Log into Patient Portal Username Forgot username? c Average days to treatment from first nodule detection. Physician and Employee Portal Blount Memorial Hospital now is offering a physician portal for its medical staff members to access their patient data from both inside and outside the hospital. Dr. Greene, but only those who participate in Medicare. Just click here to enroll! Rheumatologist 41 years experience, JenniferLBest.MD.com Similarly, a report of a Northeastern United States comprehensive lung nodule program found that 80% of nodules were found incidentally and only 20% through lung cancer screening [23]. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Patient Portal; Contact; Blog; Pay Your Bill; Shopping cart close. This report describes the first 2 years of a lung cancer screening and incidental nodule program. Record Locator Number Zip Code Zip Code Need help locating your record locator number? Emergency Medicine Specialist 46 years experience, ChristopherSBarber-DO.MD.com Our experience suggests that with careful oversight, a successful lung nodule program can be implemented in any type of community health system, not just large multi-hospital systems. Family Doctor 31 years experience, NealAtchley.MD.com The remaining 576 patients were placed into watchful waiting. PubMed 2012 Blount Memorial Hospital Data. The radiation oncology department had recently begun using a new scanner and the learning curve reduced the number of cases that could be evaluated per day. Patients entered into the lung nodule database were those with lung nodules observed to be enlarging or not seen in a prior scan. c Stage Distribution of Cancer Diagnoses in Year 1 of the Program. two offices Gulfport, MS 39501 2013;143:7S37S. Medicare Accepted: No. hb```)eap>-\BCC;:@B @%H@ 2014;11:37883. Dig Deeper System-wide Epic EHR. Bozeman Health Pulmonary Medicine, 937 Highland Blvd, Suite 5510, Bozeman, MT, 59715, USA, Blount Memorial Physicians Group, 266 Joule Street, Alcoa, TN, 37701, USA, Ernest A. Waller,Cheryl Campbell&Tyler Bowen, You can also search for this author in The program goal was to improve patient outcomes, with specific objectives of achieving (1) a stage shift to earlier lung cancer diagnosis and (2) treatment initiation within 30days of first nodule detection (defined as the day of the index CT scan, or the day of the CT scan that initiated intervention for patients originally placed in observation). The number of patients with lung nodules referred to the program increased over 2years, from 665 patients in Year 1 to 745 patients in Year 2. Memorial is dedicated to helping improve your overall health care experience. Ann Intern Med. Blount Memorial Physicians Group - Family and Internal Medicine Patient Portal Frequently Asked Question (FAQ) link, A portion of your medical records and health history, List of current medications, allergies, immunizations, Request a prescription refill and send it to the pharmacy of choice, Link to accounts of others as they approve. 458 Bmh Physicians Office Bldg, Maryville, TN37804. In over 15,000 patients with incidental nodules from a commercial insurance database, only 36% received subsequent workup despite an estimated cost of only $1$2 per member per year when averaged across the insured population [7]. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Maryville, Fifty-eight of the 665 patients were not directly referred to the lung nodule program, but were instead followed by their primary care physician or an outside pulmonologist. Blount Memorial Physician Group in Maryville, TN - Yellow Pages Siegel RL, Miller KD, Jemal A. If the patient did not return for a scan, the nurse navigator contacted the patient to schedule a follow-up. Internist 26 years experience, RodneyFerguson.MD.com Popul Health Manag. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Bmh Physician Portal - PortalRocks De Koning H, Van Der Aalst C, Ten Haaf K, Oudkerk M. PL02.05 Effects of Volume CT Lung Cancer Screening: Mortality Results of the NELSON Randomised-Controlled Population Based Trial [Abstract]. 