Hospitalist Leadership Meeting

Hospitalist Leadership Meeting

April 19th, 2017

Agenda Item / Lead / Decision Summary/
Next Steps
Feedback on Consult Lines within Medicine
Purpose: Seek Input from Group
Time: 30 min.
Preparation: None / Dr. Turnipseed & Dr. Johnson / ·  Dr. Turnipseed and Dr. Johnson asked to come speak with our leadership team to determine areas in which the DOM can improve consults.
·  Feedback was obtain from our service and shared with Dr. Turnipseed and Dr. Johnson, see attached.
·  Key Takeaways
o  No consult should be refused, please notify Dr. Turnipseed if a consult is refused
o  What makes a good consult service
§  Prioritizes consult based on anticipated discharge date
§  Follows-up with recommendations
§  Inputs own orders
§  For procedure consults, streamlines way procedure is scheduled
ToC Update
Purpose: Share Information
Time: 30 min.
Preparation: None / Alison Garretson / ·  Reviewed ToC Data (Avoidable Days, LOS, Excess Days), see attached
·  Key Takeaways
o  ACE Tracker a positive adjunct to ToC
o  HGH implementation well received; smooth start
o  LOS lower than baseline in key payers
o  Excess days % trending down in key payers
·  Next Steps
o  Continued ACE Tracker coaching for CCRN / SW during rounds with ACE leaders
o  Communication board documentation need improvement; quality review ongoing
o  Consider opportunity to evaluate practice patterns
o  Process: discharge and sign-out
o  Clinical: high volume diagnoses
Extended Care Facility Transfer Powernote
Purpose: Share Information
Time: 10 min.
Preparation: None / Dr. Mathews / ·  Important details attached (Extended Care Facility Transfer Powernote)
·  The Care Manager will complete the red box and send to the physician
·  For certification, the payer requires the physician to sign as a statement that the physician approves the care
Reserved Beds Pilot - Neuro & CV Surgery
Purpose: Share Information
Time: 5 min.
Preparation: None / Dr. Lyman / ·  The hospital will conduct a pilot to reserve beds for Neurosciences and CV Surgery. The pilot began on April 10 and will continue for approximately 90 days. Dr. Lyman to share more info. regarding the pilot, slide attached.