13 May 1999 • Volume 1 • Number 9
Formerly “Topics”

Nicole ‘bouncing back’ following
rare procedure by Dr. Templeton

Kimberly Templeton, MD

Nicole Andrewson’s dream of running, playing football and wrestling with her older brothers may yet become a reality, thanks to a rare surgical procedure performed May 7 on Nicole by Kimberly Templeton, MD, assistant professor of orthopedic surgery.
For the past year, 5-year-old Nicole of Derby, Kansas, has battled Ewing’s sarcoma, a rare disease which is especially rare among very young children. She has undergone chemotherapy to halt the cancer’s growth on her left thigh and kill any cells that may have spread to other parts of her body. The thigh bone was so damaged by the tumor, however, that physicians had to remove it.
In a rare 7 1/2-hour operation called tumor resection and rotationplasty, Dr. Templeton removed the child’s thigh bone, replaced the thigh with the lower leg, turned it backward and re-attached it to Nicole’s hip. After recovering from surgery, Nicole will learn to use her ankle as a knee, and her foot will fit into a lower leg prosthesis. Because Nicole’s foot will rest on the prosthesis, Dr. Templeton said Nicole will feel like she’s walking on her foot.

Nicole Andrewson, shown with mother
Kimberly, underwent the rare surgery
following chemotherapy treatments to
halt the spread of cancer.

Nicole has made very good progress since the surgery, and at press time was listed in fair condition. Dr. Templeton added that the 5-year-old was “bouncing back” very quickly.
“She can wiggle her toes when she wants to,” Dr. Templeton reported on May 10. “She’s also eating like a horse.”
The rare surgery on Nicole has generated an abundance of media attention. In addition to a front page story in the May 7 Kansas City Star , local TV stations KCTV-5, KMBC-9 and WDAF-4 have aired stories. Media representatives say they plan to do follow-up stories on Nicole and her family as the time gets closer for Nicole to leave KU Hospital, perhaps as early as the end of this week.
Cancer and surgical specialists generally reserve the resection and rotationplasty procedure for children when no other treatment solution is viable. Dr. Templeton said that if Nicole had received additional chemotherapy, the cancer from the bone would probably have returned. Radiation therapy would have killed the growth plate of the bone. In addition, the risk of developing a secondary cancer due to the radiation is about 10 percent.
The long-term survival rate for children who have undergone the procedure is as high as 80 percent.

Clinical Enterprise Group
fosters new, expanded programs
To better serve our patients' needs and to remain competitive in today's fast-changing health care arena, KU Medical Center must continually strive to develop the finest clinical programs possible. One group that plays a crucial role in meeting this challenge is the Clinical Enterprise Business and Program Planning Group (CEBPP).
CEBPP was established in 1995 to ensure coordination and integration of the planning activities for the clinical enterprise. In addition to coordinating and overseeing clinical enterprise efforts, CEBPP helps procure start-up funding for programs which meet a defined set of criteria, and which are developed to increase the success of a new or expanded program.
The group is co-chaired by Irene Cumming, president and CEO of KU Hospital and James Thomas, MD, president of Kansas University Physicians, Inc. (KUPI). Committee members are: Dennis Allin, MD, at-large board member; Vic Arnold, acting CEO, KUPI; Harold Barkman, MD, chief of the medical staff; Scott Glasrud, chief financial officer; Chris Hansen, vice president, Ambulatory Services; Jon Jackson, chief operating officer, Karen L. Miller, RN, PhD, FAAN, professor and dean of the Schools of Nursing and Allied Health; Susan Pingleton, MD, professor and division director of Pulmonary Medicine; Deborah Powell, dean of the School of Medicine; E. Bruce Toby, MD, associate professor, Orthopedic Surgery, and George Varghese, MD, executive committee, KUPI.
In recent years, the CEBPP group has developed business plans, approved and funded the development of the Level I Trauma Center, Abdominal Organ Transplant Program and the Acute Spinal Cord Injury Program.
CEBPP has recently created a new web page, which contains membership information and access to a Proposal Submission packet, which must be downloaded. Actual proposals must be submitted to the committee in writing with the appropriate department signature. Proposals must also include an initial one- to three-page summary of the new or expanded program, which addresses the clinical, teaching, professional and research aspects of the request. All proposals will be reviewed by the CEBPP group.
Physicians are encouraged to submit proposals for a new or expanded clinical program by downloading the submission packet from the web page. The page can be accessed via Pulse by using the link (Clinical Enterprise Business and Program Planning Group) from either the Committees and Organizations page or Employee Resources page.

