Weekly Progress Notes February 10, 2016

EPIC INFORMATION

Epic Downtime is Scheduled for Thursday, February 11, 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 JHM Ambulatory and Inpatient Optimization Update:  Click here.


OR Committee/Department of Surgery Meeting Tomorrow

The next Operating Room Committee meeting will be combined with the Department of Surgery meeting and will be held on Thursday, February 11, 2016 at 7:00AM in Conference Rooms 6 & 7 on the lower level of the hospital.


Memo from Robert Rothstein, MD, VPMA  Re: Medicare Documentation Requirements: Kyphoplasty and Vertebroplasty at Suburban Hospital

Please be advised that before Medicare patients can be scheduled for a kyphoplasty or vertebroplasty, specific pre-procedure documentation must be present. To support the medical necessity of vertebroplasty/kyphoplasty procedures, the medical record must contain documentation of the patient’s pain, radiology findings that correlate with the patient’s pain and validate the presence of a compression fracture, as well as documentation to support conservative treatments were tried and failed.

Referring physicians should provide this documentation in the form of legible office notes, not a checklist:

Pain
o Pain level between 1-10 and any other details and a description of how pain has affected the ability to perform ADLs.

Description of failed conservative therapy
o List previous treatments and their outcomes
o Progress notes consisting of only conclusive statements should be avoided; “failed conservative therapy” is insufficient.

Radiology report showing compression fracture that correlates with patient’s pain and site of surgery

Any additional history and physical documentation used to support the decision for the procedure

Scheduling staff will screen pre-procedure documentation under the guidance of nursing and physician leadership. Suburban will contact you prior to scheduling your patient to request additional documentation when deficiencies are found. The full Local Coverage Determination (“LCD”) L33652 which outlines medical necessity and documentation requirements is retrievable at www.novitas-solutions.com.

Please note that Medicare will not reimburse for sacroplasty. Patients will be required to complete a Medicare Advance Beneficiary Notice of Noncoverage (ABN) before any procedure that is not covered by Medicare is scheduled.

Click here for the full memo.  Thank you for your cooperation.


Doximity Physician Surveys

Online reputational surveys for the US News & World Report rankings for 2016 have been sent out from Doximity. You are strongly urged to complete this survey should you receive one.

Since these surveys are sent to only a fraction of practicing physicians, your completed survey plays a significant role in the final reputation scores reported by US News & World Report. As you know, the US News & World Report annual rankings are widely used by consumers seeking the best healthcare and considered by many to be the “gold standard” of healthcare ranking surveys.

Thank you.


Reserve Your Spot Today! 
4th Annual Johns Hopkins Medical Staff Leadership Retreat

Please join us on Friday, April 8 from 7:15am to 2:30pm for the 4th annual Johns Hopkins Medical Staff Leadership Retreat at the Chevy Chase Club.  Topics will include “Thriving” vs. Surviving During Times of Change:  The Science of Enhancing Resilience presented by Bryan Sexton, PhD, Duke University Patient Safety Center and Empowering Physicians to Take Care of Themselves presented by Thomas Murphy, MD, founder of Heal Thyself MD.  5.5 CME credits will be awarded.

Click here for all the details and the agenda.  Continental breakfast and a buffet lunch will be provided.  This event is sponsored by Johns Hopkins Bayview Medical Center, The Johns Hopkins Hospital, Howard County General Hospital and Suburban Hospital.

Space is limited.  To register, call Alethea Johnson at 301-896-3339 or email her at ajohn153@jhmi.edu.


Message from Johns Hopkins Medicine Regarding Fraudulent Tax Filings

During the 2015 tax season, several members of the JHM faculty and staff made us aware that fraudulent tax filings were made on their behalf. Click here for important information that may help keep you from becoming a victim of identity theft. You should, of course, consult with your tax preparer if you have questions or concerns.


