After 16 years of service, Heidi Katz, supervisor, Physician Relations, has retired. Heidi joined AAMC in 1999 as a marketing associate supporting Health Care Enterprises’ (HCE) physician recruitment efforts (now Physician Enterprise/Anne Arundel Medical Group) and field-based promotion of programs and specialists. She went on to work on the Business Development team for nine years and in Marketing/Communications for seven years. Best wishes, Heidi!
Medical Staff Updates
The Heart and Vascular Unit was recently recognized with an Excellence through Insight award for “Overall Inpatient Telemetry Patient Experience” for a large hospital by HealthStream, Inc. AAMC was awarded this honor for its commitment to excellence in patient care. To qualify for an award, a hospital must have been a patient experience-tracking client of HealthStream in 2014, scored in the 75th percentile or higher, and surveyed a minimum of 100 patients. AAMC’s Heart and Vascular Unit is the highest ranked unit within HealthStream’s database and exceeded industry standards in patient experience.
AAMC has been recognized as one of the most connected hospitals for 2015-16 by U.S. News & World Report, the only Maryland hospital to receive this recognition. The U.S. News Most Connected Hospitals list recognizes hospitals whose excellence in patient safety, patient engagement and clinical connectedness improves patient care.
This is not the first time AAMC has been recognized for its electronic connectedness. AAMC has been named six times as one of the national Most Wired™ hospitals and health systems by Hospitals & Health Networks.
“One of the reasons AAMC is recognized for this honor is because of the extensive collaboration among all AAMC departments and for our forward thinking use of technologies, such as our electronic medical record system that assists physicians, nurses and patients to communicate efficiently,” says Barbara Baldwin, AAMC chief information officer.
In response to the changing technological landscape AAMC has shown an adaptability and commitment to staying ahead of the curve:
- Dashboards: AAMC’s electronic medical records allow for automated population health analytics so reminders are sent to patients with chronic health conditions to have a checkup.
- Inter-hospital communication: Physicians can view and exchange other facilities’ results and get in contact with patients through email and alerts.
- Patient portals: AAMC’s MyChart portal enables patients to review their own care results and communicate securely with their care providers for such needs as prescription renewals as well as offering self-management tools for patients with chronic conditions.
To identify the Most Connected Hospitals, U.S. News analyzed dozens of variables spanning three domains of medicine where electronic connectedness came to make a difference to patients. U.S. News assigned domain-specific scores and an overall score to each hospital for which it could obtain data from the most recent AHA Annual Survey Information Technology Supplement, an IT survey that the American Hospital Association administers to hospitals nationwide. Hospitals that earned at least 70 out of 75 points in the 2014 IT survey or 55 out of 61 points in the 2013 survey and also achieved national ranking or high performing recognition in the current edition of Best Hospitals, Best Hospitals for Common Care or Best Children’s Hospitals were recognized as Most Connected Hospitals. In all, 158 hospitals made the Most Connected Hospitals 2015-16 list.
What is VisualDx?
VisualDx is one of the most widely used medical apps in the world to improve diagnostic accuracy, medical education and patient education. VisualDx is already licensed by more than 50% of US medical schools including Harvard, Yale, Cornell, University of Pennsylvania, UCLA, USC, UNC, University of Washington, and many more. Over the past 3 years, it has been voted among the top favorite apps multiple times at Harvard and University of Pennsylvania. It is one of the top rated databases in KLAS, which is the Consumer Reports of databases. It will give any visual pictures connected with a disease, as well as the new ICD10 codes; pearls of wisdom; treatment and references connected with dresources. There is also a mobile app. Questions: call Joyce Miller, Medical Librarian ext. 4877.
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.
- In-Person Lectures: We are offering special lectures for both medical staff and office administrators:
- ICD-10 Education Sessions for Medical Staff and Office Administrators (see the schedule here.)
- 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.
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
Advanced MR imaging techniques have found extensive utility in the clinical practice of neuroradiology. A variety of these techniques are incorporated into imaging protocols for routine use, specific applications to particular disease entities, or as problem-solving tools on an ad hoc basis. This article summarizes and illustrates the spectrum of advanced MR imaging tools used clinically in the practice of neuroradiology. (Radiol Clin N A, May) Click here to read full-text.
“What’s in a name? The answer begins with the name, which physicians find both amusing and insulting, as if in the dark ages before EBM, physicians practiced without evidence. EBM’s power comes in part, from branding. The art and alchemy of medicine reside not in evidence based guidelines, but in the mind and expertise of committed physicians. The challenge for EBM is keeping the patient front and center while negotiating the vagaries of the evidence.” (Maryland Medicine, May) Click here to read full text.
“Based on the current available evidence, the US Food and Drug Administration recently issued a Consumer Update that does not support aspirin for primary prevention and warns patients about the risk of serious bleeding complications. Moreover, current guidelines and consensus panels for aspirin in primary prevention differ from one another, making it challenging for clinicians to determine which patients would benefit. One message is clear in the most current clinical guidelines, namely, that routine use of aspirin for primary prevention is not recommended.” (Cleve Clin J, April) Click here to read full-text.