Guests:

Dr. Ankita Sagar
System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise
Associate Clinical Professor of Medicine, Creighton University

Dr. Gary Greensweig
System Senior Vice President and Interim Chief Medical & Quality Officer (CMQO), CommonSpirit Health

Studies referenced: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2820721?guestAccessKey%3Db122716f-826f-4a09-82cb-e32aa6fa0f43%26&sa=D&source=calendar&ust=1733927688755673&usg=AOvVaw39iMVRrJYFLIVN1EdHa6ml

Guidelines referenced:

• https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cardiovascular-disease-risk-screening-with-electrocardiography
• https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-ekg.html

This Grand Rounds session discusses delirium among older adults, the first in a series of age-friendly initiative sessions discussing the care approach for aging patients.

Moderators:
John Morelli, MD, System VP Acute Care Clinical Service Line
Thomas Frederickson, MD, FACP, SFHM, MBA, System VP Hospital Medicine Operations

Speaker:
Rajesh Tampi, MD, MS, DFAPA, DFAAGP, Professor and Chairman, Department of Psychiatry, Creighton University School of Medicine

Panelists:
Nikhil Seth, MD, Assistant Professor, Baylor College of Medicine
Connor Rowan, PharmD, Clinical Pharmacist with Geriatric Expertise, Virginia Mason Franciscan Health

Implementing SDOH/Health-Related Social Needs Screening and Management in Ambulatory Care. Our speaker for the session is Kevin Fiori, MD, MPH, MS, FAAP, from Montefiore Einstein, a premier academic health system known as a pioneer in the space and one of the largest value-based providers for health-related social needs assessment and value-based whole-person care.

Panelist:
Corey Karlin-Zysman, MD, Chief of the Physician Enterprise
Barbara J. Martin, PhD, ACNP-BC, MPH, System Senior Vice President, Advanced Practice

Learning Objectives:
- Summarize current evidence, guidance and rationale for health-related social needs (HRSN) screening in clinical practice.
- Describe lessons learned from Montefiore Health System's experience implementing and scaling HRSN screening and navigation support.
- Identify future directions for integrating HRSN screening and support in health care delivery.

Physician Enterprise Grand Rounds session discussing best practices for Type 2 Diabetes Mellitus Management.

Our speakers for the session are Mandeep Bajaj, MBBS, Vice Chair for Clinical Affairs and a Professor in the Department of Medicine at Baylor College of Medicine, and Avin P. Pothuloori, MD, Assistant Professor of Medicine at Creighton University School of Medicine.

Panelist

Debra Rockman, RN, MBA, System Vice President of Ambulatory Quality, CommonSpirit Health

Guest: Dr. Hana El Sahly, Professor, Kyle and Josephine Morrow Chair, Molecular Virology and Microbiology Vaccine and Treatment Evaluation Unit, Baylor College of Medicine

Discuss the latest updates and clinical implications of Bird Flu/H5N1 and the measles outbreak.

Bird flu/H5N1
- Overview
- Infection rates
- Risk of transmission to humans
- Prevention
- Surveillance

Measles
- Overview
- Outbreak status compared to prior years
- Infection rates
- Vaccine recommendations

Resources:
https://www.nejm.org/doi/full/10.1056/NEJMoa2414610

https://www.cdc.gov/bird-flu/situation-summary/index.html

https://www.cdc.gov/measles/hcp/vaccine-considerations/index.html

Our speaker for the session is Summer Peregrin, PharmD, Ambulatory Clinical Pharmacist at Dignity Health Medical Group — Arizona, and one of the authors of the Opioid Toolkit for CommonSpirit Health.

Learning Objectives

1. Review the current state of the opioid epidemic
2. Recognize signs and symptoms of a potential opioid overdose
3. Build greater understanding of naloxone and its use to treat an opioid overdose
4. Summarize best practices in emergency response to an opioid overdose

Panelists

• Shawna Sharp, RN, System Director Clinical Transformation, Physician Enterprise
• Marijka Grey, MD, MBA, FACP, System Vice President Ambulatory Transformation & Innovation, Physician Enterprise

Our speaker for the session is Justin Reynolds, MD, the Medical Director of Liver Transplant and Chief of Hepatology at the St. Joseph's Hospital and Medical Center in Phoenix, Arizona.

Learning Objectives:

Provide updates to the current landscape of steatotic (fatty) liver disease, including recent nomenclature changes.

Learn about treatment options for individuals with MASLD/MASH including when to refer to specialty care.

Discuss the epidemic of MASLD/NAFLD, as well as the increasing burden of MASH/NASH.

Learn methods to assess individuals for at-risk MASH, emphasizing non-invasive tests and their role in clinical care.

In this episode of the 5-Minute Check In with Dr. Thomas McGinn, our myth-busting team takes on two popular topics submitted by our providers:

• 5G radiation: Whether you are near a cell phone tower or holding a cell phone too close to your head, is 5G radiation harmful?
• Vitamin D: this supplement is marketed as a cure all for preventing falls, fractures, and even dementia. Should patients be routinely screened if they have no indication for deficiency?

Watch as we compare popular beliefs to the latest evidence.

Links:

5G Radiation

• https://www.cancer.gov/about-cancer/causes-prevention/risk/radiation/cell-phones-fact-sheet#is-the-radiation-from-cell-phones-harmful
• https://www.cancer.org/cancer/risk-prevention/radiation-exposure/cellular-phone-towers.html
• https://pubmed.ncbi.nlm.nih.gov/35350069/

Vitamin D

• https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-deficiency-screening
• https://www.acpjournals.org/doi/full/10.7326/M14-1659?download=true&journalCode=aim