February 2024


Upcoming CME Events

IU Health CME Events

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

 

Wed, Feb. 14th, 11:30am-1:00pm – Hep C Medication Update (In-person/virtual)

Bloomington Noon Conference - IU Health Sciences Building, C102B

Emily Jansen, PharmD

 

Thurs, Feb. 15th, 9:30am-11:00am - IU Health CME/CEU Learning Event - Are the Stars Aligned? Improving CMS Public Reporting and Pay-for-Performance Programs

Karl Y. Bilimoria, MD, MS

 

Fri, Feb. 16th, 1:00pm-2:00pm – Memory University: Healthy Heart, Healthy Brain

Donna Wilcock, PhD and David Johnson, MA, PhD

 

Fri, Feb. 16th, 11:30am-1:00pm - Bloomington Noon Conference - Fetal and Infant Mortality

Emily Bock, MPA

 

Mon, Feb. 19th, 12:00pm-1:00pm - IU Health CME/CEU Virtual Learning Event - Documentation Guidance - Risk Implementations of Documentation

Elizabeth Neterval, RN, BSN, MBA and Jennifer Chmiel, RN, BSN

 

Tues, Feb. 20th, 12:00pm-1:00pm - IU Health CME Virtual Learning Event - Pediatric/Adult Formula Formulary Updates 2024

Charles P.B. Vanderpool, MD and Wendy K. Cruse, MMSc, RDN, CSPCC, CLS, LD

 

Sat, Feb. 24th, 7:30am-12:30pm - Bloomington - 2024 Pediatric Medical Weekend (In-person/virtual)

Location: Health Sciences Building - C1020Z

Stacey Tarvin, MD, MS, FAAP, FACR
Cory D. Showalter, MD
Brian Gray, MD
James Laughlin, MD, FAAP

 

Wed, Feb. 28th, 12:00pm-1:00pm - IU Health CME/CEU Virtual Learning Event - Neuro NICU Program

Beatrice M. Stefanescu, MD

 

Wed, Feb. 28th, 11:30am-1:00pm - Bloomington Noon Conference - Can Psilocybin Treat Depression & Anxiety (In-person/virtual) IU Health Sciences Building, C102B

Bruce Martin, Ph.D.

 

Thurs, Feb. 29th, 12:00pm-1:00pm - IU Health CME/CEU Virtual Learning Event - Media Training

 

Fri, Mar. 1st, 12:00pm-1:00pm - CMIO - Quarterly Broadcast

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

 

Tues, Mar. 5th, 12:00pm-1:00pm – Malpractice

Elizabeth Neterval, RN, BSN, MBA

 

Thurs, Mar. 7th, 1:00pm-3:00pm - Riley Error Prevention Training

Angela Delecaris, MD and Kathryn Taylor, PharmD, BCPPS

 

Thurs, Mar. 14th, 12:00pm-1:00pm - IU Health CME/CEU Virtual Learning Event - Stroke and the Found Down Patient"

Ann M. VanDeWalle Jones, MD

 

Fri, Mar. 15th, 1:00pm-2:00pm - Memory University: Empowering Women to be Care Partners in the Management of Alzheimer's Disease

Anita Gartland, JD
Veronica Derricks, PhD
Maryann Chimhanda, MD, MS

 

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

We’re kicking off a new year by setting our sights on achieving top quartile performance in Promise Dashboard goals. To share more about our vision for improving patient care in 2024 and the metrics that will guide our progress, please take a few minutes to watch the following video from Dr. Michele Saysana. If you have any questions or feedback about improving quality and safety performance, please reach out to Dr. Saysana.

 

Completion of medical records moving to a one-week suspension cycle
The Health Information Management department will soon begin operating under a one-week suspension cycle rather than the current bi-weekly cycle. This will ensure more timely documentation to meet CMS requirements and Joint Commission standards, support prompt coding/billing of accounts and better align deficiency management, giving providers a more unified experience across the state.

