Geisinger Researchers Find Genomic Screening Can Identify Risk of Heart Disease

Researchers at Geisinger recently discovered that genomic screening can help identify patients who are at risk for heart disease associated with amyloidosis, the build-up of abnormal proteins in the organs and tissues.

Transthyretin amyloidosis (ATTR) can be hereditary and lead to a spectrum of other diseases and conditions, including cardiomyopathy, a common precursor to heart failure. One known cause of ATTR is variation of the transthyretin (TTR) gene, so researchers hypothesized that identification of disease-causing variants could lead to discovery of undiagnosed disease.

New treatments for ATTR have improved survival rates, but diagnosis based on symptoms is challenging. Using data from the MyCode Community Health Initiative, which analyzes the DNA of consented participants to study a broad range of health and disease, and electronic health records, researchers studied patients with and without specific TTR variants to determine how often they showed signs of cardiomyopathy and compared those results to findings from cardiac imaging.

They identified 157 patients who carried a known disease-causing TTR variant among the 134,753 patients studied. Related heart-disease diagnoses, including cardiomyopathy and heart failure, were significantly more likely in those 60 and older, but only two of the 157 patients identified already had a clinical diagnosis of amyloidosis.

“We not only found that patients with variants identified by genomic screening had increased risk of heart disease after age 60 but also that the amyloidosis causing that heart disease is likely going to be undiagnosed without knowledge of the genetic variant,” said Brendan Carry, M.D., Geisinger cardiologist and one of the study’s lead authors. Dr. Carry, who co-leads the Geisinger multidisciplinary amyloidosis clinic with neurologist colleague David Avila, M.D., plans to evaluate and test high-risk patients who carry a TTR variant.

The research has positive implications for the future of population health as well as treatment of amyloid cardiomyopathy, heart failure, and other amyloid-related conditions.

“Historically, hereditary amyloidosis has been underdiagnosed, which can be a burden on families for generations,” said Christopher Haggerty, Ph.D., associate professor in translational data science and informatics at Geisinger and the senior author of the study. “A genetic-screening approach to identifying TTR gene variants has the potential to diagnose previously unrecognized cases of ATTR and identify patients at risk for developing cardiomyopathy and other diseases. If we can identify this risk earlier in a patient’s life, we’ll have opportunities to improve treatment.”

The full study can be read in the Journal of the American College of Cardiology: CardioOncology, and patients interested in signing up for MyCode can find more information at Geisinger.org/mycode.

Geisinger Lung Cancer Screening Program Promotes Early Detection

Geisinger’s lung cancer screening program, launched over the last year, is the best way for at-risk patients to receive annual screenings key to the early detection of lung cancer.

When detected early, lung cancer is easier to treat, and screenings are an important diagnostic tool in the process. Cancer screenings like mammograms and colonoscopies are familiar to many patients, but fewer know they might be eligible for yearly lung cancer screenings.

Lung cancer is responsible for the most cancer-related deaths in men and women in the U.S, and lung cancer screenings are non-invasive diagnostic tests that can help detect cancer in its earliest stages.

During the screening, a specialized scanner is used to take a detailed computerized picture of the lungs. This low-dose CT scan is painless and uses 75 percent less radiation than a traditional CT scan. Screening takes only a few minutes, and regular activities can be resumed immediately following the scan.

“Think of lung cancer screening the way you think of any other preventive exam,” said Matthew Facktor, M.D., thoracic surgeon and director of the lung cancer screening program at Geisinger. “It’s necessary for staying on top of your health, and your doctor can help you decide if a screening is right for you.”

Patients are eligible for yearly lung cancer screening if they do not have lung cancer symptoms and meet all of the following criteria:

  • Are between the ages of 55 and 77
  • Have a 30-pack-year history of smoking (smoked an average of one pack per day for 30 years, two packs per day for 15 years, etc.)
  • Currently smoke or quit smoking within the last 15 years

After the scan, results are analyzed by the comprehensive screening program and shared with both patient and doctor, who will collaborate if further testing is needed.

“You and your doctor will work together to create a plan around your particular needs,” said Dr. Facktor.”

For more information about lung cancer screening at Geisinger, visit geisinger.org/lungcancerscreening or call 570-600-6883.

