Duke Heart Pulse – July 21, 2024
Chief’s message: Visiting Lectures and Global IT issues
This week was a whirlwind in the health system with inspiring talks and interaction with the Commissioner of the FDA – Robert M. Califf. He provided two talks on what the cardiovascular clinicians will need to do in the future and what the future Heart and Vascular Centers should do – with a look back at the origins of Duke Heart. It was great to see the next generation of our leaders interacting with him.
Unfortunately, the week ended with the IT issues tied to the CrowdStrike update (patch) on many of our Microsoft computer systems in the Health system and School. The command center starting early Friday morning and many of our leaders worked together to ensure systems were up as soon as possible and we were able to work through much of our patient care in the cath labs, EP labs and OR. Also wanted to give a special thanks to Jill Engel who is served as the administrative lead for a lot of the health system and service line response on Friday into this weekend and upcoming week. We ask our Faculty, Staff, and learners to read the special notes about the IT outage below to ensure we stay vigilant on many of the IT attempts to infiltrate our cyber security. The upcoming week will hopefully have some return to normalcy for our clinical and research work.
Finally – you will also see some amazing stories of new additions to our Heart and Vascular Family – with some amazing and heart warming stories of care our team provided.
Highlights of the week:
FDA Commissioner Presents CGR & 18th Annual Reves Lecture
We welcomed Robert M. Califf, MD, back to Duke Health this week. Califf, U.S. Food and Drug Administration Commissioner, gave a special Cardiology Grand Rounds presentation on Tuesday evening. On Wednesday morning, he gave the 18th Annual Jerry G. Reves, MD Lecture during Duke Anesthesiology Grand Rounds in the Great Hall of the Trent Semans Center for Health Education at Duke.
Califf’s Reves Lecture, ‘What Should a Heart and Vascular Center Do in the Next Decade,’ drew a large audience, as did his CGR presentation, ‘The Cardiovascular Specialist in a Time of Decline in American Cardiometabolic Health’. Thanks to all who joined us both in person and via Zoom.
Jerry Reves, MD, a recognized pioneer in modern anesthesiology and for whom the lectureship is named, began his Duke career when he became a faculty member with the Duke School of Medicine in 1984. The very next year he designed the anesthesia protocol for Duke’s first heart transplant. Soon thereafter, Reves – along with then-chair of surgery David C. Sabiston Jr., MD, and then-chair of medicine Joseph C. Greenfield, MD, co-founded the Duke Heart Center in 1987.
Dr. Califf is an adjunct professor of medicine in cardiology at Duke and the founding director of the Duke Clinical Research Institute. It was a delight to have him and Reves back among us this week.
Shown here, L-R, are Drs. Manesh Patel, Dawn Coleman, Jerry Reves, Robert Califf, Carmelo Milano, Mihai Podgoreanu, and Joe Mathew.
If you were unable to join us for Cardiology Grand Rounds, a link to the recording can be found here: https://warpwire.duke.edu/w/9BYIAA/ (access requires a NET ID and passcode). A link to the Reves Lecture was not yet available.
Bleecker Named DUHS VP of Finance
Leigh Bleecker, MBA, MHA, has been promoted to Vice President of Finance for Duke University Health System. She assumes this role as she continues to serve as the Divisional Chief Financial Officer for Duke Regional Hospital and Duke Raleigh Hospital. The announcement was made Thursday, July 18 by Lisa Goodlett, senior VP and CFO, Treasurer of DUHS.
Since joining Duke in 2002, Leigh has made considerable contributions to the health system and is a visionary leader for our teams. Over the past 13 years, she has served as Assistant Vice President for Finance at DUHS and as Divisional Chief Financial Officer (CFO) for Duke Raleigh. She has also served as Interim President of the Duke Raleigh campus twice. In 2023, her role at Duke Raleigh expanded to Duke Regional Hospital, making her CFO of the community hospital platform.
Congratulations, Leigh!
A New Addition to Duke Heart & Vascular Family
We are excited to share that we’ve added another new family member to our growing team! Rocky Matthew Davis was born on July 3rd, weighing 9lb 5oz. Rocky is the third child of Ashlee Davis and her husband, Matt Davis. Ashlee is chief technologist for the Cardiac Diagnostic Unit at Duke University Hospital. She and the baby are doing great and “Big brother Rex and big sister Goldie are in love!”
