UnityPoint Health recognized in the news St. Luke’s Hospital earns best hospital in the corridor for the fourth time It’s that exciting time of the year again when the best businesses in Iowa’s Creative Corridor are honored, as chosen by the Corridor Business Journal's (CBJ) readers and UnityPoint Health - St. Luke's Hospital has been voted best hospital in the corridor for the fourth time! In June, the CBJ asked subscribers and the general public to vote for their favorites in 50 categories ranging from the best professional firms to the best place to get a drink after work. Entries were taken by write-in vote, meaning any company can win. Read an excerpt from UnityPoint Health - St. Luke's Hospital's CBJ article: St. Luke’s strives to provide a healthy work environment, Mr. Townsend said, adding that the Cedar Rapids region of UnityPoint Health’s eight major regions across Wisconsin, Illinois and Iowa has the highest associate satisfaction. “I think when you have people who feel they are engaged and respected, they will provide better patient care, and we are very proud of the fact that we have the best associate satisfaction within the entire system,” he said. All 3,700 associates in the Cedar Rapids region continually challenge themselves to improve their performance year after year, he said. “We are always trying to get better tomorrow than we are today.” for Physicians August 2016 Connect with us: unitypoint.org/social T.H.E. Care Model: 2016 priorities, recent accomplishments and 3rd quarter activities T.H.E. Care Model is the UnityPoint Health strategy to deliver on our brand promise of Care Coordination. It was designed to solve problems our patients and providers regularly encounter in our current health care processes. A foundational element of this work is the ability to risk-stratify our patients to provide the right service at the right time to the right patient. Today we are happy to share some key accomplishments towards our overall goal. July Happenings UnityPoint Health named Most Wired for the fifth consistent year American Hospital Association’s (AHA) Health Forum has named UnityPoint Health a “Most Wired” Health System for the fifth year in a row. Grundy County Memorial Hospital, a UnityPoint Health Community Network Hospital, has also received the honor. According to the results of the 18th Annual Health Care’s Most Wired survey, technology is improving the efficiency of care delivery and creating a new dynamic in patient interactions. Most Wired hospitals are using telehealth to fill gaps in care; provide services 24 hours a day, 7 days a week; and expand access to medical specialists. This year’s results show: • The top three telehealth services offered in hospitals are consultations and office visits, stroke care, and psychiatric examinations and psychotherapy. • Stroke care is the most rapid growth area for telehealth services up 38 percent from 2015, as evidence-based studies emphasize the time urgency of stroke care. • More than 25 percent of hospitals use internet-enabled monitoring devices for chronic disease management of congestive heart failure, diabetes and heart disease. Our patient portal, ‘My Chart,’ is a valuable tool that allows us to connect quickly and easily with many of our patients online - their preferred manner. UnityPoint Health is focused on these efforts, and others, in order to excel at the triple aim of providing patients with quality care and optimal experience at a lower cost. News and Announcements Paging Physicians Sleep Rooms St. Luke’s has received information from physicians about being paged back to only a 4-digit number. When outside the hospital it is impossible to know what prefix to use. We have shared this information with associates at St. Luke’s but also wanted to share with providers when paging a colleague. It is very important that those paging associates and physicians enter all 7-digits. Below is a reference chart with prefixes in case you only receive 4-digits in the page. 866 – for extensions 1000-1999 369 – for extensions 5100-5199 and 7000-8999 368 – for extensions 5500-5999 286 – for extensions 4300-4399 558 – for extensions 4800-4999 861 – for extensions 6700-6999 Any provider in need of a sleep room at St. Luke’s while on-call should contact the House Supervisor via the St. Luke’s operator. The House Supervisor will be able to identify an area for the provider to sleep for the evening. Any extension not in the above ranges it is an internal number only and cannot be dialed from outside. Images