Progress Notes Extra

Transcription

1 Medical Staff Office Cathy Crabtree : (937) Deb Charles: (937) Josie Hall: ( Tanya Webber: (937) August 2013 Progress Notes Extra Fall General Medical Staff Meeting Sinclair Conference Center Charity Earley Auditorium Thursday, September 26, :00 p.m. to 9:00 p.m. 6:15-7:00 p.m. Registration, Cocktails and Heavy Hors d oeuvres 7-7:45 p.m. Medical Staff Meeting 7:45 p.m. 9:00 p.m. Social Networking Please RSVP by phone to the Medical Staff liaison at Or fill out the form at the bottom and send in the Self-addressed envelope enclosed. Parking passes for the garage will be provided RSVP Name (please print) Guest (please print) Page 1 For inquiries concerning the meeting, Contact the Medical Staff Liaison@ (937) Please RSVP by Thursday, September 19, 2013

2 Date: Wednesday, July 17, 2013 To: From: Subject: GSH Nursing Managers, Clinical Nurse Educators, Administrative Officers and GSH Operators Medical Surgical Administration Change of EKG process in the Medical Surgical Division Page 2 We would like to inform you all that as of 7:00am July 17, 2013 there is a new process for how routine and STAT EKG s will be completed in the Medical Surgical Division at Good Samaritan Hospital. The Medical Surgical Staff have a detailed process that each floor will follow, in order to complete the orders. There is an attachment to this memo that lists the current process with contact information in detail. If your department will be affected by this change please review this memo and share with your team. If you have any questions please direct them to Angela Rogers at extension Thank you, Medical Surgical Nurse Managers, Angela Rogers Denise Ressler Lisa Combs Medical Surgical Division: EKG PROCESS At this time there is one EKG Machine for the Medical Surgical Division. It will be housed on 5500 in the Monitor Tech /Monitor room. There will be a sign in/out sheet in the Monitor Room that will need completed when the EKG MACHINE is removed and when returned for tracking purposes, no exceptions. When a CODE BLUE is alerted on the inpatient floor, that unit will perform their own EKG if ordered. There are 3 pagers; each unit will have a pager. The pager will alert when any EKG is ordered in the Medical Surgical Division in EPIC and /or cancelled in EPIC. The alert on the pager screen will display the patients Name, Medical Record Number, Date of Birth, Room/BED location in the page. Each individual floor is only responsible for completing their specific EKG order.

3 When an order in EPIC is entered, a transmittal will print on that individual ordering unit s main printer. EPIC orders that come across the printer will need to be placed into the EKG Transmittal basket designated on your unit. The person performing the EKG will sign their name and date the order sheet, to verify that the EKG has been completed and will forward the form to the HUC. The HUC will then enter the charge for the EKG into the system once completed. FOR ROUTINE EKG s The EKG Machine will be designated to floors at SPECIFIC TIMES: CODE BLUE 5500 will perform their routine EKG s from 4:00am-4:45am 6300/NCMU will perform their daily s from 4:45am-5:30am 6500 will perform their daily s from 5:30am-6:15am IF a CODE BLUE is called on an inpatient unit during the timeframe that the daily or routine EKGs are being completed the EKG machine will need to be available to the CODE TEAM If you are on a floor where the CODE is located and need a stat EKG, please call 5599 to identify the current location of the EKG machine. This information will be on the sign out sheet and the monitor watcher can alert to you to the location. Send an available staff member to retrieve the EKG machine. EKG PAGERS NUMBERS: 5300 pager /NCMU pager pager Page 3

4 From: Roberts, Renee Sent: Wednesday, July 17, :12 AM To: All GSH Subject: On behalf of Eloise Broner and Dr. Schoulties: GSH Ranked #19 in the State by US News & World Report Great things happen at Good Sam! U.S. News & World Report has released their annual list of Best Hospitals for Good Samaritan Hospital is ranked #19 in Ohio and is recognized among the Best Hospitals in the Ohio River Valley and among the Best Hospitals in the Dayton metro area. In addition, GSH is high-performing in: Diabetes & Endocrinology Gastroenterology & GI Surgery Geriatrics Nephrology Neurology & Neurosurgery Orthopedics Pulmonology The U.S. News Best Hospitals rankings evaluate hospitals in 16 adult specialties. Only 15 percent of hospitals qualify for high-performing status. Last year, Good Sam was ranked #29 in Ohio and had three highperforming specialties. Congratulations to our medical staff, nurses, and all members of the care team who contribute to these outstanding accomplishments. Your hard work has been acknowledged through the significant improvement in Good Sam s ranking. Together we are making positive strides to achieve the highest levels of quality and safety for our patients. Eloise Broner President & CEO Dan Schoulties, MD Chief Medical Officer Page 4

5 August 1, 2013 Dear Healthcare Provider: This letter is to inform you of an upcoming change in the delivery of our Medical Imaging results. On Saturday, September 21, 2013, Premier Health will be converting our current IDX Radiology Information System (RIS) to Epic Radiant. The IDX RIS processes all Medical Imaging results for AMC, GSH, MVH, and PIP imaging studies. Beginning on 9/21/2013, imaging results will be distributed only by Epic. We will no longer fax or print results from the IDX RIS. The default delivery method of these results will be as follows: 1. Epic In-basket. Providers using Premier Epic as their ambulatory EMR (such as PIP physicians) and those with no ambulatory office practice (such as Hospitalists, ED Physicians, etc.) 2. Auto-fax. All other providers. Any provider preferring Epic Inbasket can submit their change request via to Please note that the change on 9/21/2013 does not affect results coming from the current UVMC Medical Imaging Department. The UVMC RIS will not be changing until later this year. Additional communication will be forthcoming once a date certain has been determined for the move of UVMC imaging services to the new Premier PACS and Epic Radiant. If you have questions or concerns regarding this change or would like to submit a change request for your default result distribution method please do not hesitate to contact us via to RadiantReportDistribution@PremierHealth.com. Sincerely, Walter A. Reiling III, M.D. Chief Medical Informatics Officer wareiling@premierhealth.com Page 5