7,752,060 and 8,719,052. Blount Memorial Physicians Group-ENT 653 Morganton Square DriveAlcoa, TN37801 Get Driving Directions Contact Information Main:865-238-6460 Fax:865-238-6461 Find a Physician at this Location Service Line Ear, Nose and Throat (General ENT) County Blount 865-541-8000 2018 W Clinch Avenue Knoxville, TN 37916 Photographs used by permission The program then grew by quarter in Year 1, with 142 referrals in the first quarter of the full program, followed by 148, 167, and 208 in the subsequent three quarters. Yes, Dr. Jonathan F. Greene is accepting new patients at this office. Thus, any program that does not capture incidental findings is likely to miss a significant portion of lung nodules. Accepting New Patients? Internist 40 years experience, JasonBudde.MD.com 2017;108:18391. East Tennessee Medical Group - Blount Memorial Internist 19 years experience, KeilahGonzalez-bonilla.MD.com All patients requiring diagnostic intervention (defined as invasive biopsy) were tracked. Prior to the development of a comprehensive lung nodule clinic in 2016, the lung program at Blount Memorial Hospital consisted of a lung nodule screening service that was offered for a cash price of $99 United States dollars. Make an Appointment. Exceptional Care That H\VA!+1709mpV+RrQjW-ozVr(>/{PhZDToYuTT d1g'tGcGuX+xm6K2X]yd v%gaF U:ZZQD6EdHKw=Pj&Y Those dates were communicated to the radiation oncologist and medical oncologist offices to ensure coordinated care. Provided by the Springer Nature SharedIt content-sharing initiative. Dickson, Blount Memorial Physicians Group Physicians & Surgeons Physicians & Surgeons, Pulmonary Diseases Website Lung Cancer Manag. J Thorac Cardiovasc Surg. Most nodules were incidental (6265%). These oversight best practices help ensure that temporary challenges do not become pervasive. J Comput Assist Tomogr. Only 2% of patients initially placed in watchful waiting during Year 1 required a diagnostic procedure after follow-up scanning, and only 1% received a cancer diagnosis. An increase to 42 and 43days was observed in the fourth quarter of 2017 through the first quarter of 2018, dropping to 30days in the second quarter, and rising again to 52days in the third quarter of Year 2. #^x}V|UeLF+g8t{+U>P)b| -up*UR{{bk1Qw'Lv-I+[ZzB!D0F'`mxZ3Sbr1fJa8likf3p!r[B2vjLf8Ca?@U?@>?B&$#7T8oL#ZV6XY>l8 _"X(t Related to the submitted work, the authors received non-financial medical writing and editorial assistance from Medtronic. 2018;319:144472. First, 6265% of nodules in our program were incidental nodules. Blount Memorial Hospital - 907 E Lamar Alexander Pkwy Blount Memorial Hospital Hospital Maryville Save Share Tips 7 By creating an account you are able to follow friends and experts you trust and see the places they've recommended. Blount Memorial Physicians Group is a medical group practice located in Maryville, TN that specializes in Rheumatology. Development and outcomes of a comprehensive multidisciplinary incidental lung nodule and lung cancer screening program, https://doi.org/10.1186/s12890-020-1129-7. The remaining 483 patients without diagnostic intervention were placed into watchful waiting (including the 58 patients not managed by the lung nodule program). Age-standardized life years lost due to lung cancer is significantly worse in the southeastern United States compared to national averages [2]. Neurologist 26 years experience, ClintonWight.MD.com Lung Cancer screening inconsistent with U.S. preventive services task force recommendations. During the phase-in period prior to full program implementation, 63 nodule referrals were received. Symptomatic patients were defined as those with symptom(s) attributable to the lung nodule(s) at the time of presentation. Most patients were evaluated with both ENB and linear EBUS in the same procedure. Family Doctor 33 years experience, ElizabethMays.MD.com Transforms. Cardiologist 47 years experience, WallyWerner.MD.com The physicians at Women's Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. %PDF-1.4 % Blount Memorial Hospital MedicalRecords.com Rating 154 reviews 2.6 Overview Services 907 E Lamar Alexander Pkwy, Maryville, TN 37804, USA (865) 983-7211 Website Patient Portal Order Your Records Emergency? JAMA. With Patient Portal, you can connect with your doctor through a convenient, safe and secure Health Record - Blount Memorial https://blountmemorial.org/Resources-Health_Record In recent years, an increasing number of centers have developed incidental lung nodule management and screening programs. 