Coordinator Connie Vito and Social Worker Shalema Taylor

DIVISION HIGHLIGHTS


Rachel Waller MD




















WIKI SITE RAMPAGE




GenMed PODCAST


GRAND ROUNDS SLIDES









UPCOMING EVENTS



















1













7

5 6

1

2

34


















































NEW MEMBERS








HELLOworld






















WIKI SITE RAMPAGE




GenMed PODCAST


GRAND ROUNDS SLIDES









UPCOMING EVENTS



















1













7

5 6

1

2

34


















































NEW MEMBERS








HELLOworld



UPCOMING EVENTS



















1













7

5 6

1

2

34


















































NEW MEMBERS








HELLOworld



1













7

5 6

1

2

34


















































NEW MEMBERS








HELLOworld




















































NEW MEMBERS








HELLOworld



dgim summer 2016 newsletter

Documents