Navin Singh, MD, MBA, Plastic Surgeon Publishes Articles

Congratulations to Dr. Singh, who published two articles in “Plastic and Reconstructive Surgery” focused around breast implants — both reconstructive, such as in women with breast cancer, as well as cosmetic.

Click on the links below to read the articles.

Natrelle Silicone Breast Implant Follow-Up Study: Demographics, Lifestyle, and Surgical Characteristics of More Than 50,000 Augmentation Subjects

Natrelle Silicone Breast Implant Follow-up Study:Demographics, Lifestyle, and Surgical Characteristics of More Than 5000 Reconstruction Subjects


Suburban Hospital Grand Rounds

New Oral Anticoagulants

Friday, February 5, 2016 | 8-9 am | SH Auditorium

Speaker:

Shaad Abdullah, MD, Oncologist

Call 301-896-3869 with questions.

The 2016 Grand Rounds schedule is here.


Johns Hopkins Medicine Department of Surgery Grand Rounds

Biologically Inspired Engineering:  The Next Technology Wave

Thursday, February 11, 2016| Turner Auditorium | 7:30-8:30am | Live via Streaming Video |

Presented by:
Donald E. Ingber, MD, PhD
Founding Director, Wyss Institute for Biologically Inspired Engineering at Harvard University

To watch this week’s presentation from your computer, click here.
Please note:  Any provider attending the live stream in the Suburban Hospital Physician Lounge conference room will obtain the same CME credits as attending in person in Baltimore.

Weekly Progress Notes February 3, 2016

EPIC INFORMATION

Epic Downtime is Scheduled for Thursday, February 11, 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 JHM Ambulatory and Inpatient Optimization Update:  Click here.


OR Committee/Department of Surgery Meeting Next Week

The next Operating Room Committee meeting will be combined with the Department of Surgery meeting and will be held on Thursday, February 11, 2016 at 7:00AM in Conference Rooms 6 & 7 on the lower level of the hospital.


Johns Hopkins Compliance Hotline:  New Contact Information

Effective Monday, January 25, 2016 the Johns Hopkins Compliance Hotline number changed to
1-844-SPEAK2US (1-844-773-2528). The website is now JohnsHopkinsSPEAK2US.tnwreports.com.

The Compliance Hotline is available to report serious concerns about illegal or unethical behavior. You may make a confidential report through this new, toll-free 24 hour/7 day-a-week compliance hotline. Reports can be made anonymously and will be treated seriously and discreetly.

This phone number and website replaced the previous WE COMPLY hotline and website. If you have any questions, feel free to contact Jenny Tarsha, Suburban Hospital Compliance Program Manager, at x2669.


Reserve Your Spot Today! 
4th Annual Johns Hopkins Medical Staff Leadership Retreat

Please join us on Friday, April 8 from 7:15am to 2:30pm for the 4th annual Johns Hopkins Medical Staff Leadership Retreat at the Chevy Chase Club.  Topics will include “Thriving” vs. Surviving During Times of Change:  The Science of Enhancing Resilience presented by Bryan Sexton, PhD, Duke University Patient Safety Center and Empowering Physicians to Take Care of Themselves presented by Thomas Murphy, MD, founder of Heal Thyself MD.  5.5 CME credits will be awarded.

Click here for all the details and the agenda.  Continental breakfast and a buffet lunch will be provided.  This event is sponsored by Johns Hopkins Bayview Medical Center, The Johns Hopkins Hospital, Howard County General Hospital and Suburban Hospital.

Space is limited.  To register, call Alethea Johnson at 301-896-3339 or email her at ajohn153@jhmi.edu.


Message from Johns Hopkins Medicine Regarding Fraudulent Tax Filings

During the 2015 tax season, several members of the JHM faculty and staff made us aware that fraudulent tax filings were made on their behalf. Click here for important information that may help keep you from becoming a victim of identity theft. You should, of course, consult with your tax preparer if you have questions or concerns.


