Monthly Archives: February 2011

IQclassic Price Decrease

Medical Device Depot is now offering a lower price for the Midmark IQclassic! This popular ECG machine features an intuitive user interface that is quick to learn and easy to use. The IQclassic ECG is a great, no-hassle solution that also provides superior data quality.

For more information on the IQclassic, or to make a purchase, call 877-646-330 or visit Medical Device Depot.

Midmark Q1 Promotion

Purchase select IQDevices from Midmark and receive a rebate! The more products you purchase, the higher the rebate:

  • Purchase one IQ device from the eligible product list and receive a $350 rebate from Midmark.
  • Purchase any two IQ devices from the eligible product list and receive a $700 rebate from Midmark.
  • *Purchase three IQ devices from the eligible product list and receive a $1,200 rebate from Midmark.
  • *Purchase four IQ devices from the eligible product list and receive a $1,800 rebate from Midmark.

*At least one of the devices on the order must be an IQecg™, IQspiro™, IQholter™ or IQstress™ in order to receive this rebate.

The following products are eligible for this promotion:

Offer ends May 31, 2011.

For more information or to make a purchase, call 877-646-3300 or visit Medical Device Depot.

Enhancing the Value of your Clinical Practice with Microvolt T-Wave Alternans

Q-stressCardiac Science is hosting an online seminar regarding Microvolt T-Wave Alternans™ (MTWA) and how to incorporate it into your clinical practice on February 22.  MTWA is a non-invasive, diagnostic test that can be performed in conjunction with a cardiac stress test – providing you with a more comprehensive view of your patient’s cardiac condition.

The 45 minute session will cover –

•   Microvolt T-Wave Alternans – the technology, test, and benefits
•   How to incorporate MTWA into your cardiac testing protocol
•   Treatment options to help prevent Sudden Cardiac Arrest
•   The Reimbursement Landscape

Microvolt T-Wave Alternans for Q-Stress® combines the industry’s leading cardiac stress test system with Cambridge Heart’s unique MTWA testing system, creating the most comprehensive, reimbursable cardiac risk-profiling system in the industry

Click here to learn more about the seminar. If you would like a free in-office demo or if you have any questions about stress testing or Microvolt T-Wave Alternans  please call Medical Device Depot at 877-646-3300 ext 619.

ASA: Holter Needed Following tPA

Stroke patients treated with tPA should be considered for 24-hour heart monitoring to rule out new onset atrial fibrillation.

A review of medical records of 97 stroke patients identified three previously undiagnosed arrhythmias, said Paul Blackburn, MD, a resident in psychiatry at the University of British Columbia, Vancouver.

Blackburn reported the results at the American Stroke Association’s International Stroke Conference.

“The current pilot study has demonstrated that 24-hour cardiac monitoring has a role in diagnosing new cardiac arrhythmia and hypertensive urgency in stroke patients post-tissue plasminogen activator (tPA),” Blackburn told MedPage Today.

“We found three new cases of atrial fibrillation among those patients who underwent monitoring,” Blackburn said during his poster presentation. “That represents about 3% of the patients monitored. The most common arrhythmia detected in the setting of stroke is atrial fibrillation, which either may be related to the cause of the stroke or may be a complication.”

“No clinical trials have tested the utility of mobile electrocardiography in regards to blood pressure, electrocardiogram changes and cardiac events post stroke,” Blackburn said.

In addition to identifying the three cases of atrial fibrillation, the researchers also discovered that several patients required intravenous treatment of high blood pressure.

Blackburn said that 40% of the patients on the monitor had a systolic blood pressure between 180 mm Hg and 209 mm Hg and 8.4% of the group had systolic blood pressure greater than 210 mm Hg.

These patients were treated with intravenous labetalol and/or hydralazine.

Overall, 27 patients demonstrated arrhythmias while on the cardiac monitors, Blackburn said. They included 24 patients with atrial fibrillation or atrial flutter, including the three previously undiagnosed cases. There was one case of supraventricular tachycardia, one brief episode of ventricular fibrillation — both of which resolved without therapy — and one fatal case of pulseless electrical activity.

In commenting on the study, Daniel Lackland, DrPH, a spokesperson for the American Stroke Association and a professor of neurosciences at the Medical College of South Carolina Charleston, told MedPage Today, “The finding of three new cases of atrial fibrillation out of less than 100 patients is huge. However, the question that is unanswered is whether this arrhythmia would have been discovered without use of the 24-hour heart monitoring.

“We need to know that answer because the expense of putting post-stroke patients on these monitors would be enormous. I would like to see other institutions perform similar retrospective studies to see if their data is similar to the group in Canada,” Lackland said.

