#1 Introduction of SMH- Venice, COS Scott Perrin, MD
"A warm holiday greeting to all members of the SMH Venice Medical Staff. I am grateful for the honor to serve as the incoming SMH Venice Hospital Chief of Staff for the 2023-2025. I wanted to take a moment to introduce myself; I am an interventional radiologist with Radiology Associates of Florida/ Florida Interventional Specialists in practice here in Sarasota county for the past 10 years. I completed all of my medical training at the University of South Florida in Tampa. I am grateful to be part of the Sarasota Memorial Healthcare System family dedicated to excellent, quality driven, and safe patient care. Thank you everyone who has volunteered to serve on the SMH Venice medical executive committee and the various committees that help our institution run safely and efficiently. Thank you to Dr. Jefferson for serving as the first chief of staff for the SMH Venice hospital and for his continued involvement in leadership. Please feel free to contact me anytime with any questions or concerns. I wish you a peaceful and restful holiday season and a joyous new year.
SMH-Sarasota COS Newsletter – September 2022
#1 Go Live 09/28/2022 AMiON @ SMH-Sarasota for EMTALA Call Schedule coverage list replacing Lightning Bolt for Call Schedule Software
AMION Goes Live 09/28/2022
On 09/28/2022, AMION will replace Lightening Bolt for accessing physician call schedules.
• The Pulse pathway to access the call schedules will not change (Pulse>Department Sites>Emergency Care Center>on Call)
• For practitioners who wish to access AMIOM through the app on their phones, they will need to create their own doximity account, if one has not already been established.
• If you are already accessing AMION for SMH –Venice, on 09/28 a dropdown will automatically appear, allowing you to choose the schedule for SMH—Sarasota.
If you have any questions, please contact the Medical Staff Services at 917-1500.
#2 SCM CODE STATUS – Dr. Gross / Dr. Rutowski (Fellow)
Attached please find information regarding the new Code Status Code Status QI presentation
# 3 Info-Blocking
As of April 5, 2021, the Cares Rule went into effect, requiring healthcare providers to grant patient access to their electronic medical records in real-time. Initially, this regulation was only relevant to limited types of healthcare information, however, on October 6, 2022, the requirement expands to include all electronic Protected Health Information. SMHCS Clinical System has added messaging to the Patient Portal to notify the patient they may be accessing notes and /or results prior to their physician; however, please let this serve as a reminder that all information documented in the medical record will be immediately available for the patient to view.
# 4 SCM Prescription Writer – rejecting Quantity Unit of Measure Code
Situation:
As of September 1st, 2022 Surescripts is updating its system to reject any electronic prescriptions containing the following Quantity UOM's. The Rx will return an error indicating: "QuantityUnitOfMeasure Code: [code value] is invalid." And the electronic Rx will not be submitted successfully to the pharmacy.
•Device
•Dose Pack
•Inhaler
•Milliequivalent
•Milligram
•Pre-filled Pen Syringe
•Syringe
Background:
Per NCPDP SCRIPT Implementation Recommendations, May 2020, acceptable Quantity Units of Measure (UOM) are listed for e-Prescribing at
https://www.ncpdp.org/NCPDP/media/pdf/SCRIPT-Implementation-Recommendations.pdf
(Relevant pages start at 141)
Assessment:
Clinical Systems has queried the database and many prescribers have Personal RxWriter favorites and/or use the Enterprise Rx favorites, e.g., DME, Antibiotic, Steroids, Respiratory Medications, etc., defaulted to one of these UOMs which will be obsolete as of Sept 1st.
Recommendations:
On 8/31/22 Allscripts will disable the below quantity Units of Measures in SCM-RxWriter. If previously default in Rx favorite, it will need to be manually updated to an acceptable UOM when prescribing.
•Device
•Dose Pack
•Inhaler
•Milliequivalent
•Milligram
•Pre-filled Pen Syringe
•Syringe
•For SCM- Rx Writer prescribing issues, please open a ticket with the Call Center @ 6107 or notify the Physician support line: Sarasota (941)302-7808 or Venice (941)899-3414.
SBAR RxWriter UOM
# 5 New TSystem Emergency Department and Urgent Care Documentation System
After a tremendous amount of work and collaboration between SMH Clinical Systems and our vendor "TSystem EVolved", our group has successfully implemented a new Emergency Department and Urgent Care Center documentation system. The improved formatting of our documents should facilitate communication and increase satisfaction for the medical staff.
Please see the attached screenshots demonstrating how to access our notes within SCM as well as an example of a test ED Clinical Narrative.
TSystem ED Physician Note Selection
T-System Sample ED Physician Note
#6 Unauthorized PHI Access/HIPAA Breach /Privacy Violation
This is a reminder that you may only access patient records of those that you are actively caring for or have a business reason to be in the record. See below the SBAR for guidance.
