December 2016

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Welcome to eFocus.  Our goal is to provide you with timely, informative and useful short summaries and links about UM UCH related news, issues, or events.  Feel free to contact us if you have news to share, story ideas or any other feedback. As always, your comments are welcome.

eFocus, December 2016 topics include:


Welcome

This is the final eFocus of 2016. I appreciate everyone’s feedback regarding the newsletter. The positive comments are great, but if there are other ideas, commentary or topics that you would like to see covered please send them my way. We have a great edition of eFocus for December in which Dr. Rubin shares our innovative Coronary CT Angiography program. We want to congratulate Dr. Faheem Younus and Jen Bui, PharmD, along with the Infection Prevention team, for their recognition on the CDC website for Success Stories in Antibiotic Stewardship. We will also highlight our very own Tonya Appleby, DNP, CRNP and her recent accomplishment. Really great things are happening here at UM Upper Chesapeake Health that should be celebrated, but we also need to examine our weaknesses. 

I shared with the Medical Executive Committee our most recent performance related to patient experience (HCAHPS), which was less than desired. We have had pockets of success on 3 East Telemetry and the Emergency Departments.  I know we will see even greater successes in 2017 because of the team and the culture we have here at UM UCH. I saw the evidence when a patient provided Drs. Bahl and Giordano with hand crafted framed pictures for the kind and compassionate care that they gave. I am told of the team member, Karen, in Radiology, that went out of her way to help a physician navigate the department and get him where he needed to be. We will also see the dedication to our patients when each and every team member comes to the hospital during the holidays to work when they could be at home with their families. This level of commitment is to be commended. Our challenges will be our greatest successes in 2017.

Now, for our final readership contest of the year (which will be a $20 Starbucks gift card) we have the following challenge. Below, you will see a row of quotes followed by a list of physicians. I recently asked each clinical chief to provide me with his/her favorite inspirational quote. The person who matches them all--or whoever gets the most right first--will win the gift card. Because this is the most difficult challenge we've had to date, we won’t close it out until the end of the year. The winner will be announced the first week of 2017 – see you then. My last question is: Are you fired up for 2017?!

  1. Mahatma Gandhi’s three traits of a great man: Integrity, Perseverance, and Selflessness
  2. The beatings will continue until morale improves.
  3. If you want to go fast walk alone. If you want to walk far then walk with a group. - Proverb from Ghana
  4. All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident.  Every man takes the limits of his own field of vision for the limits of the world.
  5. Those who stand for nothing fall for anything. - Alexander Hamilton
  6. If you're not at the table, you’re on the menu.
  7. Excellence has little time for doubt.
  8. When written in Chinese, crisis is composed of two characters. One represents danger and the other represents opportunity. - John F. Kennedy

  • Dr. Younus
  • Dr. Schneider
  • Dr. Abraham
  • Dr. Barrueto
  • Dr. Gonze
  • Dr. Jokhadar
  • Dr. Nivatpumin
  • Dr. Poppe Ries

Fermin Barrueto, Jr., M.D., M.B.A.
Senior Vice President/CMO
Medical Staff Affairs


Physician Online Data & Reputation Management

More consumers than ever are searching a doctor’s name online, allowing them to effectively meet doctors before even making an appointment. Top search results include listings on third-party rating sites like Healthgrades, Vitals, WebMD and others. Generally, these profiles are not based on affiliation or a specific location, and they move with you throughout your career. Because of this, it’s important to maintain your online presence across all platforms.

UM UCH Website Profile Management

Make sure your profiles on the UM UCH website and the UM School of Medicine site, if applicable, are accurate.

  1. Our Medical Staff Office manages each physician's credentialing information. Once a physician is granted privileges, basic contact information is shared with the UM UCH Marketing team to build a profile for public viewing accessible from our public website umuch.org/findadoc
  2. If you are a member of our medical staff, visit http://docfind.umms.org/chesapeake and find your profile. If updates are needed, please send them to Brian Trantules at btrantules@uchs.org or Emily Davis at edavis@uchs.org.
  3. UM SOM: www.medschool.umaryland.edu/faculty/Faculty-Profiles/. Visit this page to learn how to create or update your faculty profile: medschool.umaryland.edu/newprofile/

Physician Rating and Listing Sites

Check and claim your listings on the top doctor-rating, review and compare sites. Most of these rating and review sites allow you to claim your listings. By claiming your profile, you can edit your information. There is usually a verification process when claiming your profile.