“If there are similar findings, then I think there would be enough evidence to undertake a controlled clinical trial,” he said.

Blackburn said that the findings on the cardiac monitors did help guide acute therapy for the patients. However, he and his colleagues did not observe an impact on myocardial infarction.

The mean age of the patients was 67 and 55% were men. About 38% had diabetes, 86.7% were dyslipidemic, and 90.6% had high blood pressure — including 60.1% who were receiving antihypertensive therapy. About 43% had a previous history of stroke and 42% of the patients were smokers.

“Future analysis comparing nonmonitored groups for arrhythmia diagnosis and outcome measures and further prospective studies are required for more complete validation of 24-hour cardiac monitoring,”Blackburn said.

-Ed Susman, Contributing Writer, MedPage Today

Study Finds Automated Vitals Documentation More Accurate, Saves Time

A recent study published in the fall 2010 issue of The Journal of Healthcare Information Management (JHIM) has found that using an automated vital signs documentation system to automatically transfer vital signs assessments from bedside vital signs devices into electronic medical records reduced errors by 75 percent, compared to manually entering vital signs.

In addition, the study found that the wireless automated system reduced vital-signs acquisition/documentation times by an average of 96 seconds per reading. On a 36-bed medical/surgical unit with vital signs ordered an average of four times a day, this method could save almost 120 hours of staff time per month.

Decreasing vital signs errors has significant potential to improve patient safety because, as the study points out, “multiplication errors, transcription errors, illegible results, late data entry, misidentification of the patient, undocumented readings and missed readings can lead to faulty data, as well as unnecessary and potentially dangerous interventions or withholding of treatments.”

Welch Allyn participated in the study, which was conducted in the medical/surgical unit of a large hospital and published in the fall 2010 issue of The Journal of Healthcare Information Management (JHIM). Entitled “Vital Time Savings: Evaluating the Use of an Automated Vital Signs Documentation System on a Medical/Surgical Unit,” it is available in the print edition or, for JHIM subscribers, online at www.himss.org.

50% Tax Credit for Hill Power Tables

Hill TableThe Internal Revenue Code includes several provisions aimed at making businesses more accessible to people with disabilities. Customers who purchase from the Hill Adjustable line of tables, featuring electric power elevation, are often eligible for the Section 44 provision of this tax credit.

The provision reads as follows:

Small Business Tax Credit (Internal Revenue Code Section 44: Disabled Access Credit)

Small businesses with either $1,000,000 or less in revenue or 30 or fewer full-time employees may take a tax credit of up to $5,000 annually for the cost of providing reasonable accommodations such as sign language interpreters, readers, materials in alternative format (such as Braille or large print), the purchase of adaptive equipment, the modification of existing equipment, or the removal of architectural barriers.

This tax credit is considerable and amounts to nearly half the purchase price of your table with an overall cap of $5,000 of credit.

For more information on these power tables, or to make a purchase, call 877-646-3300 or visit Medical Device Depot.

Income-Boosting Tips

A series of tips by Shelly K. Schwartz that doctors can use to boost income:

  • In-house pharmacies can add $50,000 or more to your bottom line.
  • Most payers reimburse for online consultations, which can be done after hours or as needed to fill in for a no-show.
  • Average consulting rates range from $3,000 to $7,000 per day, depending on your area of expertise and type of training provided.
  • You can make up to $6,000 a day as an expert witness, but legal work should constitute no more than 5 percent of your income.
  • It often pays to sublet unused space. Just be mindful of Stark rules when it comes to referrals.

Also consider looking into the Axon II Neural Scanner. One test per day on this device can earn your practice an additional $150k per year. For more information, call 877-646-3300 or visit Medical Device Depot.

Blood Pressure

Nearly 1 in 3 American Adults (about 65 million) has high blood pressure. Once high blood pressure develops, it usually lasts a lifetime. The good news is that it can be treated and controlled. Many people get high blood pressure as they get older. Over half of all Americans aged 60 and older have high blood pressure. This is not a part of healthy aging!

What is Blood Pressure?

Blood is carried from the heart to all parts of your body in vessels called arteries. Blood pressure is the force of the blood pushing against the walls of the arteries. Each time the heart beats (about 60-70 times a minute at rest), it pumps out blood into the arteries. Your blood pressure is at its highest when the heart beats, pumping the blood. This is called systolic (sis-TOL-ik) pressure. When the heart is at rest, between beats, your blood pressure falls. This is the diastollic (di-a-STOL-ik) pressure. Blood pressure is always given at these two number, the systolic and diastollic pressures. Both are important.

~Graham-Field

For more information on blood pressure management devices or to make a purchase, call 877-646-3300 or visit Medical Device Depot.