2014;160:3308. Low-dose CT (LDCT) screening adoption has been poor despite recommendations, possibly due to lack of patient education, access to care, and reimbursement [13], particularly in the Southeastern United States [14, 15]. 1 Review your account 2 Choose a payment option that is right for you 3 Pay easily and quickly Secure Authentication Access your account with the record locator number found on your last statement. https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx? Moyer VA, U. S. Preventive services task force. This website is using a security service to protect itself from online attacks. Greene has No apparent workup for most new indeterminate pulmonary nodules in US commercially-insured patients. Google Scholar. 0000006529 00000 n Int J Cancer. 232 Associates Blvd . to confirm your coverage before making an appointment. General Surgeon 16 years experience, PeterRScott.MD.com Blount Memorial Physician Group, Inc. Npi 1699710194 Family Doctor 27 years experience, WilliamVines.MD.com Rosenkrantz AB, Xue X, Gyftopoulos S, Kim DC, Nicola GN. Blount Memorial Physicians Group is a medical group practice located in Maryville, TN that specializes in Ear, Nose, and Throat. This new process provides access to your health and wellness data that will enable you and your care team to make informed choices. The percentage of incidental nodules increased from 61.5% in Year 1 to 64.9% in Year 2. 653 Morganton Square Dr, Maryville TN, 37801. Roberts TJ, Lennes IT, Hawari S, Sequist LV, Park ER, Willers H, et al. Lung nodule management is data-intense and requires efficient and effective data oversight, as well as adequate staffing. Red line indicates a program target objective of 30days or fewer. Available data for the phase-in screening period of July 2016 through September 2016 is presented separately to characterize the initial impact of screening program implementation on volume and stage shift; however, this data is more limited than the data available in Year 1 and Year 2. Please Note: The information displayed below is sourced from the 2014 Once we receive your request, Memorial will work with the appropriate vendors to determine if they meet the technical requirements in order to establish a secure connection. Login | Blount Memorial Hospital - Consumer Portal Dr. Brett Smith, DO, Internal Medicine | MARYVILLE, TN | WebMD Accessed 9 April 2019. J Bronchology Interv Pulmonol. Google Scholar. EHR Downtime Drives TN Hospital to Invest in Backup System Tel: (865) 238-6460 . 2018;4:155368. Cumulative Program Data Through 2Years. 2016;8:S4947. 2019;155:9007. Blount Memorial Physicians Group Careers and Employment Chest. Cost-effectiveness of low-dose CT screening for lung cancer in a European country with high prevalence of smoking-a modelling study. Interventional pulmonology programs that include advanced minimally invasive diagnostic procedures, such has ENB, are associated with increased rates of early-stage diagnosis [25,26,27] and fewer benign resections [25]. 2018;22:34761. Morgan L, Choi H, Reid M, Khawaja A, Mazzone PJ. Cloudflare Ray ID: 7c0a428e2c120379 Mailing Address. As a second example, we had set a program objective of 30days from first nodule detection to first treatment. 0000013323 00000 n The remaining 607 patients were managed by the nodule program. Blount Memorial Physicians Group, Maryville, TN - Healthgrades H\VK#)uG 8Fp/PM4HCVKWz_~(>#exm3_??f_k*'vhRJbYzR=.K\Y@DXe|: (`hxE[ H\V]o\5}?A@Zi m9g{w"%syfKp{qy9{kI5V7U~K>h:?.uwQ7zwpy|L[_NkZ?wintSxvQ6sZzTDqQ5xgbE %8"5kuBfY*?fJa L]*T*2nfjiHTbAI%f;DXiKE2C.r(OEj\BxeUM *JQ@C9)SiYt;#R=`(DED"IZY n}N!Xsr5u"f8`> 0000002429 00000 n Centers for Medicare & Medicaid Services, United States Department of Health and Human Services. 2019;108:4126. Ann Thorac Surg. Blount Memorial Physicians Group - Urology 425 BMH PHYSICIANS OFFICE BLDG Maryville, TN 37804 Urinary Conditions, and More Make an Appointment (865) 980-5260 Share Save Overview Insurance Ratings 2 About Me Locations Hospitals ADVERTISEMENT Get better prescription prices Save an average of $55 per medication using free Optum Perks coupons. TN 37055, SusanSouther.MD.com Memorial Health System b Lung cancer stage distribution at diagnosis before program implementation (2012) and in the first and second year of lung nodule program implementation. Ridge CA, Hobbs BD, Bukoye BA, Aronson MD, Boiselle PM, Leffler DA, et al. Hinde S, Crilly T, Balata H, Bartlett R, Crilly J, Barber P, et al. However, as with incidentally detected nodules, false positive rates are high [9]. The majority (61.5%) of referred nodules in Year 1 were incidentally detected. 