News and Updates

ICD-10 Countdown: Education Opportunities

by Medical Staff Office on June 24, 2015

While there have been multiple delays, all signs now point to October 1, 2015, for ICD-10 implementation. It is critical that your clinical documentation meet ICD-10 requirements so that we are coding appropriately for billing accuracy, among other reasons. We are providing several opportunities for medical staff education, tools and resources.

Training and Education Opportunities

  • Videos: The following educational video modules have been assigned via HealthStream. Completion of these modules is mandatory for all medical staff members.
    • 1) an ICD-10 introduction video, and
    • 2) a video that discusses ICD-10 and your specialty, as applicable.
  • Be on the lookout for a separate email inviting you to complete these video modules on Healthstream. We hope they will help you understand what clinical documentation specificity is needed in order to meet ICD-10 requirements. Modules include an intro and specialty videos for primary care, cardiology, orthopedics, OB-GYN, pediatrics/neonatology, hospital medicine/critical care, and surgery. CME credits are provided upon completion. In addition to the AAMC videos, vendor partner 3M offers resource videos by specialty.
    • Medical Staff Service Meetings (during already-scheduled meetings)
      • Pathology: August 18
      • Obstetrics: August 19
      • Surgical Oncology: September 8
      • Cardiology: September 10
      • Surgery: September 15
  • Clinical documentation improvement program for inpatient areas: The goal of AAMC’s program is to ensure the patient’s medical record is as complete and accurate as possible. Registered nurses serve as “translators” to providers’ documentation by translating it into diagnoses and terminology while improving the overall quality of documentation in the electronic health record. The team assists with implementing ICD-10 through ensuring accurate coding and by working with providers to improve specificity of diagnosis.
  • Tip sheets by specialty: Find clinical documentation tip sheets for various medical and surgical specialties at askAAMC.org/ICD-10.

 

eTools
Please take advantage of e-tools we’ve recently adopted, such as problem-oriented charting, diagnosis calculator, and voice-to-text technology. We hope these tools will assist you in improving clinical documentation in anticipation of the ICD-10 implementation on October 1, 2015.

  • Diagnosis Calculator: As of June 9, 2015, a new Diagnosis Calculator tool is available in EPIC. The Diagnosis Calculator allows providers to quickly add the high level of details needed for ICD-10-compliant clinical documentation. The tool prompts providers with a list of choices to help determine the most specific final diagnosis. We hope this tool will assist you in improving clinical documentation in anticipation of the ICD-10 implementation on October 1, 2015.
  • Problem List Calculator: The Problem List Calculator allows inpatient providers to quickly add clinically relevant details to a patient’s problem list. Search for and select a problem list diagnosis as usual, and then use the buttons in the search window, if applicable, to document a more precise diagnosis.
  • Voice-To-Text for Dictation/Transcription: The “Dragon” voice-to-text tool is now available for AAMC inpatient providers. If you aren’t already using it and would like to learn how, please send an email to dragontraining@AAHS.org.

 

As we continue on our journey, look for ongoing communication from me as well as from the AAMC ICD-10 Steering Committee, led by David Mooradian, MD.

 

For more information, please contact:

  • Inpatient: David Mooradian, MD, dmooradian@AAHS.org
  • Ambulatory: Andrew McGlone, MD, amcglone@AAHS.org
  • General Information: 443-481-6390 or askICD-10@AAHS.org
  • Resources: askAAMC.org/ICD-10

Celebrating National Doctor’s Day on March 30

by Medical Staff Office on March 27, 2015

On Monday, March 30, Anne Arundel Medical Center is celebrating National Doctor’s Day as a way to say “thank you” to our doctors. At Anne Arundel Medical Center, we are proud to have you as valued members of the medical staff. Thank you for your compassion, dedication and trust, and for all you do for the patients and families in our community. Come to the luncheon on March 30 from 11am to 2pm at AAMC in the Hospital Pavilion South first floor medical staff lounge. View the terrific menu here.

Tickets available for “Denim & Diamonds Bash” Clatanoff fundraiser

by Medical Staff Office on March 27, 2015

In an effort to keep things fresh, and offer a variety of fundraising activities that appeal to many different people, we have changed the AAMC Gala to an every-other-year event, making the next Gala the 50th Anniversary Gala in April of 2016. On the “off years,” we are launching a new, fun CASUAL, local event – AAMC’s Denim & Diamonds Bash on April 25th!

Our inaugural Denim & Diamonds Bash will feature fabulous cuisine, great bands, and unique auction prizes under an elaborate 20,000 square foot tent on the South Lot of the AAMC campus – right behind the Annapolis Exchange building on Jennifer Road.

