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HRMC installs XERO viewer for faster
physician access to imaging reports
19, 2013 - Hunt Regional Healthcare has become one of the
first healthcare systems in the nation to upgrade its system
of communications with its physicians and its internal organization
regarding patient care.
In April, Hunt Regional Medical Center installed AGFA Healthcare's
Cardiology PACS and XERO Viewer to deliver a consolidated
solution for rapidly viewing digital images, cardiac ECHO's
and EKG's generated at any HRH facility in Hunt and Rockwall
With the addition, physicians are able to more quickly and
securely access the nearly 100,000 imaging exams and reports
done each year, on virtually any Hunt Regional facility device
-- whether the exam was done at Hunt Regional Open Imaging
of Greenville or Rockwall, Hunt Regional Medical Center,
Hunt Regional Community Hospital of Commerce or Hunt Regional
Medical Plaza in Quinlan. Because the information is web-based,
physicians can access the results in real time.
Tim Robinson, PACS coordinator at HRMC, says the program
is Health Information Privacy (HIPAA) compliant while giving
physicians a faster and easier way to make referrals, whether
they are working at their office computer or their tablet
PC. Robinson said the system is easy to access and easy to
use. “What we have done is integrate radiology and
cardiology PACS with XERO Viewer. XERO enables consolidation
of images and other pertinent patient information and makes
the information readily accessible for referring physicians
and for all of our sites,” said Robinson.
“XERO Viewer gives us the ability to communicate with
consultants in the Metroplex and beyond while we are actually
treating the patient here in Greenville,” said Dr.
R. Lynn Rea, HRMC chief of staff and emergency department
physician. “We’re offered better collaborative
opportunities with other physicians and specialists. We can
share the images even when we’re miles away.
“You could say a picture really is ‘worth a thousand
words,’” Rea said.
"Unlike our competition, there is no need to install
software on the doctors’ computers. If they have internet
access, they can use XERO. It truly sets us apart from all
other imaging centers,” said Micah Parks, marketing
coordinator for Hunt Regional Open Imaging.
"I serve a pediatric clinic that only uses Apple products,
and with our previous
PACS viewer the clinic had to install parallels in order
to view images and reports. Now with the new XERO they are
able to access their reports and images on their iPads while
seeing their patients.
"We recently had an issue with our reports being faxed
to our referring offices. The offices that had access to
XERO were able to pull their reports without any problems.
It is a great backup for both patient images and reports,"
Those reports include CT (Computed Tomography), X-ray, MRI
(Magnetic Resonance Imaging), US (Ultrasonography), NM (Nuclear
Medicine), RF (Radiographic Fluoroscopy), Mammography, and
cardiology exams ECHO (Echocardiography), ECG (Electrocardiography)
and Cardiac Catheterization (Cath) Lab.
"Installing this PACS upgrade has made a huge difference
in patient care opportunities as well as productivity,"
said John Ervin, Hunt Regional Healthcare Imaging Director.
"Our physicians simply go to a single URL (Uniform Resource
Locator) using a secure link to access images. Not only is
it easier for the physicians to get access to the information,
but we're able to get images to them a lot quicker."
By allowing physicians to access patient images on any internet
capable mobile device, such as Apple iPad®, Hunt Regional
Healthcare has improved the service it provides to the physicians,
"Doctors have more time to interact with patients because
they are able to obtain images in real time," said Bob
Craske, Senior Marketing Manager, Agfa HealthCare U.S. "Because
the results are available much faster, physicians can have
both the image and diagnostic report by the time the patient
returns from having the exam, allowing for informed patient
Mobile Mammography Unit now serving Hunt
May 10, 2013 - Hunt Regional Healthcare, noted for its strides
in bringing awareness to cancer detection and treatment through
its Women’s Imaging Center and the Lou and Jack Finney
Cancer Center, “is now taking its show on the road.”
In April, the Mobile Mammography Unit, dedicated to the memory
of cancer survivor Nita “Tubby” Adkisson, began
its journey throughout the Hunt County area, bringing new
healthcare opportunities to the more than 50 percent of women
in the county who have never had a mammogram.
Since early detection of breast cancer is the key to successful
treatment, the mammogram is one of the surest ways to make
that happen, says John Ervin, director of the Imaging Center
at Hunt Regional Medical Center.
When breast cancer is caught at Stage 1, the five-year survival
rate is almost 90 percent, according to statistics from the
American Cancer Society. However, the news is not so good
when the cancer is discovered at a later stage. When it is
first detected at State 4, the five-year survival rate is
only 15 percent, the statistics indicate.
for the mobile unit were announced in December of 2012 when
the Hunt Regional Healthcare Foundation kicked off its Help
on Wheels campaign, with a goal of $300,000 to purchase the
state-of-the-art mobile unit .