Fiscal year 2000 budget tied
to five-year capital plan
"The Authority Board has recently approved a five-year capital plan. This plan focuses on the strategies and requirements of capital improvement spending. The requirements focus on the strategies to improve patient access, strengthening diagnostic and treatment capabilities. The plan clearly prioritizes the critical need for the growth of cash reserves, which is essential for long-term competitiveness," said Scott Glasrud, Chief Financial Officer.
"There are only two funding sources for capital improvements and service-program growth. An organization can either borrow money or use cash reserves," explained Glasrud. "We plan on using both funding sources in fiscal year 2000. However, for the Hospital to support debt, the Hospital's profitability must improve, as it has in the first six months."
"We have begun the budget process for fiscal year 2000, which begins July 1. The budget process is more than an allocation of expenses and it can't be taken in isolation. The budget must fit the five year long range plan, approved by the Board," Glasrud said.
"The budget process involves projecting patient volume and operating revenue levels, taking into account the expected changes in reimbursement, particularly Medicare cutbacks which are impacting all academic medical centers. This part of the process is essentially complete. Then expenses need to be budgeted such that the necessary profitability targets are met."
"This is the first year where the budget has been tied to a long-range plan. It needs to be a more top-down approach. The Vice-Presidents will be working with Finance to produce budget scenarios for managers to review and provide input. There will be a series of budget-related communications over the next few weeks," explained Glasrud.
"This year the Hospital will not be part of the State budgeting process. Consequently, there will be no Budget Adjustment Request (BARF) forms and the budget process will extend through the middle of June," continued Glasrud.
"The executive staff and departmental directors/managers have a primary accountability for internal control of expenditures and usage of resources. Achieving budget targets will be one focus in evaluating performance, so it will be important to have agreement on these targets," Glasrud said.
"There will continue to be challenges to enhancing operating performance in an environment of declining reimbursement rates. The key to our success will ultimately be achieving growth in our patient base, while controlling our costs," concluded Glasrud.

Michael Moncure, MD, welcomes 250
emergency medical services providers
next week for National EMS Week.

Barbecue, gurney race highlight EMS Week

Who’s the best EMS team in the entire six-county area?
Find out next week, when emergency medical service providers compete for fleeting fame and a lasting trophy in KUMC’s first-ever Spinal Immobilization Gurney Race.
The unique challenge event is part of the food, folks and serious fun planned for National EMS Week, May 16-22.
Gathering in the “Yellow” Booth Street parking lot from 11 a.m.-2 p.m., Thursday, May 20, two- and three-person EMS teams will demonstrate their skills and their sense of humor in hopes of being named 1999 KUMC EMS Champs.
In addition to the traveling trophy, winners will also be recognized on a plaque in the Emergency Department.
The anticipated 250 police, fire, ambulance and emergency air transport professionals will be treated to a traditional Kansas City-style barbecue lunch, helicopter exhibits and Jaws of Life “car cut-up” demonstrations.
“The area’s pre-hospital providers make a lot of key decisions in the field that save lives,” explains Michael Moncure, MD, FACS, assistant professor of surgery and director, KUMC Trauma Center. “When they do the right thing, we benefit and the patients benefit. This week’s events are a chance to show them our appreciation.”

Celebrating their progress toward becoming registered nurses, Jennifer O’Hara (left), Jenny Stanton and other nursing students enjoyed a pizza lunch provided by KU Student Nurses and ice cream treats provided by the School of Nursing, May 10 in Stoland Lounge. The event was one of many marking National Nurses Week at KU Medical Center.

Graduation festivities include banquets, luncheon
Congratulations to the men and women who will set the pace for the new century, the 1999 graduates of the schools of Allied Health, Medicine, Nursing and Graduate Studies. Here are some of the activities planned for the days ahead.