Kim Drumgo Named Geisinger’s First Chief Diversity, Equity and Inclusion Officer

Furthering Geisinger’s commitment to promote an inclusive and welcoming organization and community to all, Kim Drumgo has been named the health system’s first chief diversity, equity and inclusion officer.

In this new role, Drumgo will champion and guide the organization to better understand the importance and value of a diverse, equitable and inclusive environment, as well as serve as a catalyst for change at Geisinger. She will provide systemwide thought leadership, strategic direction and implementation of diversity, equity and inclusion-related programs and initiatives.

“Our patients, members, employees and community deserve a safe environment that welcomes people of every race, ethnicity, gender, sexual orientation, sexual identity, ability, veteran status and faith,” said Amy Brayford, Geisinger executive vice president and chief of staff. “With Kim in this new role, I’m confident that we’ll move to new heights, prioritizing and advancing diversity, equity and inclusion across all aspects of our organization — ultimately improving the health and well-being of our Geisinger family, patients, members and communities. We’re incredibly fortunate to have gained such an accomplished and committed leader to help us make better health easier for everyone.”

Studies have shown that each community of people may have different health needs. These include the black community having a higher rate of diabetes; lower rates of cervical and breast cancer screenings in transgender men; and a higher rate of suicide among military veterans and active members than that of the general public. Creating an inclusive health care setting that connects with patients and their specific situation can help better address and serve the health needs of the community.

“I’m thrilled to join Geisinger in this new role. The communities and patients we serve each have unique situations and needs. We know the best way to serve our diverse communities is to ensure we maintain a welcoming environment that seeks out and values different views and perspectives. We can all benefit and excel in environments where our voices are heard and our needs are met. The preservation of dignity and respect will be critical to our success.” said Drumgo. “I look forward to partnering with our Geisinger family and community leaders on these important topics. Geisinger and the communities we serve are infinitely stronger when we can harness the talents and backgrounds from each of us for the betterment of us all.”

Drumgo brings over 15 years of experience in the diversity and inclusion field and has a strong track record setting DEI strategies, engaging stakeholders and driving results. She has held leadership roles in several organizations, including most recently serving as chief diversity officer for Anthem Inc., where she led more than 63,000 leaders and employees in having authentic, compassionate conversations about race, social justice and health equity. She has also held leadership roles at the American Institute of Certified Public Accountants and Blue Cross Blue Shield of North Carolina. She was named to Network Business Journal’s Top 25 Women in Business and recognized for her leadership in Diversity by Profiles in Diversity Journal.

Drumgo earned her Bachelor of Science in Public Health from the University of North Carolina at Chapel Hill and her Master of Business Administration from the University of Maryland.

Geisinger Recognized for Military Employment and Support

Geisinger has been recognized for its continued support of military veterans and active service members with two recent designations. The Pennsylvania-based health organization was recognized by Military Times on its 2021 Best for Vets: Employers rankings and earned the 2022 Military Friendly® Employer designation by VIQTORY.

Both honors recognize Geisinger’s commitment and efforts to building programs and opportunities for military veterans.

“Both of these honors recognize Geisinger’s commitment to building important programs and opportunities for our military veterans in the community and beyond,” said Kim Drumgo, Geisinger’s chief diversity, equity and inclusion officer. “We know that a diverse workforce with unique experiences and backgrounds makes our team stronger, and our veterans and their family members are an important part of our Geisinger family. We honor their many sacrifices and support their career growth and health.”

To be designated a Military Friendly Employer, Geisinger was evaluated using public data sources and responses from a proprietary survey. Methodology, criteria and weightings were determined by VIQTORY with input from the Military Friendly Advisory Council of independent leaders in the higher education and military recruitment community. Final ratings were determined by combining an organization’s survey score with an assessment of the organization’s ability to meet thresholds for applicants, new hire retention, employee turnover and promotion & advancement of veterans and military employees.

For the Best for Vets ranking, Military Times collaborated with Fors Marsh Group (FMG) to update the research methodology and analysis from previous years to provide a streamlined, user-friendly survey experience for participants. All survey changes were made based on subject matter expert reviews of the survey and rigorous qualitative research, including focus groups and in-depth interviews with Military Times subscribers. FMG designed, deployed, analyzed and wrote the report for this year’s survey.

The updated survey captured the areas of greatest importance to transitioning service members, veterans and their families when looking for an employer. Recruitment and employment practices, as well as retention and support programs, were given the most weight and importance in scoring and final rankings.

