Attn: All Contrack Management Users

November 11, 2015, 8:06 am

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If you have access to Contrack Management you may have seen the message below when logging in to eTenet.



 If you have not submitted an eID request for Tenet VPN access, effective Monday, 11/16/15, you will not be able to access the Contrack Management site.

Check your BHS email and refer to the Memo sent on 11/11/15, by Information Services, for instructions on how to request Tenet VPN access, or contact Naomi Costa at nmcosta@baptisthealthsystem.com

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NOW! AUTHENTICATION OF TELEPHONE ORDERS UPDATE

November 13, 2015, 9:36 am

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AUTHENTICATION OF TELEPHONE ORDERS UPDATE The Physician Champion model of authenticating telephone orders provided an avenue for the BHS medical staff to comply with the timely and complete authentication of telephone orders. The BHS is now transitioning from this model and engaging the medical staff members to authenticate their telephone orders within 96 hours. As a reminder CMS, TJC and state law requires verbal/telephone orders to be legibly Signed, Dated and Timed within 96 hours. If you are rounding on a colleague’s patient being treated under previous telephone orders, signing dating and timing these orders will be necessary to avoid defaulting on 96 hours. CMS, TJC and Texas state law allow covering physicians to authenticate a colleague’s orders. Nursing staff place a pink post-it reminder flag, to identify verbal/telephone orders awaiting authentication. Please review and address these reminder flags when you round on your patients. If you have questions or need additional information please contact Richard L. Marple, M.D. Chief Medical Officer of Hospitals at 210-297-7600 or Dana Kellis, M.D., M.B.A., PhD, Chief Medical Office of Baptist Health System at 210-297-1100.

Now! Fall Physician Satisfaction Survey Deadline Extension

November 13, 2015, 12:19 pm

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November 13, 2015 Fall Physician Satisfaction Survey Deadline Extension The deadline for physicians to complete the 2015 Fall Physician Satisfaction Survey online has been extended through Wednesday, November 18, and we need your help to share the news with the physicians at your facilities. Physician feedback is critical to us in understanding how to make improvements. When we know what is important to our medical staff, we can make changes that lead to a better environment for patient care. Please help us to promote the survey with physicians throughout your organization by sharing the extended deadline with them. As a reminder, physicians can take the survey online and the results will be submitted immediately. We've set a target of at least 50 percent participation in the Fall Physician Survey and many of our facilities have already exceed the goal. We greatly value the opinions and expertise of our medical staff. Thank you in advance for helping us spread the word about the extended online deadline.

NOW! News from the Blood Bank

November 20, 2015, 12:48 pm

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News from the Blood Bank Each unit of blood product transfused in a patient has both the potential to benefit and to harm. Single unit red blood cell transfusions are encouraged for hemodynamically stable, non-bleeding, hospitalized patients. Additional units in these patients should only be prescribed after re-assessment of the patient, their vital signs and their hemoglobin value. In clinically stable, non-bleeding patients, single unit platelet transfusions are usually clinically sufficient to achieve hemostasis as one dose will result in an increase of up to 30,000/dl. In order to promote safe and effective blood product transfusions, blood product orders that meet the following criteria will be reviewed prospectively. RBC unit orders for patients with a pre-transfusion hemoglobin greater than 7 g/dl and no further documented clinical indication. RBC unit orders for patients with a pre-transfusion hemoglobin greater than 8 g/dl. Requests for greater than 1 unit of RBCs or platelets in the absence of active, hemodynamically unstable bleeding. Thank you for your continued efforts to provide the best care to our patients. Sincerely, Luis E. Velez, MD Transfusion Practices Chair 210-215-8353 Teresa Duran, MD Blood Bank/Transfusion Medicine Medical Director 210-275-3760 References: Carson JL, et,al, Clinical Transfusion Medicine Committee of the AABB. Red blood cell transfusion: a clinical practice guideline from the AABB. Ann Intern Med. 2012 Jul 3;157(1):49-58. Richard M. Kaufman, MD; Ann Intern Med. 2015;162(3):205-213.

