New & Noteworthy
A Message from Donald Gintzig
February 1 is a big day for us here at WakeMed as we go live with Epic throughout our hospitals and healthplexes. Though we have been working toward this goal for many, many months, this milestone represents just the next step – not the end – of this project. Epic is a tremendously powerful tool and one that will give us greater opportunities to improve patient care, quality and value for our patients. While we will all need some time adjusting to change, it’s important that our focus is on using Epic as a tool to improve how we deliver the highest quality patient care while driving down costs. I want to thank everyone who has been involved in this project – it has been an incredible team effort that exemplifies the commitment and dedication of our physicians and staff. Thank you, as always, for your support of the health and well-being of our patients.
Epic Update: Four Days to Go-Live!
Go-live is around the corner. As we get ready for Feb. 1, please note the following:
- Medical staff bylaws recently changed to make CPOE mandatory for all physicians. Written orders will not be accepted.
- The telephone order/verbal order (TO/VO) policy has not changed. TO/VO will still be accepted in appropriate circumstances.
- To avoid delays and complications for your patients, please help get discharges completed as early as possible on January 30 and 31.
- Please resolve any chart deficiencies (unsigned verbal orders or discharge summaries) prior to January 31.
- Private surgeons’ offices received communication on new procedures and requirements for scheduling surgery. If you need more information, please contact Debbie Fox in Physician Relations (firstname.lastname@example.org) or discuss with OR management staff.
Once we go live, it is easy to access Epic remotely:
- For physicians who come to the hospital and have been trained on Epic: Use apps.wakemed.org to gain quick and easy access to Epic Hyperspace through a Citrix login. You can also access Epic on the go with secure mobile apps (Haiku and Canto). Click for more information and download instructions.
- For physicians/office staff who currently use remote access and/or have NOT been trained on Epic: Visit carelink.wakemed.org to register for an Epic CareLink account, which will provide easy remote access to your patients' WakeMed health records. Epic CareLink will replace our current remote access product on Feb. 1. Click for a Quick Start Guide or Full User Manual.
WakeMed Introduces Physician/ Administrator Dyad Leadership Structure
As we work to streamline decision making system-wide, WakeMed is establishing a physician/administrator dyad leadership structure across the system. This model partners the enterprise administrator with a physician leader, usually known as an executive medical director. Dyad partnerships are already in place at WakeMed North with Sheri De Shazo and Seth Brody, MD, and within WPP/Ambulatory with Carolyn Knaup, RN, and John Piatkowski, MD. Recruitment for executive medical directors at Raleigh Campus and Cary Hospital will begin soon with a goal of having them in place this spring. With this new structure, the need for a system-wide chief medical officer no longer exists. West Lawson, MD, who has served as WakeMed’s chief medical officer since 2004, will continue in his current role until all executive medical director roles are filled and in place. See the medical staff update for more information.
Clinical & Regulatory Updates
Full Liquid Diet Discontinued at WakeMed
Beginning Feb. 1, 2015, full liquid diets will be discontinued at all WakeMed facilities. A “full liquid diet” primarily consists of dairy products, which are not well tolerated in patients with compromised gut function. The dietitians in the Food & Nutrition Services departments have reviewed literature and recommend the following:
- Clear liquids (24 hours or less, if possible); soft, low fiber or mechanical soft; or regular or therapeutic diet for patients following surgery
- Soft (low fiber) and low lactose for patients with persistent diarrhea
- Pureed or mechanical soft for patients with poor dental health
Click for more information. With questions or concerns, please contact Tina Schwebach (919-350-2736) or Kelly Washington (919-350-4872) at Cary Hospital or Robyn Smith Brown (919-350-8182) at Raleigh Campus.
HOPDs Converting to Non-provider-based Physician Practices
In order to provide greater value to our patients, WakeMed has converted most of the WakeMed Physician Practices (WPP) locations that operate as provider-based Hospital Outpatient Departments (“HOPD”) to non-provider based physician practices in 2015. This means there are no longer hospital-based charges (often called a facility fee) associated with patient visits. This change is occurring in two phases:
- January 1, 2015: WPP – Carolina Cardiology and WPP – Raleigh Cardiology. (WPP – Cary Cardiology locations are already non-provider based physician practices.)
- April 1, 2015: WPP – ENT, Head & Neck Surgery, WPP – Neurovascular Surgery, WPP – General Surgery & Trauma, WPP – Urology, WPP – Vascular Surgery. (Andrews Center clinics only; the other locations for these practices are already non-provider based physician practices.)
Though there will be some behind-the-scenes changes related to this conversion, the only impact it will have on patients is the elimination of the facility fee.
Flu Update: Visitation Restrictions in Effect
To protect our patients, staff and visitors, the following visitation rules are now in effect:
- No children under the age of 12 allowed to visit.
- Visitors with fever, vomiting, diarrhea, cold or flu-like symptoms will not be permitted.
- Each patient should only have one to two visitors at a time.
Thank you for supporting these restrictions.
Note: Flu Visitation Restrictions Will End Feb. 14
Update on NICU Renovations
Phase III of the Neonatal Intensive Care Unit (NICU) on the Raleigh Campus is well underway, giving the original section a much-needed facelift. Soon, all patients and families will enjoy a new environment including new flooring, mural and furniture. The renovation should be complete by March 8, 2015.
Karen Bash, MD, Named Medical Director, OB Hospitalists, WakeMed North Hospital
Karen Bash, MD, has been named medical director of OB Hospitalists for WakeMed North Hospital. In this role, Dr. Bash will oversee the OB Hospitalist team as they work closely with community physicians to provide a seamless continuum of care for patients. Dr. Bash has more than 30 years of experience in obstetrics and gynecology practice and teaching. She is the immediate past-president of the Raleigh Campus Medical Staff and serves on several WakeMed committees.
Other Highlights & Reminders
Make Epic Work for You!
Credentialed trainers will be available in physician lounges on the Raleigh Campus and Cary Hospital this week to answer questions and help optimize your use of the Epic system. Follow the links below for the schedule
Also check out the optional Epic Personalization Labs where you can work with an Epic Credentialed Trainer to personalize order sets, develop Smart Texts/Phrases for repeatable documentation items and set up your Dragon Profile.
Welcome New Medical Staff Officers
J. Duncan Phillips, MD, was recently elected president of the Raleigh Campus medical staff and Paul Haugan, MD, was chosen to lead the Cary Hospital medical staff. Click for a list of all new medical staff officers.
Save the Date: Full Medical Staff Meetings
Mark your calendar for upcoming full medical staff meetings:
Locations to be announced.
- Monday, April 20
- Monday, October 19
ENERGIZE! Promotes Lifelong Health
ENERGIZE! is a program that helps families with children aged 2 through 18 build lifelong healthy attitudes about nutrition and fitness. With physician referral, the ENERGIZE! team evaluates current health behaviors of the child and their family and provides ongoing education and support. As a trusted health care provider, you can help the ENERGIZE! team find the patients and families who are ready to make healthy lifestyle changes. See the flier for more information.
Welcome New Medical Staff Members
Welcome to new medical staff members who were approved by the MEC in November and December 2014. Click for a list.