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.
Our triennial Joint Commission survey occurred the week of November 18. The surveyors were overwhelmingly positive about what they saw and heard. They are taking several AAMC best practices back to the Joint Commission, and named AAMC a “role model” for other hospitals and health systems around the country – an incredible tribute to our employees and medical staff. Our survey results reflect the high-quality, safe care we provide to our patients daily. Thank you for your unending commitment to excellence in quality and safe patient care.
By now, I suspect that you’ve caught on from your national societies that the initiative called Choosing Wisely is here to stay. We have been highlighting the program as well. Recently we welcomed Daniel Wolfson, MHSA, a leader from the ABIM Foundation, to the AAMC Board Committee on Quality and Patient Safety. He walked us through the evolution of the movement and its primary goals related to physician leadership and professionalism. Wolfson is a masterful communicator and blogger. Click here to check out his past blogs, including a recent entry about Atul Gawande’s article in the New Yorker.
I invite you to comment here about your thoughts related to Choosing Wisely.
The James and Sylvia Earl Simulation to Advance Innovation and Learning Center (SAIL), is a world-class medical simulation and training facility in the Health Sciences Pavilion at AAMC. The Center serves not only the medical profession but also provides tours and educational opportunities for area school children, the community, patients, families, and organizations dedicated to healthcare improvement and patient safety. Here are a few upcoming events at the Earl SAIL Center:
- Orthopedics Cadaver Lab: September 24
- OB/GYN Simulation Training: September 26
- Patient Care Technician Education: September 27
- Women’s Conference and Tour: October 16
- GYN Pelvic Floor Reconstruction Cadaver Lab: November 1
- Breast Surgery Lab: November 1
- Biomedical and Allied Health Students from Anne Arundel County Public Schools and Glen Burnie High School Tours: November 15 and December 12
What kinds of simulation and learning opportunities can the Earl SAIL Center offer you and your team? Contact Ann Casamento, RN, simulation coordinator, at x4880 or acasamento@AAHS.org.
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.
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.