Newsletter
November 2023
Upcoming CME Events IU Health CME Events To attend virtual events or add to your calendar visit https://live.iuhcpe.org/
Fri, Dec. 1st, 5:00pm-6:00pm - IU Health CME Virtual Learning Event - PrEP Education Jennifer Schabel, AGPCNP-BC, AAHIVS and Lee Logan
Tues, Dec. 5th, 12:00pm-2:00pm - Riley Error Prevention Training Kathryn Taylor, PharmD, BCPPS and Bri Logston, MSN, RN, NE-BC
Wed, Dec. 6th, 12:00pm-1:00pm - IU Health CME Virtual Learning Event - TBD (Pulmonary) David W. Roe, MD
Fri, Dec. 8th, 7:15am-8:00am - CMIO - Quarterly Broadcast Jason Schaffer, MD, MBI, FACEP and Emily Webber, MD, FAAP, FAMIA
Thur, Dec. 14th, 12:00pm-1:00pm - Riley Maternity and Newborn Health Perinatal Webinar Series - "A Standard Process for Identifying Genetic Disease in the NICU" Kristen Suhrie, MD
Fri, Dec. 15th, 12:00pm-1:00pm - An Intimate Conversation on Women in Leadership with Erin Lewis (In-person/Virtual) Erin Lewis Location: Petticrew Auditorium
To view previously recorded presentations from the On Demand Videos and earn CME's Click here To view the list of your completed CME's Click here Visit The Center for Physician Education - Main Page (iuhcpe.org) |
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Announcements
Prioritize your well-being VITAL WorkLife is physician-focused national behavioral health consulting practice that supports all dimensions of well-being in the workplace. This team of certified peer coaches and consultants provide tools to help build resiliency and resolve burnout, and it’s available to you and your family. Download the VITAL WorkLife app to help assess and improve your well-being What you need to know about sepsis screening going live on Nov. 14
For immediate support between Nov. 14 and Nov. 28, message Diagnotes room “Sepsis (inpatient)”
Updates to: Code Status Orders and Provider Initiated DNR policy
Updates to: Patient Consent to Clinical Services policy
See the latest on Opioid Tolerance Level order sets The Opioid Tolerance Level order sets were modified by a multidisciplinary team of physicians, pharmacists, CNSs, and other system and regional experts. It brings the best practice to one order set and is geared toward getting appropriate medications to the patient in the most expeditious means possible. Read more about the new order sets and see what order sets have been retired.
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Clinical Council Updates Aortic Disorders In preparation for 2024, Lillian shared current performance baselines for smoking cessation, length of stay and morality for simple and complex EVARs. Below are a few highlights from the data and discussion.
Coronary and Ischemic Heart Disease Council No updates
Imaging Council No Updates
OBGYN Council No Updates – working on new vaccines, opioid stewardship, and drug screening in pregnancy.
Structural Heart Council No updates – working on mitral valve regurgitation decision tree.
Infectious Disease Council Tick Borne Illness Labs Order Set: Council members reviewed and provisionally approved the new Tick Borne Illness Labs order set, pending minor revisions to included labs. The order set was created to include all tick borne illness labs and replace the existing Lyme and RMSF Labs order set and minimize delays in care due to incomplete or missing labs that are not options for ordering on the current Lyme and RMSF Labs order set. Council providers endorsed the new order set but requested that the Lyme blood PCR be removed as it is not a standard test and modify the timeframe for Anaplasmosis/Ehrlichiosis PCR to be “within 1-2 weeks”. UMG Quality Metric Change Request: Council providers discussed and approved changing the Infectious Disease UMG quality metric from pneumococcal vaccination in HIV population to subsequent blood pressure. The pneumococcal vaccination metric may be difficult to implement quickly and reach the suggested 90% compliance rate because it is dependent on the accuracy of CHIRP downloads into Cerner and there is a high prevalence of virtual visits for this population, limiting the ability to ensure vaccination compliance. Conversely, the subsequent blood pressure metric is easy to operationalize and supports the System hypertension goals. Council members endorsed changing the UMG quality metric to subsequent BP and agreed to continue monitoring the pneumococcal vaccination metric as a watch metric in 2024. Next Steps: CE will follow up with Arnett’s ID program on their efforts that successfully implemented a workflow targeting the pneumococcal vaccination in HIV population measure to investigate whether / how to implement at other sites.
Sulbactam-Durlobactam (Xacduro) Formulary Review: Council approved the request to add sulbactam-durlobactam to formulary but restricted to ID. Sulbactam-durlobactam is a new therapy specifically approved to treat infections from Acinetobacter species, which have limited treatment options and high mortality rates with resistant strains.
Oxychlorose Clorpactin Treatment Order Set Updates: Council endorsed changes made to the wording for acute/initial therapy and maintenance therapy for Oxychlorosene Clorpactin treatment of cystitis in recurrent UTI, MDR organisms, pyocystitis, and ESRD patients. The modified wording reduces confusion in dosing regimens for the separate therapies.
Globe Rupture Ophthalmology PowerPlan: Council approved a new Globe Rupture Ophthalmology Powerplan for adults and peds that specifically addresses intraocular antimicrobials for globe ruptures. Practice variations by ophthalmologists and confusion on appropriate/available antimicrobials for globe rupture were causing frequent calls between ophthalmology, ID stewardship teams, and the ED.
Heart Failure Council
Action Item: Heather to share council’s feedback with Pharmacy and Therapeutics Committee.
NICU Council
What changes are being made:
DECISION: The council endorsed adding Nirsevimab to the formulary and for developing a stand-alone order set in the Cerner that ensures that Nirsevimab is administered during the RSV season and only to the newborns |
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Earn Free CE's from the CDC Sepsis Core Elements December 7th, 1pm At least 1.7 million adults in the United States develop sepsis each year. Learn how to implement CDC’s multi-disciplinary program to help healthcare facilities improve the hospital management and outcomes of sepsis. Click here to register to earn free CE.
Optimize Antibiotic Prescribing and Reduce Adverse Events Any time antibiotics or antifungals are used, they can cause side effects and contribute to antimicrobial resistance. Review antibiotic stewardship principles to improve patient safety. Click here to take Antibiotic Stewardship Training and earn free CE. |
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New Device Can Check Markers for Parkinson's, Alzheimer's Disease An experimental wireless, noninvasive device might one day use saliva or urine to test for Alzheimer’s and Parkinson’s diseases. The device uses an advanced biochip to detect proteins linked to the two neurodegenerative diseases. If tests go well, researchers hope to have the device on the market in a year or so. Click here to read more. |