JULY, 2017 ARE YOU READY TO GET LINKed? STAFF ELECTIONS Medical... · ARE YOU READY TO GET LINKed?…

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    ARE YOU READY TO GET LINKed?

    Starting Oct.1, Lee Health will launch LINK, our new, state-of-the-art software system for timekeeping, staffing and supply chain management. Much in the way Epic changed clinical practice; LINK will have a significant impact on Lee Healths ability to provide the staff and materials needed to deliver the best possible care for our patients. As Lee Health continues to grow, updated systems are needed to manage our essential business and Human Resources workflows.

    The name LINK is an acronym for the two business software systems we are installing to replace GEAC, One-Staff and the legacy timekeeping system: (Lee Health + Infor + Kronos = LINK).

    In addition to standardizing and simplifying work processes, LINK includes state-of-the-art touch screen time clocks with easy-to-use functionality, creating a one-stop portal for employee self-service including timekeeping, scheduling and PTO, among other features.

    LINK will launch on Oct. 1, the first day of Lee Healths new fiscal year. This is a multiphase project over the next two years.

    For additional information email LINK@LeeHealth.org.

    JULY, 2017 ARE YOU READY TO GET LINKed?

    CONTINUING MEDICAL EDUCATION NEW MEDICAL STAFF & ALLIED HEALTH PROFESSIONALS EMERGENCY DIAL CODES PHYSICIANS OF THE MONTH & NOMINATION FORM ARTICLES SUBMISSION

    ANNOUNCEMENT OF MEDICAL STAFF ELECTIONS 2017 HEART FAILURE GUIDELINE UPDATES CCC ADVANCES UPDATED TELEMETRY GUIDELINES NEWS FROM THE MEDICAL LIBRARY

    NEWS FROM THE MEDICAL LIBRARY NEW & REVISED ORDER SETS - JUNE

    NEWS FROM THE MEDICAL LIBRARY LIBRARY & BUSINESS CENTER - GCH

    CDI DOCUMENTATION CONTINUING MEDICAL EDUCATION

    ISSUE 4

    mailto:LINK@LeeHealth.org

  • Medical Staff Matters

    ANNOUNCEMENT OF MEDICAL STAFF ELECTIONS

    The 2017 Medical Staff Election will be held in August. Voting will be by electronic (email) ballots, via Survey Monkey. Active Medical Staff members are scheduled to receive voting instructions via e-mail by Friday, August 11th. The deadline to return the ballots will be Friday, August 25, 2017 at 5:00 p.m. Only practitioners with ACTIVE staff status may vote.

    The next two (2) pages list the Medical Staff Nominees for Medical Executive Committee Officers/Members, Department Chair and/or Section Chief by facility.

    Please note, if you do not receive an electronic (e-mail) ballot, to contact the Medical

    Staff office to provide a current email address.

  • Medical Staff Matters

    CAPE CORAL HOSPITAL ELECTIONS FINAL SLATE OF NOMINEES - 2017 MEDICAL EXECUTIVE COMMITTEE OFFICERS AND

    DEPARTMENT CHAIRS

    Secretary/Treasurer: Joanna Muller Carioba, M.D. Anesthesiology Dept. Chair: Brian J. West, M.D. OB/GYN Dept. Chair: Dirk Peterson, M.D. Radiology Dept. Chair: Thomas G. Presbrey, M.D. Members-at-Large: Basudev Pudasaini, M.D.

    GULF COAST MEDICAL CENTER ELECTIONS FINAL SLATE OF NOMINEES - 2017 MEDICAL EXECUTIVE COMMITTEE OFFICERS AND

    DEPARTMENT CHAIRS

    Secretary/Treasurer: Sally C. Palmon, M.D. Emergency Medicine, Dept. Chair: Lawrence Isaacs, M.D. Medicine Dept. Chair:

    William Carracino, M.D.

    Syed Zafar, M.D.

    OB/GYN Dept. Chair: Norris M. Allen, M.D.

    Jeffry Garner, M.D.

    Surgery Dept. Chair: Valerie Dyke, M.D. Radiology Dept. Chair: Randolph Knific, M.D. Pathology Dept. Chair: Zhiping Liu, M.D. Members-at-Large: Gary Correnti, M.D., Anthony DAngelo, M.D., William Hearn, D.O., Khalid Sabha, M.D., Michael Weiss, M.D.

