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Clinical Connections
  April 18, 2013  
Quality Updates

Dr. Cawley Dear MUSC Medical Staff,

Last week the MUSC Board of Trustees was in town for a regular meeting. At each BOT meeting, there are multiple reports and presentations to this dedicated group of individuals who govern MUSC. Several quality presentations were shared with the board and
I would like to share them with you:

  South Carolina Safe Care by Chris Rees - This is a brief update on MUSC's role in the South Carolina Safe Care collaborative to improve high reliability in health care. This is a nation leading effort to greatly improve safety in medical centers.
  Meaningful Use Update by Dr. Bart Sachs - This is an update on MUSC's performance in Meaningful Use, which is a state and federal incentive program to roll out and use electronic health records. Phase 1 of the Meaningful Use program at MUSC requires hundreds of clinicians and supporting nonclinicians in order to accomplish the goals of the initial phase. All incentive monies received from this effort are used to pay for current and future information technology efforts.
  Palliative Care Update by Dr. Danielle Scheurer - This presentation was used to stimulate a discussion amongst the board regarding palliative care. In order to accomplish the goal of better palliative care across the MUSC patient community, we are exploring multiple avenues of improvement in our palliative care efforts and leadership.

Thank you for the great care you provide every day!

Patrick J Cawley, MD
Executive Director/CEO, Medical Center, and
Vice President for Clinical Operations, University

Our Vision (A picture of how we will look in the future)
MUSC will be nationally recognized as a premier academic
medical center.

We will change what's possible by relentlessly transforming expertise, learning and discovery into unrivaled care. As the State's leader in advanced care, we will improve the health of South Carolinians. Interdisciplinary teamwork, coordination and accountability across our unified clinical enterprise will generate the performance and resources that fuel the rising trajectory of our reputation.

MUSC Health Strategic Plan
Update on Drug Shortages:
Drug shortages have become a major issue for the medical industry. According to the American Society of Health-System Pharmacists (ASHP) there are currently 295 active drug shortages in the US, representing a 200% increase from 2006 to 2011. Some of the causes identified for these shortages include: Dr. Cawley
  manufacturing problems (36%)
  supply/demand problems (8%)
  drug discontinuations (8%)
  lack of raw materials (4%).

The most recent drug shortages experienced by MUSC include TB skin test products and IV calcium, but these drug shortages span across all the major therapeutic areas, the most common being:

  oncology (16%)
  anti-infectives (15%)
  cardiovascular (12%)
  central nervous system (11%)

The Department of Pharmacy overall is currently dealing with 200 drugs that have a supply disruption, including 18 critical drug shortages. Despite these challenges, MUSC will continue to make all attempts at acquiring and distributing drugs in a manner consistent with the least possible disruption in patient care.

Please keep abreast of the drug shortage issues from the Pharmacy website so we can all work together for high quality and safe patient care.

Interdisciplinary Rounds
Effective case management is essential in ensuring our patients move through our system efficiently and safely, with particular attention to post-hospitalization needs--whether it is a lower level of care, a rehab facility, nursing home, or the patient's own home environment.

Case Managers are required to hold regular interdisciplinary rounds for each Med-Surg unit in their charge. Our intention is for interdisciplinary rounds to be integral not only to the case management function, but to all members of the care team.
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Appropriate Documentation for Respiratory Conditions: PORF

Respiratory events following surgical procedures or major trauma occur in as many as 10% of patients. Many of these events require maintained ventilator support because of swelling or the need for prolonged sedation. Patients rarely progress into true post-op respiratory failure (PORF) which has a reported mortality as high as 40%.
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PEP Rally!
PEP Program Rallies Behind Epic Enterprise

Strong operational management is one of the most critical factors for a successful Epic install. To help facilitate this ownership, the MUSC Epic Enterprise Program created a clinical readiness program called
"Partnership for Epic Preparedness"(PEP)

The goal of PEP is to effectively engage operational management during the implementation and after go-live by formalizing the communication chain between them and the project team.
Read more

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