Becker's Hospital Review

37 FINANCE CMO / CARE DELIVERY 23-physician group joins Northwell Health By Emily Rappleye N ew Hyde Park, N.Y.-based Northwell Health af- filiated with the 23-physician Concorde Med- ical Group, a multispecialty group with seven locations in Manhattan. The health system announced the partnership on Oct. 8 as an opportunity to strengthen its network in Manhat- tan, which includes 86 outpatient sites and three hospi- tals. Concorde's physicians bring the system additional expertise in internal medicine, rheumatology, cardiolo- gy, dermatology, gastroenterology, hepatology, gyne- cology, urogynecology, immunology and podiatry. Concorde President Paula Marchetta, MD, said Con- corde decided to join Northwell to position the group for continued growth. "It was important to our doctors at Concorde that we continue to function as a physician-run group, main- taining the autonomy and cohesiveness which has al- lowed us to offer very personalized, high-quality care to our patients. Northwell shares these same values and provides us the unique opportunity to remain as Con- corde while being a part of a much larger organization," she said in a press release. Dr. Marchetta will continue in her role at Concorde, alongside a new post as Northwell Health's director of strategic initiatives in Manhattan and western Queens. n Nurses' concern can predict patient deterioration, study finds By Gabrielle Masson S eventy-seven percent of nurses correctly predicted pa- tient deterioration, with accuracy rates significantly higher in nurses with more than a year of experience, according to a Mayo Clinic study published in JAMIA Open. Researchers from the Rochester, Minn.-based hospital evalu- ated nurses' ability to detect future physiological deteriora- tion based on a five-point score called the "worry factor." They asked nurses to report real-time changes in their sense of wor- ry for patients. Researchers collected this data from two medi- cal and two surgical adult hospital units, covering 31,159 shifts for 3,185 different patients. Cases were evaluated by three independent reviewers. Of the 492 potential deterioration events nurses identified, reviewers confirmed 380 of them, or 77 percent. Nurses with more than a year of experience had a 79 percent accuracy rate, compared to 68 percent for those with less experience. A patient with a worry factor score of three or more was 40 times more likely to require intensive care unit transfer within 24 hours, further supporting the theory that nurses' sense of worry can accurately identify deteriorating patients. Research suggests that at least some of nurses' accuracy is due to a pattern recognition process, not just objective vital sign information. The researchers recommend that nurse concern regarding patient deterioration be incorporated in EMRs.n West Virginia hospital closure shutters 3 residency programs By Emily Rappleye T hirty-four medical residents were forced to relo- cate after Ohio Valley Medical Center in Wheel- ing, W.Va., closed its doors Sept. 4, according to The Intelligencer. The residents were part of OVMC's three residency pro- grams, which officially ended Sept. 20. The programs were internal medicine, emergency medicine and a combined internal medicine-emergency medicine pro- gram, according to the report. All the residents found new placements to complete their training. About two-thirds moved to residency programs beyond the Ohio-West Virginia-Pennsylvania tri-state area. n U of Arkansas medical school creates health system By Emily Rappleye L ittle Rock-based University of Arkansas for Medical Sci- ences is organizing its clinical enterprises into a state- wide health system, called UAMS Health, the university announced Oct. 8. UAMS Health includes the UAMS Medical Center, as well as outpatient clinics, regional sites and digital health clinics. The system serves every county in the state and runs eight regional campuses across Arkansas. "UAMS is more than a hospital, it is more than a university and it is more than cutting-edge research," UAMS Chancellor Cam Patterson, MD, said in a press release. "We are a health sys- tem — one that serves all of the state — and this reorganization demonstrates our commitment to providing quality healthcare to all Arkansans." n

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