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FE ATURES SAINT JOSEPH'S MEDICAL CENTER: A MISSION OF SERVICE IN CARDIOLOGY 06 Saint Joseph's Medica l Center provides advanced care in cardiolog y while being cultura lly sensitive to its diverse patient population. ST. JOHN'S RIVERSIDE HOSPITAL: DELIVERING LIFE-CHANGING, MINIMALLY INVASIVE BARIATRIC SURGERY 13 Genera l and bariatric surgeon Jonathan Arad, MD, FACS, discusses the benefits of bariatric surgery. SPECIAL CLINICAL SECTION: MENTAL HE ALTH INJURED CHILDREN SHOW MARKED INCREASE IN MENTAL HEALTH DIAGNOSES 18 Pediatric patients who require hospita lization for injuries are more likely to be subsequently diagnosed with a menta l hea lth condition, research suggests. A-MASTER TO TURN OFF FOLIOS WHEN DESIGN IS COMPLETE. Please do not delete the folios! THE PS NEEDS them to check that the design clears the folios. USE THE PROCESS ABOVE to remove the folios. Thank you, PS Team Pitfalls to Avoid in Starting a Practice W I T H O NLY A T HIR D of physicians identifying themselves as private practice owners, according to a survey by physician recruitment firm Merritt Hawkins, the trend toward physician employment still appears strong. However, starting a private practice is doable if you bypass some common mistakes, the American Osteopathic Association advises on its website. Among those pitfalls: + Delaying credentialing and enrollment with payers. This process, which involves Medicaid, Medicare and private insurers, can drag on for months. Plan accordingly so you are ready to treat patients when you open. + Breakneck hiring. Recruiting employees and checking their backgrounds, references, credentials and training takes a lot of time, too. Start early. + Underestimating expenses. A certified financial planner, an accountant and an attorney can help you determine your up-front and long-term costs. n — Steve Barrett Succession observed, "is a matter about which a great deal is said, but very little done." planning in medical practices is not much better: Only about a third to a survey by B.E. Smith, a member of San Diego-based staffing formal plan of succession for executive vacancies. Hospital Review, Mark Madden, Senior Vice President of Senior Executive ways practices can get succession planning on track. Here are a few: candidates shouldn't be disqualified for having followed an unconventional the right experience to be an excellent fit in the C-suite. A B O U T 6 0 0 P AT I E N T S for whom separate or combination use of four or more antidepressants had not delivered relief took part in the study. Researchers used stimulators that sent mild electrical pulses to the brain via the vagus nerve. Patients using stimulators and, in many cases, medication, had more improve- ment on 10 of 14 quality-of-life measures than patients using only combinations of treatments such as psychotherapy and antidepressants. Among those measures were overall well-being and the ability to work. While vagus nerve stimulation has long been FDA-approved for address- ing treatment-resistant depression, the study expanded assessment of patients' responses to nerve stimulation beyond the therapy's antidepressant effect. "For a person to be considered to have responded to a depression therapy, he or she needs to experience a 50 percent decline in his or her standard depression score," Charles R . Conway, University Professor in a news release we noticed anecdotally with stimulators ing much better were only dropping About 16 million depressive episode the National Institute The findings in The Journal Nerve Stimulation, Depression and Quality BY STEVE BARRETT NERVE STIMUL ATION CAN BOOST QUALIT Y OF LIFE FOR PEOPLE A STUDY SPE ARHE ADED BY SCIENTISTS AT WA SHINGTON UNIVERSIT MEDICINE IN ST. LOUIS SUGGESTS. CORE 059990052_InnoTech1 [P];10_View.indd 1 06 contents /////// FEB/MAR 2019 DEPARTMENTS FINANCE 11 BUSINESS OF MEDICINE 12 PEOPLE IN THE NEWS 14 INNOVATION-TECHNOLOGY 16 FINANCIAL CHECKUP 17 LOCAL NEWS 20 UPCOMING CME EVENTS 22 12 16