1, Box C), including 119 primary and 2 metastatic (pancreatic and renal) cancers. Four patients required a second procedure to complete staging or obtain a diagnosis. We implemented several best practice procedures to increase patient compliance and ensure no patients were lost. After review of the CT report and the CT scan, 1127 were determined to not have a nodule or to have a nodule that had been stable for more than 2years. NOTE: Please There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Red portion indicates the percentage of the total represented by incidental nodules. Black L. Lung Cancer screening: implementation of and barriers to a nurse practitioner-led program. Blount Memorial Physicians Group is a multispecialty private practice with a large primary care base. Google Scholar. (865) 546-1642. Providers Overview Location Reviews. Blount Memorial Physicians Group, Inc. 37804 (865) 980-5060 Home Practice Directory Tennessee Maryville Blount Memorial Physicians Group, Inc. Advertisement 57 Doctors at this Office Aiswarya Sundaram, MD AiswaryaSundaram.MD.com Cardiologist 19 years experience Blount Memorial Physicians Group, Inc. 0000010574 00000 n Pulmonologist 41 years experience, MarkEGreen.MD.com 2011;365:395409. Incidental nodules are commonly seen on thoracic and abdominal CT imaging for trauma, cardiac symptoms, or abdominal symptoms [4]. Accessed 28 Mar 2019. 0000005375 00000 n 0000012121 00000 n 2015;163:4614. Most lung diagnostic interventions were conducted using image-guided bronchoscopy, including electromagnetic navigation bronchoscopy (ENB; superDimension navigation system version 7.1) and radial endobronchial ultrasound (EBUS) probe (Olympus). Health, Etmg Patient Portal Page portal-god.com, My Tennessee Urology Patient Portal Tennessee Urology, blount memorial patient portal Health Record Blount , Blount Memorial Patient Portal Find Official Portal CEE Trust, Etmg Patient Portal Find Official Portal CEE Trust, Blount Memorial Patient Portal LoginCast.Com, East Tennessee Dermatology Group | Home East Tennessee , Welcome to Cardiology Associates of East Tennessee , Nathan E. Schrock MD | UT Medical Center | Knoxville, TN, Parent Portal West Seneca Central Schools, Gateways To Better Living Employee Portal. Lung cancer is the leading cause of cancer-related death worldwide [1]. Among first-year patients, 71% had follow-up scanning within 18months of the initial scan. 0000002050 00000 n A rudimentary incidental nodule program consisted of a single individual manually reviewing CT reports. Please contact us to help ensure your office Downstream costs associated with incidental pulmonary nodules detected on CT. Acad Radiol. Learn why. Radiology. Maryville, TN 37804 The number of new screening scans increased steadily each quarter, with 255 in Year 1 and 549 in Year 2. Make an Appointment. The economic impact of a nurse practitionerdirected lung cancer screening, incidental pulmonary nodule, and tobacco-cessation clinic. J Natl Compr Cancer Netw. hb/s`gTlk]vxm{dzDgn2~~]; a^uB e3 8,0z`dQ_;863g7 '|%-_u1`#7|Sc79(1]hFDK1H-~kr ?pp!CkOP ,> ,#VfuX_h-^]09lE*LF1Wt{_vHxtC wWG/._ ^7 endstream endobj 18 0 obj <>stream JAMA Oncol. https://mymidwestphysician.com/patient-portal/, Log into Patient Portal to see your medical records at $pracName. 0000002913 00000 n An automated electronic search was used to scan radiology dictation notes for words related to lung nodules. 0000002316 00000 n This oversight greatly increased our follow-up rates. Location Phone. Gynecology; Obstetrics; . bmhphysiciangroup .org/. contact the doctors office Gregory P. LeMense. The physicians at Womens Care Group have chosen the fields of obstetrics and gynecology because of their appreciation, passion and respect for women. Providers Overview Location Reviews. 270 Blount Memorial Hospital Physicians Office Building Maryville, TN 37804 (865 . 