Thursday, May 20
School of Medicine Banquet, 7 p.m. (social hour 6 p.m.), Kansas City Club, 12th and Baltimore, Kansas City, Mo.

Saturday, May 22
School of Nursing Recognition Ceremony, 9 a.m., Memorial Hall, 600 N. 7th Street, Kansas City, Kan.
Luncheon and open house for graduates and their families, hosted by Executive Vice Chancellor Donald Hagen, MD, Orr-Major and Quadrangle area, KUMC.

10:30 a.m.-noon.     School of Nursing
12:30-2 p.m.     Schools of Allied Health and Graduate Studies
2-3 p.m.     School of Medicine

School of Allied Health Recognition Ceremony, 11 a.m., Memorial Hall, 600 N. 7th Street, Kansas City, Kan.
School of Medicine Hooding and Awards Ceremony, 7 p.m., Lied Center, Lawrence campus.

Sunday, May 23
Commencement, 2:30 p.m., Lawrence campus.

Volunteers are needed to assist with the EVC luncheon.
If you’d like to help, contact Jennifer Rodvelt, ext.1498,
or via email at <jrodvelt>.

Physicians’ Update
Internal Medicine

Delva Deauna-Limayo, MD, assistant professor of medicine, practices at KUMC. She completed medical school at the University of Santo Tomas, a residency in internal medicine at the University of Southern California, and a fellowship in hematology/oncology at KU Medical Center. Dr. Deauna-Limayo is certified by the American Board of Internal Medicine and Medical Oncology. Her expertise is in solid and bone marrow malignancies, lymphoma, non-malignant hematology including sickle cell anemia, hypercoagulable states and bleeding disorders.

Melissa Mills, MD, clinical assistant professor, is the medical director for Shalom Geriatric Center. She completed medical school at Bowman Gray School of Medicine and her residency in internal medicine at KU Medical Center. Dr. Mills is certified by the American Board of Internal Medicine. She specializes in geriatric care with a focus on long-term care.

Althea Moseley, MD, clinical assistant professor of medicine and pediatrics, is medical director of Silver City Health Center, a satellite clinic of KUMC. Dr. Moseley completed medical school as well as a residency in internal medicine and pediatrics at KU Medical Center. She is certified by the American Board of Pediatrics and the American Board of Internal Medicine. Dr. Moseley oversees the staffing of residency continuity clinics at Silver City and conducts faculty clinics in medicine and pediatrics at KUMC.

Gottumukkala Raju, MD, assistant professor of medicine and director of endoscopy, sees patients at KUMC. Dr. Raju completed fellowships at Beth Israel Deaconess Medical Center and Harvard Medical School. He is certified by the American Board of Internal Medicine and The American Board of Gastroenterology. Dr. Raju’s expertise is in advanced therapeutic endoscopy and pancreatico-biliary endoscopy.

Steven Simpson, MD, associate professor of medicine, sees patients at KUMC. He completed medical school and a residency in internal medicine at KU Medical Center. Dr. Simpson is certified by the American Board of Internal Medicine. His expertise is in intensive care medicine and pulmonary diseases and he is internationally recognized for his work with Hantavirus Pulmonary Syndrome.

Nancy Tilson-Mallett, MD, clinical assistant professor of medicine and assistant director of clinical services for the Center on Aging, practices at KU MedWest. Dr. Tilson-Mallett earned her medical degree from KU Medical Center and completed her residency in internal medicine at Harrisburg Hospital. She is certified by the American Board of Internal Medicine. Dr. Tilson-Mallett’s clinical specialty is in geriatric medicine.

Srinivasa Rao Vasa, MD, assistant professor of medicine, practices at KUMC. Dr. Vasa completed medical school at Andhra Medical College. He completed his residency in internal medicine at Albert Einstein College of Medicine. Dr. Vasa is board certified in Internal Medicine and Gastroenterology. He specializes in the diagnosis and treatment of liver disease, including liver transplant, biliary and interventional endoscopy.

Karen West, MD, clinical assistant professor of medicine and pediatrics, practices at KU MedWest. Dr. West completed medical school and a residency in internal medicine and pediatrics at KU Medical Center. She focuses her practice on the primary care of adults and children.