The unit has wasted no time hitting the road, having already
visiting such locations as the Lone Oak Assembly of God,
Sam Rayburn Student Center, L-3 Communications, Hunt Regional
Community in Commerce (every first Wednesday), Caddo Mills
Elementary, Van Sickle Baptist Church and Covidian in Commerce.
To schedule an appointment persons or groups should call
903-408- 5010. It is preferred that a minimum number of 12
appointments should be scheduled in order for the mobile
unit to be sent to a specific site. Those sites may include
churches, schools, workplaces, businesses or other nearby
locations such as strip shopping centers.
When making an appointment, be prepared to give insurance
information. Those with no health insurance will be directed
to the nurse navigator at HRMC and she will direct persons
to possible payment resources. Her number is 903-408-5720.
Hospital officials note there are numerous resources available
to cover the costs.
They also point out the mobile unit is for screening mammograms.
If anyone with symptoms such as a lump, pain or discharge
should see a doctor for an order to receive a diagnostic
mammogram at the hospital.
Women age 40 or older should have an annual mammogram. Those
younger than 40 who have a strong family history of breast
cancer or other high risks should see a doctor for orders
for a mammogram at the hospital.
The initiation of the Mobile Mammography Unit comes on the
heels of the National Accreditation Program for Breast Centers
(NAPBC) of the official designation of the HRMC Women’s
Imaging Center as a breast center. This puts HRMC on the
same level with Baylor Medical Center of Dallas and Medical
The center not only involves imaging but includes all the
services for breast cancer care, from diagnostics to surgery
The imaging center services provided to the mobile mammography
unit was a factor in the accreditation.
“It takes a woman from beginning to end when it comes
to treating and beating breast cancer. It’s the entire
package,” says Judy Quan, HRMC education coordinator.
Before being accredited the local Breast Center underwent
rigorous evaluations and reviews of its performance and compliance
with NAPBC standards. The Center will monitor compliance
with NAPBC standards to ensure quality care and undergo an
on-site review every three years.
HRH Nurses of the year announced
by Susan Spoonemore
May 8, 2013 - Two exceptional nurses from Hunt Regional Healthcare
were named 2013 “Nurse of the Year” on Wednesday.
As part of National Nurses Week, all HRH nurses participated
in the vote, which ended in a tie this year.
Madrina McMahan, RN of the Hunt Regional Medical Center Neonatal
Intensive Care Unit and Afton Smith, RN, of the HRMC Telemetry
Unit accepted their awards at a reception held at Hunt Regional
Hunt Regional Healthcare administrator, Mike Klepin, gave
praise to the two nurses as well as all HRH nurses. “I
wish there was more than one week a year to recognize what
our nurses do every day,” he said.
McMahan has been with HRMC for over 20 years. She is described
by her coworkers as a dedicated nurse who is calming and
soothing to the distressed parents of NICU patients.
Now a shift manager, Smith has been with the organization
close to five years. She is known to be the first to assist
when a patient asks for help.
National Nurses Week begins each year on May 6 and ends on
May 12, the birth date of Florence Nightingale. It is one
of the nation's largest healthcare events, recognizing the
contributions and commitments nurses make and educating the
public about the significant work they perform.
New Foundation board members
April 30, 2013 - The Hunt Regional Healthcare Foundation
Board of Trustees welcomed 7 new board members to its ranks
as they were sworn in on April 18 during the Foundation’s
quarterly board meeting.
“I am so pleased to welcome new board members Matt
Koger, Mary Jane Vance, Bonnie Dooley, Loretta Kibler, Renea
Decker, Jerry Hutton and Fred Weidmann,” said Chair
of the Foundation board Roz Lane.
Dr. Koger, a family practice physician, has been with Primary
Care Associates (PCA) since 2000. He is a member of the American
Medical Association, Texas Medical Association, and the American
Academy of Family Practice. Dr. Koger lives in Greenville
with his wife and four children. In his spare time he enjoys
fishing and playing the guitar.
Dr. Mary Jane Vance is presently a consultant, author and
speaker who has been educating Texas and the nation since
1955. She recently published a book titled “Mary of
the Angels.” She currently resides in Greenville with
husband Charles Vance.
Bonnie Dooley is owner of the Copier Connection, located
at 10425 Wesley St, which she established in 1994. She lives
in Greenville with husband Tim Dooley and they have two daughters.
Loretta Kibler was the Commerce Independent School District
Superintendent from 1994-2001. Kibler has held numerous positions
on many boards in the Tri-County area including Chair of
Board for the Tri-County Special Education Shared Services,
Region 10 Advisory Council, the Texas A&M University
System and The Texas Education Agency Council of School Executives,
and many more. Kibler currently resides in Commerce. She
has two daughters and five grandchildren.
