Potential Delay Viewing Dictated Reports In MPF

An issue has been identified with transcribed reports crossing over to MPF. Physicians and other users could see up to a 2 hour delay in dictated reports crossing over to MPF.

The issue has been escalated with 3M and we hope to have a solution soon.

Please contact physician support at 815-759-4330 for any questions or concerns.

Clostridium difficile, stock

New – Interpretation of Clostridium difficile testing

Sometimes interpretation of Clostridium difficile testing can be confusing. See this page which helps interpret the test.

It will be located under “Infection Prevention” => Interpretation of Clostridium difficile testing.

Opioid conversion added to protocols

Opioid conversion tables are available here with other protocols

Opioid Abuse and Chronic Pain – NEJM

Opioid Abuse in Chronic Pain — Misconceptions and Mitigation Strategies — NEJM March 2016

Clinical Protocols added – New section

A new section for clinical protocols has been added to this website. It is located Clinical => Clinical protocols

This can also be accessed through Paragon 13 by going to the links menu

Surgical Scheduling Policy – First Case On Time Starts

At the May 27, 2016, Department of Surgery meeting, a new Surgical Services policy was reviewed and approved that addresses first case on-time starts.

According to the Surgical Scheduling Policy:

On Time Starts:

1. Surgeons must be in the Operating Room and ready to scrub at the time scheduled. It shall be the duty of the Operating Room Desk Coordinator in cooperation with the anesthetist, to have the patient in the operating room and fully prepared for induction of anesthesia at the time the operation is scheduled.

2. First case late starts will be documented by operating room personnel.

3. If a surgeon has three (3) first case late starts in a rolling three (3) month period, first start privileges including block times will be forfeited for a period of one (1) month.

4. The only acceptable excuse for being late for a scheduled first case start will be a legitimate verifiable medical emergency requiring the surgeon’s immediate and continued presence elsewhere. Requests for excused tardiness must be in writing and received by the Department Chairs within three (3) working days.

The policy will be effective July 1, 2016. Our goal is to provide prompt and professional services to our patients while also avoiding unnecessary inconvenience to our fellow surgeons. Please let me know if you should have any questions.

Alex Kim, MD, Chairman, Department of Surgery
Paul DeHaan, MD, Chairman, Department of Orthopedics

For a printable copy of this memo click here.

Helicobacter Pylori Antibody Tests Discontinued

Effective June 6, 2016, all Helicobacter pylori antibody tests will be non-orderable. The tests that are still available are the Helicobacter pylori Breath Test, Helicobacter pylori Fecal Antigen and urease on tissue biopsy.

These changes support the current diagnostic guidelines recommended by the American Collect of Gastroenterology (ACG) and the American Gastroenterology Association (AGA). Antibody tests cannot distinguish between active and past infection with adequate sensitivity and specificity. Despite older literature suggesting that IgG serology can be used as a test of cure 18 months, this has shown to be inaccurate. Both the urea breath test and stool antigen test are FDA cleared for use as tests to diagnose infection and to confirm eradication

If you have any questions or concerns, please contact a pathologist at 759-4806.

Wendy Ward, MD
Medical Directory Pathology and Laboratory Services

For a printable copy of this memo please click here.