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Showing posts from October, 2018

84th Diabetes clinic

Hey Providers, We are starting a diabetes clinic in hopes to bring down our A1C numbers. We will be incorporating Pharmacy and our diabetic educator in these visits. This will hopefully help with education about diabetes medications as well as diet skills needed for controlling diabetes. I believe that pharmacy is thinking about reaching out periodically to patients to titrate medications such as insulin over the phone. There has also been discussion of providing/presribing patients a continuous glucose monitor to aid in glucose control. For now, clinic will be at 84th clinic every other Wednesday. Please start having your MAs schedule patients for our first clinics in November. Vollmer scheduled in Diabetic clinic on Nov 14 th  and Aquila scheduled in Diabetic clinic on Nov 28 th . Thanks! Get Outlook for Android From: Mathias, Tanner D Sent: Thursday, October 25, 2018 5:00:03 PM To: Groff, Elizabeth; Alli, Olu...

RE: Clinic Updates for October

See attached   From: Groff, Elizabeth Sent: Thursday, October 25, 2018 3:03 PM To: Alli, Olubunmi <OlubunmiAlli@Centura.Org>; Alvarez, David <DavidAlvarez@Centura.Org>; Anthony, Craig <CraigAnthony@Centura.Org>; Blog <sharryveres.blogit@blogger.com>; Bobb, Roelyn <RoelynBobb@Centura.Org>; Brazil, Frances <FrancesBrazil@Centura.Org>; Corfield, Chrisaba <ChrisabaCorfield@Centura.Org>; Covarrubias, Alexis <AlexisCovarrubias@Centura.Org>; Delmonico, Arenet <ArenetDelmonico@Centura.Org>; Dion, Mary <MaryDion@Centura.Org>; Hubbard, Jennifer E <jenniferhubbard@Centura.Org>; Johanson, Anna B <AnnaJohanson@Centura.Org>; Keahey, Eric <EricKeahey@Centura.Org>; Romansky, Kerrian <KerrianRomansky@Centura.Org>; Klooster, Onna <OnnaKlooster@Centura.Org>; Kneusel, Maria M <MariaKneusel@Centura.Org>; Maher, Gina <GinaMaher@Centura.Org>; Malinowski, Marina <MarinaMalinowski...

Clinic Updates for October

Clinic Updates for October   Pap ordering in Epic – Can use universal order (automatic reflexing), has been working well so far.  Other specific orders will also work but this one reflexes based on age to guideline recs:                                                 IGP, Aptima HPV, CtNg Age Gdln   Referrals to Women’s Health  – Make sure women in pap screening age range have an up-to-date pap done/recorded in Healthcare Maintenance before referring them!      Epic waiting list for appointments – Patients can be placed on a waiting list for a given day, will get a text if an appt opens, they can then take the offered spot.     Medication lists for patients ...

Pod Meeting Agenda for 10/25/18

  Pod Meeting Agenda – October – Thankful Thursday of Staff Appreciation Week!   ICE CREAM SOCIAL TODAY- woo hoo!   - Pass around a sign-in sheet and scan/email/give to Jenn Stradley - Someone else take minutes (can use the agenda as a template) and email to your Pod/Karen Martin/Beth Groff   ·       Introductions/ice breaker –  What is one thing you are grateful for this week?   ·         Quality data by Pod, Trophies for 4 quality measures!! Data from September to review (attached) Winners? (see separate email)     ·       Plan for addressing all 4 quality measures o   Who What When’s for each quality measure – Mammograms – current incentive for MAs/gift basket for patients Colon cancer HTN control Diabetic control   ·  ...

Inpatient updates

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These have been added to the residency blog ( https://stanthonyresidency.blogspot.com/ )and also in the Inpatient/OB folders on the residency hub sharepoint site ( https://centurahealth.sharepoint.com/teams/SANResidencyHUB )  .   Medicine:   Code blue/Rapid response in PT and cardiopulmonary rehab starting 10/22 We will respond to all of these starting 10/22. There are code carts located in each location. See attached map for locations of these areas.   Mock codes and rapid responses starting 10/22 We will be starting to run more drills. Please treat these like true rapid responses and codes, so we can continue to build our skills and monitor response times and team roles.   Advanced Directive Documentation Try to use the “Advance Directives” tab in both the inpatient/outpatient setting when recording patient’s decision making capacity, surrogate decision maker, and advanced directives. Chaplains can also help to fill...

Pharmacist on inpatient service starting 10/22

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Lauren Biehle is a pharmacist that used to work at Rose and do education for the residents, as well as, teaching pharmacist students. When Rose’s program closed, we took her on to our program. She is going to start on the in-patient service Monday 10/22 . She is not a hospital pharmacist through Centura, she is more for resident and student education.   We are hoping to integrate her and her students into the inpatient medicine service as follows. She will be available Mon-Wed mornings. She will come around during/after sign-out to look at the patient list and cases that would be good for teaching. Wed mornings, we would like to do pharmacist morning teaching (5-10min), instead of night float senior . She has a strong interest in antibiotics and anticoagulants. She may also join us in our group bedside rounds for patients that would be good for pharmacy education.   In Jan, she will have 2 students and we thought about integrating one to each team for g...

FW: Health care maintenance tab in epic

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At our pod meeting, there were some questions that came up about using the HCM tab in epic. This is where you should make sure everything is updated so that your patients get credit for getting their items completed. In the dashboard tab of epic on the upper right hand side clinic on “link to quality measure instructional videos”. (see screen shot below). This has videos for using HCM and information about all the different quality metrics. Krystal Tamura Inpatient Medical Director, Faculty St. Anthony North Family Medicine Residency 720-352-4874 Phone 303-430-5565 Fax 14300 Orchard Pkwy. Westminster, CO 80023 krystaltamura@centura.org ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or ...

FW: Newborn Resuscitation Updates

Due to some of the recent resuscitations on L&D we have found some opportunities for improvement and have made the following changes. Changed Code Rainbow to Neonatal Code Blue Code Rainbow will no longer be used.  We learned that Code Rainbow was not widely known/recognized throughout the house and was only being activated from the NICU “code blue button” All NICU Code Blue buttons in the rooms will activate – Neo Code Blue All LDRP Code Blue buttons by the warmer will activate – Neo Code Blue All LDRP Code Blue buttons at the head of the maternal bed will activate – Maternal  Code Blue OB OR – There is only one button that is located by the circulators desk it  will activate – Maternal Code Blue.   Optimization of kangaroo boards LMAs have been added to the kangaroo boards The amount of saline flushes on the kangaroo boards has been reduced Laryngoscopes There were some issues getting the new all-in-one laryngoscopes of the b...

FW: Specialist call schedules now on Amion

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Please see the link below regarding specialists call schedules now being on amion. Instead of looking at individual call schedules on my virtual workplace, you can access them all at the same time on amion. There is also an "amion" app that you can use on your phone. Download Amion Click on "Accounts" à then "get on call schedule" Type in SANoncall Choose the specialist you need You can click on the person's name to get contact information and even call them right from the app! Krystal Tamura Inpatient Medical Director, Faculty St. Anthony North Family Medicine Residency 720-352-4874 Phone 303-430-5565 Fax 14300 Orchard Pkwy. Westminster, CO 80023 krystaltamura@centura.org From: SAN Communication [ mailto:c_centura@emailopen.com ] Sent: Tuesday, September 04, 2018 8:30 AM To: Tamura, Krystal < KrystalTamura@Centura.Org > Subject: The Voice of North - Tuesday, Septem...