6 ICD-10 Physician Talking Points As mandated by the World Health Organization, the transition from ICD-9 to ICD-10 will occur in the United States on October 1, 2014 o Although Current Procedural Terminology Codes (CPTs) will remain the same in the physician practice environment, the number of potential diagnosis codes will increase from 14,300 to 69,000 o The codes change in structure and length, and require much more specific clinical documentation to assign a diagnosis code Operations in the physician practice will be impacted to the same degree that the hospital will be impacted o Reimbursement that is tied to diagnosis codes for both the hospital and physician billing will be impacted and contracts may require updates o Treatment authorizations will be tied to the new diagnosis codes, which could potentially delay the patient scheduling process o Quality reporting will be impacted, as well as the payment incentives from participation, as reporting initiatives are based off of diagnosis codes Premier Health is working hard to ensure transition success for our patient and families, physicians and staff o Communication, education and tools are being developed for physicians in both inpatient and ambulatory settings regarding ICD-10 o PH is conferring with the Advisory Board and technology partner, Epic, and educational partner Precyse University to assist in the development and transition to ICD-10 o The key to success is advanced awareness and preparation o Impact to our physicians is a major concern for Premier and we are taking every available action to engage and educate physicians Page 6

7 Premier Health is preparing users in the following ways o October 2013 The technical underpinnings for ICD-10 will be put into Epic and the Ambulatory Epic application will update with the Diagnosis Calculator. This functionality guides the physician through the various steps associated with welldefined documentation that will be ICD-10 ready. o With the ICD-10 functionality in Epic, Premier will be able to move through continuous improvement toward documentation specificity prior to the reporting to CMS. This will not impact current workflows however it will assist in identifying areas for greater documentation specificity. o Attached are learning materials from the Advisory Board who has provided 1 page communications for physicians o On-line education for physicians will be provided using the Precyse University Library of content available through PH s learning management system, HealthStream. This content has been reviewed by PH ICD-10 Physician Steering Committee and it meets their recommendation to provide PH physicians with learning content that is accessible 24/7, provides CME opportunities, addresses various specialties, and is delivered in a multi-modal formats (podcasts, interactive simulation, etc.) You will be notified when this is available. o For an immediate review of mobile applications go to the App Store on your phone or mobile device - search for Precyse University and you will find two applications ICD-10 Doc Talk and ICD-10 Doc Guide. These applications are free and provide an overview the on-line learning content. o Additional communication and updates will be forthcoming and frequent. Mark Williams, MD Vice President & Chief Medical Officer Miami Valley Hospital Jeffrey K. Hoffman, MD Vice President & Chief Medical Officer Atrium Medical Center Page 7

8 Dan S. Bailey, DPM Vice President & Chief Medical Officer Upper Valley Medical Center Daniel L. Schoulties, MD Vice President & Chief Medical Officer Good Samaritan Hospital Tammy S. Lundstrom, MD, JD, Senior Vice President & System Chief Medical Officer Premier Health ICD-10 FACTS What are ICD codes? ICD stands for the International Classification of Diseases. These codes are endorsed by the World Health Organization (WHO) and are utilized by Health Information Management departments across the U.S. (and the world) to codify the diagnoses for all patients. How do we use ICD Codes? These codes are used in a number of different ways including calculating inpatient payment through Diagnosis Related Groups (DRGs); adjudicating coverage for all outpatient, professional, and inpatient care; compiling statistics; and assessing quality. What does the transition from ICD-9 to ICD-10 entail? The Centers for Medicare and Medicaid Services (CMS) has mandated that the U.S. transition from ICD-9 to ICD-10 on October 1, There will be significant changes to the structure of codes, coding rules, terminology, and the sheer number of codes in use. Why a transition to ICD-10? The transition to ICD-10 represents a desire to better communicate patient conditions and the nature of services delivered to these patients. The creation of new codes under ICD-9, furthermore, is limited by the structure of the ICD-9 code set. Who Does this Impact? Outpatient, inpatient, and professional claims are impacted by ICD-10-CM (Diagnosis) Inpatient claims are impacted by ICD-10-PCS (Procedure) Current Procedural Terminology (CPT) does not change; used for all ambulatory and physician procedure reporting Page 8

9 UPCOMING DRAGON CLASSES Ongoing Dragon classes at GSH Following are the dates/times of the classes. Wednesday 9/11 7a-9a Monday 10/14 1p-3p Tuesday 11/19 3p-5p Please contact Deb Charles if you would like to sign up for any of these classes. Only 4 slots are available for each class so don t delay. All classes will be held on 4 South in Classroom 1 Thank you. ********************************************************************************************* If you have any questions or concerns regarding EPIC or any information provided in Progress Notes Extra please contact Deb Charles at ext Thank you. Page 9