MEDICINE DEPARTMENT UPDATE
April 3, 2014
Highlights from the April QRC Meeting:
1.
Nurse Practitioners in the ED
The QRC reviewed and approved the revised NP Practice Privileges and Standardized Procedures to reflect that
the Emergency Department NP’s do not have admitting privileges.
2.
Peer Case Review Indicators
The Peer Case Review Indicators for Medicine, GI and ED Clinical Service were reviewed and accepted without
change.
3.
Meditech Training
A memo outlining the Mandatory Meditech Training was sent to all practitioners’ office and home
addresses. Copies of the memo were provided for review and the following was highlighted:
 As of April 1st practitioners can sign register for the proctor lab
 April 21st – HealthStream is open for eLearning modules
 Meditech eLearning will take approximately 2.5 hours and CME credit is available
 ChartMax training will take approximately 10 minutes to complete.
 April 23rd – Proctor lab is open. The proctor lab will provide hands on training and practitioners can work
their way through the “test site”. If eLearning is completed, the practitioners can have their pin reset at
the proctor lab. (PIN reset can also be done by calling the Meditech hotline)
 April 29th – PIN reset can be done at the General Staff Meeting
 May 16th – 31st – Appointments will be made for practitioners to work with the physician liaison’s to
create “favorite” order sets. It was clarified that all disease specific order sets will be utilized. Favorites
will be created within the standard order sets. Due to the short time frame focus will be on the top 90
physicians who utilize the system. However, anyone can call the physician liaisons to schedule an
appointment.
 May 31st – Deadline to complete training and pin reset. Practitioners who have not completed the
mandatory eLearning will be placed on administrative suspension.
 June 1st – GO LIVE
Downtime procedures will be following during the transition from the old system to the new one. The
downtime is expected to last at least 18 hours.
4.
Perfect Serve Doc Link:
Recommendation has been made that all physician to physician contact be via perfect serve. This would
require all physicians to provide their personal cell phone numbers to be entered into Perfect Serve for
direct physician to physician communication through Doc Link. Calls from hospital staff would be directed
as each practitioner has set up in Perfect Serve. Direct physician contact can be either secure text
messaging (HIPAA compliant) or by telephone through Doc Link on Perfect Serve. Phone calls would list an
800 number to identify that it is a call from a physician, cell phone numbers will not be displayed. Phone
calls that go unanswered would follow the established escalation process/algorithm.
The floor was open to discussion on the recommendation for mandatory cell numbers for doctor to doctor
communication, noting that the intent behind the recommendation is to improve the availability of
physician to physician contact. One practitioner was against the idea of providing her cell number as she
feared constant interruptions from nursing staff and the lab. It was clarified that the cell number would be
on a separate algorithm and would be utilized by physicians only, for urgent patient needs and
consultations. Settings for algorithms has been noted as the number one reason for physician
dissatisfaction with perfect serve which can be corrected by ensuring the proper set up of algorithms.
The need for direct doctor to doctor communication is to ensure good patient flow and patient safety.
Comment was made that at least once per week a patient is brought up from the OR to ICU without any
direct doctor communication. After a lengthy discussion a vote was held to determine the willingness of
physicians to provide their cell numbers for direct doctor to doctor communication. The majority of the
physicians present (8/2) were in favor of the recommendation. The two physicians who were not in favor
raised concerns regarding the implications to their private practice.
A perfect Serve AdHoc Committee has been established to further discuss the mandatory participation
recommendation and will include representation from all departments.
5.
Policies & Procedures Approved:
 Colon Decompression
 ERCP with Sphincterotomy
 Esophageal Stent Placement
 Hospice-Inpatient Care
6. Order Set:
 Post Op Total Hip
Next Department Meeting:
Thursday, May 1, 2014 at 12:30 am, Erickson Educational Center