Physicians office Resource
2018 - Issue 7
™
Resources for You, Your Patients, & Your Practice
Is Your Office Prepared for Flu Season?
Accurate CLIA Waived Molecular Results Page 2
For In Vitro Diagnostic Use.
also in this issue Point of Care Testing: What’s New?
Pg 4
3 Things Patients Really Want From Their Doctors Fixing Primary Care’s Broken Business Model
Pg 34
Pg 16
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2018 - Issue 7
PHYSICIANS office RESOURCE
Physicians office Resource
™
Published by Medical Education Resources, LLC
Publisher Aaron R. Medaris amedaris@ physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@ physiciansofficeresource.com President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@ physiciansofficeresource.com
MDescapes: Luxury Destinations & Deals for Physicians
Account Manager Brandi L. Brower
Four Seasons
Editorial Board Michael Paquin, FHIMSS Barry Craig, MLT (NCA), CLC
IN THIS ISSUE
Staff Writer Dylan J. Chadwick
For In Vitro Diagnostic Use.
Creative Director Production Manager SEO Specialist Keith A. Katsikas Jr
Get Accurate Molecular Results with the CLIA Waived GeneXpert Xpress System
Copyright ©2018
To continue your free subscription of Physicians Office Resource magazine, please complete the Business Reply Card at the center of this magazine and drop in any USPS mailbox.
Cepheid’s GeneXpert Xpress® System employs accurate and easy to use “lab in a cartridge” technology to deliver CLIA Waived molecular testing for influenza A/B and Group A Strep. The Xpert® Xpress Flu test provides highly sensitive detection of influenza A and influenza B, enabling healthcare providers to quickly deliver targeted therapies. The Xpert® Xpress Strep A test provides Group A Strep results that eliminate the need for confirmatory testing.
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ProductSpotlight
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Additional follow-up testing by culture is required if the test result is negative and clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF).
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Point of Care Testing: What’s New? It has been one of the primary goals in the reformation of our healthcare system to have patients more involved in...
4
3 Things Patients Really Want From Their Doctors The doctor-patient interaction is the absolute core of clinical medicine. Maybe I’ll go much further...
16
Fixing Primary Care’s Broken Business Model Primary care visits are never quick; we don’t give much advice over the phone or online; and we prioritize the government’s and insurance companies’ public health agenda over our own patients’ concerns...
34
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2018 - Issue 7
PHYSICIANS office RESOURCE
POINT OF CARE TESTING: WHAT’S NEW?
By Irwin Z. Rothenberg, MBA, MS, CLS(ASCP), Technical Writer / Quality Advisor, COLA Resources, Inc. It has been one of the primary goals in the reformation of our healthcare system to have patients more involved in managing their own health. The Affordable Care Act (ACA) promotes the shift from curative to preventive medicine by focusing on early detection and management of chronic disease, along with a more patient-centered approach to health care. POCT promotes these goals with rapid test results that providers can use to immediately inform patients of their condition or progress, and modify their treatment on-site. This provides a face-to-face opportunity to ensure understanding and discussion of future goals, thus more directly involving the patient in their own care. POCT is defined by the College of American Pathologists as “tests designed to be used at or near the site where the patient is located, that do not require permanent dedicated space, and that are performed outside the physical facilities of clinical laboratories”. POCT also streamlines the testing process by obviating the need to collect a specimen, transport 4
it to the lab, then perform testing, and transmit the results back to the provider. This speed and efficiency often improves both patient outcomes and patient satisfaction. Increasing Demand for POCT These advantages are further enhanced by continuous technological innovation, improving the quality, convenience, connectivity, speed, and range of applications. Emerging technological innovations include smartphone apps, biosensors, lab-on-a chip, and wearable devices. The transmission of POC test results in Electronic Health Records (EHR) further enhances the advantages of POCT. These results can be shared instantaneously with all members of the medical team, enhancing immediate patient assessment and treatment as well as making POC data available for analysis. Additional factors in our society that are enhancing the demand for rapid, on site, decentralized, personalized and www.PhysiciansOfficeResource.com
automated laboratory testing include: • The push for patient centered care (rise of personalized medicine) • Chronic laboratory staff shortages • Rapidly increasing older population, leading to increased incidence of chronic diseases • Rising incidence of lifestyle diseases (e.g. cardiac, diabetes) • Increased demand for home-based POC usage (facilitated by technological innovations) • Increasing trend toward healthcare decentralization (linked to rise of mobile technology) • Long-term savings/cost benefit analyses (preventive vs. curative medicine) • Rural locations with limited laboratory services (linked to laboratory staff shortages). POC Testing: What, Where and Who? In light of the many factors leading to the increased demand for POCT, manufacturing companies are pushing the envelope to make POCT devices faster, easier, and more reliable. The global POC diagnostics market is forecasted to grow at a compound annual growth rate (CAGR) of 9.3% from 2013 to 2018, and to reach $27.5 billion by the end of 2018. Hundreds of tests once considered too complex for POC are now routinely performed outside the laboratory. Sensor technologies enable the rapid analysis of blood samples for many critical care assays, including: Blood gases/electrolytes Cardiac markers Cholesterol/lipids Coagulation monitoring (INR; ACT, Heparin; Hemostasis Assessment) • Drugs of abuse testing (DAT) • Fecal occult blood • Food pathogens • Glucose monitoring; Hemoglobin A1C • Hematology • Infectious diseases (such as Influenza and Rapid Strep) • Pregnancy and fertility • Tumor/cancer markers • Urinalysis testing • Other Chemistries (Magnesium, Lactate, Micro-albumin, Creatinine) • D-dimer for thromboembolism Future: Tests Trending • • • •
“ In light of the many factors leading to the increased demand for POCT, manufacturing companies are pushing the envelope to make POCT devices faster, easier, and more reliable.” Irwin Z. Rothenberg, COLA Resources, Inc.
