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Clinical Connections
May 3, 2012
In This Issue
» Clinical Care Series » KEY Epic Info » Drug Shortages » Heads Up!
Countdown to May 17th!

Dear Medical Staff,

Epic go live is now less than a month away! Outside of training, the best advice for you in the next few weeks is to practice your clinic workflow. While you need to develop your personal workflow, the clinic team workflow is even more important. Each clinic should schedule at least 1-2 dry runs prior to May 17. This advice comes from not only the MUSC pilot clinics but numerous other EMR implementations across the US.

Avoid the May 18th regrets! Plan and practice now!


Thank you.
Patrick J. Cawley, MD
Chief Medical Officer & Executive Medical Director
MUSC Medical Center

KEY Epic Information

Deadline for Epic training is this Friday, May 5th. Epic log-ins will NOT be issued if you have not completed the required training and proficiency exams. Providers will NOT be allowed to treat patients without a log-in; clinics will be cancelled.
Personalization labs will begin May 7th; sign up in CATTS. Please familiarize yourself with your top diagnoses and frequently ordered labs to help in setting up your favorites.
Dress Rehearsals are an excellent way to prepare end users for go-live. The weekend of May 5th, a new epic icon for dress rehearsals will be pushed out to your desktop. Physician and Clinical super users are responsible for directing the dress rehearsals.
One of the number one pieces of advice is to ABSTRACT! According to the pilot site, if a chart has NOT been abstracted prior to a patient's visit, this can slow down the visit. Faculty, please talk to your Division Administrators about your division’s plan to cover abstracting charts. Remember you must abstract 20 charts prior to go-live.
Drug Shortages - What You Need To Know!

Current Critical Shortages
Sodium bicarbonate
Fosphenytoin
Morphine, Hydromorphone,
Midazolam
IV Multi-vitamin, Travasol
Metoclopramide, Prochlorperazine » Enlarge image
Doxil

How To Manage Shortages
Maintain internal shortage/recall list
Conduct bi-weekly pharamacy meeting
Identify alternatives through Drug Information Center
Cheif Medical Officer, key physician leaders and clinical pharmacy team
» Download our presentation about Drug Shortages
Heads Up!
April/May Progress Notes
Available Online


The current issue of Progress Notes, a bimonthly publication highlighting clinical and research innovations at MUSC, is now available online at www.MUSChealth.com/progressnotes.

In the April/May issue, read about:
The drug shortage crisis and MUSC's response.
The telescopic lens, a new treatment for end-stage macular degeneration offered at Storm Eye Institute. VIDEO
Slide tracheoplasty, an innovative treatment for children with congenital tracheal stenosis. VIDEO
The recommended management of pediatric obesity.
CME CREDIT
Cancer drug discovery at MUSC.
Write Kimberly McGhee, Managing Editor, with questions, comments or story ideas at mcgheek@musc.edu.
Clinical Care Series:
Important Epic Update!

» Epic Project Info

» Epic Policy Approved
   by Medical Executive
   Committee
CDI Corner -
Palliative Care

"Palliative Care" vs.
"Comfort Care"

• Document "Palliative Care" if still actively treating medical conditions (i.e. pneumonia, cardiac disease, UTI, cancer, etc).

• Document "Comfort Care" if not actively treating medical conditions. Regardless of palliative care diagnosis, the patient wants no curative care/treatment for any condition that may arise.

• Patients assigned to BOTH of these categories can still be in Hospice or awaiting Hospice.

• Documenting "Hospice care" is not equivalent to Palliative Care only.
» View clinical examples
Risk Management Roundup - Expectations of Medical Staff during a disaster

MUSC Medical Center emergency response priorities are:
Ensure Life Safety – protection of life and care for the injured.
Contain hazards.
Protect critical infrastructure, facilities, vital records, other data.
Resume the delivery of patient care.
Support the overall community response.
Restore essential services/utilities.
Provide crisis public information.
» Review our Expectations
Have a topic you'd like to know more about? Share with us!
» Take Survey Now
Newsletter Archives
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» April 19, 2012
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