Medical Staff e-Update

Mark Smith, MD

Mark Smith, MD

Clinical Service Chief and Medical Director of Emergency Services, Executive Medical Director of Adult Hospitalist Services & Chief of Staff

Ray King, MD

Senior Vice President, Medical Affairs & CMO

Issue 22 - May 25, 2016

New Hospital Safety Scores, which assign letter grades to hospitals nationwide and provide the most complete picture of patient safety in the U.S. health care system, were announced Monday by The Leapfrog Group, a national patient safety watchdog. Henry Ford Allegiance Health was one of 798 hospitals to receive an A, ranking among the safest hospitals in the United States.

“Henry Ford Allegiance Health is honored to be one of only three hospitals in Michigan to have achieved straight A’s in the Hospital Safety Score, since the inception of this initiative in 2012,” said Henry Ford Allegiance Health Director of Patient Safety and Advocacy Services DeAnna Sioma. “Henry Ford Allegiance Health is dedicated to providing the safest patient care experience possible, and it is very meaningful to be recognized for our consistent efforts.”

President and CEO of The Leapfrog Group Leah Binder said, “Avoidable deaths in hospitals should be the number one concern of our health care leaders. Hospitals that earn an ‘A’ from Leapfrog are leaders in saving lives, and we commend them and urge their continued vigilance.”

Developed under the guidance of Leapfrog’s Blue Ribbon Expert Panel, the Hospital Safety Score uses 30 measures of publicly available hospital safety data to assign A, B, C, D and F grades to more than 2,500 U.S. hospitals twice per year. It is calculated by top patient safety experts, peer-reviewed, fully transparent and free to the public. For the first time, the Hospital Safety Score includes five measures of patient-reported experience as well as two of the most common infections, C. diff and MRSA.

To see Henry Ford Allegiance’s full score and to access consumer-friendly tips for patients and loved ones, visit www.hospitalsafetyscore.org.

For additional information on hospital rankings, visit Healthgrades.com. (Note—you will need to search under “Allegiance Health” as our new name has not yet been updated.)

The word “epic” can be used to refer to something that is ambitious or grand in scale. Little wonder our new electronic health record project is called Epic. This highly rated and respected new system will impact our entire health system, both as staff and as consumers of health care.

The goals of the Epic implementation are to:

  • Create a system-enabled set of business processes that reflects a seamless care experience: one patient, one record, across the continuum and available at all times and all places to caregivers and patients.
  • Allow care providers to focus on patients by putting staff back at the bedside.
  • Produce the highest quality service, with best practices and evidence-based care.
  • Complement and standardize workflow, with one point of data gathering and multiple points of data sharing.
  • Improve process efficiency and reduce system costs
  • Integrate many of the systems across the organization.

Transitioning to the Epic system will take place in phases. It will require a significant system-wide investment of time and resource collaboration. Earlier this year, all project team members began training on the Epic system. Now, we are excited to be reviewing and planning integrated workflows and content, which will allow staff to do their jobs with greater accuracy and enhanced efficiency. Henry Ford Allegiance Health Epic analysts, Epic trainers and subject matter experts (SMEs) from across the Henry Ford Health System will continue to provide support and instruction as we move forward.

What’s Next?

In May and June 2016, “Direction Sessions” will be held. These sessions will give Henry Ford Allegiance staff identified as area SMEs an opportunity to view the new system and better understand how it will affect their current workflows as end users. 

In 2015, there were 130* cases of tuberculosis (TB) in Michigan. There have been 2 active cases of TB disease reported in Jackson County in 2016. The delayed diagnosis in these cases has led to an increased risk of caregivers and contacts of these patients being exposed to TB and possibly being infected with the organism. Prior to these cases, the last active case of TB disease was reported in 2011. It is important to suspect and detect TB disease early and promptly and initiate airborne precautions for those who have suspected or confirmed TB disease.

The Mantoux tuberculin skin test (TST) or the TB blood test( TB quantiferon/TB elispot) can be used to test for evidence of M. tuberculosis infection, however these tests do not test for active TB disease and additional tests are required to confirm TB disease. These tests measure the patient’s immune system reaction to M. tuberculosis and do not distinguish between active TB disease (that can be spread between individuals) and inactive/latent TB disease.

