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HPF Downtime

HPF will be DOWN from:

Sunday, November 2, 4:00pm

to

Monday, November 3, 7:00am

(15 Hours)

Purpose: Horizon Patient Folder (HPF) is being upgraded to McKesson Patient Folder (MPF).

Transcribed History and Physicals, Progress Notes and Consults will be auto-printed on nursing units through the weekend for availability during the MPF upgrade downtime.

For information about MPF click here.

Ebola Awareness

At this week’s Open Forums, you’ll hear information about Centegra’s preparation for the possible event that we encounter a patient suspected of having the Ebola virus. Centegra Health System is prepared. Key leaders are regularly meeting to ensure best practices are in place that align with the current recommendations from the Centers for Disease Control and Prevention (CDC).

Centegra takes this threat seriously. Our teams are working with the McHenry County Department of Health, Illinois Department of Health and other local agencies to ensure our response is well coordinated with our community partners. Please talk to your leader about your department’s role in our process.

Immediate isolation will be implemented for patients who have traveled to high-risk areas in Africa in the last 21 days and present with the following symptoms:

  • A fever of 100.5 or higher
  • Flu-like symptoms

All Associates and Physicians will wear Personal Protective Equipment (PPE) until Ebola is ruled out. Patients who call our facilities with these complaints will be triaged and directed through the Centegra Hospital-McHenry Emergency Department for instructions prior to arrival at the hospital.

Key contacts for more information:
CH-McHenry: Karen Van Buren, RN, Infection Preventionist 815-759-4574
CH-Woodstock: Cindy Schweder, RN, CIC, Infection Preventionist 815-334-3916
CPC and Centegra Immediate Care: Basia Scherbaum, RN, MSN 815-337-1985
Media Inquiries: Michelle Green, Senior PR Coordinator 847-341-0274

Click Here

Editing Doses on Active Medications

Please REFRAIN from using the “edit” button to change a DOSE on an active medication. When a provider edits a dose on an active medication pharmacy is unable to profile that medication. If a dose must be changed on an active medication please DISCONTINUE the medication and place a new order with the desired dose.

Editing Meds 1*Click to enlarge the image

Editing Meds 2*Click to enlarge the image

Psychiatry & Behavioral Health Consultations

Due to changes in the availability of our consulting psychiatry team we are implementing a modification in how psychiatry and behavioral health consultations are addressed on the medical floors at CHM and CHW. Starting November 1, 2014 psychiatrist coverage for consultations at CHM and CHW will be available Mondays through Fridays. For weekend and holiday coverage such consultations will be referred to the Centegra Behavioral Health Crisis Service for evaluation. A psychiatrist will always be available telephonically to provide support to the crisis workers; similarly, a psychiatrist will always be available via telephone to provide support to all Centegra Health System Medical Staff physicians/providers to address clinical matters on patients hospitalized at a Centegra facility. A call list will be sent out and the Care Coordination team, Crisis associates and operators will always know which psychiatrist is on-call.

We recognize this is a change from how things have been handled and look forward to collaborating with you to work through issues as they may arise. Crisis workers are not able to order laboratory/imaging studies or medications; this will require the cooperation of the ordering physician, again with support from the psychiatrist. The crisis associates will be able to evaluate risk/perform safety assessments, recommend aftercare and disposition options (including psychiatric hospitalization) and even assist with capacity determinations. If you feel that psychiatric medications are indicated call the on-call psychiatrist.

