St. Anthony Residency Communicaiton

  Pod Meeting Agenda – January 2019   Circulate Sign-In sheet and scan/email/give to Jenn Stradley Assign someone to take Minutes (can use the agenda as a template) and email to your Pod/Karen Martin/Beth Groff   Introductions/ice breaker –  Your choice!   ·         Quality data by Pod, Trophies for 4 quality measures!! Most recent data from December to review – will be sent separately Mammograms – 52 percent from July to 61.8 in December, good job! Working on PVP! Colon cancer –-Unchanged from July to December 44.3 percent HTN control – small drop from July to December Diabetic control- A1c steady. 58.7 to 59 in December Overall seeing best improvement from Mammograms.   Winners from your pod/clinic for all four quality measures  -Liegl breast cancer                   ...

Hi Pod Leaders!   POD MEETINGS ARE TOMORROW from 4-5pm. Modify as you'd like!   Pod Meeting Agenda – January 2019   Circulate Sign-In sheet and scan/email/give to Jenn Stradley Assign someone to take Minutes (can use the agenda as a template) and email to your Pod/Karen Martin/Beth Groff   Introductions/ice breaker –  Your choice!   ·         Quality data by Pod, Trophies for 4 quality measures!! Most recent data from December to review – will be sent separately Winners from your pod/clinic for all four quality measures   ·       Plan for addressing all 4 quality measures o   Who What When's for each quality measure – Mammograms Colon cancer – Patient "Shared Decision Making Guide" in now in BPA in Epic, can print for patient.  T-shirts coming? HTN control Diabetic control   ·       Resea...

To simplify the system below there is a pool you can send your email to after speaking to the ED.   Use this pool in epic:   144TH SAN FAM ORCHARD SUBOXONE [10029001519]   From: Insel, Kimberly J Sent: Thursday, January 17, 2019 4:16 PM To: Tamura, Krystal <KrystalTamura@Centura.Org>; Diaz, Sara <SaraDiaz@Centura.Org>; Flint, Ryan <RyanFlint@Centura.Org>; Groff, Elizabeth <ElizabethGroff@Centura.Org>; Harrington, Trevor E <TrevorHarrington@Centura.Org>; Liegl, Sarah <SarahLiegl@Centura.Org>; Ludemann, Matthew MD <MatthewLudemann@Centura.Org>; McGee, Colleen M. <ColleenMcGee@Centura.Org>; Ochs, Genevieve <GenevieveOchs@Centura.Org>; Price, Bethany R <BethanyPrice@Centura.Org>; Strickland, Laura E. <LauraStrickland@Centura.Org>; Veres, Sharry <SharryVeres@Centura.Org>; Walter, Kimberly <KimberlyWalter@Centura.Org>; Zarza, Christina <ChristinaZarza@Centura.Org>; ...

Hello Everyone, Just a quick note to add to Krystal’s updates.   The ED has started to do inductions (giving people in withdrawal from opiates suboxone to help them with symptoms and encourage them to stop using narcotics) for patients they are seeing with other presenting issues.   Currently, they are  calling the on-call FM OB pager as a first step in coordinating continuity of care.  This is not the best system but it is the system they have chosen and will be in place until April of this year.   In order to feel prepared here is a quick check list so that if you get called to help coordinate follow up you can know what to ask and how to help.   Situation: ED calls stating they intend or have already started an induction with suboxone.   Your Checklist :   Ask ED if they’ve done a readiness assessment and if they have decided the patient is appropriate for outpatient management at a clinic level: ...

Sorry it’s a little long. It’s been awhile since I sent out any updates.   Medicine:   ALTO (alternatives to opiates) implementation in ED This is a new program being rolled out at many EDs. Our ED has started to implement it to decrease the amount of opiates prescribed. Unique treatments being used by the ED are ketamine and lidocaine. At this time, these orders should be one-time only in the ED. We are unable to perform lidocaine or ketamine infusions on the floor until nursing/provider education is completed (date TBD). If they are ordered as infusions, you will need to cancel them as an inpatient.   At-Risk Patient Order ( please see your required health stream module for more information) New “at-risk patient” order in epic Use in addition to M1 order or independently if not meeting M1 criteria, but need more precautions Needs to be renewed after 72 hours Doesn’t replace the M1 hold If patients are not on an M...

Clinic Update December 2018   Merry Christmas and Happy Holidays to all of you!! Thanks to everyone for helping with our staff breakfast earlier this month – it was very much appreciated by one and all!     In Brief:   Biometric Screening Visits lab codes use ICD-10 Z00.0; Z00.01 (or well-woman codes Z01.419 or Z01.411) Physical Therapy Referrals - Refer instead to Ben Fetter, our athletic trainer, for an initial consult rather than to PT.  Message him in Epic. Medication Reconciliation – If an MA discontinues a med the provider must also discontinue it in order for the change to be permanent Controlled Substance Contract Breach – a revised letter is now available, see attached Colorado Medicaid Preferred Drug List link – https://www.colorado.gov/hcpf/pharmacy-resources Monofilaments for diabetic foot exams can be reused – wipe off with alcohol swab &#128522;   A copy of this update is on the Sharepoint site! ...

Stress Tests over Christmas: 12/22- normal availability 12/23- no stress testing available 12/24- normal availability 12/25- no stress testing available Broomfield Pediatric Newborn Coverage: We will be covering newborns for Broomfield Pediatrics from 12/20/18-1/1/19   ***************************************************************************** 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 use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. *****************************************************************************