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, January 2018 topics include:  


Welcome

January has proved to be a challenging month with our increased volumes, acuity and an influenza epidemic. As I write this, we have had 6 Hospital Acquired Influenza cases that have occurred at UM HMH. We have strict visitor screening and enhanced droplet precautions in place. We have unfortunately also added 4 more Hospital Acquired Infections to our composite score so our number stands at 19.

We must not deviate from the best practices and processes that have garnered so much success in patient safety and quality thus far this year. We must also do what we can to prevent the spread of influenza. If you display symptoms of influenza yourself, you must stay home for the sake of your patients and surrounding team.

Please review information in this issue regarding our updated influenza plan; we should all have that link for the latest updates. Get to know our new Director of Infection Prevention – Dr. Leonardo Girio-Herrera – through his profile. Look at the CPOE corner and see what Dr. Jokhadar, our CMIO, has for us. Also, keep an eye out for our $20 Starbucks Gift Card clue; see everyone in February!

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


Announcements

Introduction to Dr. Leonardo Girio-Herrara, Director of Infection Prevention

Dr. Leonardo Girio-Herrera or “Leo,” received his medical degree from Ohio University College of Osteopathic Medicine in Athens, Ohio. He completed his internal medicine internship and residency at Riverside Methodist Hospital in Columbus, Ohio and his infectious diseases subspecialty and fellowship training were obtained at the University of Miami/Jackson Health System in Miami, Florida. Dr. Girio-Herrera is board certified in both Internal Medicine and Infectious Diseases. He is an active member of the Infectious Disease Society of America and the Society of Healthcare and Epidemiology of America.

He currently lives in the Towson area with his wife Erin Girio-Herrera, Ph.D., who is a professor of psychology at Towson University, and two sons, Elias (4) and Luca (3 months).  They are involved in their church community at Grace Fellowship Church in Lutherville-Timonium, and enjoy many of the restaurants, hikes, and cultural experiences available in our area.

Dr. Leo was also recently interviewed by local news re: the flu precautions that UM UCH is undertaking.


Safety Updates

Healthcare Acquired Infections: The Latest

Hand Hygiene Reminder

All providers need to become great stewards in hand hygiene.  Not only do you need you to make sure that you are practicing good hand hygiene, you need to be watchful to make sure that everyone else is doing the same.  If you see a team member who is not cleansing in and cleansing out EVERY TIME we are asking you to speak to the team member and refer him/her to our influenza plan.

As a reminder, one hand hygiene failure will result in a deficiency with the Joint Commission.

From the Joint Commission:

Effective January 1, 2018, any observation by surveyors of individual failure to perform hand hygiene in the process of direct patient care will be cited as a deficiency resulting in a Requirement for Improvement (RFI) under the Infection Prevention and Control (IC) chapter for all accreditation programs. READ MORE.

Standard IC.02.01.01, element of performance (EP) 2 states, "The (organization) uses standard precautions, including the use of personal protective equipment, to reduce the risk of infection."

*If you're reading this, according to the UCH influenza plan mentioned above, what are our current visitation guidelines? The first five people to email fbarrueto@uchs.org will be entered into a drawing to win a $20 Starbucks gift card.*


Empathy Update

Julie Siejack, clinical nurse manager for HealthLink, recently returned from a 10-day goodwill partnership trip to Narva, Estonia. Joined by a group of Harford Community College (HCC) nursing students and several nurse educators, Julie and the team taught at least 625 10th, 11th and 12th graders on HIV and AIDS prevention. Narva, the sister city for the Town of Bel Air, has the highest HIV rates in the European block. Julie, in particular, has been very involved over the last year working with HCC and developing the HIV curriculum to be taught to these hundreds of students. UM UCH, HCC, the Town of Bel Air, and the U.S. Embassy provided significant monetary donations for the trip so that students wouldn't have great out-of-pocket expenses. Read more about the group's travels in this Baltimore Sun article.  


Quality Update

Of the 30 U.S. children who have died from the flu so far this season, some 85 percent had not been vaccinated, said Centers for Disease Control and Prevention Director Dr. Brenda Fitzgerald, who urged Americans to get flu shots amid one of the most severe flu seasons in years. "My message is, if you haven't gotten a vaccine, please get a vaccine. Also, please get your children vaccinated," said Fitzgerald, who is urging citizens "to take every advantage that you can to protect yourself." Continue reading "CDC Director Urges Flu Vaccinations as Pediatric Deaths Mount."                 

 

 


Efficiency Update

The graph below highlights the impact of our efforts around length of stay. Implementation of Care Transition Rounds, huddles, and expanded use of the START status board have assisted with the identification of patient specific resources.  

Average Length of Stay Q1-Q2 FY18


CPOE Corner

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

  • How to Edit/Delete Reports and Provider Notes Dictated Via Dragon
  • Does Your Document Need a Cosigner or Do You Want to Share a Copy?

Please contact the CPOE line at x2763 with questions.


MEC and P&T Summaries

The following items were approved during the MEC meeting held on January 10th.


Upcoming Meetings and Events

Mark your calendars for important standing meetings and special events. 

Special Events

  • Red Pump Ball 
    Saturday, Feb. 10, 2018 
    6 - 11 p.m., Richlin Ballroom 
    Get your tickets online!

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