Congratulations to the Davis family – Rocky’s a cutie and we look forward to meeting him soon!
Kudos to Peds Heart Surgery Care Teams as our Heart Family Grows Again!
We received the following note from Adam Tulp, PA-C, co-team lead, Advanced Practice Providers for the Cardiothoracic Intensive Care Unit at Duke University Hospital, whose newborn son required care at Duke. He asked that we share his message with Pulse readers:
“My son, Patrick Tulp, was born on June 14 and admitted to the Pediatric Cardiology Intensive Care Unit (PCICU) immediately after birth for management of borderline Hypoplastic Left Heart Syndrome. He underwent a Norwood procedure with Drs. Doug Overbey and Joe Turek on June 19; transferred to Pediatric Cardiac Surgery Stepdown on July 3 and ultimately discharged home on July 9. My wife, Kelly, and I want to express our sincere gratitude to every staff member who cared for Patrick during this time. While this was definitely a difficult experience for our entire family, it was made easier by your care and support during his admission.
As I mentioned to many of you during his hospitalization, I am in awe of your ability to provide high-quality patient care for these tiny little humans… I’ll stick to much larger humans, myself. Our experience on the ‘other side of the bed rail’ was quite eye-opening for both Kelly and me. We have learned a great deal from each of you that we will carry forward in both our personal and professional lives.
Our sincere gratitude to all members of the PCICU, cardiac OR team, anesthesia team, stepdown, echocardiogram sonographers, PT/OT, speech therapy, pharmacy, nutrition, and many other members of the multidisciplinary team. Your professionalism, expertise, and kindness led to Patrick’s (relatively) uneventful recovery from surgery and ultimately allowed us to quickly bring him home to be reunited with his big sister, Amelia.” — Adam Tulp, PA-C
We have an amazing team at Duke. Great job to everyone and on behalf of the Heart & Vascular team, a big welcome to baby Patrick — we’re glad to have another new family member among our growing team!
Global IT Outage Update: Remain Vigilant Online
Duke’s IT team has been working tirelessly this weekend to restore systems following the global IT outages caused by a CrowdStrike update and we continue to make good progress toward restoring full functionality across the health system.
Though the outage itself is not the result of a cyber-attack, there is a growing risk of hackers exploiting the situation and the U.S. Cybersecurity and Infrastructure Security Agency (CISA) has warned of increased phishing and malicious activity. You are urged to use extreme caution as fake websites and phishing attempts are on the rise, pretending to be CrowdStrike support.
Examples of fake sites include:
- crowdstrikebluescreen[.]com
- crowdstrikefix[.]com
To protect yourself:
- CrowdStrike will NOT contact you directly.
- Only Duke IT will apply patches or fixes.
- Duke IT will NEVER charge you to restore systems.
- Duke IT staff will NOT ask for your password or sensitive information.
- All official communication will come from an “@duke.edu” email address.
If you suspect a phishing attempt or have visited a suspicious site, contact the Duke Information Security Office (ISO) at security@duke.edu. Report suspicious emails using the “Report” button in your Duke email. Please remain vigilant.
Overall Functionality Update:
Duke continues to make good progress toward restoring full functionality across the hospital. All clinical systems appear to be online and functioning properly. As of Saturday afternoon:
- Omnicell is now fully online.
- PowerShare function has been restored.
- HAIKU is operational on phones.
- Overall functionality is at 80% for the ED and ICUs.
- Remaining inpatient units are at 50% functionality.
The team is prioritizing work to restore functionality for ambulatory clinics by Monday morning. DHTS has access to all ambulatory clinics and should not need to contact staff for assistance.
DHTS is taking care of all updates to the Power Outage Issue Tracker; staff do not need to continue this work.
Action required:
- Continue to escalate any concerns you may have about systems that should be on the priority list– as well as any system challenges or issues you continue to encounter – to your leaders.
- Monitor your emails for the latest updates regarding the outage.
Additional information:
DHTS teams have been working throughout the weekend to bring more clinical computers online to regain full functionality. If you have an urgent issue, please call the Help Desk at 919-684-2243.
They will begin to address issues with impacted office computers – including team members who are working remotely – early next week.
For guidance on manual entry of data for the Maestro Care downtime, refer to the DUHS Downtime Procedure policy.