As a reminder, psychiatric consultation is appropriate for psychosis, altered mental status that is not clearing after thorough work-up for and treating organic causes, mania and patients with mental illnesses who are unstable. Patients being treated for acute alcohol withdrawal syndrome should not require a consultation if the available withdrawal protocol is initiated and followed appropriately. Please call with questions to help clarify how the psychiatrist can assist you:

Paul Berkowitz, MD
480.285.8284
pberkowitz@centegra.com

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Certificate of Death Worksheet

Please review the pdf below on how to properly fill out a Certificate of Death:

Certificate of Death Worksheet

Highlights:

Box 24-Cause of Death: Disease or Injury

  • Part 1:

    NOT mechanism
    NOT cardiopulmonary arrest or unknown

  • Part 2:

    Contributing Factors

  • Box 29:Manner

    • MDs can only certify if NATURAL death

    Box 30-36

    • ONLY completed by Coroner

    ICD-10 Physician Documentation Education in October 2014

    Centegra Health has partnered The Advisory Board Company to launch an ICD-10 Physician Documentation Education in October 2014.

    Join us for a clinician-led introduction to the importance of ICD-10 and documentation improvement. This session will be focused on how simple word choice has a dramatic impact on the perceived acuity of our patients. Specifically, attendees will benefit from:

    • Getting credit where credit is deserved: accurate reflection of SOI, ROM, and quality scores
    • Strategies for improved documentation supporting SOI and ROM for today that will ease the transition to ICD-10

    We provide excellent care to our patients. This effort is not about changing the way we practice medicine, or demanding that we document more; rather, it’s about getting credit for all that you do and helping us document in a way that captures all the good work we do now as well as in the ICD-10 environment.

    Thank you in advance for taking the time to help Centegra achieve our quality goals.

    Kumar Nathan, MD
    VP, Clinical Effectiveness

    Irfan Hafiz, MD
    VP, Medical Affairs

    Date

    Time

    Specialty

    Location

    Address

    Room

    10/20/2014 7 to 8am Internal Medicine
    (Internal Medicine, Hospitalists, Family Medicine, Gastroenterology, Hepatology)
    Centegra Hospital-Woodstock 3701 Doty Rd., Woodstock A
    10/20/2014 12 to 1pm Allergy/Immunology
    (Allergy, Immunology, Infectious Disease, Rheumatology)
    Front St. IT Conference Room 213 Front St. McHenry 6
    10/20/2014 6 to 8pm General Surgery
    (General; Trauma;Cardiac; Cardiothoracic; Plastic; Colorectal; Pancreatic; Hepatic; all other surgical specialties)
    Centegra Hospital-Woodstock 3701 Doty Rd., Woodstock A
    10/21/2014 7 to 8am Critical Care
    (Intensivists, Pulmonology, Anesthesia)
    Centegra Hospital-Woodstock 3701 Doty Rd., Woodstock A
    10/21/2014 12 to 1pm Internal Medicine
    (Internal Medicine, Hospitalists, Family Medicine, Gastroenterology, Hepatology)
    Front St. IT Conference Room 213 Front St. McHenry 6
    10/21/2014 6 to 7pm Pediatrics
    (Pediatrics, Newborns, Pediatric Surgery)
    Centegra Hospital-Woodstock 3701 Doty Rd., Woodstock A
    10/22/2014 7 to 8am Emergency Department
    (ED and Urgent Care)
    Centegra Hospital-McHenry 4201 Medical Center Dr., McHenry D
    10/22/2014 12 to 1pm Cardiology Front St. IT Conference Room 213 Front St. McHenry 6
    10/22/2014 6 to 8pm Obstetrics and Gynecology
    (Obstetrics, Gynecology, Surgical, Gynecology, Gynecologic Oncology)
    Centegra Hospital-McHenry 4201 Medical Center Dr., McHenry D
    10/23/2014 7 to 8am Orthopedics/Orthopedic Surgery Centegra Hospital-McHenry 4201 Medical Center Dr., McHenry D
    10/23/2014 12 to 1pm Neurosurgery
    (Neuro-Oncology Surgery, Neurosurgery-spine, Neurosurgery-vascular)
    Front St. IT Conference Room 213 Front St. McHenry 6
    10/23/2014 6 to 7pm Cardiology Centegra Hospital-Woodstock 3701 Doty Rd., Woodstock A

    H.U.S.H Initative Starting October 1, 2014

    THE HUSH INITIATIVE PLAN

    HUSH initiative

    Why are we implementing a new procedure? Past interventions and initiatives have been unsuccessful due to inconsistency and no accountability.

