a r k a n s a s m e d i c a l n e w s . c o m SEPTEMBER/OCTOBER 2014 > 1

December 2009 >> $5

Jameel Ahmad Brown, MD

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Arkansas VA Healthcare Systems Improving Access for Veterans Telemedicine being used to combat physician shortages

(CONTINUED ON PAGE 6)

By BECKy GILLETTE

Veterans Admin-istration (VA) health-care has been under fi re after an audit in June found more than 120,000 veterans were unable to get care in a timely manner. That includes 40 veterans who died while wait-ing for care at the VA in Phoenix, Ariz. Public outrage has sparked investigations and efforts by Congress to provide additional fi nancial support for VA healthcare.

As of July, the total number of veterans on the electronic wait list for Central Arkansas Veterans Healthcare System (CAVHS) in

Little Rock was down to 43 and none of them had been waiting more than 60 days. The wait list at the Veterans Health Care of the Ozarks (VHCO) in Fayetteville was down to zero.

CAVHS Deputy Chief of Staff Catina “Tina” McClain, MD, said they have been for-tunate here in Central Arkansas that they have never really had big num-bers of patients waiting for care.

“Access has been one of our strong suits,” McClain said. “Overall, our access here has been and continues to be doing very well. The numbers have come down since we accelerated care in late May, and

(CONTINUED ON PAGE 8)

By BECKy GILLETTE

JONESBORO—Two years into his job as CEO of NEA Baptist Memorial Hospital, Brad Parsons had the biggest challenge and responsibil-ity of his career when NEA Baptist moved into a brand new 800,000-square-foot medical campus with a state-of-the-art, 181-bed hospital that was part of a $400-million investment by Memphis-

based Baptist Memorial Healthcare Corp.How do you move from an existing busy,

small hospital with 91 beds into a large hospital with a very different layout, new equipment, and almost 100 more beds?

“That was really a career-defi ning task,” Par-sons said. “It was unique to be part of the design and growth of a new 80-acre campus that started

HealthcareLeader

NEA Baptist CEO Oversees Opening of New Medical CampusNew hospital in Jonesboro adds 400 jobs to local economy

Greetings Arkansas Medical News Readers!

As your new publisher, it’s exciting to be on the threshold of a new beginning for Arkansas Medical News. We’ve recently taken a fresh look at the paper and beginning with this issue, we will implement some new ideas that I believe you will appreciate and enjoy. At the top of our agenda is to begin focusing on different areas of healthcare across the state. In this issue, we turn our focus to Northeast Arkansas, where we fi nd an explosion of growth in healthcare. Marked by a $400 million investment that Baptist Memorial Healthcare Corporation made in Jonesboro, this explosion is evident with the new NEA Baptist Medical Campus located on 85 acres in the northeast edge of the city. That story is further told in our Healthcare Leader feature that begins on page 1, in which we interview the hospital’s CEO, Brad Parsons.

Another new regular feature I think you will enjoy will be called Arkansas on the Mend. In it, we will spotlight Arkansas based non-profi ts or charities and tell you how the medical community can help each one in their mission for a better Arkansas. This month our editor, Becky Gillette, writes about Camp Quality in Bald Knob.

I want to improve this publication to meet your needs for industry news. Therefore, I’m very interested in your comments about and suggestions for this paper. Please send them to me at pharris@medicalnewsinc.com. I look forward to hearing from you.

To promote your business or practice in this high profi le spot, contact Pamela Harris at Arkansas Medical News.

pharris@medicalnewsinc.com • 5012479189

2 > SEPTEMBER/OCTOBER 2014 a r k a n s a s m e d i c a l n e w s . c o m

a r k a n s a s m e d i c a l n e w s . c o m SEPTEMBER/OCTOBER 2014 > 3

Jameel Ahmad Brown Goes from Dance to Dermatopathology Specialty involves diagnosis of more than 1,500 skin conditions

PhysicianSpotlight

By BECKy GILLETTE

LITTLE ROCK—Jameel Ahmad Brown, MD, has an unusual background for a phy-sician. He grew up in Philadel-phia, Pa., and has played the cello since the first grade. He moved to Louisville, Ky., as a teenager and attended the Youth Performing Arts High School. In college he majored in dance, attending The Uni-versity of Oklahoma on a full dance scholarship after gradu-ating from high school a year early.

After college he had a short professional dance career before he moved to Iowa to earn a second undergraduate degree in applied physiology at the University of Iowa in Iowa City. Given his dance back-ground, he originally planned to pursue a career in physical therapy and work with dancers and athletes.

“My aspirations evolved once I became knee deep in the science courses and I found myself wanting to pursue medi-cine as a more ambitious effort,” Brown said. “I attended medical school there and moved to Baltimore, MD, for residency. I trained for four years in pathology and one year as a fellow after medical school. My primary boarded specialty is anatomic pathology. My secondary boards are in dermatopathology.”

He trained under the tutelage of Bruce Smoller, MD, and Kim Hiatt, MD, as a fellow in dermatopathology at the University of Arkansas for Medical Sci-ences (UAMS). He stayed on as a faculty

instructor for one year and then moved into private practice.

Brown is a Fellow of the American Society of Dermatopathology and Diplo-mate of the American Board of Pathology in Anatomic Pathology and Dermatopa-thology.

Currently Brown is director of der-matopathology for the Dermatology Group of Arkansas. He is also the founder and director of Arkansas Dermatopathol-ogy, a separate outreach practice.