rapid diagnosis in the physician's office, ambulance, home, the field, or in the hospital room. Clinicians become empowered to make decisions at the pointof-care and this can have significant positive • impact on healthcare delivery and address • some of the challenges of health disparities. • There are other potential benefits • depending on the specific situation and • testing: • • Less sample volume (pediatric, • neonatal, ICU venues) • Decreased pre-analytic concerns POCT is performed in many nonrelated to processing of specimens (i.e. laboratory sites such as urgent care clotting, centrifugation, preservation) centers, outpatient clinics, physician • Optimized drug treatments office laboratories, retail clinics (such as • Reduced post-op care time CVS and Walgreen Pharmacy Minute • Reduced hospital admissions Clinics), ERs, nursing homes, ambulatory • Reduced hospital stays coagulation clinics, the patient bedside, and in patient homes. Each of these Challenges of POCT environments has different testing needs, Although POCT provides rapid results variability in staff available for testing, and the opportunity for faster medical different data processing procedures, and decisions, the risk of errors with POCT different regulatory requirements. often raises concern over the reliability of Point of Care Testing may be performed test results. In contrast to the core lab, by nurses, MAs, EMTs, paramedics, where errors occur most frequently in the pharmacists, or any combination of pre- and post-analytic phases, POCT trained healthcare workers, as well as errors occur primarily in the analytic laboratory professionals. phase of testing. This can be related to a lack of understanding or training of nonBenefits of POCT laboratory staff who are typically Operational benefits of POCT may involved in POCT, or as a... include rapid decision making and triage, as well as the assurance of optimal use of Read the rest of this and other articles at professional time. POCT sets the stage for www.PhysiciansOfficeNews.com • • • •
Microbiology Outbreaks / epidemics Methicillin resistant staph aureus Endocrine testing to guide surgical therapy Parathyroid hormone ACTH Gastrin Growth hormone Sepsis markers Stroke markers DNA testing
5
2018 - Issue 7
PRODUCTFOCUS #4901
Laser Lipo - Non-invasive Instant Inch Loss
PHYSICIANS office RESOURCE
From Laser Lipo Ltd
The FDA Approved, Strawberry Laser Lipo is a groundbreaking treatment offering non-invasive, instant inch loss results to the Abdomen, Hips, Thighs, Arms, Back Fat, Buttocks, Male Chest and Knees, without any pain or downtime. The clinically proven, non-invasive laser treatment penetrates the skin to selectively target the fat cells underneath, leaving blood vessels, nerves and other tissue undisturbed. Only $24,750 and 0% inhouse no credit check financing.
View Brochures, Videos & More at: POR.io Enter Number 4901 in the Search Area
#4902
BD Veritor™ Plus System From BD
Influenza A/B results in under 11 minutes so treatment can begin immediately. Our BD Veritor™ line of immunoassay products, the BD Veritor™ Plus System and the BD Veritor™ System give healthcare providers and laboratorians in near patient settings the objective, lab-quality tests results at the point of care within minutes. This assay system eliminates the subjectivity of visual interpretations of tests results and replaces it with an objective digital result.
View Brochures, Videos & More at: POR.io Enter Number 4902 in the Search Area
#4903
First Ever CLIA Waived Hematology Analyzer From Sysmex
Faster test results, clinical decisions and greater practice efficiency are coming to physicians’ offices with the first CLIA-waived CBC analyzer. Hematology diagnostics leader Sysmex is bringing more lab testing to the point of care. One of the most common blood tests can be conducted reliably and accurately on-site, in as few as three minutes. The device’s ease of use and innovative technology means in-house staff can operate it in just a few easy steps, without lengthy certification and training. The new Sysmex XW-100 will improve health care efficiency and patient care.
View Brochures, Videos, & More at: POR.io Enter Number 4903 in the Search Area 6
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INTRODUCING SILARIS™ INFLUENZA A&B TEST
PCR Molecular Testing At The Point Of Care ● ● ●
Accurate Affordable Simple
For more information please visit us at silaris.com.
#4904
For In Vitro Diagnostic Use Only © 2018 Sekisui Diagnostics, LLC. All rights reserved. Because every result matters™ and Silaris™ are trademarks of Sekisui Diagnostics, LLC.
7
The Doctors Guide to Eliminating Debt From Dr. Cory S. Fawcett
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS
#4905
The Doctors Guide to Eliminating Debt can show you how to pay off debt faster than you imagined—including your house. Too many doctors are carrying perpetual debt and giving away a large chunk of each paycheck as interest to the bank. Don’t give away your future to the bank, you earned it, you keep it. Get your cure for Debtabetic Neuropathy and Alzheimer’s Debtmentia before it’s too late.
View Brochures, Videos & More at: POR.io Enter Number 4905 in the Search Area
Histofreezer® Portable Cryosurgical System From OraSure - Histofreezer
#4906 Histofreezer® Portable Cryosurgical System offers medical professionals an easy and effective method to treat nine different types of skin lesions, including common, plantar and genital warts and other common benign skin lesions. Medical professionals in primary care, internal medicine, podiatry, ob/gyn and dermatology areas of care have either added Histofreezer® to their practice offering or replaced more invasive and less tolerated procedures with Histofreezer®.
View Brochures, Videos & More at: POR.io Enter Number 4906 in the Search Area
#4907
Brewer’s Flex™ Access Exam Table From Brewer
Step up to power table performance for less with Brewer’s Flex™ Access Exam Table. Industry-leading 700-lb. patient weight capacity, unique safety features and unmatched ergonomic patient access maximize your clinical efficiency and ROI. A streamlined footprint and optional upgrades like safety grab bars, stirrups, and passthrough work surface provide ultimate flexibility for your practice.
