Annual report 2018-19

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    The future of health starts here. VCU med student Kathyrn Gouthro holds a Yellowstone Park bear habitat warning card. 3d illustration of transmitting synapse,neuron or nerve cell. 3arrows 3arrows purple-line orange-line blue-line green-line 3arrows 3arrows 3arrows 3arrows
    Welcome to mission:
    tomorrow.
    Portrait of Marsha Rappley, MD and Michael Rao.

    In 2019, we simplified our mission statement to reaffirm the purpose and passion that drive our work among the communities we serve. Our mission statement now attests that, "We preserve and restore health for all people of Virginia and beyond through innovation in service, research and education."

    This annual report proves our commitment to that mission. In 2018-19, we forged new partnerships, fostered new discoveries, trained a new generation of medical professionals and became a powerful presence in new communities. As we keep driving forward, we’ll continue to change the face of health and wellness for all. Because the future of health starts here.

    Michael Rao, Ph.D., president, VCU and VCU Health System

    Marsha D. Rappley, M.D., CEO, VCU Health System and senior vice president for VCU Health Sciences

    Portrait of Marsha Rappley, MD and Michael Rao.
    Cherron Gilmore standing with life saving surgeon Daniel Tang, M.D.

    Cherron Gilmore goes from heart failure to heart recipient

    In September 2018, Cherron Gilmore sat in a North Carolina hospital and was told, "There's nothing more we can do for you." The 37 year-old mother was in heart failure from postpartum cardiomyopathy, and she was rejected for a transplant for the fourth time. Her last chance was a referral to VCU Health, one of the most active sites in the country for total artificial hearts. Arriving by medevac on Sept. 6, she was in the operating room within four days for a total artificial heart transplant. Three weeks later, a donor heart was located, and Cherron became the VCU Health Pauley Heart Center's 600th heart transplant patient. Today, she's back to being a mom of three. "It just feels like all is okay in the world now."

    I never had to look much toward the future. Now I have a future to look forward to."
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    Doctors and nurses working on a patient during a surgery.

    New program helps reduce post-op complications

    A new system to reduce complications, infections and mortality after surgery is seeing positive effects at VCU Health. ERAS (Enhanced Recovery After Surgery) standardizes care before, during and after surgery to improve outcomes. ERAS includes patient education, enhanced surgical standards and post-surgical practices that encourage mobilization. Since ERAS's implementation, VCU Health has seen a rapid decline in wound infections and readmission rates, and a significant increase in patient satisfaction scores.

    VCU telehealth expands to reach more patients, exchange more ideas

    In 2019, the VCU telehealth team developed eight new virtual primary care and specialty clinics, allowing them to see an additional 1,000 patients in the comfort of their own homes. The team also started the development of a rural center for integrated telemedicine in South Hill, Va.; began the expansion of a program for palliative care and telegenetics; and launched Project Echo, a collaborative model for the exchange of knowledge among health care providers across the commonwealth. In one year, 400 clinicians from 77 health centers across Virginia have participated in 21 Echo clinics.

    The future of patient care
    An atomic force microscopy image of barcoded DNA molecules.

    DNA barcoding could help lower costs of cancer detection

    Blood cancers like leukemia, lymphoma and myeloma make up about 10 percent of all cancers. But detecting these cancers can be complicated - and very expensive. Researchers at VCU are out to change that. Physics professor Jason Reed, Ph.D., and his co-investigators at VCU Massey Cancer Center are studying a new approach called DNA barcoding. With this method, individual DNA strands are extracted from a solution, and tiny nanoparticles are attached to them. Then, nanotechnology is used to determine if the sample has a certain kind of mutation. The result: faster, more accurate results at a significantly lower cost.

    This will enable monitoring and detection of previously undetectable diseases following therapy."
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    3D rendering of transparent human torso with the liver being highlighted.

    Study links fatty liver to heart failure

    About 100 million individuals in the U.S. are estimated to have nonalcoholic fatty liver disease, and those numbers are climbing. Researchers at VCU are collaborating on a clinical trial that identifies signs of the disease. They've found a connection between patients with an aggressive type of fatty liver disease and limitations in their capacity for exercise. They're also seeing indications that fatty liver disease patients could be at risk for developing symptoms that lead to heart failure.