Dermatopathology is a very de-

manding specialty that involves diagnosis and treatment rec-ommendations for more than 1,500 different disorders of the skin. The specialty requires a broad base of knowledge in clinical dermatology combined with familiarity with several other specialty areas of medi-cine. Medicine is changing very rapidly right now, and these changes are significantly altering dermatopathology. Brown was led to specialize in dermatopathology after find-ing himself more interested in the science behind the medi-cine rather than the day-to-day clinical practice.

“Dermatopathology is a very challenging field and lends itself to a niche-style prac-tice,” Brown said. “I wanted to remain science-heavy while becoming highly spe-cialized and dermatopathol-ogy was therefore a good fit.” Brown only sees patients as a brief curbside consulta-tion. His practice is based at the microscope where he combines the clinical pre-

sentation of a skin disorder with the his-topathologic findings seen under the microscope to arrive at a diagnosis. Skin cancers are one of the most common disorders seen, but he also sees inflamma-tory disorders, infectious diseases, alope-cia, and nail disorders.

“I am occasionally consulted when

a patient is complicated and has either unusual or dramatic skin findings,” he said. “This style of practice allows for the best clinicopathologic correlation and in-creases positive patient outcomes.”

Instruments he uses include a micro-scope, a micrometer that allows him to mea-sure structures within the microscope field, a polarizer to visualize refractile material, a dictaphone, a special stainer, and a ma-chine which performs a more sophisticated form of stain called immunohistochemistry. Although he rarely has face-to-face en-counters with patients, that doesn’t dimin-ish the fact that the most rewarding part of his work is issuing a diagnosis which truly helps relieve a patient’s suffering and/or saves their lives.

Brown loves living in Little Rock. “I affectionately call it The Big Peb-

ble because despite its small population, it dwarfs other cities of similar size with re-spect to its amenities and offerings,” Brown said. “I love the mostly warm climate, the ease with which one can live a comfortable life, and the accessibility of the politicians, business owners, and many socioeconomic classes. I see Little Rock on the rise and predict it will become even more a thriving Southern powerhouse in the near future.”

Brown is the author or co-author of multiple peer-reviewed manuscripts and book chapters, and has presented at na-tional medical meetings. He has served as ad hoc reviewer for high-impact derma-topathology journals. Brown was honored with the UAMS Medical Student Teach-ing Award in 2009 and currently serves as a member of the UAMS Medical School Admissions Board.

For more information visit http://ardermpath.com/about.html or http://dermgroupar.com/

4 > SEPTEMBER/OCTOBER 2014 a r k a n s a s m e d i c a l n e w s . c o m

By BECKy GILLETTE

Located on a new 80-acre campus – part of a $400-mil-lion investment – the new NEA Baptist Fowler Family Center for Cancer Care is transforming cancer treatment in Northeast Arkansas. Not only does the cen-ter that opened in January pro-vide NEA Baptist’s first radiation oncology program, medical and radiation oncology have been combined in one facility for the first time in this region.

Brad Parsons, CEO of NEA Baptist Memorial Hospital, said that by starting from scratch they were able to design cancer care the way it should be done.

“We have all the cancer ser-vices you need under one roof in 34,000-square-feet of space,” he said.

This type of facility makes it extremely convenient for pa-tients, said Kevin Collins, MD, a board certified radiation oncolo-gist at the cancer center.

“We have a patient naviga-tor who is able to coordinate the appointments,” Collins said. “A significant number of our patients have to travel from outside of Craighead County. By having a navigator, we are able to coor-dinate appointments so we can see people in one trip instead of two or three trips.”

The care navigator helps coordinate any additional testing or other doctor ap-pointments that might be needed. Care is taken to reduce patient wait times.

“Our goal is to see people in a very timely fashion,” Col-lins said. “Many times a patient will get a cancer diagnosis and then there is that black hole of time until they can talk to a doctor about treatment. Our goal is to diminish that time greatly so pa-tients can get the infor-mation they need as soon as possible.”

The new cancer center provides treatments that weren’t available at NEA Baptist before such as radiation therapy, and high-dose rate (HDR) brachytherapy. These new technologies provide improved accuracy of radiation for tumors, there-fore more effective targeting reduces the damage to surrounding tissues. The True-Beam linear accelerator will provide the majority of the patient treatments and the HDR’s application will be used primarily for gynecological malignancies. But Col-

lins said that would be expanded to other areas as it becomes the standard of care.

The TrueBeam linear accelerator is the newest generation of digital accel-erators and capable of doing image guide radiotherapy (IGRT), stereotactic body radiation therapy (SBRT/SRS), respira-tory gating, and other types of treatment. Collins said the TrueBeam is a very effi-cient machine that ensures exceptionally accurate treatment.

“Because of this technology, we can now shrink treatment to tissue so side ef-fects are minimized,” Collins said.

One of the indicators of quality of any cancer facility is the access patients have to clinical trials.

“The importance of access to clinical trials for cancer research can’t be over-stated,” Arnold said. “Not only is the new cancer center providing the care closer to home, but the facility has the latest and greatest technology. Combine that with access to treatments that are not necessar-ily available outside of a clinical trial set-ting, and that makes for advanced cancer care. Patients on clinical trials have their charts audited periodically, and that is a quality indicator. Providing access to clini-cal trials sets the bar higher and higher.”

