{"id":49637,"date":"2021-02-24T17:25:26","date_gmt":"2021-02-24T22:25:26","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/?p=49637"},"modified":"2023-06-06T18:06:32","modified_gmt":"2023-06-06T22:06:32","slug":"uncs-medicine-procedure-service-implementation-and-five-year-experience-study","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/uncs-medicine-procedure-service-implementation-and-five-year-experience-study\/","title":{"rendered":"UNC&#8217;s Medicine Procedure Service, Implementation and Five-Year Experience Study"},"content":{"rendered":"<figure id=\"attachment_49639\" class=\"thumbnail wp-caption alignright\" style=\"width: 381px\"><a href=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel.png\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-49639\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel-245x300.png\" alt=\"spangler-stephens-sturkie-dancel\" width=\"371\" height=\"454\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel-245x300.png 245w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel-600x734.png 600w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel-301x368.png 301w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel.png 750w\" sizes=\"auto, (max-width: 371px) 100vw, 371px\" \/><\/a><figcaption class=\"caption wp-caption-text\">L-R: Hillary Spangler, MD, John Stephens, MD, Emily Sturkie, MD, and Ria Dancel, MD.<\/figcaption><\/figure>\n<p>Med-peds resident, <a href=\"https:\/\/www.med.unc.edu\/medicine\/directory\/hillary-spangler\/\">Hillary Spangler<\/a>, MD, and hospitalists, <a href=\"https:\/\/www.med.unc.edu\/medicine\/directory\/john-r-stephens-md\/\">John Stephens<\/a>, MD, <a href=\"https:\/\/www.med.unc.edu\/medicine\/directory\/emily-sturkie-md\/\">Emily Sturkie<\/a>, MD, and <a href=\"https:\/\/www.med.unc.edu\/medicine\/directory\/ria-dancel-md\/\">Ria Dancel<\/a>, MD, published \u201cImplementation of an academic hospital medicine procedure service: 5-year experience\u201d in <em><a href=\"https:\/\/doi.org\/10.1080\/21548331.2021.1890958\">Hospital Practice<\/a><\/em>.<\/p>\n<p>Procedural complications are a common source of adverse events in hospitals, especially where bedside procedures are often performed by trainees. Medicine procedure services (MPS) have been established to improve procedural education, ensure patient safety and provide additional revenue for services that are typically referred. Prior descriptions of MPS have reported outcomes over one to two years. Researchers aimed to describe implementation and five-year outcomes of a hospitalist-run MPS.<\/p>\n<p>The team identified all patients referred to MPS for a procedure over the five-year span between 2014-2018, and manually reviewed all charts for complications of paracentesis, thoracentesis, central venous catheterization, and lumbar punctures performed by the MPS in both inpatient and outpatient settings. Annual charges for these procedures were queried using Current Procedural Terminology (CPT) codes.<\/p>\n<p>The team also identified 3,634 MPS procedures. Of these, ultrasound guidance was used in 3224 (88.7%) and trainees performed 2701 (74%). Complications identified included pneumothorax (3.7%, n=16) for thoracentesis, post-dural puncture headache (13.9%, n=100) and bleeding (0.1%, n=1) for lumbar puncture, ascites leak for diagnostic (1.6%, n=8) and large volume (3.7%, n=56) paracentesis, and bleeding (3.5%, n=16) for central venous catheter placement. Prior to initiation of the MPS, total annual procedural charges were $90,437. After MPS implementation, charges increased to a mean of $787,352 annually in the last 4 years of the study period.<\/p>\n<p>The researchers concluded that implementation of a hospitalist-run, academic MPS resulted in a large volume of procedures, high rate of trainee participation, low rates of complications, and significant increase in procedural charges over five years. Wider adoption of this model has the potential to further improve patient procedural care and trainee education.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Med-peds resident, Hillary Spangler, MD, and hospitalists, John Stephens, MD, Emily Sturkie, MD, and Ria Dancel, MD, published \u201cImplementation of an academic hospital medicine procedure service: 5-year experience\u201d in Hospital Practice. Procedural complications are a common source of adverse events in hospitals, especially where bedside procedures are often performed by trainees. Medicine procedure services (MPS) &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/uncs-medicine-procedure-service-implementation-and-five-year-experience-study\/\" aria-label=\"Read more about UNC&#8217;s Medicine Procedure Service, Implementation and Five-Year Experience Study\">Read more<\/a><\/p>\n","protected":false},"author":69419,"featured_media":49639,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[93,2],"tags":[630],"class_list":["post-49637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hospital-medicine","category-news","tag-630","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>UNC&#039;s Medicine Procedure Service, Implementation and Five-Year Experience Study | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/news\/uncs-medicine-procedure-service-implementation-and-five-year-experience-study\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UNC&#039;s Medicine Procedure Service, Implementation and Five-Year Experience Study | Department of Medicine\" \/>\n<meta property=\"og:description\" content=\"Med-peds resident, Hillary Spangler, MD, and hospitalists, John Stephens, MD, Emily Sturkie, MD, and Ria Dancel, MD, published \u201cImplementation of an academic hospital medicine procedure service: 5-year experience\u201d in Hospital Practice. Procedural complications are a common source of adverse events in hospitals, especially where bedside procedures are often performed by trainees. Medicine procedure services (MPS) &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/medicine\/news\/uncs-medicine-procedure-service-implementation-and-five-year-experience-study\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Medicine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UNCDeptMedicine\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-24T22:25:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-06T22:06:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/spangler-stephes-sturkie-dancel.png\" \/>\n\t<meta property=\"og:image:width\" content=\"750\" \/>\n\t<meta property=\"og:image:height\" content=\"918\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Kim Morris\" \/>\n<meta name=\"twitter:card\" 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