103 WEST BROADWAY AVENUE MARYVILLE, TN 37801. 1699710194. Integrated, multidisciplinary management of pulmonary nodules can streamline care and improve adherence to recommendations. Self-enrollment is available for Memorial Hospital and Physician Clinics patients who are age 18 years or older that dont currently have access to myMemorialConnection. Gould MK, Tang T, Liu IL, Lee J, Zheng C, Danforth KN, et al. Blount Memorial Physicians Group is a multispecialty private practice with a large primary care base. The objective of the current paper is to describe the development and results of a lung cancer screening and incidental nodule management program in a community hospital serving 5 counties in Tennessee. 2019;56:6673. Of those, 27% (182/665) required a diagnostic intervention and 18% (121/665) received a cancer diagnosis. Although we did not conduct a formal cost-effectiveness analysis, our results support prior publications from Europe [32], the United Kingdom [33], Asia [34], and the United States [35, 36] demonstrating the cost-effectiveness of screening and incidental nodule programs. Family Medicine. Patient Portal - Memorial Health System Yes, Dr. Jonathan F. Greene is accepting new patients at this office. Medicare Physician and Other Supplier National Provider Identifier (NPI) Aggregate Report. Blagev DP, Lloyd JF, Conner K, Dickerson J, Adams D, Stevens SM, et al. 2019. https://doi.org/10.1634/theoncologist.2019-0519. Terms and Conditions, Decision Memo for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) (CAG-00439N). Lung Cancer. While the structure and technology exist to capture and manage patients, implementation is often challenging. Patients with screening-detected nodules that required more than yearly CT follow-up were moved to the active database (29% in Year 1 and 20% in Year 2). Blount Memorial As one example, our database was queried monthly to report on every patient due for a follow-up scan that month. However, efficiency is also important to reduce unnecessary costs from over-management [31]. Blount Memorial Physician Group, Inc Physicians & Surgeons, Family Medicine & General Practice Physicians & Surgeons, Internal Medicine Physicians & Surgeons, Obstetrics And Gynecology Website (865) 984-3864 266 Joule St Alcoa, TN 37701 2. Gastroenterologist, Internist 25 years experience, CharlesRahn.MD.com 2014;38:8995. Box 1810 Han D, Heuvelmans MA, Vliegenthart R, Rook M, Dorrius MD, Oudkerk M. An update on the European lung Cancer screening trials and comparison of lung Cancer screening recommendations in Europe. Year 1 data are presented from October 1, 2016 to September 30, 2017, representing the first year of the fully operational screening and incidental management program. Family doctors may detect, address, & manage a number of conditions, illnesses, & diseases. There was a multidisciplinary cancer conference, but no structured program for evaluating nodules or coordinating follow-up. Three had negative biopsies and remain in follow-up with no progression and one had a pseudomonas infection that responded to treatment. Shusted CS, Barta JA, Lake M, Brawer R, Ruane B, Giamboy TE, et al. Family Doctor, Emergency Medicine Specialist 12 years experience, BradleyTHall-DO.MD.com Sethi S, Parrish S. Incidental nodule management-should there be a formal process? Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, Fagerstrom RM, et al. Brown C, Ben-Or S, Walker P, Bowling M. The impact of electromagnetic navigational bronchoscopy on a multidisciplinary thoracic oncology program. Our servers have detected that you are accessing this site from a restricted area. Lung Cancer. Cardiologist 25 years experience, RichardGaddis.MD.com This paper presents aggregate data. A total of 474 patients remain in monitoring with no progression noted on follow-up imaging. You can email the site owner to let them know you were blocked. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Finally and most importantly, our data emphasize that careful patient navigation and oversight is essential to the success of any lung nodule program [37], especially in vulnerable populations [38]. Figure1 depicts the procedural flow after full program implementation.

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