“Geisinger is committed to military veterans by providing care options and career opportunities to them in their local communities,” said U.S. Army veteran Chris Grill, program manager of Military and Veterans Affairs at Geisinger. “We know that employing talented people, like those from our veteran community, contributes to our overall goal of making better health easier for our patients and members.”

Geisinger employs more than 700 active-duty service members and veterans throughout the system. As part of its commitment to the military and its veterans, Geisinger introduced a paid military leave benefit, which provides service members employed by Geisinger to be paid for time at annual trainings, encampments and drills. It also recently established military fellowship program eases the transition of active-duty service members looking to move into a civilian career. To learn more about Geisinger’s veteran programs and career opportunities, visit jobs.geisinger.org/veterans.

Geisinger Community School of Medicine Virtual Event Raises Money for Student Scholarships

The Geisinger Commonwealth School of Medicine (GCSoM) Black Ties for White Coats event was held virtually this fall and raised in excess of $260,000 in commitments.

Proceeds from the Gala support student scholarships and, this year, the creation of the Dean Steven J. Scheinman Endowment for Student Scholarships, in honor of Dr. Scheinman who is retiring at the end of December after serving for nine years as GCSoM’s dean.

“Finances are the number one barrier to medical school education and these funds will help break down those barriers for GCSoM students and build up the medical care we offer to our community and beyond,” said Virginia McGregor, chair of GCSoM’s Board of Directors.

In addition, the Gala honors community members, and past students and faculty who have made an impact on and spread the school’s values to the greater community. The 2021 honorees are highlighted with videos on the Gala’s event website, go.geisinger.org/gala2021. Rachel Brutico-Giannotti, MD and her husband Dr. Vincent Giannotti, MD received the Founders honor. The pair met at the school in 2011 and both continue to practice medicine with Geisinger in northeast Pennsylvania.

Na Tosha Gaston, MD, PhD, FAAN received the Innovation award. Dr. Gaston has served as the assistant dean for equity and inclusion and as an associate professor of research and medicine at GCSoM. Alana Roberts, regional affairs director of PPL Foundation accepted the Well-being honor on behalf of the foundation. PPL is a long-time supporter of GCSoM and is committed to education in science, technology, engineering and math.

Charles J. Bannon, MD, and his son Joseph “Jay” Bannon, MD, FACS, received the community honor for their longtime commitment to the school. Dr. Charles Bannon was one of the Founders of the school while Dr. Jay Bannon has served the school in many roles during his career.

Dr. Scheinman gave a special thanks to the donors and sponsors for the event.

“I am sincerely grateful to our donors and sponsors for your dedication and commitment to our students year after year and for supporting this year’s virtual celebration,” he said. “It is wonderful that we can offer generous financial assistance from philanthropy, and for that, we cannot thank you enough.”

There is still time to contribute to the Dean Scheinman Scholarship Endowment to recognize his years of service to the school and honor his retirement. Visit the Gala site (go.geisinger.org/gala2021) for more information and to view the Gala program book and videos from all of the honorees.

COVID-19 Vaccine Booster Doses Available for All Adults at Geisinger

Following recent guidance from the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA), Geisinger is offering booster doses of the COVID-19 vaccines for all adults. 

People can get their booster dose of the Moderna or Pfizer vaccine beginning six months after receiving their second dose for non-immunocompromised patients. People who are immunocompromised can receive their booster after their third dose. The booster dose of the Moderna COVID-19 vaccine is half of a single dose (0.25 milliliters). The booster dose of the Pfizer COVID-19 vaccine is the same dosage (0.3 milliliters) as a single dose.

People who received the Johnson & Johnson COVID-19 vaccine are eligible to receive a booster dose of any of the COVID-19 vaccines two months after their initial J&J dose.

If you’re unsure if you qualify for a booster or have any specific questions, contact your doctor.

You can make an appointment for a first, second, third or booster dose of the Moderna or Pfizer COVID-19 vaccine at Geisinger through MyGeisinger or by calling 570-284-3657. Appointments are available at the vaccine centers at the Geisinger Health Plan Building near Danville, Geisinger CenterPoint in Jenkins Township, Geisinger Jersey Shore Hospital and Geisinger Lewistown Hospital. Appointments are also available at Geisinger Philipsburg and Geisinger Pharmacy locations in Dallas, Danville, Lewistown, Lock Haven, Mount Pocono, Pottsville, State College and Scranton.