Pokemon Concern Addressed To ensure our patient confidentiality is not threatened due to the new Pokemon game, St. Luke’s has physically/virtually surveyed the hospital to ensure we did not house any Pokemon or Gems, contacted the developers by filling out a form to exclude our campus, and will continue to monitor on an ongoing basis. • The Risk Stratification process has been enhanced to enable a more robust methodology to capture claims, EHR, and chronic diseases to determine low, rising, and high risk. The methodology has been validated by a small group of UnityPoint Clinic providers as they review the results for their panel of patients. We are now ready for all UnityPoint Clinic patients to be risk stratified and this information will display in Epic and on the Common Care Plan. We are excited about the ability to use this risk stratification as it will ensure that we provide the right services to the right individuals based on their needs. Ted Townsend, President and CEO • Patient Self-Scheduling Online will be piloted in the UnityPoint Clinic Family Medicine – Altoona site and in the Madison region, via MyUnityPoint. Our patient portal. UnityPoint Clinic, the Call Center, the Patient Portal, and IT have worked together to consolidate scheduling templates to enable both online and centralized scheduling. • Centralized Scheduling will also be piloted in the Family Medicine - Altoona clinic following the patient self-scheduling implementation (September). Centralized Scheduling redirects calls from the clinic for future appointments to the Call Center, allowing UnityPoint clinic staff to focus on their patients. • The Common Care Plan has been built to capture and display patients’ chronic conditions, personal goals, social determinants, barriers to care, medication lists and common screening tools. Proof of concept testing was done in two clinics to obtain provider feedback prior to piloting. In addition the build was vetted with Epic experts for content and display. Epic leadership endorsed the content for population health management and offered suggestions for display. The Common Care Plan will be auto-populated by other upstream documentation. The longitudinal care plan is now ready for pilot in the Cedar Rapids region beginning July 17. • Ambulatory care coordinators will be the key stakeholders. To ensure efficient care coordinator documentation and auto-population of information into the Common Care Plan, a new flowsheet has been developed for use by care coordinators. Education and training on this tool will begin June 28. Initial This article directly correlates feedback from regional care coordinators was positive. Further feedback was with our strategic focus on obtained through proof of concept testing in two clinics. delivering on care coordination. • NOTE: The Common Care Plan will be available at the end of June. Cedar Rapids will receive training and pilot usage for high risk and top tier rising risk patients July 17 – September 30. Other regions may see the Common Care Plan within a patient record but there is no expectation for completion or utilization until wider deployment and training occurs in October. The accomplishments thus far reflect the commitment and effort of many individuals across the organization. I would like to take this opportunity to personally thank each of you that have been involved with this work. You are making a significant impact on our patients, clinicians and providers. Epic Update Rounding Navigator The Rounding navigator now shows 24 hours’ worth of vitals for ICU patients and 72 hours’ worth of vitals for non-ICU patients. Close the Red Door To prevent HIPAA violations through unauthorized access; please remember to log out of Epic when leaving a computer work station. This is best accomplished with Badge Out activity or “closing the red door” located on the upper right hand corner of the screen. Brain Death Diagnosis Peer to Peer Evaluations Dustin Arnold, DO There is now a smart text available for brain CMO/CMIO death. It is called UPH Physician Brain Death Diagnosis. To access this template, select the smart text search box (next to the butler), type in brain death and select the UPH version for a templated note. Results Release to MyUnityPoint Most test results are automatically released to patients active on the MyUnityPoint portal. Meaningful Use allows for providers to prevent the releasing of results on a result by result basis at the patient level. Providers can now do so at their discretion using a new button