July 26, 2015
TOP READS
gordonAn introduction and invitation from your new Chief Medical Officer
Salem Health's new Chief Medical Officer, Steve Gordon, MD, will be writing updates in Common Ground on a regular basis. Read his background and vision in his introductory letter to you, and continue reading Common Ground for the latest from the CMO.
 
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affiliationAffiliation update
Read the latest news about affiliation with OHSU, including the work of the Transition Planning Task Force (TPTF), small group "work streams" focused on specific areas in the context of affiliation, and opportunities to be involved. Read the full affiliation update to learn more. 
 
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passwordPassword no longer required for order acknowledgement

Effective Tuesday, July 28, 2015, you will no longer be required to enter your password for order acknowledgement/authentication, except for scheduled orders (i.e. narcotics). 

 

The MEC removed the requirement because of the new password complexity policy.   

 

Important effects:

  • This is a global setting, so the requirement will be removed for all users including physicians, RNs, pharmacy, PT/OT, etc.
  • If you leave a computer unlocked, you open yourself to the risk of someone entering an order from your profile.

Please be vigilant in locking workstations and logging out.

 
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presidentMedical staff president-elect nomination

Christine Clarke, MD, has been nominated for medical staff president-elect. Notice of this nomination will be distributed to the medical staff for 30 days before the election. Confidential ballots will be sent out in the beginning of September for a four-week voting period.

 
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finalFinal reminder to change your password!

On July 28, your password will expire (unless you have changed it since May 6, 2015).
Reminder: this is the password used to log into computers, Epic, EpicRemote, Document Imaging, etc.
You will be prompted at login to reset your password. 

 

New passwords must meet the following requirements:

  • Minimum 8 characters
  • Must not contain your name or user ID
  • Must contain characters from at least three of the following categories
    • English uppercase characters (A - Z)
    • English lowercase characters (a - z)
    • Numeric characters (0 - 9)
    • Special characters (for example: !, $, #, or %)

To change your password at any time, follow these instructions on a computer logged into the Salem Health network. For more information call the Solution Center at 503-561-4357 for assistance.

 

 
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PRACTICAL MATTERS
ICDICD-10 action required

ICD-10 is still on track to take effect October 1, 2015. As time passes without any serious opposition on the horizon, it appears very likely that the go-live will occur.

 

Providers will need preparation for the transition to ICD-10. The Precyse modules are in place in HealthStream. Remember, if the due date is Aug. 31, 2015, the learning module is required and must be completed by this date. If the due date is Dec. 31, 2015, this is an optional learning module that you may choose to do for your own benefit. The optional learning will disappear from your HealthStream account after Dec. 31. CME credit is available for all modules. There is the potential to opt out if you have completed similar ICD-10 training prior to this assignment. Contact Claire O'Brien if this could apply to you.                

 

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clinicalClinical documentation improvement tips

CDS nurses and coders often ask providers to document whether a condition was ruled out or resolved. These are two very different outcomes in the coding world. Let's discuss the distinction coders have to make between the words 'ruled out' and 'resolved'.   

 

'Resolved' refers to a condition that did exist, was probably treated, and got better. This is good information for coders since we know that many conditions resolve because of treatment.

'Ruled out' means the condition was once suspected, but was never really present, then ruled out after further study. That is fine if it is correct, but sometimes a provider will mistakenly document that a condition was 'ruled out' when it had been present and treated.

 

The problem is that any condition that was ruled out cannot be billed for, will not contribute to length of stay, severity of illness, or risk of mortality for that hospital stay. We only want to use that terminology if the condition was never present. When a provider incorrectly documents that a condition was ruled out, it does not matter how much great documentation or evidence preceded that statement. All of that is lost.  

 

Be very careful when answering a query with the 'ruled out' answer choice. There can be negative consequences when answered incorrectly.

       

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sunshineOpen Payments (previously Sunshine Act) update

The Physician Payment Provision of the Patient Protection and Affordable Care Act became law on March 23, 2010, to promote transparency for financial relationships between certain health care providers and drug and device manufacturers. Open Payment requires:

  • Applicable manufacturers of covered drugs, devices, biologicals, and medical supplies to report payments or other transfers of value they make to physicians and teaching hospitals to CMS;
  • Applicable manufacturers and applicable group purchasing organizations (GPOs) to report to CMS certain ownership or investment interests held by physicians or their immediate family members; and
  • Applicable GPOs to report to CMS payments or other transfers of value made to physician owners or investors if they held ownership or an investment interest at any point during the reporting year.

CMS collects this data annually, aggregates it, and publishes it on a public website.  

 

The second year of Open Payments data is now available! CMS published the 2014 Open Payment data about transfers of value by drug and medical device makers to health care providers on June 30. The data includes information about 11.4 million financial transactions, attributed to more than 600,000 physicians and 1,100 teaching hospitals, totaling $6.49 billion. We encourage you to check out the Open Payment data dashboard. 

       

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supervisorPre-surgical screening and surgery access supervisor

The position and role of the surgery access coordinator has changed to that of a supervisor position responsible for pre-surgical screening and surgery access. Ericka Brown, who has been in the role of surgery access coordinator for the past year has accepted the position and will transition into the new role effective June 29, 2015.