Remember to bring your COVID-19 vaccine card or proof of having received the vaccine to your appointment. More information about the COVID-19 vaccine is available at Geisinger.org/COVIDVax.

As a reminder, no visitors are permitted for outpatient appointments, unless medically necessary, and masks must be worn by everyone in all Geisinger buildings and facilities.

Geisinger Wyoming Valley Medical Center Begins Construction on Medical Office Building

Construction of a new Medical Office Building is underway at Geisinger Wyoming Valley Medical Center, a development that will make better health easier for patients in Luzerne County by allowing for growth of specialty services on the hospital campus and increased appointment availability. 

The 160,000 square-foot clinic space will be comprised of four floors plus a lower level and will house general surgery, vascular surgery, pulmonology, infectious diseases, neurology, pediatric neurology, neurosurgery, neurophysiology, otolaryngology (ear, nose and throat)/audiology, general internal medicine, nephrology and transplant outreach practices as well as laboratory and radiology services and a retail pharmacy.

Demand for these services is growing among residents of Luzerne County and northeastern Pennsylvania, and the Medical Office Building will reduce wait times for patients by allowing for program expansion, hiring of 20 new providers, and more appointments in these disciplines. As programs mature, the development will create approximately 70 jobs and provide for roughly 70,000 new patient visits each year.

“We are grateful that more and more of our friends and neighbors are trusting Geisinger with their care, and we know we have to continue to grow to make our services easier to use for patients in Luzerne County,” said Dan Landesberg, associate vice president of operations in Geisinger’s northeast region. “This is another step forward in bringing better health to our region by providing a more comprehensive spectrum of services on our hospital campus and allowing for in-demand services to grow with our community need.”

The services chosen for the Medical Office Building have inpatient and surgical components, so locating them near the hospital is a natural fit to accommodate patients and their care needs should their course of treatment require in-hospital care.

Services have also been grouped for patient convenience. Locating nephrology and transplant outreach services under one roof allows for better coordination for transplant patients who are cared for by both sets of providers. A growing pediatric neurology practice aligned with epilepsy monitoring and inpatient pediatrics at Geisinger Wyoming Valley allows patients in northeastern Pennsylvania to get all the care they need close to home and on one campus.

The office building will also feature:

  • Facial recognition technology for quick and easy check-in
  • More than 4,000 square feet dedicated to public education, community stewardship and supporting residency programs for training top-tier physicians and nurses
  • An adjacent, multi-level parking garage that will increase total parking by 12 percent and provide a convenient parking location for patients scheduled for care on the east campus

The Medical Office Building is expected to be completed by late 2023, and it continues Geisinger’s commitment to providing outstanding health care to patients and members in Luzerne County and northeastern Pennsylvania.

Geisinger Introduces Military Fellowship Program

As part of Geisinger’s continued commitment to military service members and veterans, the health system has launched a new program to support active-duty service members during their transition to civilian life. The Geisinger Military Fellowship Program is a 12-week workplace learning experience for service members as they explore civilian career options after the military.

The fellowship is a partnership with the U.S. Department of Defense’s Skillbridge program, which gives service members the opportunity to transfer their knowledge acquired in the military and learn through hands-on experiences with civilian employers. Service members who are within six months of transition to civilian life can work alongside employers like Geisinger to gain experience and training for the next step of their career.

“The transition from active duty to the civilian workforce is hard,” said Chris Grill, program manager of Military and Veterans Affairs at Geisinger. “The military fellowship will help service members ease into the next step in their career and gain experience in a civilian healthcare organization. We understand and appreciate the tools and skills that those serving in the military have and how they can contribute to our mission of making better health easier for our patients, members and neighbors. Providing this opportunity for these brave men and women is a win for the individual, Geisinger and the community.”

Geisinger employs more than 700 military veterans and service members across northeastern and central Pennsylvania in various roles including physicians, nurses, Life Flight pilots, information technology and human resources, among others. The health system has been recognized for its work with the veteran population, including by being named a Military Friendly employer.

To learn more about career opportunities and programs for the military population, visit job.geisinger.org/veterans.

