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About Us

Rogue medical solutions, LLC is a physician owned company which is partnering with Doctella to develop guidelines based electronic based patient and practice navigation for urologic medical conditions.

The navigator application utilizes the Doctella platform to provide patient education and evidence based guideline navigation through an electronic interface to enhance patient compliance, improve operational efficiencies and provide appropriately timed interventions and new therapeutic alternatives to patients with urologic conditions.

Use of the platform can aid nurse navigators, nurses and providers to care for patients with urologic conditions.

Patients in the pathway can be viewed on a dashboard and alerts can be generated for both patients and providers. Treatment related data can easily be generated and visualized improving compliance with the disease specific navigation pathway.

Why did we start developing care pathways?

Over the course of the last several years we have continued discussing electronic navigation of patients in order to streamline care and improve patient compliance and outcomes. Initially we thought that in the era of potentially having bundled care we could improve management of patients and decrease office visits and thus costs by electronically communicating with patients and avoid unnecessary follow up appointments for patients doing well. Additionally patients who were struggling would be identified earlier and appropriate follow up would be determined prior to coming in to the office. This would improve efficiency and decrease unproductive time for both the patient and practitioner.

Overactive Bladder seemed like a reasonable choice as the management of the condition is quite standardized among an individual practitioner. Typically the approach would include behavioral therapy including a voiding log, education regarding bladder irritants, urge suppression, pelvic floor exercises, timed voiding and double voiding and then reassessment for efficacy. The next step would be trial of medication or medications with reassessment and if still unsuccessful advanced testing with urodynamics and cystoscopy followed by advanced therapies with PTNS, Botox or interstim.

Typically at the initial consultation this pathway or protocol is explained to each patient in a similar manner with the same information. Unfortunately this is an overwhelming amount of information and the ability to fully educate the patient is a challenge.

As you find yourself saying the same thing over and over to patient after patient it becomes obvious that there has got to be a better way to provide information to patients and improve physician efficiency in providing this information.

Brady R Walker, MD

Brady R Walker MD

After graduating from OHSU and Pacific University, Dr. Walker trained in surgery and general urology at the University of Utah. His research in groundbreaking urological treatments and successful treatments in minimally invasive surgery and oncology earned him the position of chief of surgery at McKenzie-Willamette Medical Center from 2003-2006.

Training

Minimally Invasive Laparoscopic Surgery
da Vinci Robotics
Endourology
Female Reconstructive Surgery
Urologic Oncology

Education

Doctor of Medicine, Oregon Health Sciences University School of Medicine, Portland, OR, 1992-1996
Urologic Surgery Residency, University of Utah, Health Sciences Center, Salt Lake City, UT, 1998-2001
General Surgery Residency, University of Utah, Health Sciences Center, Salt Lake City, UT, 1996-1998
Bachelor of Science, Pacific University, Forest Grove, OR, 1988-1992

Medical Experience

Certified, Medical Physician and Surgeon, Oregon Board of Medical Examiners
Certified, American Board of Urology
McKenzie-Willamette Medical Center, Chief of Surgery, 2003-2006
Sacred Heart Medical Center, Co-Chairman Surgical Clinical Services, 2002-2003

Affiliations

American Urological Association
Western Section American Urological Association
Northwest Urological Association
Lane County Medical Society, Board of Trustees

David S DiMarco, MD

David S DiMarco MD

Trained in an era when robotic surgery began reinventing major urological treatments, Dr. DiMarco quickly became a valuable and accomplished specialist in this field. He has since published a vast array of medical papers on the topic, as well as presented to dozens of medical societies, key conferences, and medical schools.

Education

Doctor of Medicine, St. Louis University Medical School, St. Louis, MO, 1994-1998
Fellowship in Endourology/Laparoscopy, Mayo Clinic, Rochester, MN, 1998-2005
Urology Residency, Mayo Clinic, Rochester, MN, 1998-2004
Bachelor of Arts in Chemistry, Indiana University, Bloomington, IN, 1990-1994

Training

Robotic Surgery

Medical Experience

Certified, Medical Physician and Surgeon, Oregon Board of Medical Examiners
Certified, American Board of Urology
Proctor For Robotic Surgical Cases, Intuitive Surgical, Sunnyvale, CA, 2006-current
Essay Contest Winner For World Congress Of Endourology, 2005
Journal Of The Society Of Laparoendoscopic Surgeons outstanding
Laparoendoscopic Resident, 2004

Trained in an era when robotic surgery began reinventing major urological treatments, Dr. DiMarco quickly became a valuable and accomplished specialist in this field. He has since published a vast array of medical papers on the topic, as well as presented to dozens of medical societies, key conferences, and medical schools.

Affiliations

American Urological Association
AUA Western Section
Endourological Society
Oregon Medical Association
Lane County Medical Society
American Medical Association

Connie S DiMarco, MD

Connie S DiMarco MD

Dr. DiMarco is an honor society physician specializing in female pelvic medicine and reconstructive surgery. Her interests include successful treatment and care of female urology and urogynecologic issues. Even after a prestigious fellowship at the Mayo Graduate School of Medicine, Dr. DiMarco continues to be impressed with the caliber of expertise and leading edge standards here at Oregon Urology Institute.

Education

Doctor of Medicine, St. Louis University Health Sciences Center, St. Louis, MO, 1994-1998
Master’s Degree, Urogynecology and Reconstructive Pelvic Surgery, Mayo School of Medicine, Rochester, MN, 2002-2005
Fellowship, Female Pelvic Medicine and Reconstructive Surgery, Mayo School of Medicine, Rochester, MN, 2002-2005
Resident, Obstetrics and Gynecology, Mayo School of Medicine, Rochester, MN, 1998-2002
Bachelor of Science in Nursing and Business, Indiana University, Bloomington, IN, 1979-1984

Training

Female Urology
Urogynecology
Pelvic Reconstructive Surgery
Female Pelvic Medicine

Medical Experience

Certified, Medical Physician and Surgeon, Oregon Board of Medical Examiners
Certified, American College of Obstetrics and Gynecology
Visiting Scholar, Department of Cell and Molecular Biology, Northwestern University Medical School, Chicago, IL, 2005

Affiliations

American Medical Association
American College of Obstetrics and Gynecology
American Urogynecologic Society
Lane County Medical Society
Oregon Medical Association

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