    HEALTHPARK MEDICAL CENTER ELECTIONS FINAL SLATE OF NOMINEES - 2017 MEDICAL EXECUTIVE COMMITTEE OFFICERS AND

    DEPARTMENT CHAIRS

    Secretary/Treasurer: Rabia H. Khan, M.D. Medicine Dept. Chair: Steve T. Lee, M.D. OB/GYN Dept. Chair: Charles K. Burlison, M.D. Pathology Dept. Chair: Orestes Borrego, M.D. Radiology Dept. Chair: Sharik K. Rathur, M.D.

  • Medical Staff Matters

    LEE MEMORIAL HOSPITAL ELECTIONS FINAL SLATE OF NOMINEES - 2017 MEDICAL EXECUTIVE COMMITTEE OFFICERS AND

    DEPARTMENT CHAIRS

    Secretary/Treasurer: Asif Azam, M.D., Anesthesiology Dept. Chair: Marc Michelsen, D.O. Emergency Medicine Dept. Chair: David Goldner, M.D. Medicine Dept. Chair: Razak Dosani, M.D. OB/GYN Dept. Chair: Charles K. Burlison, M.D. Pathology Dept. Chair: P.J. Tsakalakis, M.D.

    GOLISANO CHILDREN'S HOSPITAL OF SW FL ELECTIONS FINAL SLATE OF NOMINEES - 2017 MEDICAL EXECUTIVE COMMITTEE OFFICERS AND

    DEPARTMENT CHAIRS

    Secretary/Treasurer: Asjad U. Khan, M.D. Anesthesiology Dept. Chair: Daniel J. Krauss, M.D. Emergency Medicine, Dept. Chair: Myriam M. Alea, M.D. OB/GYN Dept. Chair: Charles K. Burlison, M.D. Surgery Dept. Chair: John D. Donalson, M.D.

    CCH, GCMC, HPMC, LMH and GCHSWFL FINAL SLATE OF NOMINEES 2017 SURGERY SECTION CHIEFS

    Colorectal Section Chief: Valerie R. Dyke, M.D.

    General/Vascular Section Chief: John A. Moss, D.O.

    Neurosurgery Section Chief: Saman P. Javedan, M.D.

    Ophthalmology Section Chief: Mark S. Gorovoy, M.D.

    Oral & Maxillofacial Surgery Section Chief: Robert D. Gear Jr., D.M.D, M.D.

    Orthopedic Surgery Section Chief: Mark E. Farmer, M.D.

    Otolaryngology Section Chief: James Newlon, M.D.

    Plastic Surgery Section Chief: Michael Kim, M.D. and John Ritrosky, M.D.

    Podiatry Section Chief: John Lawlor, D.P.M.

    Thoracic Surgery Section Chief: Paul DiGiorgi, M.D.

    Trauma Surgery Section Chief: Jose A. Diaz, M.D.

    Urology Surgery Section Chief: James D. Borden, M.D.

  • Medical Staff Matters

    2017 HEART FAILURE GUIDELINE UPDATES

    KEY POINTS:

    1. Renin-Angiotensin System Inhibition: This strategy is recommended to reduce morbidity and mortality in all patients with HF and reduced ejection fraction (HFrEF) and no contra-indications, in addition to optimal therapy that includes beta blockers and aldosterone antagonists in those without contraindications as well as device therapy (implantable cardioverter-defibrillator cardiac resynchronization therapy, or both) in those with an indication.

    Angiotensin-converting enzyme (ACE) inhibitors (Class I) or Angiotensin receptor blockers (ARBs, Class I) or Angiotensin receptorneprilysin inhibitor (ARNI) to replace ACE inhibitors or ARBs in

    patients who have tolerated either agent (Class I, but with a lower level of evidence than ACE or ARB). ARNI should not be used within 36 hours of the last dose of an ACE inhibitor or in patients with angioedema (Class III [harm]).

    2. Ivabradine: Consider using this drug to reduce HF hospitalizations for symptomatic HFrEF and resting heart rate 70 bpm in patients on optimal therapy, including a beta blocker at the maximal tolerated dose (Class IIa).

    3. Therapy for HF with Preserved Ejection Fraction (HFpEF): Therapy remains largely targeted at coexisting conditions, including hypertension, coronary disease, and atrial fibrillation. Aldosterone Receptor Antagonists in appropriately selected patients might reduce hospital-ization risk (Class IIb [weak recommendation]). Routine nitrates or phosphodiesterase-5 inhibitors are discouraged (Class III [no benefit]).

