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Duke Heart Week ending November 10th 2019

Chief’s Message:

Thank you to all of our Veterans this week for the sacrifices they have made for all of our freedoms.  Some of the best health care experiences our faculty and fellows have are around caring for this special group of women and men.  We hope to continue to play a role in their lives from our relationship with the Durham VA and our great team of cardiologists that serve them, to the increasing interactions across the health system we have with veterans.

NP Week: November 10-16

Nurse Practitioner Week starts today. It is held annually to celebrate these exceptional health care team members and is promoted by the American Association of Nurse Practitioners, the primary national organization working to advocate for the profession. Our Duke Heart NPs are awesome, so please remember to give them some thanks this week!

ACC Legislative Conference Held

Representing North Carolina, a contingent of physicians and advanced practice providers including Jimmy Tcheng participated in the 2019 ACC Legislative Conference, November 3-5, in Washington DC.  The highlight of the conference was the day spent on Capitol Hill visiting our congressional legislators and staffers. This included visits to the offices of Senators Richard Burr and Thom Tillis, and Representatives G.K. Butterfield, George Holding, Dan Bishop, Patrick McHenry, Mark Meadows, and Alma Adams. Talking points centered around the need for legislative action to decrease clinician administrative burden and promote clinician well-being, to modernizing anti-kickback statutes to eliminate barriers to participation in alternative payment models, accelerating the timeline for APPs to order and supervise cardiac rehabilitation (from 2024 to 2020), and to raise the tobacco and vaping products minimum purchase age to 21.

Shown here, left to right: James Tcheng, Thomas Stuckey, Senator Thom Tillis, Hadley Wilson, Olivia Gilbert, William Abernethy, Bhavani Balaravi, James Zidar, Stephanie Martin, Amy Winiger. Way to go, Jimmy!

ACC Type II MI Roundtable

James Tcheng, Kristin Newby, Jennifer Rymer and Tracy Wang were invited to contribute to the American College of Cardiology Type II Myocardial Infarction Roundtable held at the ACC Heart House in Washington, DC on November 4. The Roundtable focused on three topic areas: definition and diagnosis of Type II MI, documentation and coding, and patient management and clinician education. Newby gave a presentation entitled “4th Universal Definition of MI – Is Further Clarification Needed?” and Tcheng described the Duke experience in his talk “Revisiting the Inclusion of Type 2 MI Code in AMI MS-DRG”. Tcheng and Rymer were also on the Planning Committee for the Roundtable. Action items identified were several, including the need for additional educational resources for clinicians about hsTn and Type II MI, criteria to operationalize the 4th Universal Definition of MI, changes to the ICD-10 coding system (specifically to add a code for myocardial injury), advocacy to remove Type 2 MI from MI DRGs, and even an “app” focused on Type II MI.

Shown here, from left to right (Planning Committee): James Tcheng, James de Lemos (UT Southwestern), Jennifer Rymer, Abhinav Goyal (Emory – and former Duke Cardiology Fellow), Severa Chavez (ACC), Dharam Kumbhani (UT Southwestern), Gregory Dehmer (Carilion), James Januzzi (Mass General), Ty Gluckman (Providence).

Great work, everyone!


Perfusion Team Lounge Area Opens

We are excited to announce that our perfusion team received a surprise when the new perfusion team lounge opened this week! It’s located in room 7243. Duke has one of the largest perfusion teams in the country and care for some of our most complex patients. A big shout out for the team on getting their well-deserved space!


Life is Why Cooking Class Kick-off

Duke Heart is the local American Heart Association Life Is Why sponsor. As part of our multi-year sponsorship, we are offering cooking classes and blood pressure screenings to help manage heart disease risks in our community. The first round of cooking classes kicked off this week and participants appeared to really enjoy the opportunity!







7W Staffer Wins Duke MBB Tix

Eugene Washington, MD, Chancellor for Health Affairs, Duke University; President and CEO, DUHS has started raffling off Duke Men’s basketball tickets. Jeremy James, one of our amazing staff members on DMP 7West, won a pair in the first round of the raffle! The tickets were presented to him on Wednesday. Congrats, Jeremy — enjoy the game! Go Duke.

National Radiologic Technology Week: Nov. 3-9

This past week was National Radiologic Technology Week, an effort promoted by the American Society of Radiologic Technologists. The ASRT celebrates this week each year to recognize the vital work of radiation therapy professionals play in patient care and health care safety. We’d like to thank the radiology technologists who work throughout Duke, but especially those who support patients and practitioners here in Duke Heart. In particular, the Duke Cardiovascular Magnetic Resonance Center, which is led by Duke Cardiologists Raymond Kim and Robert Judd, employs radiology technologists with an advanced degree in Magnetic Resonance Imaging, allowing us to offer highly specialized imaging of the heart and vasculature, leading to improved diagnostics and treatment capabilities. Thanks for all of the great work you all do!


Poster Display Regulations

Just a quick reminder that posters are not allowed to be displayed on easels throughout the Medical Center (Duke South, Cancer Center, Duke Medicine Pavilion, and Duke University Hospital). Easels are not permitted in these areas as they pose a safety risk. If you’re interested in submitting content for display on digital signs throughout Medical Center, you can email hospitalcommunications@duke.edu. If you’re interested in placing a poster in one of the display cases in the Medical Center, you can make that request through the Hospital Communications team. Please note that all designs must be submitted for approval before going to print. If you would like assistance with the overall process, you can also direct questions to Tracey Koepke, director of communications for Duke Heart. Thank you!


Duke Heart Holiday Party: Save the Date

Be sure to check your email (especially the “clutter” folder!) for your emailed invitation to the annual Duke Heart holiday party, which will be held December 6. Invitations were extended to all cardiology and CT surgery faculty, fellows and residents, as well as hospital clinical team leads and higher. Questions? Contact Tracey Koepke, Director of Communications. RSVPs are due by November 22.


Upcoming Opportunities/Save the Date:

Coming up: AHA Scientific Sessions!

The annual Duke reception at the American Heart Association Scientific Sessions will be held on Saturday, November 16, from 5:30 p.m. – 8:30 p.m. at the Loews Philadelphia Hotel, located conveniently across the street from the conference center. An appointment request was sent by the DCRI planning team. Be sure to look for that and accept to RSVP.


Cardiology Grand Rounds

Medicine Grand rounds this last week has Kim Eagle, MD from Michigan presenting.  He gave a wonderful talk on Peri-operative management and also lots of life lessons.  We enjoyed having Dr. Eagle visit with our faculty and fellows.





This week we welcome Javed Butler from the University of Mississippi for Lessons Learned in Drug Development. Please join us on Tuesday, Nov. 12, 5 p.m., DN, 2003.

Upcoming Grand Rounds:

  • November 19: Faculty Staff Meeting
  • November 26: No Grand Rounds. Happy Thanksgiving!
  • December 3: Zach Wegermann
  • December 10: (5 p.m.) Heart Center Grand Rounds on CTEPH
  • December 17: (5 p.m.) Faculty Staff Meeting
  • December 24: No Grand Rounds. Happy Holidays!
  • December 31: No Grand Rounds. Happy Holidays!


Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.


Duke Heart in the News:

November 1 — Project Baseline mention

Investor Place

Why Alphabet’s Acquisition of Fitbit Is a Master Move

Why Alphabet’s Acquisition of Fitbit Is a Master Move


November 4 — J. Kevin Harrison

MedPage Today

Novel TAVR Technique: Single-Side Vascular Access



November 7 — General Duke mention (Leapfrog Safety Grades)


Watchdog group gives 2 Triangle hospitals ‘C’ grades


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