Throw on your favorite pair of denims or your best cocktail dress – everything is “in” at Denim & Diamonds. Enjoy a great cocktail buffet party featuring fabulous food from a variety of gourmet food trucks and catering from Ken’s Creative Kitchen.  Relax and enjoy entertainment by Orlando Phillips and kick it up to the sounds of Mad Planet. This is not a formal gala with seated dinner and program –  Denim & Diamonds Bash will be a fun eat, drink, dance, and be merry night under the stars celebrating the AAMC Clatanoff Pavilion renovation.

Please plan to join us for this important evening, and help us get the word out as we hope to have 1,000 guests at this “party of the year.” You, your friends and your colleagues can easily purchase tickets online here.

For sponsorship opportunities contact Kendra Smith Houghton at khoughton@AAHS.org

AAMC files Certificate of Need application for cardiac surgery

by Medical Staff Office on March 27, 2015

AAMC has filed a Certificate of Need (CON) application with the Maryland Health Care Commission (MHCC) to bring cardiac surgery to AAMC.

Our proposed cardiac surgery program is in collaboration with Johns Hopkins Medicine (JHM).  Building on our eight-year relationship with JHM, AAMC will collaborate with Johns Hopkins’ Division of Cardiac Surgery to bring renowned cardiac surgeons to AAMC to establish and lead this program providing quality and clinical oversight.

A cardiac surgery program at AAMC will allow cardiologists and cardiac surgeons to work as a team to make the best decisions for patients.  This provides a more seamless experience for patients and their families, less disruption, and the best possible outcomes. Having a full range of heart care services available through one team, at one facility that is located within a safe travel time, helps AAMC improve the health of the population it serves and improve the patient experience.

The MHCC must approve our application before cardiac surgery is available at AAMC.  Our CON application will be under review alongside a cardiac surgery CON application filed by Baltimore Washington Medical Center.  If a cardiac surgery program is awarded, it will be awarded to only one hospital. We believe our application is strong, and we are committed to helping the MHCC understand why AAMC is the right hospital for this program.

Review of our CON application is a public process and you may get questions from patients, visitors, and community members.  Please take a minute to read the attached fact sheet.  It can serve as a useful guide when questions arise.

While it is difficult to predict the timing of the CON review process, we will keep you updated.  Please share this information with members of your team.  You’ll also be able to find current information at AAHS.org/heart.

Thank you for your support as we pursue this critical “missing link” in cardiac services at AAMC.

Clatanoff Pavilion refresh update

by Medical Staff Office on March 27, 2015
As you know, the Clatanoff Pavilion, where our women’s andchildren’s services are located, hasbeen undergoing a refresh.Construction began in July 2014 and will continue through the
fall of this year.
To date, we have:
  • Refreshed 24 labor and delivery rooms with new flooring,wall finishes and TVs.
  • Renovated the neonatal intensive care step-down unit.
  • Improved the main entrance for greater wheelchair accessibility.
  • Begun construction on the main staircase, which is slated to be completed by March 2015.

Upcoming changes include:

  • A renovated stairwell, which will soon reopen.
  • Removal of the trellis in the lobby.
  • A new registration desk.
  • New flooring, signage and artwork.
During this time, the visitor lobby is temporarily relocated to a walled-off space in the Garden Café. If you have any questions or concerns, please contact Betsey Snow, RN, senior director of Women’s and Children’s Services, at 443-481-6363 or bsnow@AAHS.org.

Society of Gynecologic Oncology statement on risk assessment for inherited gynecologic cancer predispositions

by Medical Staff Office on March 27, 2015

Women with germline mutations in the cancer susceptibility genes, BRCA1 or BRCA2, associated with Hereditary Breast and Ovarian Cancer syndrome, have up to an 85% lifetime risk of breast cancer and up to a 46% lifetime risk of ovarian, tubal and peritoneal cancers.    The article addresses lynch/Hereditary Non-Polyposis Colorectal Cancer (HNPCC) syndrome as well.  This commentary provides guidance on identification of patients who may benefit from assessment for the presence of a hereditary breast and/or gynecologic cancer syndrome.  (Gynecol Oncol, April 2014)  Click here to read full text.

Screening for Vitamin D deficiency in adults: U.S. Preventive Services Task Force Recommendation Statement

by Medical Staff Office on March 27, 2015

The USPSTF concluded that the current evidence is insufficient to asssess the balance of benefits and harms of screening for Vitamin D deficiency in asymptomatic adults. (Ann Intern Med, Jan)  Click here to read full text.

Postoperative delirium in older adults: best practice statement from the American Geriatrics Society

by Medical Staff Office on March 27, 2015

This practice guideline (J Am Coll Surg, Feb) reviews risk factors; diagnosis; delirium screening; intraoperative measures to prevent delirium; medication as risk factors for postoperative delirium; pharmacologic prevention nonpharmacologic prevention and treatment ; medical evaluation; pharmacological treatment; and implementation of these guidelines. Click here to read full-text.

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