    4. Hypertension: Recommended optimal levels (Class I) are

  • Medical Staff Matters

    CLINICAL COLLABORATION COUNCIL (CCC) ADVANCES UPDATED TELEMETRY GUIDELINES

    The Clinical Collaboration Council (CCC) has approved new evidence-based guidelines for the use of telemetry across the health system. The guidelines were approved by the Physician Leadership Council (PLC) in its August meeting and are scheduled for consideration by the Facility Medical Executive Committees (FMECs) this month. If approved, the guidelines would go into effect at the end of September after staff/physician education is completed.

    The new guidelines are intended to address the overutilization of cardiac monitoring and bring Lee Health in line with national standards. The goal is to reduce the use of telemetry on lower acuity patients, alleviating alarm fatigue while making our patients safer.

    During a recent survey, Lee Health averaged 67% telemetry use across the health system with one campus experiencing 110,000 alarms over a 24-hour period. Alarm fatigue can and has contributed to serious safety events.

    The new guidelines will limit which patients receive cardiac tracking and for how long. A copy of the guidelines can be obtained through the Medical Staff Office.

    The Clinical Collaboration Council was launched earlier this year to oversee quality improvement projects at Lee Health. Contact Dr. Scott Nygaard or Dr. Marilyn Kole for more information about the CCC.

  • Medical Staff Matters

    Update on Medical Library Resources

    Cochrane Clinical Answers is a physician-focused resource that provides answers to clinical questions. Its content is based on the high-quality evidence found in Cochrane

    systematic reviews. It is part of Cochrane Collection Plus.

    This and other databases are available to Lee Health physicians on the databases page of the Medical Library on IntraLee as well as remotely via Citrix or Athens connection.

    Two databases have been removed from Cochrane Collection Plus due to the availability

    of their content on other websites:

    Health Technology Assessment Evaluation Database and

    Economic Evaluation Database

    To request remote access to the library e-resources via Athens, contact medlibrary@leehealth.org

    New Print and Electronic Books have been added to the Library Collection:

    Complications of Percutaneous Coronary Intervention : the Survival Handbook

    Decision Making in Emergency Critical Care : an Evidence-Based Handbook

    Medical Ethics: Accounts of Ground-Breaking Cases

    Lubkin's Chronic Illness : Impact and Intervention

    Antibiotic Resistance : Mechanisms and New Antimicrobial Approaches - e-book

    Tietz Textbook of Clinical Chemistry and Molecular Diagnostics - e-book

    Neurobiology of Mental Illness

    Lanzkowsky's Manual of Pediatric Hematology and Oncology - e-book & print

    Ryan's Retina - e-book

    Barrett's Esophagus : Emerging Evidence for Improved Clinical Practice - e-book

    Dulcan's Textbook of Child and Adolescent Psychiatry - DSM-5 edition

    The American Psychiatric Association Publishing Textbook of Psychopharmacology

    To see the full list of resources added, visit Recent Arrivals page on the Medical Library

    website on IntraLee or at http://www.leehealth.org/medlibrary/recent.asp

    mailto:medlibrary@leehealth.orghttp://www.leehealth.org/medlibrary/recent.asp

  • Medical Staff Matters

    NEW

    3944 ADULT ACETYLCYSTEINE (MUCOMYST 20%) PO/NG ORDERS FOR ACETAMINOPHEN OVERDOSE

    3944-A PEDIATRIC ACETYLCYSTEINE (MUCOMYST 20%) PO/NG ORDERS FOR ACETAMINOPHEN OVERDOSE

    REVISED

    3018 NICU ADMISSION ORDERS

    3019 NEONATAL CONTINUING CARE ORDERS

    3192 POST-PARTUM / POST C-SECTION ORDERS

    3249 PRE-ECLAMPSIA HYPERTENSIVE DISORDERS IN PREGNANCY (HIP) ADMISSION ORDERS

    3251 FETAL DEMISE/FETAL ANOMALY ORDERS

    3252 LABOR ADMISSION ORDERS

    3394 CESAREAN DELIVERY PRE-OP ORDERS

    3424 PEDIATRIC HOME HEALTH IV ANTIBIOTIC ORDERS

    3496 CARDIAC ADMISSION ORDERS

    3644 ETHYLENE GLYCOL AND METHANOL POISONING ORDERS

    3654 FRACTURE PRE-PROCEDURE ORDERS (ORTHOPEDICS)

    3662 ADULT INTRAVENOUS ACETAMINOPHEN (OFIRMEV) ORDERS

    3714 ADULT BLOOD TRANSFUSION ORDERS

    3755 POST-PARTUM/POST VAGINAL DELIVERY ORDERS

    3788 METHOTREXATE ORDERS FOR ECTOPIC PREGNANCY

    3802 OBSTETRICAL TRIAGE NURSE-INITIATED MEDICAL SCREENING EXAM PROTOCOL ORDERS

    1275-ED OB ED NURSE INITIATED ADV TRIAGE ORDERS

    Continued

    NEW & REVISED ORDER SETS JULY 2017

  • Medical Staff Matters

    NEW & REVISED ORDER SETS JULY 2017 (Contd)