View Brochures, Videos, & More at: POR.io Enter Number 4907 in the Search Area
8
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THE MOST COMMON TEST YOU ORDER IS NOW UNCOMMONLY CONVENIENT.
CBC 3
The Sysmex® XW-100 is the first, automated, CLIA-waived hematology analyzer to offer an accurate, same-visit CBC with differential—and a sample-to-result time of 3 minutes. This breakthrough technology provides healthcare professionals with a report of 12 parameters in the same patient visit, increasing confidence in establishing a diagnosis and treatment plan. Your patient recieved results in the same visit and everyone got a shot of confidence.
Faster answers. Earlier treatment. Contact your McKesson rep today or visit CBCin3.com
#4908 © 2018 Sysmex America Inc.
9
Silaris™ Influenza A&B Test From Sekisui Diagnostics
A molecular test utilizing polymerase chain reaction (PCR) technology providing accurate results for early diagnosis and proper management of influenza. Accurate √ Molecular Results √ State-of-the art microfluidic cassette technology √ PCR test using proprietary OscAR™ Technology Affordable √ Single Test Diagnosis √ Controls in every kit √ Molecular reimbursement (CPT Code 87502)
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS
#4909
Simple √ Easy to Use √ Compact portable dock with no calibration required √ Room temperature storage
View Brochures, Videos & More at: POR.io Enter Number 4909 in the Search Area #4910
CLIA-Waived Comprehensive Metabolic Panel From Abbott Point of Care
The Piccolo Xpress™ point-of-care chemistry analyzer delivers comprehensive CLIA waived diagnostics to Physician Offices. In 3 easy steps, the Piccolo provides lab-accurate results in minutes from a menu of 29 general chemistry tests, including lipids, liver, kidney, metabolic and other specialty functions. By using only 100 microliters of whole blood, serum or plasma - physicians can make confident treatment decisions faster, thereby increasing the efficiency, throughput and capacity of their practice, while also increasing revenue and ensuring patient satisfaction.
View Brochures, Videos & More at: POR.io Enter Number 4910 in the Search Area
#4911
OraQuick ADVANCE® Rapid HIV-1/2 Antibody Test From Orasure
The OraQuick ADVANCE® Rapid HIV-1/2 Antibody Test is an FDA-approved point of care screening test for use with oral fluid, fingerstick or venous whole blood and plasma. The test delivers lab accurate results within 20 minutes with less than 2 minutes of hands on time. This simple test is ideal for testing programs in both clinical and non-clinical settings, as well as outreach events.
View Brochures, Videos & More at: POR.io Enter Number 4911 in the Search Area
10
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Cost Savings
Low Sample Volume
Extensive Dedicated Test Menu
Minimal Downtime #4912
Intuitive Software Robust Hardware
Excellence In Clinical Chemistry Testing To find out more about our versatile range of clinical chemistry analyzers, contact us today
theRXseries@randox.com
+1 (866) 472 6369
•
randox.com/rxseries
Product availability may vary from country to country. Please contact your local Randox representative for information. Products may be for Research Use Only and not for use in diagnostic procedures in the USA.
11
2018 - Issue 7
PRODUCTFOCUS #4913
PHYSICIANS office RESOURCE
AAFP-PT is the Right Choice for Proficiency Testing From AAFP
AAFP-Proficiency Testing (AAFP-PT) is a full-service proficiency testing program designed to assist physician office laboratories, clinics, and small hospitals maintain laboratory excellence and regulatory compliance. AAFPPT provides an easy to maintain program with only three shipments per year, technical support by experienced laboratorians, electronic reporting, and P.A.C.E continuing education credits. Rely on AAFP-PT to help you assure the accuracy of lab results, a critical component of quality patient care.
View Brochures, Videos & More at: POR.io Enter Number 4913 in the Search Area
#4914
Make Laboratory Compliance and Inspection Easier From My Inspection
Make laboratory compliance and inspections easier by changing how you document, save and retrieve all information necessary to meet CLIA and accreditation regulations. With two unique electronic tools My Compliance Manual and MyInspection™ Software, the guesswork and tedious task of interpreting and documenting policy, procedure, forms, charts and logs is over. Your lab will be compliant, have less paper, and be inspection ready.
View Brochures, Videos & More at: POR.io Enter Number 4914 in the Search Area
#4915
OraQuick® HCV Rapid Antibody Test From OraSure
The OraQuick® HCV Rapid Antibody Test is the FIRST and ONLY FDAapproved, point of care test for the detection of HCV antibodies. This CLIAwaived platform delivers an accurate diagnosis in 20 minutes. The test can be completed in 3 simple steps from fingerstick or venous whole blood with less than 2 minutes of hands on time. It is ideal for testing programs in both clinical and non-clinical settings, as well as outreach events.
View Brochures, Videos & More at: POR.io Enter Number 4915 in the Search Area
12
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AMH Total βhCG (5th IS) DHEA-S Sensitive Estradiol Unconjugated Estriol hFSH
hLH
Inhibin A Progesterone Prolactin SHBG Testosterone
A COMPREHENSIVE MENU TO ANSWER LIFE’S REPRODUCTIVE CONCERNS Two new reproductive assays provide you with more options for testing. Our comprehensive menu of reproductive immunoassays helps to support healthcare for men, women and children. Our newest reproductive health assays, Access AMH and Access Sensitive Estradiol, support global fertility assessment and hormone monitoring.
› Access AMH, the only automated AMH assay to use a human recombinant antigen, delivers consistent and dependable results for assessing ovarian reserve
› Access Sensitive Estradiol assay has the broadest measuring range, surpassing IVF guidelines for hyper-response, in addition to offering pediatric reference ranges
› Access 2 immunoassay system, a powerful and reliable benchtop analyzer, features a space-saving design and user-friendly features
Learn more at beckmancoulter.com/reproductive
#4916 © 2018 Beckman Coulter, Inc. All rights reserved. Beckman Coulter, the stylized logo and the Beckman Coulter product and service marks mentioned herein are trademarks or registered trademarks of Beckman Coulter, Inc. in the United States and other countries. For more information, visit www.beckmancoulter.com/contact. AD-103964 For distribution only in the following region(s): U.S.