SBAR Unauthorized PHI Access HIPAA Breach. Privacy Violations
#7 Social Media Privacy Violations
In the past few weeks, we have seen an increase in patient privacy violations. We need to make sure that we understand that online comments and images are a violation of patient privacy and that posting personal health information (PHI) without a patient’s written expressed consent is a serious offense. Social media posts have the potential to become widespread in a matter of minutes, violate patient rights, and put the organization at risk. Thank you in advance for reviewing the below SBAR education.
SBAR Social Media Privacy Violations
#8 Enteral Nutrition Order Go-Live 09/20/2022
Below are the outlining changes made to the Tube Feeding order and Tube Feeding Order with Tray. We have set a tentative Go-Live date of 9/20/2022.
SBAR Enteral Nutrition Order Project
# 9 International Dysphagia Diet Standardization Go- Live end of October 2022
Please find the below education materials for IDDSI diet levels that are approved for Sarasota Memorial Hospital Healthcare System. We are looking at implementing the new diet orders by end of October 2022 to be ahead of the SCM freeze on changes planned for November 2022.
0_Thin Adult consumer handout 30Jan2019
Mildly Thick Adults consumer handout
Liquidised Adults consumer handout 30Jan2019
Moderately Thick Adults consumer handout_30Jan2019
Extremely_Thick_Adults_consumer_handout_30Jan2019
Pureed_Adults_consumer_handout_30Jan2019
Minced_Moist_Adults_consumer_handout_30Jan2019
Easy_to_Chew_Adult_consumer_handout_30Jan2019
Backpage_consumer_handout_Adult_What_is_the_IDDSI_Framework_30Jan2019
Consumer_Handouts_for_Adults_All_Levels
NCM IDDSI Level 4 Pureed (Green) Nutrition Therapy 2021
NCMIDDSILevel5MincedandMoist (Orange)NutritionTherapy2020 (1)
NCMIDDSILevel7RegularEasy-to-Chew (Black)NutritionTherapy2019 (1)
NCMThickenedLiquidNutritionTherapy2019 (1)
# 10 MonkeyPox
Dear Medical Staff members, with monkeypox on the rise around the state, we’re stepping up our education, preparedness, and response plans. While we have not had any confirmed cases at SMH to date, we have seen a few suspected patients and are on the watch for others. Because you may encounter potential cases, we wanted to share the attached educational materials, which include information for patients, infection control protocols, and guidelines to help you identify, screen, triage, and test patients. Please feel free to reach out to me or to Infection Prevention and Control Medical Director Manuel Gordillo, MD, if you have questions or concerns.
Monkeypox Checklist (1)
Monkeypox Information
MonkeyPox-sexually-active-InfoSheet-508
#11 Addressing Physician burnout
Below link information regarding Burnout Physicians
Addressing Physician Burnout and Ensuring High- Quality Care of the Physician Workforce
#12 SMH- Sarasota Annual Medical Staff Meeting
The Annual Medical Staff Meeting for SMH-Sarasota, hosted by Richard Lichtenstein, MD, Chief of Staff, will be held on Tuesday, October 18, 2022, at 6:00 pm – 7:00pm in the Waldemere Auditorium.
Thank you,
Jonathan Hoffberger, DO
Chief of Staff
AFTER Edits
SMH-Sarasota COS Newsletter – September 2022
#1 Go Live 09/28/2022 AMiON @ SMH-Sarasota for EMTALA Call Schedule coverage list replacing Lightning Bolt for Call Schedule Software
AMION Goes Live 09/28/2022
On 09/28/2022, AMION will replace Lightening Bolt for accessing physician call schedules.
• The Pulse pathway to access the call schedules will not change (Pulse>Department Sites>Emergency Care Center>on Call)
• For practitioners who wish to access AMIOM through the app on their phones, they will need to create their own doximity account, if one has not already been established.
• If you are already accessing AMION for SMH –Venice, on 09/28 a dropdown will automatically appear, allowing you to choose the schedule for SMH—Sarasota.
If you have any questions, please contact the Medical Staff Services at 917-1500.
#2 SCM CODE STATUS – Dr. Gross / Dr. Rutowski (Fellow)
Attached please find information regarding the new Code Status Code Status QI presentation
# 3 Info-Blocking
As of April 5, 2021, the Cares Rule went into effect, requiring healthcare providers to grant patient access to their electronic medical records in real-time. Initially, this regulation was only relevant to limited types of healthcare information, however, on October 6, 2022, the requirement expands to include all electronic Protected Health Information. SMHCS Clinical System has added messaging to the Patient Portal to notify the patient they may be accessing notes and /or results prior to their physician; however, please let this serve as a reminder that all information documented in the medical record will be immediately available for the patient to view.
# 4 SCM Prescription Writer – rejecting Quantity Unit of Measure Code
Situation:
As of September 1st, 2022 Surescripts is updating its system to reject any electronic prescriptions containing the following Quantity UOM's. The Rx will return an error indicating: "QuantityUnitOfMeasure Code: [code value] is invalid." And the electronic Rx will not be submitted successfully to the pharmacy.