Geisinger Announces Plans for New $180 Million Orthopaedic Care Facility

Geisinger today announced plans for The Orthopaedic Center Pennsylvania, a new multi-floor, free-standing orthopaedic care facility. Geisinger is investing $180 million to bring world-class orthopaedic care to central and northeastern Pennsylvania – and beyond – in one location through the new specialty care center. The new facility in Buckhorn will be located off Mall Boulevard near the Columbia Mall, so community members don’t need to leave the area for advanced bone, joint and muscle care.

“As it’s aptly named, The Orthopaedic Center Pennsylvania will extend its services to patients across the Commonwealth of Pennsylvania,” said Matt Walsh, Geisinger’s executive vice president and chief operating officer. “This is Geisinger’s largest facilities investment for 2021, and one we’re thrilled to make, furthering our commitment to not only make better health easier for the communities we currently serve but also to extend these services to our neighbors throughout the state.”

Surpassing large-scale orthopaedic hospitals in major metropolitan areas, The Orthopaedic Center Pennsylvania will serve patients in central and northeastern Pennsylvania and beyond by featuring specialized operating rooms and a dedicated inpatient unit focused on recovery and mobility after surgery. An on-site outpatient clinic will focus on wellness, injury prevention and bone, joint and muscle health. Also planned are an imaging center and pharmacy, as well as outpatient rehabilitation, physical and occupational therapy services.

“This project is more than a building. This is a whole new patient experience,” said Michael Suk, M.D., J.D., professor and chair of Geisinger’s Musculoskeletal Institute. “The Orthopaedic Center Pennsylvania will be a one-of-kind facility in the region providing the highest level of orthopaedic care. Pennsylvanians don’t need to travel out-of-state for orthopaedic care. We designed the building by listening to the needs and wants of our patients and learning from their experiences. By bringing together specialized surgery options, advanced imaging, overnight recovery and personalized rehabilitation and sports medicine programs, our team-based approach will be singularly focused to make better health easier for our patients while also driving down costs by offering them care that’s closer to home.”

By moving orthopaedic surgeries and services out of the hospital, this new facility will create space in Geisinger Medical Center, Geisinger Woodbine and Geisinger Bloomsburg Hospital so new and existing programs can grow within the hospitals and outpatient specialty centers. This also makes space available within Geisinger Medical Center as part of a multi-year effort to convert all inpatient units to private rooms.

The project is Geisinger’s latest investment in the Buckhorn area. The health system is also establishing a comprehensive primary care facility at its former Buckhorn Office Building, across Mall Boulevard from the future site of the orthopaedic facility. The primary care project will bring primary care services, a Geisinger 65 Forward Health Center, a ConvenientCare walk-in clinic, laboratory testing, imaging and a Geisinger Pharmacy to the region in early 2022.

“These investments in Columbia County are not only meeting the health needs of our neighbors where they live, but doing so with a focused and holistic approach,” said Megan Brosious, chief administrative officer for Geisinger’s central region. “Our patients will no longer need to travel outside the area for this level of care. Along with our planned primary care facility, The Orthopaedic Center Pennsylvania will complement the services we already provide in the surrounding region.”

Construction on the multi-floor facility is scheduled to being in early 2022 with anticipated completion in 2024.

Geisinger ConvenientCare Opens Nicholson Location

Getting walk-in care in Wyoming County just became easier as Geisinger opens its second ConvenientCare location in the county.

Located at 2631 Lackawanna Trail (Route 11) in Nicholson, Geisinger ConvenientCare Nicholson is open Monday through Friday from 9 a.m. to 8 p.m. and Saturday and Sunday from 8 a.m. to 6 p.m.

Staffed by advanced practitioners, the walk-in clinic provides care for anyone age 1 and older.  ConvenientCare clinics are the best place to go for minor health issues that can be resolved in a single visit. These include cold and flu symptoms, allergies, earaches, tick removal, sprains and minor cuts.

“Our ConvenientCare walk-in clinics are designed to be there when you need it the most,” said Richard Martin, M.D., medical director of Geisinger ConvenientCare. “We’re glad to be providing care in Nicholson, and the addition of these services helps to make health care easier for our neighbors in the community.”

You can visit geisinger.org/urgent to check wait times at ConvenientCare locations and use the online check-in to hold your place in line to be seen. Geisinger also had a ConvenientCare location near Tunkhannock. To learn more about Geisinger ConvenientCare, visit geisinger.org/urgentcare. The clinics accept most major insurance plans and offer reasonable copays.