    Problem/Concern:

    • FY14 HCAHPS “Quietness of Hospital Environment” scores were at their lowest.
    • Too many visitors on the unit or at patient’s bedside are frequent contributors to a noisy environment.
    • Increased noise level at the nurse stations when other departments are present. Shift change is a large contributor to the increased noise level.

    Improvement Outcomes:

    • Studies show that a quiet environment contributes to faster healing, decreased length of stay and improved patient satisfaction.
    • Increase our HCAHPS score when it comes to “Quietness of Hospital Environment” question, which will also improve our overall patient satisfaction score.
    • Educated staff empowered to support a healing environment for our patients.

    How are we planning to improve our scores? We will provide education, set appropriate expectations and implement new processes.

    Implement on the Nursing Unit:
    It is important to understand what the inpatient units will be doing during quiet time.

    The hospital operator will announce quiet time at 1:45pm daily.

    Each floor designate a responsible Associate to perform the following:

    • Techs and Nurses: Inform patient’s we are preparing for quiet time; ask them to minimize noise. They can help by using headphones for TV, turning cell phones on vibrate, etc.
    • Nurses: Dim lights on the unit
    • Techs and Nurses: Closing patient’s doors
    • HUCS: Close unit doors to each unit at 1:45p.m.

    Patient care will be continued, however, we will try to minimize as much as possible during this time.

    Nurses will educate patients and any visitors present regarding visiting hours and quiet time upon admission. A Skylight short education video is in production; once available nursing will be required to show patients upon admission and units will be monitored for compliance.

    Implement in ER, PACU, SDS, CATH Lab, and Radiology Departments:
    Before patients are taken to the nursing units please discuss with patient’s family members the recommended 2 visitor per room option; additional visitors will need to wait in the visiting lounge and take turns; this will help us maintain a quiet healing environment.
    We understand this will require a huge change. Nursing leaders will follow up regularly to ensure these processes are followed.

    Please inform your staff to call security for assistance and support if you have any issues with visitors.

    H.U.S.H Initiative FAQ’S

    1. Will signs be posted to help enforce/inform staff and visitors of this initiative?

      Yes! Signs will be delivered to each unit. They should be posted on the outside of the unit doors and in break rooms so that staff and visitors will have a visual reminder to lower voices and be respectful of quiet hours.

    2. What happens when it’s quiet time and several Associates are talking loudly on the unit and no one is listening when they are asked to keep voices low?

      Please notify your Charge Nurse or Supervisor of the situation and ask for assistance. If issues continue, department leaders should be notified via email (if leader is unavailable) of specific situations; provide details for appropriate follow up.

    3. What if a patient’s family member asks to spend the night because their care expectations are not being met?

      First inquire why they feel that their loved one is not receiving appropriate care; reassure them we provide exceptional care. Let them know they will be notified of changes in their loved ones condition and for added comfort, they are welcome to call for updates. It is important to ensure this is communicated with the nurse taking care of the patient as well as passed on to the patient’s future nurses. Exceptions will be made for patient with declining condition, patient is confused – family member needs to “sit” overnight; or peds patient. NOTE: appropriate bed assignment is required (private room preferred).

    4. What if 3 visitors are in a patient’s room at one time?

      First assess the situation. If the noise level is loud or excessive, please ask visitor(s) to support our healing environment by lowering their voices. If the situation does not improve, kindly ask one of the visitors to wait in the visitor lounge area. Explain our recommended 2 visitors at a time policy. If all attempts fail, ask your Charge Nurse or Security for assistance.

    5. What do I do if I notice someone in the hallway with no visible identification?

      Kindly ask for identification such as a visitor ID badge, employee badge or contractor ID badge; inform guest it must be displayed at all times. If they are unable to produce an ID badge please escort them to the front desk to obtain one. If you are met with resistance please notify Security immediately. This is for the safety of all our patients and staff.