News

December 11th, 2017 | Clinical ConnectionsNews

by Chris Schaeffer, MD Radiologists can affect patient outcomes. Today, both patients and practitioners have access to the final imaging report. The language radiologists use to describe findings can affect how patients see themselves and the disease process. Radiologists should use the standardized nomenclature for Lumbar spine MRI. The accurate and consistent description of findings…

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December 11th, 2017 | Clinical ConnectionsNews

by Bob Molinari, MD At the AHP October Clinical Grand Rounds my talk was entitled “Evidence-based Imaging for Low Back Pain”. In it I highlighted the very high incidence of abnormal MRI findings in totally asymptomatic patients. For example, during the early 1990’s, we knew that approximately 20% of middle-aged subjects, and 60% of those…

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December 11th, 2017 | Clinical Connections

by Webster Pilcher, MD The AHP Back Pain IPC brings together a broad group of stakeholders with a shared commitment to improving the continuum of spine care within our community. The past 20 years have witnessed a significant expansion of back pain related clinical services which are often provided in an uncoordinated fashion and which…

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December 11th, 2017 | Clinical Connections

by Matt Devine, D.O. – AHP Medical Director Recently, AHP commenced on a new process aimed to help us improve patient care and delivery by becoming more collaborative across the network. (Drumroll…) The AHP back pain committee has become the first integrated practice committee (IPC) in our network. The charge of this committee is to…

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September 22nd, 2017 | Clinical ConnectionsNews

By George Nasra, M.D., M.B.A. This is my first contribution to the AHP clinical newsletter as medical director for behavioral health (BH). In this role, I have been working closely with the AHP care management team and the newly formed AHP behavioral health integration team to think through and implement different models of BH integration…

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September 22nd, 2017 | Clinical ConnectionsNews

By Laura J. Shipley, MD Pediatrics is all about upstream prevention of illness and promotion of health. At AHP, we are focusing on children in our community and looking at innovative and collaborative approaches that address some of the most concerning risks to their health. We see AHP providing a strong platform for action that…

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September 22nd, 2017 | Clinical ConnectionsNews

By Daryl Sharp, PhD, PMHCNS-BC, NPP AHP’s care management team is working closely with our DSRIP colleagues to explore ways to strengthen support for vulnerable populations in our network. We currently provide centralized social work care management (based at Noyes Hospital) for 8 rural primary care practices. Earlier this summer, URMC social work, primary care…

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September 22nd, 2017 | Clinical ConnectionsNews

Jineane Venci, PharmD, MS-CI, BCACP Switching antidepressants requires balancing the risk of discontinuation syndrome with minimizing therapeutic gaps in efficacy. In general, direct switches (abruptly stopping the current agent and starting the new on the next day) may be considered when drugs have similar pharmacologic properties. In situations where drug interactions, discontinuation syndrome, or serotonin…

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September 22nd, 2017 | Clinical ConnectionsNews

By Matt Devine, D.O. It has been over nine years since the hospitals affiliated with the University of Rochester have adopted policies that ended the visitation, gifting of food and other rewards, as well as allowing pharm reps to supply medical samples. In reviewing these documents (below), I was also impressed to learn that the…

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September 22nd, 2017 | Clinical ConnectionsNews

By Cristina Demian, MD, MPH, FACOEM A few years ago, the dangerous lead contamination of Flint, Michigan’s water supply reminded the nation that this metal remains widespread in our environments (housing, water systems, soil, etc.). Lead poisoning, it turns out, is an environmental disease, but it is also a disease of life style. Lead gets…

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