May 18 Common Ground: CIC update, practical matters, welcome Mette Brynolf
May 18, 2014
IN THIS ISSUE
FROM THE CIC
practicalPRACTICAL MATTERS
TOP READS
erxEPrescribe launch goes smoothly

 

EPrescribe successfully went live on May 6. Each day of go-live saw an exponential increase in the number of prescriptions sent electronically. Users reported very few issues throughout the go-live, which allowed the hospital to close the command center earlier than planned.  

 

To access training materials or FAQs for ePrescribe use, click on the ePrescribe link under Tools & Resources on Salem Health's Intranet home page.

The new workflow will improve patient experience, reducing wait times for prescriptions needed after discharge.

 

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epicWhat to do during Epic downtimes

 

For dictation: Use all 1's as placeholders in place of the CSN, and then state, as you normally do, the patient name, MRN and date in your dictation.   

 

The transcription department will then research the documents and upload them to Epic.

 

For charting: Each charting activity has a paper alternative. During an Epic downtime, ask nursing staff for the location of paper versions of orders and progress notes.  

 

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transitionTransition of care project begins May 28

 

To reduce gaps in patient care transitions from one healthcare setting to another, Salem Health is implementing improvements through the Meaningful Use Transition of Care project starting May 28.

 

The Centers for Medicare and Medicaid Service requires hospitals to improve patient care transition and referral communication to improve quality of care and reduce unnecessary healthcare spending.

 

When Salem Hospital or Willamette Health Partners refers or discharges a patient, the community provider can expect to receive summary of care documentation via fax or mail.  

 

The summary document will include current medication, problem and allergy lists. 

 

For more information, contact Shea Corum, Director of Applications, Informatics and Clinical Engineering, at 503-561-5401.

 

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submitSubmit your questions and stories for this newsletter
We'd love to hear your questions and provide answers in this regular column. We also want you to know that your submissions and story ideas are welcome. Feedback on this newsletter is also welcome! Help us improve this communication model to be effective and efficient.
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FROM THE CIC
CICMay 7, 2014, CIC Update
  • Common Ground e-news intended to reduce number of emails from Salem Hospital
  • Service line email newsletters should be integrated into Common Ground 
  • Handling urgent communications  
  • Making the Compact a part of every day's work
youmatterBrand campaign: You Matter
  • Campaign of kindness You Matter | Salem Health
  • Tell us what matters to you  
  • Show people how they matter
  • Strengthen reputation

"No act of kindness, no matter how small, is ever wasted." This Aesop quote underpins a new brand strategy at Salem Health called You Matter. Based on months of local customer research, this strategy--- or "brand promise"--- was crafted to strengthen our reputation, internally and externally.

 

A brand is much more than a logo or ad campaign. It's a promise that Salem Health will act in a certain way, providing the reason our patients come to us; a reason they can depend on getting Exceptional Experience, Every Time. "Research shows our brand is directly tied to our reputation," said Jan Miller, Salem Health Marketing Director.

 

You can help

"You Matter" messages and materials will emerge soon, but we need help: We're looking for stories, acts of kindness to highlight--- from you and about you. Special thanks to ED physicians who appeared in a four-minute You Matter video: Lazeni Koulibali, DO, and Dennis Winner, MD

 

We want to feature medical staff, employees and community members in this campaign, so be thinking. Email stories and ideas to youmatter@salemhealth.org 

 

For more information, contact Jan Miller in Marketing.

 

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anchorMagnet® re-designation journey begins

This year, Salem Hospital begins the major process of re-designation under the American Nurses Credentialing Center's Magnet® Recognition Program.

 

Magnet® is a credential awarded to exceptional health care organizations that meet high standards for quality patient care, clinical excellence and innovation. We received this honor in 2010, and are working hard toward re-designation in 2014. Our application will be submitted this August; if approved, the ANCC team could visit us as soon as December or January.

 

More information is available on the Magnet section of the Salem Health intranet.  

 

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PRACTICAL MATTERS
Here's where you will find changes to Epic order sets, best practice advisories and reports from the Physician Leadership Council.
feedbackFeedback on proposed changes to medical staff rules due June 12

The Medical Executive Committee is accepting comments through June 12 on two sets of proposed revisions to Medical Staff Rules and Regulations.

