October 17, 2014
MEC formally opposes Proposition 46 (aka MICRA Reform) (PDF)
California healthcare costs will significantly increase with new MICRA proposition. The Medical Staff Executive Committees of the Stanford Hospital and Clinics and the Lucile Packard Children's Hospital (the "MECs"), representing the over 2500 physicians who care for patients at these hospitals and clinics, formally oppose Proposition 46 dealing with patient drug checks, physician screening and medical malpractice lawsuits. The MECs believe that this initiative will compromise patient privacy, limit access to needed healthcare services, increase healthcare costs, foster baseless lawsuits, and create significant inefficiencies. Click here to read the joint statement of SHC and LPCH Medical Staff Executive Committees.
Prop. 46 / MICRA Questions and Answers (PDF)
Medical Staff members who desire to respond to or initiate discussion of Prop. 46 with patients and others have ready talking points with this Question & Answer sheet.
Inaugural APP of the Year Award – Winner Announced (PDF)
The inaugural APP of the year award winner is Laura Zitella, NP. Laura is an accomplished provider with strong academic and clinical accolades including being a driving force for the APP practice at Stanford. Additionally, she has many publications, presentations, and has served on multiple committees to advance the practice of nursing.
Quality Alert Biweekly Report: October 8, 2014 (PDF)
We continue to struggle with the following areas: Global Immunization and Hospital Based Psychiatric Services. "Best care 100% all the time, for all our patients." Learn more.
What's New and Coming Soon in Epic
HIPAA/CLIA Amendment Allows Patients Access to ALL Lab Results
Beginning 10/23/14, ALL finalized lab results will be released to patients on MyHealth upon being marked as "Reviewed" - or - after 14 days if no action is taken. This includes genetic tests, pathology, tests for drugs of abuse, and HIV/Hepatitis testing. Always communicate "sensitive" results directly to patients before you mark as "Reviewed."
"My Patients" in Patient Search Includes PCP and Care Team
Previously, the "My Patients" filter in the patient look up only returns patients with the user listed as the PCP. Now, the "My Patients" filter will additionally look to see if you were part of the Care Team.
Influenza Vaccination Alert in Primary Care & Pulmonary Clinics
Best Practice Advisory (BPA) for influenza will alert you during an appointment when a patient is due for an influenza vaccination in SHC Primary Care and Pulmonary Clinics.
View Chart Review Routing History
You can use "Route" to send documents from Chart Review. Now you can confirm whether your patient has items sent. To access this report, go to Chart Review> Misc Tab> SHC REVIEW CHART REVIEW ROUTING HISTORY.
Updates to Ultrasound orders for Elastography
New ultrasound orders for focused exams start 10/23/14. Place order for "US Liver Elastography with Complete Abdomen," when a complete abdomen US plus the elastography scan of the liver is needed. Order "US Elastography Only Liver Spleen Kidney," when only an elastography scan of the liver, spleen or kidney is required. These orders will be available in ED, Inpatient and Outpatient areas.
Operative Reports: Use Epic "Deficiencies" to Assist in Timely Completion
Operative Reports must be completed within 24 hours of the surgery. To assist with this, Operative Report deficiencies will be assigned automatically based on surgical scheduling information in Epic – and removed immediately upon note completion. The deficiency will be assigned to the Primary Surgeon for each panel 8 hours following completion of the case (Room Out time). If a Fellow or Resident documents the Operative Report, the attending's deficiency will automatically complete upon attending Co-Sign. For any questions, please contact the Health Information Management department staff at grelloma@stanfordhealthcare.org.
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