The demonstration of acid-fast-bacilli (AFB) on a sputum smear or other specimen often indicates TB disease in the appropriate setting. A positive AFB smear indicated the presence of acid-fast-bacilli in the sample but because some acid-fast-bacilli are not M. tuberculosis it does not confirm a diagnosis of TB. Therefore, a culture is done on all initial samples to confirm the diagnosis. A positive culture for M. tuberculosis confirms the diagnosis of TB disease. Therefore culture examinations should be completed on all specimens, regardless of AFB smear results.

Inpatients who are suspected of having ACTIVE TB or have risk factors for it, please initiate early airborne precautions and order appropriate AFB culture tests.

* Michigan Department of Health and Human Services. (2016). http://www.michigan.gov/mdhhs/0,5885,7-339-71550_5104_5281_46528_59091---,00.html

In early 2013, the Imaging Services Department at Henry Ford Allegiance Health implemented the Results Communication system (RCS), an automated results notification system for communicating critical findings.  The system was designed to ensure potentially dangerous or life threatening imaging results reach the patient’s provider promptly.  It was recognized that the system was not utilized to its full potential, and an Allegiance Health 2.0 Green Belt project was launched to improve the system. Several physicians were interviewed, and they provided excellent feedback on current processes as well as future state recommendations.  The project team incorporated many of the physician suggestions, and is excited to announce the following changes in support of ordering provider workflow:  

  • A new mobile app is available for you to receive and manage your notifications
  • Red (Critical) Findings will be sent via the system if the Radiologists are unable to reach you
  • Enhanced notification processes for Orange and Yellow Findings (previously known as Important and Incidental Findings) to complement your busy workflow and not impose on your personal time!

It is important to note that RCS aligns our patient safety efforts with National Patient Safety Goal (NPSG) 2.1. RCS also satisfies the requirement of acknowledged receipt of results while allowing maximum notification flexibility for providers.  The system will only be used for those findings that need attention quickly and/or that you are not anticipating, not for all findings.

In March, every provider should have received a profile that allowed you to choose your preferred method to receive communication. Completion of the form is required to receive the mobile app.

Please direct your questions to Business Intelligence Manager Jayme Stewart at (517) 780-7273.  

We are pleased and honored to welcome a member of the Henry Ford Medical Group, rheumatologist Donard Haggins, MD, to Henry Ford Allegiance Rheumatology. With services in high demand, Dr. Haggins will create greater access for patients in need of treatment.

Certified by the American Board of Internal Medicine, Dr. Haggins is a graduate of Howard University College of Medicine. He completed his post-graduate education in both internal medicine and rheumatology at Wayne State University. Dr. Haggins’s scope of practice includes lupus, osteoarthritis, autoimmune disease, gout and multiple forms of arthritis.

“Having Dr. Haggins with us has already brought a great value by offering more scheduling options to meet the needs of our patients. We couldn’t be happier to have Dr. Haggins on our team. He offers the support needed in providing excellent and timely care,” said practice manager Brittany Hubbard.

Husband of Henry Ford Allegiance orthopaedic surgeon Michelle Aubin, MD, Dr. Matthew Aubin has been named as the conductor for Jackson Symphony Orchestra’s 66th season.

Dr. Aubin said, “I’m excited and honored to have been appointed Music Director Designate of the Jackson Symphony Orchestra. When my wife and I moved to Jackson last summer and were introduced to the JSO, we were immediately impressed by the talent and musicianship. The JSO is an important treasure to this region. I look forward to continuing to build upon the great work that Maestro Osmond has accomplished during his 40-year tenure. My wife Michelle is so happy with her position at Henry Ford Allegiance Health. I’m very thankful that we can work together in such a warm, welcoming community.”

In addition to his role as Artistic Director for The Chelsea Symphony in New York City, Dr. Aubin has conducted and performed internationally. He also serves as a consultant for the new Amazon Prime and Golden Globe award-winning television series Mozart in the Jungle. A scholar and champion of women in composition, as well as a freelance horn player, Dr. Aubin regularly performs across the country. We are honored to have him share his talents and expertise with our community.

To learn more, visit JacksonSymphony.org.

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