13
#4917
Measure and Train the Brain – In Your Office From Evoke Neuroscience
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS
The eVox® System is an FDA 510(k) cleared medical device to aid primary and specialty care physicians in diagnosis of memory loss and other cognitive disorders. eVox® measures memory loss biomarkers that may aid in detecting memory loss sooner, identifying the root cause of memory loss, and performing a differential diagnosis. eVox® procedures are performed in-office and are reimbursable by Medicare and commercial payers.
View Brochures, Videos & More at: POR.io Enter Number 4917 in the Search Area
#4918
CLIA-waived OSOM® iFOB From Sekisui Diagnostics
The CLIA-waived OSOM® iFOB test gives the physician and the patient a simpler, more compliant colon cancer screening option that is highly accurate and specific to human hemoglobin. With the ability of a convenient take home kit, patients can collect in the privacy of their own home with no dietary or drug restrictions in just one sample increasing the physician compliance for yearly screening.
View Brochures, Videos & More at: POR.io Enter Number 4918 in the Search Area
#4919
The Doctors Guide to Smart Career Alternatives and Retirement From Dr. Cory S. Fawcett
The Doctors Guide to Smart Career Alternatives and Retirement will show you ways to redesign your career in healthcare to find that balance of work and enjoyment that’s been missing. Many physicians are ready to give up their healthcare career altogether. It doesn’t have to end that way. There are ways to improve the things you don’t like. We will all eventually leave medicine, when we do, this guide will make it smoother.
View Brochures, Videos & More at: POR.io Enter Number 4919 in the Search Area 14
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Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $2,998.00 Welch Allyn CP150 w/ Interp: $3,186.00
#4920
#4921
#4923
#4922
#4925 #4924
#4926
#4927
Coaxial Ophth, Fiber Optic Oto, Speucla Dispenser, Aneroid BP, Wall Transformer & Wall Board without Thermometer: $850.00 with Thermometer: $1,117.00
#4929 #4928
#4930
#4931
#4932 15
2018 - Issue 7
PHYSICIANS office RESOURCE
3 THINGS PATIENTS REALLY WANT FROM THEIR DOCTORS By Suneel Dhand, MD,
Suneel Dhand is a physician, author and speaker. He is the Founder at DocSpeak, and Co-founder at DocsDox. He blogs at his self-titled site: suneeldhand.com
The doctor-patient interaction is the absolute core of clinical medicine. Maybe I’ll go much further: it’s the core of health care in general. I always try to remember, whenever I’m ever feeling frustrated with the system, the crazy bureaucracy — and of course, the debacle of our clunky electronic medical records and their data entry requirements — to separate myself from all of that when I’m face-to-face with my patient and their family. This time is priceless, it’s why I went into this. The interactions and honor of serving my patients at a low point in their lives, makes it all worth it. It’s where the magic of medicine happens, and is something that is untouchable by any external factor, if you choose to make it that way. Here are three things that patients want from that doctorpatient interaction: 16
1. A compassionate doctor who communicates well. A physician who understands that they are coming to them for help, shows empathy, and listens carefully to the problem. The doctor should exhibit both in their verbal and non-verbal communication, that they are fully engaged in being their doctor, who truly cares for them. There are an array of phrases and body language techniques that can be used to show empathy, all of them are very learnable, and deeply appreciated by your patients. 2. A doctor who is honest and transparent. I actually think almost all physicians are this way anyway — highly trustworthy professionals in the first place (anyone not that way, would unlikely have made it so far). Nothing but complete honesty with a sincere interest in getting the best possible www.PhysiciansOfficeResource.com
outcome. Explain everything slowly, clearly and in understandable terms — as if you are talking to a family member who knows nothing about health care. 3. A non-distracted physician. Nobody wants to pour their heart out to somebody who is not fully present in the conversation. No turning around, clicking, or looking elsewhere for extended periods of time. This is patient face time, not screen time. A technique that I use, that gets very positive feedback: I actually ditch the computer completely, especially when meeting a patient for the first time. I sit opposite them, lean in, and am fully present. I jot notes down on a piece of paper on my lap. Patients love it (actually anyone would like that kind of service when they are explaining something in a professional situation, even at Home Depot!). Writing things down when faceto-face with someone, subconsciously gives a better impression that you are concentrating and mentally processing, rather than typing on a keyboard and turning at a screen. It just does. So these are just three things that any physician should strive to do in their interaction, to give their patients the experience they deserve. It may just be another “name on the list” for us — but for patients who may have waited hours or days to see us, it’s the part of their day that they will usually remember and appreciate the most.
