We recently revamped our “99213″ publication for community providers. “In Practice” is an expanded publication with themed issues by major service line. The goal of the publication is to equip community providers with helpful information to manage their practice and enhance patient care. The first issue focuses on our DeCesaris Cancer Institute. All medical staff members will receive a copy in the mail. View the issue here.
News and Updates
On February 8, a complete upgrade of the ALEC system will take place. We have been working with our IT department to ensure that this will be a smooth transition in both the acute care setting and ambulatory clinics. All current order sets, documentation customization and any other templates that you have used will not be effected by this upgrade. The downtime expected during the actual upgrade will be quite limited compared to prior upgrades as the IT department is using a new methodology for the software enhancement.
We have devised a series of videos that will serve as the basis for our education regarding any changes in the system. The video’s will be arranged so that topics will be divided into ambulatory and acute care. This should help limit some redundancy and save time. CME’s will be awarded after each video. The videos are mandatory based on a physician’s use of Alec, ambulatory vs. hospital based.
Find the instructions for logging on to HealthStream to complete the training here. You should have received an email from Dave Mooradian, MD, that includes your user ID and password. For further assistance, contact the IS Help Desk at 443-481-5202.
Along with the videos, we will have super users available during the weekend of the upgrade as well as the following week to help with any issues that may arise. They will be strategically placed throughout the hospital for one on one help. This would include the PACU, Clatanoff building, and the Medical Staff Lounge area. Similar support using super users will be available in our outpatient clinics.
The major changes seen in the acute care physician environment will include the following:
- Change in Navigators: removal of Admit to ED, Rounding with a switch to Admission, Transfer, Consult and Discharge Navigators
- Problem Oriented Charting
- Notes Routing
- Orders Navigator will change to Mange Order Activity
- MAR – providers will be able to view MAR
- Evolution of Sign and Hold orders – enables surgeons to clarify when orders should be released.
Changes in the ambulatory environment will include:
- Widescreen view
- Problem Oriented charting
- Metric Dashboards
- Meaningful Use objectives
- Care Everywhere
Seventy percent of acute coronary syndrome deaths occur outside of the hospital. As an accredited chest pain center, AAMC’s heart team needs your help in educating the public on the importance of calling 911 for suspected heart attack symptoms. Please do not let your patients or their family members drive to the Emergency Department. All local EMS have the ability to administer emergency medications and defibrillation if needed. EMS will transmit a 12-lead ECG directly to the hospital Emergency Department. Eighty-five percent of heart damage occurs within the first two hours of a heart attack. Early symptoms include chest pressure, squeezing or discomfort, anxiety, fatigue, shortness of breath, nausea, a feeling of fullness, and even back pain.
Please be aware that the national shortage on saline solutions for IV infusion continues and is expected to remain for some time. Thank you for your efforts to conserve this product and use alternative approaches whenever possible.
Baxter, our IV Solution vendor, has been experiencing shortages on various IV solutions. This is a national issue affecting all fluid manufacturers. We have been able to receive product intermittently, but it has been under constant watch by Supply Chain, Pharmacy and the Vendor Sales Rep. We may need to reach out to have substitute sizes and products approved at some point. If and when those communications are forwarded out to the end users a timely response will help to ensure that Supply Chain can then obtain the substitute product from the vendor.
Below is a statement from Baxter regarding how they are managing the process:
- Baxter is producing and filling orders daily but demand is exceeding supply on some codes.
- We have taken steps to prevent non-contract customers from ordering product.
- All other critical codes are being pooled at our large warehouse in NY, Atlanta and Memphis.
- The most critical supply problem is 2B1324X, normal saline 1000ml. As a result of this shortage, customers are subbing 2B2324X Lactated Ringers and D5W which is now backordered.
- The smaller sizes of both codes are now stocked out nationwide.
- We anticipate the rolling backorders to continue for a few months but each week brings better inventory levels.
Click here for additional Information.
Hospital supply of Sodium Chloride (0.9NS), Dextrose 5% and alternative IV-fluids s.a. Lactated Ringers may be quickly exhausted.
It is recommended that you:
- Conserve IV Fluid prescribing when possible – discontinue unneeded IV fluids early.
- Consider using oral hydration whenever possible.
- Use smaller bag sizes with low rate infusions when a full liter isn’t needed.
- Switch to alternate products to match availability. Consider using alternative fluids such as Ringer’s lactate, dextrose containing solutions or lower concentrations of sodium chloride when your patient’s condition allows.
- Never use saline irrigation solution for intravenous use.
Supply Chain and Pharmacy will continue to provide updates as the situation changes. Please share this with your teams. We appreciate your understanding as we strive to treat our patients during these shortages.
AAMC has two new senior leaders:
• Julie McGovern, Vice President, Human Resources: Julie joins us from Chilton Hospital and Atlantic Health System in New Jersey and has executive experience in various HR roles, including health benefits administration, talent development and recruitment. Julie is author of the book The Happy Employee.
• Paula Widerlite, Chief Strategy Officer: Paula leads AAMC’s strategic planning and business development efforts and also oversees marketing, wellness, community outreach, legislative and government affairs, and coordinates the advancement of several clinical service lines. Paula joins us from Adventist HealthCare in Maryland where she served for 21 years in progressive senior roles, including vice president of system strategy and chief development officer. Coordinating planning and business initiatives, Paulahelped Adventist grow into the state’s fourth largest health system.
The AAMC Board of Trustees has named new officers and three new members for 2014. The new officers are: Edward Gosselin, chair; Gary Jobson, vice chair; Leisa Russell, treasurer; and Maulik Joshi, Dr. PH, secretary. New additions to the Board of Trustees include:
• James Chambers, a private equity investor in various industries and an operating partner at Summer Street Capital Partners.
• Patricia Darrow-Smith, who co-founded White House Black Market, a specialty retailer of women’s clothing and accessories.
Too often, family members are left to make difficult decisions about care for a loved one who is at the end of his or her life. Emotions are running high and, without clear instructions from the patient, the family may make decisions about their care that goes against the patient’s wishes. It can be difficult to think about, but making decisions about care at the end of life before someone is seriously ill or incapacitated is important. The Conversation Project helps patients, families and healthcare providers discuss end-of-life care. The project provides a toolkit to help start these conversations and consolidate the patient’s wishes in one central location. It lays out medical terminology in easy-to-understand language and answers frequently asked questions about what end-of-life care options may be available. Click here to download the toolkit and share with patients.