Suburban Hospital Grand Rounds

EMR Documentation:  Proper Documentation for More Money in Your Pocket

Friday, February 5, 2016 | 8-9 am | SH Auditorium

Speakers:

Nareesa Mohammed-Rajput, MD, Medical Director, Epic
Karen Joyner, Director, Clinical Documentation Improvement

To see the objectives for this presentation, click here.

Call 301-896-3869 with questions.

The 2016 Grand Rounds schedule is here.


Johns Hopkins Medicine Department of Surgery Grand Rounds

Sinai Hospital – Rhonda Fishel, MD Trauma/Critical Care Lectureship:  Women in Surgery, A Brief History

Thursday, February 4, 2016| 7:30-8:30am | Live via Streaming Video |

Presented by:
Preeti R. John, M.B.B.S., M.P.H., FACS
Acting Chief SICU
Baltimore VA Medical Center

To watch this week’s presentation from your computer, click here.
Please note:  Any provider attending the live stream in the Suburban Hospital Physician Lounge conference room will obtain the same CME credits as attending in person in Baltimore.

Weekly Progress Notes January 27, 2016

EPIC INFORMATION

Weekly JHM Ambulatory and Inpatient Optimization Update:  Click here.


Message from Robert Rothstein, MD, Vice President of Medical Affairs

Dear Medical Staff:

This has been a very challenging few days but, as usual, our staff rose to the occasion. Patients were cared for and the morale was amazingly high.   My personal thanks goes out to the hospital staff who stayed here for days and still maintained a great attitude.

To the Emergency Physicians, Hospitalists, Intensivists, Anesthesiologists, Radiologists, Cardiologists, Surgeons, Physician Assistants and other community doctors  who stayed in house or braved the elements to come in for emergencies – my heart felt thank you.

Things are still not back to normal and will not be for several days, so we must continue to be ready to support each other and our patients.

Suburban has always been a special place and this starts with our staff.

Thank you again.

Bob Rothstein, MD


Johns Hopkins Compliance Hotline:  New Contact Information

Effective Monday, January 25, 2016 the Johns Hopkins Compliance Hotline number changed to
1-844-SPEAK2US (1-844-773-2528). The website is now JohnsHopkinsSPEAK2US.tnwreports.com.

The Compliance Hotline is available to report serious concerns about illegal or unethical behavior. You may make a confidential report through this new, toll-free 24 hour/7 day-a-week compliance hotline. Reports can be made anonymously and will be treated seriously and discreetly.

This phone number and website replaced the previous WE COMPLY hotline and website. If you have any questions, feel free to contact Jenny Tarsha, Suburban Hospital Compliance Program Manager, at x2669.


Dr. Zibermint Publishes Article

Congratulations to Dr. Mihail Zilbermint, Director of Endocrinology, Diabetes and Metabolism Care at Suburban Hospital, on the publication of an article in Endocrinology, Diabetes and Metabolism Case Reports (Article ID: 150104).  Please click here to read Pseudohypoaldosteronism type 1 due to novel variants of SCNN1B gene.


“Medical Mysteries” Requested

Have you solved a medical mystery or given a patient an unusual or unexpected diagnosis?  We want to share Suburban’s  stories for a possible Washington Post Medical Mystery feature story. Click here to read a recent one.

If you have a patient who received treatment or had surgery at Suburban, please contact Debra Scheinberg in the hospital’s marketing department at dschein8@jhmi.edu or 301-896-3612.

Thank you.


Registration Is Open!  
4th Annual Johns Hopkins Medical Staff Leadership Retreat

Please join us on Friday, April 8 from 7:15am to 2:30pm for the 4th annual Johns Hopkins Medical Staff Leadership Retreat at the Chevy Chase Club.  Topics will include “Thriving” vs. Surviving During Times of Change:  The Science of Enhancing Resilience presented by Bryan Sexton, PhD, Duke University Patient Safety Center and Empowering Physicians to Take Care of Themselves presented by Thomas Murphy, MD, founder of Heal Thyself MD.  5.5 CME credits will be awarded.