Lexanne Horton, chief operation of-ficer (COO) of NEA Baptist Clinic, said 38 percent of their patients access re-

search studies as part of their treatment. “We have an affiliation with Vander-

bilt-Ingram Cancer Center so we can ac-cess studies through Vanderbilt,” Horton said. “Another advantage of our new cancer clinic is we have a phar-macist here who mixes the cancer drugs on site.”

Community re-sponse to the new cancer center has been tremen-dous, including signifi-cant financial support for the non-profit foundation that supports the center. Wallace and Jama Fowler donated $5 million to fund patient care support in the center, representing the largest dona-tion ever for the Memphis-based Baptist Foundation. Another $2 million has been donated for other purposes at the cancer clinic including a healing garden that can be seen from treatment areas, and infusion bays that can seat five people in a pod.

Horton said the facility is designed to improve the experience for patients. There is a laboratory at the center so people don’t have to leave the building for lab testing.

“We developed it to have a warm and inviting atmosphere, including a nature

theme,” Horton said. “This has really paid off in patient satisfac-tion where we have seen a 37-point gain. We went from a 42 to a 79 percent approval rating in one quarter. Patients report feel-ing care is safer, their personal needs are being met better, and care is more private than before.

“We are dealing with pa-tients with potentially terminal illnesses, so we want to do any-thing we can do to improve their comfort. We did a lot of research on how to make it a better ex-perience. Previously for chemo-therapy we had just a big open room with chairs. Now we have pods with five chairs surrounded by curtains. Patients can leave curtains open if they feel like visiting or they can pull the cur-tain shut if they want privacy or are not feeling well. We selected five because the consultant said if two chairs are together, people feel obligated to visit. If there are five, one person won’t feel bad reading a book, or using their cell phone or iPad.”

The infusion suite is spa-cious allowing for family mem-

bers to remain with patients. For patients needing privacy, there are two quiet rooms available.

Having both an onsite lab, as well as a pharmacist onsite greatly reduces patient wait times for chemotherapy.

“That is a tremendous benefit to pa-tients,” Horton said. “They aren’t waiting hours to get started.”

Horton said they are more than will-ing to work with patients throughout the state. Sometimes patients will need to go elsewhere for their surgery, but the NEA Baptist Fowler Family Center for Cancer Care can provide additional needed care.

“If we can prevent travel for care, and patients can be treated closer to home, their outcomes are better,” Horton said. “If a pa-tient has moved here and needs follow-up care, they may no longer have to travel to see an oncologist. It is important for other physicians to know we have these services.”

The cancer center has also expanded supportive cancer services.

“Once treatment is done, they don’t just leave and get sent out into the wilder-ness alone,” Arnold said. “Hope Circle provides support for patients and families. It focuses on things like quality of life once treatments are done.”

New Fowler Center for Cancer Care Raises the Bar for Cancer Treatment in Northeast ArkansasAll the cancer services are under one roof

Dr. Kevin Collins

Lexanne Horton

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For more information visit www.neabaptistclinic.com/cancercenter

a r k a n s a s m e d i c a l n e w s . c o m SEPTEMBER/OCTOBER 2014 > 5

By BECKy GILLETTE

The lack of progress in treatment for Alzheimer’s disease has been very disap-pointing, especially since one in eight older Americans has Alzheimer’s and payments for care are estimated at $200 billion per year.

“A lot of the clinical trials have failed, unfortunately,” said De-nise Compton, PhD, a neuropsychologist\clini-cal psychologist and as-sistant professor at the UAMS Reynolds Insti-tute on Aging Walker Memory Center. “The research community is shifting their emphasis slightly. The hope of the research community would be to detect the disease in the brain prior to detection of clinical symptoms that are severe enough to cause dementia, and then develop effective treatments at that very early stage. They are making progress at early diagnosis. Neuro-imaging has advanced, but not to the point of using it for a conclusive diagnosis.”

Compton said finding effective treat-ments has been so difficult because of the lack of understanding the true causes of the disease. It is not known if the amyloid pro-tein plaques found in the brain are causing the symptoms or if they are a result of other causative factors.

Despite the staggering cost of Al-zheimer’s, advocacy groups such as the Al-zheimer’s Association are concerned at the paucity of money available for research.

“But the political climate has trended toward a decrease in funding for things like research, rather than an increase,” Comp-ton said. “From the public health policy perspective, the cost of taking care of these increasing numbers of patients is going to be tremendous.”

Screening for Alzheimer’s can be diffi-cult. Often primary care providers are con-sulted when family members have difficulty coping.

“I don’t know that primary care pro-viders have time to do a thorough evalua-tion,” Compton said. “What we know for sure is that Alzheimer’s is the most common cause of dementia in older adults, but there are many other diseases and disorders that can cause someone to have a change in their mental status. It takes a fairly thorough evaluation to make sure you are treating the right conditions. In our memory cen-ter here, we see a lot of people experiencing cognitive problems due to medication side effects or general medical conditions. Those things have to be ruled out or addressed first before we diagnose mild cognitive impair-ment or dementia.”

Compton recommends physicians consider referrals to the Walker Memory Center at the UAMS Reynolds Institute of Aging.

“Consultation service is available,” Compton said. “There are lots of causes for dementia. We assist community providers with a comprehensive diagnostic evaluation and provide advice on both medical treat-ments and caregiver interventions. We have social workers, neuropsychologists, a behav-ioral neurologist and a geriatric psychiatrist as part of our multi-disciplinary team. So we can be helpful.”

Currently, because of the lack of safe and effective medications for behavioral problems associated with moderate to se-vere Alzheimer’s, Compton said they focus heavily on caregiver education and inter-vention. The goal is to manage behavior with caregiver education rather than medi-cine that often has adverse side effects.