  1. Healthgrades: Free registration; update profile information here: update.healthgrades.com
  2. Vitals: In the For Doctors section, click on “claim your professional profile,” then sign up for a free account to update your profile: my.vitals.com
  3. WebMD: Free registration; update your profile information here: connect.webmd.com
  4. UCompareHealthCare: Once on your listing, click “view profile,” then, “update your information” (bottom right of the page). Find your profile: ucomparehealthcare.com.
  5. RateMDs: Find and claim your profile: ratemds.com/plans/doctor/
  6. iTriage: Type your name in the search box in the upper right-hand corner of the home page: itriagehealth.com. Click on your profile, then “edit this listing.”
  7. Yellow Pages: Type your name in the “what do you want to find” search box: yellowpages.com. Click on your profile, then “suggest an edit.” Then, you’ll have the option to claim and manage your profile. Didn’t find yourself? Use the “suggest a business’ button near the end of the page.

Innovations in Health Care

Coronary computed tomography angiography (CTA) is a noninvasive heart imaging test which has recently achieved major technologic advancement.  High-resolution, 3-dimensional pictures of the moving heart and great vessels are produced during a coronary CTA to determine if either fatty or calcium deposits (plaques) have built up in the coronary arteries.  Coronary CTA has consistently shown the ability to rule out significant narrowing of the major coronary arteries.  This new technology can also noninvasively detect “soft plaque,” or fatty matter, in the coronary artery walls that has not yet hardened but that may lead to future problems if not treated with lifestyle changes and medications. 

Coronary CTA is most useful to determine whether symptoms of chest pain may be caused by a coronary blockage, particularly in individuals that may be at risk, such as those with a family history of cardiac events, diabetes, high blood pressure, smokers, and/or those with elevated cholesterol. 

The newest 256 slice CT technology has:

  1. High diagnostic accuracy and may become a new gold standard for diagnosing CAD.
  2. Low radiation exposure, able to achieve <1.0 mSv of radiation exposure in many patients.
  3. Opened the imaging modality to most patients with appropriate indications.

Check out this presentation (available on the Intranet only) to learn more.


Living the UMMS Brand: Be a Part of Something Greater

Do our patients understand the benefits of being part of the University of Maryland Medical System and our commitment to Maryland’s health across all our sites, services, affiliated entities and shared services? What about you? Our medical staff, APCs, directors, team members?  

Starting in early 2017, UMMS will launch “Be a Part of Something Greater,” an internal and external campaign to showcase our role as the premier health care system for Maryland. The external campaign will educate consumers on the benefits of seeking care at an UMMS affiliate, with its connection to academic expertise, discovery and innovation. Before we launch this campaign in our communities, we want to share it with our internal teams to build our own understanding and pride in being a part of UMMS.

 

The internal campaign will start in mid-January. Keep an eye out for the following: 

  • System Spirit Week, January 16-20: Celebrate the UMMS brand at every location
  • Internal newsletters, intranet postings, table tents, digital screens, banners, and other signage and visual reminders
  • Employee videos sharing what makes UMMS greater
  • Video for all new-hire orientations about what makes UMMS special and the importance of living the difference every day (to begin in February) 

The external campaign starts later this winter with advertising across the state, promoting the same theme of “Be a Part of Something Greater.”

We look to each of you to engage staff throughout the year, gathering feedback and personal stories, to live and share our health care System’s brand benefits and experience. 


Clinical Highlights

  • The CDC recently recognized our Antibiotic Stewardship Program as a Success Story. Our ASP has been active since 2009 under the leadership of Faheem Younus, MD and Jennifer Bui, PharmD. The intent is to promote appropriate use of antimicrobial therapy, minimize the emergence of antimicrobial-resistant bacteria, prevent hospital acquired C. difficile infections, and reduce health care costs without adversely impacting the quality of care. Click here to read more about the great work of the ASP. 

  • Nurse Practitioner Tonya Appleby, DNP, ACNP-BC will be displayed in the upcoming publication of the 'Worldwide Leaders in Healthcare.'


Spiritual Care Services

Life is complicated. Personal situations and health needs can be overwhelming, taxing coping skills and leading to crisis, suffering and spiritual distress. This has direct implications for overall mind-body-spirit healing. Spiritual Care Services is an invaluable resource for addressing emotional and spiritual need.

Spiritual Care Services is comprised of 70 lay and ordained ministers who provide spiritual and pastoral care to UM UCH and UM HMH team members, patients, families and visitors. Facilitated by UM UCH Chaplain Allen Siegel, OFS, MA, BCC, C-CISM, Spiritual Care Services offers a variety of supportive interventions and services including: 

  • Ministry of Presence: active listening, empathy, compassion, comfort
  • Spiritual and emotional support in times of crisis or despair
  • Exploration of meaning and purpose
  • Presence to the dying and their loved ones
  • Arranging Spiritual Leader/Clergy visits
  • Providing faith based community resources
  • Religious articles, devotional and supportive literature, and Sacred Scripture; Bibles, Qur'ans 
  • Blessings, prayer, religious/spiritual services, memorials, and ritual observances including sacraments
  • Spiritual, religious, and faith based guidance and education
  • Exploration of moral or ethical dilemmas
  • Pastoral and spiritual counsel

To reach Spiritual Care Services for consultation:
Chaplain Allen Siegel: Pager 410-588-0348, email asiegel1@uchs.org, blackboard connect.
Chaplain on Call: Intranet Spiritual Care SharePoint Chaplain on Call Schedule
Spiritual Care Services Office: Regular business hours @ 443-643-1375
Meditech Referral


MEC and P&T Summaries

The following items are from the MEC meeting on 12/14/16.

