Category Archives: UNC Health Care

Revolutionizing Heart and Vascular Care

At UNC Health Care, we are always looking for new and innovative ways to serve our patients. One way we do that is through partnerships and collaboration. I am proud to say that, through our partnership with UNC REX Healthcare, we recently opened the doors of the new, state-of-the-art North Carolina Heart & Vascular Hospital on the Raleigh campus of UNC REX.

North Carolina has the 12th highest incidence of heart and vascular disease in the country. We lose about 18,000 people annually from heart disease. At the same time, the population continues to grow, increasing the demand for quality health care providers.

The 114-bed hospital is staffed by leading physicians in Wake County, and is now the hub for a premier heart and vascular program in the Southeast. Since we are an academic medical center, we also bring in medical students from the School of Medicine who are training in interventional cardiology and vascular surgery. This not only helps advance the teaching mission of the medical school, it also provides a closer connection to the research and advanced treatments provided by the Medical Center in Chapel Hill.

Since all of UNC REX’s heart and vascular services moved into this new facility, there are plans to improve and repurpose vacated space on its main campus to improve patient care. For example, part of this space will be converted into a behavioral health zone for patients being treated in the hospital’s emergency department – fulfilling a critical need in Wake County.

For more information on North Carolina Heart & Vascular, click here.

Improving Mental and Behavioral Health in Our State

UNC Health Care is committed to caring for all patients, including those with mental and behavioral health issues. As our population grows, the demand for beds and dedicated inpatient psychiatric care continues to rise.

In Wake County, more than 65,000 people suffer from a serious mental illness. Yet, from 2012 to 2015, we were one of just three states to decrease behavioral health spending each year. More than half of our counties are without a psychiatrist, and only 35 percent of our hospitals have a psychiatric unit.

Regular hospitals and health facilities often don’t have the time or resources necessary to help treat and provide services for those with mental health, behavioral and substance abuse problems.

At UNC Health Care, we are taking steps to address this growing need. At UNC REX, we have worked to improve our triage process in the emergency department to ensure that mental health patients get the care they need as quickly as possible. We also recently expanded UNC WakeBrook, a facility in Raleigh designed to care for those with mental health, behavioral and substance abuse problems.

At the federal level, we are pleased to see policymakers making mental and behavioral health a priority as well. Late last year, the 21st Century Cures Act was signed into law.

Among many other things, the Act strengthens laws mandating coverage parity for mental health care and provides funding to help increase the numbers of psychologists and psychiatrists.

The expansion of WakeBrook and the 21st Century Cures Act are steps in the right direction, but there are always opportunities to do more. We will continue working closely with public health officials and legislators to provide better care and better access to our state’s mental and behavioral health patients.

 

UNC Health Care Again Ranks Among Best Hospitals in the Nation

At UNC Health Care, our vision is clear: to be the nation’s leading public academic health care system. We are committed to providing North Carolinians with the highest level of care. We are continually looking for new and innovative ways to improve the quality of care that we provide for patients across our state. And we are clearly making progress. I am pleased to say that the recently released U.S. News & World Report 2016-2017 Best Hospitals rankings confirm our commitment to quality and excellence.

UNC Hospitals was nationally ranked or recognized as high performing in 10 clinical categories listed in the U.S. News & World Report 2016-2017 Best Hospitals rankings. Four of our specialties were ranked highest in the state.

Across the state, our system performed well. UNC Hospitals, UNC REX Hospital and UNC High Point Regional Hospital ranked No. 2, No. 10 and No. 16, respectively, in the Best Hospitals rankings for North Carolina.

UNC Hospitals ranked higher in eight clinical categories compared with the 2015-2016 rankings, including Urology, Cancer, Diabetes and Endocrinology, Nephrology, as well as Gastroenterology and GI Surgery.

I will elaborate on just how extraordinary this recognition is. U.S. News & World Report rankings are among the most prestigious of their kind. This year’s rankings began with a pool of 4,667 hospitals representing virtually all U.S. nonfederal community facilities. Only 153 hospitals in the United States, across all 16 specialty categories, performed well enough to be nationally ranked in one or more specialties. The scores are established on the basis of issues like severity-adjusted mortality and patient volume as well as on the hospital’s reputation among specialist physicians.

As UNC Health Care continues expanding across the state, we have remained steadfast in our core beliefs and values. This unwavering commitment to strive for excellence is what enables us to provide the best possible care for the people of North Carolina. And these scores are a clear indication that we are making tremendous progress on the goals we have set.

For a full list of U.S. News & World Report 2016-2016 Best Hospitals rankings and UNC Hospitals recognition, click here.

Commemorating Seven Decades of the Centers for Disease Control and Prevention

Last week, I had the privilege of providing remarks at the Centers for Disease Control and Prevention (CDC) Public Health Grand Rounds – Seven Decades of Firsts with Seven CDC Directors. The event marked the 70th anniversary of the CDC. It gave former directors, including myself, an opportunity to reflect on the CDC’s great work in the past, its relevance and continued importance today, and its need to maintain public health in the future.