    3902 OBSTETRICAL HYPERTENSIVE MANAGEMENT ORDERS

    3929 LABOR ADMISSION NURSE-INITIATED PROTOCOL ORDERS

    OBSOLETED

    3204 PEDIATRIC INFECTIOUS DISEASE LABORATORY ORDERS

  • Medical Staff Matters

    You can now find CDI Physician resources on Intralee, including our Tuesday Morning Education

    Go to IntraLee -> under Lee Health Favorites, Click on Health Information Management

    On the left hand side, you will see CDI Physician Resources

    Jillian Bisbe RN, MSN, CCDS Clinical Documentation Improvement Supervisor

    Jillian.Bisbe@LeeHealth.org

    mailto:Jillian.Bisbe@LeeHealth.org

  • Medical Staff Matters

    August 2017

    Appropriate Use Criteria for Nuclear Stress Test & Echo

    Robert Hendel, MD, FACC, FAHA, MASNC 6:00 7:00 PM on Wednesday, August 9, 2017 HPMC Boca Grande Room

    OR 6:30 7:30 AM on Thursday, August 10, 2017 HPMC ED800

    Target Audience: Cardiologists, Hospitalists, Advanced Providers Learning Objectives: Participants will be able to discuss the criteria that help determine the appropriate use of cardiac imaging technology.

    RSVP for CME and dinner/breakfast (239) 343-6003 or email: Kimberly.Rojas@leehealth.org

    Cardiovascular Services Echocardiography Diastolic Dysfunction & Left Atrial Filling Pressures

    Karla Quevedo, MD, FACC 5:45 6:45 PM on Tuesday, August 15, 2017 HPMC HP800

    Target Audience: Physicians, Sonographers, Nursing Learning Objectives: Participants will be able to discuss updated LV Diastology Grading Criteria

    Presentation is available by WebEx. Email Nicole.Steinkohl@leehealth.org for more information.

    Pediatric Grand Rounds:

    Proton Pump Inhibitors and Pediatric GERD: To use or not to use Viraine Weerasooriya, MD

    6:30 7:30 PM on Thursday, August 17, 2017 HPMC Boca Grande Room

    Target Audience: Pediatricians, Family Practice Physicians & Nurses

    Learning Objectives: Participants will be able to review evidence-based indications for treating infants and older children with PPI, discuss the risks of treatment, as well as why, when, and how to stop treatment, review current evidence for extra-esophageal associations with reflux disease, and review new understandings of reflux related disorders.

    RSVP for CME and dinner by Thurs. 8/17 (239) 424-2680 or email: Nicole.Steinkohl@leehealth.org

    Continued

    mailto:Kimberly.Rojas@leehealth.orgmailto:Nicole.Steinkohl@leehealth.orgmailto:Nicole.steinkohl@leehealth.org

  • Medical Staff Matters

    Lifestyle is Medicine 8:00 AM 12:00 PM on Saturday, August 19, 2017 GCMC Community Room

    Target Audience: Physicians, ARNPs, and Nurses

    Learning Objectives: Participants will be able to discuss clinical evidence regarding the benefits of macro and micronutrients for the treatment, reversal and prevention of chronic illness, and to identify the clinical and scientific research which has been done to evaluate the use of nutrition as compared to pharmaceuticals and other traditional methods of health care.

    RSVP for CME and breakfast by Fri. 8/18 (239) 424-2680 or email: Nicole.Steinkohl@leehealth.org

    Save the Date

    6:00 PM 7:00 PM on Monday, August 21, 2017 LMH MOC 8th Floor Classroom

    Hemodialysis Access Ultrasound

    5:45 PM 6:45 PM on Thursday, August 24, 2017 HPMC HP800

    Target Audience: Physicians, Sonographers, Nursing

    Learning Objectives: Participants will be able to review Hemodialysis Access Ultrasound protocols and procedures

    Presentation is available by WebEx. Email Nicole.Steinkohl@leehealth.org for more informat...