New Scored Gram Stain for Bacterial Vaginosis

November 24, 2015, 6:45 am

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The scored Gram stain is the gold standard for the diagnosis of bacterial vaginosis. Baptist Health System microbiology laboratory now performs this test in conjunction with examination of a wet prep. When clue cells are identified on the wet prep, a scored Gram stain will be performed. The Gram stain is examined for the presence or absence of various bacterial forms and a score is generated. This score is translated into one of three interpretations: normal vaginal flora, consistent with bacterial vaginosis, or intermediate. An intermediate score may be seen with other pathogens and in early bacterial vaginosis, and clinical correlation is required.

 Please call Dr. Jennifer Rushton, Medical Director of Pathology and Laboratory Medicine, with questions or concerns, 210-471-8585.

NOW! Required: Physician Standards of Conduct Acknowledgement

December 9, 2015, 7:07 am

≫ Next: Now! Use of Rubber Signature Stamp - What You Need to Know

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Required: Physician Standards of Conduct Acknowledgement For any privileged healthcare practitioner at Baptist Health System, acknowledgement of the Standards of Conduct is mandatory. In order to keep your computer access, you will need to complete this CME  by January 1, 2016.  Instructions for obtaining Physician CME / Completion Credit In order to receive Credit for your participation in this activity, you must complete the post-test. The test must be passed with at least a 80% pass rate. You will be notified if you do not get a satisfactory rate and be allowed to re-take the exam. There are 5 questions on the test. After passing the Post Test you will be directed to the CME log-in screen IF YOU HAVE A PROFILE SET UP IN THE CME TRACKER SYSTEM - - i.e. have attended a Baptist CME Conference and registered on-line or downloaded your CME Certificate on-line - you have a profile! Log-in to the CME System with your e-mail and password ACTIVITY CODE: 32406 Complete course evaluation & your CME Certificate is now ready to be printed IF YOU DO NOT HAVE A PROFILE SET UP IN THE CME TRACKER SYSTEM - Enter your e-mail address and check "I am a new user" ACTIVITY CODE: 32406 Follow instructions to set up your profile and password. Sign-in using your e-mail and newly created password, again use the activity code 32406 Complete course evaluation & your CME Certificate is now ready to be printed Questions? Contact the CME Department at CME_Info@baptisthealthsystem.com or 210-297-8632

Now! Use of Rubber Signature Stamp - What You Need to Know

December 9, 2015, 7:15 am

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Use of Rubber Signature Stamp - What You Need to Know As a reminder the Baptist Health System does not accept orders that are authenticated ONLY with a rubber signature stamp.   The Medical Staff Rules and Regulations include the following information under the Section 7.07 Authentication: "The use of a rubber stamp with the physician's name to facilitate legibility and prompt the inclusion of a time and date is encouraged, however all signatures in the chart must be original.  CMS will not accept stamped signatures.  The physician's original signature must accompany an order.  There shall be no delegation of stamps ..." Therefore, if you use a rubber stamp your original signature must also be included on the order.  Your rubber stamp cannot be delegated for use by other staff in your practice.   If you have any questions or need additional information please contact the BHS Chief Quality Officer, Emily Volk M.D. at 210- 297-1265.

Update to IMPACT plan and timeline

December 14, 2015, 8:23 am

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M E M O R A N D U M   TO:                  Baptist Health System Medical Staff FROM:            Dana Kellis, MD, PhD, MBA, Chief Medical Officer                         Wm. Bradshaw, MD, FACS, BHS Market Champion for Physician Informatics SUBJECT:      Update to IMPACT plan and timeline DATE:             December 14, 2015   We are pleased to announce that the Cerner Millennium electronic health record will go-live in the Baptist Health System in the late 3rd quarter to early 4th quarter of 2016.   Earlier this year we sent out a memo to the BHS Medical Staff notifying you of a revision in the IMPACT plan and timeline with an estimated adoption date for Cerner some time possibly in early 2016. The revision was due to an identified need for additional, significant project planning centered around the patient accounting/revenue cycle systems in order to ensure the best possible outcomes for our patients, physicians, staff and the BHS hospitals. That effort has been completed to the point we can announce the new go-live window.   The BHS project team, including physician leaders, has been working diligently to implement the IMPACT transition. This will result in a huge change for almost every electronic system and workflow within Baptist Health System. We appreciate the energy and engagement that physicians, leaders and staff have put into this project thus far.   As a reminder, the Tenet/Cerner team we're working with has implemented the IMPACT transition in 62 other Tenet hospitals to date with great success. However, during the course of our planning sessions, it has become clear that our large and complex group of hospitals will require a different approach in order to be successful in this comprehensive upgrade. (To put our size into perspective, keep in mind that our five hospitals are licensed through CMS as one hospital with more than 1,700 beds. This makes us the second largest hospital in the country, as far as CMS is concerned.)   We are absolutely committed to this transition, and we will continue to keep you informed especially as the definitive hospital go-live dates become available early next year. We thank you for your full participation in this project, both in adoption and with post go-live sustainment as a valued member of the Baptist Health System Medical Staff.

