Welcome to eFocus. Our goal is to provide you with timely, informative and useful short summaries and links about UM UCH related news, issues, or events. Feel free to contact us if you have news to share, story ideas or any other feedback. As always, your comments are welcome.

eFocus, August 2018 topics include:  


Welcome

Summer is coming to a close, which seems hard to believe. We have just completed our second month of Fiscal Year 2019 and our Hospital Acquired Infections Composite (HAI) score sits at 5 with four C diff cases and one CLABSI. The HAI composite score now includes Hip and Knee SSIs, so our target this year has moved to 38 for FY 2019 as we continue our Journey to Zero Harm.

Along the same lines of our Journey to Zero Harm, we need to get ready for the upcoming Joint Commission Survey and become familiar with the term “High Reliability Organization” (HRO). What does the term mean? Health care has complex operations and has high risk for significant and even catastrophic error. We are not making widgets like a factory but we are caring for people at their most vulnerable. We have to learn from every error, erode the defensiveness and replace with the same vigor we have for trying to save someone’s life, and be resilient when faced with challenges. Every act in the hospital is a potential source of error from hand hygiene to proper labeling of a surgical site. Take time to click on this short video from The Joint Commission that briefly explains an HRO.

We took an important step this month when Drs. Younus and Abraham resurrected the Morbidity and Mortality Conference. Radiology, Hospitalists, EM, and General Surgery all came together to discuss one of the more challenging cases any clinician can see.

Finally, for this month’s eFocus, we have a brain teaser section for every clinician or anyone that has watched a medical TV show like “House”. We are calling this new section “Guess the Bug” and with the back-to-school theme we are offering a $25 Target Gift card. The first five people to send the correct answer to fbarrueto@uchs.org will be placed into a raffle for the gift card. Get ready for the fall as we continue to strive to make UM UCH the safest, highest quality hospital system in UMMS!

Fermin Barrueto, Jr., M.D., M.B.A.
Senior Vice President/CMO
Medical Staff Affairs 


Announcements

Dr. Chizmar Named Assistant State EMS Medical Director

The Maryland Institute for Emergency Medical Services Systems (MIEMSS) is pleased to announce that Timothy P. Chizmar, MD, has been hired for the position of Assistant State Emergency Medical Services (EMS) Medical Director. MIEMSS is the state agency responsible for the coordination of all components of Maryland’s trauma and EMS system. Dr. Chizmar comes with excellent credentials necessary to fill this position, including outstanding fire service and career/volunteer EMS relationships that he has developed while growing up through Maryland’s EMS and physician training systems.

Dr. Timothy Chizmar was born and raised in Bel Air, Maryland. He graduated from the University of Maryland School of Medicine and completed residency training in Emergency Medicine at the University of Maryland Medical Center. He is board-certified in Emergency Medicine and Emergency Medical Services (EMS). Currently, Dr. Chizmar is serving as the Medical Director for multiple organizations including MIEMSS Region III, Harford County Department of Emergency Services, Harford County Volunteer Fire and EMS, and the Harford Community College Paramedic Program. While attending medical school, Dr. Chizmar concurrently pursued his interest in EMS and earned Maryland Emergency Medical Technician (EMT) certification. He has been an active volunteer member at the Bel Air Volunteer Fire Company for the past twelve years.

Dr. Chizmar practices emergency medicine full-time at the University of Maryland Upper Chesapeake Medical Center and Harford Memorial Hospital. In addition to his clinical work, he is the Base Station Medical Director for University of Maryland Upper Chesapeake Health and Co-Chairperson for the hospital’s Emergency Management Committee.

Dr. Chizmar is an active member of the MIEMSS Protocol Review Committee and State EMS Advisory Council (SEMSAC), representing the Maryland American College of Emergency Physicians (ACEP) chapter. He was selected as the 2015 EMS Physician of the Year by Maryland ACEP.

Dr. Chizmar looks forward to serving the emergency services providers and citizens of Maryland.

Pathway to Excellence Survey Begins Next Month

Beginning on Tuesday, Sept. 18, UM UCH nurses may take the Pathway to Excellence nurse survey. This survey is an integral part of the appraisal process for organizations applying for the ANCC Pathway to Excellence designation. And it’s a way for our nurses to share their feedback on their nursing journey at Upper Chesapeake. 

To celebrate the acceptance of the Pathway to Excellence documentation submission AND the survey kickoff, nurses/nursing units will receive a pizza and cupcake delivery on the dates below. We also ask that you join us for a presentation on those dates to hear stories from your peers—direct care nurses—about their personal journeys.

Thank you to our many nurses for your commitment and dedication to excellence. More information and instructions on how to take the survey will be sent over the next several weeks.

