Weekly Progress Notes, July 29, 2015

EPIC INFORMATION

Starting Saturday, August, 1, onsite support for Epic physician orders/documentation will be provided Monday – Friday from 7am – 7pm.  Instructions on accessing support for every day of the week are here.

JHM Weekly Inpatient Newsletter:  Click here.

JHM Weekly Ambulatory Newsletter: Click here.


Preparing for ICD-10: Updates to Forms, Orders and Referrals, Provider Training & Resources

Updates to Forms, Orders and Referrals

All surgery case posting forms, standing orders and referrals continuing into October 2015 must contain ICD-10 diagnosis information. Providers will be required to submit ICD-10 information for scheduling and patient financial clearance at Suburban.  For patients actively being seen that will extend into October, you may be asked to provide ICD-10 diagnosis information now.  Surgery case posting and referral forms for cardiac rehabilitation, physical, occupational and speech therapies and Psych Day Treatment will be revised by the end of July.  Please be sure to use the new forms and discard the old forms. All revised forms are available here.

Provider Training – Start Preparing Now

Training focuses on “good” documentation and not on how to memorize or select codes and an understanding of the tools in Epic to assist in the selection of ICD-10 specific codes. Therefore, there are a minimum of two on-line modules that we strongly recommend physicians and other professional staff take between August and September which include:

  • Using ICD-10 in Epic – 10 min.
  • Specialty modules (listed in alphabetical order) – 10 min.

You will be able to obtain CEU credit for your specialty specific module.  If you have taken general ICD-10 training elsewhere, please remember to still take the Epic workflow module.

To access these training modules, log on to myJHMI using your JHED ID and password. Navigate to myLearning under Education. Once at myLearning, select “Catalog” and then the ICD-10 tab/Provider. For detailed instructions, click here.  To assist providers with documentation clarity, our clinical documentation improvement team will reach out to providers with queries.

For additional resources to help your practice prepare for ICD-10, click here.


 JHM Town Hall Meeting at Suburban Hospital on Friday

There will be a LIVE Johns Hopkins Town Hall Meeting on Friday, July 31 from 1:30 to 2:30pm in our Auditorium.  All physicians are welcome to join us.

Paul B. Rothman, dean of the medical faculty and CEO of Johns Hopkins Medicine, and Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System and executive vice president of Johns Hopkins Medicine will join a panel discussion on the people strategic priority.


Construction Zone

Due to the expansion of the construction project to include the Lambert building, the parking gate at the Southwick parking entrance is no longer accessible.  Please use the Lincoln Street entrance instead.

Also, please note that construction fencing has been installed around the Lambert Building.  Staff can no longer be able to walk behind the Lambert Building to access the sidewalk along the garage to get to the hospital.  The sidewalk along the back of the garage will continue to be open for people parking in the garage as long as the garage is operational.

Lastly, Lincoln Street between Old Georgetown Road and Grant Street has closed.  This block of Lincoln Street will continue to provide access to the Suburban Hospital campus.


Laboratory Changes

On July 18,  Suburban Hospital Laboratory Services upgraded the Chemistry instrumentation to the Roche Cobas 6000 and the Hematology instrumentation to the Sysmex XN3000.  In addition, the Laboratory updated the Laboratory Information System to the SCC Soft Lab system and Haemonetics Safe Trace TX Blood Bank LIS.

Please click here for a detailed letter from Stanley Podlasek, MD, Laboratory Medical Director, about unit and reporting changes.  Please contact Dr. Podlasek at 410-740-7850 or spodlas2@jhmi.edu.


Suburban Hospital Grand Rounds/JHM Department of Surgery Grand Rounds: Grand Rounds will be on vacation during July and August.  We’ll see you in September!

Weekly Progress Notes July 22, 2015

EPIC INFORMATION

Epic Downtime is Scheduled for Thursday, July 23, from 3-5am 

Please note:

  • An AlertUs message will flash on every computer screen to warn users at 2:45 am to log off.
  • After this AlertUs message is seen, orders are held in the system until downtime ends.  Therefore STAT orders should follow a downtime process immediately.
  • Users can use View–Only SRO (Supports Read-Only) – Epic is available in a read only mode as of the point in time the system went to downtime.  Reports are available.
  • No new entries can be made into the system during the downtime – no new orders, documentation, ADT and new results will not display.
  • Follow Department’s downtime procedures and use downtime forms.
  • Epic will be available to Registration prior to everyone else so any new admissions and ADT information can be entered first.
  • An AlertUs message will flash when the system is back up for everyone.
  • After the system returns, follow Department’s downtime procedure and enter orders, documentation into Epic.
  • Clarity reports will not be available until after 1 pm.