Click here for all the details and the agenda.  Continental breakfast and a buffet lunch will be provided.  This event is sponsored by Johns Hopkins Bayview Medical Center, The Johns Hopkins Hospital, Howard County General Hospital and Suburban Hospital.

Space is limited.  To register, call Alethea Johnson at 301-896-3339 or email her at ajohn153@jhmi.edu.


NINR Lecture

On March 3, 2016, the National Institute of Nursing Research (NINR) is holding the first of four 2016 NINR Director’s Lectures. This event is free, open to the public and will be held at the National Institutes of Health (NIH) main campus in Bethesda, MD.

The Director’s Lecture will feature Dr. Kathryn H. Bowles, van Ameringen Professor in Nursing Excellence, Director of the Center for Integrative Science in Aging at the University of Pennsylvania School of Nursing and Vice President and Director of the Center for Home Care Policy and Research at the Visiting Nurse Service of New York, who will present:

Innovations to Improve Discharge Planning
Thursday, March 3, 2016, 1:00 p.m. to 2:00 p.m.

Lipsett Amphitheater (Building 10), NIH Campus, Bethesda, MD

More information about the event and speaker is available at www.ninr.nih.gov/directorslecture.


Suburban Hospital Grand Rounds:  Cancelled due to weather conditions.  

Call 301-896-3869 with questions.

The 2016 Grand Rounds schedule is here.


Johns Hopkins Medicine Department of Surgery Grand Rounds

The Paul and Angela Jordan Lectureship in Hepato-Pancreato-Bilary Surgery:  The Evolution of HPB Training.  What Does the Future Hold?

Thursday, January 28, 2016| 7:30-8:30am | Live via Streaming Video |

Presented by:
Rebecca M. Minter, MD
Professor of Surgery
UT Southwestern Medical Center

To watch this week’s presentation from your computer, click here.
Please note:  Any provider attending the live stream in the Suburban Hospital Physician Lounge conference room will obtain the same CME credits as attending in person in Baltimore.

Weekly Progress Notes January 20, 2016

EPIC INFORMATION

Weekly JHM Ambulatory and Inpatient Optimization Update:  Click here.


Impending Winter Storm – Please Plan Ahead

When snowstorms are predicted and we know there will be a certain duration, we plan ahead so that patient care needs will be met throughout the entire organization.  Therefore, all departments should be planning ahead for early arrivals and possible sleeping accommodations so that so that staff will be here in time for their shifts.

Only in the most extraordinary situations is a Code White called.  If you have questions during a snowstorm, call the hospital’s extreme weather line at 301-896-7669(SNOW) or 1 (800) 877-3523 box 7669.   If you need additional information, contact the nursing supervisor at 301-896-2942.


Cover JpgDon’t Miss the Winter Edition of New Directions

The winter edition of our community newsletter, New Directions, has been published and copies are available throughout the hospital. 

In this issue, you’ll read about a procedure Dr. Wade Chien performed on an 8-year-old boy to remove a growing mass from his middle ear.  You’ll also learn about a local man underwent successful robotic surgery for prostate cancer thanks to Dr. Tim Atalla.

There are updates about philanthropy at Suburban, the quarterly WellWorks™ list of programs and sepecial events and more.

You’ll find New Directions on the hospital’s website here.


“Medical Mysteries” Needed

Have you solved a medical mystery or given a patient an unusual or unexpected diagnosis?  We want to share Suburban’s  stories for a possible Washington Post Medical Mystery feature story. Click here to read a recent one.

If you have a patient who received treatment or had surgery at Suburban, please contact Debra Scheinberg in the hospital’s marketing department at dschein8@jhmi.edu or 301-896-3612.

Thank you.


Medical Records Office

The newly renovated Medical Records space is back in its original location on the first floor of the hospital.  Hours of operation are 8am to 5pm, Monday through Friday with badge access after 5pm and on weekends to dictate or sign charts that are delinquent.


