May 2024


Upcoming CME Events

IU Health CME Events

To attend virtual events or add to your calendar visit https://live.iuhcpe.org/

Thurs, Jun. 6th, 12:00pm-1:00p - Genetic Testing in Pregnancy Loss: Overview, current site-specific testing recommendations and review of the Kate Cares Stillbirth Evaluation Program

Jennifer N. Weida, MD, MFM
Kelly A. Samson, CGC, MS, LCGC

 

Thurs, Jun. 6th, 1:00pm-3:00pm – Riley Error Prevention

Sarah C. Rhoads, BSN, RNC-NIC
Michael McGregory, PharmD, MBA

 

Fri, Jun. 7th, 12:00pm-1:00pm - Fetal Care Friday Series: What is a Fetal Center?

Melissa Hollar, MSN, RNC-NIC, NPD-BC
Melinda H. Markham, MD
Jennifer N. Weida, MD, MFM

 

Wed, June 12th, 11:30am-1:00pm - Bloomington Noon Conference - Best Practices in Treating Adult Autism Patients

Rebecca Martinez, PhD, HSPP

 

Fri, Jun. 14th, 7:15am-8:00am - CMIO - Quarterly Broadcast

Jason Schaffer, MD, MBI, FACEP
Emily Webber, MD, FAAP, FAMIA

 

Thurs, Jun. 20th, 6:00pm-7:00pm - Overview of ECMO

Kashif Saleem, MD, FACS

 

Fri, Jun. 21st, 8:00am-12:00pm - Spine Symposium (In-person/Virtual)

Location: Neuroscience Center Conference Room

 

Fri, Jun. 21st, 11:30am-1:00pm - Bloomington Noon Conference - Best Practices in Treating Pediatric Autism Patients (In-person/Virtual)

Tiffany Neal, PhD
Location: Health Sciences Building - C1020Z

 

Mon, Jun. 24th, 12:00pm-1:00pm - Update on Perinatal Loss and the IN Abortion Rules

Caroline E. Rouse, MD

 

Wed, Jun. 26th, 11:30am-1:00pm - Bloomington Noon Conference - Nurse Family Partnership: An Evidence-Based Home Visiting Program (In-person/Virtual)

Christine Sherwood, RN, BSN

Location: Health Sciences Building - C1020Z

 

Wed, Jun. 26th, 1:00pm-2:00pm - An Intimate Conversation on Women in Leadership (In-person/Virtual)

Amelia S. Knopf, PhD, MPH, RN, FAAN
Sarah H. Jones, PA-C
Alexia M. Torke, MD

Location: Fairbanks Conference Center

 

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)


Announcements

CMO Updates from Michele Saysana, MD

 

Watch a monthly update on the new academic health center.

On Friday, April 26, the new academic health center planning team hosted a monthly update for leaders at the AAHC. You can watch brief video clips on Connect for updates on construction and the South Support Building, which will be our state-of-the-art logistics hub on the new campus.

 

COO Liz Linden shares an update on safety and security

AHC Chief of Police Shannon Trump joins Liz Linden for a discussion on safety, security and the well-being on team members. Click this link to watch the short video and learn more about ongoing initiatives in the downtown region – including improved fencing and lighting and additional surveillance cameras.

 

Take a brief Goals of Care survey

Please take this quick survey related to your knowledge, beliefs and practice habits related to Goals of Care discussions. This survey will be released to all IU Health providers. Submit responses before the survey closes on Friday, June 21.  


Clinical Council Updates

Critical Care Council

Quality/ Care Variation:

  • Incentive Spirometry: As part of a large respiratory-led initiative to improve respiratory therapist workflow and ensure timely care for necessary patients, the majority of the council approved the proposal to un-check orders for incentive spirometry within order sets owned by Critical Care/Pulmonary. The order will still be available within the applicable order sets, providers will now need to assess the need on a case-by-case basis.
  • Sepsis Care: Dr. Ellen Klink (Hospitalist) and Program Manager Rachel Knapp, leads of the System Sepsis Steering Committee, provided an update on work to improve sepsis care. The main takeaways were that the system CMOs have approved 2024 goals for nursing and providers.
  • Provider goal: 60% inpatient sepsis order set usage for all patients with inpatient sepsis diagnosis.
  • Nursing goal: 65% of sepsis screenings occur within 15 minutes of alert firing on units with the Cerner Alert and Screening Process.
  • Access system tracking dashboard: InpatientSepsis - Power BI
  • Action Item: Council members are asked to spread awareness of this initiative and encourage the use of the inpatient sepsis order set.

Pharmacy:

  • Council approved proposed updates to the Alcohol Withdrawal and Vasoactive Infusion Medication PowerPlan.

Infectious Disease Council

  • Required ID Consults Update: Riley Hospital and the Maternity Tower will be implementing required ID consults for patients with blood cultures testing positive for Staph aureus, Candida, and Enterococcus following the implementation of similar measures at University and Methodist hospitals. The anticipated go-live date is June 1, 2024. 

