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Archive for September, 2009

Death FAQ

Lots of confusion around death in the ED. Here are some frequently asked questions and answers.

1. What types of death should be accepted by the medical examiner?

a. suspicion of foul play (homicide, suicide, abuse, poisoning, etc.)
b. trauma
c. toxicology
d. unexpected/unexplained/unusual death or death of a child
e. complication of medical procedure (e.g. surgery, endoscopy)
f. possible public health threat (unusual infection)

2. If there is no concern for any of these issues, do I have to call the ME?

No.

3. If the ME accepts the case, what do I have to do?

a. document the ME case number.
b. that’s it. you do not have to fill out an electronic death certificate or do a death pack.

4. If the ME doesn’t accept the case, what do I have to do?

a. document who you spoke with.
b. fill out a death certificate online using DAVE. If you fill out an online death certificate, you do not have to fill out a death pack. If you don’t/can’t fill out an online death certificate, you have to complete a death pack. Instructions for using DAVE are here:

http://mssmem.com/?p=254

5. What if I’m concerned about one of the issues in Question #1 but the ME refuses the case?

It’s almost always not a physician but a medical investigator you speak with on the phone. Especially if you have concern for foul play, do not simply agree to call it complication of diabetes or whatever dubious cause they give you; remember that you are deciding what the cause of death is when you fill out a death certificate. Ask to speak with another medical investigator, the medical investigator’s supervisor, or the chief medical examiner.

If you have any concerns or questions about the death process contact Mount Sinai’s Queen of Death, Ms. Norfortiria Grant, of the medical records office at extension 49629.

Written by reuben

September 29th, 2009 at 7:32 am

Posted in Death

Password Resets on IBEX

All attendings can reset IBEX passwords. The user must know her/his IBEX login.

1. Using the all menu, click on admin.

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2. Click passwords.

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3. A huge list of names will come up. I suggest you use the Find on this Page function to find user. Click on the person.

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4. Put in a temporary password. I suggest using the word ketamine. Click the checkbox “force user to change password at next login.”

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That’s it. The user should log in with the password you just assigned, and will be asked to reset it to a custom password.

Thanks to Vaishali for showing me how, and sorry to Kevin for harassing him after hours.

Written by reuben

September 22nd, 2009 at 5:49 am

Posted in IBEX

Jewish Home Admissions


According to the geriatrics department. All pts coming from jewish home should now be admitted to the geri service.
Thank you
Meika

Written by reuben

September 11th, 2009 at 5:00 pm

Posted in Nursing Home

Email Security

TO:                  All Faculty and Staff

 

FROM:            Aviva Halpert

Chief HIPAA Officer

The Mount Sinai Medical Center

 

Kenny Chu

Senior Director, Information Technology Security

The Mount Sinai Medical Center

 

DATE:              September 10, 2009

 

RE:                   Email Security

 

 

Email of Protected Health Information (PHI) or Other Confidential Information

Users of the Mount Sinai Medical Center email systems should review the policy on the Use of E-MAIL for communicating Protected Heath Information (PHI)and/or Personal Financial Information (Policy H-13).  Key points of the policy are:

· The minimum necessary amount of PHI should be disclosed via email.

· Messages that leave the medical center network that contain PHI or other confidential information must be encrypted.  Messages sent within The Mount Sinai Medical Center are not required to be encrypted.

· Encryption will not prevent misdirection or unintended forwarding of a previous string of emails.  Extreme caution must be exercised to prevent such risks.

· Unless the email is encrypted the patient’s name should not be used; if it is necessary to identify the patient the Medical Record Number should be used instead.

· If a patient wishes to communicate with his/her provider via e-mail regarding his/her care, the provider must obtain the patient’s consent.  Refer to Consent for Communication via E-mail (Physician-Patient) (Form MR-240).

The entire policy H-13 and form MR-240 can be found on the intranet-

http://intranet1.mountsinai.org/hipaa/policies/H-13.pdf

http://intranet1.mountsinai.org/MedicalRecords/pane.confidentiality/MR.pdf.240.pdf

Secure Messaging/Encryption

If you have to send PHI or other confidential information to an external recipient, you must use the email encryption option.  To activate the email encryption option, include the word [secure] within square brackets in the subject line of the message.  The recipient will be asked to self enroll when the message is opened.  The secure send mechanism can be used from any mail client (Outlook, Outlook Web Access, Blackberry.)

For certain destinations provisions have been made to ensure that all messages are encrypted using a mechanism called TLS.  For example, messages sent to Astra Zeneca and McKesson have been configured to auto encrypt so it is not necessary to manually activate encryption.

Beginning October 2009 the email system will automatically flag messages to external parties that contain confidential information but was not encrypted.

SPAM and Inappropriate Use

The use of Mount Sinai systems, including email, is intended for official business use.  Inappropriate use may result in the loss of access privilege and disciplinary actions.  Unsolicited mass emailing of material not related to medical center business is considered SPAM and may result in the loss of access privileges.  The entire policy HR 13.5 can be found on the intranet-

http://www.mountsinai.org/Education/School%20of%20Medicine/Computing%20Services/Network%20Access

 

Email Security and Phishing

Please remember to take care when opening attachments or following links contained in email messages.  Verify with the sender of the message if you receive an unexpected attachment or it contains suspicious links.  Be especially cautious of emails that have been quarantined by ProofPoint.  This product is very reliable in identifying SPAM. Unless a quarantined message is correspondence that you are expecting – do not release the email.

Please also take care with any messages that ask you to provide private information (Birthdays, Social Security Number, Credit Card numbers, User account passwords, etc.)  These messages may actually be a phishing attempt from a person pretending to be a legitimate company or organization.  If you have doubts please contact the party requesting the information for confirmation.  Users should not rely on the contact information contained in the email, but use the contact information typically found at the company website or on the back of the Bank or Credit card.

 

 

If you have any questions regarding any of the topics covered in this memo, please contact Kenny Chu – kenny.chu@mountsinai.org.

Written by phil

September 10th, 2009 at 5:21 pm

Posted in Admin

September 2009 Student Rotators

Raashee Sood, Jefferson Medical College

Raashee Sood, Jefferson Medical College

Liju Philip, SUNY Downstate

Liju Philip, SUNY Downstate

Comfort Amoh-Tonto, George Washington SOM

Comfort Amoh-Tonto, George Washington SOM

Lydia Sahlani, University of Toledo (Ohio)

Lydia Sahlani, University of Toledo (Ohio)

Murtaza Akhter, Northwestern SOM

Murtaza Akhter, Northwestern SOM

Written by tim

September 5th, 2009 at 12:05 am

Posted in Students

Elmhurst Central Line Bundle Kits

Hi folks,

HHC has gone to a new vendor and changed our central line bundles.

There are two major changes:
1. The syringes are now in a separate pack and the syringe wrappings ARE NOT STERILE. The syringes and the fluid is sterile. But you can not drop the syringe packages themselves on to your field. You must open each of the three syringes and drop them on to your field. THIS IS ANNOYING AND INEXPLICABLE.

2.  The drape is different
Look for the guy on the attached picture, he is next to one of the two openings
The guy represents the right-neck side of the drape
His head points to the head portion of the drape
The drape unfolds to the feet first and then the head (the opposite of the previous drape)

write me with any questions

Scott

drape-guy

Written by reuben

September 3rd, 2009 at 2:25 am

Posted in Elmhurst