Weekly Tip Sheet:  Wouldn’t it be nice if we could walk into a store and have what we wanted ready and waiting for us at the checkout counter so that all we had to do is pay and then walk out of the store with it? We can provide that same level of convenience for our patients with their non-controlled medications by doing e-prescribing. When a provider uses e-prescribing to send new prescriptions to a pharmacy of the patient’s choice, the prescriptions will be there waiting for the patient to pick them up after discharge. It is one less piece of paper that you have to sign and it increases patient satisfaction.  Click here to learn how.

JHM Epic Newsletters

JHM Weekly Inpatient Newsletter:  Click here.

JHM Weekly Ambulatory Newsletter: Click here.


LINSTROM joe web photo

Joe Linstrom

Memo from Gene E. Green, MD, President and CEO

RE:  Promotion for Joe Linstrom

Barbara Jacobs, Senior Director of Nursing resigned from Suburban Hospital at the end of June.  Jacky Schultz, Chief Operating Officer, has agreed to step into the role of interim Chief Nursing Officer and will work closely with Associate CNO LeighAnn Sidone.  We are very fortunate that we can benefit from Jacky’s many years of experience in managing nursing operations and LeighAnn’s 20 years of dedicated service to Suburban. I plan to perform a search for Suburban’s new Chief Nursing Officer after the completion of the VPMA search.

With these changes I am pleased to announce that I have promoted Joe Linstrom to the position of Vice President of Operations.  Joe came to Suburban Hospital in 1998 and was promoted to Senior Director of Diagnostic and Support Operations in 2010.   I am confident that in this new role, Joe will contribute to our key priorities of enhancing the patient, family and physician experience while sustaining operational excellence.

Please join me in congratulating Joe.   He can be reached at 301-896-2075 or jlinstr2@jhmi.edu.


 

Laboratory Changes

On July 18,  Suburban Hospital Laboratory Services upgraded the Chemistry instrumentation to the Roche Cobas 6000 and the Hematology instrumentation to the Sysmex XN3000.  In addition, the Laboratory updated the Laboratory Information System to the SCC Soft Lab system and Haemonetics Safe Trace TX Blood Bank LIS.

Please click here for a detailed letter from Stanley Podlasek, MD, Laboratory Medical Director, about unit and reporting changes.  Please contact Dr. Podlasek at 410-740-7850 or spodlas2@jhmi.edu.


Construction Zone

Due to the expansion of the construction project to include the Lambert building, the parking gate at the Southwick parking entrance is no longer accessible.  Please use the Lincoln Street entrance instead.

Also, please note that construction fencing has been installed around the Lambert Building.  Staff can no longer be able to walk behind the Lambert Building to access the sidewalk along the garage to get to the hospital.  The sidewalk along the back of the garage will continue to be open for people parking in the garage as long as the garage is operational.

Lastly, Lincoln Street between Old Georgetown Road and Grant Street will be closing as a through street on July 22.  This block of Lincoln Street will continue to provide access to the Suburban Hospital campus.


ICD-10:  ICD-10 will go live on October 1, 2015.  Are you and your office staff prepared?  

  • This code set change will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). The change to ICD-10 does not affect CPT coding for outpatient procedures.
  • Major impact areas include billing, financial clearance, patient referral, and clinical documentation.
    • IMPORTANT – Please include the ICD-10 diagnosis code for any referrals or appointments that may be scheduled on or  after Oct. 1, 2015. For any new appointments or standing orders continuing into October, the Patient Access team has begun to ask for ICD-10 diagnosis information.
    • Provider training for ICD-10 will begin in July for residents and in August for all other providers. Stay tuned for more details.

Click here for tips and resources.


Mark Your Calendar:  JHM Town Hall Meeting at Suburban Hospital

There will be a LIVE Johns Hopkins Town Hall Meeting on Friday, July 31 from 1:30 to 2:30pm in our Auditorium.  All physicians are welcome to join us.

Paul B. Rothman, dean of the medical faculty and CEO of Johns Hopkins Medicine, and Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System and executive vice president of Johns Hopkins Medicine will join a panel discussion on the people strategic priority.


Suburban Hospital Grand Rounds/JHM Department of Surgery Grand Rounds: Grand Rounds will be on vacation during July and August.  We’ll see you in September!