Compton highly recommends Al-zheimer’s prevention through regular ex-ercise, a healthy diet, maintaining a good body weight, controlling blood pressure and avoiding diabetes. Diabetics have higher rates of Alzheimer’s, which has been de-scribed by some as Type 3 diabetes.

In addition to those preventive mea-sures, also recommended are intellectually challenging and intellect preserving activi-ties like higher education, leisurely activities, socialization, exercise, statins, a cholesterol lowering diet, and protection from head trauma. Music and puzzles aimed at opti-mizing the emotional and cognitive reserve of aging persons are recommended by Sara Battar, MD, associate chief of staff for ge-riatrics and extended care service, Central Arkansas Veterans Healthcare Sys-tem (CAVHS).

For patients who are showing early symptoms, Battar said three types of drugs have been proven to statistically impact cog-nition: Donepezil, Riv-astigmine, and Galantamine can provide a five- to ten-month delay in progression to full-blown Alzheimer’s.

“That is a lot,” she said. “That is six more months someone doesn’t have to be institutionalized.”

Early diagnosis and appropriate man-agement of dementias can improve quality of life for both the patients and caregivers. Effective management would most likely stabilize or slow the cognitive decline, help reduce the decline of independence, and help better prepare for and manage be-havioral and psychological symptoms of dementia.

CAVHS has a memory clinic geared to early diagnosis and management of demen-tia and memory related disorders.

“We do neuropsychological testing, and one of the areas we are concentrating on is early diagnosis of impaired driving that is a threat to patients and those on the road,” Battar said. “We are working hard on making the program more popular and visible. If they are only mildly impaired

drivers, our specially trained staff can assist them with tolls for safe driving and warnings about when to stop driving.”

One unique facet of the VA program is contrary to the physicians unilaterally de-ciding a treatment for patients, they enter into a partnership with the veterans served.

“Instead of traditional treatment, we ask patients to tell us what is important to them, and we will figure out a way to meet those needs,” Battar said. “It is coming away from just medicine and pills to what is per-sonally, emotionally, spiritually and socially important to this person. We ask, ‘What is it that you would like to do, but cannot do now because of your illness?’ The patient’s priority will become our priority.”

An example is a 101-year-old inpatient who is a good guitar player and singer.

“If he doesn’t look too happy, hand him a guitar or ask him to sing a song for you, and he goes into a different world,” she said. “He isn’t agitated or upset. His memory is compromised, but he starts calming down, reminisces about his youth-ful days, remembers the words to some old songs, and is a joy to be with.”

The VA is investing a lot in training future generations of health professionals to

care for dementia patients. It also has ser-vices like adult day healthcare from 8 a.m. to 4 p.m. While in attendance, patients play games, and interact with other veterans. The family knows their loved one is safe, and will get his or her medications, medical appointments, food and caring company.

“That allows the family to be able to work, and attend to their own needs” Bat-tar said. “And when it is time and now this person needs another level of care such as hospice care, we help families shift gears and work with them to facilitate a closure. Staff from various disciplines work with compas-sion and competence to take care of patients with dementia and their families across various stages from mild memory loss to ad-vanced and terminal stages of the illness. It is indeed a very rewarding and privileged op-portunity to serve those who already served.”

Alzheimer’s Research Now Targeting Early Detection and TreatmentCosts for care of Alzheimer’s patients estimated at $200 billion annually

For more information:

www.alz.org or

www.nia.nih.gov/alzheimers/publication/alzheimers-disease-fact-sheet

Dr. Denise Compton

Dr. Sara Battar

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we were given the opportunity to outsource some of our procedures to our colleagues in the healthcare community. We do have some capacity issues at times depending on demands for services. For example, one of our neurosurgeons has retired and it took a while to find someone to replace him.”

CAVHS serves about 65,000 veterans and has eight Community-Based Outpa-tient Clinics (CBOCs) throughout the state. In addition to CAVHS and VHCO, there are sister VA facilities in Memphis, Tenn., Poplar Bluff, Mo. and Shreveport, La., that veterans living nearby in Arkansas can ac-cess.

“Most veterans don’t have a great distance to travel to get to a primary care clinic,” McClain said. “A challenge is that some of the clinics are fairly small, with only one or two providers. That may be adequate for the number of veterans, but, if you have a provider who resigns or retires, ca-pacity in those clinics can be cut dramatically. Re-cently, we had a vacancy in Searcy, and the num-bers you see on our elec-tronic wait list are for primary care services in Searcy. We have been actively recruiting to fill that position and want to fill it with very qualified staff. We are choosy to make sure veterans get the best care.”

During the vacancy, veterans in the area can travel to another CBOC or get a telemedicine appointment. There are two physicians who retired from CAVHS who decided to come back and do some fee-based services in Searcy.

McClain said telemedicine is primar-ily used for specialty care. For example, if a veteran in Mena or Mountain Home needs to see a psychiatrist, he or she can hook up with a VA psychiatrist in Little Rock through telemedicine.

They also have the ability to do retinal eye exams through telemedicine, or a rou-tine screening for veterans with diabetes.

“Telemedicine is a growing program,” McClain said. “We have also started to ex-pand into other specialty areas like pre-op visits. If a veteran from Fayetteville is re-ferred here for surgery, the veteran can be seen via V-Tel secured video conferencing. The pre-op visit can be done at the home facility, and save a trip to Little Rock. We anticipate being able to do post operative visits through telemedicine.”