    Patient donates to help others with Parkinson's

    Last year, retired financial professional Gary Rogliano was diagnosed with Parkinson's disease. He found help - and a connection to health resources - at the Parkinson's and Movement Disorders Center at the VCU Health Neuroscience, Orthopaedic and Wellness Center. Between his sessions for physical, occupational, speech and sleep therapies at VCU Health, Gary recognized a need for financial assistance for people dealing with the disease. He and his family launched a 501(c)(3) nonprofit organization, Power Over Parkinson's, to connect patients with vital resources. The family also committed $750,000 to help create a Parkinson"s and Movement Disorders Exercise and Wellness Program at VCU Health. The donation will fund exploration into how exercise and wellness can be used to treat the disease.

    Researching for tomorrow
    VCU med student Kathyrn Gouthro holds a Yellowstone Park bear habitat warning card.

    Med student completes Yellowstone rotation

    Kathryn Gouthro grew up in Yellowstone Park. It's also where she got her routine medical care as a child. This past year, she returned there as a fourth-year med student to complete a monthlong clinical rotation with the park's medical staff. Working at two of the park's clinics, Gouthro learned how to care for patients using limited resources. What she lacked in technology, she made up for with communication, talking to patients extensively about their lifestyles and family history. Gouthro is enrolled in fmSTAT, the School of Medicine's Family Medicine Scholars Training and Admission Track for students interested in family medicine. She plans to become a rural family doctor after completing a seven-year commitment to the U.S. Army.

    It was a really awesome experience figuring out what to do with the resources available."
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    Leukemia patient and SMILE participant Katie Whatley prepares for surgery.

    SMILE brings pediatric cancer patients "big buddies"

    Each year, young patients come to VCU to fight cancer. They're also fighting boredom, loneliness and fear. The SMILE program at the VCU School of Medicine is working to help these children - and our student body - by pairing medical student "big buddies" with "little buddies" who are being treated for cancer at VCU Medical Center. SMILE buddies help distract their little buddies by playing games, making music and even doing science experiments. Seeing the day-to-day struggle of children and their families - and helping kids be kids through it all - brings medical students a whole new kind of learning.

    New College of Health Professions building

    As the College of Health Professions enters its 50th year, its 11 units have come together in a whole new way, in a new home that supports collaborative health care. The $87.3 million College of Health Professions building broke ground in 2017, and opened in the spring of 2019. This state-of-the-art facility unites students, faculty and staff from five buildings across two campuses, fostering interdisciplinary research and learning. The eight-level, LEED Silver certified building is located at 10th and Leigh streets on the MCV Campus.

    Teaching medicine's next generation
    Pediatric cardiology patient Jacob Worley dances in front of a wall.

    Jacob Worley dances through a second surgery

    Jacob Worley was born with a condition that caused him to have a hole in his heart, which was repaired at Children's Hospital of Richmond at VCU when he was a newborn. "Jacob has what's called Tetralogy of Fallot, which is a combination of four problems, but one of the biggest is an obstruction of blood flow to the lungs," says Kerri Carter, M.D., Jacob's cardiologist. At age 8, Jacob underwent a second surgery to repair the enlargement of his heart. Today, he's doing well, and the Children's Hospital Foundation Heart Center team continues to track his heart, his heart valves - and his latest dance moves.

    They get close follow-up, forever and ever and ever."
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    Architectural rendering of the new Children's Hospital of Richmond.

    Children's Hospital of Richmond at VCU breaks ground

    June 2019 marked the groundbreaking for the $350 million Children's Hospital of Richmond at VCU inpatient hospital that ensures continued world-class care for our next generation. This new 500,000-square-foot facility will house pediatric trauma and emergency care, 86 private rooms, special imaging services and amenities for the families of CHoR's patients. The 16-story building will create an entire city block dedicated to children's health, and it will include four levels of below-ground parking. It is scheduled to open at the end of 2022.

    VCU Health Hub opens in Richmond's East End

    VCU Health Hub at 25th opened its doors in early 2019, with a new concept in community outreach that's helping to break down barriers to health. The 5,600-square-foot education and wellness center connects East End residents with free programs on topics like chronic disease prevention and care, behavioral health, benefits enrollment, nutrition and healthy aging. Free exercise classes, health screenings, grocery tours, workshops for teens, new mom programs and more are offered at the center, thanks to partnerships with community organizations and VCU health care providers.

    Our community's future