Weekly Progress Notes July 15, 2015

Suburban Lab Downtime, Saturday, July 18 from 10am to 2pm

On Saturday, July 18, the McKesson Lab Information System will be replaced with the SCC Soft Lab System and the Haemonetics Safe Trace TX Blood Bank LIS.  Throughout the JH Enterprise, we are moving toward standardized lab software, consistent lab workflow, harmonized orderable tests, and standardized lab policies and procedures.

Please click here for detailed information on the downtime.


EPIC INFORMATION

Epic Downtime is Scheduled for Thursday, July 23, from 3-5am 

Please note:

  • An AlertUs message will flash on every computer screen to warn users at 2:45 am to log off.
  • After this AlertUs message is seen, orders are held in the system until downtime ends.  Therefore STAT orders should follow a downtime process immediately.
  • Users can use View–Only SRO (Supports Read-Only) – Epic is available in a read only mode as of the point in time the system went to downtime.  Reports are available.
  • No new entries can be made into the system during the downtime – no new orders, documentation, ADT and new results will not display.
  • Follow Department’s downtime procedures and use downtime forms.
  • Epic will be available to Registration prior to everyone else so any new admissions and ADT information can be entered first.
  • An AlertUs message will flash when the system is back up for everyone.
  • After the system returns, follow Department’s downtime procedure and enter orders, documentation into Epic.
  • Clarity reports will not be available until after 1 pm.

Tip of the Week:  If you urgently need to see an old ECG while at Suburban Hospital, you can either click on the link in Epic (Chart Review → Cardiology) or you can go to SHIP (http://ship.suburbanhospital.org) and click on Applications (across the top).  On the right hand side, click on MUSE Web Access. A screen asking for a login name and password will pop up. The username is webuser and the password is webuser. That will give you access to all the ECGs that have been collected at Suburban Hospital

JHM Epic Newsletters

JHM Weekly Inpatient Newsletter:  Click here.

JHM Weekly Ambulatory Newsletter: Click here.


Construction Zone

Due to the expansion of the construction project to include the Lambert building, the parking gate at the Southwick parking entrance is no longer accessible.  Please use the Lincoln Street entrance instead.

Also, please note that construction fencing will be installed around the Lambert Building this Friday.  Staff will no longer be able to walk behind the Lambert Building to access the sidewalk along the garage to get to the hospital.  The sidewalk along the back of the garage will continue to be open for people parking in the garage as long as the garage is operational.

Lastly, Lincoln Street between Old Georgetown Road and Grant Street will be closing as a through street on July 22.  This block of Lincoln Street will continue to provide access to the Suburban Hospital campus.


 

ICD-10:  ICD-10 will go live on October 1, 2015.  Are you and your office staff prepared?  

  • This code set change will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). The change to ICD-10 does not affect CPT coding for outpatient procedures.
  • Major impact areas include billing, financial clearance, patient referral, and clinical documentation.
    • IMPORTANT – Please include the ICD-10 diagnosis code for any referrals or appointments that may be scheduled on or  after Oct. 1, 2015. For any new appointments or standing orders continuing into October, the Patient Access team has begun to ask for ICD-10 diagnosis information.
    • Provider training for ICD-10 will begin in July for residents and in August for all other providers. Stay tuned for more details.

Click here for tips and resources.


Mark Your Calendar:  JHM Town Hall Meeting at Suburban Hospital

There will be a LIVE Johns Hopkins Town Hall Meeting on Friday, July 31 from 1:30 to 2:30pm in our Auditorium.  All physicians are welcome to join us.

Paul B. Rothman, dean of the medical faculty and CEO of Johns Hopkins Medicine, and Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System and executive vice president of Johns Hopkins Medicine will join a panel discussion on the people strategic priority.


Suburban Hospital Grand Rounds/JHM Department of Surgery Grand Rounds: Grand Rounds will be on vacation during July and August.  We’ll see you in September!

Weekly Progress Notes, July 8, 2015

EPIC INFORMATION

JHM Epic Newsletters

JHM Weekly Inpatient Newsletter:  Click here.

JHM Weekly Ambulatory Newsletter: Click here.


Today!  You’re Invited to the Lambert Retirement/Razing Party DSC_0279

Join us on Wednesday, July 8, from 3-5pm as we say goodbye to the Lambert Building in style!  Historical photos of the hospital will be on display and you can get a glimpse of the future Suburban.  Share your memories of the Lambert Building in a special memorial book and enter a Lambert quiz contest.