Our partnership
initiative is working

Each week in June, In The Center will feature articles on partnership projects in both operational and utilization areas. In this week's issue, Susan Pingleton, MD, professor and division director of Pulmonary Medicine, reviews the increasingly important role partnerships play in today's complex health care world.
By Susan Pingleton, MD
Professor and Division Director, Pulmonary Medicine

The medical-hospital director program, involving a partnership between a physician and other designated health care professionals, is a major management force at KU Medical Center. After just two years, the program is helping us maintain and improve patient care while we effectively address costs in a managed-care driven environment.
These partnerships are organized into two groups. One focuses on operational issues associated with nursing unit services. The other deals with utilization issues -- those services utilized across multiple nursing units.
Within each partnership, the medical director has identified one to three projects for development. Progress-to-date has been impressive, including patient satisfaction surveys, OR pharmacy reorganization, pain management projects and rehabilitation medicine follow-up data.
Although all reports will not be complete until the end of the fiscal year, already there is abundant evidence that creative professionals, working together toward a common goal, can accomplish great results.

Wellness booklet has many authors

Households across the Greater Kansas City area recently received the KUMC Spring 1999 Wellness Programs brochure. Inside, they found descriptions of more than 60 popular KU Medical Center programs, resources and support groups created to help improve the quality of life.
The comprehensive directory was created through the collaborative efforts of 20 different departments on campus, to help make the public-as well as KUMC staff members and physicians' offices-aware of the many community outreach programs and support groups.
Representatives from these departments met in a working lunch recently to plan the summer issue of the quarterly publication. On hand at the May 5 meeting in the Delp Cafeteria Prairie Room were staff from Nursing, School of Nursing, School of Medicine, Center on Aging, Cancer Center, Allied Health, OB/GYN, KU MedWest, Dietetics, Marketing, Pittsburg AHEC, Burn Center, Continuing Education, KU HOP, Pulse Development, Cray Diabetes Center, Infection Control, Kirmayer Fitness Center, Psychiatric Services and Volunteers.
The Summer 1999 edition of Wellness Programs is scheduled for distribution the first week in July. To submit program suggestions, email Amy Metcalf at <ametcalf> by May 24.

Clendening Library welcomed alumni last weekend with an exhibition of artifacts that includes the medical bag of Ralph Hermon Major, MD, KU professor of pathology, medicine and history from 1914 to 1954. RIGHT: Kelly Brown, librarian, shows Ophthalmoduleia, the recently acquired ophthalmology text of Georg Bartisch. Published in 1583, the rare woodcut-illustrated volume is one of the earliest surgical works printed in the vernacular (German), and includes unique flap illustrations of different parts of the eye. The library is open to students, faculty, staff and the public Mondays and Wednesdays 9 a.m.-1 p.m., and Tuesdays and Thursdays 1-5 p.m.

Nursing school leads Big 12 in attracting federal funds
In a recently released report on National Institutes of Health funding for nursing research, the University of Kansas School of Nursing ranked 14th among 82 nursing programs. With more than $1.4 million in NIH funding in 1998, the School of Nursing was the only Big 12 representative to make the list.
In 1998, the School of Nursing received NIH funding for six research programs focusing on health behaviors and health care effectiveness. The grant funding success rate from all sources for the School of Nursing is greater than 60 percent.

Equipment tested for Y2K compliance
Since 1996, The University of Kansas Medical Center has budgeted significant resources to meet computer-related challenges associated with the Year 2000. Special Y2K teams have been at work ever since to verify that our systems are ready.
Every electronic item owned by or used in KU Medical Center is to be tested for Y2K compliance. After testing, each piece of equipment receives a color-coded "Y2K" label. It is the policy of KU Medical Center that any patient care equipment that has not been tested and stickered should not be used after June 30, 1999.
As of April, patient care equipment testing is 94 percent complete and remediation for failing devices is in progress. Of the 2,787 devices checked, technicians report a 95 percent pass rate. The devices that fail are being replaced or upgraded.