  • Greeley subcommittee to be appointed
  • Approval of:
    • Revised Cardiac Cath Lab – Angiography Progress Note
    • Revised Informed Consent policy
    • Revised Patient Placement policy
  • High cost drug indicator pilot
  • Chemotherapy orders – biennial approval:
    • Abraxane (format changes only)
    • Cytoxan-DOXOrubicin (format changes only)
    • DOCEtaxel (format changes only)
    • Fulvestrant (format changes only)
    • Ixabepilone – changed emesis risk to low; removed Aloxi and Zofran)
    • FCR (format changes only)
    • Gemcitabine-CISplatin (format changes only)
    • PACLitexel-gemcitabine (format changes only)
    • ABVD (format changes only)
    • azaCITIDine – changed neutropenic risk to moderate
  • Formulary Changes
    • Added FEIBA – monitor use for six months
    • Deleted:  triamterene – due to limited use
  • t-PA exclusion criteria – low molecular weight heparin (LMWH) was removed as a contraindication to altaplase
  • Newly appointed practitioners:
    • Sara Mola, MD – Neonatal Medicine
    • Justin Price, MD – Adult Hospitalist
    • Matthew Wakeley, MD – Emergency Medicine
    • Donna Beagle, CRNP – Adult Hospitalist
    • John Druyor, CRNP – Pediatrics
    • Tianyun Jiang, PAC – Adult Hospitalist
    • Sheila Keasler, CRNA – Nurse Anesthetist
    • Donna Kern, PAC – Obstetrics and Gynecology

Quality Update

The CMS recently launched two new consumer-oriented websites that publish information about the quality of inpatient rehabilitation facilities and long-term care hospitals, lengthening its list of Compare websites amid a broader push in healthcare to increase transparency about quality and engage patients in their care.


From the Office of Case Management

Attention Physicians:

Just a reminder that Christmas falls on a Sunday this week; Home Health and SAR slots will fill up fast. Please speak with your case managers early if you have patients who may need Home Health or SAR as many of these agencies and facilities will likely be closed on Christmas Eve. For inpatient issues on Christmas Day please call the on-call phone. An ED Case Manager will be on site Christmas Day for approximately 6-8 hours for ED issues only.

Please plan ahead for patients who may require discharge home on medications requiring pre-authorization or self-pay patients who may require expensive medications. There will be limited staff on site on Christmas Eve, so PLEASE plan ahead! We are almost fully staffed the week between Christmas and New Year's. 

Thank you!  


Upcoming Meetings and Events

Mark your calendars for important standing meetings and special events.

Special Events

  • Red Dress Pink Ribbon: Keep it Moving!
    Exercise and increased activity can cut your chances for heart disease and breast cancer is also beneficial during treatment for either disease. Please share with your patients! Guests will enjoy a morning of fun and wellness. They can shop with our vendors, enjoy great exhibits, interactive activities, refreshments and much more. 
    Saturday, Feb. 18, 8 a.m. - 12 noon 
    Kaufman Cancer Center  
    Registration is required by calling 800-515-0044. Inclement weather date is 2/25; check umuch.org to confirm.

Standing Meetings

  • Pediatric Grand Rounds: Held the first Wednesday of every quarter (Jan., Apr., July, Oct.) from 7 - 8 p.m. Guest lecturers present different topics in pediatric medicine, including common dermatologic conditions, effects and management of obesity in children, pediatric head injuries, and more.  
  • Multidisciplinary Thoracic and General Conferences: 12 Noon, Alternates Every Thursday (e.g., Thoracic is 11/3, General is 11/10)
    UM UCMC, KCC Streett Conference Room
  • Multidisciplinary Breast Conference: 8 a.m., Every Tuesday
    Radiology/Oncology Conference Room
  • Pharmacy &Therapeutics (P & T) Committee: 7:30 a.m., Second Wednesday of each month
    UM UCMC Maryland Room 
  • Credentials Committee 7:30 - 9 a.m., Third Friday of each month
    UM UCMC, MSCR 
  • Medical Staff Leadership  8 - 9 a.m., Fourth Thursday of each month
    UM UCMC, Fallston Room/UM HMH, MSCR