Patient Safety Reminders for Proceduralists: Patient Consent and the Universal Protocol

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 […]


Clover Health Update

As discussed at the Spring Business Meeting, we have signed an agreement with Clover Health that would bring increased payments to doctors, especially primary care doctors. Clover would pay the doctor $100 per visit with no limits. While this is not an increase for higher level visits, it is double the usual office visit (99213). […]


Documentation of Malnutrition

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 […]


Measles Outbreak Clinical Quick Guide

Download this guide as a PDF Key Points Ensure all health care personnel (HCP) have documented evidence of immunity on file at their work location Encourage symptomatic patients to call BEFORE visiting a health care facility. Call ahead if referring a patient to another health care facility. Post signage directing staff and/or patients to identify […]


Correctly Coding Congestive Heart Failure

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 […]


Quality Update: Key Feature of Wave 3 Helps Providers Improve Documentation of Major Comorbid Conditions

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 […]


Quality and Patient Experience Update

Public reporting of hospital quality data is a controversial and moving target that can be both confusing and frustrating for physicians.  One thing is certain: these “report cards” are not going away and are critically important for both reputation management and long-term financial viability. It is also certain that the Englewood Health community remains committed […]


Patient Safety Reminder

To ensure a patient does not miss any required medication doses, use caution when modifying an existing medication order in Epic.  When you modify an order, the times for administration of the medication revert to the default settings.   Depending on the time the order is placed, the patient may be at risk to miss a […]