Thank you to everyone for the tremendous effort during this time to ensure safe clinical care for our patients. Your support and cooperation are greatly appreciated. We will continue to provide updates as they become available.
Change in Move Plan for DUH 3100, 3200 & 7200
Several cardiovascular unit moves are scheduled for Duke University Hospital next week ahead of a planned 100 Tower refresh.
The global IT outage and resulting Code Black on Friday involved extensive work by multiple disciplines, diverting team members from move preparations on 6100 to instead addressing the priority Code Black. As a result, CT Surgery DUH 3100 will move to 6100 on Tuesday at 8:00 a.m. (prep work will occur on Monday) and DUH Units 3200 and 7200 (cardiology) will move to 7100 on Tuesday at 1:00 p.m.
Thanks to everyone for their efforts on Friday. We appreciate your patience as we conduct the unit relocations this week. Please call the Command Center at 919-681-6851 with any questions.
DUH, Duke Raleigh Earn GWTG Gold Awards
We are pleased to announce that both Duke University Hospital and Duke Raleigh Hospital have achieved the American Heart Association’s Get with the Guidelines Gold status awards with Target Honor Roll for the following areas:
Duke University Hospital:
- Get With The Guidelines®-Coronary Artery Disease NSTEMI Gold with Target: Type 2 Diabetes
- Get With The Guidelines®-Heart Failure Gold Plus
- Target: Heart Failure Honor Roll
- Target: Type 2 Diabetes Honor Roll
Duke Raleigh Hospital:
- Get With The Guidelines®-Heart Failure Gold Plus
- Target: Heart Failure Honor Roll
- Target: Type 2 Diabetes Honor Roll
The awards are based on each hospital’s respective Get With The Guidelines data from January 1, 2022 through December 31, 2023.
Congratulations to all!
Cardiac Sonographers Present to DUSON NPs
Duke Heart cardiac sonographers Andrew, Naomi, and Danny shared their cardiac ultrasound expertise with cardiology nurse practitioner students last weekend at Duke University School of Nursing. Thanks to Midge Bowers for sharing with Pulse!
Seeking Coaches & Walkers: Heart Walk 2024
Duke Health’s recruitment of Coaches and Walkers for the 2024 American Heart Association’s Triangle Heart Walk, scheduled for Sunday, Sept. 8, is well underway, but we are not yet at our goal! Won’t you join us?
Join Manesh Patel’s team: Duke Heart and Sole or start your own team under “Duke Heart & Vascular”. We want to have a huge team representing Duke Heart this year to celebrate not only the AHA’s Centennial but Duke University’s 100th birthday. Please join us!
To sign up as a Coach, click the button above and on the AHA site, choose the red “Create a Team” button. Walkers can also sign up and join teams on the same site by clicking the red “Join a Team” button.
Let’s come together to make this our best year yet and demonstrate our unwavering dedication to cardiovascular health. Together, we can make a significant impact and pave the way for a healthier future.
The 2024 Heart Walk will be a terrific event and a wonderful way to support our cardiovascular patients. We’ll be talking about Heart Walk all summer with lots of opportunities to join in the fun. Thank you for your ongoing support!
Qualtrics Update
The Duke Office of Information Technology announced this week that they had reached a pricing agreement with Qualtrics and that there is no longer a risk of disruption with the Duke University/DKU-wide Qualtrics license at the end of this calendar year. The new license covers the current volume of Qualtrics survey responses through Dec 31, 2029.
Who is covered under the new contract?
The contract that has been under negotiation includes users of the existing University and DKU service, as well as two other services used by the Health System:
- Academic CoreXM (University/DKU)
- Patient Experience (Duke Health)
- Discover for Contact Centers DHAS & DPC Triage (Duke Health)
How do I know which survey tool is right for me?
The Office of Information Technology has developed a comparison chart to help Duke community members decide among various survey and forms tools – https://oit.duke.edu/help/articles/kb0037717.
For additional information, contact the OIT Service Management Team at survey-tools@duke.edu.
Upcoming Events & Opportunities
Cardiology Grand Rounds
Our regular CGR season has ended. We will resume in August/September. All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:
NET ID and password are required. Enjoy!
CD Fellows Core Curriculum Conference
July 24: Basics of Heart Failure with Stuart Russell. Noon, DMP 2W96.
July 26: Wide Complex Tachycardias with Zak Loring. Noon, Zoom only.
July 31: Dyslipidemia with Nishant Shah. Noon, 2W96.