McClain said they are fortunate to have a wide range of services.

“We have more resources than any other entity I’m aware of with regard to mental health services,” she said. “We have vocational rehab, services for the homeless, and we are a teaching hospital. We work closely with our academic affiliate, the Uni-versity of Arkansas for Medical Sciences, as well as academic affiliates throughout the state for nursing, physician’s assistants and

social work programs.“We have expanded our services

available for post traumatic stress disorder (PTSD). We have been able to grow the number of evidence-based therapies of-fered to veterans with PTSD. We also have a very active residential treatment program for PTSD that is recognized nationwide. We have veterans from all over the country come to our program here in Little Rock. This is an eight-week, really intense thera-peutic intervention. We are really proud of that program.”

The silver lining about the scandals around VA healthcare is that more money is being appropriated to address the prob-lems. McClain said her main concern is that at times negative attention can erode trust.

“We are being very diligent to try to insure we retain the trust the veterans in Ar-kansas have placed in this center,” she said. “We believe we deliver high quality care and a wide breadth of services. We want to make sure we remain their provider of choice. We want to make sure we do every-thing we can to exceed their expectations. We know they have other choices, and are glad our veterans have choices. But we certainly want to be their provider of choice.”

Wanda Shull, public affairs officer for VHCO, said at its highest, their waiting list had a little more than 300 veterans. Shull said they have been able to decrease the wait list to one by taking the following steps:

• Aggressively recruiting primary care physicians.

• Making evening and Saturday clinic appointments available.

• Increasing provider panel sizes as ap-propriate.

• Using contracts for providers.• Using nurse practitioners as provid-

ers.• Increasing salaries to attract provid-

ers. The salary issue is important because

healthcare jobs elsewhere often pay more.“However, we have recently been able

to increase our salaries, which we believe has helped us with recruitment,” Shull said. “Further, our primary care doctors enjoy all of the benefits afforded a federal employee. We are always actively recruiting physicians and nurse practitioners for primary care.”

VHCO has some of the highest patient satisfaction ratings amongst VAs in the coun-try. It was awarded the Robert W. Carey Award for Performance Excellence in 2011, as well as the Circle of Excellence Award in 2012 and 2013. In 2013, it was awarded the Arkansas Governor’s Quality Award.

“Our high standard of care has been validated many times by outside entities, and we are proud that our quality is recog-nized,” Shull said. “Any veteran who is not currently enrolled in care here is highly en-couraged to apply. We believe we have the skills and qualifications needed to serve the unique needs of veterans, and we take pride in our goal to provide quality health care where veterans come first.”

Arkansas VA, continued from page 1

Dr. Tina McClain

Wanda Shull

For more information: www.littlerock.va.gov/www.fayettevillear.va.gov/

a r k a n s a s m e d i c a l n e w s . c o m SEPTEMBER/OCTOBER 2014 > 7

By BECKy GILLETTE

BALD KNOB—Garrett Rimmer, 18, Springdale, was only four years old when he was diagnosed with leukemia. Fac-ing all the cancer treatments in addition to being different from other kids was tough. One thing that made it better is that since the age of eight, he has been at-tending Camp Quality, a sum-mer camping experience and year-round support program for children with cancer.

“It just provides a great ex-perience,” Rimmer said. “All these kids have had or have can-cer. You would think these kids would be sad or depressed, but it inspires you how they are always positive.”

Rimmer, whose cancer has been in remission for seven years, has transitioned from being a camper to being a compan-ion to a camper. Camp Quality assigns one companion to each camper.

Shelby Clinton, 18, North Little Rock, is another camper turned companion.

“I quit as a camper last year to help out with the demand from more kids to at-tend the camp,” Clinton said. “At regular camp or school, a kid with cancer might be different from everyone else. When they come to this camp, everyone has been through the same thing. They can relate to these kids more than any other kids. They also feel more accepted and more comfort-able at this camp, and it offers a place for them to not have to deal with the pressures of life for a week. They can chill out.”

Clinton, who has been in remission from brain cancer for ten years, said there are lifelong relationships created. People who aren’t from the same area keep in touch on the telephone and on social media.

“We hope those relationships grow year after year,” said Chris Jennings, di-rector of Camp Quality, who has been involved in the all-volunteer effort since it began in 1989.

The purpose of Camp Quality is to allow kids with cancer to find joy, new courage and renewed hope for the future. They are free to be themselves . . . free to be kids again.

While the camp is for one week a year, the camp organizing committee meets throughout the year to plan not only the week of camp, but different activities throughout the year. They might help a family move, do repairs to their home, or help with a birthday party.

Jennings said they also accept the sib-lings of children with cancer because can-cer does affect the whole family.

“Siblings can feel left out, and may not understand why their brother or sister is getting all the attention,” he said. “Siblings may have to do without things because of medical expenses. I really like that when we have the space and volunteers, we can af-ford to bring in the siblings to give them the same experiences as siblings with cancer. It also gives the parents a break.”

There is a high ratio of volunteers to campers. This past summer they had 39 campers, and 80 volunteers. They can host up to 60 campers.

“We are trying to locate more chil-dren who would benefit from coming to the camp,” Jennings said. “We work closely with Arkansas Children’s Hospital. We en-courage social workers and doctors to let families know this is a good camp.”

Jennings said companions are not the “boss” over the kids, but someone who ac-companies the child to insure safety, and form a friendship. When companions or other volunteers are cancer survivors, it is encouraging to kids facing the same chal-lenges.

