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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, October 2017 topics include:  


There are always lessons to be learned, but one of the most important is teamwork and what a unified team can achieve. Three major hurricanes caused massive destruction to Texas, Florida, and Puerto Rico.  Despite the devastation we saw communities coming together to overcome these tragedies. These efforts are still ongoing and we have team members within our own community that are trying to help like Wilma Sinar and Dr. Ramon DeJesus. Read on to see what they're doing for Puerto Rico.   

Banding together during times of crisis to care for our neighbor is a character trait ingrained in everyone who works in a hospital. Every initiative and every patient we care for requires a team effort. From EVS who sanitizes the environment to the physician and nurse who diagnose and treat a patient, we are all banding together to prevent a Hospital Acquired Infection (HAI). As we band together our HAI composite score tells our story as we carve our path to zero harm.

The hurricane that wreaked havoc on Puerto Rico has also affected IV fluid production from the manufacturing plants. Hospitals across the USA are experiencing severe shortages of IV fluids. We will enter the influenza season at one of the lowest inventory levels of IV fluids that we have ever had and this shortage is expected to last until March. All clinicians must change the way they treat patients and conserve the IV fluids for those who need it the most. For the ED, no IV antibiotics for those patients that are being discharged. For the medical/surgical floors, conversion of IV antibiotics to oral as soon as possible. For everyone, use oral rehydration maximally and only then acquiesce to IV fluids. This is a crisis that we must manage or the restrictions will be forced upon us. We are working on some automatics stops and substitutions to conserve IV fluids. There will be more communication regarding this shortage.

Finally, congratulations to our Top Docs who are listed in this month’s eFocus! High quality physicians that are voted on by their own peers and make UM Upper Chesapeake Health proud. 

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


IV Fluid Shortage

National Medical Staff Services Awareness Week: November 5-11, 2017

In 1992 President George Bush declared the first week in November as Medical Staff Services Awareness Week to recognize the importance of medical staff service professionals (MSPs) in the health care industry. The Medical Staff Services department plays a critical role in the foundation of patient safety. The MSPs at UM UCH work behind the scenes in the Medical Staff Office to ensure patient safety through credentialing/privileging and re-credentialing processes. In 2016 and so far in 2017, the MSO at UM UCH processed 87 and 70 initial credentialing applications respectively. The MSO works with the medical staff and hospital leadership to review, establish, and ensure compliance with accrediting body standards, state and federal licensing requirements, and hospital bylaws and policies. The MSO serves as a resource for both the medical staff and administration to help ensure UM UCH is providing the best and safest care to our patients and community.

Your UM UCH MSO team members are:

  • Pattiann Gilcher, CPMSM – Director                        
  • Katie McCardell – Manager
  • Missy Raynor – Medical Staff Coordinator
  • Elizabeth Harris - Medical Staff Coordinator
  • Sherry Callahan - Medical Staff Coordinator
  • Rosemary Baze - Administrative Assistant

We will be inviting medical staff members to stop by our office during our awareness week for an open house. Details to come.

Maryland Board of Physicians Updates

  • As of 4/18/17, practitioners are now responsible for providing hospital privilege/appointment updates to their profile on the MD Board of Physicians website.
  • PAs should be mindful of the need to change/update their delegation agreements due to leadership/supervisor changes. Failure to do so could delay the PAs license/CDS/DEA renewal.
  • Supervising physicians are required to submit a Termination of Delegation Agreement Report when he/she is no longer providing supervision to a Physician Assistant. 

Maryland board of physicians - termination of employment (delegation agreement) report

Safety Updates

Healthcare Acquired Infections: The Latest

12 healthcare acquired infections in fiscal year 2018   

Quality Updates

51 UM UCH Physicians Named 2017 Top Docs by Baltimore Magazine

Fifty-one doctors (9 of whom were named in multiple categories) who practice at UM Upper Chesapeake Health were recognized as "Top Doctors" in the November 2017 issue of Baltimore magazine.

The results are based on a Baltimore magazine survey of nearly 12,000 physicians in the Baltimore area, including Baltimore City and the surrounding seven counties, asking where they would send a member of their family in dozens of specialties. Many doctors would choose to send their loved ones to us.

Maryland Consumers Can Compare Hospital Rates for the First Time

A new website - - launched last week by the Maryland Health Care Commission will help consumers compare these types of costs among hospitals and bring more transparency to hospital pricing practices. Learn more.

Caught in the Act!

Doris, from the EVS departmentOn October 10, 2017 at 2:20 pm, Doris, from the EVS department, was caught on camera. She was diligently cleaning hand rails and other hard-to-reach surfaces thinking that no one was watching. Doris knows that her behavior results in a safe environment. She was charged with providing high quality care. 

We are proud of Doris' committee to quality. Thank you!


Empathy Updates

Help for Puerto Rico

Wilma Sinar never forgets her roots. Born in Puerto Rico, Wilma, the administrative pharmacy coordinator, organized a grassroots collection of much-needed items for survivors of Hurricane Maria. For weeks in Maria's wake, most of Puerto Rico's population suffered from flooding and lack of resources, compounded by the slow relief process. As of October 10, at least 93 people are confirmed to have been killed by the hurricane--48 in Puerto Rico alone. 

Wilma worked behind the scenes with Ramon DeJesus, MD, his wife, Liza, and a handful of UM UCH team members to collect items and box them up in preparation for delivery to Ponce, PR and other hard-to-reach areas. Please take a moment to thank Wilma if you see her in the hallways. You can also check out our Facebook Live video!  

*If you're reading this--view the Facebook Live video mentioned above. The first five people to email with the name of the host of the program (hint, she's wearing a hat) will be entered into a drawing for a gift card to Humagalas.

Callback Updates

Once again the patient experience score reflects the value of a callback from the UM UCH team. We have physicians, nurses, case management, and unit secretaries completing callbacks to ensure that our patients needs are met post discharge. As the graphs below demonstrate when a patient receives a callback it has a significant impact on the percentile ranking in every domain. Thank you to those involved in developing, implementing, and operationalizing the callback program.  

UM UCMC Inpatient Callbacks after Discharge graph

Yumi Hogan Launches Art Therapy Program at UM Children's Hospital

Read this wonderful spotlight on the Yumi C.A.R.E.S. Foundation, a nonprofit that focuses on art therapy for pediatric patients dealing with physical and mental illnesses. Featured in the story is 13-year-old Josh Birch, a non-Hodgkins lymphoma patient who is active in the program. Josh's mother, Sarah Birch, works for our Performance Improvement team as an outcomes coordinator. 

CPOE Corner

NEW!!! Please enjoy a monthly resource from your Provider Documentation Team. In the CPOE Corner you will find  information regarding CPOE functionality, common issues and questions, as well as updates. This month’s education will cover:

  • New Specialty Progress Notes
  • Ordering Add-On Lab Tests
  • Dose Instructions for Frequency & Medication Order Field

Questions, ideas, suggestions? Please call the CPOE Support line (EXT 2763).

MEC and P&T Summaries

The following items were approved during the MEC meeting held on October 11th.

Upcoming Meetings and Events

Mark your calendars for important standing meetings and special events. 

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
  • 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