RFA: Duke CTSI CDA Program
The Duke Clinical and Translational Science Institute CTSI Career Development Award Program (CDA) is now accepting applications. The Duke CTSI CDA provides skilled and personalized mentoring, a coordinated and tailored scientific and career development curriculum, and the opportunity to conduct clinical or translational (bench to bedside) research. The CTSI CDA is particularly committed to increasing the diversity of the research workforce. Members of underrepresented groups are encouraged to apply.
Up to two Scholars will be awarded 75% total protected effort for 2 years, up to $20,000/year for research expenses, and up to $2,500/year for travel to professional meetings. Funding will start in January 2025. Applications are due September 9, 2024.
Individuals considering applying to the Duke CTSI CDA are strongly encouraged to submit a Letter of Intent by August 1, 2024 via MyResearchProposal. For more information about the CTSI CDA and how to apply please visit: https://ctsi.duke.edu/career-development/duke-ctsi-cda.
For questions about the program, please email CTSI CDA Program Manager: Stephanie Molner, MSW, or one of the program directors: Laura Svetkey, MD, MHS, Kimberly Johnson, MD, or Rasheed Gbadegesin, MBBS, MD.
New Faculty Orientation Dates Announced
October 22 & 23: 2024 School of Medicine Academic New Faculty Orientation, Trent Semans Center.
All faculty hired in the past three years are welcome to attend. While content specifically targets newer faculty, many topics apply to all faculty regardless of career stage. Registration is required. Questions? Contact the SOM Office for Faculty at facdev@dm.duke.edu.
Duke Heart Fall 2024 CME Courses
The following symposia will be held this fall:
October 12: Duke Cardiac Imaging Symposium at Trent Semans Center, 7:55 a.m. to 3:30 p.m. Course directors are Drs. Sreekanth Vemulapalli and Anita Kelsey.
November 1: the 16th Annual NC Research Triangle Pulmonary Hypertension Symposium at Durham Convention Center, 8:00 a.m. to 3:15 p.m. Course directors are Dr. Terry Fortin and Dr. Jimmy Ford (of UNC).
Registration/landing pages are not yet available but will be shared in Pulse once they are. Questions? Contact Christy Darnell.
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. Submissions by Noon, on Wednesdays, will be considered for inclusion that weekend.
Duke Heart in the News:
July 10 — Harry Severance
Medpage Today
The Physician and Social Media: ‘To Be or Not to Be’ On?
July 10 — Elisabetta Politi
Everyday Health
Artificial Sweetener Xylitol Linked to Increased Risk of Heart Attack and Stroke
July 11 — Nina Nouhravesh
Everyday Health
The Last Word: Are Eggs Good (or Bad) for You?
July 11 — Michael Pencina and Mary Klotman
North Carolina Medical Journal
The Crucial Role of Academic Medical Centers in Preparing for the Future of Health AI
July 12 — Sreekanth Vemulapalli
tctMD
Valvular Heart Disease Has a Diversity Problem
July 15 — Duke University Hospital
Cardiovascular Business
The 25 best heart hospitals in the United States
July 15 — Nia Schwann Mitchell (Internal Medicine)
Heart.org
New cardiovascular risk tool could guide who needs medication for high blood pressure
July 16 — Duke University Hospital
U.S. News & World Report
America’s Best Hospitals: the 2024-2025 Honor Roll and Overview
July 16 — Duke University Hospital
Becker’s Healthcare
US News Best Hospitals 2024-25 Honor Roll
July 16 — Duke University Hospital
Business North Carolina
US News rates Duke as top N.C. hospital; ECU moves up to fifth
July 17 — William Kraus
The Grio
Stepping into wellness: How much can walking really improve your health?
July 18 — Monique Starks
CBS News
Emergency responders turning to drones to try to get people help faster
July 18 — Christina Cui (Vascular Surgery)
Vascular Specialist Online
Corner Stitch: Navigating pregnancy as a vascular surgery trainee
July 18 — Duke University Hospital
Becker’s Hospital Review
The best hospitals for cardiology, heart and vascular surgery in 2024: US News
I always look forward to the Duke Heart Pulse updates! It’s so inspiring to see the dedication and hard work of the Duke Heart team. The latest advancements and patient stories are truly heartwarming and a testament to the incredible care provided. Keep up the amazing work, team!