Presented by: Chris Shaver Assistant Vice President
Presenters Barbara Morales, RN, BSN Janet Vines, RN, BSN
Introduction I. II. NorthStar Anesthesia (NSA) 1. Anesthesia Provider for CMC & W&C 2. NSA & SAS: Join Forces!! a. provide safest and highest quality of care b. prevent same day case cancellations/ delays
III. NSA Recommendations to provide the Best care for the surgical/procedural patient 1. Pre-op evals/assessments done 3-10 days prior to day of procedure to allow for a thorough evaluation (may not always possible-we are aware of that!!) 2. NSA prefer pts be sent to the SAS! (may be seen @ LDC, with prior arrangements scheduled thru SAS)
3. Preop testing determined by latest evidence based national ASA standards 4. Pre-Operative Standing “Grid” Orders a. compliment Admit Orders b. signed by an anesthesiologist 5. Anesthesiologist daily visits to the SAS (Dr. Holmes) IV. Conclusion
Presenter Kim McAuley RN, BSN Pediatric Quality Specialist Covenant Children's Hospital
HELP US HELP OUR PATIENTS • Medication Reconciliation – Patient Safety • Adverse Drug Events – Patient Satisfaction • Medication Management http://medsafetykym.weebly.com/index.html • If you have ideas to help communicate the patients meds with the hospital please contact Kim McAuley kmcauley@covhs.org or call 725-6734
Presenter Beverly Brooks, RHIT,CCS Regional Director of HIM Medical Records and Coding
Reminder letter is faxed to office 15 days post discharge. Suspension letter is faxed 22 days post discharge. Please make sure that the physician is given these very important documents. Also please encourage the physician to access his incomplete records at least every 7 days. In order to avoid suspension , physician must complete signatures and dictation . ( this includes any delinquent charts of their PA, NP, Resident)
GIVE ADMISSION ORDER – COMPLETE HISTORY AND PHYSICAL – ( DICTATE OR WRITE DETAIL HISTORY AND PHYSICAL IN PROGRESS NOTES. REQUESTED TO CONSULT : DICTATE CONSULT AFTER CONSULT IS COMPLETED. SURGERY PERFORMED – DICTATE OP NOTE DISCHARGE PATIENT – DICTATE DISCHARGE SUMMARY
Outpatient test orders. Must include: What test is being ordered Reason for the test (without possible or rule out ) Signature of the physician and date.
PROCESS: Faxed to office to complete and sign Fax back to the number on the fax cover sheet Please have these completed timely by the physicians
PROCESS : Faxed to physician offices Please have physician's complete so that we have the most accurate documentation. The reason we query is to make sure that the documentation is clear and for severity of illness. Fax them back to the fax number
Presenter Maria Parsons, R.T.(R)(M)ARRT Radiology Supervisor
FAX NUMBERS What we’re hearing from you. “We are still having to fax to too many different numbers.”
RADIOLOGY FAX # The Radiology fax number for both campuses and all modalities is 796-5199. If someone is asking you to fax them information to a different fax number in Radiology, please call Lashelle or Maria immediately. If we can figure out who and why they are asking you to fax directly to them, hopefully we can eliminate most of these duplicate faxes. Lashelle 725-4447 Maria 725-6598 We know that a call to us is more work for you, but we need a place to start.
Don’t pull your hair out over it. Short and sweet please. For your sake. Example: This is Joni from Dr. Spock’s office. Patty called and asked us to fax an order on Mr. Jones and then Terri called 2 minutes later asking for the same order.
Why the 796-5199
It’s a one way street. The schedulers (Terry, Mel, Sandra) who are the ones we have assigned to the e-fax will call until they have the order and will then forward it on to whoever needs it. In the mean time if Patty from C.T. called for the order and you fax it to her, she is happy and scans the patient. Meanwhile, the schedulers are still thinking that this patient is still in the exam room waiting and will continue to call even though the patient is done and gone.
Signatures When your physician orders a Radiologic study, he is prescribing a study in which we will be administrating a dosage of radiation. You wouldn’t send that patient to the pharmacy with a prescription not signed because they would not accept it. We can not accept it either.
The Physician A Nurse practitioner or Physician Assistant may sign in order to get the exam done. However, medical records will be contacting the physician to co-sign later and your physician may end up on the delinquent list.
Correct orders
You will be getting a phone call if the orders do not match what is scheduled.
Why so important? • The technologist scans the patient legally by what is on the order. • Admitting checks on pre-certs by what is on the schedule.
And the biggest reason of all! We want to take care of your patient by doing the correct exam in a timely manner.
Presenter Cherry Orr, RN QI Specialist, Quality Management
What are core measures? Who do they affect? What is your role?
Acute Myocardial Infarction (Heart Attack) • Utilization of EMS Heart Failure • Accurate medication list • 7-day follow up appointments • Home Health referrals Pneumonia • Mandatory utilization of Pneumonia (PNE) order set Surgical Care (SCIP) • Pre-op instructions
• Program includes classes for diabetic patients and one on one sessions with a dietician • Participants must be financially in need (200% or below the FPL) • Classes are offered in a 4 part course. If attendees come to 3 of the 4 classes offered then they receive a free glucometer and can purchase discounted vouchers for strips (50 strips for $5 and 100 strips for $10) • Classes are currently offered year round • For information about classes or one-on-one sessions or to refer a patient to our program please call Oneida Solis at 725-5216
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