Medical Staff e-Update

John Mogerman

John Mogerman, MD

Medical Director, Allegiance Behavioral Health & Chief of Staff

Ray King, MD

Senior Vice President, Medical Affairs & CMO

Issue 16 - September 5, 2014

The Centers for Disease Control and Prevention (CDC) is working with the World Health Organization (WHO), the ministries of health of Guinea, Liberia, and Sierra Leone, and other international organizations in response to an outbreak of Ebola Virus Disease (EVD) in West Africa, which was first reported in late March 2014. As of September 4, 2014, according to WHO, there is a suspected and confirmed case count of more than 3,000, as well as 1,900 reported deaths in Guinea, Liberia, Nigeria and Sierra Leone.

EVD is characterized by sudden onset of fever and malaise, accompanied by other nonspecific signs and symptoms, such as myalgia, headache, vomiting, and diarrhea. Patients with severe forms of the disease may develop multi-organ dysfunction, including hepatic damage, renal failure, and central nervous system involvement, leading to shock and death.

EVD poses little risk to the U.S. general population at this time. However, U.S. health care workers are advised to be alert for signs and symptoms of EVD in patients with compatible illness who have a recent (within 21 days) travel history to countries where the outbreak is occurring, and should consider isolation of those patients meeting these criteria, pending diagnostic testing.

For more detailed information, please review the complete CDC Health Advisory in the Alert Details folder in the Michigan Health Alert Network (MIHAN) Document Library.

(This message was distributed to Local Public Health Emergency Preparedness Coordinators, Health Officers, Regional Coalitions and MDCH Communicable Disease staff.)

Source for additional information: http://www.cdc.gov/vhf/ebola/outbreaks/guinea/

For the third year in a row, Allegiance Health has earned a top rating of “A” on the Hospital Safety ScoreSM from The Leapfrog Group, an independent national nonprofit organization that monitors hospital safety and quality. The score was calculated using publicly available data to produce a single letter grade (A, B, C, D or F). Less than one third of the hospitals in the country received an “A” rating. Leapfrog assigns these grades to more than 2,500 general hospitals nationwide based entirely on their ability to prevent errors, injuries and infections.

“This award is based on how well a hospital prevents injuries, infections and other serious conditions,” said Allegiance Chief Medical Officer Ray King, MD. “We are continually working to improve our processes and safety practices to meet the highest standards for quality and safety. It is an honor to receive national recognition for this investment of time and effort. We want to ensure Allegiance Health provides a safe, infection-free healing environment for our patients.”

Data used for scoring were obtained from the Leapfrog Hospital Survey, Centers for Medicare and Medicaid Services Hospital Compare, and the American Hospital Association Hospital Survey. The Hospital Safety Score is calculated by top patient safety experts, peer-reviewed, fully transparent and free to the public.  It can be accessed online or via a free mobile app at www.hospitalsafetyscore.org. A full analysis of the data and methodology used is also available on the Hospital Safety Score website.

“The data tells us that more hospitals are working harder to create a safe environment, and that’s good news for patients,” said Leah Binder, president and CEO of Leapfrog.

About The Leapfrog Group

The Hospital Safety Score is an initiative of The Leapfrog Group, a national nonprofit organization using the collective leverage of large purchasers of health care to initiate breakthrough improvements in the safety, quality and affordability of health care for Americans. The flagship Leapfrog Hospital Survey allows purchasers to structure their contracts and purchasing to reward the highest performing hospitals. The Leapfrog Group was founded in November 2000 with support from the Business Roundtable and national funders and is now independently operated with support from its purchaser and other members.

Allegiance Health received the 2014 Patient Safety Excellence Award™, according to Healthgrades, a leading online resource for comprehensive information about physicians and hospitals.  Out of the 131 hospitals Healthgrades evaluated in the state of Michigan, Allegiance Health was the only hospital to receive this award for six years in a row.  This distinction clearly demonstrates Allegiance Health’s dedication to patient safety.

“Being the only Michigan health system to achieve this award six straight years is deeply meaningful to us,” said Georgia Fojtasek, president and CEO. “The safety of our patients is our top priority. We constantly strive for new ways to make Allegiance the safest environment possible.”

DeAnna Sioma, director of patient safety and advocacy, attributes Allegiance Health’s success to the culture of safety Allegiance has built over many years. “There isn’t one strategy that helped us achieve the award,” said Sioma. “Our excellent safety ratings come from many things – ranging from our falls prevention efforts to Target Zero, which is our program to hardwire best practice safety behaviors into the work of every staff member at Allegiance.”

Being transparent with quality and safety data for the benefit of the patient is a national trend. “Healthgrades is dedicated to providing quality information that helps consumers make decisions based on objective data leading to the best care for themselves and their families,” said Evan Marks, Executive Vice President, Informatics and Strategy, Healthgrades. “Consumers can rest assured that a hospital recognized with a Healthgrades 2014 Patient Safety Excellence Award has demonstrated an established commitment to patient safety.”