OR Committee/Department of Surgery Meeting and Section Meetings

Surgery Section meetings will be held on Thursday, January 21, 2016 at the following times.  Please note that the Gynecology and Ophthalmology section meetings are cancelled.

Plastic Surgery – 7:15am in Conference Room 3

Thoracic and Vascular QA – 7:30am in Conference Rooms 6 & 7

GYN – 8:00 am in Conference Room 3

General Surgery – 8:00am in the Auditorium

Neurosurgery Section –  8:00am in Conference Rooms 1 & 2

Ophthalmology Section – cancelled


Registration Is Open!  
4th Annual Johns Hopkins Medical Staff Leadership Retreat

Please join us on Friday, April 8 from 7:15am to 2:30pm for the 4th annual Johns Hopkins Medical Staff Leadership Retreat at the Chevy Chase Club.  Topics will include “Thriving” vs. Surviving During Times of Change:  The Science of Enhancing Resilience presented by Bryan Sexton, PhD, Duke University Patient Safety Center and Empowering Physicians to Take Care of Themselves presented by Thomas Murphy, MD, founder of Heal Thyself MD.  5.5 CME credits will be awarded.

Click here for all the details and the agenda.  Continental breakfast and a buffet lunch will be provided.  This event is sponsored by Johns Hopkins Bayview Medical Center, The Johns Hopkins Hospital, Howard County General Hospital and Suburban Hospital.

Space is limited.  To register, call Alethea Johnson at 301-896-3339 or email her at ajohn153@jhmi.edu.


Suburban Hospital Grand Rounds

Topic:  To be announced in next week’s Progress Notes

Friday, January 29, 2015 | 8-9 am | SH Auditorium

Speaker:

Michael Zenilman, MD
Vice Chair and Regional Director of Surgery, Washington DC Region
Professor of Surgery

Call 301-896-3869 with questions.

The 2016 Grand Rounds schedule is here.


Johns Hopkins Medicine Department of Surgery Grand Rounds

Resident Debate #3: “Antibiotic Therapy Versus Appendectomy for Treatment of Uncomplicated Acute Appendicitis

Thursday, January 21, 2016| 7:30-8:30am | Live via Streaming Video |

Presented by:

Seth Goldstein, MD
Kyle Van Arendonk, MD
Chief Residents for Surgery 2015-16
The Johns Hopkins Hospital

To watch this week’s presentation from your computer, click here.
Please note:  Any provider attending the live stream in the Suburban Hospital Physician Lounge conference room will obtain the same CME credits as attending in person in Baltimore.

Weekly Progress Notes January 13, 2016

EPIC INFORMATION

Weekly JHM Ambulatory and Inpatient Optimization Update:  Click here.


Message from Ronald R. Peterson,  President, The Johns Hopkins Hospital and Health System and EVP, Johns Hopkins Medicine

To the Johns Hopkins Medicine community

Dear Colleagues,

During the past 19 years, I have had the privilege of serving concurrently as the 10th president of The Johns Hopkins Hospital, third president of the Johns Hopkins Health System and the very first executive vice president of Johns Hopkins Medicine. During this time, Johns Hopkins Medicine has grown exponentially in size and complexity. As a result of this growth, and as a part of the succession planning process for leadership of The Johns Hopkins Hospital, Dean/CEO Rothman and I, along with the trustees, have decided that now is the time to recruit the next president of The Johns Hopkins Hospital.

Together, Dr. Rothman and I will co-chair the search committee that has been formed to determine who will serve in that position. Our aim is to have the next president in place by July 1, 2016.

I will work with the new president when he or she comes on board, and this individual will report to me. I will continue to serve as Dr. Rothman’s partner in the leadership of our enterprise as president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine.

All members of the Johns Hopkins Medicine community should take comfort in knowing that an orderly transition process for leadership of our iconic flagship hospital is underway.