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Deadline Extended: NOW! Standards of Conduct Acknowledgement

December 29, 2015, 12:06 pm

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Reminder & Extended Deadline Required: Physician Standards of Conduct Acknowledgement Please disregard if you have already completed For any privileged healthcare practitioner at Baptist Health System, acknowledgement of the Standards of Conduct is mandatory. In order to keep your computer access, you will need to complete this CME  by January 15, 2016.  Instructions for obtaining Physician CME / Completion Credit In order to receive Credit for your participation in this activity, you must complete the post-test. The test must be passed with at least a 80% pass rate. You will be notified if you do not get a satisfactory rate and be allowed to re-take the exam. There are 5 questions on the test. 0.5 hour of Ethics CME credit will be provided for completing the activity. After passing the Post Test you will be directed to the CME log-in screen IF YOU HAVE A PROFILE SET UP IN THE CME TRACKER SYSTEM - - i.e. have attended a Baptist CME Conference and registered on-line or downloaded your CME Certificate on-line - you have a profile! Log-in to the CME System with your e-mail and password ACTIVITY CODE: 32406 Complete course evaluation & your CME Certificate is now ready to be printed IF YOU DO NOT HAVE A PROFILE SET UP IN THE CME TRACKER SYSTEM - Enter your e-mail address and check "I am a new user" ACTIVITY CODE: 32406 Follow instructions to set up your profile and password. Sign-in using your e-mail and newly created password, again use the activity code 32406 Complete course evaluation & your CME Certificate is now ready to be printed Click here for the Standards of Conduct Attachment Click here for the Post-Test Assessment Questions? Contact the CME Department at CME_Info@baptisthealthsystem.com or 210-297-8632

NOW! Brief Phone Outage

March 11, 2016, 9:13 am

≫ Next: Baptist Medical Center Receives NICHE Designation

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EVENT: Brief outage for inbound calls at North Central Baptist ONLY WHEN: Tonight, Monday - 2/8/16 from 8PM-9PM Tenet corporate has selected new phone carriers which will require new circuits to be installed in the BHS Market. This change will occur tonight at North Central Baptist Hospital. If you encounter a busy signal when calling North Central Baptist Hospital between 8pm and 9pm, please wait 5 minutes and try your call again. For any emergent issues contact the BHS operator at 297-7000   to have your call transferred internally.

Baptist Medical Center Receives NICHE Designation

May 10, 2016, 9:43 am

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Organization Moves to the Forefront of Elder Care

Baptist Medical Center announces it has received designation as a NICHE Hospital. The NICHE (Nurses Improving Care for Healthsystem Elders) designation indicates a hospital's commitment to elder care excellence.

The NICHE designation signals our dedication to providing patient-centered care for older adult patients. Through our participation in the NICHE program — a leading elder care nursing program — we are able to offer evidence-based, interdisciplinary approaches that promote better outcomes, positive experiences, and improved care for older adults. This leads to greater satisfaction rates for patients, their families and staff.

“Baptist Medical Center shows a tremendous commitment to meet the most critical challenge of our times - quality care of older adults,” says Holly Brown, MSN, GNP-BC, NICHE associate director, continuing care. “The hospital’s dedication to drive continuous improvement processes and enhance care marks them as leaders in the field.”