During the 2014 study period (2010 - 2012), Patient Safety Excellence Award hospitals showed better than expected performance in providing safety for patients in the Medicare population, as measured by objective outcomes (risk-adjusted patient safety indicator rates) across 13 of the 14 patient safety indicators defined by the Agency for Healthcare Research and Quality (AHRQ).  If all hospitals performed at the same level of award recipients, 266,813 patient safety events among Medicare patients in U.S. hospitals potentially could have been avoided.

For more information about Healthgrades or to download a full copy of the report or to receive information about hospital and physician quality, visit: www.Healthgrades.com/quality

Last year, physicians submitted evidence of influenza vaccination well before the November 1 deadline – thank you for your commitment to providing a safe, healthy environment for our patients and customers.  Starting in September, we will be asking you again to roll up your sleeves as we lead our community to better health and well-being.  This annual mandatory flu vaccination, which was approved by the Medical Executive Committee in 2012, applies to anyone classified as medical staff, staff member, contractor, student or volunteer of Allegiance Health.

To assist you in meeting the November 1 deadline, Allegiance provides influenza immunizations and TB testing at no cost to you. If you choose to receive the vaccine elsewhere (e.g., a local pharmacy or physician’s office), written proof will need to be provided. Exemptions of a medical or religious nature will require documentation and will be evaluated and granted/denied by a committee.  Contact the Medical Staff Office at (517) 788-4946 or MedicalStaffOffice@AllegianceHealth.org for additional information.

Influenza Immunization Clinics

Important reminder: Keep a copy of all documentation you submit.

Anderson Building Auditorium C, 7 a.m. – 7 p.m.

  •     Friday, September 5
  •     Friday, September 12
  •     Tuesday, September 16
  •     Friday, September 26
  •     Tuesday, September 30
  •     Tuesday, October 7
  •     Thursday, October 16
  •     Tuesday, October 21

Evening Clinics:

  • Thursday, September 18, 7 pm – 11 pm
  • General Medical Staff meeting - Tuesday, September 23, 5:30 – 7 p.m.

Please direct your questions to Drs. Mogerman and Kak.

Additional information is available through the Centers for Disease Control and Prevention at cdc.gov/flu.

In June 2014, Dr. Mogerman and Dr. King reported that the Medical Executive Committee (MEC) approved the use of online education for physicians and advanced practice professionals (APPs).  Computer-based learning modules (CBLs) are available in NetLearning, the same software used by hospital staff to complete online education.  Advancing to online education is consistent with expectations to optimize technology including making access to information as efficient for you as possible.

The MEC approved two CBL topics: Compliance Education and Target Zero.  These CBLs are available to you in NetLearning and must be completed by December 31, 2014.

The CBLs approved by MEC are mandatory, as they are essential to our mission of providing the most up to date and safest medical care to our community.  We need everyone informed and actively participating in our transformation from good to great. 

Care has been taken to create NetLearning user accounts on your behalf and log in information was emailed to providers in July and August.   Feel free to contact the Medical Staff Office at (517) 788-4946 or MedicalStaffOffice@AllegianceHealth.org if you would like a copy of your log in information.

Patient portal allow patients to access portions of their medical record via a secure, convenient, easy-to-use web site. There is no fee to enroll.

After discharge, hospital patients can receive a summary of your care, including any tests, procedures or treatments you received.

Patients of a primary care provider can:

  • Request appointments and receive appointment reminders
  • Request prescription refills
  • Send private messaging to their provider’s office
  • Review lab and test results sent to you by your provider
  • Review documents, such as a summary of your last visit

Patients being admitted to the hospital as an inpatient can enroll during registration.

Patients with a primary care provider’s practice can enroll by providing an email address.

Beth Smith, RN, is Allegiance Health’s new Chief Compliance Officer

Beth is the Vice President of Organizational Excellence at Allegiance Health.  Beth has been with Allegiance Health for 19 years and has over 30 years of health care experience.  She is a registered nurse with extensive experience in acute inpatient, case management and performance improvement management. She oversees the departments of Case Management, Clinical Decision Support, Performance Excellence, Patient Safety and Advocacy Services, Physician Quality and Medical Staff and Credentialing Services.  Beth received the 2011 MHA Patient Safety & Quality Leadership Award.

In 2013, Beth also began serving as Interim Chief Nursing Officer.  She oversees the departments of Critical Care, Adult Inpatient Care, Emergency Services, Women’s and Children’s Services and Chronic Care Services including CareLink, a long term acute care hospital.

Beth is a member of the Michigan Hospital Association’s Patient Safety and Quality/Compliance Committee and the MHA/BlueCross Blue Shield of Michigan Utilization Management/Quality Assurance Committee.  She served on the Board of Physicians Health Plan of South Michigan and the Michigan Nurses Association.  Beth is a trustee on the Alaiedon Township Board.

Beth completed the Healthcare Advisory Board Executive Fellowship.  She received a BSN from Michigan State University, MSN from Wayne State University, and MBA from the University of Michigan.

A headache diary can help you identify your headache triggers, and then you and your doctor can plan how to avoid them.