Renea Decker was a nurse at Hunt Regional Medical Center
and its predecessors for 29 years, including serving as nursing
director for the last two years before she retired. She is
also a cancer survivor and an active cancer volunteer here
Jerry B. Hutton is a Professor Emeritus for Psychology and
Special Education at Texas A&M University-Commerce. Hutton
is an active member of the First United Methodist Church
in Commerce and is currently member of Chancel Choir and
Foundation Board. Hutton is married to Sandra Jeane Brumlow.
They have five children and five grandchildren, and have
been Hunt County residents since 2000.
Fred Weidmann is a retired vice president for General Dynamics
Canada and a current Greenville Rotary program chair. He
lives in Greenville with his wife Cheryl and they have three
“The willingness of these individuals to serve our
community through this Foundation is something to be commended,”
said Lane. “I look forward to working together on current
and future healthcare endeavors for Hunt County.”
The HRH Foundation coordinates all fundraising activities
on behalf of Hunt Regional Medical Center, Hunt Regional
Community Hospital, and related programs and services administered
by Hunt Regional Healthcare.
Hunt Regional Healthcare has always remained true to its
goals of improving the health of the communities it serves
while providing medical excellence and compassionate patient
care through our medical facilities and outreach programs.
The Foundation strives to strengthen HRH medical programs
and staff, to upgrade facilities, to acquire new, state-of-the-art
equipment and technologies, and to address Hunt County’s
emerging healthcare needs. The same can be said for the 7
new HRH Foundation trustees.
Loretta Kibler, Dr. Jerry Hutton, Renea Decker,
Bonnie Dooley, Fred Weidmann, Dr. Mary Jane Vance, and Dr.
Matt Koger joined the Hunt Regional Foundation Board on April
Volunteer appreciation luncheon
by Samantha Henry
April 30, 2013 - In recognition of National Volunteer Week,
Hunt Regional Healthcare (HRH) hosted an appreciation luncheon
for the volunteers of the Greenville and Commerce hospital
auxiliaries last week.
“The luncheon is our way of showing appreciation to
the volunteers and to thank them for all of their hard work,”
said Jeanye Roberts, coordinator of Volunteer Services.
commemorate their years of service, the Commerce Auxiliary
awarded Ann Blohm, Nora Chessher, June Dunn, Carolyn Lockhart
and Nancy Talley five-year pins. Anita Berry, Billie Mills,
Peggy Pressley, Sharon Sanders, Betty Spitler and Mona Towne
received 10-year pins; Teddy Degelia, Don Hakala, Marcia
Hakala and Frances Sartwell received 15-year pins.
The Greenville Auxiliary awarded Betty Epps, Sandra McWhorter,
Sylvia Phillips with 50-hour pins. Billy Darnell and Sharon
Porter received 100-hour pins. Karen McClellen, Linda Nuthcutt,
Dot Warren and Mary Wilch received 200-hour pins. Beverly
Bland, Nita Groket and Linda Johnson were each awarded 500-hour
pins. Jan Lowe was recognized for her 1,000 hours; Polly
Adams and Jane Asbury received pins for 1,500 hours of service,
and Theressa Young received a 2,000-hour pin. Darlene Folks,
Helen Rhea and Luther Smith each received 2,500-hour pins;
Carolyn Smith received 3,500-hour pins, and Pearl McFarland
and Janice McWhitter received 4,500-hour pins. Lori Green
received her pin for 5,000 hours of service and Dorothy Keller
earned one for her 5,500 hours.
Top honors for the Greenville Auxiliary went to Joyce Johnson
and Alice Parsons. Johnson received her largest pin for 13,500
hours of service, 3000 of which were just last year. Parsons’
largest pin was for 45,000 hours of service, 3,500 of which
were just this year.
As a way to give back to the community, the Greenville Auxiliary
also awards scholarships to two high school students who
are going into the medical field.
“I am very excited to say that this is the eleventh
year that we have presented the scholarships to high school
students,” said Roberts.
Alexandra Pope and Kerrie Lee Moore, both of Greenville,
were the lucky students to receive the scholarships this
year. Pope is planning to attend Paris Junior College and
then Baylor with plans to study pediatric dentistry. Moore
is headed to El Centro College in Dallas to study diagnostic
A big congratulations goes to both students for receiving
the scholarships and to all of the volunteers who give their
time to serve Hunt Regional Healthcare and its’ community
in so many ways.
Graves named Employee of the Year
April 19, 2013 - Congratulations to Valorie Graves!