The first addresses requirements related to progress notes for hospitalized patients.

The second set of changes seeks to clarify expectations for emergency department back-up staff. It includes additional proposed language, including:
  • A statement that there is no requirement for the clinic/practice to accept the patient as a new full-time patient to the practice.
  • Timeline requirements placed on both the patient seeking care, as well as the clinic providing care (within two weeks); this has been included due to some patients placing the follow-up appointment call weeks or months after the emergency department visit, and some practices offering their "first available appointment" to the patient, which happens to be three months later.
  • Clarification that the Level II trauma response time of 15 minutes refers to response by the Trauma surgeon.
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orderOrder Sets Advisory Committee established
  • New committee to support communication and decision-making
  • Reducing complexity, errors and duplication
  • Emphasis on evidence-based practice
David Holloway, MD, presented the Physician Leadership Council with a draft charter. The charter goes next to the Medical Executive Committee for a vote. Read the draft charter.

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dailyDaily assessment for central lines
  • New standard will document assessments
  • Shared responsibility for doctors and nurses
  • Better data and fewer infections
The Quality Operations Committee has explored strategies to reduce central line-acquired blood stream infections. A new procedure will allow Salem Hospital to determine the reasons for central lines and peripherally inserted central catheters, and to identify those that may be unnecessary. Read more.

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PSAStandardizing use of Patient Safety Alert system
  • Consistent definitions of problems to be reported
  • Standardize how problems are managed and resolved
To improve consistency across the hospital, the Patient Safety Division has drafted guidance for hospital and medical staff. The goal is to improve and enhance quality of care and patient safety.

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sunquestSunquest lab results to be restructured

 

An image restructure to Sunquest lab results is planned for May 28.

 

Workflows will not change, but if you notice any missing fields or unusual items, please report them to the Solution Center at 503-561-4357.  

 

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HONORS, AWARDS, and KUDOS
KudoClinical Excellence winners announced

 

As the culmination of Nurses week, Clinical Excellence Award winners were named at a banquet on Friday, May 9. They are:  

  • Advancing and Leading the Profession, Chuck Hammond, Emergency Department RN
  • Staff/Patient Management, Cynthia Oar, Pre-Surgical Screening RN
  • Clinical Nursing, Nancy Riley, Care Management RN
  • Ambulatory Care, Beverly Smith, Cancer Services RN
  • Education and Mentorship, Rebeca Cowin, IMCU RN
  • Volunteerism, Beverly Schmidgall, Wound and Infusion RN
The Transformational Leadership Award announced by Cheryl Nester Wolfe (first recipient), went to Misti Shilhanek, RN Discharge caller. The Clinical Achievement Award for RN Discharge Callers went to David Schultze.

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2014 ENA Media Award to honor trauma video

Almost a year ago, a group of high school students drove their car down a hill to "Hill Hop" and after reaching speeds over 100 mph to get air, they lost control resulting in a crash with injuries. Luckily, there were no deaths, but a couple weeks later, a similar crash resulted in deaths of teenagers.

 Bloody hill-hopping car accident haunts Salem teens 

Kelly Owen from Trauma Services took action. Rather than just "preaching" at students, she set out to have teens speak to teens. Patrick O'Herron, MD, provided a graphic description of the teen's injuries. Mark Glyzewski in Marketing and Communications worked with Kelly and set up interviews with the students and others involved, including rescue and trauma experts and produced the video.  

   

Their video won the 2014 Emergency Nurses Association Media Award and will be honored this October at the annual awards gala in Indianapolis.  

 

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COMING EVENTScoming
quarterlyJune 9 Quarterly Medical Staff meeting canceled

The quarterly medical staff meeting previously scheduled for June 9, has been canceled due to lack of agenda items.  

 

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patientsFor your patients

 

Diabetes Education
Whether a patient is newly diagnosed or has had diabetes for many years, diabetes education can help patients learn to monitor blood sugar, manage medications, plan healthy meals, reduce the risk of diabetes complications and set goals for healthy lifestyle changes.