Newborn Council

Quality/Care Variation:

  • Neonate Quality Metrics: The Council reviewed system performance of quality metrics for Q1 2024.  The council noted no significant changes to previous quarters.  The data for 1/01/2024 - 3/31/2024 is as follows:
  • (NICU and Baby Mortality on Encounter excluded for all measures; Birth weight greater than 2000g for Hep B):
    • Vitamin K Administration
    • System Q1 = 96% (Goal – 98%)
    • Hepatitis B Administration
    • System Q1 = 90.88% (Goal – 93%)
    • Erythromycin Administration
    • System Q1 = 97.46% (Goal – 98%)

NICU Council

Quality/Care Variation:

  • NICU Harm Dashboard: The council reviewed where to input data for the NICU harm dashboard, reminded members to update the data monthly, and answered questions about how safe sleep audits were done.
  • New Scrubbing Technique: The council reviewed the new scrubbing technique used at Riley for entering the NICU.  Riley now uses Avagard, a surgical hand antiseptic.  The new process excludes the use of a scrub brush, which can disturb the skin and create opportunities for bacteria.
  • Prevantics for IV Access and Central Lines: The council discussed using the Prevantics swabs for skin and device preparation.  Prevantics is 3.15% CHG and 70% isopropyl alcohol and comes in two different packages, purple for use on people and green for use on devices.  The swabs can be used on patients born greater than 28 weeks and those born less than 28 weeks but are now at least 2 weeks old.  Riley has seen and studies have shown the use of Prevantics significantly lowers CLABSI and is significantly more effective at disinfection of needleless connectors.
  • SecurePortIV:  The council discussed best practices for the use of SecurePortIV, a catheter securement adhesive used to secure both the catheter to the insertion site and the hub to the skin.  SecurePortIV reduces catheter movement, migration, and dislodgement and seals the insertion site.   
  • LOS Documentation Tips and Tricks:  The council reviewed Vizient data on expected LOS and expected Mortality for the NICUs.  The council discussed concerns with the data and how to make it useful and meaningful.  The council noted the Vizient data wasn’t perfectly reflective of NICUs.  Dr. Rose gave council members tips and tricks to improve documentation resulting in a higher expected LOS.  The presentation focused on Severity of Illness Score, optimizing coding, various conditions, and steps for documenting the problem list.       
  • Small Baby Protocol:  Dr. Lien briefly shared they have updated the Small Baby Protocol.

Clinical IS & Technology:

  • NICU Cooling Order Form:  The council completed a five-year review on the NICU Cooling Order Form.  The council voted to approve the updated version which replaces esophageal with rectal temperatures and removed the chest x-ray order. 
    • DECISION:  The council voted to approve the updated version of the NICU Cooling Order Form. 
  • Neonatal Abstinence Syndrome PowerPlan:  The council reviewed the Neonatal Abstinence Syndrome PowerPlan that was used six times in 2023.  The council voted to retire the PowerPlan, and the recommendation will go to Newborn CE Council.
    • DECISION: The council voted to retire the Neonatal Abstinence Syndrome PowerPlan

LiveHelpNow Pilot in Cerner

Beginning in April, providers have access to live support directly in Cerner. During the three-month pilot of this tool, only team members included in the pilot will see the new LiveHelpNow button available in the Cerner toolbar.  

 

With this tool, Informaticists are available 24/7 to take live questions, troubleshoot and guide task completion as you move through the electronic medical record. If providers find this resource valuable, the feature could be extended indefinitely and expand to all electronic medical record users.  

 

Providers and pilot participants are encouraged to test the feature and provide any feedback to IUHMGLeadership@iuhealth.org. 

Click here to view Job Aid.


DynaMedex Replacing UpToDate

DynaMedex will replace UpToDate as the point-of-care medical resource for IU Health. DynaMedex was carefully vetted by a systemwide group of physicians, advanced practice providers and pharmacists. The Ruth Lilly Medical Library at the IU School of Medicine is also transitioning to DynaMedex in May. 

Both UpToDate and DynaMedex are available to team members through Sunday, June 30. UpToDate will no longer be available after June 30*. Continuing Medical Education (CME) credits will need to be downloaded from?UpToDate?before Sunday, June 30. 

DynaMedex and UpToDate are both currently accessible through the Methodist Medical Library. After Monday, June 10, DynaMedex will be accessible in Cerner and UpToDate will be accessible in the Methodist Medical Library

Visit the full resource article on Connect for frequently asked questions and quick video demo.? 

For additional resources, including video tutorials, check out the resources section on the Methodist Medical Library webpage. 

Need direct DynaMedex support? Contact EBSCO at csteam@ebsco.com Have specific IU Health DynaMedex questions? Contact the IU Health library at library@iuhealth.org

Live virtual trainings will be done on a weekly basis starting May 24th through July 12th.

Click here to learn more or register for a virtual training session.


Contact Us

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    The Office of Clinical Education

  • Phone: (317) 962-5048

  • Email: OCE@iuhealth.org