She was named Employee of the Year by the DFW Hospital Council
Valorie is a valuable member of the Hunt Regional Medical
Center food service team and a favorite among staff and visitors.
April is National Child Abuse Prevention
The following information is provided by Prevent Child
April 12. 2013 - Child abuse is one of the greatest tragedies
of our times. It doesn't have to be. We can prevent it by
building communities that are committed to families and the
services they need to raise strong, healthy, and successful
April is National Child Abuse Prevention Month and by participating
you are joining thousands of communities, organizations and
individuals across our nation who are putting children first.
Here are 5 suggestions to help prevent child abuse and neglect.
Support the mission and vision of Prevent Child Abuse Texas:
1. Care enough to call! Call the Child Abuse Hotline if you
suspect a child is being hurt. In Texas call 1-800-252-5400.
2. Be a positive and nurturing parent or caretaker and help
other family members, friends and neighbors be positive parents
3. Make Children a priority. Make sure they are safe and
have healthy environments.
4. Allow yourself a time-out when needed. Taking care of
yourself is as important as taking care of your family.
5. Seek help if you need it. If you feel out of control or
worried about your parenting, get help.
PARTICIPATE IN CHILD ABUSE PREVENTION MONTH
Tumor Board enhances cancer treatment
at Hunt Regional
April 12, 2013 - “When a physician is baffled by a
cancer case, the difference between life and death isn't
always found in the radiology department or on the operating
table. Sometimes, it's in a conference room,” writes
Cheryl McEvoy, an editorial assistant with ADVANCE for Health
At hospitals across the nation tumor boards have become
an efficient and even life-saving part of the approach to
what physicians have found to be a deciding factor in choosing
the best course of treatment for cancer patients.
The job has its challenges, but with proper preparation,
tumor boards can be engaging and life-saving.
To enhance its cancer treatment regimen at the Lou and Jack
Finney Cancer Center of Hunt Regional Medical Center, officials
have adopted just such a board. If there were any doubts
about its effectiveness, that doubt has been erased, says
John Ervin, Imaging Center director at HRMC.
A panel consisting of oncologists, pathologists, radiologists,
surgeons, hospitalists and primary care physicians meet regularly
to discuss treatment options for cancer patients whose atypical
medical history or diagnosis prompts the need to develop
a more complex treatment plan.
The panel reviews laboratory test results, images and imaging
reports and treatment options to ensure that the most effective
treatment plan is implemented.
When board members discuss a case, they bring the national
treatment guidelines to the table, while strategizing individualized
treatment plans for each individual patient.
“No cookie cutter treatment plans here,” says
Judy Quan, HRMC education director. “It is evident
that they give a great deal of thought to each step of the
treatment plan, from diagnostics through the treatment phase
and even into survivorship.
Dr. Rebecca M. Jankowski, general surgeon at HRMC, says the
board is a valuable asset as a learning tool for those involved
in the discussions. “It’s an opportunity to review
what has gone on in a patient-treatment program, and to talk
about upcoming cases,” she said following a recent
Jankowski is a member of a team of surgeons at HRMC that
includes Dr. Josh Trussel and Dr. Josh Hamilton, who meet
regularly with the board, which is chaired by Meera Shreedhara,
the medical oncologist at the Lou and Jack Finney Cancer
“What impresses me is the confidence the physicians
have in each other and the mutual respect that is evident
during these meetings,” said Sharon Sanders, employer
relations representative for Hunt Regional Healthcare and
a member of the Tumor Board. “As a cancer survivor,
I’m certain patients facing cancer treatment can take
great comfort in knowing what transpires in these sessions,”
Multimedia presentations have become efficient and engaging
fixtures at tumor board meetings. With digital media, a single
presentation can display staging requirements, lab results
and even compare films side-by-side.
Even though the physicians collaborate and communicate on
a routine basis as they care for their patients, there is
a special continuity and dynamics to the tumor board discussion
forum, says Quan.
“Radiology brings images, pathology brings photos,
and all doctors bring their knowledge and expertise. It is
not unusual for primary care physicians or OB/GYN physicians
who are involved in the patient’s care to also attend
and participate in tumor board. The goal is for each medical
provider involved in the patient’s care to be included
in the round table discussions, said Quan.
The learning experience offered by tumor board is so significant
that they recently received approval for CME credit for one
tumor board per month, through Baylor ‘s CME program
for regularly scheduled series.
The current goal, according to Quan, is to affiliate with the
Commission on Cancer (CoC). Those standards require at least one
surgeon, pathologist, radiologist and medical oncologist to attend,
plus other site-specific specialists when appropriate, but a number
of other hospital staff members -- from family physicians to hospice
-- often elect to participate.
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but not controlled
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