Services include: 

  • Education for Type 1, Type 2 and Gestational Diabetes
  • Diabetes group classes (day and evening classes)
  • Individual appointments with a nurse or dietitian
  • Sweet Moms program for pregnant women with diabetes

A physician's referral is required for all services. The referral form can be found on the intranet under Diabetes Education. Most insurance plans cover diabetes education services and if no coverage is available, patients seeking these services may qualify for financial assistance.    

 

Eating Well After Cancer
"Lunch and Learn" Cancer Survivorship Education Series 

Thursday, June 5

Noon to 1 p.m. Free.

 

Learn how you can reduce cancer risk and recurrence through a healthy diet. This class will be taught by Marilyn Bacon, Salem Hospital, Registered Dietitian.

 

Lower Sodium Nutrition: The New Normal in Nutrition

Wednesday, May 28

1 to 2 p.m. Free.

 

Eating less salt, or lower sodium nutrition, is a heart healthy way for everyone to eat. Our registered dietitians will offer nutrition tips, snack suggestions, tips on how to manage dining out, and will answer your questions about eating less salt.

 

All classes meet at the Community Health Education Center in Building D. For more information or to register for a class, call 503-814-CHEC(2432) or visit  salemhealth.org/chec.

 

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ENGAGEMENT
welcomeRehab Center welcomes new psychologist

Mette T. Brynolf, Psy.D, has joined the Salem Hospital Rehabilitation Center's neuromuscular therapies unit. 

 

Dr. Brynolf, a clinical health psychologist, earned her Psy.D. in clinical psychology from Wright State University, School of Professional Psychology, in Ohio in 2006. After obtaining her degree, she specialized in the treatment of injured workers, including first responders, and people living with chronic pain from physical injury and illness. She also has experience treating people diagnosed with severe and persistent mental illness.  


Dr. Brynolf specializes in the treatment of chronic pain, adjustment to life-changing events, issues pertaining to physical treatments and healing, anxiety disorders, including post traumatic stress disorder, and mood disorders.


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Schmidgall named Cardiovascular Service Line director

 

Brandon Schmidgall became the Cardiovascular Service Line Director effective April 20, after serving as the interim director since January.  

 

Schmidgall joined Salem Hospital in 2002 when he was hired in what was then Progressive Care as a staff nurse. After two years, he transferred to the Emergency Department where he spent 10 years gaining experience as a charge nurse, assistant nurse manager and most recently as manager.

 

Schmidgall holds a BSN from the University of Portland and will begin his master's degree in September of this year.

 

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PLCGet your issue, concern or problem addressed

 

To use the Physician Leadership Council (PLC) Problem List, just submit your issue, concern or problem.

  • Each problem is assigned a leader
  • Action towards resolution is tracked by your Officers and Section Chiefs
  • Produces increased transparency and accountability

Submit issues, concerns, and questions to Kelli Fussell or contact one of your Medical Staff leaders with any items you would like to discuss.

 

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IN THE NEWS...news
SJHowardStatesman Journal reports (again) on plans for Church Street

The Statesman Journal continues to cover Salem Health's
proposal to build a new rehabilitation center and adaptive park, this time focusing on the perspective of parents whose children have disabilities. Read the article.

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Nurse grants final wish for mother of the bride
Viral video highlights compassion

Salem Health's recently released hospital wedding video, has gained national attention and earned nearly 7,500 views on YouTube in just six days.


This week, it got a boost from the Statesman Journal.
Toothaches bring too many to the ER
The Portland Business Journal reports that dental problems are the second most common ER diagnosis in young adults. In all, dental problems account for $8 million in hospital costs across Oregon. Read the study (it takes a while to load).
Report ranks Salem Hospital "middle of the pack" for C-sections
The latest issue of Consumer Reports magazine looks into the costs and risks associated with unnecessary caesarean sections and ranked hospitals from lowest rate to highest rate. Salem Hospital ended up in the middle. KATU covered the story.

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Common Ground Newsletter Editorial Board 
Email us anytime with feedback, suggestions, or something for the next issue!
Dr. David Holloway, CMO, Dr. Michael Hanslits, Medical Staff President
 Dr. Ian Loewen-Thomas, Chair, Compact Implementation Committee

Salem Health

503-561-5200