Help us “raze” a little funding for the construction of the new building by purchasing a Sharpie (suggested amount $5-10) to leave your mark of friendly graffiti on the building!

Refreshments will be provided and everyone is welcome.


ICD-10:  ICD-10 will go live on October 1, 2015.  Are you and your office staff prepared?  

  • This code set change will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). The change to ICD-10 does not affect CPT coding for outpatient procedures.
  • Major impact areas include billing, financial clearance, patient referral, and clinical documentation.
    • IMPORTANT – Please include the ICD-10 diagnosis code for any referrals or appointments that may be scheduled on or  after Oct. 1, 2015. For any new appointments or standing orders continuing into October, the Patient Access team has begun to ask for ICD-10 diagnosis information.
    • Provider training for ICD-10 will begin in July for residents and in August for all other providers. Stay tuned for more details.

Click here for tips and resources.


Mark Your Calendar:  JHM Town Hall Meeting at Suburban Hospital

There will be a LIVE Johns Hopkins Town Hall Meeting on Friday, July 31 from 1:30 to 2:30pm in our Auditorium.  All physicians are welcome to join us.

Paul B. Rothman, dean of the medical faculty and CEO of Johns Hopkins Medicine, and Ronald R. Peterson, president of The Johns Hopkins Hospital and Health System and executive vice president of Johns Hopkins Medicine will join a panel discussion on the people strategic priority.


Suburban Hospital Grand Rounds/JHM Department of Surgery Grand Rounds: Grand Rounds will be on vacation during July and August.  We’ll see you in September!


 

Weekly Progress Notes July 1, 2015

EPIC INFORMATION

Happy Birthday to Epic!

Today, July 1,  marks the one year anniverscakeary of our Epic Go Live!  Thank you for helping us make the transition.  Please stop by the Physician Lounge to celebrate today.

Tip Sheet of the Week:  When discharging patients, there are times when the patient needs to get some diagnostic imaging and/or labs after discharge. There is an easy way to do this. One way is to do it as part of discharge medication reconciliation. Another way is to use the Output Orders tab. Click here for a tip sheet.

JHM Epic Newsletters

JHM Weekly Inpatient Newsletter:  Click here.

JHM Weekly Ambulatory Newsletter: Click here.


Pharmacy Update:  ICU Medications with Cost Saving Opportunities

Click here for a list of medications that may provide cost savings.  Call Jennifer Raynor at 301-896-3305 with questions.


ICD-10:  ICD-10 will go live on October 1, 2015.  Are you and your office staff prepared?  

  • This code set change will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). The change to ICD-10 does not affect CPT coding for outpatient procedures.
  • Major impact areas include billing, financial clearance, patient referral, and clinical documentation.
    • IMPORTANT – Please include the ICD-10 diagnosis code for any referrals or appointments that may be scheduled on or  after Oct. 1, 2015. For any new appointments or standing orders continuing into October, the Patient Access team will begin to ask for ICD-10 diagnosis information, starting July 1st.
    • Provider training for ICD-10 will begin in July for residents and in August for all other providers. Stay tuned for more details.

Click here for tips and resources.


Suburban Hospital Grand Rounds/JHM Department of Surgery Grand Rounds: Grand Rounds will be on vacation during July and August.  We’ll see you in September!


Considering Getting an MBA? Starting in August 2015, Johns Hopkins Carey Business School will offer an MBA in Health Care Management at Sibley Memorial Hospital.

This 54-credit, cohort-based program can be completed in three years.  Students will take one on-ground course each term at Sibley concurrently with one online course.  The JHU Carey MBA at Sibley offers a blend of foundational business classes (including negotiation, accounting and financial reporting, operations management and decision models) and health care management courses (including health care delivery, health care financing, health and business law, and leading health care organizations).  Students will gain valuable skills, including leadership, financial management and strategic planning.

The JHU Carey MBA at Sibley is open to Sibley and Suburban medical and administrative staff as well as interested health care professionals in the Greater Washington area.  Priority will be given to Sibley and Suburban staff.

Application requirements include a bachelor’s degree from a regionally accredited college or university, a minimum of two years of professional health care related experience, letters of recommendation, essays, and a GMAT/GRE score.  The GMAT/ GRE may be waived for physicians and others with significant work experience or an advanced degree.  Applications are due no later than July 1, 2015.

Visit carey.jhu.edu/SibleyMBA  for more information or contact the admissions office at 410-235-0545 or 855-270-4436 or via email at carey.flexmba@jhu.edu.