Tampa General Hospital and GE Healthcare’s CareComm Saves $40 Million, Cuts 20,000 Excess Days and Reduces Length of Stay

Tampa General Hospital (TGH), in partnership with GE Healthcare, reports a $40M reduction of system-wide inefficiencies since launching their CareComm command center with GE’s Command Center Software last August. Utilizing 20 artificial intelligence applications (aka Tiles), CareComm helps to optimize minute-to-minute patient care operations with real-time actionable information used in CareComm and throughout the hospital.

CareComm’s Tiles include Patient Manager, Capacity Snapshot, Surgical Tube Map, Observation Manager, Discharge Barriers, Imaging Expediter and more. CareComm also created a digital twin of patient flow at TGH which was used to reallocate nursing unit capacities and optimize the surgical block schedule. More than anything, CareComm’s work has been to serve and enable TGH’s caregivers and care teams.

The program has helped TGH to operate at maximum occupancy, decrease average length of stay by eliminating 20,000 excess days, and reduce emergency room diversion by 25% for the level one trauma center that serves the entire West Coast of Florida. These improvements equate to 30 beds of additional capacity.

“CareComm is not only the center of gravity for our artificial intelligence platform, it’s the center of gravity for the entire hospital system,” said John Couris, CEO of Tampa General Hospital. “We feel sometimes that to fix a problem, we’ve got to build a building or build more capacity. We started to think a little differently saying, how do we drive value to the consumer by doing better with what we have and not just simply building more.”

“When CareComm opened in August 2019, a hurricane was approaching, and we talked about it being helpful during the storm. We didn’t discuss a pandemic, but it’s been a remarkably useful tool in the management of COVID-19 as well as for daily patient care operations,” said Everett Cunningham, CEO of US and Canada, GE Healthcare. “GE Command Centers are now operating in over 200 hospitals worldwide helping health systems and governments through COVID-19.”

In addition to GE’s real-time Tiles, the CareComm team rapidly implemented an early warning system to help anticipate COVID-19 hotspots in the community. And TGH worked with health systems in the local area to share capacity between them through each surge of COVID-19 patients.

“CareComm guides our hospital along the path of automating care delivery. Over the past year, our team gathered valuable patient insights from our command center which we’ve been able to apply to managing reduced length of stay and better patient flow for all patients – especially in the evolving era of the COVID-19 pandemic,” said Dr. Peter Chang, vice president for care transitions, Tampa General Hospital.

TGH is also co-leading a statewide collaboration with other Florida health systems and GE Healthcare to manage beds, ventilators and COVID-19 hospitalizations in near-time called the Florida Capacity System. This new cloud-based system is live and will help to manage the pandemic as well as hurricanes and other challenges in the future.

“The COVID-19 crisis requires a regional response. We’ll keep working together with the Florida healthcare systems and have agreed to share

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General plans campaign to deliver coronavirus vaccine quickly

The Pentagon general spearheading President Trump’s drive to ensure a coronavirus vaccine gets to the American people in record time said Tuesday that Operation Warp Speed can only work if there is full buy-in from the public when the vaccine becomes available.

Army Gen. Gustave Perna, a military logistics specialist who got a shoutout from Mr. Trump himself at last week’s presidential debate, described his mission at a session organized by the conservative Heritage Foundation was “our world’s best scientists and doctors working beside the world’s best military with the support of American industry and academia.”

“It’s the collective effort that will ensure we’re successful. I’m proud to be a part of it,” Gen. Perna said.

Operation Warp Speed is pushing ahead in the face of an at times angry political debate over the government’s handling of the virus crisis and whether the urgency of the mission will affect the safety of the process.

Thousands of volunteers will be needed after pharmaceutical giants AstraZeneca and Johnson & Johnson announced this week they were restarting U.S. clinical trials on their coronavirus vaccine candidates following a temporary stand-down over possible safety issues. Officials at Operation Warp Speed — a public-private partnership to develop therapeutics and ultimately a vaccine for COVID-19 — said locating a large number of volunteers for the trials is absolutely crucial.

In the past, about 5,000 to 8,000 people agreed to take part in clinical trials, Dr. Matthew Hepburn, head of program’s vaccine development, told the Heritage gathering.

“Our standard has been 30,000 volunteers for our clinical trials. We want to gather as much safety information as we possibly can,” Dr. Hepburn said Tuesday. “We want to know if [the vaccine candidates] work. The more people you enroll, the sooner you’re going to be able to evaluate the effectiveness.”

Dr. Hepburn said biotech firm Moderna has already completed its Phase 3 clinical trials with more than 30,000 volunteers enrolled in the testing. The New York-based pharmaceutical company Pfizer has signed up more than 40,000 people to take part in currently ongoing testing.