Sincerely,

Ronald R. Peterson

President
The Johns Hopkins Hospital and Health System
EVP, Johns Hopkins Medicine 


Medical Records Office

The newly renovated Medical Records space is back in its original location on the first floor of the hospital.  Hours of operation are 8am to 5pm, Monday through Friday with badge access after 5pm and on weekends to dictate or sign charts that are delinquent.


OR Committee/Department of Surgery Meeting and Section Meetings

The next Operating Room Committee meeting will be combined with the Department of Surgery meeting and will be held on Thursday, January 14, 2016 at 7:00am in Conference Rooms 6 and 7 on the lower level of the hospital.

Surgery Section meetings will be held on Thursday, January 21, 2016 at the following times:

Plastic Surgery – 7:15am in Conference Room 3

Thoracic and Vascular QA – 7:30am in Conference Rooms 6 & 7

GYN – 8:00 am in Conference Room 3

General Surgery – 8:00am in the Auditorium

Neurosurgery Section –  8:00am in Conference Rooms 1 & 2

Ophthalmology Section – cancelled


Registration Is Open!  
4th Annual Johns Hopkins Medical Staff Leadership Retreat

Please join us on Friday, April 8 from 7:15am to 2:30pm for the 4th annual Johns Hopkins Medical Staff Leadership Retreat at the Chevy Chase Club.  Topics will include “Thriving” vs. Surviving During Times of Change:  The Science of Enhancing Resilience presented by Bryan Sexton, PhD, Duke University Patient Safety Center and Empowering Physicians to Take Care of Themselves presented by Thomas Murphy, MD, founder of Heal Thyself MD.  5.5 CME credits will be awarded.

Click here for all the details and the agenda.  Continental breakfast and a buffet lunch will be provided.  This event is sponsored by Johns Hopkins Bayview Medical Center, The Johns Hopkins Hospital, Howard County General Hospital and Suburban Hospital.

Space is limited.  To register, call Alethea Johnson at 301-896-3339 or email her at ajohn153@jhmi.edu.


Notary Services Available at Suburban

Suburban Hospital has two notaries in the Administration Office, Brian Ebbitt and Marlene Maroulis, who are available to assist physicians and hospital staff with notarization services.  Hours are 6am to 5pm and no appointment is necessary.


Annual Update from Johns Hopkins Medicine

This past year, Johns Hopkins Medicine made promising strides in cancer care and research, led efforts to create lasting economic opportunities in Baltimore, and ceaselessly sought new, innovative ways to improve the health of our communities and the world. Visit hopkinsmedicine.org to see the many ways we delivered the promise of medicine in 2015, including a video of top research highlights.


2nd Annual Update on Advances in Endoscopy, Gastroenterolgy and Hepatology

Registration is open for this full-day event on February 27, 2016 at The Ritz Carlton in Tysons Corner, Virginia.  Click here for details.


Seshamani

Dr. Meena Seshamani

Suburban Hospital Grand Rounds

ACA Implementation and Delivery System Reform: HHS’ Continued Efforts to Transform Health Care

Friday, January 15, 2015 | 8-9 am | SH Auditorium

Speaker:

Meena Seshamani, MD, PhD
Director, Office of Health Reform
Department of Health and Human Services

To see the objectives for this presentation, click here.

Call 301-896-3869 with questions.

The 2016 Grand Rounds schedule is here.


1.14.2016 PosterJohns Hopkins Medicine Department of Surgery Grand Rounds

Martin Luther King Lectureship:  Lessons from a Birmingham Jail, “The Ominious Clouds of Inferiority”

Thursday, January 14, 2016| 7:30-8:30am | Live via Streaming Video | Please note:  Any provider attending the live stream in the Suburban Hospital Physician Lounge conference room will obtain the same CME credits as attending in person in Baltimore.

Presented by:

Malcolm V. Brock, MD
Professor of Surgery and Oncology
Department of Surgery
Division of Thoracic Surgery
Johns Hopkins Medicine

To watch this week’s presentation from your computer, click here.