in the In Basket or the MyUnityPoint Results Release activity. This change is coming as part of an Epic Special Update on July 17. Bed Request Order In the Bed Request order, a hard stop has been added to the Telemetry required field. Update to Medication Order Composer When placing an order for a new medication, providers will see three days’ worth of scheduled time. This was approved by the Inpatient Physician Advisory Committee. The denials management nurses would like to thank all the physicians who so kindly agree to help with the peer to peer evaluations for Inpatient Level of Care Denials. It helps so much when the doctor caring for the patient talks with the insurance company reviewing physicians. This process helps ensure the appeals process is successful. Kidney Disease Documentation Tips • Oct. 10 at noon Oct. 24 at 4 p.m. Patients can call (319) 363-3565 and select the Health Promotion prompt to sign up. Sessions are held at UnityPoint Clinic – Diabetes and Kidney Center, 1002 4th Ave. SE, Cedar Rapids. Registration is required. Aug. 19 I Sept. 30 I Nov. 11 “Acute kidney failure on chronic kidney disease stage (1-4).” OR “Acute on chronic kidney failure, stage (1-4)” If you are using “acute on chronic kidney disease” in your documentation, the acute change is not reflected and will simply reflect the chronicity of the disease. Please contact a member of the Documentation team with questions – Lynn Johnson at 369-7073, Carrie Bantz at 2864307, Kelly Pottebaum at 558-4959 or Rhonda Holtkamp at 560-6928. • Rose Hedges, Provider Informatics Specialist – (319) 538-8089; [email protected] [email protected] 369-7143 • Sept. 12 at noon Sept. 26 at 4 p.m. In order to accurately reflect the acute change and severity of illness in the renal function of a patient with chronic renal disease, you must use the term “failure.” • Dustin Arnold, DO, CMO/CMIO – (319) 270-2888; [email protected] [email protected] 369-7302 • Aug. 8 at noon Aug. 22 at 4 p.m. Kidney Failure = Acute change and chronicity of the disease. Please contact one of the people below for Epic assistance or 1:1 training sessions (order sets, preference lists, smart phrases, etc.) to make Epic easier for you to use. Mary Henry Physician Services The UnityPoint Clinic Diabetes & Kidney Center Meal Replacement Program is medically supervised, includes group and expert support and provides rapid weight loss using HEALTH ONE products. Diabetes Devices & Technology Hands-On Class Kidney disease = chronicity of the disease Epic support Scott Whitson Physician IT Services Meal Replacement Program Epic help line (319) 369-5191 IT Call Center (319) 369-8181 Learn about the available diabetes technologies to deliver insulin and monitor glucose. Join us for one of the following sessions: All classes are from 1 - 3 p.m. at UnityPoint Clinic Diabetes & Kidney Center, 1002 4th Ave. SE in Cedar Rapids. To register call (319) 363-3565. Cancer Risk Assessment and Genetics Clinic The Cancer Risk Assessment and Genetics Clinic at the Helen G. Nassif Community Cancer Center provides individual counseling, risk assessment, genetic testing, and surveillance recommendations for your Individuals. These services are provided by nurse practitioners with expertise in oncology, counseling, and genetics. The nurse practitioners have a combined genetics experience of over 20 years. Patients that may benefit from the Cancer Risk Assessment and Genetics Clinic include: • Individuals with a strong family history of any cancer. • Individuals who have been diagnosed with cancer under the age of 50. • Individuals who have been diagnosed with more than one cancer or a rare cancer. • Individuals with a known genetic abnormality in the family. • Individuals with a history of colon polyps. • Individuals who have questions about their cancer risks. All patients have an initial assessment, counseling, education, and ongoing support. Most health insurance plans cover these services. For more information, please call (319) 558-4876. UnityPoint Clinic Cardiology welcomes: Ojas Bansal, MD College/Medical School: Padmashreee Dr. D. Y. Patil Medical College, Mumbai, India Residency: Creighton University Medical Center Fahed Al Darazi, MD College/Medical School: American University of Beruit, Lebanon Residency: John H. Stronger, Jr. Hospital of Cook County, Chicago, Illinois Medicine Please call (319) 739-2036 to schedule an appointment or for more information. UnityPoint Health - Cedar Rapids is FOCUSed!
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