UI Health: Just Between U & I

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Cerner Update; VTE Prophylaxis Agent

Cerner Update: Enoxaparin (Lovenox) as primary pharmacologic agent (default option) in Cerner for VTE prophylaxis 

Audience: All Clinicians

What’s New: Updated VTE prophylaxis guideline and primary pharmacologic agent for patients 18 years and older in Cerner for VTE prophylaxis

Effective: November 29, 2017 As part of our ongoing effort to reduce the incidence of VTE at UIH we have chosen enoxaparin (Lovenox) as the primary pharmacological agent (‘default option’) in Cerner for VTE prophylaxis for adult patients.  This change is operative from Wednesday, November 29th, 2017.

Note: subQ heparin prophylaxis continues to be the recommended pharmacological agent for:

adult patients on the neurosurgery service

for patients with CNS hemorrhage

those with CKD on renal replacement therapy

To view Venous Thromboembolism Pro phylaxis for Adults and Pediatrics Guideline, click on the following link: VTE.Prophylaxis.Guidelines

  Sincerely, Anticoagulation Quality Improvement Committee

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Code Week, Nov. 6-10

How do you respond to a Code Pink or Code Gold?

Even though rare, there may be times when our most vulnerable patients are at risk - and we need to be ready!

Learn more about these two house-wide alerts by reviewing the Code Gold policy, and the Code Pink process in the Disaster Manual.

Test your knowledge by taking the “Code Week Quiz.” Staff who answer all the questions correctly will be entered into a drawing for prizes.

At various times during the week, Code Pink and Code Gold drills will occur. Staff who respond per policy during the drills will be acknowledged. Staff who fail to respond will be provided a gentle reminder.

For more information, click here.

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Corporate Compliance & Ethics Week: November 5 – 11

Corporate Compliance and Ethics Week is an integral part of UI Health’s ongoing compliance and ethics program.

The University Code of Conduct calls on, “Those acting on behalf of the University have a general duty to conduct themselves in a manner that will maintain and strengthen the public's trust and confidence in the integrity of the University and take no actions incompatible with their obligations to the University. “

Our Mission is to develop, implement, and monitor an institutional strategy and create a corporate culture that promotes corporate integrity and ethical behavior.

Our Goals are:

Awareness –     of the Code of Conduct, relevant laws/regulations, hotlines and other reporting methods.

Recognition – of training completion, compliance and ethics successes.

Reinforcement – of the culture of compliance for which UI Health strives.

Call the UI Health toll-free third-party confidential hotline, 866.665.4296, to report suspected ethics violations and compliance violations of federal and state laws, CMS regulations, or concerns about business practices.

If you have questions about ethics and compliance, email the UI Health Compliance Department at [email protected].

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Signup for Symposium on Diabetes Care

Symposium on Diabetes Care for the UI Health System

Save the date: Monday, November 6th from 3 - 5 pm in the Moss Auditorium

We are planning a symposium to discuss current clinical care of diabetes, existing programs on diabetes management, and community outreach efforts in our healthcare system. The point of this meeting is for people to interact, learn what others are doing, and for us to develop an approach to work together to improve diabetes care and outcomes throughout our whole healthcare system.

If you plan to attend, please email the following information to [email protected]:

If you are interested in attending

If you have a program you would like to share with us

A topic you would like to see covered.

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National Institutes of Health’s All of Us Journey

Date: Sept. 13 and 14

This week, UI Health will host the National Institutes of Health’s All of Us Journey, a traveling, hands-on exhibit to raise awareness about the All of Us Research Program — an ambitious effort to gather data from 1 million or more people living in the United States to accelerate research and improve health.

WHERE:  Paulina St. & Harrison St.

WHEN:  Sept. 13 & Sept. 14 11:00 a.m. to 5:00 p.m.

This is one stop on the All of Us Journey’s 37-week national tour. UIC invites you to attend this event to learn more about the All of Us Research Program and its potential to advance precision medicine in the future.

As this traveling exhibit makes its way across the nation, it will provide community members with information on the All of Us Research Program. Unlike a single research study focused on a specific disease or community, All of Us will serve as a national research resource to inform thousands of studies, covering a wide range of health conditions.

The All of Us Research Program at UIC is funded by a five-year, $45 million award from the NIH.

Follow @UIC_JoinAllofUS for a list of the food trucks that will be on site.

https://today.uic.edu/events/nihs-all-of-us-journey-comes-to-uic

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Sepsis is a medical emergency. At least 1.5 million people each year in America get sepsis, and more than 250,000 people die as a result. Very young children, older adults, people with chronic disease and/or immunocompromised are at greatest risk; however, sepsis can afflict anyone and any source of infection can progress to Sepsis. Delayed recognition and treatment increases patients' risk of death.