Other staff includes cooks, lifeguards and nurses. They are required to have two RNs at the camp at all times, and it is a struggle to find enough nurses and life-guard volunteers.

Each year there is a theme for the camp. This year it was super heroes.

“The kids battling cancer are our he-roes,” Jennings said. “This year we had all sorts of super hero decorations around and the Bald Knob Fire Department brought out their fire safety house. A lot of civic or-ganizations and businesses come in during the week helping with our costs.”

The activities are similar to those found in any summer camp, and include archery, swimming, kick ball, a shaving cream and water balloon fight, talent shows and a dance. This year a new game called gaga ball, a variation of dodge ball, was

particularly popular – especially with the boys. At their 20th an-niversary six years ago, a trapeze group came to set up a trapeze at the camp, and kids were also en-tertained by a clown and by rid-ing elephants.

Jennings said while the pri-mary purpose is just to have fun, the camp also is helpful in teach-ing the children life skills. “We encourage and even award points (we have competitions each week) to those campers who are helping clean the tables and floors after meals as well as when they are caught doing nice things for oth-ers,” he said.

The camp in Bald Knob, which is located about halfway between Little Rock and Jonesboro, is one of 16 under the umbrella of Camp Quality USA. All services are provided free to families, so Camp Quality is highly dependent on busi-nesses and civic organizations to provide food and financial donations.

ARKANSAS on the MEND BY BECKY GILLETTE

Camp Quality Provides Smile Therapy for Kids with CancerCampers find joy, new courage and renewed hope

How Can You Help?

Volunteer Your TimeVolunteer are needed for the

week of camp. Applications can be made online at www.campqual-ityusa.org/ar/GetInvolved/Volun-teer.aspx.

Make a DonationDonations can be sent to

Camp Quality Arkansas, P.O. Box 9095, Jonesboro, AR 72403, or online at www.campqualityusa.org/ar/WaysToGive.aspx.

Also, there are many supplies needed for the week of camp. Please email Penny.Howard@campqualityusa.org for more infor-mation.

Spread the WordIf you know a child with can-

cer, you can encourage him or her to register for the next camp. For additional information, please email Chris Jennings, chris.jen-nings@campqualityusa.org.

For more visit www.campqualityusa.org/ar/

8 > SEPTEMBER/OCTOBER 2014 a r k a n s a s m e d i c a l n e w s . c o m

Putting the Pieces TogetherDo you ever feel as if you are working a 1000-piece puzzle and you get to the end and you are missing several pieces? With all of the new healthcare reform laws, ICD 10 on the horizon, PPACA guidelines and the various payment initiatives it is hard to simply keep up with all of the pieces. Navigating payer and regulatory requirements can be a daunting and evolving task. The resources required today to improve physician billing quality and reduce errors can be costly and often overwhelming. For many practices, outsourcing the billing process to a medical billing service helps redirect staff resources to better patient care.

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How can we help you complete your puzzle?Our goal is to work with you versus for you; to develop a solution specific to your indi-vidual practice. Like pieces to a puzzle, it is our experience that no two provider’s needs are the same. The team at AHIN Professional Services works with you and your staff to ensure the puzzle is complete. With our combined experience, the staff at AHIN Pro work diligently to stay on top of today’s ever-changing billing requirements. In addition to increased revenue, our clients have experienced a reduction in fixed expenses, better office workflow, improved patient billing understanding and decreased days in A/R.

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from a green field. It was exciting to be a part of designing a hospital and clinical space that work the way they should in to-day’s healthcare environment.”

Parsons credits hard work by a large team of people for more than three years preparing for the day when the old hospi-tal would close, making way for the new hospital.

“I was proud of seeing the time and how much care the department managers and directors of the leadership team put into this to consider every possible sce-nario to keep patients safe,” Parsons said. “It went really great. That we were able to move 53 patients that morning into a beautiful new campus was really remark-able.”

The work was just beginning January 13. In those early months after the move, every single one of the hospital processes had to be reviewed again in their new en-vironment. Some issues were anticipated, and others became apparent through ex-perience. For example, Parsons said they knew the processes used in the previous eight-room ER wouldn’t work as well in a new ER with 24 beds and three times the footprint of the old one.

Since the opening of the new hospi-tal, there has been a continual process of improvement. Uniquely, NEA Baptist has applied Lean principles in manufactur-ing to healthcare. Parsons said they have worked to eliminate waste, reduce varia-tion, and hardwire processes that work. “We are applying Lean principles in a big way to be operationally efficient in what we do,” he said.

Parsons was raised around health-care. His father was a physician’s assistant who worked in heart surgery. Parsons got his masters degree in business and health-care administration at the University of Alabama at Birmingham.

“I was attracted to healthcare because of the ability to work with people in the role of a servant leader,” he said.

He now has ten years in healthcare administration, working with hospitals in Birmingham, Ala., Columbus, Miss., and Union City, Tenn., before moving to Jonesboro. His past three jobs have been with Baptist.

Parsons said that at every new em-ployee orientation at NEA Baptist, they talk about the meaningful work they do with patients and their families.

“I’m really drawn to the complexi-ties of healthcare and working with varied teams,” he said. “We talk a lot about team-based care now, and that fits my manage-ment lifestyle. It is really about engaging the physicians, nurses, other clinicians and the non-clinical staff in a very complex en-vironment with a lot of stress and change. It makes for challenging and exciting times for managing people.”

