Outpatient Oral COVID-19 Therapies Nirmatrelvir-Ritonavir (Paxlovid) & Molnupiravir

These are not authorized for hospitalized patients Nirmatrelvir-Ritonavir (Paxlovid)Take 2 nirmatrelvir tablets (300 mg) and 1 ritonavir tablet (100 mg) by mouth every 12 hours for 5 days Criteria for use: Positive SARS-CoV-2 test AND• No more than 5 days from symptom onset before initiation AND• Age ≥12 years and weight at least 40 kg […]

Exercise Classes via Preventive Cardiology

The preventive cardiology program has developed a supervised exercise class at multiple locations throughout the metro Detroit Area.  Their PREVENT program might allow for patients that otherwise might not qualify for pulmonary rehabilitation to enroll in scheduled exercise classes. Please consider if your patient might qualify and benefit from this program. Here is the brochure […]

Epic automatically spelling out abbreviations

Epic recently released a system wide upgrade that spells out various words when you attempt to type the accronym, For example “Lifelong NS” is converted to “Life long normal saline”. “F/U in clinic” is converted to “follow units in clinic” etc. This can be disabled. In the search bar go to user dictionary 2. Type […]

Epic assistance

There is a provider assistance team that can aid with Epic optimization for inpatient and outpatient flows. This document contains the names/numbers of the key resources.

Procedure resources

Here are some procedural resources to utilize as needed Clinical Key: has access to a variety of procedure videos.  Users will have to log in via Sladen Library. https://www-clinicalkey-com.sladenlibrary.hfhs.org/#!/    NEJM procedure videos  Ultrasound Guided IJ Catheter Placement Chest Tube Placement

Virtual video and telephone clinic visits

TELEPHONE VISITS If patient is already scheduled, click the encounter. Under notes use the phrase .virtualphonecheckin If you are initiating a visit that is not on the schedule, create a new encounter and for encounter type put: covid (or “virtual Phone Checkin (covid)”)   To see how to bill, see this pdf: VirtualPhoneCheckInOnTheFly Virtual Phone Check-In […]

LEAN clinic updates 5-2019

Posted for Dr. Ouellette from 5/30/2019 email: 1. The Lean Program is a system-wide initiative to improve the health care experience of patients, and the efficacy and safety of selected operations, for all clinics and other health care environments.  A team from the Pulmonary and Critical Care division has been engaged in studying our clinic […]