•Device
•Dose Pack
•Inhaler
•Milliequivalent
•Milligram
•Pre-filled Pen Syringe
•Syringe
Background:
Per NCPDP SCRIPT Implementation Recommendations, May 2020, acceptable Quantity Units of Measure (UOM) are listed for e-Prescribing at
https://www.ncpdp.org/NCPDP/media/pdf/SCRIPT-Implementation-Recommendations.pdf
(Relevant pages start at 141)
Assessment:
Clinical Systems has queried the database and many prescribers have Personal RxWriter favorites and/or use the Enterprise Rx favorites, e.g., DME, Antibiotic, Steroids, Respiratory Medications, etc., defaulted to one of these UOMs which will be obsolete as of Sept 1st.
Recommendations:
On 8/31/22 Allscripts will disable the below quantity Units of Measures in SCM-RxWriter. If previously default in Rx favorite, it will need to be manually updated to an acceptable UOM when prescribing.
•Device
•Dose Pack
•Inhaler
•Milliequivalent
•Milligram
•Pre-filled Pen Syringe
•Syringe
•For SCM- Rx Writer prescribing issues, please open a ticket with the Call Center @ 6107 or notify the Physician support line: Sarasota (941)302-7808 or Venice (941)899-3414.
SBAR RxWriter UOM
# 5 New TSystem Emergency Department and Urgent Care Documentation System
After a tremendous amount of work and collaboration between SMH Clinical Systems and our vendor "TSystem EVolved", our group has successfully implemented a new Emergency Department and Urgent Care Center documentation system. The improved formatting of our documents should facilitate communication and increase satisfaction for the medical staff.
Please see the attached screenshots demonstrating how to access our notes within SCM as well as an example of a test ED Clinical Narrative.
TSystem ED Physician Note Selection
T-System Sample ED Physician Note
#6 Unauthorized PHI Access/HIPAA Breach /Privacy Violation
This is a reminder that you may only access patient records of those that you are actively caring for or have a business reason to be in the record. See below the SBAR for guidance.
SBAR Unauthorized PHI Access HIPAA Breach. Privacy Violations
#7 Social Media Privacy Violations
In the past few weeks, we have seen an increase in patient privacy violations. We need to make sure that we understand that online comments and images are a violation of patient privacy and that posting personal health information (PHI) without a patient’s written expressed consent is a serious offense. Social media posts have the potential to become widespread in a matter of minutes, violate patient rights, and put the organization at risk. Thank you in advance for reviewing the below SBAR education.
SBAR Social Media Privacy Violations
#8 Enteral Nutrition Order Go-Live 09/20/2022
Below are the outlining changes made to the Tube Feeding order and Tube Feeding Order with Tray. We have set a tentative Go-Live date of 9/20/2022.
SBAR Enteral Nutrition Order Project
# 9 International Dysphagia Diet Standardization Go- Live end of October 2022
Please find the below education materials for IDDSI diet levels that are approved for Sarasota Memorial Hospital Healthcare System. We are looking at implementing the new diet orders by end of October 2022 to be ahead of the SCM freeze on changes planned for November 2022.
0_Thin Adult consumer handout 30Jan2019
Mildly Thick Adults consumer handout
Liquidised Adults consumer handout 30Jan2019
Moderately Thick Adults consumer handout_30Jan2019
Extremely_Thick_Adults_consumer_handout_30Jan2019
Pureed_Adults_consumer_handout_30Jan2019
Minced_Moist_Adults_consumer_handout_30Jan2019
Easy_to_Chew_Adult_consumer_handout_30Jan2019
Backpage_consumer_handout_Adult_What_is_the_IDDSI_Framework_30Jan2019
Consumer_Handouts_for_Adults_All_Levels
NCM IDDSI Level 4 Pureed (Green) Nutrition Therapy 2021
NCMIDDSILevel5MincedandMoist (Orange)NutritionTherapy2020 (1)
NCMIDDSILevel7RegularEasy-to-Chew (Black)NutritionTherapy2019 (1)
NCMThickenedLiquidNutritionTherapy2019 (1)
# 10 MonkeyPox
Dear Medical Staff members, with monkeypox on the rise around the state, we’re stepping up our education, preparedness, and response plans. While we have not had any confirmed cases at SMH to date, we have seen a few suspected patients and are on the watch for others. Because you may encounter potential cases, we wanted to share the attached educational materials, which include information for patients, infection control protocols, and guidelines to help you identify, screen, triage, and test patients. Please feel free to reach out to me or to Infection Prevention and Control Medical Director Manuel Gordillo, MD, if you have questions or concerns.
Monkeypox Checklist (1)
Monkeypox Information
MonkeyPox-sexually-active-InfoSheet-508
#11 Addressing Physician burnout
Below link information regarding Burnout Physicians
Addressing Physician Burnout and Ensuring High- Quality Care of the Physician Workforce
#12 SMH- Sarasota Annual Medical Staff Meeting
The Annual Medical Staff Meeting for SMH-Sarasota, hosted by Richard Lichtenstein, MD, Chief of Staff, will be held on Tuesday, October 18, 2022, at 6:00 pm – 7:00pm in the Waldemere Auditorium.
Thank you,
Jonathan Hoffberger, DO
Chief of Staff