It has been challenging for medical group physicians to reach the radiologist at Wyandotte Hospital. The radiologists there are part of the Harris Birkhill group. The chair at HF-Wyandotte is Chris Bartoi, MD. He suggests that you try using Halo. If that does not work there is a central number, 313-982-5386 you can […]
Remdesivir – criteria for use
1) positive covid test within 10 days AND 2) no more than 10 days from symptom onset AND 3) less than 6 liters oxygen need when initially prescribed AND 4) AST/ALT less than 5x upper limit of normal
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 […]
COVID-19 Monoclonal Antibody Outpatient Treatment
Placing in order in epic is the preferred method to ensure patients have quick accessed monoclonal antibody therapy. Physicians on the HFHS instance of Epic (including Community Care Connect) should order: “Ambulatory referral to monoclonal antibody infusion (mAB).” There is no need to also send a halo message to the mAB infusion HUB-COVID Monoclonal Antibody […]
Video Remote Interpreting (VRI)– Translation services
Situation A successful Video Remote Interpreting (VRI) app on provider phones pilot was completed in HFHS EDs to provide a use case specific to provider needs. Standard large-size VRI system spread is in progress. The provider phone app will provide enhanced access to qualified interpreters. Background Individuals who are limited English proficient (LEP) are challenged […]
Billing and attestation for medical student notes
The sub-interns can write notes that are billable. In order to sign a student note a senior resident (or staff ) has to be present in the room with the student at the time of their evaluation and the student has to document that at the bottom of the note with the phrase “Dr. [Senior […]
Sanofi Dupilumab COPD study
In a subgroup of patients with COPD, there is an elevation in blood eosinophils. The Dupilumab study is designed to investigate the efficacy and safety of Dupilumab over one year in patients with COPD and Type II inflammation in need of additional treatment added to their current management. This study is a multinational, RCT PHASE […]
Important Epic bug – patient calls
When you “reply” to a patient call in your patient call folder (later converted to a “telephone encounter”, anything you say gets deleted and will NOT show up in the chart. Instead, right click the message, and selecr “encounter” then: Create a new note re-route to anyone on that comment thread Do not use “reply […]
Important Epic orders
To refer to outpatient pharmacy for inhaler technique assessment and inhaler adjustent: REFERRAL HOSPITAL-BASED AMBULATORY CARE CLINICAL PHARMACIST
Rapid Sequence Inbutation (RSI)
The key points for Senior Staff to remember: You can still call anesthesia, particularly for airways anticipated to be difficult. The pre-sedation/analgesia and post-sedation documentation must be done in EPIC, where you need to identify ASA classification, Mallampati score, etc. Intubations should be a two-provider (Sr. staff, fellow, APP) procedure. The existing policy outlines that […]