Move Over ICD-9, Make Room for ICD-10

by Medical Staff Office on August 30, 2013

On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). (Please note the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.)

AAMC’s Alec team is preparing Alec to receive the ICD-10 codeset. The database changes go into effect Wednesday, September 4, 2013.

Why is this change happening now? The Alec database structure must change to receive the ICD-10 codes while keeping the ICD-9 codes and cross reference the two. Our imported content will contain ICD-10 codes beginning with the October content release.

How will this affect the medical staff? There are several places within Alec where you document a diagnosis: Problem List, Medical History, Visit Diagnosis, Order Entry Diagnosis Association to name a few. Today you can search for a new code by numeric code or by terminology and are presented with a list of choices linked to the correct ICD9 code. Preferred search method moving forward is by terminology thereby guaranteeing you will find the coded diagnosis you are looking for.

Find a tip sheet here.

AAMC is working with our vendor partners to ensure Alec is fully compliant. If your practice does not use Alec, ask your EMR vendor what they are doing to support the ICD-10 transition.

Look for ongoing updates and education over the next several months leading up to the October 1, 2014 go-live. Questions? Contact David Mooradian, MD, chief medical content officer, at dmooradian@AAHS.org.

Drs. Park and Belyansky to Lead Advanced Hernia Surgical Symposium

by Medical Staff Office on August 30, 2013

Adrian Park, MD, chair of surgery, and Igor Belyansky, MD, will lead a surgical symposium on hernia repair and soft tissue repair techniques on Friday, October 18 and Saturday, October 19, in the Doordan Institute and Earl SAIL Center in the Health Sciences Pavilion.

Consumer Reports article on surgical safety

by Medical Staff Office on August 2, 2013

AAMC is mentioned in a recent Consumer Reports article, which provides guidelines for patients on choosing a hospital for surgery.

NAPBC 3-year accreditation approved

by Medical Staff Office on August 2, 2013

From Lorraine Tafra, MD, FACS, medical director of the AAMC Breast Center
The National Accreditation Program for Breast Centers has approved AAMC’s program for another three-year full accreditation. The site surveyor rated all 27 areas reviewed as compliant. Final surveyor remarks include: “An outstanding program providing excellent patient focused care. There are many best practices within this program and the leaders and team members are exceptional.”

AAMC receives Delmarva Foundation 2013 Quality Excellence Award

by Medical Staff Office on July 9, 2013

AAMC has been awarded the Quality Excellence Award from the Delmarva Foundation, an independent, not-for-profit health care quality improvement organization. AAMC was one of 16 hospitals statewide to receive the prestigious award. This is the first time AAMC has earned the award.

“Delmarva is proud to recognize Anne Arundel Medical Center as a recipient of the Delmarva Foundation Excellence Award for Quality Improvement,” said Columbus Giles, MD, Delmarva Foundation’s chief medical officer. “Recipients of this award possess a strong commitment to excellence and to improving the quality of care for their patients. We commend their achievements and look forward to continuing our collaboration with them to improve the health of Maryland’s Medicare beneficiaries.”

The award honors individual hospitals that excel in patient safety and quality improvement. To receive the Delmarva Foundation Excellence Award, the hospital must meet specific performance improvement criteria on 14 measures in four national inpatient clinical areas: acute myocardial infarction (heart attack), heart failure, surgical care improvement, and pneumonia.

“This excellence award directly reflects the quality of care delivered to patients as we continue to set higher standards for delivering expert care,” says Shirley Knelly, AAMC’s vice president of quality and patient safety.

For more information about the Delmarva Foundation award, visit www.mdqio.org.

President of the Medical Staff: Meet and Greet

by Kenneth S Gummerson MD PhD on May 23, 2013

Almost as soon as it was signed into law in 2010, the Affordable Health Care Act began changing the way health services are provided. This year many new changes will begin to ease in including an increase in Medicare taxes and an increase in primary care reimbursements in Medicaid to match those of Medicare.  All leading up to January 1, 2014 when health insurance exchanges are implemented, and bundled payment demonstrations, accountable care organizations and consolidation will occur.