There's still time to do your part for CMN
Time still remains to help children and families in need by donating your time, money or both for Children's Miracle Network (CMN). Upcoming KUMC "Miracle Days" events for CMN include balloon sales through May 14 in both cafeterias, and CMN Sales May 13 and 14 from 11 a.m. to 1 p.m. in the Main Cafeteria. For $20, you can pick up a Marcus Allen lithograph, and for a $5 donation and a quiz you can become eligible to win tickets to Worlds of Fun, Oceans of Fun, a Royals game or other prizes. Volunteers are also needed for the CMN telethon and radiothon June 5 and 6. For more information, contact Danielle Wolfe, ext. 8009.

Credit Union annual meeting, picnic set for May 26
The KUMC Credit Union annual meeting and election of officers will be Wednesday, May 26, from 11:30 a.m.-1 p.m., in the Courtyard. A catered picnic will be served to all registered members attending. Advance registration is required. To register, visit the Credit Union, 1037 Delp, or the Shawnee branch from May 17 through 24.

Credit Union 'Lucky Numbers' for May
The KUMC Credit Union Lucky Numbers for May are: 10122; 30084; 18722; 19609, and 30737. The Lucky Birthday is May 5. Prizes may be claimed at the Credit Union, 1037 Delp.

Galland to speak on complementary medicine

Leo Galland, MD, acknowledged as the foremost authority on complementary medicine, will speak on "The Role of Micronutrients: Nutrition in Disease Therapy and Prevention" on Tuesday, May 18, from noon to 1 p.m. in Clendening Auditorium. Dr. Galland is director of the Foundation for Integrated Medicine. In his private practice in New York, he specializes in treating undiagnosed or difficult-to-treat illnesses. Dr. Galland has written that "The issue is not the disease, but the patient," and in his book Power Healing (Random House, 1998), he offers strategies, including nutritional tactics, to help the body restore its own balance and health. Dr. Galland believes the power in healing comes from an appreciation for individuality, and has successfully approached his diagnoses by "disregarding the pathology and examining (the patient's) story." Dr. Galland received his medical training at New York University and Bellevue Hospital. His appearance at KUMC is presented by the Division of Functional and Complementary Medicine.

KU Medical Center physicians among keynote speakers at Women's Health Care Conference
The 24th Annual Women's Health Care Conference will be held today from 8 a.m. to 5 p.m. and Friday, May 14, from 8 a.m. to 4 p.m. The annual conference provides information on women's health through the decades-from childbearing through menopause. Several KU faculty members will be featured as keynote speakers, including Barbara Lukert, MD, professor of medicine, endocrinology, metabolism and genetics, Valerie Montgomery Rice, MD, obstetrics and gynecology, and Sterling Williams, MD, chair of obstetrics and gynecology. The conference will be at the Adam's Mark Hotel, I-70 and Truman Sports Complex.

FOR SALE:
Moving Sale: white sofa, $100 OBO; full-size mattress set w/frame, $250 OBO; GE digital answering machine, $15 OBO, full-size ironing board, $7, OBO. Call 236-4178.
GE Electric stove w/hood, $300, GE dishwasher, 10 yrs. old, exc. cond., $150, both almond in color. Call Pat, 888-5689, after 6 p.m.
Kelvinator refrigerator, white upright, exc. cond., 8 yrs. old, $250 OBO. Call 764-7657.
Exercise equipment, ProForm 485E Elipse Machine, used very little, paid $400 new, asking $300. Call 384-4285 and leave message.

AUTOMOTIVE:
1988 Ford Escort, 4-spd., 65K miles, runs great, AM/FM stereo, new tires/timing belt, must sell, $850. Call 913-262-5147 after 7 p.m.
1987 Dodge Colt, 4-door sedan, good cond., one-owner, $850. Call (785) 542-3093 after 6 p.m.
1993 Saturn, blue-green, 92K miles, new brakes, AM/FM cassette, tires 1½ -2 years old, good gas mileage, runs great, must sell, $4350. Call Tina, 361-9230.
1991 Honda Civic DX, 5-spd., white, perfect body, 154K miles, new tires, battery, brakes, loan value from UMB $3,700, will sell for $3,000. Call Mike at 350-7400 after 5:30 p.m.