“ We are already very
good with our scientific knowledge and have stellar treatments at our disposal—but it’s the human side that is too often forgotten. Sure, time is tough, and not available in abundance. But even just an extra minute or two can make a huge difference.” Suneel Dhand, MD
Over my years of treating thousands of patients, seeing so many misunderstandings and poor interactions, and now being in a position where I am teaching many of these skills — I am really of the belief that what patients ask for is really not that much. We are already very good with our scientific knowledge and have stellar treatments at our disposal — but it’s the human side that is too often forgotten. Sure, time is tough, and not available in abundance. But even just an extra minute or two can make a huge difference. What I am saying here may not sound “trendy or fashionable” to lots of folks. Scroll the Twitter and LinkedIn feeds of
many of our administrators and technologists, who are now dominating health care, and you’ll soon see why the above is the last thing they want to hear. To lots of them, health care is all about spreadsheets and numbers, expensive new technologies, and building factorylike processes. But it really isn’t, and never will be. Unfortunately too, the doctor-patient relationship is something that may even be intimidating to many administrators — because it’s something that they can’t “get to” or really control. It shouldn’t be that way. We are currently in a health care swamp of epic proportions, where we lose the forest for the trees. We keep moving further away from the frontlines, among a tidal wave of bureaucracy. Of course, a sector as big as health care does need some oversight, rules, and regulations — but we’ve gone too far. That moment when a physician sits down with their patient, is what the practice of medicine is all about, and should take front and center stage in any health care system. So Doctor, this is your time. Make the most of it and let’s give patients what they deserve when we are face-to-face. Even if the rest of the world around us feels like its tumbling down. Read this and other articles at www.PhysiciansOfficeNews.com 17
2018 - Issue 7
PRODUCTFOCUS #4933
CELL-DYN Emerald Hematology Analyzer
PHYSICIANS office RESOURCE
From Abbott
CELL-DYN Emerald is a 3-part differential hematology analyzer that offers high performance in an affordable, compact design that provides reliable and accurate patient results every time. As a smaller operating laboratory, you need a solution that offers reliable results. CELL-DYN Emerald provides results in under 65 seconds. CELL-DYN Emerald’s small size, simple touch screen software and reliability offer an easy-to-use, truly compact table/bench top instrument for easy performance in your laboratory.
View Brochures, Videos & More at: POR.io Enter Number 4933 in the Search Area
#4934
Single, Integrated POC Testing Solution From Abbott Point of Care
The fully automated i-STAT System offers a broad menu of tests for diagnostic and treatment indicators related to disease state management and clinical practice guidelines. Using just 2 or 3 drops of blood, the system provides time-sensitive tests at the patient’s side in just minutes.
View Brochures, Videos, & More at: POR.io Enter Number 4934 in the Search Area
#4935
Rad-97™ Pulse CO-Oximeter® From Masimo
Pulse with Integrated Noninvasive Blood Pressure (NIBP) in a Standalone Bedside Device > Upgradable rainbow SET™ Measurements allows for continuous monitoring of multiple additional parameters > Customizable display allows for quick assessment of patient status > Configurable patient profile settings for a variety of patient populations > Connectivity Solutions for electronic charting of patient data Rad-97™
CO-Oximeter®
View Brochures, Videos, & More at: POR.io Enter Number 4935 in the Search Area 18
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MOS T
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#4936
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2018 - Issue 7
PRODUCTFOCUS #4938
Portable, Single Click Operation Spirometer From MicroDirect
PHYSICIANS office RESOURCE
The Micro Direct SpiroUSB many features include single click operation of all main functions, full ATS/ERS test quality checks, real time Flow/Volume and Volume/Time traces, a choice of child incentive displays, choice of predicted values, estimated lung age, pre/post bronchodilator comparisons and can be used on multiple PC’s with dongle software protection key. The child incentive display and ATS quality checks ensure maximal results every time. Use with a laptop for true portability.
View Brochures, Videos & More at: POR.io Enter Number 4938 in the Search Area
#4939
Hematology Testing Made Easy From Sysmex
Designed for labs testing up to 25 samples per day, the Sysmex pocH-100i™ has the smallest footprint of any analyzer on the market. The instrument requires only 15µL of whole blood for reporting of 17 clinical parameters, including a 3-part WBC Differential. It is ideal for urgent care, physician office lab, small clinic, or any outpatient setting where a point of care CBC is needed.
View Brochures, Videos & More at: POR.io Enter Number 4939 in the Search Area
#4940
The RX imola From Randox
A fully automated, random access analyzer with STAT sampling functionality; boosting productivity and saving time when it matters most. Developed for medium-high throughput laboratories, the RX imola provides comprehensive testing with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX imola: A cost-effective system that delivers consistent high quality results with a small footprint.
View Brochures, Videos & More at: POR.io Enter Number 4940 in the Search Area 20
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ABX Micros Range A new generation of Hematology analyzers based on the Micros concept, universally recognized for it’s reliability, robustness and high quality results.
• Easy to use • Low Maintenance #4941
• Robust design • Small counter top systems
NEW
ABX Micros ES 60
• Linux OS with color touch screen • Small sample size 10 uL / 50 samples per hour • Adult & Pediatric ( > one month ) sampling • LIS & EMR (HL7) connectivity options #4942
ABX Micros 60 CT • Using the ABX Minipack Reagent • Waste safely contained in reagent pack
#4943
ABX Micros 60 CT
Using Bottled Reagent
• EMR ready • Perfect Data Management for Physician Office and Clinic
Together... Let's build the Future Contact Us At: 888-280-1401 www.horiba.com/us/en/medical/ 21
2018 - Issue 7
PRODUCTFOCUS
#4944
PHYSICIANS office RESOURCE
The Brewer Basic Exam Table From Brewer
Full featured, entry-level exam table design. The Brewer Basic Exam Table features a pneumatic cylinder, seamless upholstery, and the largest storage capacity available. We invite you to compare features, price, warranty and you will find the Brewer Basic Exam Table is clearly the best entry level exam table available.
View Brochures, Videos, & More at: POR.io Enter Number 4944 in the Search Area #4945
Sysmex XN-L™ Series Automated Hematology Analyzers From Sysmex
Now lower volume customers can enjoy the same capabilities in CBC testing as larger hospitals and reference labs. Enhanced clinical value is standard and optional licenses for reticulocyte or body fluid testing are available. The XN-L analyzers are the first to feature BeyondCareSM Quality Monitor, an innovative, web-based QC and calibration management program.