About NICHE

NICHE (Nurses Improving Care for Healthsystem Elders) is an international program designed to help healthcare organizations improve the care of older adults. The vision of NICHE is for all people 65-and-over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare organizations to achieve patient-centered care for older adults. NICHE, based at NYU College of Nursing, consists of over 680 healthcare organizations in the U.S., Canada, Bermuda, Singapore, and Australia.

For more information visit www.nicheprogram.org/.

 

Physician e-News June 3, 2016

June 6, 2016, 10:27 am

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June 3, 2016 Hungry Over Healthy (More here)  June Bereavement Brief June is PTSD month. Coping tips are included in this month's Bereavement Brief from Pastoral Care.(June Brief) Healthy Over Hungry You can help feed a hungry child this summer by donating a box of cereal during the Healthy Over Hungry cereal drive June 3 through 10th. Collection bins are located in your facility. Enjoy bagels and coffee Monday when you bring a box of cereal.(Cereal Drive) Code S3 Pilot A new program offers staff support following a traumatic or stressful event. Code S3 is being piloted at Mission Trail and Northeast Baptist and could be rolled out to other facilities in the fall.(Code S3 FAQ)    No time to read each Clinician article? Download the most important Clinician Communication attachments for this week here. (E-News Overview) Oncology Annual Report The 2015 Baptist Health System Oncology Annual Report is now available for viewing at the following link. (Oncology Annual Report) June Physician Order Sets Please see the June physician order sets at the link below. (June Order Sets) Cyclospora Health Advisory The Texas Department of State Health Services has issued a Health Advisory aencouraging healthcare providers to test patients for the parasite Cyclospora in certain circumstances. Find out more here.(Health Advisory) Communications archive Find important nursing and clinician information on  Sharepoint. Talk to us We value your opinion and input. If you have suggestions for improvements to Clinician Communications, contact Eve Woods, MS, Director, Nursing Support (210) 297-9460 or Patti Tanner, Internal & Physician Communications (210)297-1024 jewoods@baptisthealthsystem.com.  patti.tanner@baptisthealthsystem.com Online Stroke CME Please see the upcomming opportunity for online stroke CME hours. (Stroke CME) Oncology Annual Report The 2015 Baptist Health System Oncology Annual Report is now available for viewing at the following link. (Oncology Annual Report) MEB VP Election The MEB is electing a Vice President. Ballots will be coming to you in August. Please see more details here. (MEB VP Memo) Award Winning Team Congratulations to 2016 Symphony Award winners - Hospitalist Eleazor Quintanilla, MD and Michaela McLaughlin, RN from the Mission Trail hospitalist team. (Sound Award Winners) Genetics CME Please see details on an upcoming CME discussing ethical dilemmas in clinical cancer genetics. (Genetics CME) Cyclospora Health Advisory The Texas Department of State Health Services has issued a Health Advisory encouraging healthcare providers to test patients for the parasite Cyclospora in certain circumstances. Find out more here.(Health Advisory) June Physician Order Sets Please see the June physician order sets at the link below. (June Order Sets) Talk to us We value your opinion and input. If you have suggestions for improvements to this newsletter or to other ways in which Baptist Health System communicates with physicians, let us know. Email Dana Kellis, MD, Baptist Health System CMO, at dana.kellis@baptisthealthsystem.com.      Recognition Dates June is Men's Health Month June 5th i National Cancer Survivors Day June 13 through 19 is Men's Health Week June is National Safety Month Get Educated View upcoming CME Events and Conferences   HealthStream  Newsletters NOW! Physician Critical Information   Pharmacy Newsletter   Laboratory Newsletter   Environment of Care Newsletter