“That shows me that over 60,000 Americans have decided to say, ‘I will volunteer. I don’t know if I’m going to receive the vaccine or if I receive a placebo. But I’m going to do my part,’” Dr. Hepburn said. “We’re very proud of the spirit of volunteerism that we see in America.”

Medical researchers will be keeping in contact with those who received the initial COVID-19 vaccine candidates.

“The people that are vaccinated in the clinical trial now, our intention is to follow them for up to two years so we can get a better idea on that critically important question of duration of protection,” Dr. Hepburn said.

Past campaigns against viruses such as smallpox, polio and the measles made it possible for researchers to move more quickly to the coronavirus finish line, officials said.

“These efforts have gone on for decades. We stand on the shoulder of giants,” Dr. Hepburn said. “There was massive progress

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Philips and Singapore General Hospital (SGH) to establish Digital and Computational Pathology Center of Excellence

Digital pathology at Singapore General Hospital

October 23, 2020

  • SGH aims to develop the first fully digitized histopathology laboratory in ASEAN by expanding the use of Philips’ IntelliSite Pathology Solution, potentially increasing the productivity of existing staff by 7%

  • Philips Singapore and SGH will optimize digital pathology use to facilitate research in Artificial Intelligence (AI)

Amsterdam, the Netherlands – Royal Philips (NYSE: PHG, AEX: PHIA), a global leader in health technology, today announced a collaboration with Singapore General Hospital (SGH) to establish the Singapore General Hospital Digital and Computational Pathology Center of Excellence. The SGH Center of Excellence aims to advance pathology practice by implementing a fully digital histopathology workflow and deploying Artificial Intelligence (AI) to increase productivity and enhance patient care.

Located within SGH’s Division of Pathology, one of the largest pathology laboratories in ASEAN, the Center of Excellence aims to establish ASEAN’s first fully digitized histopathology laboratory by expanding its digital pathology capabilities for primary diagnosis, training, and R&D with the Philips IntelliSite Pathology Solution. Both SGH and Philips will also work closely on other diverse areas, including streamlining of the histopathology laboratory’s digital workflow.

As in other parts of the world, the demand for cancer diagnosis in Singapore is increasing while pathologists remain scarce. A recent study, conducted by SGH and Philips, revealed that full digitization of SGH’s histopathology laboratory will improve efficiency. It has the potential to enable time savings in the pathology workflow and allow the pathology department to increase its capacity by another 7% whilst retaining the same number of employees.

Through optimization of digital pathology at SGH, the hospital will be able to further its research in AI. AI-based tools can aid pathologists in diagnosing diseases such as cancer – the leading cause of mortality in Singapore [1] – and empower them to face the current challenges in pathology. The increasing number of cancer cases, an aging population, and rapid advances in personalized medicine have resulted in significant complexity of pathological diagnostics, adding to the workload of pathologists. AI will allow pathologists to focus more on challenging tasks and unusual cases that require a higher degree of expertise and skills.

“As healthcare becomes more complex and demanding, digitization has become a key enabler for the Hospital to provide better care for our patients and to be more efficient,” said Prof. Kenneth Kwek, Chief Executive Officer at SGH. “Digital pathology is an example of that. Our partnership with companies such as Philips, with its clinical and technical know-how, is important in helping us achieve our goal.”

“Digital pathology enhances the quality and efficiency of a histopathology laboratory,” said Diederik Zeven, General Manager, Health Systems, Philips ASEAN Pacific. “We are committed to partnering with leading healthcare institutions like Singapore General Hospital to bring the latest in precision diagnosis and AI capabilities to help them augment clinical quality, improving patient outcomes and thereby reducing the cost of care.”

Philips IntelliSite Pathology Solution enables pathologists to review and interpret digital images of surgical pathology

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U.S. again tops 60K new COVID-19 cases; Surgeon General Jerome Adams rejects ‘herd immunity’

Oct. 21 (UPI) — U.S. Surgeon General Dr. Jerome Adams joined other top health experts Wednesday in opposing a dangerous “herd immunity” strategy, as the United States again added another 60,000 COVID-19 cases.

According to updated data from Johns Hopkins University, there were 60,300 new cases nationwide on Tuesday — the third time in the past week that the level has topped 60,000.

Deaths in the United States also increased on Tuesday, the data showed, to more than 900. Since the start of the pandemic, there have been 8.28 million cases and about 221,100 deaths nationwide.

Wednesday, Adams joined Dr. Antony Fauci and other top health officials in opposing a herd immunity strategy, which is purportedly being considered by the Trump administration. Adams said pursuing such a strategy, which effectively allows the coronavirus to spread unchecked, would result in an unacceptable death toll.