View Brochures, Videos & More at: POR.io Enter Number 4945 in the Search Area
#4946
Micros ES60 From HORIBA Medical
The Micros ES60 is an easy to use tabletop hematology analyzer. It combines the reliability of the current Micros 60 with the latest Linux based operating system utilizing a large color touch screen user interface. The Micros ES60’s Zero Maintenance concept provides unparalleled user convenience monitoring all aspects of instrument operations and provides real time status updates for the user.
View Brochures, Videos, & More at: POR.io Enter Number 4946 in the Search Area
22
www.PhysiciansOfficeResource.com
#4947
23
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26
25 www.PhysiciansOfficeResource.com
Featured MDescapes Destinations
#4950
#4948
#4951
#4949
Exam Tables
#4952
#4953
#4955
#4954
Pediatric Tables
#4956
#4957
#4958
#4959
Power Tables
#4960
#4961
#4962
#4963
Cabinets and Stools
#4964
#4965
#4966
#4967
27
#4968
Fully Automated Quantitive Immunoassay Analyzer From Sekisui
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS
The FastPack® IP System is a fully automated quantitative immunoassay analyzer designed for use in the Physician Office laboratory. Utilizing sophisticated chemiluminescence technology, the FastPack® IP System provides the capability to produce complex immunoassay results in 12 minutes or less with a push of a button. Menu includes Vitamin D, Testosterone, TSH, Free T4 PSA and hCG.
View Brochures, Videos & More at: POR.io Enter Number 4968 in the Search Area
#4969
Highly Accurate Networked PC-based Spirometry From Vitalograph
Vitalograph introduces the new Spirotrac V software coupled with the rugged, accurate Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Challenge testing, cough testing and slow vital capacity testing with lung age estimation are all standard features. Beyond spirometry, the Spirotrac V also becomes a platform for a PC-based diagnostic workstation, incorporating a Bluetooth ECG, USB Pulse Oximetry, 6 minute walk test, Bluetooth Weight Scale for COPD / CHF assessment, and automated Blood Pressure measurements.
View Brochures, Videos, & More at: POR.io Enter Number 4969 in the Search Area
#4970
Pentra XLR From HORIBA Medical
For laboratories that need a highly reliable hematology analyzer with gold standard technology, the Pentra XLR provides the highest quality of results while delivering process efficiencies with auto-validation, auto rerun, and auto dilutions in a small, compact system. For laboratories that require reticulocytes for better patient care, the Pentra XLR provides a high quality and automated reticulocyte panel, available on a highly reliable hematology analyzer from HORIBA Medical in a cost effective manner.
View Brochures, Videos & More at: POR.io Enter Number 4970 in the Search Area 28
www.PhysiciansOfficeResource.com
Featured MDescapes Destinations
Rad-97 Pulse CO-Oximeter ™
®
With Noninvasive Blood Pressure Monitoring
#4971
Optional Roll Stand
Not Your Ordinary Patient Monitor
Customizable Multi-touch Screen Display
Configurable Patient Profiles
Advanced Connectivity Solutions
Upgradeable rainbow SET ™ Technology
Rad-97 is not licensed for sale in Canada. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, and precautions. © 2017 Masimo. All rights reserved.
29
PLLT-10432A
PLCO-001549/PLMM-10727A-1217
For more information, visit www.masimo.com
#4972
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS OSOM® Ultra Flu A&B From Sekisui Diagnostics
The OSOM® Ultra Flu A&B test is a rapid qualitative assay for the detection of Influenza A and Influenza B from multiple sample types. The OSOM® Ultra Flu A&B provided physicians with the ability to rapidly and accurately diagnosis influenza which enables a choice of antiviral therapy, helps avoid the overuse of antibiotics, and prevents healthcare costs related to unnecessary testing and treatment.
View Brochures, Videos & More at: POR.io Enter Number 4972 in the Search Area
From Routine To Specific Tests, Perform Them All On A Single System
#4973
From HORIBA Medical
The Pentra C400 is an extremely compact Clinical Chemistry benchtop analyzer. From routine to specific tests, it can perform them all on a single system. It can run up to 420 tests per hour with ISE module. Its automation and continuous loading provides enhanced productivity in a user-friendly environment.
View Brochures, Videos, & More at: POR.io Enter Number 4973 in the Search Area
#4974
Now It’s More Than Just A Blood Test From Sysmex
With its simplified operation, the Sysmex XP-300™ is ideal for clinics and physician office labs. It provides a CBC with 17 different parameters, including a 3-part WBC Differential. The XP-300+M combines the accuracy and reliability of a Sysmex CBC with the agility of Medicus Middleware. Features include EMR connectivity, instrument interfaces and a QC module.
View Brochures, Videos & More at: POR.io Enter Number 4974 in the Search Area
30
www.PhysiciansOfficeResource.com
Our products make all CLIA compliance documentation and the laboratory inspection process easy! MyInspection™ Software is unique, easy to use and helps you create, save, organize, store and retrieve documents necessary for CLIA compliance. My Compliance Manual is a comprehensive online tool designed to provide laboratories with the guidance needed to incorporate all the policies, procedures and business practices necessary to meet CLIA and accreditation compliance. Bundle MyInspection™ Software with My Compliance lab will be CLIA compliant making the inspection process easy.
Manual and your
When you work with our products and have a compliance question, we make it easy to get your answer quickly. My Expert is just a click away. For more information, please visit
MyInspection.us
Throw away the binders!
