Preserving Catholic Health Care in Our Community

As I begin my Interim CEO role, my goal at Mercy is to preserve the hospital’s identity and ensure the delivery of high quality Catholic health care in the community. This is even more important now due to the dramatic changes to the health care industry in our region and across the country. To do…

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Queries: A Legal Part of the Medical Record

Providers were informed in August 2016 that queries were approved by our legal department to be part of the medical record. Answered, signed and dated queries are permanently filed in Meditech as a progress note under “Med Rec Forms.” When answering a query, please answer to the best of your ability using professional language. Please…

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Outpatient Management of Acute Pain

The Governor’s Cabinet Opiate Action Team and the work group on Opioids and Other Controlled Substances have provided their third guideline to the outpatient management of acute pain. To learn more about the latest guideline, visit: http://mha.ohio.gov/Portals/0/assets/Initiatives/GCOAT/Guidelines-Acute-Pain-20160119.pdf Tackling Opiate Epidemic in Stark County In partnership with Stark County Mental Health & Addiction Recovery, the Opiate…

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Length of Stay Initiative

U.S. hospital stays cost organizations billions of dollars per year. In today’s value-based care environment, hospitals are under increasing pressure to avoid patient harm and maintain quality while lowering costs. Reducing hospital length of stay (LOS), especially as it relates to avoiding unnecessary hospital-acquired conditions (HAC), is a primary indicator of a hospital’s success in…

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Diagnosis of the Month: Encephalopathy

“Encephalopathy is a general term used to describe any disorder of cerebral function. It is a very broad term and in most cases will be preceded by various terms describing the reason, cause or special conditions leading to the brain disorder. Some of the common encephalopathies are noted below:” (3M coding reference) • Anoxic encephalopathy…

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One Call Transfer, Direct Admission

To facilitate the orderly admission of patients to Mercy Medical Center while obtaining all necessary information for each department, please call the One Call Line at 855-260-CARE (2273). 1. If the patient is an ED to ED transfer, the call will be forwarded to the ED PCC at ext. 2188. 2. The One Call Transfer…

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E-Signing Made Easy

With a smart phone and any other mobile device (laptop or tablet), you can now submit orders and e-sign reports from any location with internet connectivity. Have a smart watch too? You can e-sign your orders and notes by simply touching your watch.  Ronald Crock, M.D., president of Mercy Medical Staff, says, “I can check…

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Harvest Ball Raises More Than $250,000 for Facility Transformation

Mercy Service League held its 2016 Harvest Ball on October 15 at the Canton Memorial Civic Center Auditorium. Mercy Medical staff president, Aida Safar, M.D., served as honorary medical staff chair, and Julie Gill and Kathleen Prasnal served as Mercy Service League c-chairs. The event raised over $250,000, with proceeds benefitting the Mercy Facility Transformation…

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Mercy Hospice is Alive and Well

As a result of a joint venture partnership with Alternate Solutions Health Network in February, Mercy Hospice has maintained an intense focus upon the enhancement of several critical areas in order to provide market leading care to ALL patients within a six-county service area. All this, while continuing to provide care consistent with the Ethical…

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Have You Registered for an OARRS Account?

The Ohio Automated Rx Reporting System (OARRS) is a web based system that collects information on all outpatient prescriptions for controlled substances dispensed by licensed pharmacies in Ohio. Ohio law requires physicians renewing their medical license to certify that they have registered for an OARRS account. As of April 1, 2015, Ohio law established requirements…

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Register for Chartwise Electronic Query Process

Mercy’s Clinical Documentation Improvement Chartwise Electronic Query process has begun. Thank you Kristy Powers, IT analyst, for her expertise and dedication to make this vision a reality. Thank you Dr. Gormsen, Dr. Linz, Dr. Daoud, David Stewart, Tracey Majors and Trevor Clere for their ongoing support during this process. Steps to Register in Chartwise: Provide Gina Lewis your email address where you can…

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Lake Township Woman Receives Area’s First TAVR Under Conscious Sedation

Mercy Heart Center recently performed the area’s first transcatheter aortic valve replacement (TAVR) on a patient under conscious sedation. Lake Township resident Carolyn Thomas, age 78, remained awake throughout the entire minimally invasive procedure to replace her aortic valve. The surgery was performed by Ahmed Sabe, M.D., medical director of Mercy Heart Center. Using anesthesia…

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Medication Use in the Elderly

As practitioners know, older adults are at a greater risk of medication side effects and adverse events than the general population. The American Geriatrics Society Beers Criteria for Potentially Inappropriate Medication Use in Older Adults assists in the mindful prescribing of medications for older adults. Along with a list of potentially inappropriate medications for all…

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ICD-10 Documentation Criteria: Acute Kidney Injury

Kidney Disease: Improving Global Outcomes (KDIGO) defines Acute Kidney Injury using the following criteria: Increase Creatinine greater than or equal to 0.3mg/dl from baseline within 48 hours; or Increase in Creatinine greater than or equal to 1.5 times baseline, which is known or presumed to have occurred within 7 days; or Urine output less than…

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Physician Electronic Query Process

IT and CDI are diligently working together to complete the final steps of the electronic query process. Once the details are finalized, we will begin training the Sound Physician Group and then roll out the new time efficient query process to all practice groups. Stay tuned. We will be in touch to set up training…

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New Physicians in June 2016

Sameer Ahmed, MD Active, Provisional Department of Internal Medicine, Hospitalist Sound Physicians 1320 Mercy Dr., N.W., Canton, OH 44708 Phone: 817-767-6140 Fax: 214-279-8587   Joel David, DO Active, Provisional Department of Internal Medicine, Hospitalist Sound Physicians 1320 Mercy Dr., N.W., Canton, OH 44708 Phone: 817-767-6140 Fax: 214-279-8587   Christopher Jones, MD Active, Provisional Department of…

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ICD-10 Documentation Criteria: Congestive Heart Failure

Heart failure is defined as impairment of diastolic filling or of systolic ejection of blood that results from functional or structural abnormalities of the heart. Systolic (EF below normal <55%) and diastolic with normal or elevated EF (Normal EF 55-70% and elevated >70%). Signs and Symptoms of CHF: Shortness of breath Persistent coughing or wheezing…

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Clinical Documentation Improvement (CDI) Program and Physician Response Metrics

What happens when you throw CDI into the mix between physicians and coders? Mercy will achieve more accurate documentation utilized by the coder to help capture how sick hospital patients truly are from admission to discharge. Mercy CDI staff is currently comprised of 4.5 registered nurses with various backgrounds. Lead CDI RN Gina Lewis, RN,…

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Ways to Improve Documentation

I would personally like to thank all the physicians and nurse practitioners that take the time to read and answer our queries during their extremely busy days. I also appreciate all the questions we receive on how to improve documentation. The purpose of CDI is not to tell you what to document but to gather…

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Nurses Choose New Medication Carts

New medication carts, chosen by popular vote from Mercy nurses, are now being delivered to Mercy nursing units. The Rubbermaid medication cart has many new features including a touch screen to control the drawers with preset controls for every nurse and wireless scanners for scanning medications. High-tech batteries will ensure at least six hours of…

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CPOM Update: Addressing Alert Fatigue

A statistical analysis of the 4th quarter 2015 medication alerts at Mercy Medical Center demonstrated that there were 250,000 medication alerts fired on 195,000 medications entered through CPOM. The Clinical Transformation Department, Workflow & Devices Committee, Pharmacy, P&T, EHR Committee and MEC Committee have started looking at how to adjust processes to decrease pop-up screens…

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