 

What to Expect:

  • Beginning Jan. 31, providers will receive notification of incomplete medical records that have aged 15 days post discharge.
  • The following Wednesday, Feb. 7, providers who have not yet completed their incomplete medical records will be suspended at noon. Immediately following, Warning Letters will be distributed for any newly aged deficiencies.
  • This cycle will continue weekly.
  • Providers should routinely log into Cerner Message Center and complete all outstanding deficiencies in their “Sign”, “Document” and “Saved Notes” folders.

 

Don’t Forget to:

  • Change your Cerner Message Center default display from 30 Days to Load All.
  • Refuse incorrectly assigned documents to “Administrator, Refusal HIM Document” for HIM to review.
  • Notify the HIM Chart Completion team prior to a leave of absence to avoid unnecessary suspensions.

 

Connect with Desktop Support at 317-962-2828 to request remote Cerner access.

 

The latest on the new academic health center

  • Vertical construction continues across 16th Street, but inside, project planning and operations teams are also hard at work bringing the new academic health center to life. See this short video update from Vice President of Project Planning and Operations Nick Wojciechowski and Chief Nursing Officer Amanda Noth Matchett.
  • On Saturday, Jan. 27, 16th Street reopened to vehicular traffic. Please continue to travel with caution in the construction area.
  • You can find all the latest hospital project updates, including FAQs, video resources and more on this Connect page.
  • Clinical experts shared expertise to help develop patient room mock-ups for the new hospital. See the models and hear about team member involvement in the design process in this WTHR video spotlight.

 

Share in celebration

  • Neurologists at the AAHC are among the first in the nation to administer a groundbreaking gene-based therapy for patients living with a rare form of amyotrophic lateral sclerosis (ALS). In October 2023, Adam Comer, MD, administered the therapy to the first patient at IU Health. Read more and share kudos with the team of neurologists working on this groundbreaking therapy.
  • Prior to FDA approval, the Adult AHC participated in the drug development and clinical trials of PSMA Lu177 (Pluvicto) as a treatment for prostate cancer. Since receiving FDA approval in March 2022, we have provided 850 doses, which makes the Adult AHC the largest volume academic center in the United States. We continue to serve patients around the state of Indiana and beyond.

 

In memory of Dale Rouch, MD

Dale Rouch, MD, passed away on Sunday, Jan. 21. Rouch was a surgeon who served as a mentor, colleague, and teacher to many in the medical community. Read more about Rouch’s impressive legacy and share condolences here.


Clinical Council Updates

Infectious Disease:

Outpatient Vaccination Updates: After a review and assessment of available vaccinations on formulary in the outpatient setting, the following updates will be made to formulary:

  • Remove Rotavirus vaccine (RotaTeq®) from Formulary
  • Maintain Rotavirus vaccine- (Rotarix®) as Formulary with no restrictions
  • Remove Pneumococcal Conjugate Vaccine (15-Valent) (Vaxneuvance®) from Formulary
  • Remove Pneumococcal Conjugate Vaccine (13-Valent) (Prevnar 13 ®) from Formulary

RotaTeq® is a 3-dose series compared to the Rotarix® 2-dose series, and analysis shows many patients are not completing the 3-dose RotaTeq® series within the specified timeframe (8 months).  Within pneumococcal vaccines, now that PCV20 recently received approval for use with infants >6 weeks of age, it will become the only pneumococcal conjugate vaccine on formulary in the outpatient setting. 

 

System Approach to Standardization of Order Sets: The OrderSets/PowerPlans team in partnership with Pharmacy IS is implementing new standards for the creation or consolidation of ordersets/powerplans. The initiative aims to enhance patient safety, streamline workflows, and promote consistent medication practices.  The new standards are listed below.  Any questions should be directed to Victoria Bailey or the OrderSets Clinical Informatics team at CIOrderSets@iuhealth.org.