HOUSING:
For Sale: 3BD, 1BA home in Prairie Village, hardwood floors, large fenced back yard, attached 1-car garage, great neighborhood. Call 262-9275.
For Sale: 3BD, 2BA + extra room for office/work out area, big master, walk-out basement, tons of closet space, hardwood floors, large fenced back yard, very clean, completely updated, AAA Park Hill schools, great location, close to everything, only $96,350. Call 587-9409 after 5 p.m.
For Rent: 3BD house, walking distance from KUMC, hardwood floors, 1 yr. lease & security deposit, no pets, $600/month. Call 292-3973 and leave message.
Roommate needed: Single mom looking for another single mom to share my 3+BD, 2½ BA house, attached garage, washer/dryer, access to clubhouse, tennis courts and pool, fenced backyard, you can have large private bedroom w/fireplace, I have one child and one cat, both house broken, price negotiable. Call 962-6508 and leave message.
Roommate needed: Beautiful 2 story Cape Cod house, eight min. from KUMC, Plaza, downtown, private room/bath, office space, basement storage, large privacy fenced back yard, indoor cats or outside dogs welcome, $375 plus ½ utilities and deposit. Call Stacy, 236-7845.

WANTED:
Seeking donation of high chair in good cond. for a family in need through Project EAGLE, KU's Early Headstart program in KCK. Call Heather Rhoades, family support advocate, 281-2648.

coming
up

Friday, May 14:

• Obstetrics and Gynecology Grand Rounds, “Urinary Incontinence: Suburethral Sliding Procedures:, 8-9 a.m., Clendening Auditorium.
• Neurology Grand Rounds, “General Rehabilitation and Issues of Multiple Sclerosis,” noon, Clendening Amphitheater.

Monday, May 17:

• “Knee and Hip Pain: Total Joint Replacement,” 1-4 p.m., KU MedWest Community Room.

Tuesday, May 18:

• Breast Cancer Weight Control Support Group, noon-1 p.m., Radiation Oncology Conference Room.
• Refractive Surgery Seminar, noon-1 p.m., Department of Ophthalmology.
• Cognitive Therapy Addiction Group, 1-2:30 p.m., Family Medicine Conference Room.

Wednesday, May 19:

• Diabetes Self-Management Series, 9-11 a.m., 1107 KU Hospital.
• KUMC Interfaith Group, noon-1 p.m., 3041 Wescoe.
• Anxiety Support Group, 4-5:30 p.m., Adult Outpatient Psychiatry Clinic. $10 fee, Call 588-1300 before attending your first meeting.
• “Menopause: Taking Charge of the Change,” 7-8 p.m., KU MedWest Community Room.

Thursday, May 20:

• “Take Hypertension to Heart,” 10-11 a.m., Wyandotte Room, Main Cafeteria.
• Kansas Cancer Institute Lecture, “National and Regional ACS Funded Cancer Research,” 2-3 p.m., Clendening Auditorium.
• Prostate Cancer Support Group, 7-9 p.m., Reike Auditorium.

IN THE CENTER
Donald Hagen, MD - Executive Vice Chancellor KUMC
Irene Cumming - CEO and President KU Hospital
Ken Arnold - Editor
Leslie Champlin - Writer
Jim Burton - Graphic Designer

IN THE CENTER is the employee and student publication of the University of Kansas Medical Center. It is published weekly by the office of Public Relations and Marketing. The deadline for submitting news briefs is noon on the Thursday before they are to appear. Send story ideas to Ken Arnold, editor, G114 Hospital, or e-mail: <karnold> or call ext. 1298.

Ad Policy
Send or bring your ad to G114 KU Hospital, or fax to ext. 1225, or e-mail: <karnold> by noon Thursday of the week before it is to run. Ads run free of charge for employees, students and volunteers. For-sale ads are limited to three items. All ads must include the advertiser’s name and work extension (or medical student box number) for verification. Only home phone numbers–no pager numbers or KUMC extensions–will be published. No ads for commercial services or pets for sale will be accepted. Ads will not be taken by telephone. Only one phone number per ad. Ads may be held a week of space is limited.

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