The United States Food and Drug Administration (FDA) recently approved coagulation factor Xa (Andexxa) for the reversal of rivaroxaban (Xarelto) or apixaban (Eliquis) when needed due to life-threatening or uncontrolled bleeding. The drug carries a boxed warning of thromboembolic risks, ischemic risks, cardiac arrest, and sudden deaths. The Englewood Health Pharmacy is making its limited […]
The new classes of residents started at Englewood Hospital earlier this month. PGY-1 Surgical Residents Download poster with photos Dr. Anahita Ariatabar (PGY-1 Prelim) Dr. Daniel Garcia Dr. Marija Dionizovik-Dimanovski (PGY-1 Prelim) Dr. Teresa Iaconelli Dr. Michael Zeitchek Dr. Hassan Masoudpoor PGY-1 Podiatry Residents Download poster with photos Dr. Sukaina Eashour Dr. Thanh Nguyen […]
As a follow up to Quality Update: Key Feature of Wave 3 Helps Providers Improve Documentation of Major Comorbid Conditions, let’s review healthcare-associated pneumonia (HCAP). HCAP requires specificity to be accurately coded. HCAP is considered to be one of the following types of pneumonia: Gram-Negative Pneumonia: E.Coli, Klebsiella, Proteus, Pseudomonas, Enterobacter and others Staphylococcal ( MRSA/MSSA) […]
Beginning June 20, a feature of Epic called “Happy Together” goes live. Happy Together creates a single interwoven chart across Epic and other EHRs to improve patient care. As part of our Refuel project, we’ve enabled the ability to view encounters from organizations that we connect with via Care Everywhere alongside our own encounters in […]
Commitment and vigilance to standardized procedures at every level of the organization create a highly reliable culture of patient safety. Two critical opportunities for improvement identified during our recent Joint Commission survey were adherence to the procedural consent process and observance of the universal protocol, otherwise known as the “time-out.” These standardized procedures must be […]
As a follow up to Quality Update: Key Feature of Wave 3 Helps Providers Improve Documentation of Major Comorbid Conditions, let’s look at documentation of malnutrition: Malnutrition should be specified by degree: Mild, Moderate or Severe. There are several criteria that our registered dietitians review when determining the degree of malnutrition. These criteria follow guidelines […]
Candida auris (C. auris) is a fungus that can cause serious illness in people who are sick or immunocompromised. While C. auris is not considered a widespread threat to the general public, it can cause complications and death for immunocompromised individuals in hospitals, nursing homes, and other care settings. Why It’s a Threat The CDC […]
A best practice alert (BPA) will now remind providers to regularly review their patient’s antibiotics and determine if the antibiotics can be stopped or the spectrum narrowed. If you want to modify the antibiotic, you must go into manage orders. BPA appears when the antibiotic is with 72 hours of expiring (click on images to […]
As a follow up to Quality Update: Key Feature of Wave 3 Helps Providers Improve Documentation of Major Comorbid Conditions, let’s review congestive heart failure (CHF). In order for CHF to be correctly coded from the medical record, the following needs to be addressed in your progress notes: Type: Diastolic, Systolic or combined Diastolic and […]
Accurate documentation of major comorbid conditions (MCC) is critical for patient care and hospital reimbursement. It also directly impacts our publicly reported quality scores and value-based purchasing. In Wave 3 of the Epic Refuel, the Admission Navigator will have a new “Co-morbidities” section that suggests patient-specific diagnoses based on real-time vitals, labs, and other data […]