#4975
™
31
2018 - Issue 7
PRODUCTFOCUS #4976
Pronto® Pulse CO-Oximeter®
PHYSICIANS office RESOURCE
From Masimo
Pronto® Pulse CO-Oximeter® with rainbow® Technology for Noninvasive Spot-Checking of Total Hemoglobin (SpHb®) and SpO2 in a Handheld device. Featuring Masimo SET® Measure-through Motion and Low Perfusion™ Pulse Oximetry Technology: > Helps clinicians monitor more than 100 million patients a year1 > Used by the top 10 U.S. hospitals listed in the 2017-18 U.S. News and World Report Best Hospitals Honor Roll2 1 Estimate: Masimo data on file. 2 http://health.usnews.com/healthcare/best-hospitals/articles/best-hospitals-honor-roll-and-overview
View Brochures, Videos, & More at: POR.io Enter Number 4976 in the Search Area
#4977
The NanoEnTek FREND Immunoassay System From NanoEnTek
The NanoEnTek FREND Immunoassay System provides Vitamin D, TSH, fT4, PSA, and Testosterone results in minutes with a nocost placement program. Complete all 5 tests in less than 20 minutes for same visit patient consultation. PSA and TSH results are available in 3 minutes or less. Imagine having a new source of revenue with improved practice efficiency and patient satisfaction. Thoughtfully designed, with your practice in mind.
View Brochures, Videos & More at: POR.io Enter Number 4977 in the Search Area
#4978
Ultra hCG Combo Test From Sekisui Diagnostics
The OSOM® Ultra hCG Combo test is a simple immunoassay for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine for the early confirmation of pregnancy. Internal studies have confirmed that the OSOM® Ultra hCG Combo test does not have a false negative result from hCG variants providing physicians with an higher level of confidence.
View Brochures, Videos & More at: POR.io Enter Number 4978 in the Search Area
32
www.PhysiciansOfficeResource.com
Histofreezer
®
Cryosurgery at point-of-care
#1
years
selling product in the portable cryosurgical market1
as a market leader
Histofreezer® Portable Cryosurgical System is an easy and effective method to treat nine different types of skin lesions including: • • • •
common warts plantar warts genital warts benign skin lesions
Visit
www.Histofreezer.com
Learn more about reimbursement.
#4979
Contact your medical supplier for more information. Portable Cryosurgical System
• • • • Data on file GHX 2014, 2015, 2016 ®Histofreezer is a registered trademark of OraSure Technologies, Inc. © 2017 OraSure Technologies, Inc. HISTO0383 Rev. 12/17
Clinically proven Patient-friendly Easy-to-use Trusted brand
1
33
2018 - Issue 7
PHYSICIANS office RESOURCE
FIXING PRIMARY CARE’S BROKEN BUSINESS MODEL By Hans Duvefelt, MD, Hans Duvefelt, MD is a Family Physician, Writer, Teacher and Mentor. You can read more of his articles at acountrydoctorwrites.wordpress.com
Primary care visits are never quick; we don’t give much advice over the phone or online; and we prioritize the government’s and insurance companies’ public health agenda over our own patients’ concerns. Imagine health care as a retail customer experience for a few minutes: Imagine you’re going to Walmart to buy a bag of dog food, a new coffee maker or to equip a small kitchen in your newly built mother-in-law apartment. 1. You’ve bought dog food there before, so you know exactly where it is. You just want to quickly grab a bag and get out of there. 2. You have a rough idea of where the coffee makers are; you know some brands you trust, but you might have one or two questions before you select one, and if they don’t have one you like, you might get it somewhere else. Or, you might even check their website to see which models they carry. 3. For the new kitchen, you have a list, but know you probably haven’t thought of everything, so you plan to walk 34
down the aisles in the kitchen and home departments. You plan to spend a fair amount of money, so you might be on the lookout for special sales or promotions. But, you definitely don’t want someone else to choose all the items for you. Can Walmart meet your needs in all these situations? Probably yes. Now, think about how your doctor’s office works 1. Can you quickly get in and out if you have a simple problem like conjunctivitis? 2. Are they able to give you information on what your options are for a recurring shoulder dislocation; could they refer you to a shoulder specialist without first waiting weeks to see your primary care doctor? 3. You have lots of issues and try to get an appointment to deal with them all at once; you think of it as a physical, but last time you had a physical, your doctor brought up all kinds of things you don’t particularly see as priorities for yourself. www.PhysiciansOfficeResource.com
Here are the existing realities of primary care We can’t afford to just see you for something quick. Our quality indicators, which more and more will determine how we get paid, will go down if we don’t screen you at every visit and offer interventions for depression, smoking, alcohol misuse, hypertension, weight management, immunization needs and much more. We won’t refer you without seeing you, and we often hesitate giving you medical advice over the phone. Our providers are not scheduled for anything else besides seeing patients, because the rules of how we are paid still emphasize face-to-face visits over “population management.” So our providers are busy all day long seeing patients for visits that could have been simple but are loaded up with mandatory screenings and interventions and our medical assistants, besides being busy with all our screening questionnaires, are discouraged from giving medical advice they aren’t formally trained to provide. Is there a doctor shortage? We are said to have a doctor shortage. We have an aging population with more and more chronic diseases, like diabetes and heart disease. The need for skilled and experienced medical providers is continually increasing. We have no public health system to speak of in this country, so the government, through Medicare and Medicaid, has mandated that health care providers do the things the public health system does in other countries. This is, plain and simple, what is clogging up the works in health care today: Too much non-doctor work is crammed into each patient visit, and we can’t charge for giving advice or directing care except in a face-to-face visit. You don’t need to go to medical school to give immunizations, tell people smoking is bad for you, explain that “low fat” foods cause obesity, or promote regular exercise. You don’t even need to be a doctor, PA or NP to screen for high blood pressure – only to
“ This is, plain and
simple, what is clogging up the works in health care today: Too much non-doctor work is crammed into each patient visit, we can’t charge for giving advice or directing care except in a face-
to-face visit.” Hans Duvefelt, MD
treat it. (Some pundits, in utter desperation, have suggested we send pharmacists to school to learn how to treat hypertension, but there are of course plenty of licensed medical providers who are able and willing to do that if we get freed up from the lessskilled tasks I just listed above.)
premiums and deductibles. And all the mandated screenings are there because Medicare, in particular, has the right to micromanage doctors’ work because they are paying for health care visits, which could be quicker and less costly if patients had control over their health care spending.
