{"id":45,"date":"2015-10-21T15:28:55","date_gmt":"2015-10-21T15:28:55","guid":{"rendered":"https:\/\/news.med.virginia.edu\/cmo\/?p=45"},"modified":"2019-06-12T19:39:00","modified_gmt":"2019-06-12T19:39:00","slug":"an-exciting-time-to-be-here","status":"publish","type":"post","link":"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/","title":{"rendered":"An Exciting Time to be Here"},"content":{"rendered":"<p style=\"text-align: justify;\"><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">As you know, we<\/span> <span style=\"color: #212121; font-family: Cambria, serif;\">routinely take care of <\/span><span style=\"color: black; font-family: Cambria, serif;\">the most medically complex and surgically ill <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">patients <\/span><span style=\"color: black; font-family: Cambria, serif;\">\u00a0&#8211; those with the highest case-mix index &#8211; <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">while <\/span><span style=\"color: black; font-family: Cambria, serif;\">we deal with issues of capacity and resource needs. <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">As technology has advanced<\/span><span style=\"color: black; font-family: Cambria, serif;\"> and become more widespread<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">, community and regional\u00a0 hospitals <\/span><span style=\"color: black; font-family: Cambria, serif;\">now care <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">for patients historically sent to us<\/span><span style=\"color: black; font-family: Cambria, serif;\">. \u00a0This creates a higher level of acuity and complexity in<\/span> <span style=\"color: black; font-family: Cambria, serif;\">our <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">tertiary care <\/span><span style=\"color: black; font-family: Cambria, serif;\">system. <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">\u00a0<\/span><span style=\"color: black; font-family: Cambria, serif;\">In fact, t<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">he number of extremely compl<\/span><span style=\"color: black; font-family: Cambria, serif;\">icated<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> patients in our hospital<\/span><span style=\"color: black; font-family: Cambria, serif;\">,<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> at any given time<\/span><span style=\"color: black; font-family: Cambria, serif;\">,<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> is at an all-time high and getting higher. <\/span><span style=\"color: black; font-family: Cambria, serif;\">\u00a0Inpatient and outpatient volumes have also increased in the last two years.<\/span><\/span><\/p>\n<div class=\"_n_X4\">\n<div class=\"conductorContent\">\n<div class=\"_n_p csimg image-headerbgmain-png\">\n<div class=\"conductorContent\">\n<div class=\"_n_k2\">\n<div class=\"_n_s2\">\n<div class=\"allowTextSelection\">\n<div class=\"conductorContent\">\n<div class=\"_rp_e\">\n<div class=\"_rp_e allowTextSelection\">\n<div class=\"_rp_f allowTextSelection scrollContainer\">\n<div>\n<div>\n<div>\n<div class=\"_rp_H3\">\n<div class=\"_rp_w3 ms-border-color-neutralLight ShowReferenceAttachmentsLinks\">\n<div id=\"Item.MessagePartBody\" class=\"_rp_y3\">\n<div id=\"Item.MessageUniqueBody\" class=\"_rp_z3 ms-font-weight-regular ms-font-color-neutralDark rpHighlightAllClass rpHighlightBodyClass\">\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: black; font-family: Cambria, serif;\">A seamless transition is needed for these complex patients during transfers. \u00a0Using Be Safe methods and the structure of the unit based leaders (UBL), a team which included Larry Gimple, Jamie Kennedy, Mark Adams and Joseph Schoeny, created standard work on information transfer for incoming CCU patients. \u00a0\u00a0<\/span><\/span><\/div>\n<\/div>\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">\u00a0<\/span><\/span><\/div>\n<\/div>\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: black; font-family: Cambria, serif;\">As a result of their work, wh<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">en a<\/span><span style=\"color: black; font-family: Cambria, serif;\">n outside <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">physician requests a transfer<\/span><span style=\"color: black; font-family: Cambria, serif;\">,<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> a cascade begins. <\/span><span style=\"color: black; font-family: Cambria, serif;\">A checklist is used to ensure that CCU fellows and attendings have accurate information in \u201creal time\u201d while a <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">&#8220;Heart&#8221; HIS analyst <\/span><span style=\"color: black; font-family: Cambria, serif;\">(<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">24<\/span><span style=\"color: black; font-family: Cambria, serif;\">\/7)<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> review<\/span><span style=\"color: black; font-family: Cambria, serif;\">s<\/span><span style=\"color: #212121; font-family: Cambria, serif;\"> and\u00a0confirm<\/span><span style=\"color: black; font-family: Cambria, serif;\">s <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">that <\/span><span style=\"color: black; font-family: Cambria, serif;\">the <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">relevant images have been uploaded successfully. <\/span><span style=\"color: black; font-family: Cambria, serif;\">Our in-house Patient Placement Center organizes a conference call for our clinicians, <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">the referring providers<\/span><span style=\"color: black; font-family: Cambria, serif;\">, and any other needed groups<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">.\u00a0 The acceptance and details of the <\/span><span style=\"color: black; font-family: Cambria, serif;\">transfer <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">are\u00a0posted on an CCU BeSafe Board using a standard tool. <\/span><span style=\"color: black; font-family: Cambria, serif;\">The CCU team is then able to know that they have everything they need <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">to be able to plan for the next level of care.