Adams tweeted that there’s no “example of a large-scale successful intentional infection-based herd immunity strategy” and warned that the course would “lead to many complications/deaths.”

The strategy reasons that letting the virus spread would infect large populations, who would then develop a natural immunity to COVID-19 and thereby reduce the number of people who can be infected afterward. Eventually, the theory goes, the virus would run into a dead end.

“Large numbers of people would need to be infected to achieve herd immunity without a vaccine,” Adams wrote, warning that such a path could “overwhelm” healthcare systems.

Fauci, director of the National Institute of Allergy and Infectious Diseases, rejected the idea of herd immunity last week, calling it “ridiculous” and “total nonsense.”

Most scientists say there would be no feasible way to isolate and protect vulnerable Americans who face a greater risk of death from COVID-19 in such a scenario.

Researchers at the University of Washington say a herd immunity strategy would likely lead to tens of thousands of additional deaths by the start of 2021.

Child cases have increased by almost 15% — 84,000 cases — in the first two weeks of October, according to an update from the American Academy of Pediatrics and Children’s Hospital Association.

Since the start of the crisis, about 740,000 children have tested positive in the United States — almost 11% of total cases, it said. The overall infection rate is 986 per 100,000 children.

Though severe illness and deaths still appear to be rare among children, the groups urged authorities to “provide detailed reports on COVID-19 cases, testing, hospitalizations and mortality by age and race/ethnicity so that the effects of COVID-19 on children’s health can be documented and monitored.”

The Centers for Disease Control and Prevention said Tuesday there have been about 300,000 deaths more than normal so far this year due to the pandemic.

In a typical year, the CDC said, there are about 1.9 million deaths from all causes between February and October. This year, COVID-19 has pushed that figure to near 2.2 million, an increase of 14.5%.

About 200,000 of the extra deaths may be attributed to

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Dentist West Ryde, West Ryde Dental Clinic Offers General, Cosmetic, Orthodontic and Dental Implant Services in NSW – Press Release

Dentist West Ryde, West Ryde Dental Clinic Offers General, Cosmetic, Orthodontic and Dental Implant Services in NSW

A good dentist is one that will be willing to go all out to ensure that all of the needs of their patients are being addressed. That is exactly what patients get when they reach out to West Ryde Dental Clinic for their dental care and treatment needs.

West Ryde, NSW – There will only be a few options when choosing a family dentist. The whole process can be a challenging endeavor even for people that have been through it before.  It can be confusing to make the right decision, as the dentist will be depended on for the oral health care needs of the whole family. A good dentist is one that will be willing to go all out to ensure that all of the needs of their patients are being addressed. That is exactly what patients get when they reach out to West Ryde Dental Clinic for their dental care and treatment needs.

“We firmly believe prevention is key to a beautiful and healthy smile, and so we will do everything we can to minimise any barriers to visiting the dentist. To achieve this, we do not charge a gap payment from any health fund for preventative services, and this includes your 6 monthly check-ups, scale and cleans, check-up x-rays, intraoral photos, personalised treatment plan, and fluoride treatments. We also believe in early intervention orthopedic and orthodontic treatments, having a strong focus on maximising jaw development, to ensure ideal relationships are formed for the jaws,” said Dr Thomas Choi, the spokesperson for the dental clinic, regarding their unrivalled services.

The practice is dedicated to providing personalized dental care and treatment for the whole family. All of the dentists at West Ryde Dental Clinic have gone through extensive training and are graduates of some of the best Australian universities. The practice has also invested in continuous education to ensure that every team member is better equipped to address the needs of their patients.

For patients that are always busy during the week, the practice makes sure that there are available slots during the weekend so that high-quality dental care and treatment are available round the clock.

Patients can take advantage of the free and no-obligation consultation so that they’re aware of their oral health. Going to the dentist isn’t something that should be dreaded and that is why West Ryde Dental Clinic makes sure that patients are comfortable right from the moment that they walk through their office doors. Senior cardholders can expect a 10% discount on all dental services. The practice is open for patients of all ages and their sole goal is to provide a 100% satisfaction guarantee on the dental services that they provide.

West Ryde Dental Clinic takes pride in the fact that their dentists are members of the Australian Academy of Dento-Facial Aesthetics. Patients can rest easy knowing that they’re getting a dentist West Ryde that will help achieve a Hollywood smile.

The practice takes a preventive approach when it comes to dental care

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More About Services Provided By A General Dentist

The role of general dentists is to provide primary dental care for patients of all ages. They look after your entire family and overall dental health. Your oral health needs are met by the general dentist as they take care of the diagnosis, treatment and coordination of services.