 

This role will continue to provide support as a liaison between surgical services and surgeon offices. The surgery access supervisor will support process improvement along with the compilation and reporting of data, as well as provide oversight of the daily operations of pre-surgical screening. With this expansion to Ericka's position, Tess Rice will no longer be the assistant nurse manager over PSS and will focus solely on prep and recovery.  

 

Ericka is located in her same office space in Building C, 2nd floor at the west end of the back hallway.

 

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WELCOME TO SALEM HOSPITALWELCOME 
barnhartJordan L. Barnhart, MD - Emergency Medicine
Salem Emergency Physicians Services, PC
Medical Education

St. George's University    

Great River, New York

January 2008 to June 2012
Residency:
Emergency medicine 
University of Massachusetts Medical Center Medical School        
Worcester, Massachusetts
July 2012 to June 2015   
Board Certification:

American Board of Emergency Medicine

  

  

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buedefeldtJesse T. Buedefeldt-Pollard, MD - Obstetrics & Gynecology

Willamette Health Partners OBGYN 

Medical Education: 

Albany Medical College
Albany, New York

Aug. 2007 to May 2011  

Residency: 
Obstetrics and Gynecology 
Southern Illinois University School of Medicine
Carbondale, Illinois
June 2011 to June 2015

             

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DelaneyMichael W. Delaney, MD - Neurology
Salem Hospital

Medical Education

Georgetown University School of Medicine
Washington, DC

Aug. 1990 to May 1994 
Internship:
Internal medicine 

National Naval Medical Center
Bethesda, Maryland                  
June 1994 to June 1995

Residency:
Neurology

National Naval Medical Center
Bethesda, Maryland  
Aug. 1997 to July 2000  

 
Fellowship:
Clinical Neurophysiology 
National Naval Medical Center
Bethesda, Maryland 
July 2003 to July 2004
 
Board Certification:

American Board of Psychiatry and Neurology

 

  

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hoestereyKyle P. Hoesterey, MD - Emergency Medicine
Salem Hospital - Emergency Medicine
Medical Education

Tufts University School of Medicine
Boston, Massachusetts

Aug. 2008 to May 2012 
Residency:
Emergency medicine 

Baystate Medical Center      

Springfield, Massachusetts        
July 2012 to June 2015 

  

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petersonShane E. Peterson, MD - Emergency Medicine  
Medical Education

University of Pittsburgh School of Medicine - Pittsburgh, Pennsylvania

June 2006 to June 2010
Residency:
Emergency medicine 

New York Presbyterian Hospital             

New York, New York       
June 2010 to June 2014  

Fellowship:
Palliative care 

New York Presbyterian Hospital            

New York, New York       
July 2014 to June 2015

 

  

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skyDavid S. Sky, MD - Anesthesiology

Oregon Anesthesiology Group, PC 

Medical Education

Loma Linda University Medical Center
Loma Linda, California

Aug. 2007 to May 2011 
Internship:
Transitional
Sacred Heart Medical Center
June 2011 to June 2012 
Residency:
Anesthesiology
Loma Linda University Medical Center
Loma Linda, California

July 2012 to June 2015 

 

  

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IN THE NEWScoming
adYou Matter ad highlights cardiac rehab

The latest You Matter ad features the good work of Salem Health cardiac rehab. A quintuple bypass patient shares the importance of regaining his health and quality of life in order to be there for his family. 

   
COMING EVENTScoming
checUpcoming classes at the CHEC  

Select class headlines to download a flier to print and share with your patients. For more information and to register, visit the CHEC website or call 503-814-2432 (CHEC). 

  

Infant CPR

For new and expectant parents, grandparents and anyone who will be with a newborn. Learn how to help a baby who is choking, respond to a breathing or cardiac emergency and how to childproof your home.

Date: Monday, August 10

Time: 6:30 to 8 p.m.

Cost: $10. Free for parents of babies who are in the NICU

 

Fresh Pantry: Tomatoes (cooking class)

What's on the menu: stacked caprese salad, stuffed tomatoes with pasta and cauliflower alfredo sauce, and tomato squares.

Date: Wednesday, August 12
Time: 6 to 7:15 p.m.

Cost: $15

 

Welcome to Medicare

This session, led by a certified Senior Health Insurance Benefits (SHIBA) Counselor, includes information on how Medicare works, supplemental insurance options, assistance for people with low income and resources, and how the Affordable Care Act improves Medicare.

Date: Wednesday, Aug. 12

Time: 1 to 2:30 p.m.

Cost: Free

 

Children's Type 1 Diabetes Support Group

This support group is for children (babies to teens) and their parents/caregivers. Bring your questions, ideas and recipes.

Date: 1st Thursday of every month
Time: 7 to 8 p.m.

Cost: Free

 

 

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Common Ground Newsletter Editorial Board 
For past issues of this newsletter, visit
Email us anytime with feedback, suggestions, or something for the next issue!  Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health

503-561-5200