Patients and doctors have no control Now, why are we doing all those things we do if they are so inefficient? Quite simply, whoever pays us has the power to define our work. We call that “health insurance,” but that is not exactly what we are dealing with. Insurance, for home, auto or employer liability, has nothing to do with predictable events or minor issues. Your car insurance doesn’t pay for oil changes or tire wear, not even for a minor paint scratch. But somehow that is what we expect health insurance to cover for our bodies. In terms of auto insurance, most people probably figure an insurance job carries an inflated price tag and lots of paperwork. The same is true for health care, which should not be a surprise to anyone. For example, years ago the overhead cost of insurance billing for each primary care doctor was reported to be $80,000. That, put very plainly, is money that patients and employers are ultimately paying through
How could we do better? We do three things in primary care, each with its own workflow and, really, each with its own economics. 1. We could do our part of public health more effectively. Allow us to promote immunizations and other primary preventions outside our already crammed fifteen-minute visits. Pay us a per patient per year stipend to reach out to target populations through mail, phone, web or, when appropriate, in person about general health issues. Stop imagining we can do all of it and still treat diseases, acute and chronic, in our measly fifteen minutes. Right now, that is just clicking boxes with little actual substance. Use some of the government money that should have been spent on a working public health system... Read the rest of this and other articles at www.PhysiciansOfficeNews.com 35
2018 - Issue 7
PRODUCTFOCUS #4980
Self-contained Diagnostic Workstation From Vitalograph
PHYSICIANS office RESOURCE
Vitalograph introduces the Compact Expert diagnostic workstation. The device is a full touch-screen based medical workstation, which comes equipped with Vitalograph’s flagship Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Beyond spirometry, it is a desktop testing station for ECG, Pulse Oximetry, Weight , COPD assessment, and Blood Pressure measurements.
View Brochures, Videos & More at: POR.io Enter Number 4980 in the Search Area
Lightweight Handheld Spirometer From Vitalograph
Vitalograph’s In2itive combines the benefits of full spirometry, data integration and mobility in a small lightweight handheld spirometer. The In2itive features flow measurement with the robust, industry leading accuracy of the Fleisch pneumotach. The spirometer can store over 10,000 patients in memory, archive to a MicroSD memory card or synchronize seamlessly with the new Spirotrac V spirometry software. Printing is accomplished by quickly downloading to the included Vitalograph Reports software or via an optional accessory print cradle directly to standard office printers. The In2uitive has a color touchscreen featuring audible graphic incentives. Portability is enhanced with full day rechargeable battery life. A unique aspect of the product is a convertible flow head, which can either be mounted directly on the top of the device or separated to allow it to be held by the patient while the technician holds the device.
#4981
View Brochures, Videos & More at: POR.io Enter Number 4981 in the Search Area
#4982
The RX daytona+ From Randox
A bench-top, fully automated, random-access chemistry analyzer, providing routine and specialized testing with emergency STAT sampling functionality. Demonstrating unparalleled versatility, the RX daytona+ combines robust hardware and intuitive software with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX daytona+ ensures unrivalled precision, reliability and accuracy for results you can trust.
View Brochures, Videos & More at: POR.io Enter Number 4982 in the Search Area 36
www.PhysiciansOfficeResource.com
E
N
U
L
M
E
MOS T
VE SI N
MPREHE CO
AVA I L A
B
®
#4983
#4984
37
#4985
Drugs of Abuse Testing and Routine Chemistry Panels on a Single Analyzer From Carolina Liquid Chemistries
PHYSICIANS office RESOURCE
2018 - Issue 7
PRODUCTFOCUS
Carolina Liquid Chemistries Corp. announces the successful launch of Medica Corporation’s high-speed benchtop analyzer, the EasyRAŽ. The updated analyzer now operates at a photometric rate of up to 240 tests per hour or up to 480 tests per hour with ISE. The EasyRA urine drug screening and general chemistry reagents are CLIA categorized as moderately complex. This all-in-one system allows clinical laboratories to screen for drugs of abuse in urine while also allowing healthcare providers to assess routine chemistry panels on a single analyzer.
View Brochures, Videos & More at: POR.io Enter Number 4985 in the Search Area
#4986
The Brewer Century Series Stool From Brewer
Has a pneumatic height adjustment, 16" wide, 4" thick polyfoam seat cushion, and five-leg 23" brushed aluminum accent base. Optional adjustable 18" chrome footing. Optional adjustable contoured backrest with black plastic shroud.
View Brochures, Videos & More at: POR.io Enter Number 4986 in the Search Area
#4987
EZ 2-Part Reagent Vitamin D From Carolina Liquid Chemistries
Carolina Liquid Chemistries Corp., also known as The Reagent Company, has recently added to their menu the EZ Vitamin D assay. The EZ Vitamin D Assay is the first and only 2-part, latex enhanced immunoturbidimetric assay for use on automated chemistry analyzers. It is FDA Cleared, recognizes both 25-OH Vitamin D2 and D3 equally, and is a 20part (R1 and R2) liquid ready to use reagent with no sample pretreatment required.
View Brochures, Videos & More at: POR.io Enter Number 4987 in the Search Area 38
www.PhysiciansOfficeResource.com
#4988
#4989
#4990
#4991
#4992
39
C
A LI
AI W
* D E V
#4993
Xpert Xpress Strep A
Fast, Easy, and Accurate Molecular Testing • •
Confirmatory molecular test results No culture confirmation required for a negative result1
• •
Run multiple patient samples at the same time True walkaway system; load sample and go
For more information, call (888) 256-6990.
* For in vitro diagnostic use. 1 No culture confirmation required for negative results unless clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF). 904 Caribbean Drive | Sunnyvale, CA 94089 USA 40
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