However, in case, specialized dental care is needed, the dentist will refer you to specialists to ensure that you get the care that you need. Mostly general dentists work in government health services, higher education, military and research projects. All of them have years of experience and academic qualifications that ensure you get the highest dental services. The dentists are trained and educated specializing in different areas of dentistry. Some of the services that are provided to you and your family include:

– Dental implants and dentures

– Crowns and bridges

– Oral surgery

– Partial dentures

– Nutrition counseling

– Orthodontics

– Root canal therapy

– Sealants

– Teeth cleanings

– Gum disease treatment

– Crowns and bridges

– Cosmetic procedures

Usually functioning as family dentists and looking after oral dental care, the vast experience and services are a help. However, if you are looking for cosmetic dentistry, a general dentist will not be able to assist you. It is a separate specialization that requires precision and experience for proper functioning. But before you set an appointment with the cosmetic dentist, ensure that your insurance covers the costs. If you are looking for dental inlays and overlays, for teeth restoration, or improving your decayed teeth, consult a cosmetic dental surgeon.

These are applied to the chewing surfaces of the molars as they wear out faster. If you have decayed teeth, the dentist will remove the portions of damaged tooth and the rest will be prepared for the dental inlay or overlay. Additionally, a wax mold impression will be taken along with the bite to ensure the best fit. This impression is then used to create a plaster model which will be used to match the contours of the tooth.

The inlay fillings are used for restoring normal tooth structure while it is used for filling in small areas between the teeth. While the dental onlay are used on treating a larger area and is specially used when the chewing surfaces over a large area require to be safeguarded. However, both of these are made from composite resin or porcelain as they can withstand everyday grinding and chewing while matching the natural color of the teeth. Additionally, you can even get dental crowns made of alloys or metals. You must have seen people with gold or titanium dental crowns. As these are metal, they last long and can withstand wear and tear.

Only after the wax model is approved, the porcelain or alloy crowns are made. The second session is used for checking the fitting and is then cemented to ensure a proper bond. After that the final polish is done and you have got a beautiful smile again. If you have …

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What Is a General Dentist and Specialist Dentist?

The American Dental Association (ADA has 155,000 member dentists) recognizes nine (9) dental specialties. An accredited Dental Specialist has taken advanced training after graduating from dental school. The specialty training program must be recognized and accredited by the ADA Council on Dental Education at an accredited institution. Most states require a Dental Specialist to limit their practice to their specialty. An accredited Dental Specialist can elect to practice General Dentistry with specialized training. This is not a declared specialist that is limited only to their specialty. A general dentist can provide any dental treatment that they are competent and confident in doing. All of the specialty areas of dentistry can be performed by a general dentist that get the necessary training. That is why the Academy of General Dentistry (AGD) was founded with the support of the ADA.

Since 1952 the AGD has served the needs and interests of general dentists. The AGD promotes the oral health of the public and fosters the proficiency of general dentists through accredited continuing dental education. The AGD helps general dentists to better serve the public. This is why 35,000 general dentists belong even though they must take accredited continuing education to maintain their membership.

The nine accredited (real) specialties:

1. Endodontics

2. Oral Pathology

3. Oral & Maxillofacial Surgery

4. Orthodontics

5. Pediatric Dentistry

6. Periodontics

7. Prosthodontics

8. Public Health Dentistry

9. Oral Radiology & Imaging

Licensed dentists that hold themselves out to be specialists that have not completed an accredited training program in one of the dental specialties at an approved institution may be committing fraud. Most state Dental Practice Acts do not allow dentists to hold themselves out as a specialist in non-recognized/non-accredited “specialty”. State Licensing Boards usually only allow the nine (9) ADA approved specialties and use the ADA accreditation system. Dentists that advertise and hold themselves out as a non-recognized/non-accredited “specialist” without informing the public that they are not really a specialist but only providing services in that non-recognized/non-accredited specialty area of general dentistry can be disciplined and even lose their dental license in that state. This is to protect the public from unscrupulous practitioners.

A dentist that provides unproven tests and treatment may not give relief or produce a correct diagnosis.

To be fair there are organized continuing education programs and dental organizations that can be comprehensive and extremely helpful to training the practicing dentist. The Academy of General Dentistry (AGD is the 2nd largest recognized US Dental Professional Organization) has their Fellowship (FAGD) and Mastership (MAGD) programs. This includes a program that requires a large number of accredited continuing education courses (FAGD = 500 hours; MAGD = 1100 hours including hands-on courses) in specified fields. The Fellowship also requires a strictly administered written examination. The General Practice Board Certification (Civilian and Military) requires accredited continuing education lecture and hand-on courses, written examination and an oral examination of a comprehensive clinical case. The dentist must indicate that they are a General Dentist with the FAGD, MAGD or …

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