The Centers for Disease Control and Prevention (CDC) has launched Get Ahead of Sepsis, an educational initiative, to protect Americans from the devastating effects of sepsis. This initiative emphasizes the importance of early recognition and timely treatment of sepsis, as well as the importance of preventing infections that could lead to sepsis. Visit Get Ahead of Sepsis to learn more about sepsis and resources for patients and clinicians such as infographics, factsheets, and brochures. Digital and social media graphics are also found on the Get Ahead of Sepsis website. Remember to use the hashtag #GetAheadofSepsis in all social media messages related to sepsis and Sepsis Awareness Month.

https://www.youtube.com/watch?v=5JvGiAFLels (Four Ways to Get Ahead of Sepsis CDC PSA)

UI Health is also taking steps to improve sepsis outcomes. UIH has implemented EHR alerts, job aids, guidelines, and order sets. Situation-Background-Assessment-Recommendation (SBAR) scripts are coming soon. UI Health clinicians play an essential role in combating sepsis.

What’s YOUR Role?

Clinicians can get ahead of sepsis following these steps:

Prevent Infections: Proper hand hygiene and adherence to infection control policies and practices are crucial.

Think Sepsis: Know the signs and symptoms of sepsis.

Act Fast: Initiate the 3-hour bundle and follow through with the 6-hour bundle. Antibiotics should be started within the first hour of recognition, as soon as lactate and cultures are drawn.

Reassess your patients and your management plan frequently.

Document your clinical reasoning, especially in response to every SIRS and Sepsis alert.

Educate patients and their families about sepsis so they can recognize symptoms.

Early recognition and timely treatment can help all of us #GetAheadofSepsis and save lives.

For more information, please visit https://spark.adobe.com/page/SGcryoUvrOZTU/.

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Correct Patient Identification Starts With You!

Wrong-patient errors may occur in all stages of diagnosis, care, treatment, or services. The use of two patient identifiers are vital for caregivers to provide the right care to the right patient.

Goal

Providing the highest level of patient safety within UI Hospital and Clinics starts by using two patient identifiers.

What Can You Do to Help?

I Pledge to Check Two. Every Patient, Every Interaction!

Prior to providing care, treatment or services, correctly identify the patient by asking him or her to state their full name and date of birth.

For non-verbal patient identification, or additional information on identification of patients seen in the outpatient settings, please review policy TX 5.09 located under Hospital Policies on the intranet page and Safety Huddle #13.

Our aim is to provide our patients with the correct care, treatment or service every time.

Safe Patient Care Means

Resolve discrepancies with the identification of a patient prior to providing care, treatment or services

Report all near misses for process improvement.

The patient’s room number or physical location is not used as an identifier.

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CME Training in LGBTQ Patient Centered Care

In pursuing our mission of health equity and strengthening our position as a leader in LGBTQ healthcare equality, we invite you to participate in the online training options that focus on enhancing  LGBTQ Patient Centered Care at UI Health. The HRC Foundation offers over 60 different free online CME accredited training options. These training options include interactive courses and recorded webinars.

Topics Include:

An Introduction to your LGBTQ Patients

Introduction to LGBTQ Health

Expanding LGBTQ Cultural Competency

LGBTQ Healthcare for Clinicians

Transgender Health

Working with Trans Youth

Behavioral Health Care

LGBTQ Youth

LGBTQ Older Adults

HIV and STI Treatment and Prevention

Lesbian and Bisexual Women

Gay and Bisexual Men

What You Need to Do

Register (or login if you have an account): https://www.lgbthealtheducation.org/my-account/?login=1 NOTE: make sure you use our official facility ID: 55850

Choose from webinars and learning modules by:

Visiting the HEI website and clicking the Education tab, then Webinars & Video Training

OR

Click here for webinars: http://www.lgbthealtheducation.org/lgbt-education/webinars/

Click here for modules: http://www.lgbthealtheducation.org/lgbt-education/learning-modules/

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New Intranet Delayed

The new Intranet launch has been delayed to accommodate other priorities. We’ll post an updated go-live date as soon as we can.

UI Health Marketing and Information Services are excited to introduce the new and improved employee intranet!

New features include:

My Links: Build your own custom version of the popular Quick Links

Quick people search added to the landing page (fewer clicks!)

Improved site search, with search-results filtering

Faster access to Online Forms

Updated, modern design, including mobile optimization (now easier to use on your smartphone)

Click here to preview the new site. To provide feedback and/or suggestions, click here.

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THIS EVENT IS NOW SOLD OUT. Sorry

Saturday, Aug. 19, is UI Health Employee Night with the Chicago Fire. To celebrate, UI Health will host a pre-game picnic at TOYOTA PARK.

The picnic and FIRE FEST will begin at 5 pm and will include food, drinks, and games for all employees & their families.

Stadium parking is $20. Bus transportation also is available from nine Chicago-area bars. Visit chicago-fire.com/matchday/pubtopitch for more details.

For questions, please contact David Quinn at the Fire at 708.496.6789 or via e-mail at [email protected].

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Schwartz Grand Round

Aug. 9, from 12-1pm University of Illinois Hospital Room 1130.

