Newsletter
January 2018
JANUARY 9TH: Cerner ProFILE Implementation
Cerner ProFile—an improved and enhanced solution for deficiency management within Cerner—will be implemented Jan. 9 at Riley Hospital for Children at IU Health and IU Health Methodist, University, Saxony, North, West hospitals and surgery centers.
With ProFile, providers will be alerted to edit and sign dictations, sign signature deficiencies on scanned documents, and locate deficiency assignments via the Cerner Message Center, in addition to continuing to receive deficiency notifications via email or fax from the Health Information Management (HIM) department. One great improvement is that the 3M System and 3M ESA functionality will no longer be used with ProFile.
The implementation allows for obtaining signatures of residents, fellows, advanced practice providers and physician assistants on reports they dictate. This improves compliance with the regulatory standard that requires signature from the author of the report in addition to the teaching physician/attending staff.
Additionally, dictation deficiencies will continue to be directly assigned to residents and teaching physicians but will require manual follow up and removal of duplicate deficiency assignments by HIM team members. While residents will not be suspended for incomplete signatures or dictations, they will receive reminders and be responsible to sign their dictated reports in addition to the teaching physician.
Another enhancement is the integrated fluency dictation/transcription solution, a streamlined offering for providers that should result in faster turnaround times for reports, fewer steps for dictation and easier signature management directly within Cerner.
Questions, concerns or\feedback? Email RCSprofile@iuhealth.org.
CLICK HERE for more info.
New Age Restrictions & Vaccination Requirements for Job Shadow/Observer Policy
Effective December 31, 2017
ADM 1.83 - Job Shadow/Observer Policy Updates
- An Observer must be at least 18 years of age or older. Verification of age must be completed through review of birth certificate or driver's license
- Observers must have up to date immunizations (Proof/documentation must be provided)
- Expiration of approved observation timeframe occurs 30 days from the date of the completed/read TB test. Exceptions may be granted by the facility's student liaison for extension of this 30 day limit if approved by all involved parties
For questions, contact:
Julie Ohl, RN, JD, CPHRM
Privacy Program
Indiana University Health -
317-963-7815
Click here to review the policy
Reducing Depression and Suicide Among Children and Adolescents in Indiana: What Works? A Panel Discussion
Suicide is the second leading cause of death among youth ages 15-24 in Indiana and, at 19 percent, the state has the nation’s highest rate of high school students contemplating suicide, according to the 2015 Teen Suicide Prevention Report and Recommendations for the Commission on Improving the Status of Children. Click here for more information.
Arnett Continuing Medical Education (CME) Opportunities
Date: January 16th 7:30am-8:30am
Presenter: Diane Reis, MD, MPH
Pediatric Conference: “Disruptive Mood Dysregulation Disorder (DMDD)”
Date: January 24th 12:00pm-1:00pm
Presenter: Brandon Hardesty, MD
Pediatric Conference: “Modern management of Venous Thromboembolic Disease”
Click here for more info
New Medicare Cards
CMS will begin mailing the new cards to people with Medicare benefits in April 2018 to meet the statutory deadline for replacing all existing Medicare cards by April 2019. The new Medicare card contains a unique, randomly-assigned number that replaces the current Social Security-based number.
CMS has assigned all people with Medicare benefits a new, unique Medicare number, which contains a combination of numbers and uppercase letters. People with Medicare will receive a new Medicare card in the mail, and will be instructed to safely and securely destroy their current Medicare card and keep their new Medicare number confidential. Issuance of the new number will not change benefits that people with Medicare receive.
Healthcare providers and people with Medicare will be able to use secure look-up tools that will allow quick access to the new Medicare numbers when needed. There will also be a 21-month transition period where doctors, healthcare providers, and suppliers will be able to use either their current SSN-based Medicare Number or their new, unique Medicare number, to ease the transition.
This initiative takes important steps towards protecting the identities of people with Medicare. CMS is also working with healthcare providers to answer their questions and ensure that they have the information they need to make a successful transition to the new Medicare number. For more information, please visit: www.cms.gov/newcard
Medical Claim Audits Identify Significant Errors Rates for Insufficient Documentation
The Comprehensive Error Rate Testing (CERT) program was established by the Centers for Medicare & Medicaid Services (CMS) to monitor the accuracy of claim payment in the Medicare Fee-For-Service (FFS) Program.
Recently published 2017 Q2 claim review findings for Part B services identified a 73% error rate for Insufficient Documentation. Examples of findings include:
- Missing the results of the billed presumptive drug testing performed in the physician's office
- Missing a copy of the physician’s visit note that established the need for Chronic Care Management
- Missing the physician's order for, or documentation of intent to order, the Computed Tomography (CT)
- Missing: documentation of 4 or more face-to-face visits by a physician or other qualified health care professional to support the End Stage Renal Disease (ESRD)
Click here for more information
EFFECTIVE 01/03/2018: Adult AHC Visitor Flu Restrictions
Due to an increasing number of flu cases in Indiana, IU Health Methodist and University hospitals are taking the precautionary measure of restricting patient visitors within the hospitals. This temporary policy goes into effect Jan. 3rd. Other IU Health facilities statewide are also implementing restrictions to protect patients, families and team members from unnecessary potential exposure to the flu virus. Check the My IU Health team member portal for the most current information.
Temporary visitor restrictions mean:
- All visitors must check in at the main hospital entrances and will be screened at the door.
- Only essential adults (18 or older) will be allowed to visit patients.
- Visitors who have flu-like symptoms, such as fever, cough, chills or muscle aches, will not be allowed to visit patients.
- Patients with flu-like symptoms will be asked to wear a surgical or isolation mask.
- Exceptions can be made in special circumstances (e.g. patient is near the end of life.). Nurse Managers can help determine when exceptions can be made without compromising the quality and safety of the patient care. Infection Prevention medical directors can be consulted as needed.
IU Health patients come from throughout the state and beyond. Because their loved ones may travel for several hours to visit them, IU Health will be actively sharing information about this temporary restriction with the general public. Your support in further communicating this temporary restriction is essential. In addition, please ask your team members to:
- Stay home if they are experiencing flu-like symptoms
- Wash their hands or use hand sanitizer often, and encourage patients and guests to do the same.
- Recommend cdc.gov/flu to patients and families as a place to learn more.
A patient education handout, FAQs and talking points are available to help team members respond to patient and family questions. Also, please review this week’s Quality Minute for more information. Contact the Infection Prevention team at 317.962.2157 if you have any questions.