  • PowerPlans must contain the same medication order sentences and comments across the system and should not vary by facility unless identified by site specific policy.
    • Note: Non-medication orderables may be flexed secondary to lab constraints, consult availability, etc.
    • Note: Provider favorites can be used for practice-specific options.
  • IV Set views inside a PowerPlan may be flexed secondary to flexing of IV Set views in the Cerner PowerChart catalog.
  • Medication order sentences within a PowerPlan can also be flexed only secondary to age and/or weight.
  • PowerPlans should be built such that Drug-Drug duplication and Drug-Drug interaction checking can be suppressed (e.g. linking, include only one). 

 

Newborn:

  • Neonate Quality Metrics: The Council reviewed system performance of quality metrics for Q4 2023 and 2023.  Numbers remained steady throughout the year.  All sites met the Vitamin K administration goals of 98%, most sites were right at the goal of 98% for Erythromycin, and no sites were able to meet the goal of 93% for Hepatitis B administration.  It was noted while we did not reach goal of 93%, most sites were still above the national honor roll threshold of 90%.  The council will continue to monitor these measures in 2024 and will keep the same goals.  The data for 10/1/2023-12/31/2023 and 1/1/2023 – 12/31/2023 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 Q4 = 99.25% (Goal – 98%)
    • System 2023 = 98.98%
      • Hepatitis B Administration
    • System Q4 = 91.05% (Goal – 93%)
    • System 2023 = 91.19%
      • Erythromycin Administration
    • System Q4 = 97.45% (Goal – 98%)
    • System 2023 = 97.51%
  • Introducing and Maintaining the Safe Sleep Culture for our Newborns: Rachel Harbison presented the safe sleep practices at Ball to meet the requirements for Cribs for Kids and shared the criteria to meet the different levels of safe sleep certification from Cribs for Kids.  Ball staff are required to complete an Oracle learn module annually. She also shared the partnership with local the community to give pack ‘n plays to families without safe sleep arrangements for their newborn and replaced the newborn blankets with Halo sleep sacks. The safe sleep audits are conducted daily for three babies each shift.  The results go to an outcomes specialist and are reported out monthly.  The goal is to maintain 90% safe sleep compliance.  Some other sites also shared resources and practices they do to help promoting safe sleep for their newborns.  The council agreed to complete safe sleep audits on 20% of newborns with the goal of 90% compliance.

         

NEXT STEPS: Sites will work to begin conducting safe sleep audits with a goal of 90% compliance.

  • Erythromycin Shortage: Heather Warhurst updated the council on ongoing issues with erythromycin shortages.  Backorders came in last week and all sites received their stock.  Currently the system has about 45 days on hand.  It is unknown how long the shortage will last.  Pharmacy was also able to secure some larger vials and the system will investigate the possibility of dispensing those in smaller volumes as required.

 

  • Neonate Infant Pain Scale (NIPS) to Newborn Admission Orderset: The council reviewed and approved the addition of NIPS and the guidance for using this pain scale. The council will develop system wide education for providers and nursing staff and the orderset to go live two weeks after system wide education is sent out and completed.

 

DECISION: The approved the addition of NIPS to the newborn admission orderset.

NEXT STEPS: Statewide education coming soon


Sepsis Core Elements Webinar Series Now Available with Free CE

The recently-released Hospital Sepsis Program Core Elements provide a framework to help U.S. hospitals implement, monitor, and optimize institutional sepsis programs and sepsis outcomes. They complement existing sepsis guidelines and help facilitate implementation of guideline-recommended care practices at a wide variety of hospitals and healthcare systems.

CDC, in collaboration with the American Medical Association, hosted a five-part webinar series to introduce the Sepsis Core Elements and share real-life examples, strategies, and best practices to help organizations successfully implement them. For those who missed the live webinars, the recordings and instructions for how to claim Continuing Education (CE) can be found on the Hospital Sepsis Program Core Elements website. Each webinar topic is independent, and CE will continue to be available for those who watch recordings and successfully complete a post-test.

To learn more about sepsis and how to prevent infections, visit www.cdc.gov/sepsis.

 


Overcoming the stigma: Study recommends steps to move past barriers of brain health conversation

Approximately four of five primary care clinicians consider themselves on the front lines of brain health. Click here to read more.


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  • Phone: (317) 962-5048

  • Email: OCE@iuhealth.org