The upcoming seminar titled, “Keeping Calm when Chaoes Erupts: A Case Approach?” will be on Aug. 9, from 12-1pm at the University of Illinois Hospital Room 1130. This session features panelists Roman Lipovetsky, MD and Judy Henry, RN. The meeting will be facilitated by Kathryn H. Fajardo, MS, RD, CSO, LDN. Read More..

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Upcoming Risk Management Grand Rounds, July 20

RISK MANAGEMENT & PATIENT SAFETY GRAND ROUNDS

Sponsored by: James Bui, MD Hokuto Nishioka, MD UIH Safety Committee Medical Staff Review Board Risk Management & Patient Safety Department

It Really Happens Here: Wrong Patient Identifiers Why Should it Matter to You?

Join us Thursday, July 20th at 12 noon in Rooms 1130/1135 Lunch will be provided.

Learn the importance of utilizing two patient identifiers every time by all clinical and non-clinical personnel involved in care and service delivery to our patients.

Hear from those involved in cases occurring at UIH where utilizing two patient identifiers was missed. Participate in strategies for improvement.

Contact Risk Management at 312-996-3912 for more information.

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RISK MANAGEMENT & PATIENT SAFETY GRAND ROUNDS

Sponsored by: Enrico Benedetti, MD James Bui, MD Bud Pygon, MD Medical Staff Review Board Risk Management & Patient Safety Department

Recent Cases Involving Overlapping Surgeries: What Do You Need to Know?

Wednesday, June 21st at 7 AM in Moss Auditorium

Presented by Michael Code, JD Partner, Lowis & Gellen, LLP

Mr. Code will discuss recent litigation involving concurrent and overlapping surgeries and provide an update regarding the Senate Finance Committee’s report on concurrent and overlapping surgeries.

Light refreshments will be provided. Contact Risk Management at 312-996-3912 for more information.

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Sorin Notification Letters begin May 31

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) have found a link between devices used to heat and cool the blood during open-heart surgery and a rare infection caused by the bacteria Mycobacterium chimaera, a type of nontuberculous mycobacterium (NTM). For patients who have had open-heart surgeries, the chances of getting this infection are very low.The CDC estimates the risk to be less than 1 percent. 

UI Health is not aware of any infections associated with our facility or whether the device we used in the past was contaminated, but in an abundance of caution in accordance with the CDC’s and FDA’s suggestion, we are notifying patients who have had open-heart surgery as a precaution.

Patients who had open heart surgery at UI Health between January 2012 and August 2016 will receive a letter from our care team. The letter will instruct them to call dedicated line and a nurse coordinator will guide them through a script of questions to identify symptoms and next steps if needed.

For more information, please review:

FAQs

Letter to Patients

Letter to Providers

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KRAs are Here!

The FY17 Employee KRA templates are now available within the LMS/TMS for your use. Please see below for information about the template and changes that have been made since last year.  If applicable to you, share this email with any shift supervisors, team leaders, or AN1s that you will have starting KRAs for you.

What’s New for FY7 Employee KRAs

Changes were made to the content, flow, and look & feel of the Employee KRA templates based on feedback from last year’s KRA process. Click here to see a summary of the changes that have been made.

Custom Templates: The Template Guide walks Shift Supervisors, AN1's, Managers or Directors through selecting the correct template for their employee's KRA. Please Note: not all templates will be available to use for every user. Click here to access the document.  If you do not see a particular template you were expecting to see, email [email protected] and you’ll be provided access.

Due Date for FY17 KRAs Both FY17 Employee KRAs and FY17 Leader KRAs must be completed by August 15, 2017, which is a hard stop. NOTE – The FY17 Employee KRA forms should be used only for employees, not managers. (The FY17 Leader KRA will be tentatively launched in early June.)

Resources Available

Visit the updated Leader & Employee KRA Performance Evaluations page on the Intranet for an overview of the who/what/when of FY17 KRAs.

Updated Step Guides are available for managers and employees to assist in completing KRAs. Hyperlinks to the Step Guides will also be provided in the system generated emails that are sent as the KRA moves through each stage.

Manager Step Guides for the FY17 Employee KRA process

Employee Step Guide for the FY17 Employee KRA process

Click here to see the two possible workflows for completing Employee KRAs. Refer to this for your particular situation.

OPTIONAL TRAINING - Webinars will be held to acquaint new managers to the automated KRA Performance Evaluation process. This is open to any manager, but will be targeted at those not familiar with the automated process. Log into the LMS/TMS and search for “KRA Process Overview (Webinar)” to enroll.

Questions? Email [email protected] with any questions you have on the process and resources.

KRA Information Flyer: https://uofi.box.com/s/7jm8ljk1fdi5sy0t40nv9a1grlkyqfyx  

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Follow-Up Care Calls

Starting June 7, patients will receive a follow-up care call within two days after leaving the hospital.  This will enable us to check on the patient during their recovery process.   

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Chicago Fire Stroke Awareness Night, May 13

UI Health and the Chicago Fire Soccer Club have partnered to host Stroke Awareness Night for the second consecutive year. Fire fans will have many opportunities to learn about stroke awareness leading up to and during the match.  Click here to purchase a ticket.

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