Physician e-news June 10

June 10, 2016, 11:28 am

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June 10, 2016 Passport to Health    (More here)  Your Passport to Health You can Check, Change & Control your heart health by registering for the Passport to Change program. The kick-off is coming to your hospital. Get the details here. (Passport to Health) June Bereavement Brief June is PTSD month. Coping tips are included in this month's Bereavement Brief from Pastoral Care. (June Brief) Cereal Drive Thanks to everyone who has donated cereal in our Healthy Over Hungry Food Drive. Bins won't be picked up until Monday, June 13th so there's still time to drop off a box! Code S3 Pilot A new program offers staff support following a traumatic or stressful event. Code S3 is being piloted at Mission Trail and Northeast Baptist and could be rolled out to other facilities in the fall. (Code S3 FAQ)    No time to read each Clinician article? Download the most important Clinician Communication attachments for this week here. (E-News Overview) Get Answers Quick DynaMed Plus is now available to answer your clinical questions. Find out how DynaMed can help you! (DynaMed Info) AHA Gold Stroke & Silver AFIB Awards Congratulations! Once again Baptist has earned the Get with the Guidelines Gold Plus/Target Stroke Award and the Silver AFIB Award. These awards symbolize the great, Evidence-Based care that our patients receive every day.(Gold Plus Stroke) (Silver AFIB) Mission Lifeline Awards Northeast and North Central Baptist hospitals have each received AHA Gold Mission Lifeline Awards. The Awards were presented at the STRAC Quarterly Cardiac Dinner. Only 7 hospitals and 3 EMS agencies recieved the awards in the San Antonio area. (NBH Lifeline Award)(NCBH Lifeline Award) IMPACT Update Find out the latest efforts ongoing in our IMPACT clinical system conversion in this month's update. (June IMPACT Newsletter) Oncology Annual Report The 2015 Baptist Health System Oncology Annual Report is now available for viewing at the following link. (Oncology Annual Report) June Physician Order Sets Please see the June physician order sets at the link below. (June Order Sets) Communications archive Find important nursing and clinician information on  Sharepoint. Talk to us We value your opinion and input. If you have suggestions for improvements to Clinician Communications, contact Eve Woods, MS, Director, Nursing Support (210) 297-9460 or Patti Tanner, Internal & Physician Communications (210)297-1024 jewoods@baptisthealthsystem.com.  patti.tanner@baptisthealthsystem.com Clinical Answers & Alerts DynaMed Plus is now available for quick access to your clinical questions. And you can sign up for alerts when evidence or guidelines are updated.(DynaMed Access) (DynaMed Alerts) Online Stroke CME Please see the upcomming opportunity for online stroke CME hours. (Stroke CME) AHA Gold Stroke & Silver AFIB Awards Congratulations! Once again Baptist has earned the Get with the Guidelines Gold Plus/Target Stroke Award and the Silver AFIB Award. These awards symbolize the great, Evidence-Based care that our patients receive every day.(Gold Plus Stroke) (Silver AFIB) Mission Lifeline Awards Northeast and North Central Baptist hospitals have each received AHA Gold Mission Lifeline Awards. The Awards were presented at the STRAC Quarterly Cardiac Dinner. Only 7 hospitals and 3 EMS agencies recieved the awards in the San Antonio area. (NBH Lifeline Award) (NCBH Lifeline Award) June IMPACT Update Find out the latest efforts ongoing in our IMPACT conversion in this month's update. (June IMPACT) NCBH Rehab Grand Opening You're invited to attend the grand opening of North Central Baptist's new inpatient rehab unit. Get the details here. (NCBH Rehab Invite) Oncology Annual Report The 2015 Baptist Health System Oncology Annual Report is now available for viewing at the following link. (Oncology Annual Report) MEB VP Election The MEB is electing a Vice President. Ballots will be coming to you in August. Please see more details here. (MEB VP Memo) Award Winning Team Congratulations to 2016 Symphony Award winners - Hospitalist Eleazor Quintanilla, MD and Michaela McLaughlin, RN from the Mission Trail hospitalist team. (Sound Award Winners) Genetics CME Please see details on an upcoming CME discussing ethical dilemmas in clinical cancer genetics. (Genetics CME) June Physician Order Sets Please see the June physician order sets at the link below. (June Order Sets) Talk to us We value your opinion and input. If you have suggestions for improvements to this newsletter or to other ways in which Baptist Health System communicates with physicians, let us know. Email Dana Kellis, MD, Baptist Health System CMO, at dana.kellis@baptisthealthsystem.com.      Recognition Dates June is Men's Health Month June 5th i National Cancer Survivors Day June 13 through 19 is Men's Health Week June is National Safety Month Get Educated View upcoming CME Events and Conferences   HealthStream  Newsletters NOW! Physician Critical Information   Pharmacy Newsletter   Laboratory Newsletter   Environment of Care Newsletter