As the director of the CDC from 1990 to 1993, I saw tremendous change in public health. The CDC began cultivating partnerships with academia, public health agencies and the private sector. At the same time, the CDC started to face more complex challenges. In addition to its focus on communicable diseases, the CDC embraced its role as the nation’s prevention agency, formally adding “and Prevention” to its name. As the CDC has continued to change to address changing needs in public health, I am happy to say that, in my opinion, the CDC name and mission are still as strong as ever.

The focus on prevention was reflected in many of our efforts during my time as CDC director. For instance, in the early ’90s, the CDC funded prevention programs aimed at tackling the expansion of HIV/AIDS. In 1991, the CDC identified a sharp increase in cases of tuberculosis that were related to HIV infection and AIDS; in that same year, the CDC reported that the number of reported AIDS cases in the United States had reached 200,000. Recognizing that prevention activities were needed at the community level, the CDC funded five HIV/AIDS demonstration projects that extended prevention efforts to community sites and elicited the help of community residents and peer groups to motivate behavior change.

The CDC played critical roles in the past, and it continues to be a vital force for global public health today. Outbreaks of viral diseases such as Ebola in 2015 and Zika this year remind us of the important role that the CDC plays with regard to education and protection.

The CDC drives policy and action nationally and around the globe, as well as right here in North Carolina. It is a vital resource as we work to ensure the best patient outcomes for people across our state, and I am confident that the CDC will continue to be a global leader in disease control, prevention and protection.

Research Leads to Better Patient Outcomes

As dean of the UNC School of Medicine and CEO of UNC Health Care, I have the fortune of working alongside some of the best and brightest minds in health care. Through research, innovation and advanced health care delivery, they are responsible for tackling some of our most pressing health care challenges.

For instance, for the first time, a global research effort led by John Buse, MD, PhD, professor of medicine at the UNC School of Medicine and director of the UNC Diabetes Center, determined that a new Type 2 diabetes therapy proves better than traditional insulin injections.

The drug IDegLira proved to be more effective than basal insulin glargine injections at reducing the average amount of blood sugar over the course of several months. The new therapy was also associated with weight loss and a substantially lower rate of hypoglycemia – i.e., low blood sugar – compared with more commonly used injections, a major development in the treatment of Type 2 diabetes.

Another area where our researchers are making breakthroughs is in autism and neurodegenerative diseases.  Dr. Mark Zylka, PhD, associate professor of cell biology and physiology at UNC, led a team of researchers who published a study on the role that a new class of fungicides could play in autism and neurodegenerative disease. Along with his team, Dr. Zylka found a class of commonly used fungicides that produce gene expression changes similar to those in people with autism and neurodegenerative conditions, including Alzheimer’s disease and Huntington’s disease. The study, published in Nature Communications, describes a new way to home in on chemicals that have the potential to affect brain functions.

This is the kind of research that makes UNC one of the leading academic medical centers in the nation. More importantly, research drives better care and leads to more effective treatments.

For more information on the diabetes study, click here.

For more information on the fungicide study, click here.

Using Technology to Research and More Effectively Treat Postpartum Depression

At UNC, we are always looking for new and innovative ways of delivering better, more complete care. Recently, researchers from the UNC School of Medicine launched a free iPhone app to engage women in a genetics research study about postpartum depression (PPD) and most importantly, to understand the causes and find more effective treatments.

The ResearchKit app, called PPD ACT, surveys women to identify those who have had symptoms of PPD. The app also invites certain women based on survey responses to provide DNA samples so that researchers can study the genes of those impacted by PPD.

Samantha Meltzer-Brody, MD, MPH, director of the Perinatal Psychiatry Program at the UNC Center for Women’s Mood Disorders, and Patrick Sullivan, MD, director of the UNC Center for Psychiatric Genomics, led efforts to design the study and develop the app.

This is the kind of innovative, meaningful work that makes UNC a leader in medicine and enables us to continue best serving our growing patient population.

To download the app, click here.

To learn more about the study, click here.

Expanding the School of Medicine Across the State

The UNC School of Medicine serves North Carolinians in all 100 counties of the state, reaching rural communities and underserved populations. And that task is only getting bigger as our population continues to grow. That is why we are taking steps to address this challenge, including expanding our School of Medicine to Wilmington, North Carolina.

Nearly 1 million North Carolinians live in areas that do not have adequate access to primary care physicians and services. It’s no secret that our state needs more doctors, and the UNC School of Medicine takes this very seriously.

Beginning in March 2016, the School of Medicine will open a campus at New Hanover Regional Medical Center, a teaching hospital in Wilmington. Up to 24 third- and fourth-year medical students will complete one-year core clerkships in an environment where today’s brightest minds can expand what’s possible in medicine.

Additionally, students in this program will have the opportunity to complete a Physicians Leadership Certificate Program delivered through the Cameron School of Business at the University of North Carolina at Wilmington.

We look forward to continuing to expand the reach of the next generation of physicians across our state.

More information on the program can be found here.