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Archive for February, 2011

Core Measures Update

Hey guys

Actual pay for performance is starting in six months and the most recent report card does not look as good as it could (i.e. if we were paid on our current performance the hospital would lose several million dollars).

We are primarily responsible for 3 metrics

1. Door to balloon for STEMI- on this we are doing well.

2. Blood cultures prior to antibiotics for pneumonia patients

a. This we are not doing as well partially because our previous strategy (no cultures for simple CAPNA) conflicted with the dogma of the admitting teams (cultures on everyone)

b. That said… given the increasing number of resistant organisms, ID is requesting cultures before any IV antibiotics on admitted patients

c. This strategy does have the advantage of simplifying the expected behavior so please…

d. If you are providing IV antibiotics to a patient you are admitting get blood cultures first. 2 sets. Every time.

3. Appropriate antibiotics for pneumonia patients

a. We do pretty well with this

b. The only piece we often miss is atypical coverage in the ICU PNA patients

c. Give azithromicin to both community and hospital associated pneumonia patients

Again, this is a very visible issue at the level of the C Suite.
Thanks for the help.

Luke

Written by reuben

February 14th, 2011 at 4:35 pm

Posted in Cardiology,ID

EPIC OnSite CDR Instructions

Written by phil

February 11th, 2011 at 9:43 pm

Posted in Epic

IRB Process Instructions

Written by phil

February 11th, 2011 at 9:31 pm

Posted in Research

Tagged with

PACT team

Hi All,
Many people have been asking about that yellow notification on certain charts regarding contacting the social worker for a PACT patient. The PACT program is run by the inpatient social workers to prevent hospital readmissions. These patients are given quick follow up with either their private MD or if no pmd, have their own clinic in the IMA, and have intensive services provided for them. Therefore if you are seeing them in the ED, please please let our social workers know or you can call 4-PACT directly and talk to Maria Basso-Lipani. It’s really a great program. If it is after hours and noone is available, please email me or liza the names of patients you see regardless of discharge or admission. Thank you!

Qualifications- 2 or more admits in the past 6 months
All diagnoses are welcome, but there is more information/education/concentration on CHF patients.

Exclusion criteria: No JMF patients, No heart transplant patients.

Our NICE program for frequent ED visitors will be working with their program to give these patients the best chance possible.

Best,
Neesha

Written by reuben

February 9th, 2011 at 9:42 pm