To keep our Medical Staff informed of the hospital’s strategies for meeting the challenges and risks of this massive transformation, Ken Gummerson, MD, and Mitch Schwartz, MD, will host a monthly information exchange. We invite you to be a part of the discussion as we address the issues and share the implications for infrastructure, technology, clinical integration, transition from fee-for-service  payment models, and, how all of the change will affect you, your practice and the medical system.

Join us for the first in the monthly series:

Friday, May 24 from Noon to 2pm
Medical Staff Lounge
1st Floor, Hsopital Pavilion South

For more information, call the Medical Staff Office at 443.481.4150.

AAMC Opens Patient-Centered Acute Care Geriatric Unit

by Medical Staff Office on May 9, 2013

On May 2, AAMC held a ribbon-cutting for its Acute Care of the Elderly (ACE) unit. The ACE unit offers a specialized model of care for older, hospitalized patients with acute illness. The 30-bed unit is one of 13 in Maryland.

“Many times, highly functioning older adults are admitted to a hospital for a few days and are so weakened by the experience that they become too frail to return to their independent lives,” says Prasad Savana, MD, medical director of the ACE unit. “Our team is specially trained to better understand the risk factors for developing adverse events and will take special attention to ensure patients are moving as soon as possible to avoid complications.”

AAMC was awarded the Nurses Improving Care for Healthsystem Elders (NICHE) facility designation in December 2012 as they prepared for the ACE unit opening. The national NICHE organization strives to improve the quality of care for hospitalized older adults, provides evidence-based geriatric protocols and geriatric education for hospital staff members so they are better equipped to care for older adults. NICHE is the largest geriatric nursing program available in the United States, with nearly 300 participating hospitals.

“Geriatric patients face a variety of health risks. This model of care has proven that focusing on the unique needs of the elderly enhances clinical outcomes during and following hospital admission,” says Sherry Perkins, PhD, RN, AAMC’s chief operating officer and chief nursing officer.

Patients admitted to the ACE unit will be seen by their attending physician and will receive consults from members of a special team that includes a geriatrician or geriatric nurse practitioner, dietitian, pharmacist, social worker, case manager, physical therapist, spiritual care, as well as auxiliary volunteers. Patient-and-family advisors will be active participants in the patients’ care plan, providing guidance to team members. Under the direction of this team, ACE patients will be gently pushed to maintain their strength and routine from the time they are admitted until their discharge.

Center for Healthcare Improvement

by Medical Staff Office on May 9, 2013

The AAMC Center for Healthcare Improvement (CHI) was created in September 2012. Barry Meisenberg, MD, medical director of the DeCesaris Cancer Institute, was named as CHI’s founding director and also serves as Chair of Quality Improvement and Healthcare Systems Research.

The overarching goal is to rapidly implement innovations that enhance patient safety and quality of care throughout AAMC’s growing system of care.

Targeting projects and initiatives addressing high-risk medications and procedures, the CHI acts a coordinator for patient safety initiatives. Working with the existing regulatory and quality committees, the CHI has responsibility for implementing  practices shown to improve safety and reduce waste. Additionally, CHI plays a key role in promoting initiatives aimed at reducing harm associated with care in a complex medical environment.

Related responsibilities include:

  • Enhancing the clinical measurement and program analysis (analytics) that allow clinical leaders to measure and refine care.
  • Managing the Research Institute and enhancing clinical research opportunities for patients through  participation  in the Johns Hopkins Clinical Research Network.
  • Evaluating Graduate Medical Education expansion to the AAMC campus.

List of CHI projects

  • Improving safety by optimization of computerized order sets.
  • Enhancing safe use of narcotics.
  • Improving safety profile of blood thinning medications.
  • Adopting best practices to reduce complications associated with antibiotics use.
  • Introducing ‘Choosing Wisely’ to consumers and the medical staff to reduce harms associated with over-utilization of tests, procedures and medications.
  • Analyzing medical complications of hospitalized patients.
  • Enhancing measurement tools to improve performance of clinical programs.
  • Evaluating Graduate Medical Education programs.
  • Expanding clinical research opportunities for patients.
  • Integrating regulatory and clinical patient safety initiatives.

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