The next major challenge, wave two, has been instituting new Electronic Health Records (EHR) at NEA Baptist Memorial Hospital. In September, they went from complete paper to complete electronic re-cords. The decision was made to go back to paper charting with the January move

since the new EHR was to launch within a few months of residing on the new cam-pus. Shadow electronic charting was done for ten days prior to the big leap into the Epic format-named Baptist One Care-that is used across the Baptist Health Systems.

“This is transformative care,” Parsons said. “Epic is designed to be an integrated system. We can integrate what we do from outpatient clinics to the hospital. The abil-ity to access EHRs translates to any other Epic facility. If you go to Baptist Memorial Hospital-Memphis, for example, they will have the ability to pull up that electronic record.”

The hospital’s long-term goal is in-creasing operational efficiency.

“We want to be efficient in the health-care we provide, reduce cost, improve quality and make the patient experience first class,” Parsons said. “We are work-ing on being efficient in all aspects of the care we provide, and always keeping the patient in the center of the process.”

One of the biggest challenges he sees is the rapid pace of change in healthcare. Parsons said the key to managing change is listening to staff, and focusing on what is important.

“It is important for our colleagues to understand why decisions are made,” Par-sons said. “I spend a lot of time trying to connect the dots about why we are doing it this way.”

Change is a particularly big issue when you grow as fast as NEA Baptist. With the move to the new larger hospital, they have hired an additional 400 employ-ees, and NEA Baptist Clinic has added more than 30 physicians.

“One of my biggest pleasures in doing this job is to help put people in the right positions to succeed in what they do,” he said. “It is exciting to be part of an orga-nization where the future is so bright and the potential is so great. This was the right project for the right time for Northeast Ar-kansas. Jonesboro is really growing, and it is exciting to be in a community that is very progressive and thriving.”

Since the new medical campus opened, the number of inpatients has in-creased 40 percent, and there has been a 60 percent increase in outpatients.

“Before, people wanted to come, but we didn’t have the space,” Parsons said. “With the new hospital, our reach has broadened. Being located on the north side of town positions us for growth as Jonesboro and Paragould grow together. It was the perfect project at the perfect time for this part of the world.”

Parsons said his first and foremost goal in his personal life is to be a good hus-band to his wife, Carroll-Lane, and father to their three children:

Lillianna, 9, Ellenie, 6, and James, 3. “Jonesboro has been really good for

us,” Parsons said. “My family has been very happy here.”

NEA Baptist CEO, continued from page 1

For more information: www.neabaptist.com

a r k a n s a s m e d i c a l n e w s . c o m SEPTEMBER/OCTOBER 2014 > 9

GrandRoundsMercy Hot Springs First in Arkansas to Implant Miniature Cardiac Monitor

HOT SPRINGS – Mercy Hospital Hot Springs is the first in Arkansas to implant the Medtronic Reveal LINQ Insertable Cardiac Monitor (ICM) system in a pa-tient, the smallest implantable cardiac monitoring device available.

The Reveal LINQ ICM is approxi-mately one-third the size of a AAA bat-tery, making it more than 80 percent smaller than other ICMs. While sig-nificantly smaller, the device is part of a powerful system that allows physicians to continuously and wirelessly monitor a patient’s heart for up to three years, with 20 percent more data memory than its larger predecessor.

The state’s first procedure was per-formed by Mercy Hot Springs Cardiolo-gist Dr. Fred Heinemann on Friday, March 7 in the Mercy Heart and Vascular Center.

The device is indicated for patients who experience symptoms such as dizzi-ness, palpitation, fainting and chest pain that may suggest a cardiac arrhythmia, and for patients at increased risk for car-diac arrhythmias. In this case, patient Sa-brina Dickerson of Glenwood had been experiencing blackouts and unable to drive as a result.

Unlike the bulky external monitors, which can be difficult to sleep while wear-ing, the Reveal LINQ ICM is placed just beneath the skin through a small incision of less than 1 cm in the upper left side of the chest. It is nearly invisible to the na-ked eye once inserted through the mini-mally invasive procedure.

The device is also MR-Conditional, which allows patients to undergo mag-netic resonance imaging (MRI) if needed.

Dickerson will also have a MyCare-Link Patient Monitor at home, a simpli-fied remote monitoring system with global cellular technology that transmits patients’ cardiac device diagnostic data to their clinicians from nearly any loca-tion in the world. It will download data as scheduled by doctor’s orders.

Vein Center Offers Specialized Care For Venous Disease

LITTLE ROCK – An estimated 20 percent of adults suffer needlessly from Chronic Venous Insufficiency (CVI) – a common cause of varicose veins and venous ulcers as well as leg pain and swelling, according to the Vascular Dis-ease Foundation. In addition, a US study reported that 27 percent of American adults had some form of venous disease in their legs.

Venous disease is when disease like CVI occurs in the veins – one of three types of blood vessels whose function is to return blood back to the heart from all parts of the body.

With the opening of Baptist Health Vein Center, central Arkansas residents have access to specialized treatment from highly trained professionals for ve-nous disease.

For more information: www.neabaptist.com

Hospitals across the country are realizing that they can no longer settle for the status quo when it comes to anesthesia services. Those hospitals are turning to LifeLinc.

At LifeLinc, we specialize in identifying and fulfilling the clinical and financial goals that best fit your needs.

These include:

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So, if you are ready to explore all of the anesthesia service options available to you and your organization, give us a call today.