  • UCMC September 7
    12-2:00 pm Pizza and Cupcake Delivery
    2:00 pm Pathway Celebration and Presentation- Bel Air and Harford Rooms

  • HMH September 14
    12-2:00 pm Pizza and Cupcake Delivery
    2:00 pm Pathway Celebration and Presentation- Havre de Grace Room

  • UM UCMC and HMH September 12
    8:30 pm Pizza and Cupcake Delivery 

Safety Updates

HAI Counter

 The current number of healthcare acquired infections (HAI) at UM UCH is five

Guess the Bug

82-year-old male with PMHX of essential hypertension, hypothyroidism, dyslipidemia

  • presents to ED for evaluation of an episode of syncope associated with a “coughing fit”
  • reports mild cough x 1 week; worsening in the past 3-4 days
  • exam – mild diffuse wheezes throughout, labs unremarkable, afebrile, CXR negative, EKG no acute ischemia, troponins negative
  • Clinical Impression:SyncopeD/C home

6 days later returns to ED:

  • presents for evaluation of syncope episodes occurring frequently in the past week- 10 episodes of passing out, each prefaced by an episode of coughing
  • no fever, chills, nausea, vomiting, diarrhea, chest pain, SOB, leg pain/swelling
  • CXR 7/23 – patchy LLL opacity

Several hours later returns to ED:

  • Admitted:dx:LLL pneumonia, community-acquired, afebrile, lungs clear.

GUESS THE BUG and send your answer to fbarrueto@uchs.org



Empathy Update

Congratulations to the Wambi Valuable Players of the month: Drs. Abdulla, Gurung, and Bhatti! What is WAMBI? This recognition system allows your patients to share their appreciation for care providers every day. With Wambi, providers can view their own dashboard and see the positive feedback from patients, cheer on their own staff, and earn Pecks (Wambi points) for providing outstanding care.


Quality Updates

Mortality and Morbidity Conference

On August 8th, a Mortality and Morbidity Conference (M&M) was held at the Chesapeake Conference Center where over 50 physicians joined in.  

 

Dr. Michael Abraham presented a challenging case of severe abdominal pain. Drs. Bloomfield, Lomis and King  provided valuable insight into the surgical, radiological and pathological aspects of the case. An engaging conversation followed in an educational, non-judgmental and non-punitive fashion.  

 

“This was extremely useful for our doctors. We should have a regular M&M,” said Dr. Bahl, program director for the hospitalist group. Chairman of the emergency department, Dr. Abraham, remarked, “The feedback I’m getting is all positive. Now the challenge is to find a date and time when we can hold these conferences on a regular basis.”  

 

Thanks to Diane Wolf, Katie Mccardell, and the ED team for their valuable contributions in making this conference a success. 

 

 

Architecture of High Value Health Care Conference Being Held in Baltimore

The High Value Practice Academic Alliance and the American Hospital Association will hold the 2018 Architecture of High Value Health Care National Conference in Baltimore from September 22-23. The conference will share leading practices and provide immersive skill-building experience around value-based care. The program offers over 200 value-based performance improvement abstract presentations from more than 50 academic medical centers, 25 targeted sessions on appropriate use of tests and treatments, and eight workshops led by experts in value-based quality improvement. Learn more and register here.


Clinical Informatics Update


This month's topics from your Provider Documentation team include:

 

Please contact the Clinical Informatics line at x2763 with questions. 


MEC and P&T Summaries


The following items were approved/not approved during the MEC meeting held on August 8, 2018.


Upcoming Meetings and Events

 

Mark your calendars for important standing meetings and special events. 

 

Special Events

  • 11th Annual Cardiopulmonary Health Seminar
    October 15 from 5 to 7 pm
    UM UCMC, Chesapeake Conference Room
    Our experts will provide an evening of education, information and heart and pulmonary health screenings.
    Registration is required by calling 800-515-0044.
  •  7th Annual Breast Cancer Symposium
    Breast Cancer: Advances in Modalities of Treatment and Beyond
    October 16 from 4:30 to 7:30 pm
    Kaufman Cancer Center, Streett Conference Room
    Speakers include: Meghan Milburn, MD FACS; Sankari Sivasailam, MD; Neha Amin, MD; Opeyemi Ibidapo, MD
    Registration is required by 10/12. For more information call 443-643-3350 or view our flyer.

Standing Meetings

  • Pediatric Grand Rounds: Held the first Wednesday of every quarter (Jan., Apr., July, Oct.) from 7 - 8 p.m. Guest lecturers present different topics in pediatric medicine, including common dermatologic conditions, effects and management of obesity in children, pediatric head injuries, and more.  
  • Multidisciplinary Thoracic and General Conferences: 12 Noon, Alternates Every Thursday (e.g., Thoracic is 11/3, General is 11/10)
    UM UCMC, KCC Streett Conference Room
  • Multidisciplinary Breast Conference: 8 a.m., Every Tuesday
    Radiology/Oncology Conference Room
  • Pharmacy &Therapeutics (P & T) Committee: 7:30 a.m., Third Wednesday of each month
    UM UCMC Maryland Room 
  • Credentials Committee 7:30 - 9 a.m., Third Friday of each month
    UM UCMC, MSCR 
  • Medical Staff Leadership  8 - 9 a.m., Fourth Thursday of each month
    UM UCMC, Fallston Room/UM HMH, MSCR
  • Metabolic Bariatric Surgery Committee: 5 p.m., Quarterly, Wednesdays
    HMH MSCR and UCMC Fallston Rm
    Upcoming dates: March 15, June 21, Sept 20, Dec 20

  • Allied Health Practitioner Committee:8 – 9 a.m., Third Tuesday of each month
    UM UCMC, MSCR