\u00a0 These t<\/span><span style=\"color: black; font-family: Cambria, serif;\">ransfers are logged, audited and reviewed by Mark Adams and the rest of the Be Safe team. <\/span><\/span><\/div>\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: black; font-family: Cambria, serif;\">\u00a0<\/span><\/span><\/div>\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">Mike D. Williams&#8217; new position as the Associate Chief Medical Officer for Clinical Integration<\/span><span style=\"color: black; font-family: Cambria, serif;\"> ties into transfers as well. Mike and his team f<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">acilitat<\/span><span style=\"color: black; font-family: Cambria, serif;\">e both the <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">intr<\/span><span style=\"color: black; font-family: Cambria, serif;\">a-<\/span><span style=\"color: #212121; font-family: Cambria, serif;\">facility and inter-facility communication and\u00a0oversee<\/span><span style=\"color: black; font-family: Cambria, serif;\">s<\/span> <span style=\"color: black; font-family: Cambria, serif;\">the Patient Placement Center, which incorporates the <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">new in-house Bed Center and Transfer Center. Having Mike in this role means that we have a clinician with deep understanding of our processes and our system and someone who can understand the needs of the patient as well as <\/span><span style=\"color: black; font-family: Cambria, serif;\">what <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">resources <\/span><span style=\"color: black; font-family: Cambria, serif;\">are <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">available. This <\/span><span style=\"color: black; font-family: Cambria, serif;\">patient can be received in the <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">\u201cright\u201d bed with the \u201cright\u201d providers by their side<\/span><span style=\"color: black; font-family: Cambria, serif;\"> in the most efficient manner. <\/span><span style=\"color: #212121; font-family: Cambria, serif;\">\u00a0<\/span><\/span><\/div>\n<\/div>\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">\u00a0<\/span><\/span><\/div>\n<\/div>\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: black; font-family: Cambria, serif;\">This work is happening now. It\u2019s an exciting time to be here. <\/span><\/span><\/div>\n<\/div>\n<div style=\"text-align: justify;\">\n<div><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">\u00a0<\/span><\/span><\/div>\n<\/div>\n<div>\n<div style=\"text-align: justify;\"><span style=\"font-family: 'Times New Roman', serif; font-size: medium;\"><span style=\"color: #212121; font-family: Cambria, serif;\">-cg <\/span><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>As you know, we routinely take care of the most medically complex and surgically ill patients \u00a0&#8211; those with the highest case-mix index &#8211; while we deal with issues of capacity and resource needs. As technology has advanced and become more widespread, community and regional\u00a0 hospitals now care for patients historically sent to us. \u00a0This [&hellip;]<\/p>\n","protected":false},"author":224,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[8,9],"tags":[],"class_list":["post-45","post","type-post","status-publish","format-standard","hentry","category-besafe","category-integration"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>An Exciting Time to be Here - Chief Medical Officer Notes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"An Exciting Time to be Here - Chief Medical Officer Notes\" \/>\n<meta property=\"og:description\" content=\"As you know, we routinely take care of the most medically complex and surgically ill patients \u00a0&#8211; those with the highest case-mix index &#8211; while we deal with issues of capacity and resource needs. As technology has advanced and become more widespread, community and regional\u00a0 hospitals now care for patients historically sent to us. \u00a0This [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/\" \/>\n<meta property=\"og:site_name\" content=\"Chief Medical Officer Notes\" \/>\n<meta property=\"article:published_time\" content=\"2015-10-21T15:28:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-06-12T19:39:00+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/\",\"url\":\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/\",\"name\":\"An Exciting Time to be Here - Chief Medical Officer Notes\",\"isPartOf\":{\"@id\":\"https:\/\/news.med.virginia.edu\/cmo\/#website\"},\"datePublished\":\"2015-10-21T15:28:55+00:00\",\"dateModified\":\"2019-06-12T19:39:00+00:00\",\"author\":{\"@id\":\"\"},\"breadcrumb\":{\"@id\":\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/news.med.virginia.edu\/cmo\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"An Exciting Time to be Here\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/news.med.virginia.edu\/cmo\/#website\",\"url\":\"https:\/\/news.med.virginia.edu\/cmo\/\",\"name\":\"Chief Medical Officer Notes\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/news.med.virginia.edu\/cmo\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\/\/news.med.virginia.edu\/cmo\/author\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"An Exciting Time to be Here - Chief Medical Officer Notes","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/news.med.virginia.edu\/cmo\/2015\/10\/21\/an-exciting-time-to-be-here\/","og_locale":"en_US","og_type":"article","og_title":"An Exciting Time to be Here - Chief Medical Officer Notes","og_description":"As you know, we routinely take care of the most medically complex and surgically ill patients \u00a0&#8211; those with the highest case-mix index &#8211; while we deal with issues of capacity and resource needs. 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