10 > SEPTEMBER/OCTOBER 2014 a r k a n s a s m e d i c a l n e w s . c o m

Urogynecologist Joins Cooper Clinic

FORT SMITH - Urogynecologist, Carey Andreoiu, DO., has joined Cooper Clinic, P.A. The only uro-gynecologist in Arkansas outside of Little Rock, she specializes in the evalua-tion and treatment of uro-logic problems unique to women including bladder control, pelvic pain, recur-rent urinary tract infec-tions, and vaginal and bladder prolapse. She will also provide general gyneco-logical care.

Dr. Andreoiu earned her medical de-gree from the Kansas City University of Medicine and Biosciences, Kansas City, Missouri. She completed a residency in Obstetrics and Gynecology through the University of Cincinnati in Cincinnati, Ohio, and has received special robotic training in the da Vinci Surgical System. Her three-year Urogynecology Fellow-ship training was through Cleveland Clinic Florida.

Dr. Andreoiu’s practice will be locat-ed on the 3rd floor of the main Cooper Clinic in Fort Smith. She plans to provide care at both Mercy Hospital and Sparks Regional Medical Center. Her husband, Dr. Matei Andreoiu, is a urologist who has also joined Cooper Clinic.

Dr. Yammine chosen Hot Springs Physician of the Year

HOT SRINGS - Mercy Hospital Hot Springs is proud to announce Dr.Youssef Yammine has been named the Physician of the Year.

Dr. Yammine, who is a Pulmonologist and Critical Care Physician, was nomi-nated by his co-workers for the award.

Each quarter, a physi-cian is selected as Physi-cian of the Quarter. This year’s quarterly winners were Dr. Yammine, Dr. Robert Olive, Dr. Manjusha Kota and Dr. Charles Reeves. The Physician of the Year is then selected from these winners.

Dr. Yammine came to Mercy Hot Springs in 2012 after finishing a three-year specialty training program at the University of Oklahoma.

Dean of Harding University Nursing College to Step Down from Position

SEARCY — Dr. Cathleen Shultz, dean of the Carr College of Nursing at Harding University, has announced her decision to step down from the position June 1.

After concluding her administrative duties, Shultz will begin a year-

long sabbatical in June to engage in scholarly writing. She will remain a full-time professor of nursing.

Shultz has been a member of the Harding faculty since 1976. In 1977 she was named chairperson of the depart-ment of nursing, and then in 1980 she became the founding dean of Carr Col-lege of Nursing.

Shultz was the first Arkansan elected to the national board of governors of the National League for Nursing (NLN) and the only Arkansan to serve as president of the organization.

Under Shultz’s leadership, Carr Col-lege of Nursing was the first nursing pro-gram in Arkansas to use computers as a part of learning, introduce primary care in the curriculum, provide health servic-es for Head Start and HIPPY programs, initiate health screening clinics in public schools, provide health information and services for the elderly, and incorporate health missions into the curriculum.

Shultz was appointed by Governors Bill Clinton and Mike Beebe to serve on the Arkansas State Board of Nursing. She is currently serving her fourth term on the governing body. She was elected to serve as president of the board from 1991-92. She is currently chair of the board’s education committee.

She is a graduate of the University of South Carolina (B.S.N.), Emory University (M.N.) and Vanderbilt University (Ph.D.).

New Women’s Health Specialist at NEA Baptist

JONESBORO - Dr. Dominique Bu-tawan-Ali recently joined NEA Baptist Clinic Women’s Health as an obstetrics and gyne-cology specialist and is now accepting new pa-tients.

Dr. Butawan-Ali spe-cializes in minimally in-vasive procedures for women. With the use of the DaVinci Surgical System, she is able to perform surgeries such as hysterecto-mies with a single incision or multiple-site incision. This type of procedure al-lows her to operate leaving little to no evidence of the procedure resulting in less pain for the patient and faster recov-ery times.

Dr. Dominique Butawan-Ali gradu-ated with a medical degree from Uni-versity of Tennessee Health Sciences Center in Memphis, TN. She went on to complete her residency in the obstetrics and gynecology department, also at University of Tennessee.

Dr. Butawan-Ali recently moved to Jonesboro from Pinehurst, North Caro-lina where she has practiced since the completion of her residency. Her hus-band, Dr. Cina Ali, is a radiologist and will also join NEA Baptist Clinic late sum-mer 2014.

Arkansas Medical News is published bi-monthly by Medical News, Inc., a wholly-owned subsidiary of SouthComm, Inc. ©2014 Medical News Commu-nications.All rights reserved. Reproduction in whole or in part without written permission is prohibited. Medical News will assume no responsibilities for unsolicited materials. All letters sent to Medical News will be considered Medical News property and therefore uncondition-ally assigned to Medical News for publication and copyright purposes.

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GrandRounds

Dr. Carey Andreoiu

Dr. Youssef Yammine

Dr. Cathleen Shultz

Dr. Dominique Butawan-Ali

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25Years

I n 2010, Carroll Martindale should have been waiting for a tee time at his favorite golf course. Instead, he was waiting for something entirely more important: a new liver.

After being diagnosed with liver cancer, Carroll was told he was a candidate for a transplant. While waiting for a donor, he underwent life-prolonging chemotherapy and radiation treatment at the UAMS Winthrop P. Rockefeller Cancer Institute, Arkansas’ official cancer research and treatment facility.

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After beating liver cancer, UAMS has Carroll Martindale back in the swing of things.

Cancer Ad_medical news.indd 1 1/14/14 1:39 PM